The Representative Porcine Model for Human Cardiovascular Disease

To improve human health, scientific discoveries must be translated into practical applications. Inherent in the development of these technologies is the role of preclinical testing using animal models. Although significant insight into the molecular and cellular basis has come from small animal models, significant differences exist with regard to cardiovascular characteristics between these models and humans. Therefore, large animal models are essential to develop the discoveries from murine models into clinical therapies and interventions. This paper will provide an overview of the more frequently used large animal models, especially porcine models for preclinical studies.

[1]  S. Vatner,et al.  Ineffective perfusion-contraction matching in conscious, chronically instrumented pigs with an extended period of coronary stenosis. , 1998, Circulation research.

[2]  Fozzard Ha Validity of myocardial infarction models. , 1975 .

[3]  J. Tanguay,et al.  Current status of biodegradable stents. , 1994, Cardiology clinics.

[4]  J. Ross,et al.  Sustained regional dysfunction produced by prolonged coronary stenosis: gradual recovery after reperfusion. , 1983, Circulation.

[5]  W. Marsden I and J , 2012 .

[6]  M. Swindle,et al.  Swine in biomedical research. , 1986, Laboratory animal science.

[7]  K. Bailey,et al.  Effects of angiotensin converting enzyme inhibition on neointimal proliferation in a porcine coronary injury model. , 1993, American heart journal.

[8]  S Marx,et al.  Inhibition of intimal thickening after balloon angioplasty in porcine coronary arteries by targeting regulators of the cell cycle. , 1999, Circulation.

[9]  Elazer R. Edelman,et al.  Drug-Eluting Stents in Preclinical Studies: Recommended Evaluation From a Consensus Group , 2002, Circulation.

[10]  J. Pelisek,et al.  Evaluation of Endovascular Techniques for Creating a Porcine Femoral Artery Occlusion Model , 2001, Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists.

[11]  C. M. Agrawal,et al.  Implantation of oxygen enhanced, three‐dimensional microporous L‐PLA polymers: A reproducible porcine model of chronic total coronary occlusion , 2006, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions.

[12]  G. G. Stokes "J." , 1890, The New Yale Book of Quotations.

[13]  R. Virmani,et al.  Morphologic characteristics of lesion formation and time course of smooth muscle cell proliferation in a porcine proliferative restenosis model. , 1994, Journal of the American College of Cardiology.

[14]  D. Duncker,et al.  Animal models in the study of myocardial ischaemia and ischaemic syndromes. , 1998, Cardiovascular research.

[15]  E. Boerwinkle,et al.  From vulnerable plaque to vulnerable patient: a call for new definitions and risk assessment strategies: Part I. , 2003, Circulation.

[16]  P. Serruys,et al.  Intravascular Ultrasound Findings in the Multicenter, Randomized, Double-Blind RAVEL (RAndomized study with the sirolimus-eluting VElocity balloon-expandable stent in the treatment of patients with de novo native coronary artery Lesions) Trial , 2002, Circulation.

[17]  J Rapacz,et al.  Development of complex atherosclerotic lesions in pigs with inherited hyper-LDL cholesterolemia bearing mutant alleles for apolipoprotein B. , 1991, The American journal of pathology.

[18]  R. Virmani,et al.  The significance of preclinical evaluation of sirolimus-, paclitaxel-, and zotarolimus-eluting stents. , 2007, The American journal of cardiology.

[19]  R. Virmani,et al.  Drug-Eluting Stents in Preclinical Studies: Updated Consensus Recommendations for Preclinical Evaluation , 2008, Circulation. Cardiovascular interventions.

[20]  D A Bluemke,et al.  A minimally invasive method for creating coronary stenosis in a swine model for MRI and SPECT imaging. , 2000, Investigative radiology.

[21]  W. Edwards,et al.  Restenosis after balloon angioplasty. A practical proliferative model in porcine coronary arteries. , 1990, Circulation.

[22]  T. Reffelmann,et al.  Hypoxic Hypoperfusion Fails to Induce Myocardial Hibernation in Anesthetized Swine , 1999, Journal of cardiovascular pharmacology and therapeutics.

[23]  R. Virmani,et al.  A comparison of four stent designs on arterial injury, cellular proliferation, neointima formation, and arterial dimensions in an experimental porcine model , 2001, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions.

[24]  M. Leon,et al.  In-stent restenosis: contributions of inflammatory responses and arterial injury to neointimal hyperplasia. , 1998, Journal of the American College of Cardiology.

[25]  E. Rosenthal,et al.  A model of closed chest regional myocardial infarction in the rabbit: a clinically relevant in vivo assay system of post-infarction remodelling , 2002, Basic Research in Cardiology.

[26]  Michael Joner,et al.  Pathology of drug-eluting stents in humans: delayed healing and late thrombotic risk. , 2006, Journal of the American College of Cardiology.

[27]  G. Sambuceti,et al.  Improvement of hibernation in the clinical setting. , 1996, Journal of molecular and cellular cardiology.

[28]  H. Ellegren,et al.  Identification of a mutation in the low density lipoprotein receptor gene associated with recessive familial hypercholesterolemia in swine. , 1998, American journal of medical genetics.

[29]  H. Ward,et al.  Regional glucose uptake within hypoperfused swine myocardium as measured by positron emission tomography. , 1997, The American journal of physiology.

[30]  Renu Virmani,et al.  Collagenase Plaque Digestion for Facilitating Guide Wire Crossing in Chronic Total Occlusions , 2003, Circulation.

