Restenosis and Therapy

The vascular disease involves imbalanced function of the blood vessels. Risk factors playing a role in development of impaired vessel functions will be briefly discussed. In ischemia/reperfusion (I/R), ischemic hypoxia is one of the cardinal risk factors of restenosis. Various insults are shown to i...

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Main Authors: Laszlo Denes, Laszlo Entz, Veronika Jancsik
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2012/406236
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author Laszlo Denes
Laszlo Entz
Veronika Jancsik
author_facet Laszlo Denes
Laszlo Entz
Veronika Jancsik
author_sort Laszlo Denes
collection DOAJ
description The vascular disease involves imbalanced function of the blood vessels. Risk factors playing a role in development of impaired vessel functions will be briefly discussed. In ischemia/reperfusion (I/R), ischemic hypoxia is one of the cardinal risk factors of restenosis. Various insults are shown to initiate the phenotype switch of VSMCs. The pathological process, leading to activated inflammatory process, complement activation, and release of growth factors, initiate the proliferation of VSMCs in the media and cause luminal narrowing and impaired vascular function. The review summarizes the alteration process and demonstrates some of the clinical genetic background showing the role of complement and the genotypes of mannose-binding lectin (MBL2). Those could be useful markers of carotid restenosis after stent implantation. Gene therapy and therapeutic angiogenesis is proposed for therapy in restenosis. We suggest a drug candidate (iroxanadine), which ensures a noninvasive treatment by reverse regulation of the highly proliferating VSMCs and the disturbed function of ECs.
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spelling doaj-art-475cff38212d4c41abbbeeb46aff629c2025-02-03T06:05:47ZengWileyInternational Journal of Vascular Medicine2090-28242090-28322012-01-01201210.1155/2012/406236406236Restenosis and TherapyLaszlo Denes0Laszlo Entz1Veronika Jancsik2Department of Pharmacology and Pharmacotherapy, Semmelweis University, Budapest 1089, HungaryDepartment of Vascular Surgery, Semmelweis University, Budapest 1122, HungaryDepartment of Anatomy and Histology, Faculty of Veterinary Science, Szent Istvan University, Budapest 1078, HungaryThe vascular disease involves imbalanced function of the blood vessels. Risk factors playing a role in development of impaired vessel functions will be briefly discussed. In ischemia/reperfusion (I/R), ischemic hypoxia is one of the cardinal risk factors of restenosis. Various insults are shown to initiate the phenotype switch of VSMCs. The pathological process, leading to activated inflammatory process, complement activation, and release of growth factors, initiate the proliferation of VSMCs in the media and cause luminal narrowing and impaired vascular function. The review summarizes the alteration process and demonstrates some of the clinical genetic background showing the role of complement and the genotypes of mannose-binding lectin (MBL2). Those could be useful markers of carotid restenosis after stent implantation. Gene therapy and therapeutic angiogenesis is proposed for therapy in restenosis. We suggest a drug candidate (iroxanadine), which ensures a noninvasive treatment by reverse regulation of the highly proliferating VSMCs and the disturbed function of ECs.http://dx.doi.org/10.1155/2012/406236
spellingShingle Laszlo Denes
Laszlo Entz
Veronika Jancsik
Restenosis and Therapy
International Journal of Vascular Medicine
title Restenosis and Therapy
title_full Restenosis and Therapy
title_fullStr Restenosis and Therapy
title_full_unstemmed Restenosis and Therapy
title_short Restenosis and Therapy
title_sort restenosis and therapy
url http://dx.doi.org/10.1155/2012/406236
work_keys_str_mv AT laszlodenes restenosisandtherapy
AT laszloentz restenosisandtherapy
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