JACC: Basic to Translational Science (Jan 2020)

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

  • Jianting Yao, MD, PhD,
  • Weiwei Gao, MD,
  • Yu Wang, MD, PhD,
  • Lu Wang, PhD,
  • Kamal Diabakte, MD,
  • Jinyang Li, MD,
  • Jiemei Yang, MD,
  • Yongxing Jiang, MD,
  • Yuerong Liu, MD,
  • Shuyuan Guo, MD,
  • Xuezhu Zhao, MD,
  • Zhengyu Cao, MD,
  • Xi Chen, MD, PhD,
  • Qiannan Li, MD,
  • Haiyu Zhang, PhD,
  • Wei Wang, MD,
  • Zhen Tian, PhD,
  • Bicheng Li, MD, PhD,
  • Fang Tian, MD, PhD,
  • Guodong Wu, MD,
  • Shirin Pourteymour, PhD,
  • Xi Huang, MD,
  • Fancheng Tan, MD,
  • Xiaoru Cao, MD,
  • Zhuowen Yang, MD,
  • Kang Li, PhD,
  • Yan Zhang, PhD,
  • Yong Li, MD, PhD,
  • Zhiguo Zhang, PhD,
  • Hong Jin, MD, PhD,
  • Ye Tian, MD, PhD

Journal volume & issue
Vol. 5, no. 1
pp. 53 – 65

Abstract

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Summary: 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. Key Words: apoptosis-induced apoptosis, atherosclerotic plaque, endothelial cell, macrophage, neovascularization, sonodynamic therapy