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Gene and recombinant
protein therapy based on VEGF-C, VEGF-D, and their receptors is a
promising new approach for the treatment of serious lymphatic and
ischemic diseases and lymphatic spread of cancer metastasis. We validate
the therapeutic potential of these approaches in well-established animal
models, such as skin lymphedema in the Chy mice, rabbit ear lymphedema
model, mouse tail lymphedema model, rabbit hind limb ischemia model, and
in the pig myocardium. In addition to the validation of the treatment
targets with current vectors, virus vector development is an essential
part of our contribution to the consortium whereby better vectors for
experimental studies and human therapy will be developed.
Responsible for this
project:
Dr.
Seppo Ylä-Herttuala
Dept. of Biotechnology and
Molecular Medicine
A.I. Virtanen Institute
University of Kuopio
P.O. Box 1627 (Neulaniementie
2)
70211 Kuopio, Finland
Phone: +358 17 162075
Fax: +358 17 163751
E-mail:
seppo.ylaherttuala(at)uku.fi
Homepage:
www.uku.fi/aivi/group_molecmed.html
Selected recent publications:
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Tuomisto TT, Rissanen TT, Vajanto I, Korkeela A, Rutanen J,
Yla-Herttuala S. HIF-VEGF-VEGFR-2, TNF-alpha and IGF pathways are
upregulated in critical human skeletal muscle ischemia as studied
with DNA array. Atherosclerosis 174:111-120, 2004.
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Gruchala M, Bhardwaj S, Pajusola K, Roy H, Rissanen TT, Kokina I,
Kholova I, Markkanen JE, Rutanen J, Heikura T, Alitalo K, Bueler H,
Yla-Herttuala S. Gene transfer into rabbit arteries with
adeno-associated virus and adenovirus vectors. J Gene Med 6:545-554,
2004.
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Rutanen J, Rissanen TT, Markkanen JE, Gruchala M, Silvennoinen P,
Kivela A, Hedman A, Hedman M, Heikura T, Orden MR, Stacker SA, Achen
MG, Hartikainen J, Yla-Herttuala S. Adenoviral catheter-mediated
intramyocardial gene transfer using the mature form of vascular
endothelial growth factor-D induces transmural angiogenesis in
porcine heart. Circulation 109:1029-1035, 2004.
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Leppanen O, Rutanen J, Hiltunen MO, Rissanen TT, Turunen MP, Sjoblom
T, Bruggen J, Backstrom G, Carlsson M, Buchdunger E, Bergqvist D,
Alitalo K, Heldin CH, Ostman A, Yla-Herttuala S. Oral imatinib
mesylate (STI571/gleevec) improves the efficacy of local
intravascular vascular endothelial growth factor-C gene transfer in
reducing neointimal growth in hypercholesterolemic rabbits.
Circulation 109:1140-1146, 2004.
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Jalkanen J, Leppanen P, Pajusola K, Narvanen O, Mahonen A,
Vahakangas E, Greaves DR, Bueler H, Yla-Herttuala S.
Adeno-associated virus-mediated gene transfer of a secreted decoy
human macrophage scavenger receptor reduces atherosclerotic lesion
formation in LDL receptor knockout mice. Mol Ther 8:903-910, 2003.
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Rutanen J, Leppanen P, Tuomisto TT, Rissanen TT, Hiltunen MO,
Vajanto I, Niemi M, Hakkinen T, Karkola K, Stacker SA, Achen MG,
Alitalo K, Yla-Herttuala S. Vascular endothelial growth factor-D
expression in human atherosclerotic lesions. Cardiovasc Res
59:971-979, 2003.
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Iivanainen E, Nelimarkka L, Elenius V, Heikkinen SM, Junttila TT,
Sihombing L, Sundvall M, Maatta JA, Laine VJ, Yla-Herttuala S,
Higashiyama S, Alitalo K, Elenius K. Angiopoietin-regulated
recruitment of vascular smooth muscle cells by endothelial-derived
heparin binding EGF-like growth factor. FASEB J 17:1609-1621, 2003.
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Hedman
M, Yla-Herttuala S. Gene therapy for the treatment of peripheral
vascular disease and coronary artery disease. Drugs Today (Barc)
36:609-617, 2000.
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Hedman
M, Hartikainen J, Syvanne M, Stjernvall J, Hedman A, Kivela A,
Vanninen E, Mussalo H, Kauppila E, Simula S, Narvanen O, Rantala A,
Peuhkurinen K, Nieminen MS, Laakso M, Yla-Herttuala S. Safety and
feasibility of catheter-based local intracoronary vascular
endothelial growth factor gene transfer in the prevention of
postangioplasty and in-stent restenosis and in the treatment of
chronic myocardial ischemia: phase II results of the Kuopio
Angiogenesis Trial (KAT). Circulation 107:2677-2683, 2003.
