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Poly (ADP) ribose polymerase inhibition improves rat cardiac allograft survival
Journal article   Peer reviewed

Poly (ADP) ribose polymerase inhibition improves rat cardiac allograft survival

Alexander S Farivar, Anton S McCourtie, Brendan C MacKinnon-Patterson, Steven M Woolley, Andrew D Barnes, Min Chen, Prakash Jagtap, Csaba Szabó, Christopher T Salerno and Michael S Mulligan
The Annals of thoracic surgery, Vol.80(3), pp.950-956
09/2005
DOI: 10.1016/j.athoracsur.2005.02.035
PMID: 16122462

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Abstract

Heart transplantation is an accepted treatment modality for end-stage heart failure. However, acute cellular rejection (ACR) continues to be a morbid complication. Recently a novel mechanism of inflammatory allograft injury has been characterized which involves overactivation of the nuclear enzyme poly (ADP-ribose) polymerase (PARP). In the present studies, we compared the efficacy of INO-1001, a novel, potent PARP inhibitor, in limiting ACR with and without adjuvant low-dose cyclosporine (CSA). Heterotopic heart transplantation was performed utilizing Brown-Norway strains as donors and Lewis rats as recipients. Groups received daily intraperitoneal injections of: vehicle, low-dose CSA, low-dose INO-1001, high-dose INO-1001, and low-dose CSA combined with high-dose INO-1001. Additional animals were sacrificed on postoperative Day 5 for histologic assessments of allograft inflammation, including immunohistochemistry for nitrotyrosine and poly (ADP-ribose) (the product of PARP) staining. PARP inhibition significantly prolonged allograft survival relative to vehicle controls. The combination of low-dose CSA and INO-1001 resulted in a marked increase in allograft survival and significant reductions in allograft rejection scores. This was associated with decreased nitrotyrosine and PAR staining in transplanted cardiac allografts. Pharmacologic inhibition of INO-1001 prolongs allograft survival in a dose-dependent fashion in a rodent model of heart transplantation. PARP inhibitors may permit reductions in the dose of CSA needed for adequate immunosuppression after heart transplantation.
Rats, Inbred Lew Rats Graft Survival Heart Transplantation Enzyme Inhibitors - therapeutic use Poly(ADP-ribose) Polymerase Inhibitors Tyrosine - analogs & derivatives Dose-Response Relationship, Drug Cyclosporine - therapeutic use Poly(ADP-ribose) Polymerases - metabolism Tyrosine - metabolism Animals Indoles - therapeutic use Drug Therapy, Combination Disease Models, Animal

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