Sonodynamic Therapy Suppresses Neovascularization in Atherosclerotic Plaques via Macrophage Apoptosis-Induced Endothelial Cell Apoptosis

声动力疗法通过巨噬细胞凋亡诱导的内皮细胞凋亡抑制动脉粥样硬化斑块中的新生血管形成

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作者:Jianting Yao, Weiwei Gao, Yu Wang, Lu Wang, Kamal Diabakte, Jinyang Li, Jiemei Yang, Yongxing Jiang, Yuerong Liu, Shuyuan Guo, Xuezhu Zhao, Zhengyu Cao, Xi Chen, Qiannan Li, Haiyu Zhang, Wei Wang, Zhen Tian, Bicheng Li, Fang Tian, Guodong Wu, Shirin Pourteymour, Xi Huang, Fancheng Tan, Xiaoru Cao, Z

Abstract

During atherosclerosis plaque progression, pathological intraplaque angiogenesis leads to plaque rupture accompanied by thrombosis, which is probably the most important cause of arteries complications such as cerebral and myocardial infarction. Even though few treatments are available to mitigate plaque rupture, further investigation is required to develop a robust optimized therapeutic method. In this study using rabbit and mouse atherosclerotic models, sinoporphyrin sodium (DVDMS)-mediated sonodynamic therapy reduced abnormal angiogenesis and plaque rupture. Briefly, DVDMS is injected to animals, and then the plaque was locally exposed to pulse ultrasound for a few minutes. Furthermore, a small size clinical trial was conducted on patients with atherosclerosis. Notably, a significant reduction of arterial inflammation and angiogenesis was recorded following a short period of DVDMS-mediated sonodynamic therapy treatment. This beneficial outcome was almost equivalent to the therapeutic outcome after 3-month intensive statin treatment.

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