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Open Cardiovasc Med J. 2008; 2: 60–69.
Published online 2008 July 30. doi: 10.2174/1874192400802010060.
PMCID: PMC2570571
Predicting In Vivo Efficacy of Potential Restenosis Therapies by Cell Culture Studies: Species-Dependent Susceptibility of Vascular Smooth Muscle Cells
Epstein Hila,1 Laura Rabinovich,1 Shmuel Banai,2 Vicktoria Elazar,1 Jianchuan Gao,1 Michael Chorny,1 Haim D Danenebrg,3 and Gershon Golomb*1
1Dept. of Pharmaceutics, School of Pharmacy
2Dept. of Cardiology, Bikur Cholim Hospital
3Dept. of Cardiology, Hadassah Hospital, Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem 91120, Israel
*Address correspondence to this author at the Department of Pharmaceutics, School of Pharmacy, Faculty of Medicine, the Hebrew University of Jerusalem, POB 12065, Jerusalem 91120, Israel; Tel: 972-2-6757504; Fax: 972-2-6757503; E-mail: gershong/at/ekmd.huji.ac.il
Received June 30, 2008; Revised July 10, 2008; Accepted July 14, 2008.
Abstract
Although drug-eluting stents (DES) are successfully utilized for restenosis therapy, the development of local and systemic therapeutic means including nanoparticles (NP) continues. Lack of correlation between in vitro and in vivo studies is one of the major drawbacks in developing new drug delivery systems. The present study was designed to examine the applicability of the arterial explant outgrowth model, and of smooth muscle cells (SMC) cultures for prescreening of possible drugs. Elucidation of different species sensitivity (rat, rabbit, porcine and human) to diverse drugs (tyrphostins, heparin and bisphsophonates) and a delivery system (nanoparticles) could provide a valuable screening tool for further in vivo studies. The anticipated sensitivity ranking from the explant outgrowth model and SMC mitotic rates (porcine>rat>>rabbit>human) do not correlate with the observed relative sensitivity of those animals to antiproliferative therapy in restenosis models (rat≥rabbit>porcine>human). Similarly, the inhibitory profile of the various antirestenotic drugs in SMC cultures (rabbit>porcine>rat>>human) do not correlate with animal studies, the rabbit- and porcine-derived SMC being highly sensitive. The validity of in vitro culture studies for the screening of controlled release delivery systems such as nanoparticles is limited. It is suggested that prescreening studies of possible drug candidates for restenosis therapy should include both SMC cell cultures of rat and human, appropriately designed with a suitable serum.
Key Words: Angioplasty/coronary intervention, cell culture / isolation, restenosis, smooth muscle cells.