Endovascular Gene Delivery from a Stent Platform: Gene- Eluting Stents

I. Fishbein,M. Chorny,Richard F. Adamo,S. Forbes,Ricardo Corrales,I. Alferiev,R. Levy

Published 2013 in Angiology: open access

ABSTRACT

A synergistic impact of research in the fields of post-angioplasty restenosis, drug-eluting stents and vascular gene therapy over the past 15 years has shaped the concept of gene-eluting stents. Gene-eluting stents hold promise of overcoming some biological and technical problems inherent to drug-eluting stent technology. As the field of gene-eluting stents matures it becomes evident that all three main design modules of a gene-eluting stent: a therapeutic transgene, a vector and a delivery system are equally important for accomplishing sustained inhibition of neointimal formation in arteries treated with gene delivery stents. This review summarizes prior work on stent-based gene delivery and discusses the main optimization strategies required to move the field of gene-eluting stents to clinical translation.

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