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Science 6 September 1991: Vol. 253. no. 5024, pp. 1129 - 1132 DOI: 10.1126/science.1653454
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Articles
Science, Vol 253, Issue 5024, 1129-1132
Copyright © 1991 by American Association for the Advancement of Science
Inhibition of neointimal smooth muscle accumulation after angioplasty by an antibody to PDGF
GA Ferns,
EW Raines,
KH Sprugel,
AS Motani,
MA Reidy,
and
R Ross
William Harvey Research Institute, St. Bartholomew's Hospital Medical College, London, United Kingdom.
Approximately 30 to 40 percent of atherosclerotic coronary arteries treated by angioplasty or by bypass surgery occlude as a result of restenosis. This restenosis is due principally to the accumulation of neointimal smooth muscle cells, which is also a prominent feature of the advanced lesions of atherosclerosis. The factors responsible for the accumulation of intimal smooth muscle cells have not been identified. Platelet-derived growth factor (PDGF) is a potent smooth muscle chemoattractant and mitogen. It is present in platelets and can be formed by endothelium, smooth muscle, and monocyte-derived macrophages. The development of an intimal lesion in the carotid artery of athymic nude rats induced by intraarterial balloon catheter deendothelialization was inhibited by a polyclonal antibody to PDGF. These data demonstrate that endogenous PDGF is involved in the accumulation of neointimal smooth muscle cells associated with balloon injury and may be involved in restenosis after angioplasty, and perhaps in atherogenesis as well.
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