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.

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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