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1.
Anticancer Res ; 25(3A): 1671-4, 2005.
Article in English | MEDLINE | ID: mdl-16033080

ABSTRACT

We report on the case of a 19-year-old male with an alpha-fetoprotein (AFP)-producing acinar cell carcinoma of the pancreas. Tumour markers other than AFP were normal. Because of inoperability, a combined radiochemotherapy was initiated with a hyperfractionated dose of 44.8 Gy. Initially, the tumour showed a good response to irradiation and 5-fluorouracil (5-FU) application, and therapy showed sufficient local control. After combined radio-chemotherapy, AFP levels declined from about 3000 ng/ml (reference area: 0-7 ng/ml) to 18 ng/ml, but increased when widespread metastasis appeared. The patient died 18 months after the initial therapy due to general tumour progression. Originally, AFP was thought to be specific to hepatocellular carcinoma and germ cell tumours. Rarely has it been reported in other malignancies. Rare cases of acinar cell carcinomas of the pancreas were found to express AFP. Our patient is the youngest reported in the literature to date. When present, AFP expression is useful for diagnosis and as a marker for monitoring therapeutic response and recurrence of the disease.


Subject(s)
Pancreatic Neoplasms/metabolism , alpha-Fetoproteins/metabolism , Adult , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Combined Modality Therapy , Humans , Male , Pancreatic Neoplasms/drug therapy , Pancreatic Neoplasms/radiotherapy , alpha-Fetoproteins/biosynthesis
2.
Arterioscler Thromb Vasc Biol ; 20(1): 70-9, 2000 Jan.
Article in English | MEDLINE | ID: mdl-10634802

ABSTRACT

Given the significance of cholesteryl ester (CE) accumulation in macrophage foam cell formation, we hypothesized that inhibitors of acyl-CoA:cholesterol O-acyltransferase (ACAT) would produce a histologically stable lesion by limiting macrophage enrichment and thereby a source of matrix metalloproteinases (MMPs). Male New Zealand White rabbits were sequentially fed a cholesterol/fat diet for 9 weeks, a fat-only diet for 6 weeks, and 25 mg/kg avasimibe for 7 to 8 weeks. Avasimibe had no effect on plasma total cholesterol exposure. Plasma avasimibe maximal concentration and 24-hour area-under-the-curve levels were 178 ng/mL and 2525 ng. h/mL, respectively, after 7 weeks of treatment with 25 mg/kg avasimibe. The median inhibitory concentration against human monocyte-macrophage ACAT was 12 ng/mL when determined in the absence of albumin, and aortic arch avasimibe levels were 25 ng/g of tissue wet weight. Avasimibe reduced thoracic aortic and iliac-femoral CE content by 39%, the extent of thoracic aortic lesions by 41%, aortic arch cross-sectional lesions area by 35%, and monocyte-macrophage area by 27%. The reduction in monocyte-macrophage area reflected a change in cell number and not cell size. In the iliac-femoral artery, avasimibe decreased monocyte-macrophage content by 77% and reduced the macrophage-to-lesion ratio from 0.16 to 0.05. Within the aortic arch, the catalytic activity of latent and active MMP-9 was reduced by 65% and 33%, respectively; latent and active MMP-1 and MMP-3 activity measured collectively was decreased by 52% and 60%, respectively, and MMP-2 was unchanged. Aortic arch MMP-9, tissue inhibitor of matrix metalloproteinase (TIMP)-1, and TIMP-2 mRNA levels were reduced 29% to 39%, and MMP-2 mRNA levels increased. We conclude that the bioavailable ACAT inhibitor avasimibe can directly limit macrophage accumulation, resulting in the histological appearance of mainly fibromuscular lesions, and can potentially stabilize preestablished atherosclerotic lesions by reducing MMP expression within the lesion.


Subject(s)
Acetates , Anticholesteremic Agents/pharmacology , Arteriosclerosis/drug therapy , Enzyme Inhibitors/pharmacology , Hypercholesterolemia/drug therapy , Macrophages/drug effects , Matrix Metalloproteinases/metabolism , Sterol O-Acyltransferase/antagonists & inhibitors , Sulfonic Acids/pharmacology , Acetamides , Animals , Aorta, Thoracic/enzymology , Arteriosclerosis/enzymology , Arteriosclerosis/pathology , Base Sequence , Cholesterol/blood , DNA Primers/genetics , Gene Expression/drug effects , Humans , Hypercholesterolemia/enzymology , Hypercholesterolemia/pathology , Macrophages/pathology , Male , Matrix Metalloproteinases/genetics , Rabbits , Sulfonamides , Tissue Inhibitor of Metalloproteinases/genetics , Tissue Inhibitor of Metalloproteinases/metabolism
3.
Atherosclerosis ; 139(1): 21-30, 1998 Jul.
Article in English | MEDLINE | ID: mdl-9699888

