From the Centre for Vascular Research, University of New South Wales, Sydney NSW 2052, Australia.
From the Centre for Vascular Research, University of New South Wales, Sydney NSW 2052, Australia.
J Biol Chem. 2010 Feb 5;285(6):4038-4048. doi: 10.1074/jbc.M109.078345. Epub 2009 Nov 23.
Coronary artery bypass graft failure represents an unsolved problem in interventional cardiology and heart surgery. Late occlusion of autologous saphenous vein bypass grafts is a consequence of neointima formation underpinned by smooth muscle cell (SMC) migration and proliferation. Poor long term patency and the lack of pharmacologic agents that prevent graft failure necessitate effective alternative therapies. Our objective here was to evaluate the effect of targeted inhibition of the bZIP transcription factor c-Jun on intimal hyperplasia in human saphenous veins and vein graft stenosis after autologous end-to-side transplantation. DNAzymes targeting c-Jun attenuated intimal hyperplasia in human saphenous vein explants. Adenovirus-forced c-Jun expression stimulated SMC proliferation, proliferating cell nuclear antigen, and MMP-2 expression. c-Jun DNAzymes abrogated Adeno-c-Jun-inducible SMC growth and wound repair and reduced intimal thickening in jugular veins of New Zealand white rabbits 4 weeks after autologous end-to-side transplantation to carotid arteries. Conversely, in a DNAzyme-free setting, Adeno-c-Jun potentiated neointima formation in the veins compared with Adeno-LacZ. Inducible c-Jun expression is ERK1/2- and JNK-dependent but p38-independent. Injury- and shear-inducible c-Jun controls early growth response-1. These data demonstrate that strategies targeting c-Jun may be useful for the prevention of vein graft stenosis. Control of one important shear-responsive transcription factor by another indicates the existence of transcriptional amplification mechanisms that magnify the vascular response to cell injury or stress through inducible transcriptional networks.
冠状动脉旁路移植术失败是介入心脏病学和心脏外科学领域尚未解决的问题。自体大隐静脉旁路移植术后晚期闭塞是新生内膜形成的结果,其基础是平滑肌细胞(SMC)迁移和增殖。长期通畅率差,缺乏预防移植物失败的药物,因此需要有效的替代治疗方法。我们的目的是评估靶向抑制 bZIP 转录因子 c-Jun 对自体端侧吻合后人类大隐静脉和静脉移植物狭窄的内膜增生的影响。靶向 c-Jun 的 DNAzyme 可减轻人类大隐静脉外植体的内膜增生。腺病毒强制表达 c-Jun 可刺激 SMC 增殖、增殖细胞核抗原和 MMP-2 的表达。c-Jun DNAzyme 可阻断腺病毒-c-Jun 诱导的 SMC 生长和伤口修复,并减少自体端侧吻合至颈总动脉后 4 周新西兰白兔颈静脉的内膜增厚。相反,在无 DNAzyme 的情况下,与 Adeno-LacZ 相比,Adeno-c-Jun 增强了静脉中的新生内膜形成。诱导型 c-Jun 表达依赖于 ERK1/2 和 JNK,但不依赖于 p38。损伤和剪切诱导的 c-Jun 控制早期生长反应-1。这些数据表明,靶向 c-Jun 的策略可能有助于预防静脉移植物狭窄。另一个剪切反应性转录因子对另一个的控制表明,存在转录放大机制,通过诱导转录网络放大血管对细胞损伤或应激的反应。
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