8-Chloro-cAMP inhibits smooth muscle cell proliferation in vitro and neointima formation induced by balloon injury in vivo
Ciro Indolfi, MD, FACCa,
Emilio Di Lorenzo, MDa,
Antonio Rapacciuolo, MDa,
Angela Maria Stingone, MDa,
Eugenio Stabile, MDa,
Antonio Leccia, MDa,
Daniele Torella, MDa,
Rosa Caputo, MD*,
Fortunato Ciardiello, MD*,
Gianpaolo Tortora, MD* and
Massimo Chiariello, MD, FACCa
a Laboratory of Experimental and Clinical Interventional Cardiology, University Federico II, Naples, Italy
* Department of Molecular and Clinical Endocrinology and Oncology, University Federico II, Naples, Italy

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Figure 1 (a) Effects of 8-Cl-cAMP (1, 5, and 10 µmol/liter) on the growth inhibition of rat VSMCs. Both 5 and 10 µmol/liter 8-Cl-cAMP induced a significant inhibition of VSMC proliferation at any time. (b) Western blot analysis in VSMCs untreated (control) or treated with 8-Cl-cAMP (1, 5, and 10 µmol/liter). The 8-Cl-cAMP induced a significant reduction of RI level, enhanced level of RIIß, and showed no effect on catalytic subunit (c).
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Figure 2 Bar graphs of neointima/media ratio (top panel) and neointimal cross-sectional area (bottom panel) of common carotid arteries from rats included in the study. The 8-Cl-cAMP and dosages administered in Protocols II, III, and IV significantly reduced both neointimal cross-sectional area and neointima/media ratio. *p < 0.05 vs. Controls and Protocol I; #p < 0.05 vs. Controls and 8-Cl-cAMP Protocol I; p < 0.05 vs. 8-Cl-cAMP Protocol III.
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Figure 3 Representative histologic sections stained with hematoxylin-eosin of common carotid arteries, removed 14 days after angioplasty, from (a) a normal rat (no balloon injury); (b) a control rat subjected to only balloon injury; (c) rats included in Protocol I; (d) rats included in Protocol II; (e) rats included in Protocol III; (f) rats included in Protocol IV. The 8-Cl-cAMP reduced significantly the neointima formation after balloon injury (c, d, e).
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Figure 4 Effects of 8-Cl-cAMP on systolic blood pressure (SBP) and heart rate (HR) in rats treated with 8-Cl-cAMP (Protocol IV). Administration of 8-Cl-cAMP did not induce significant changes in heart rate and blood pressure.
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