ABSTRACT

Given the beneficial effects of HMG-CoA reductase and ACAT inhibitors on hypercholesterolemia and atherosclerosis, we hypothesized that coadministration would improve the hypolipidemic response and not only limit lesion development but also alter the cellular composition of atherosclerotic lesions so as to induce a stable atherosclerotic lesion morphology. Plasma total cholesterol exposure was reduced 29 and 39% with atorvastatin (2.5 mg/kg) and CI-976 (5 mg/kg), respectively, and 60% upon coadministration due primarily to reductions in VLDL-cholesterol. Modest changes in liver cholesterol ester (CE) content were observed with atorvastatin or CI-976; however, a striking 48% reduction was noted upon coadministration. Liver HMG-CoA reductase mRNA levels were reduced 73% by cholesterol feeding and drug treatment did not prevent the reduction; however, atorvastatin alone and upon coadministration blunted the decrease in LDL receptor mRNA levels. The CE content of the iliac-femoral was unaffected by atorvastatin but was reduced 35% by CI-976 and 53% upon coadministration. Thoracic aortic CE content was reduced 38% by atorvastatin, 48% by CI-976 and 80% upon coadministration. Iliac-femoral lesion and macrophage area were reduced 48 and 67% by atorvastatin, respectively, and 68 and 81% by CI-976 but upon coadministration only an 85% reduction in macrophage area was noted. Aortic arch cross-sectional lesion and macrophage area were unaffected by atorvastatin, decreased 72-80% by CI-976 and reduced 87-92% upon coadministration. We conclude that inhibition of HMG-CoA reductase and ACAT acts synergistically to lower plasma total and lipoprotein cholesterol levels and to limit the development of atherosclerotic lesions in the cholesterol-fed rabbit by presumably regulating cholesterol trafficking pathways within liver and vascular cells.


Subject(s)
Arteriosclerosis/pathology , Cholesterol/blood , Enzyme Inhibitors/pharmacology , Hydroxymethylglutaryl-CoA Reductase Inhibitors/pharmacology , Sterol O-Acyltransferase/antagonists & inhibitors , Animals , Body Weight/drug effects , Cholesterol, HDL/blood , Cholesterol, LDL/blood , Cholesterol, VLDL/blood , Drug Synergism , Male , Rabbits
4.
Atherosclerosis ; 136(2): 203-16, 1998 Feb.
Article in English | MEDLINE | ID: mdl-9543090

ABSTRACT

Oxidant signalling and lipoprotein oxidation may play important roles in atherosclerotic lesion development. Given coincident localization of 15-lipoxygenase (15-LO), stereospecific products of 15-LO and epitopes of modified LDL in atherosclerotic lesions, we hypothesized that inhibition of 15-LO by PD146176, an inhibitor of 15-LO with an IC50 in cells or isolated enzyme of 0.5-0.8 microM, may limit atherosclerotic lesion development through regulation of monocyte-macrophage enrichment. Rabbits exposed to chronic endothelial denudation of the iliac-femoral artery were meal-fed a 0.25% cholesterol (C), 3% peanut oil (PNO), 3% coconut oil (CNO) diet twice daily with and without 175 mg/kg PD146176 for 12 weeks. In a second study, atherosclerotic lesions were pre-established in rabbits through chronic endothelial denudation and meal-fed a 0.5% C, 3% PNO, 3% CNO diet for 9 weeks and a 0% C/fat diet for 6 weeks prior to an 8 week administration of PD146176 at 175 mg/kg, q.d. Plasma total and lipoprotein cholesterol exposure were similar in control and PD146176-treated animals in both studies but PD146176 increased plasma triglyceride exposure 2- to 4-fold. Plasma PD146176 concentrations ranged from 99 to 214 ng/ml at 2 h post-dose. In the progression study, the iliac-femoral monocyte-macrophage area was reduced 71%, cross-sectional lesion area was unchanged and cholesteryl ester (CE) content was reduced 63%. In the regression study, size and macrophage content of iliac-femoral, fibrous plaque-like lesions were decreased 34%, CE content was reduced 19% and gross extent of thoracic aortic lesions were reduced 41%. We conclude that PD146176 can limit monocyte macrophage enrichment of atherosclerotic lesions and can attenuate development of fibrofoamy and fibrous plaque lesions in the absence of changes in plasma total or lipoprotein cholesterol concentrations.


