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Cardiovascular Gene Therapy

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Principles of Molecular Medicine
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Abstract

A variety of mono- and polygenic cardiovascular diseases are potentially treatable with gene therapy. Extensive animal studies and initial human trials have confirmed that genes with therapeutic effects within the cardiovascular system may be introduced in vivo. Nevertheless, practical concerns relating to the achievement of safe, efficient, and long-lasting gene therapy continue to dominate the field.

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Selected References

  • Allaire E, Forough R, Clowes M, Starcher B, Clowes AW. Local overex-pression of TIMP-1 prevents aortic aneurysm degeneration and rupture in a rat model. J Clin Invest 1998;102:1413–1420.

    PubMed  CAS  Google Scholar 

  • Baumgartner I, Pieczek A, Manor O, et al. Constitutive expression of phVEGF-165 after intramuscular gene transfer promotes collateral vessel development in patients with critical limb ischemia. Circulation 1998;97:1114–1123.

    PubMed  CAS  Google Scholar 

  • Chang MW, Barr E, Seltzer J, et al. Cytostatic gene therapy for vascular proliferative disorders with a constitutively active form of the retinoblastoma gene product. Science 1995;267:518–522.

    Article  PubMed  CAS  Google Scholar 

  • Channon KM, Qian H, George SE. Nitric oxide synthase in atherosclerosis and vascular injury: Insights from experimental gene therapy. ArteriosclerThromb Vasc Biol 2000;20:1873–1881.

    CAS  Google Scholar 

  • Dichek DA, Anderson J, Kelly AB, Hanson SR, Harker LA. Enhanced in vivo antithrombotic effects of endothelial cells expressing recombi-nant plasminogen activators transduced with retroviral vectors. Circulation 1996;93:301–309.

    PubMed  CAS  Google Scholar 

  • Donahue JK, Heldman AW, Fraser H, et al. Focal modification of electrical conduction in the heart by viral gene transfer. Nat Med 2000;6:1395–1398.

    Article  PubMed  CAS  Google Scholar 

  • Gelband CH, Katovich MJ, Raizada MK. Current perspectives on the use of gene therapy for hypertension. Circ Res 2000;87:1118–1122.

    PubMed  CAS  Google Scholar 

  • Giordano FJ, Ping P, McKirnan MD, et al. Intracoronary gene transfer of fibroblast growth factor-5 increases blood flow and contractile func-tion in an ischemic region of the heart. Nat Med 1996;2:534–539.

    Article  PubMed  CAS  Google Scholar 

  • Grines CL, Watkins MW, Helmer G, et al. Angiogenic Gene Therapy (AGENT) trial in patients with stable angina pectoris. Circulation 2002;105:1291–1297.

    Article  PubMed  CAS  Google Scholar 

  • Grossman M, Rader DJ, Muller DWM, et al. A pilot study of ex vivo gene therapy for homozygous familial hypercholesterolaemia. Nat Med 1995;1:1148–1154.

    Article  PubMed  CAS  Google Scholar 

  • Hajjar RJ, del Monte F, Matsui T, Rosenzweig A. Prospects for gene therapy for heart failure. Circ Res 2000;86:616–621.

    PubMed  CAS  Google Scholar 

  • Isner JM. Myocardial gene therapy. Nature 2002;415:234–239.

    Article  PubMed  CAS  Google Scholar 

  • Kawashiri Ma M, Rader DJ. Gene therapy for lipid disorders. Curr Control Trials Cardiovasc Med 2000;1:120–127.

    Article  PubMed  Google Scholar 

  • Kibbe MR, Billiar TR, Tzeng E. Gene therapy for restenosis. Circ Res 2000;86:829–833.

    PubMed  CAS  Google Scholar 

  • Kim I-H, Jozkowicz A, Piedra PA, Oka K, Chan L. Lifetime correction of genetic deficiency in mice with a single injection of helper-dependent adenoviral vector. Proc Natl Acad Sci USA 2001;98:13,282–13,287.

    Article  PubMed  CAS  Google Scholar 

  • Kimura B, Mohuczy D, Tang X, Phillips MI. Attenuation of hypertension and heart hypertrophy by adeno-associated virus delivering angiotensinogen antisense. Hypertension 2001;37:376–380.

    PubMed  CAS  Google Scholar 

  • Losordo DW, Vale PR, Hendel RC, et al. Phase 1/2 placebo-controlled, double-blind, dose-escalating trial of myocardial vascular endothelial growth factor 2 gene transfer by catheter delivery in patients with chronic myocardial ischemia. Circulation 2002;105:2012–2018.

