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 The inhibition of angiogenesis by antisense oligonucleotides to clusterin Jackson JK; Gleave ME; Gleave J; Burt HMAngiogenesis  2005[]; 8 (3): 229-38Angiogenesis is a primary disease target in ocular retinopathy and a secondary  target in numerous other angiogenic diseases such as cancer, rheumatoid arthritis  and psoriasis. Clinical trials using antiangiogenic antisense oligonucleotides  (aso's) for the treatment of ocular disorders or cancer are well advanced.  Clusterin aso's are currently under investigation for the treatment of prostate  cancer. We have investigated the antiangiogenic properties of clusterin aso's  using a capillary cell (HUVEC) viability assay. In this study we included aso's  to known apoptosis modulators (bcl-2, bcl-xl and survivin) which were previously  identified in HUVEC's. We have also studied the effect of clusterin aso's on  angiogenesis using an in vitro, matrigel assay and on HUVEC apoptosis using an  ELISA DNA fragmentation assay. Clusterin, bcl-2, bcl-xl and survivin aso's were  all found to inhibit HUVEC growth. The apoptosis-inducing drugs paclitaxel,  camptothecin and doxorubicin were also found to inhibit HUVEC proliferation.  Combinations of aso's with these drugs demonstrated a minor additive but not  synergistic inhibitory effect on HUVEC proliferation. Clusterin aso's were found  to strongly inhibit angiogenesis and induce high levels of apoptosis in HUVECs.  In cancer cells the prosurvival protein clusterin may protect the cells from  apoptosis-inducing agents so that the clusterin aso's may act as  chemosensitization agents. These data demonstrate a strong antiangiogenic action  of clusterin aso's, that is not necessarily related to any chemosensitization  effect of this agent.|Apoptosis/drug effects[MESH]|Base Sequence[MESH]|Camptothecin/metabolism[MESH]|Cell Line[MESH]|Cell Survival/drug effects[MESH]|Clusterin/*metabolism[MESH]|Collagen[MESH]|DNA Fragmentation/drug effects[MESH]|Doxorubicin/metabolism[MESH]|Drug Combinations[MESH]|Enzyme-Linked Immunosorbent Assay[MESH]|Humans[MESH]|Inhibitor of Apoptosis Proteins[MESH]|Laminin[MESH]|Microtubule-Associated Proteins/metabolism[MESH]|Neoplasm Proteins/metabolism[MESH]|Neovascularization, Pathologic/*physiopathology/*prevention & control[MESH]|Oligonucleotides, Antisense/metabolism/*pharmacology[MESH]|Paclitaxel/metabolism[MESH]|Proteoglycans[MESH]|Survivin[MESH]|Thionucleotides/pharmacology[MESH]|bcl-X Protein/metabolism[MESH]
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