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Volume 6, Number 31Space holderAugust 2, 2002

Photo shows normal arterial lumen.

Shown at left are light microscope images of arteries. The top image shows normal arterial lumen. The bottom image shows constriction of the lumen after introduction of the urokinase plasminogen activator gene.

Photos Copyright 2002 National Academy of Sciences, U.S.A. "Increased expression of urinokinase during atherosclerotic lesion developement causes arterial constriction and lumen loss, and accelerates lesion growth" by M. Falkenberg, C. Tom M.B. DeYoung, S. Wen, R. Linnemann and D.A. Dichek. Published in PNAS Vol. 99, issue 16 August 6, 2002.

Photo shows constriction of the artery after introduction of the urokinase plasminogen activator gene


Urokinase is not a benign substance in blood vessels

A substance used to treat blood clots may also be involved in atherosclerosis. In this week’s Proceedings of the National Academy of Sciences. UW researchers reported that elevated levels of urokinase-type plasminogen activator (urokinase) can cause constriction of blood vessels.

Study author David Dichek, professor of medicine in the Division of Cardiology, and his colleagues were trying to determine if genetic engineering of blood vessels to express higher levels of urokinase would prevent thrombosis, or clot formation, in situations where atherosclerosis already existed. Dichek’s previous studies had looked at the effect of genetic over-expression of urokinase during an hour-long experiment.

This latest study looked at the result of two weeks of increased expression of urokinase on the carotid arteries of cholesterol-fed rabbits. By four weeks after the gene transfer, the inner lining of the rabbits’ artery walls had thickened by about 70 percent. Urokinase pathways may present a target for pharmaceutical or gene therapy for atherosclerosis.


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