    Article  PubMed  CAS  Google Scholar 

  • Maurice JP, Hata JA, Shah AS, et al. Enhancement of cardiac function after adenoviral-mediated in vivo intracoronary beta2-adrenergic receptor gene delivery. J Clin Invest 1999;104:21–29.

    Article  PubMed  CAS  Google Scholar 

  • Miake J, Marban E, Nuss HB. Biological pacemaker created by gene transfer. Nature 2002;419:132, 133.

    Article  PubMed  CAS  Google Scholar 

  • Miyamoto MI, del Monte F, Schmidt U, et al. Adenoviral gene transfer of SERCA2a improves left-ventricular function in aortic-banded rats in transition to heart feailure. Proc Natl Acad Sci USA 2000;97:793–798.

    Article  PubMed  CAS  Google Scholar 

  • Nabel EG, Plautz G, Nabel GJ. Site-specific gene expression in vivo by direct gene transfer into the arterial wall. Science 1990;249: 1285–1288.

    Article  PubMed  CAS  Google Scholar 

  • Rade JJ, Schulick AH, Virmani R, Dichek DA. Local adenoviral-mediated expression of recombinant hirudin reduces neointimal formation after arterial injury. Nat Med 1996;2:293–298.

    Article  PubMed  CAS  Google Scholar 

  • Rajagopalan S, Trachtenberg J, Mohler E, et al. Phase I study of direct administration of a replication deficient adenovirus vector containing the vascular endothelial growth factor cDNA (CI-1023) to patients with claudication. Am J Cardiol 2002;90:512–516.

    Article  PubMed  CAS  Google Scholar 

  • Rios CD, Chu Y, Davidson BL, Heistad DD. Ten steps to gene therapy for cardiovascular diseases. J Lab Clin Med 1998;132:104–111.

    Article  PubMed  CAS  Google Scholar 

  • Rosengart TK, Lee LY, Patel SR, et al. Angiogenesis gene therapy: Phase I assessment of direct intramyocardial administration of an adenovirus vector expressing VEGF121 cDNA to individuals with clinically significant severe coronary artery disease. Circulation 1999;100:468–474.

    PubMed  CAS  Google Scholar 

  • Shah AS, Lilly RE, Kypson AP, et al. Intracoronary adenovirus-mediated delivery and overexpression of the beta2-adrenergic receptor in the heart: Prospects for molecular ventricular assistance. Circulation 2000; 101:408–414.

    PubMed  CAS  Google Scholar 

  • Su H, Lu R, Kan YW. Adeno-associated viral vector-mediated vascular endothelial growth factor gene transfer induces neovascular formation in ischemic heart. Proc Natl Acad Sci USA 2000;97:13,801–13,806.

    Article  PubMed  CAS  Google Scholar 

  • Tangirala RK, Tsukamoto K, Chun SH, Usher D, Puré E, Rader DJ. Regression of atherosclerosis induced by liver-directed gene transfer of apolipoprotein A-I in mice. Circulation 1999;100:1816–1822.

    PubMed  CAS  Google Scholar 

  • Varenne D, Gerard RD, Sinnaeve P, Gillijns H, Collen D, Janssens S. Percutaneous adenoviral gene transfer into porcine coronary arteries: Is catheter-based gene delivery adapted to coronary circulation? Hum GeneTher 1999;10:1105–1115.

    CAS  Google Scholar 

  • Waugh JM, Yuksel E, Li J, et al. Local overexpression of thrombomodulin for in vivo prevention of arterial thrombosis in a rabbit model. Circ Res 1999;84:84–92.

    PubMed  CAS  Google Scholar 

  • Zoldhelyi P, McNatt J, Shelat HS, Yamamoto Y, Chen Z-Q, Willerson JT. Thromboresistance of balloon-injured porcine carotid arteries after local gene transfer of human tissue factor pathway inhibitor. Circulation 2000;101:289–295.

    PubMed  CAS  Google Scholar 

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© 2006 Humana Press Inc.

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Dichek, D.A. (2006). Cardiovascular Gene Therapy. In: Runge, M.S., Patterson, C. (eds) Principles of Molecular Medicine. Humana Press. https://doi.org/10.1007/978-1-59259-963-9_20

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  • DOI: https://doi.org/10.1007/978-1-59259-963-9_20

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-202-5

  • Online ISBN: 978-1-59259-963-9

  • eBook Packages: MedicineMedicine (R0)

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