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Rissanen TT, Markkanen JE, Gruchala M, Heikura T, Puranen A,
Kettunen MI, Kholova I, Kauppinen RA, Achen MG, Stacker SA, Alitalo
K, Yla-Herttuala S. VEGF-D is the strongest angiogenic and
lymphangiogenic effector among VEGFs delivered into skeletal muscle
via adenoviruses. Circ Res 92:1098-1106, 2003.
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Hiltunen MO, Ruuskanen M, Huuskonen J, Mahonen AJ, Ahonen M, Rutanen
J, Kosma VM, Mahonen A, Kroger H, Yla-Herttuala S.
Adenovirus-mediated VEGF-A gene transfer induces bone formation in
vivo. FASEB J 17:1147-1149, 2003.
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Rissanen TT, Markkanen JE, Arve K, Rutanen J, Kettunen MI, Vajanto
I, Jauhiainen S, Cashion L, Gruchala M, Narvanen O, Taipale P,
Kauppinen RA, Rubanyi GM, Yla-Herttuala S. Fibroblast growth factor
4 induces vascular permeability, angiogenesis and arteriogenesis in
a rabbit hindlimb ischemia model. FASEB J 17:100-102, 2003.
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Saaristo A, Veikkola T, Tammela T, Enholm B, Karkkainen MJ, Pajusola
K, Bueler H, Yla-Herttuala S, Alitalo K. Lymphangiogenic gene
therapy with minimal blood vascular side effects. J Exp Med
196:719-730, 2002.
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Petrova TV, Makinen T, Makela TP, Saarela J, Virtanen I, Ferrell RE,
Finegold DN, Kerjaschki D, Yla-Herttuala S, Alitalo K. Lymphatic
endothelial reprogramming of vascular endothelial cells by the
Prox-1 homeobox transcription factor. EMBO J 21:4593-4599, 2002.
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Vajanto I, Rissanen TT, Rutanen J, Hiltunen MO, Tuomisto TT, Arve K,
Narvanen O, Manninen H, Rasanen H, Hippelainen M, Alhava E,
Yla-Herttuala S. Evaluation of angiogenesis and side effects in
ischemic rabbit hindlimbs after intramuscular injection of
adenoviral vectors encoding VEGF and LacZ.
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J Gene
Med 4:371-380, 2002.
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He Y,
Kozaki K, Karpanen T, Koshikawa K, Yla-Herttuala S, Takahashi T,
Alitalo K. Suppression of tumor lymphangiogenesis and lymph node
metastasis by blocking vascular endothelial growth factor receptor 3
signaling. J Natl Cancer Inst 94:819-825, 2002.
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Karpanen T, Egeblad M, Karkkainen MJ, Kubo H, Yla-Herttuala S,
Jaattela M, Alitalo K. Vascular endothelial growth factor C promotes
tumor lymphangiogenesis and intralymphatic tumor growth. Cancer Res
61:1786-1790, 2001.
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Makinen T, Jussila L, Veikkola T, Karpanen T, Kettunen MI, Pulkkanen
KJ, Kauppinen R, Jackson DG, Kubo H, Nishikawa S, Yla-Herttuala S,
Alitalo K. Inhibition of lymphangiogenesis with resulting lymphedema
in transgenic mice expressing soluble VEGF receptor-3. Nat Med
7:199-205, 2001.
Reviews:
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Gruchala M, Roy H, Bhardwaj S, Yla-Herttuala S. Gene therapy for
cardiovascular diseases. Curr Pharm Des 10:407-423, 2004
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Yla-Herttuala S, Alitalo K. Gene transfer as a tool to induce
therapeutic vascular growth. Nat Med 9:694-701, 2003
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Rutanen J, Puhakka H, Yla-Herttuala S. Post-intervention vessel
remodeling. Gene Ther 9:1487-1491, 2002
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Yla-Herttuala S. Gene therapy for coronary heart disease. J Intern
Med 250:367-368, 2001
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Rissanen TT, Vajanto I, Yla-Herttuala S. Gene therapy for
therapeutic angiogenesis in critically ischaemic lower limb - on the
way to the clinic. Eur J Clin Invest 31:651-666, 2001
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Enholm
B, Karpanen T, Jeltsch M, Kubo H, Stenback F, Prevo R, Jackson DG,
Yla-Herttuala S, Alitalo K. Adenoviral expression of vascular
endothelial growth factor-C induces lymphangiogenesis in the skin.
Circ Res 88:623-629, 2001. Erratum in: Circ Res 89:E15, 2001
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