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1 January 2002 UVB-activated Psoralen Reduces Luminal Narrowing After Balloon Dilation Because of Inhibition of Constrictive Remodeling
Jop Perrée, Ton G. van Leeuwen, Evelyn Velema, Mirjam Smeets, Dominique de Kleijn, Cornelius Borst
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Abstract

In this study we have explored the potential of PUVB (8-MOP UVB) therapy for the reduction of luminal narrowing after arterial injury. In 15 rabbits, balloon dilation of iliac arteries was performed. In 20 arteries, dilation was combined with the delivery of pulsed ultraviolet light B (UVB) irradiation with 10 arteries being previously subjected to sensitizer infusion. Changes in vessel diameter, proliferation and extracellular matrix protein content at 6 weeks were evaluated by means of angiography and histomorphometry–immunohistochemistry. We found that PUVB, applied at the time of dilation, induced reduction in late loss (LL) at 6 weeks (percutaneous transluminal angioplasty vs UVB vs PUVB: 0.64 ± 0.15 mm vs 0.61 ± 0.05 mm vs 0.29 ± 0.05 mm; p = 0.018). The same holds true for constrictive remodeling (0.53 ± 0.15 mm vs 0.45 ± 0.06 mm vs 0.15 ± 0.05 mm; p = 0.016). In the irradiation groups, LL was independent of acute gain (AG), as opposed to the control. Collagen content increased significantly after PUVB in media and adventitia, without increased cellular proliferation in all vessel layers. Thus, PUVB at the time of dilation reduced luminal narrowing at follow-up without effecting proliferation. This effect was independent of AG and was associated with increased collagen content in media and adventitia.

Jop Perrée, Ton G. van Leeuwen, Evelyn Velema, Mirjam Smeets, Dominique de Kleijn, and Cornelius Borst "UVB-activated Psoralen Reduces Luminal Narrowing After Balloon Dilation Because of Inhibition of Constrictive Remodeling," Photochemistry and Photobiology 75(1), 68-75, (1 January 2002). https://doi.org/10.1562/0031-8655(2002)075<0068:UAPRLN>2.0.CO;2
Received: 19 April 2001; Accepted: 1 October 2001; Published: 1 January 2002
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