The value of restenosis after
percutaneous coronary intervention (PCI) is recognized worldwide, especially for diabetic patients.
Interleukin-1/
Toll-like receptor (IL-1/TLR) signaling is involved in innate and adaptive immune responses, but whether and how the IL-1/TLR-induced
nuclear factor kappa B (NFκB) pathway plays key roles in intimal formation is unclear. The underlying mechanism of intima
hyperplasia was investigated with a model of carotid balloon injury in Goto-Kakizaki (GK) and Wistar rats and with
lipopolysaccharide-stimulated macrophages. Elastic-van Gieson staining showed the medial area peakedon Day 3 post-injury and decreased by Day 7 post-injury in both GK and Wistar rats. The N/M at Day 7 in GK rats was significantly higher than in Wistar rats (p<0.001). The percent of
5-ethynyl-2'-deoxyuridine (EdU) staining-positive cells on Day 3 post-injury was greater than seen on Day 7 post-injury in GK and Wistar rats. The percent of EdU-positive cells on Days 3 and 7 post-injury in Wistar rats was less than that found in GK rats (p<0.01; p<0.05). NFκBp65 immunostaining had increased by Day 7 post-injury. Agilent Whole Genome Oligo Microarray verified that the IL-1/TLR-induced NFκB pathway was activated by carotid balloon injury. TLR4,
IL-1 receptor associated kinase, inhibitors α of NFκB, human
antigen R, c-Myc (Proto-Oncogene
Proteins),
EGF-like module-containing
mucin-like
hormone receptor-like 1 and
Interleukin-6 were up-regulated or down-regulated according to immunochemistry, quantitative real-time PCR, Western blotting and
Enzyme linked
immunosorbent assay. Overall, we conclude that the IL-1/TLR-induced NFκB pathway participates in the intimal
hyperplasia after carotid injury in GK and Wistar rats and that GK rats respond more intensely to the
inflammation than Wistar rats.