Clinical applications of cardiovascular angiogenesis

Journal of Cardiac Surgery
M A ZimmermanAlden H Harken

Abstract

Angiogenesis is fundamental to both normal physiologic (wound healing) and pathologic (cancer) processes. Manipulation of divergent angiogenic signals promises effective therapy of atherosclerotic cardiovascular disease. Positive proangiogenic strategies promise collateral circulation to ischemic territories, while negative antiangiogenic strategies starve the fibromuscular proliferation within the atherosclerotic lesion. Indeed, recent phase 1 trials suggest that delivering DNA or recombinant protein to the site of vascular occlusion may stimulate physiologically significant collateral circulation in chronically ischemic myocardium. While symptomatic and functional improvement has been documented, toxicity profiles and effects on long-term patient survival are still unclear. The purposes of this article are as follows: (1) to review the pathophysiologic basis for pro- and antiangiogenic strategies in the treatment of cardiovascular disease, (2) to examine the clinical trials of proangiogenic gene or recombinant protein delivery into ischemic beds, and conversely, (3) to explore antiangiogenic strategies in the prevention and treatment of intimal neovascularization and smooth muscle proliferation within the vessel wall.

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Citations

Aug 30, 2008·Journal of the American College of Surgeons·Nathan M NovotnyDaniel R Meldrum
Jul 16, 2008·The Journal of Surgical Research·Michael J GuzmanDaniel R Meldrum
Mar 14, 2008·American Journal of Physiology. Regulatory, Integrative and Comparative Physiology·Rinki RayDaniel R Meldrum
Aug 28, 2003·Journal of Thrombosis and Haemostasis : JTH·A S WeyrichG A Zimmerman
Aug 26, 2017·Biomedicine & Pharmacotherapy = Biomédecine & Pharmacothérapie·Consolato SergiZiyong Sun

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