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Abstract
The efficacy of the oral prostacyclin mimetic cicaprost in preventing atheromatous
plaque formation was studied in an in vivo model of experimental hypercholesterolemia.
New Zealand white rabbits were fed either standard chow or a cholesterol-enriched
(1%) diet for 12 weeks. Cicaprost was added to the drinking water in a non-hypotensive
dose (5 μg/kg/day) and withdrawn 3 days prior to studying platelet, leukocyte and
endothelial function. In cholesterol-fed rabbits, oral cicaprost reduced the aortic
intimal surface covered by atheromatous lesions from 84 to 63% (P < 0.05). There was no major difference in serum lipid composition between cicaprost-
and vehicle-treated animals. In hypercholesterolemic rabbits there was a significant
impairment of endothelium-dependent relaxations. Cicaprost treatment considerably
improved this endothelial function but had no effect in rabbits receiving standard
diet. In addition, platelet and leukocyte hyperreactivity, as seen in hypercholesterolemic
rabbits, were largely reduced by cicaprost treatment. These data are the first to
demonstrate marked antiatherosclerotic effects of long-term oral prostacyclin treatment.
The mechanism may be related to improved endothelial function and subsequent prevention
of secondary platelet and neutrophil hyperreactivity.
Keywords
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Article info
Publication history
Accepted:
June 8,
1993
Received in revised form:
April 21,
1993
Received:
December 17,
1992
Identification
Copyright
© 1993 Elsevier Scientific Publishers Ireland Ltd. All rights reserved. Published by Elsevier Inc.