Reduced Connexin43 expression limits neointima formation after balloon distension injury in hypercholesterolemic mice

Reducing the expression of the gap junction protein connexin43 (Cx43) inhibits the progression of atherosclerosis, a chronic inflammatory disease. Furthermore, acute vascular injury induced by percutaneous coronary interventions is associated with increased Cx43 expression in neointimal smooth muscl...

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Veröffentlicht in:Circulation (New York, N.Y.) N.Y.), 2006-06, Vol.113 (24), p.2835-2843
Hauptverfasser: CHADJICHRISTOS, Christos E, MATTER, Christian M, ROTH, Isabelle, SUTTER, Esther, PELLI, Graziano, LÜSCHER, Thomas F, CHANSON, Marc, KWAK, Brenda R
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container_issue 24
container_start_page 2835
container_title Circulation (New York, N.Y.)
container_volume 113
creator CHADJICHRISTOS, Christos E
MATTER, Christian M
ROTH, Isabelle
SUTTER, Esther
PELLI, Graziano
LÜSCHER, Thomas F
CHANSON, Marc
KWAK, Brenda R
description Reducing the expression of the gap junction protein connexin43 (Cx43) inhibits the progression of atherosclerosis, a chronic inflammatory disease. Furthermore, acute vascular injury induced by percutaneous coronary interventions is associated with increased Cx43 expression in neointimal smooth muscle cells (SMCs). However, the relevance of Cx43 after acute vascular injury remains unclear. To investigate whether reducing Cx43 expression would affect neointima formation in vivo, we subjected hypercholesterolemic Cx43+/- LDL receptor-deficient (LDLR-/-) mice and Cx43+/+LDLR-/- control littermates to carotid balloon distension injury, which induced marked endothelial denudation and activation of medial SMCs. We observed decreased macrophage infiltration in Cx43+/-LDLR-/- mice 7 days after injury. Similarly, peritoneal macrophages isolated from Cx43+/-LDLR-/- mice showed reduced migration in vitro compared with Cx43+/+LDLR-/- macrophages. Interestingly, Cx43+/-LDLR-/- macrophages also displayed decreased chemotactic activity for SMCs. In addition, we observed less SMC infiltration and proliferation in Cx43+/-LDLR-/- mice 7 and 14 days after balloon angioplasty. Likewise, Cx43+/-LDLR-/- SMCs showed decreased proliferation and migration in vitro compared with Cx43+/+LDLR-/- cells. All these events resulted in a reduction of neointimal thickening after vascular injury in Cx43+/-LDLR-/- mice. The present study shows for the first time that reducing Cx43 limits neointima formation after acute vascular injury by decreasing the inflammatory response and reducing SMC migration and proliferation. Thus, decreasing Cx43 expression may offer a novel therapeutic strategy for reducing restenosis after percutaneous coronary intervention.
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Furthermore, acute vascular injury induced by percutaneous coronary interventions is associated with increased Cx43 expression in neointimal smooth muscle cells (SMCs). However, the relevance of Cx43 after acute vascular injury remains unclear. To investigate whether reducing Cx43 expression would affect neointima formation in vivo, we subjected hypercholesterolemic Cx43+/- LDL receptor-deficient (LDLR-/-) mice and Cx43+/+LDLR-/- control littermates to carotid balloon distension injury, which induced marked endothelial denudation and activation of medial SMCs. We observed decreased macrophage infiltration in Cx43+/-LDLR-/- mice 7 days after injury. Similarly, peritoneal macrophages isolated from Cx43+/-LDLR-/- mice showed reduced migration in vitro compared with Cx43+/+LDLR-/- macrophages. Interestingly, Cx43+/-LDLR-/- macrophages also displayed decreased chemotactic activity for SMCs. In addition, we observed less SMC infiltration and proliferation in Cx43+/-LDLR-/- mice 7 and 14 days after balloon angioplasty. Likewise, Cx43+/-LDLR-/- SMCs showed decreased proliferation and migration in vitro compared with Cx43+/+LDLR-/- cells. All these events resulted in a reduction of neointimal thickening after vascular injury in Cx43+/-LDLR-/- mice. The present study shows for the first time that reducing Cx43 limits neointima formation after acute vascular injury by decreasing the inflammatory response and reducing SMC migration and proliferation. 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Vascular system ; Cardiovascular system ; Carotid Artery Diseases - etiology ; Carotid Artery Diseases - therapy ; Carotid Stenosis - etiology ; Carotid Stenosis - prevention &amp; control ; Cell Division ; Cell Movement ; Cells, Cultured - secretion ; Chemotactic Factors - secretion ; Cholesterol - blood ; Connexin 43 - genetics ; Connexin 43 - physiology ; Diet, Atherogenic ; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous ; DNA Replication ; Endothelium, Vascular - pathology ; Human health and pathology ; Hyperlipoproteinemia Type II - blood ; Hyperlipoproteinemia Type II - complications ; Hyperlipoproteinemia Type II - genetics ; Hyperplasia ; Life Sciences ; Macrophages - pathology ; Macrophages - secretion ; Macrophages, Peritoneal - secretion ; Medical sciences ; Mice ; Mice, Inbred C57BL ; Mice, Knockout ; Muscle, Smooth, Vascular - pathology ; Pharmacology. 