title: Adenoassociated virus-mediated prostacyclin synthase expression prevents pulmonary arterial hypertension in rats.
abstract: Prostacyclin synthase (PGIS) is the final committed enzyme in the metabolic pathway of prostacyclin production. The therapeutic option of intravenous prostacyclin infusion in patients with pulmonary arterial hypertension is limited by the short half-life of the drug and life-threatening catheter-related complications. To develop a better delivery system for prostacyclin, we examined the feasibility of intramuscular injection of an adenoassociated virus (AAV) vector expressing PGIS for preventing monocrotaline-induced pulmonary arterial hypertension in rats. We developed an AAV serotype 1-based vector carrying a human PGIS gene (AAV-PGIS). AAV-PGIS or the control AAV vector expressing enhanced green fluorescent protein was injected into the anterior tibial muscles of 3-week-old male Wistar rats; this was followed by the monocrotaline administration at 7 weeks. Eight weeks after injecting the vector, the plasma levels of 6-keto-prostaglandin F(1alpha) increased in a vector dose-dependent manner. At this time point, the PGIS transduction (1x10(10) genome copies per body) significantly decreased mean pulmonary arterial pressure (33.9+/-2.4 versus 46.1+/-3.0 mm Hg; P<0.05), pulmonary vascular resistance (0.26+/-0.03 versus 0.41+/-0.03 mm Hg x mL(-1) x min(-1) x kg(-1); P<0.05), and medial thickness of the peripheral pulmonary artery (14.6+/-1.5% versus 23.5+/-0.5%; P<0.01) as compared with the controls. Furthermore, the PGIS-transduced rats demonstrated significantly improved survival rates as compared with the controls (100% versus 50%; P<0.05) at 8 weeks postmonocrotaline administration. An intramuscular injection of AAV-PGIS prevents monocrotaline-pulmonary arterial hypertension in rats and provides a new therapeutic alternative for preventing pulmonary arterial hypertension in humans.
authors.affiliation: Division of Genetic Therapeutics, Jichi Medical University, Tochigi, Japan. titou@jichi.ac.jp
authors.forename: Takayuki
authors.initials: T
authors.lastname: Ito
authors.forename: Takashi
authors.initials: T
authors.lastname: Okada
authors.forename: Jun
authors.initials: J
authors.lastname: Mimuro
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Miyashita
authors.forename: Ryosuke
authors.initials: R
authors.lastname: Uchibori
authors.forename: Masashi
authors.initials: M
authors.lastname: Urabe
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Mizukami
authors.forename: Akihiro
authors.initials: A
authors.lastname: Kume
authors.forename: Masafumi
authors.initials: M
authors.lastname: Takahashi
authors.forename: Uichi
authors.initials: U
authors.lastname: Ikeda
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Sakata
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Shimada
authors.forename: Keiya
authors.initials: K
authors.lastname: Ozawa
mesh_terms: D015121:6-Ketoprostaglandin F1 alpha / Q000097:blood / Q000378:metabolism; D000818:Animals; D001794:Blood Pressure; D002460:Cell Line; D003577:Cytochrome P-450 Enzyme System / Q000235:genetics* / Q000378:metabolism; D000229:Dependovirus / Q000235:genetics*; D011464:Epoprostenol / Q000378:metabolism; D005240:Feasibility Studies; D018014:Gene Transfer Techniques; D005822:Genetic Vectors / Q000008:administration & dosage; D006339:Heart Rate; D006801:Humans; D006976:Hypertension, Pulmonary / Q000139:chemically induced / Q000473:pathology / Q000503:physiopathology / Q000517:prevention & control*; D006984:Hypertrophy; D017380:Hypertrophy, Right Ventricular / Q000473:pathology; D007273:Injections, Intramuscular; D019746:Intramolecular Oxidoreductases / Q000235:genetics* / Q000378:metabolism; D008297:Male; D016686:Monocrotaline; D011651:Pulmonary Artery / Q000473:pathology; D051381:Rats; D017208:Rats, Wistar; D016019:Survival Analysis
chemical_list: D015121:6-Ketoprostaglandin F1 alpha; D016686:Monocrotaline; D003577:Cytochrome P-450 Enzyme System; D011464:Epoprostenol; D019746:Intramolecular Oxidoreductases; C022461:prostacyclin synthetase