Subject(s)
Arteriosclerosis/pathology , Fluorenes/pharmacology , Hypercholesterolemia/complications , Lipoxygenase Inhibitors/pharmacology , Macrophages/pathology , Monocytes/pathology , Animals , Aorta, Thoracic/metabolism , Aorta, Thoracic/pathology , Arachidonate 15-Lipoxygenase/metabolism , Arteriosclerosis/etiology , Arteriosclerosis/metabolism , Cholesterol/analysis , Cholesterol/blood , Cholesterol Esters/analysis , Disease Progression , Dose-Response Relationship, Drug , Femoral Artery/metabolism , Femoral Artery/pathology , Iliac Artery/metabolism , Iliac Artery/pathology , Immunohistochemistry , Male , Phospholipids/analysis , Rabbits
5.
J Med Chem ; 41(5): 682-90, 1998 Feb 26.
Article in English | MEDLINE | ID: mdl-9513596

ABSTRACT

We prepared a series of alpha-substituted malonester amides that were evaluated for their ability to inhibit acyl-CoA:cholesterol O-acyl transferase activity in vitro and to lower plasma total cholesterol levels in a variety of cholesterol-fed animal models. Compounds of this series were also useful in examining the relationship between adrenal toxicity and ACAT inhibition. One compound from this series, 9f, was a potent inhibitor of ACAT in both the microsomal and cellular assays. It was also bioavailable as determined by both a bioassay and a HPLC-UV assay. This compound was evaluated in both guinea pig and dog models of adrenal toxicity and compared to tetrazole amide 15. In the most sensitive species, the dog, both of these compounds achieved good plasma levels; however, compound 9f caused adrenal necrosis, whereas compound 15 had no effect on the adrenal gland. This adds to the growing body of evidence that the adrenal toxicity observed with ACAT inhibitors may not be mechanism related.


Subject(s)
Adrenal Glands/drug effects , Adrenal Glands/pathology , Enzyme Inhibitors/pharmacology , Enzyme Inhibitors/toxicity , Malonates/pharmacology , Malonates/toxicity , Phenylacetates/pharmacology , Phenylacetates/toxicity , Sterol O-Acyltransferase/antagonists & inhibitors , Amides/pharmacology , Amides/toxicity , Animals , Anticholesteremic Agents/chemical synthesis , Biological Availability , Cholesterol/blood , Cholesterol, Dietary/administration & dosage , Chromatography, High Pressure Liquid , Dogs , Enzyme Inhibitors/chemical synthesis , Female , Guinea Pigs , Male , Malonates/chemical synthesis , Mice , Microsomes, Liver/enzymology , Necrosis , Phenylacetates/chemical synthesis , Rats , Rats, Sprague-Dawley , Tetrazoles/pharmacology , Tetrazoles/toxicity
6.
J Med Chem ; 39(20): 3908-19, 1996 Sep 27.
Article in English | MEDLINE | ID: mdl-8831757

ABSTRACT

A series of heterocyclic amides were synthesized and evaluated as inhibitors of acyl-CoA: cholesterol O-acyltransferase (ACAT) in vitro and for cholesterol lowering in cholesterol-fed rats. Compounds were evaluated for cell-based macrophage ACAT inhibition, bioactivity, and adrenal toxicity. Candidates were selected for evaluation in cholesterol-fed dogs and, ultimately, the injured cholesterol-fed rabbit model of atherosclerosis. The heterocyclic amides potently inhibited rabbit liver ACAT (IC50's = 0.014-0.11 microM), and the majority of compounds significantly lowered plasma cholesterol (42-68%) in an acute cholesterol-fed rat model at 3 mg/kg. The most efficacious compounds in the rat were evaluated for bioactivity in vivo and arterial ACAT inhibition in a cell-based macrophage ACAT assay. Two highly bioactive analogs, (+/-)-2-(3-dodecylisoxazol-5-yl)-2-phenyl-N-(2,4,6-trimethoxypheny l) acetamide (13a) and (+/-)-2-(5-dodecylisoxazol-3-yl)-2-phenyl-N-(2,4,6-trimethoxypheny l) acetamide (16a), were selected for further study and were found to be nontoxic in a guinea pig model of adrenal toxicity. Compounds 13a and 16a lowered total cholesterol in the cholesterol-fed rat, rabbit, and dog models of pre-established hypercholesterolemia. Compound 13a in the injured cholesterol-fed rabbit model of atherosclerosis was effective in slowing the development of cholesteryl ester-rich thoracic aortic lesions, reducing lesion coverage by 53% at a dose of 1 mg/kg.