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Furthermore, acute vascular injury induced by percutaneous coronary interventions is associated with increased Cx43 expression in neointimal smooth muscle cells (SMCs). However, the relevance of Cx43 after acute vascular injury remains unclear. To investigate whether reducing Cx43 expression would affect neointima formation in vivo, we subjected hypercholesterolemic Cx43+/- LDL receptor-deficient (LDLR-/-) mice and Cx43+/+LDLR-/- control littermates to carotid balloon distension injury, which induced marked endothelial denudation and activation of medial SMCs. We observed decreased macrophage infiltration in Cx43+/-LDLR-/- mice 7 days after injury. Similarly, peritoneal macrophages isolated from Cx43+/-LDLR-/- mice showed reduced migration in vitro compared with Cx43+/+LDLR-/- macrophages. Interestingly, Cx43+/-LDLR-/- macrophages also displayed decreased chemotactic activity for SMCs. In addition, we observed less SMC infiltration and proliferation in Cx43+/-LDLR-/- mice 7 and 14 days after balloon angioplasty. Likewise, Cx43+/-LDLR-/- SMCs showed decreased proliferation and migration in vitro compared with Cx43+/+LDLR-/- cells. All these events resulted in a reduction of neointimal thickening after vascular injury in Cx43+/-LDLR-/- mice. The present study shows for the first time that reducing Cx43 limits neointima formation after acute vascular injury by decreasing the inflammatory response and reducing SMC migration and proliferation. Thus, decreasing Cx43 expression may offer a novel therapeutic strategy for reducing restenosis after percutaneous coronary intervention.</description><subject>Angioplasty, Balloon - adverse effects</subject><subject>Animals</subject><subject>Antihypertensive agents</subject><subject>Atherosclerosis (general aspects, experimental research)</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular system</subject><subject>Carotid Artery Diseases - etiology</subject><subject>Carotid Artery Diseases - therapy</subject><subject>Carotid Stenosis - etiology</subject><subject>Carotid Stenosis - prevention &amp; control</subject><subject>Cell Division</subject><subject>Cell Movement</subject><subject>Cells, Cultured - secretion</subject><subject>Chemotactic Factors - secretion</subject><subject>Cholesterol - blood</subject><subject>Connexin 43 - genetics</subject><subject>Connexin 43 - physiology</subject><subject>Diet, Atherogenic</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</subject><subject>DNA Replication</subject><subject>Endothelium, Vascular - pathology</subject><subject>Human health and pathology</subject><subject>Hyperlipoproteinemia Type II - blood</subject><subject>Hyperlipoproteinemia Type II - complications</subject><subject>Hyperlipoproteinemia Type II - genetics</subject><subject>Hyperplasia</subject><subject>Life Sciences</subject><subject>Macrophages - pathology</subject><subject>Macrophages - secretion</subject><subject>Macrophages, Peritoneal - secretion</subject><subject>Medical sciences</subject><subject>Mice</subject><subject>Mice, Inbred C57BL</subject><subject>Mice, Knockout</subject><subject>Muscle, Smooth, Vascular - pathology</subject><subject>Pharmacology. 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Vascular system</topic><topic>Cardiovascular system</topic><topic>Carotid Artery Diseases - etiology</topic><topic>Carotid Artery Diseases - therapy</topic><topic>Carotid Stenosis - etiology</topic><topic>Carotid Stenosis - prevention &amp; control</topic><topic>Cell Division</topic><topic>Cell Movement</topic><topic>Cells, Cultured - secretion</topic><topic>Chemotactic Factors - secretion</topic><topic>Cholesterol - blood</topic><topic>Connexin 43 - genetics</topic><topic>Connexin 43 - physiology</topic><topic>Diet, Atherogenic</topic><topic>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</topic><topic>DNA Replication</topic><topic>Endothelium, Vascular - pathology</topic><topic>Human health and pathology</topic><topic>Hyperlipoproteinemia Type II - blood</topic><topic>Hyperlipoproteinemia Type II - complications</topic><topic>Hyperlipoproteinemia Type II - genetics</topic><topic>Hyperplasia</topic><topic>Life Sciences</topic><topic>Macrophages - pathology</topic><topic>Macrophages - secretion</topic><topic>Macrophages, Peritoneal - secretion</topic><topic>Medical sciences</topic><topic>Mice</topic><topic>Mice, Inbred C57BL</topic><topic>Mice, Knockout</topic><topic>Muscle, Smooth, Vascular - pathology</topic><topic>Pharmacology. Drug treatments</topic><topic>Receptors, LDL - deficiency</topic><topic>Receptors, LDL - genetics</topic><topic>Recurrence</topic><topic>Triglycerides - blood</topic><topic>Tunica Intima - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CHADJICHRISTOS, Christos E</creatorcontrib><creatorcontrib>MATTER, Christian M</creatorcontrib><creatorcontrib>ROTH, Isabelle</creatorcontrib><creatorcontrib>SUTTER, Esther</creatorcontrib><creatorcontrib>PELLI, Graziano</creatorcontrib><creatorcontrib>LÜSCHER, Thomas F</creatorcontrib><creatorcontrib>CHANSON, Marc</creatorcontrib><creatorcontrib>KWAK, Brenda R</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Circulation (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CHADJICHRISTOS, Christos E</au><au>MATTER, Christian M</au><au>ROTH, Isabelle</au><au>SUTTER, Esther</au><au>PELLI, Graziano</au><au>LÜSCHER, Thomas F</au><au>CHANSON, Marc</au><au>KWAK, Brenda R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reduced Connexin43 expression limits neointima formation after balloon distension injury in hypercholesterolemic mice</atitle><jtitle>Circulation (New York, N.Y.)</jtitle><addtitle>Circulation</addtitle><date>2006-06-20</date><risdate>2006</risdate><volume>113</volume><issue>24</issue><spage>2835</spage><epage>2843</epage><pages>2835-2843</pages><issn>0009-7322</issn><eissn>1524-4539</eissn><coden>CIRCAZ</coden><abstract>Reducing the expression of the gap junction protein connexin43 (Cx43) inhibits the progression of atherosclerosis, a chronic inflammatory disease. Furthermore, acute vascular injury induced by percutaneous coronary interventions is associated with increased Cx43 expression in neointimal smooth muscle cells (SMCs). However, the relevance of Cx43 after acute vascular injury remains unclear. To investigate whether reducing Cx43 expression would affect neointima formation in vivo, we subjected hypercholesterolemic Cx43+/- LDL receptor-deficient (LDLR-/-) mice and Cx43+/+LDLR-/- control littermates to carotid balloon distension injury, which induced marked endothelial denudation and activation of medial SMCs. We observed decreased macrophage infiltration in Cx43+/-LDLR-/- mice 7 days after injury. Similarly, peritoneal macrophages isolated from Cx43+/-LDLR-/- mice showed reduced migration in vitro compared with Cx43+/+LDLR-/- macrophages. Interestingly, Cx43+/-LDLR-/- macrophages also displayed decreased chemotactic activity for SMCs. In addition, we observed less SMC infiltration and proliferation in Cx43+/-LDLR-/- mice 7 and 14 days after balloon angioplasty. Likewise, Cx43+/-LDLR-/- SMCs showed decreased proliferation and migration in vitro compared with Cx43+/+LDLR-/- cells. All these events resulted in a reduction of neointimal thickening after vascular injury in Cx43+/-LDLR-/- mice. The present study shows for the first time that reducing Cx43 limits neointima formation after acute vascular injury by decreasing the inflammatory response and reducing SMC migration and proliferation. Thus, decreasing Cx43 expression may offer a novel therapeutic strategy for reducing restenosis after percutaneous coronary intervention.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>16769907</pmid><doi>10.1161/circulationaha.106.627703</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-6657-7900</orcidid></addata></record>
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source MEDLINE; American Heart Association Journals; Journals@Ovid Complete; EZB-FREE-00999 freely available EZB journals
subjects Angioplasty, Balloon - adverse effects
Animals
Antihypertensive agents
Atherosclerosis (general aspects, experimental research)
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Cardiovascular system
Carotid Artery Diseases - etiology
Carotid Artery Diseases - therapy
Carotid Stenosis - etiology
Carotid Stenosis - prevention & control
Cell Division
Cell Movement
Cells, Cultured - secretion
Chemotactic Factors - secretion
Cholesterol - blood
Connexin 43 - genetics
Connexin 43 - physiology
Diet, Atherogenic
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
DNA Replication
Endothelium, Vascular - pathology
Human health and pathology
Hyperlipoproteinemia Type II - blood
Hyperlipoproteinemia Type II - complications
Hyperlipoproteinemia Type II - genetics
Hyperplasia
Life Sciences
Macrophages - pathology
Macrophages - secretion
Macrophages, Peritoneal - secretion
Medical sciences
Mice
Mice, Inbred C57BL
Mice, Knockout
Muscle, Smooth, Vascular - pathology
Pharmacology. Drug treatments
Receptors, LDL - deficiency
Receptors, LDL - genetics
Recurrence
Triglycerides - blood
Tunica Intima - pathology
title Reduced Connexin43 expression limits neointima formation after balloon distension injury in hypercholesterolemic mice
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