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Updated: May 11, 2026

Vascular Balloon Injury and Intraluminal Administration in Rat Carotid Artery
Published on: December 23, 2014
Intimal hyperplasia after vascular injury is inhibited by antisense cdk 2 kinase oligonucleotides
R Morishita1, G H Gibbons, K E Ellison
1Division of Cardiovascular Medicine, Falk Cardiovascular Research Center, Stanford University School of Medicine, California 94305.
Abstract:
The cell cycle regulatory enzyme, cdk (cyclin-dependent kinase) 2 kinase, is activated in the rat carotid artery after balloon angioplasty injury, and may mediate smooth muscle proliferation. To test the hypothesis that inhibition of the expression of this key enzyme can inhibit intimal hyperplasia, we studied the effect of antisense phosphorothioate oligodeoxynucleotides (ODN) against cdk 2 kinase administered by intraluminal delivery using hemagglutinating virus of Japan (HVJ)-liposome-mediated transfer. The specificity of antisense cdk 2 ODN was confirmed by the observation that mRNA level of cdk 2 kinase in injured vessels was markedly diminished by the antisense ODN treatment. At 2 wk after transfection, antisense cdk 2 ODN treatment (15 microM) resulted in a significant inhibition (60%) in neointima formation, compared with sense ODN-treated and untreated vessels. Since we have previously observed that cell division cycle 2 kinase mRNA was also activated after vascular injury, we administered the combination of antisense cdc 2 and cdk 2 ODN in this study. Antisense cdc 2 ODN alone (15 microM) only reduced intimal formation by 40%. Combined antisense treatment resulted in near complete inhibition of neointima formation. To understand the mechanism of the sustained effect of a single antisense ODN administration, we examined kinetics of ODN in the vessel wall. Using phosphorothioate FITC-labeled ODN, we transfected carotid artery using the HVJ-liposome method. Fluorescence localized immediately to the medial layer, and persisted up to 2 wk after transfection. These results demonstrate that a single intraluminal administration of antisense ODN directed to cell cycle regulatory genes (e.g., cdk 2 kinase) using the HVJ method can result in a sustained inhibition of neointima formation after balloon angioplasty in rat carotid injury model.
Insights
Inhibition of cell cycle enzymes cyclin-dependent kinase 2 (cdk 2) and cell division cycle 2 (cdc 2) using antisense oligodeoxynucleotides (ODN) significantly reduces neointima formation after vascular injury. A single treatment with HVJ-liposome delivered ODN provides sustained inhibition of hyperplasia.
Area of Science:
- Molecular Biology
- Cardiovascular Research
- Gene Therapy
Background:
- Balloon angioplasty injury activates cell cycle regulatory enzymes like cyclin-dependent kinase (cdk) 2 in rat carotid arteries.
- This activation is implicated in smooth muscle cell proliferation and subsequent intimal hyperplasia.
- Targeting these key enzymes offers a potential therapeutic strategy to inhibit post-injury vascular remodeling.
Purpose of the Study:
- To investigate the efficacy of antisense phosphorothioate oligodeoxynucleotides (ODN) against cdk 2 kinase in inhibiting intimal hyperplasia.
- To evaluate the combined effect of antisense ODN targeting both cdk 2 and cell division cycle 2 (cdc 2) kinases.
- To determine the duration and localization of ODN within the vessel wall following intraluminal delivery.
Main Methods:
- Antisense and sense phosphorothioate oligodeoxynucleotides (ODN) against cdk 2 kinase were delivered intraluminally using hemagglutinating virus of Japan (HVJ)-liposome-mediated transfer in a rat carotid artery balloon angioplasty model.
- Specificity was confirmed by measuring mRNA levels of cdk 2 kinase.
- FITC-labeled ODN was used to track its kinetics and localization in the vessel wall over time.
Main Results:
- Antisense cdk 2 ODN treatment significantly inhibited neointima formation by 60% compared to controls.
- Combined antisense treatment targeting both cdk 2 and cdc 2 kinases resulted in near-complete inhibition of neointima formation.
- HVJ-liposome mediated delivery of ODN showed sustained fluorescence in the medial layer up to 2 weeks post-transfection.
Conclusions:
- Targeting cell cycle regulatory genes, specifically cdk 2 and cdc 2, with antisense ODN is an effective strategy to inhibit intimal hyperplasia.
- A single intraluminal administration of antisense ODN, delivered via HVJ-liposomes, can achieve sustained inhibition of neointima formation.
- This approach holds promise for therapeutic interventions following vascular injury.
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