Novel vascular lesions in mice given a non-peptide vitronectin receptor antagonist

Sabine Rehm1, Roberta A Thomas, Kim S Smith

  • 1GlaxoSmithKline, King of Prussia, PA 19406, USA. Sabine.Rehm@gsk.com

Toxicologic Pathology
|December 22, 2007
PubMed

Insights

SB-273005 caused vascular smooth muscle cell (VSMC) necrosis in mice, leading to arterial lesions. This species-specific toxicity, unrelated to integrin antagonism, highlights a novel mechanism of vascular injury.

Area of Science:

  • Toxicology
  • Vascular Biology
  • Pharmacology

Background:

  • Integrin antagonists are investigated for therapeutic potential.
  • Alpha vbeta 3 and alpha vbeta 5 receptors play roles in vascular processes.
  • Understanding drug-induced vascular toxicity is crucial for safety.

Purpose of the Study:

  • To investigate the vascular effects of the alpha vbeta 3, alpha vbeta 5 receptor antagonist SB-273005 in mice.
  • To determine the mechanism of observed vascular lesions.
  • To assess the reversibility of SB-273005-induced vascular toxicity.

Main Methods:

  • Administration of SB-273005 to mice for up to 3 months.
  • Histopathological examination of aorta, renal arteries, heart, kidney, and spleen.
  • In vitro studies on vascular smooth muscle cells (VSMCs).
  • Evaluation of vascular changes after drug withdrawal.

Main Results:

  • SB-273005 induced vascular smooth muscle cell (VSMC) necrosis in mouse aorta and renal arteries.
  • Lesions included medial thickening, matrix deposition, fibrinoid necrosis, and inflammation.
  • No vascular regeneration was observed after drug withdrawal.
  • Associated organ damage (heart, kidney, spleen) suggested ischemic injury and repair.
  • In vitro studies and related compounds did not show similar toxicity, indicating species-specific effects.

Conclusions:

  • SB-273005 causes direct, species-specific VSMC toxicity in mice via an unknown mechanism.
  • The observed vascular lesions are unrelated to vitronectin receptor antagonism.
  • The toxicity is characterized by non-progressive, non-recoverable lesions with adaptive medial changes.

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