Subject(s)
Acetamides/chemical synthesis , Anticholesteremic Agents/chemical synthesis , Arteriosclerosis/drug therapy , Enzyme Inhibitors/chemical synthesis , Isoxazoles/chemical synthesis , Sterol O-Acyltransferase/antagonists & inhibitors , Acetamides/therapeutic use , Acetamides/toxicity , Adrenal Gland Diseases/chemically induced , Animals , Anticholesteremic Agents/therapeutic use , Cholesterol/blood , Dogs , Enzyme Inhibitors/therapeutic use , Guinea Pigs , Isoxazoles/therapeutic use , Isoxazoles/toxicity , Liver/enzymology , Male , Molecular Structure , Rabbits , Rats
7.
J Med Chem ; 39(12): 2354-66, 1996 Jun 07.
Article in English | MEDLINE | ID: mdl-8691430

ABSTRACT

A series of tetrazole amide derivatives of (+/-)-2-dodecyl-alpha-phenyl-N-(2,4,6-trimethoxyphenyl)-2H-tetrazole-5- acetamide (1) was prepared and evaluated for their ability to inhibit acyl-CoA: cholesterol O-acyltransferase (ACAT) in vitro and to lower plasma total cholesterol in vivo. For this series of compounds, our objective was to systematically replace substituents appended to the amide and tetrazole moieties of 1 with structurally diverse functionalities and assess the effect that these changes have on biological activity. The ensuing structure-activity relationship (SAR) studies identified aryl (7b) and heteroaryl (7f,g) replacements for 2,4,6-trimethoxyphenyl that potently inhibit liver microsomal and macrophage ACAT in vitro and exhibit good cholesterol lowering activity (56-66% decreases in plasma total cholesterol at 30 mg/kg), relative to 1, when compared in the acute rat model of hypercholesterolemia. Replacement of the alpha-phenyl moiety with electron-withdrawing substituents (13e-h), however, significantly reduced liver microsomal ACAT inhibitory activity (IC50 > 1 microM). This is in contrast to electron-donating substituents (13ij,m-q), which produce IC50 values ranging from 5 to 75 nM in the hepatic microsomal assay. For selected tetrazole amides (1, 7b, 13n,o), reversing the order of substituents appended to the 2- and 5-positions in the tetrazole ring (36a-d), in general, improved macrophage ACAT inhibitory activity and provided excellent cholesterol-lowering activity (ranging from 65% to 77% decreases in plasma total cholesterol at 30 mg/kg) in the acute rat screen. The most potent isomeric pair in this set of unsubstituted methylene derivatives (13n and 36a) caused adrenocortical cell degeneration in guinea pigs treated with these inhibitors. In contrast, adrenal glands taken from guinea pigs treated with the corresponding alpha-phenyl-substituted analogs (7b and 36c) were essentially unchanged compared to untreated controls. Subsequent evaluation of 7b and 36c in a rabbit bioassay showed that both compounds and/or their metabolities were present in plasma after oral dosing. Unlike 7b and 36c, compound 1 and related 2,4,6-trimethoxyanilides (13j, 30c,d) showed poor oral activity in the rabbit bioassay. Nevertheless, in cholesterol-fed rabbits, both systemically available (7b, 36c) and poorly absorbed inhibitors (1, 36d) were more effective in lowering plasma total cholesterol than the fatty acid amide CI-976.


Subject(s)
Anticholesteremic Agents/pharmacology , Enzyme Inhibitors/pharmacology , Sterol O-Acyltransferase/antagonists & inhibitors , Tetrazoles/pharmacology , Animals , Anticholesteremic Agents/chemical synthesis , Anticholesteremic Agents/chemistry , Arteriosclerosis/prevention & control , Cholesterol/blood , Cholesterol, Dietary/pharmacokinetics , Drug Design , Drug Evaluation, Preclinical , Enzyme Inhibitors/chemical synthesis , Enzyme Inhibitors/chemistry , Guinea Pigs , Hypercholesterolemia/chemically induced , Hypercholesterolemia/drug therapy , Macrophages/enzymology , Male , Microsomes, Liver/enzymology , Molecular Structure , Rabbits , Rats , Structure-Activity Relationship , Tetrazoles/chemical synthesis , Tetrazoles/chemistry
8.
Atherosclerosis ; 111(1): 127-42, 1994 Nov.
Article in English | MEDLINE | ID: mdl-7840808

