4.6 Article

RNA interference-mediated survivin gene knockdown induces growth arrest and reduced migration of vascular smooth muscle cells

Journal

Publisher

AMER PHYSIOLOGICAL SOC
DOI: 10.1152/ajpheart.00089.2011

Keywords

cell cycle; apoptosis

Funding

  1. National Heart, Lung, and Blood Institute [HL-085157]
  2. Foundation for Accelerated Vascular Research
  3. American Vascular Association

Ask authors/readers for more resources

Nabzdyk CS, Lancero H, Nguyen KP, Salek S, Conte MS. RNA interference-mediated survivin gene knockdown induces growth arrest and reduced migration of vascular smooth muscle cells. Am J Physiol Heart Circ Physiol 301: H1841-H1849, 2011. First published August 19, 2011; doi:10.1152/ajpheart.00089.2011.-Survivin (SVV) is a multifunctional protein that has been implicated in the development of neointimal hyperplasia. Nuclear SVV is essential for mitosis, whereas in mitochondria SVV has a cytoprotective function. Here, we investigated the effects of RNA interference (RNAi)-mediated SVV knockdown on cell cycle kinetics, apoptosis, migration, and gene expression in primary cultured vascular smooth muscle cells (VSMCs) from the human saphenous vein. Primary Human VSMCs were obtained from saphenous veins and cultured under standard conditions. SVV knockdown was achieved by either small interfering RNA or lentiviral transduction of short hairpin RNA, reducing SVV gene expression by quantitative PCR (>75%, P < 0.01) without a loss of cell viability. Subcellular fractionation revealed that RNAi treatment effectively targeted the nuclear SVV pool, whereas the larger mitochondrial pool was much less sensitive to transient knockdown. Both p53 and p27 protein levels were notably increased. SVV RNAi treatment significantly blocked VSMC proliferation in response to serum and PDGF-AB, arresting VSMC growth. Cell cycle analysis revealed an increased G(2)/M fraction consistent with a mitotic defect; 4',6-diamidino-2-phenylindole staining confirmed an increased frequency of polyploid and abnormal nuclei. In a transwell assay, SVV knockdown reduced migration to PDGF-AB, and actin-phalloidin staining revealed disorganized actin filaments and polygonal cell shape. However, apoptosis (DNA content and annexin V flow cytometry) was not directly induced by SVV RNAi, and sensitivity to apoptotic agonists (e.g., staurosporine and cytokines) was unchanged. In conclusion, RNAi-mediated SVV knockdown in VSMCs leads to profound cell cycle arrest at G(2)/M and impaired chemotaxis without cytotoxicity. The regulation of mitosis and apoptosis in VSMC involves differentially regulated subcellular pools of SVV. Thus, treatment of VSMC with RNAi targeting SVV might limit the response to vascular injury without destabilizing the vessel wall.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.6
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Surgery

Association of Renin-Angiotensin-Aldosterone System Inhibitor Usage Patterns with Midterm Amputation-Free Survival after Lower Extremity Bypass for Peripheral Arterial Disease

Isaac N. Naazie, Isibor Arhuidese, Mohammad S. Abdelgawwad, Jonathan Unkart, Michael S. Conte, Mahmoud B. Malas

Summary: Different patterns of RAASI usage have different associations with outcomes in patients undergoing lower extremity bypass for peripheral arterial disease. Isolated preoperative RAASI use is associated with worse mortality and amputation-free survival, while continuous RAASI use is associated with improved outcomes.

ANNALS OF VASCULAR SURGERY (2023)

Article Surgery

Practice patterns surrounding the use of tibial interventions for claudication in the Medicare population

Sanuja Bose, Chen Dun, Rebecca Sorber, David P. Stonko, Alex J. Solomon, James H. Black, Ying-Wei Lum, Michael S. Conte, Martin A. Makary, Caitlin W. Hicks

Summary: This study examined the practice patterns of tibial peripheral vascular interventions (PVIs) for the treatment of claudication in the United States. The results showed that tibial PVI was mainly performed by nonvascular surgeons in high-volume practices and high-reimbursement settings. There is a need to reevaluate the indications, education, and reimbursement policies surrounding these procedures.

