Delivery of viral vectors for gene therapy in intimal hyperplasia and restenosis in atherosclerotic swine
Abstract
Cardiovascular diseases including atherosclerosis are a major financial and health burden globally. Inflammation associated with atherosclerosis results in the development of plaques that can rupture causing thrombosis, stroke, or death. The most widely used treatment for the removal of atherosclerotic plaques is percutaneous transluminal coronary angioplasty (PTCA) with or without stenting. Although this is a safer and minimally invasive method, restenosis and intimal hyperplasia after interventional procedure remains a major hurdle and more refined approaches are needed. Studies in large animal models such as pigs have facilitated a greater understanding of the underlying mechanisms of the disease and provided novel targets for therapeutic intervention. In pre-clinical studies, viral vector gene therapy has emerged as a promising option for the reduction and/or prevention of restenosis and intimal hyperplasia. Although studies in animal models have generated promising results, clinical trials have yet to prove the clinical efficacy of gene therapy in coronary artery diseases. In this review, we examined and critically reviewed the most recent advances in viral vector gene therapy obtained from studies using porcine model of atherosclerosis.
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The fourth generation of LVVs also added back some HIV genes to enhance transduction efficiency and transgene expression.
“This generation also added back some HIV genes to enhance transduction efficiency and transgene expression.”
From Viral Vector Systems for Gene Therapy: A Comprehensive Literature Review of Progress and Biosafety Challenges (2020) · cites this paper as [98]
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Self-citation
- Authors
- Hall, S., & Agrawal, D. K.
- Affiliations
- Creighton University (US)
- Corresponding author
- Agrawal, Devendra K.
- ORCID
- Agrawal, Devendra K.
- Venue
- Drug Delivery and Translational Research
- Published
- 2017-07-13
- Volume
- 8
- Issue
- 4
- Pages
- 918-927
- ISSN
- 2190-393X (ISSN-L)
- 2190-3948
- OpenAlex
- W2736009019
- Cited by
- 20
- References
- 65
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2022: 4 · 2021: 2 · 2020: 6 · 2019: 1 · 2018: 2
- FWCI
- 0.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Drug Delivery and Translational Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (R01HL112597)
- National Heart, Lung, and Blood Institute (R01 HL116042, R01 HL120659)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Virus-based gene therapy research
- Health Sciences › Medicine › Surgery › Coronary Interventions and Diagnostics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA Interference and Gene Delivery
- Keywords
- viral vector gene therapy, intimal hyperplasia, restenosis, atherosclerosis, percutaneous transluminal coronary angioplasty, coronary stenting, porcine model, inflammation, large animal model, coronary artery disease
- MeSH terms
- Dependovirus, Adenoviridae, Animals, Genetic Vectors, Humans, Hyperplasia, Swine, Genetic Therapy, Tunica Intima, Coronary Restenosis, Atherosclerosis
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