ABSTRACT

Atherosclerotic lesion development was assessed in the thoracic aorta and chronically denuded iliac-femoral artery of hypercholesterolemic New Zealand White rabbits using inhibitors of 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase which have previously been shown to possess varying degrees of hepatoselectivity in rats. Atorvastatin, previously known as CI-981 (2.5 mg/kg), PD135022 (1.0 mg/kg), simvastatin (2.5 mg/kg), lovastatin (2.5 mg/kg), PD134965 (1.0 mg/kg), pravastatin (2.5 mg/kg) and BMY22089 (2.5 mg/kg) were added to a 0.5% cholesterol, 3% peanut, 3% coconut oil diet and fed for 8 weeks. Although reductions in plasma total cholesterol of 27% to 60%, VLDL-cholesterol of 31% to 71% and plasma total cholesterol exposure of 37% to 43% were obtained, no correlation between these parameters and vascular lipid content, lesion size or monocyte-macrophage content was noted. Iliac-femoral lipid content was unchanged; however, atorvastatin and simvastatin significantly reduced the cholesterol content of the thoracic aorta by 45%-62%. Atorvastatin and PD135022 reduced the size of the iliac-femoral lesion by 67% and monocyte-macrophage content by 72%. Simvastatin, lovastatin and PD134965 decreased the monocyte-macrophage content; however, lesion size was unchanged. Pravastatin and BMY22089 had no effect on lesion size or content. No compound significantly reduced the extent of thoracic aortic lesions. We concluded that changes in plasma lipids and lipoproteins noted with the various HMG-CoA reductase inhibitors did not account for the beneficial effect on atherosclerotic lesion development. The antiatherosclerotic potential of the HMG-CoA reductase inhibitors was compound-specific and clearly not a class effect.


Subject(s)
Anticholesteremic Agents/therapeutic use , Arteriosclerosis/drug therapy , Hydroxymethylglutaryl-CoA Reductase Inhibitors , Animals , Arteriosclerosis/metabolism , Arteriosclerosis/pathology , Blood Vessels/metabolism , Blood Vessels/pathology , Cholesterol/blood , Cholesterol, Dietary/administration & dosage , Cholesterol, VLDL/blood , Lipid Metabolism , Liver/metabolism , Macrophages/pathology , Male , Monocytes/pathology , Rabbits
9.
Pharmacol Res ; 29(1): 65-76, 1994.
Article in English | MEDLINE | ID: mdl-8202444

ABSTRACT

Probucol, a cholesterol-lowering agent which possesses antioxidant properties, was evaluated in hypercholesterolemic Japanese quail in order to assess the significance of antioxidant therapy on the development of atherosclerosis. Forty quail were fed a 0.5% cholesterol diet containing 0, 100, 200 or 500 mg kg-1 probucol for 2 months. At necropsy, plasma total and lipoprotein cholesterol and lipoprotein distribution were unchanged despite plasma probucol levels of 50 to 59 micrograms ml-1. The cholesteryl ester content of the liver and blood vasculature (brachiocephalic artery and aortic arch combined) was reduced by 33% and 62%, respectively, in animals given 500 mg kg-1 probucol. The vascular free cholesterol content was also reduced by 43 to 60% over the probucol dose range. Morphometric analysis of the brachiocephalic artery revealed that probucol reduced the incidence of lesions containing esterase-positive cells from 62% in untreated animals to 26% and 13% in animals administered 200 and 500 mg kg-1 probucol, respectively. No difference in mean wall thickness or area of the bracheocephalic artery was noted between the groups. Thus, we conclude that probucol can blunt the cholesteryl ester and macrophage enrichment of atherosclerotic lesions and this activity appears to be mediated by the compound's antioxidant properties since the changes noted were seen in the absence of alterations in plasma total and lipoprotein cholesterol levels.


Subject(s)
Arteriosclerosis/drug therapy , Coturnix/metabolism , Hypercholesterolemia/complications , Probucol/therapeutic use , Animals , Aorta/pathology , Arteriosclerosis/etiology , Arteriosclerosis/pathology , Cholesterol/blood , Cholesterol Esters/blood , Cholesterol Esters/metabolism , Cholesterol, Dietary/administration & dosage , Diet, Atherogenic , Histocytochemistry , Hypercholesterolemia/blood , Hypercholesterolemia/metabolism , Lipoproteins/blood , Liver/metabolism , Male , Probucol/blood
10.
Atherosclerosis ; 102(1): 9-22, 1993 Aug.
Article in English | MEDLINE | ID: mdl-8257456