JOURNAL OF VASCULAR SURGERY (2023)

Article Surgery

Evaluation of the Global Limb Anatomic Staging System in patients with chronic limb-threatening ischemia undergoing endovascular intervention for femoropopliteal disease

Lewis Meecham, Mathew Popplewell, Gareth Bate, Huw O. B. Davies, Akio Kodama, Michael S. Conte, Andrew W. Bradbury

Summary: The Global Limb Anatomic Staging System (GLASS) is a new method of quantifying the severity of lower limb disease in patients with chronic limb-threatening ischemia. This study found that worsening GLASS stage was associated with reduced immediate technical success and worse outcomes in terms of freedom from reintervention and major adverse limb events. However, further refinement of GLASS may be necessary to fully utilize it as a decision-making tool in clinical practice.

JOURNAL OF VASCULAR SURGERY (2023)

Article Surgery

Racial and ethnic disparities in major adverse limb events persist for chronic limb threatening ischemia despite presenting limb threat severity after peripheral vascular intervention

Emanuel A. Jaramillo, Eric J. T. Smith, Zachary A. Matthay, Katherine M. Sanders, Jade S. Hiramoto, Warren J. Gasper, Michael S. Conte, James C. Iannuzzi

Summary: Despite controlling for disease severity, racial and ethnic disparities persist in major adverse limb events (MALE) after peripheral vascular intervention (PVI) for chronic limb threatening ischemia (CLTI). This suggests that disease severity does not account for the disparities in outcomes.

JOURNAL OF VASCULAR SURGERY (2023)

Article Surgery

Cognitive Impairment is Common in a Veterans Affairs Population with Peripheral Arterial Disease

Eric J. T. Smith, Warren J. Gasper, Peter A. Schneider, Emily Finlayson, Louise C. Walter, Ken E. Covinsky, Michael S. Conte, James C. Iannuzzi

Summary: This study examines cognitive impairment in patients with peripheral arterial disease (PAD) and finds that it is common but often unrecognized. Risk factors for cognitive impairment include age, race, hypertension, prior stroke/TIA, diabetes treated with insulin, and post-traumatic stress disorder (PTSD). The study suggests that cognitive impairment is an underdiagnosed issue in PAD patients and calls for further research on its impact and management.

ANNALS OF VASCULAR SURGERY (2023)

Review Engineering, Biomedical

Heparin Versus Bivalirudin for Anticoagulation in Adult Extracorporeal Membrane Oxygenation: A Systematic Review and Meta-Analysis

Patrick M. Wieruszewski, Shea A. Macielak, Scott D. Nei, Rajat N. Moman, Troy G. Seelhammer, Christoph G. S. Nabzdyk, Danielle J. Gerberi, Kristin C. Mara, W. Michael Hooten, Erica D. Wittwer

Summary: In clinical studies comparing heparin and bivalirudin in adult patients receiving ECMO, it was found that those who received heparin were more likely to experience circuit-related thrombosis and death, but there were no differences in major bleeding events between the two groups.

ASAIO JOURNAL (2023)

Letter Engineering, Biomedical

Preserving the Membrane Lung: An Ongoing ECMO Challenge

Patrick M. Wieruszewski, James R. Neal, Christoph G. S. Nabzdyk, Troy G. Seelhammer

ASAIO JOURNAL (2023)

Editorial Material Surgery

Vascular health and the health of vascular surgery-2021 Western Vascular Society Presidential Address

Michael S. Conte

SEMINARS IN VASCULAR SURGERY (2023)

Editorial Material Anesthesiology

Levosimendan And Septic Cardiomyopathy: A Key That May Have Found Its Lock?

Misty Radosevich, Etienne J. Couture, Christoph Nabzdyk

JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA (2023)

Article Multidisciplinary Sciences

Patients with abdominal aortic aneurysms have reduced levels of microRNA 122-5p in circulating exosomes

Jose L. Lopez, Joel L. Ramirez, Tuan Anh Phu, Phat Duong, Laura Bouchareychas, Christina R. Kuhrau, Pei-Yu Lin, Walter L. Eckalbar, Andrea J. Barczak, Joshua D. Rudolph, Lenka Maliskova, Michael S. Conte, Shant M. Vartanian, Robert L. Raffai, Adam Z. Oskowitz

Summary: This study aimed to identify novel biomarkers for abdominal aortic aneurysms (AAAs) by characterizing the expression profile of microRNAs (miRNA) in circulating exosomes. The study found that miR-122-5p levels were significantly reduced in the exosomes of AAA patients. This suggests that miR-122-5p could potentially be used as a diagnostic biomarker and have implications in AAA pathogenesis.

