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Arteriosclerosis, Thrombosis, and Vascular Biology
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Arteriosclerosis, Thrombosis, and Vascular Biology. 2004;24:709-714
Published online before print January 29, 2004, doi: 10.1161/01.ATV.0000119356.35748.9e
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(Arteriosclerosis, Thrombosis, and Vascular Biology. 2004;24:709.)
© 2004 American Heart Association, Inc.


Vascular Biology

Evidence for a Role of Macrophage Migration Inhibitory Factor in Vascular Disease

Zhiping Chen; Masashi Sakuma; Alexandre C. Zago; Xiaobin Zhang; Can Shi; Lin Leng; Yuka Mizue; Richard Bucala; Daniel I. Simon

From the Cardiovascular Division (Z.C., M.S., A.C.Z., X.Z., C.S., D.I.S.), Brigham and Women’s Hospital, Harvard Medical School, Boston, Mass; and Yale University School of Medicine (L.L., Y.M., R.B.), New Haven, Conn.

Correspondence to Dr Daniel I. Simon, Cardiovascular Division, Brigham and Women’s Hospital, 75 Francis Street Tower 3, Boston, MA 02115. E-mail dsimon{at}rics.bwh.harvard.edu

Objective— Inflammation plays an essential role in atherosclerosis and restenosis. Macrophage migration inhibitory factor (MIF) is a proinflammatory cytokine that is widely expressed in vascular cells. However, there is no in vivo evidence that MIF participates directly in vascular injury and repair. Therefore, we investigated the effect of MIF blockade on the response to experimental angioplasty in atherosclerosis-susceptible mice.

Methods and Results— Carotid artery dilation (2.5 atm) and complete endothelial denudation were performed in male C57BL/6J LDL receptor-deficient mice treated with a neutralizing anti-MIF or isotype control monoclonal antibody. After 7 days and 28 days, intimal and medial sizes were measured and intima/media area ratio (I/M) was calculated. Intimal thickening and I/M were reduced significantly by anti-MIF compared with control antibody. Vascular injury was accompanied by progressive vessel enlargement or "positive remodeling" that was comparable in both treatment groups. MIF blockade was associated with reduced inflammation and cellular proliferation and increased apoptosis after injury.

Conclusion— Neutralizing MIF bioactivity after experimental angioplasty in atherosclerosis-susceptible mice reduces vascular inflammation, cellular proliferation, and neointimal thickening. Although the molecular mechanisms responsible for these effects are not yet established, these data prompt further research directed at understanding the role of MIF in vascular disease and suggest novel therapeutic interventions for preventing atherosclerosis and restenosis.


Key Words: inflammation • cytokine • macrophage • atherosclerosis • restenosis




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