ABSTRACT

A biochemical, histologic and morphometric evaluation of spontaneous, diet-induced (thoracic aorta) and injury-induced (iliac-femoral) atherosclerotic lesions was performed in rabbits maintained on varying levels of dietary cholesterol. Rabbits were meal-fed a 3% peanut oil, 3% coconut oil diet containing 0%, 0.1%, 0.25%, 0.5%, 1.0%, 1.5% or 2.0% cholesterol for 9 weeks. Plasma total cholesterol exposure (area under cholesterol-time curve (TC-AUC)) increased diet-dependently over the course of the study. VLDL and LDL cholesterol (VLDL-C, LDL-C) comprised 41% and 55%, respectively, of the plasma total cholesterol at cholesterol levels > 700 mg/dl (TC-AUC > 31,868 mg day/dl) and both VLDL-C and LDL-C were linearly related to TC-AUC (r = 0.98). Plasma TC-AUC was linearly related to thoracic aortic cholesteryl ester (CE) content (r = 0.74) and thoracic aortic lesion coverage (r = 0.66). In the injury-induced iliac-femoral lesion, plasma TC-AUC was linearly related to both iliac-femoral CE content (r = 0.80) and macrophage/lesion ratio (r = 0.64). At plasma cholesterol levels greater than 700 mg/dl, CE content of the iliac-femoral lesion ranged from 35 to 69 micrograms/mg dry defatted tissue, > 75% of the lesions were fibrofoamy in nature and macrophage/lesion area ratio was 0.46 to 0.55 while lesion area remained constant. VLDL-C and LDL-C were highly correlated with the CE content of both thoracic and iliac-femoral lesions, thoracic aortic lesion coverage and macrophage/lesion area ratio (r = 0.86-0.99). We conclude that the composition, extent and type of atherosclerotic lesion induced in rabbits is dependent upon the overall plasma cholesterol exposure, VLDL and LDL cholesterol content and whether lesions are induced by diet alone or both diet and chronic endothelial injury. In addition, various stages of atherosclerotic lesion formation can be replicated in the rabbit by titrating the animal's overall plasma cholesterol exposure.


Subject(s)
Arteriosclerosis/pathology , Hypercholesterolemia/complications , Animals , Aorta, Thoracic/pathology , Arteriosclerosis/blood , Arteriosclerosis/complications , Cholesterol/metabolism , Cholesterol, Dietary/administration & dosage , Femoral Artery/pathology , Hypercholesterolemia/metabolism , Iliac Artery/pathology , Liver/metabolism , Male , Rabbits
11.
Atherosclerosis ; 99(2): 175-86, 1993 Mar.
Article in English | MEDLINE | ID: mdl-8503946

ABSTRACT

Atherosclerotic lesion development may be altered indirectly by regulating plasma cholesterol or directly by inhibition of acyl-CoA cholesterol O-acyltransferase (ACAT) within cells of the artery. Yucatan micropigs were meal-fed a 2% cholesterol, 8% peanut oil, 8% coconut oil purified diet for 1 month prior to administration of the potent, bioavailable ACAT inhibitor CI-976, and induction of atherosclerotic lesions by chronic endothelial damage. After 84-108 days of therapy, CI-976 decreased mean plasma VLDL-cholesterol 85-91% and cumulative VLDL-exposure (area under VLDL-time curve) by 65%. However, overall plasma total, LDL and HDL cholesterol and triglyceride levels were unchanged. CI-976 decreased liver cholesteryl ester (CE) content 65% without significantly affecting adrenal CE content. The CE content of the injured left femoral, left iliac and abdominal aorta and uninjured right femoral and iliac arteries and thoracic aorta was reduced 62-78% by CI-976. Systemic plasma CI-976 levels measured 24 h post-dose ranged from 2.26 to 4.05 micrograms/ml and significantly correlated with the reduction in both VLDL and vessel CE content. Thus, we conclude that inhibition of ACAT can blunt the cholesteryl ester enrichment of developing atherosclerotic lesions by preventing reesterification and storage of lipoprotein cholesterol within vascular cells and by reducing the plasma level and delivery to the arterial wall of such atherogenic lipoproteins as VLDL.


Subject(s)
Anilides/pharmacology , Arteriosclerosis/metabolism , Blood Vessels/metabolism , Cholesterol Esters/metabolism , Sterol O-Acyltransferase/antagonists & inhibitors , Adrenal Glands/metabolism , Animals , Arteriosclerosis/enzymology , Cholesterol/metabolism , Cholesterol, HDL/metabolism , Cholesterol, LDL/metabolism , Cholesterol, VLDL/metabolism , Liver/metabolism , Phospholipids/metabolism , Swine , Swine, Miniature
12.
Exp Mol Pathol ; 57(1): 70-83, 1992 Aug.
Article in English | MEDLINE | ID: mdl-1397193

ABSTRACT

Oxidative modification of LDL may represent an initiating event in the formation of monocyte-macrophage foam cells, a major cell present in fatty streaks and atherosclerotic fibrous plaques. Therefore, we studied the effect of such antioxidants as probucol (500 mg/kg) and vitamins E and C (500 mg/kg each) on the regression of induced iliac-femoral lesions and progression of naturally occurring thoracic aortic fatty streak lesions in hypercholesterolemic New Zealand White rabbits. Following an initial 9-week lesion induction phase, both therapies were evaluated for 8 weeks. Probucol lowered plasma cholesterol 47% while vitamins E and C had no effect on plasma cholesterol. Probucol decreased the cholesteryl ester (CE) content of the thoracic aorta by 31% without changing the thoracic aortic lesion coverage. Vitamins E and C decreased thoracic aortic CE content by 40% and lesion coverage by 46%. Neither probucol nor vitamins E and C altered the CE content, lesion size, or macrophage/lesion ratio of the iliac-femoral artery. Thus, we conclude that the effects of antioxidants are specific to the stage of atherosclerotic lesion development. Antioxidant therapy alters the progression and cholesteryl ester enrichment of diet-induced thoracic aortic fatty streaks but has no effect on the progression and/or regression of more complicated injury-induced iliac-femoral lesions.