PLOS ONE (2023)

Article Peripheral Vascular Disease

Lower-extremity pressure, staging, and grading thresholds to identify chronic limb-threatening ischemia

Justin Chin-Bong Choi, Jorge Miranda, Erin Greenleaf, Michael S. Conte, Marie D. Gerhard-Herman, Joseph L. Mills, Neal R. Barshes

Summary: This study used the WIfI system to predict limb loss and peripheral artery disease in patients with foot ulcers or gangrene. It found that a toe-brachial index <0.7 and minimum ankle-brachial index <0.9 were effective in identifying patients with severe disease, with high sensitivity rates. The diagnostic accuracy of noninvasive measures varied in identifying different degrees of disease. It also found that the presence of medial artery calcification significantly reduced the sensitivity of other noninvasive parameters.

VASCULAR MEDICINE (2023)

Article Surgery

Case planning and execution of inframalleolar bypass for chronic limb-threatening ischemia

Clara M. Gomez-Sanchez, Michael S. Conte

Summary: Chronic limb-threatening ischemia is difficult to treat due to the complexity of patients, diversity of limb presentations, and complicated arterial pathology. Vascular surgeons require a wide range of skills to tailor interventions to the specific needs of each patient. Inframalleolar bypass is a tool for patients with extensive arterial occlusive disease below the knee, but it requires systematic surgical planning and a high level of technical competence. We describe our approach to inframalleolar bypass for limb preservation in suitable patients with advanced tibial artery disease.

JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES (2023)

Review Endocrinology & Metabolism

Effectiveness of bedside investigations to diagnose peripheral artery disease among people with diabetes mellitus: A systematic review

Vivienne Chuter, Nicolaas Schaper, Joseph Mills, Robert Hinchliffe, David Russell, Nobuyoshi Azuma, Christian-Alexander Behrendt, Edward J. Boyko, Michael S. Conte, Misty Humphries, Lee Kirksey, Katharine C. McGinigle, Sigrid Nikol, Joakim Nordanstig, Vincent Rowe, Jos C. van den Berg, Maarit Venermo, Robert Fitridge

Summary: Early diagnosis and ongoing monitoring and treatment of peripheral artery disease (PAD) is crucial for reducing the risk of foot ulcer development, non-healing of wounds, infection, amputation, and cardiovascular complications in patients with diabetes. Various non-invasive bedside tests are available for diagnosing PAD, but the most accurate test and its reliability for ongoing monitoring are still uncertain. This systematic review aimed to determine the diagnostic accuracy of non-invasive bedside tests for identifying PAD and their reliability in adults with diabetes. The review included 40 studies on diagnostic accuracy and 7 studies on reliability. Ankle-brachial index (ABI) was the most investigated test. The review found that an ABI <0.9 increases the likelihood of disease, while an ABI within the normal range (≥0.90 and <1.3) does not exclude PAD. Toe-brachial index (TBI) and Doppler waveforms in the pedal arteries were also associated with PAD presence. Several bedside tests showed acceptable reliability, but the margin of error was wide. No single or combination of bedside tests demonstrated superior diagnostic accuracy for PAD in patients with diabetes. However, an ABI of 1.3, TBI <0.70, and absent or monophasic pedal Doppler waveforms can help identify the presence of disease.

DIABETES-METABOLISM RESEARCH AND REVIEWS (2023)

Article Surgery

Iliac artery calcification score stratifies mortality risk estimation in patients with chronic limb-threatening ischemia undergoing revascularization

Cindy Huynh, Iris Liu, Rym El Khoury, Bo Zhou, Hillary Braun, Michael S. Conte, Jade Hiramoto

Summary: By incorporating a common iliac artery calcification score into the VQI prediction model, this study improved the accuracy of the 2-year risk calculator. Preoperative assessment of iliac artery calcification may assist with risk stratification and clinical decision-making in patients with chronic limb-threatening ischemia (CLTI) undergoing infrainguinal revascularization.

JOURNAL OF VASCULAR SURGERY (2023)

Editorial Material Surgery

Apples and oranges? A comparison of BEST-CLI to BASIL-2

Michael S. Conte, Leigh Ann O'Banion

JOURNAL OF VASCULAR SURGERY (2023)

No Data Available