Subject(s)
Antioxidants/therapeutic use , Arteriosclerosis/complications , Arteriosclerosis/drug therapy , Hypercholesterolemia/complications , Animals , Aorta/chemistry , Aorta/pathology , Arteriosclerosis/pathology , Ascorbic Acid/therapeutic use , Blood Vessels/chemistry , Blood Vessels/pathology , Cholesterol/analysis , Cholesterol/blood , Cholesterol Esters/analysis , Cholesterol Esters/blood , Femoral Artery/chemistry , Femoral Artery/pathology , Hypercholesterolemia/blood , Lipids/analysis , Lipids/blood , Lipoproteins/analysis , Lipoproteins/blood , Male , Probucol/therapeutic use , Rabbits , Vitamin E/therapeutic use
13.
Arterioscler Thromb ; 11(6): 1830-43, 1991.
Article in English | MEDLINE | ID: mdl-1931885

ABSTRACT

Due to the potential importance of acyl-coenzyme A:cholesterol O-acyltransferase (ACAT) in the generation of lipid-filled monocytes-macrophages, the ACAT inhibitor CI-976 (2,2-dimethyl-N-(2,4,6-trimethoxyphenyl)dodecanamide) was evaluated relative to selected lipid-lowering agents for their effect on atherosclerotic lesion regression and progression. Atherosclerotic lesions comparable in composition to human fatty streaks were induced by chronic endothelial denudation in the iliac-femoral artery of hypercholesterolemic New Zealand White rabbits before intervention, while naturally occurring fatty streaks developed in the thoracic aorta. CI-976 administered in a hypercholesterolemic diet at a dose that did not lower plasma cholesterol prevented the accumulation of monocytes-macrophages within the preestablished iliac-femoral lesion and reduced the foam cell area by 27-29% relative to the initiation of intervention. CI-976 also blunted the development of thoracic aortic fatty streak-like lesions and decreased the cholesteryl ester enrichment by 46%. CI-976 had no effect on plasma triglycerides and, more importantly, had no effect or decreased liver, iliac-femoral, and thoracic aortic free cholesterol content. Dietary intervention alone increased monocyte-macrophage involvement in the iliac-femoral lesion despite reductions in plasma, liver, and thoracic aortic cholesterol content. Conventional lipid-lowering therapy such as cholestyramine or cholestyramine/niacin required substantial decreases in plasma cholesterol levels to achieve comparable vascular changes. We conclude that inhibition of ACAT within the arterial wall by the potent and specific ACAT inhibitor CI-976, even in the absence of plasma cholesterol lowering, can result in the inhibition of atherosclerotic lesion progression and can enhance regression.


Subject(s)
Anilides/pharmacology , Aorta, Thoracic/drug effects , Arteriosclerosis/prevention & control , Femoral Artery/drug effects , Hypolipidemic Agents/pharmacology , Iliac Artery/drug effects , Animals , Aorta, Thoracic/metabolism , Aorta, Thoracic/pathology , Arteriosclerosis/metabolism , Arteriosclerosis/pathology , Femoral Artery/metabolism , Femoral Artery/pathology , Iliac Artery/metabolism , Iliac Artery/pathology , Lipid Metabolism , Lipids/blood , Liver/metabolism , Male , Rabbits , Sterol O-Acyltransferase/antagonists & inhibitors
14.
Exp Mol Pathol ; 54(3): 201-77, 1991 Jun.
Article in English | MEDLINE | ID: mdl-2060606

ABSTRACT

The effect of combining chronic endothelial injury and intermittent meal feeding of a high and low cholesterol, coconut oil, peanut oil diet on plama lipid and lipoprotein content and on the formation of atherosclerotic lesions within the iliac-femoral artery of rabbits was studied. Alternate feeding of a 1 or 0.1% cholesterol, 3% coconut oil, 3% peanut oil diet for 3 to 14 weeks resulted in a 4- to 11-fold increase in plasma cholesterol with 59 to 79% of the plasma cholesterol eluting in a molecular weight fraction comparable to human low density lipoproteins (LDL). In the iliac-femoral artery, an atherosclerotic intimal lesion with an average cross-sectional area of 0.452 mm2 was present in 98% of the animals. The lesion was typically eccentric in location and contained both superficial- and deep-intimal lipid-filled monocyte-macrophages, extracellular lipid, smooth muscle cells, and extracellular connective tissue matrix. The relative percent lipid composition of the iliac-femoral lesion was 62% cholesteryl ester, 21% free cholesterol, and 17% phospholipid. Thus, we conclude that the combination of meal feeding a cholesterol/fat diet, dietary regimen and chronic mild endothelial injury in the rabbit results in (1) a diet-induced hypercholesterolemia in which LDL appear to be the predominant lipoprotein; and (2) a lesion within the iliac-femoral artery comparable in histologic and chemical composition to a human fatty streak.


Subject(s)
Arteriosclerosis/pathology , Animals , Arteriosclerosis/etiology , Cholesterol/blood , Diet, Atherogenic , Endothelium, Vascular/injuries , Endothelium, Vascular/pathology , Femoral Artery/pathology , Iliac Artery/pathology , Lipoproteins/blood , Liver/metabolism , Male , Nylons , Rabbits , Time Factors , Triglycerides/blood
15.
Rev Sci Tech ; 9(1): 207-21, 1990 Mar.
Article in English, Spanish | MEDLINE | ID: mdl-2132148

ABSTRACT

Outbreaks of diarrhoea associated with mucosal erosions of the mouth, tongue and digestive tract, clinically diagnosed as bovine virus diarrhoea-mucosal disease (BVD-MD), have been reported in Argentina and Brazil since the 1960's. However, primary isolation of the virus of BVD-MD is fairly recent, occurring in 1974 for Brazil, 1984 for Argentina, 1985 for Chile and 1981 for Colombia. In Argentina both cytopathogenic and non-cytopathogenic BVD virus strains have been identified. Elsewhere in South America this differentiation does not seem to have been carried out. Serological surveys have confirmed the existence of BVD virus infection in six countries (Argentina, Brazil, Chile, Colombia, Peru and Uruguay), with an incidence rate ranging between 37 and 77% of cattle in the areas surveyed. Diarrhoea in calves between 3 and 18 months of age, often associated with mucosal erosions, has been the most commonly observed syndrome. In some cases an upper respiratory tract involvement was described. In one epizootic, in the Sabana de Bogota plateau of Colombia, reproductive failure associated with abortions or birth of weak calves was the main clinical syndrome.


Subject(s)
Bovine Virus Diarrhea-Mucosal Disease/epidemiology , Animals , Bovine Virus Diarrhea-Mucosal Disease/prevention & control , Cattle , Incidence , South America/epidemiology
16.
Arq Inst Biol (Sao Paulo) ; 45(3): 187-9, 1978.
Article in Portuguese | MEDLINE | ID: mdl-224840

ABSTRACT

The authors describe the isolation and identification of a virus from bovine fetal kidney cells maintained in culture for 30 to 45 days. The virus was characterized as a herpesvirus of the infectious bovine rhinotracheitis in cell culture by the evidence of cytopathogenic effect in bovine kidney and testis cultures and serologically by a neutralization test using rabbit anti-infectious bovine rhinotracheitis sera.


Subject(s)
Herpesvirus 1, Bovine/isolation & purification , Kidney/microbiology , Animals , Cattle , Cells, Cultured/microbiology , Cytopathogenic Effect, Viral , Fetus/microbiology , Kidney/embryology , Neutralization Tests
17.
Arq Inst Biol (Sao Paulo) ; 42: 203-11, 1975.
Article in Portuguese | MEDLINE | ID: mdl-1236051

ABSTRACT

Cattle were fed with a diet containing bracken fern in order to study the development of chronic bovine haematuria. The experimental 25 animals were randomly divided into 5 groups and such groups received different amounts of the plant. All groups were fed for 36 months, while no clinical effect of the disease was noted. After that time, the supplement of bracken fern to the diet was suspended and the animals still remained under observation. One of the animals (from group I) exhibit haematuria one month after the fern was removed from the diet. In the same occasion, four animals were slaughtered and only one of them presented haemorragic lesions in the urinary bladder. After 34 days another four animals were slaughtered and 114 days later three more were killed. All animals were chosen randomly and in spite of no clinical signs of the disease, all of them presented haemorragic lesions in the urinary bladder. The results obtained in this experiment confirmed that bracken fern (Pteris aquilina) is responsable for the development of chronic bovine haematuria in cattle. The disease is challenged by continuous ingestion of small amounts of bracken fern during a long period of time.


Subject(s)
Cattle Diseases/etiology , Diet/adverse effects , Hematuria/veterinary , Plants, Toxic , Animals , Cattle , Food Preferences , Hematuria/etiology , Time Factors
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