[31]  A. Vineberg,et al.  The experimental production of coronary artery insufficiency and occlusion. , 1957, American heart journal.

[32]  P. Teirstein Living the dream of no restenosis. , 2001, Circulation.

[33]  R. Virmani,et al.  Differential Response of Delayed Healing and Persistent Inflammation at Sites of Overlapping Sirolimus- or Paclitaxel-Eluting Stents , 2005, Circulation.

[34]  Rolf W. Günther,et al.  Minimally Invasive Close-Chest Method for Creating Reperfused or Occlusive Myocardial Infarction in Swine , 2005, Investigative radiology.

[35]  P. F. F. G. R. Heyndrickx M.D. Hibernating myocardium , 2004, Basic Research in Cardiology.

[36]  A. Yeung,et al.  In vivo porcine model of reperfused myocardial infarction: In situ double staining to measure precise infarct area/area at risk , 2008, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions.

[37]  E J Topol,et al.  The restenosis paradigm revisited: an alternative proposal for cellular mechanisms. , 1992, Journal of the American College of Cardiology.

[38]  T. Reffelmann,et al.  A novel minimal-invasive model of chronic myocardial infarction in swine , 2004, Coronary artery disease.

[39]  A. Liedtke,et al.  Mechanical and metabolic functions in pig hearts after 4 days of chronic coronary stenosis. , 1995, Journal of the American College of Cardiology.

[40]  Juan F Granada,et al.  In Vivo Plaque Characterization Using Intravascular Ultrasound–Virtual Histology in a Porcine Model of Complex Coronary Lesions , 2006, Arteriosclerosis, thrombosis, and vascular biology.

[41]  Antonio Colombo,et al.  From vulnerable plaque to vulnerable patient: a call for new definitions and risk assessment strategies: Part II. , 2003, Circulation.

[42]  P. Tsao,et al.  Stent-Based Delivery of Sirolimus Reduces Neointimal Formation in a Porcine Coronary Model , 2001, Circulation.

[43]  R. Virmani,et al.  Drug eluting stents: are human and animal studies comparable? , 2003, Heart.

[44]  R. Natarajan,et al.  Diabetes-induced accelerated atherosclerosis in swine. , 2001, Diabetes.

[45]  E. Picano,et al.  Residual coronary reserve identifies segmental viability in patients with wall motion abnormalities. , 1995, Journal of the American College of Cardiology.

[46]  Jianglin Fan,et al.  Correlation of vulnerable coronary plaques to sudden cardiac events. Lessons from a myocardial infarction-prone animal model (the WHHLMI rabbit). , 2004, Journal of atherosclerosis and thrombosis.

[47]  W. Edwards,et al.  Arterial remodeling after experimental percutaneous injury is highly dependent on adventitial injury and histopathology. , 1997, International journal of cardiology.

[48]  R. Sh A perspective on the three large multicenter randomized clinical trials of coronary bypass surgery for chronic stable angina. , 1985, Circulation.

[49]  W. Gray,et al.  Adaptive responses of coronary circulation and myocardium to chronic reduction in perfusion pressure and flow. , 1994, The American journal of physiology.

[50]  J. Canty,et al.  Differential 18F-2-deoxyglucose uptake in viable dysfunctional myocardium with normal resting perfusion: evidence for chronic stunning in pigs. , 1999, Circulation.

[51]  M. Phelps,et al.  Effects of dobutamine stimulation on myocardial blood flow, glucose metabolism, and wall motion in normal and dysfunctional myocardium. , 1996, Circulation.

[52]  H. Fozzard Validity of Myocardial Infarction Models , 1975, Circulation.

[53]  J. Granada,et al.  Endovascular needle injection of cholesteryl linoleate into the arterial wall produces complex vascular lesions identifiable by intravascular ultrasound: early development in a porcine model of vulnerable plaque , 2005, Coronary artery disease.

[54]  A. Yeung,et al.  Development of animal model for calcified chronic total occlusion , 2009, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions.

[55]  P. Serruys,et al.  Sirolimus-Eluting Stent for the Treatment of In-Stent Restenosis: A Quantitative Coronary Angiography and Three-Dimensional Intravascular Ultrasound Study , 2003, Circulation.

[56]  W. Edwards,et al.  Histologic correlates of angiographic chronic total coronary artery occlusions: influence of occlusion duration on neovascular channel patterns and intimal plaque composition. , 1997, Journal of the American College of Cardiology.

[57]  B. Abella,et al.  Paclitaxel Stent Coating Inhibits Neointimal Hyperplasia at 4 Weeks in a Porcine Model of Coronary Restenosis , 2001, Circulation.

[58]  鈴木 健 Stent-based delivery of sirolimus reduces neointimal formation in a porcine coronary model , 2003 .

[59]  S. Kaul,et al.  A Canine Model of Chronic Ischemic Cardiomyopathy: Characterization of Regional Flow-Function Relations , 1998 .

[60]  Robert G. Johnson,et al.  Neointimal thickening after severe coronary artery injury is limited by a short-term administration of a factor Xa inhibitor. Results in a porcine model. , 1996, Circulation.

[61]  W. Elzinga Ameroid constrictor: uniform closure rates and a calibration procedure. , 1969, Journal of applied physiology.

[62]  R E Vlietstra,et al.  Restenosis and the proportional neointimal response to coronary artery injury: results in a porcine model. , 1992, Journal of the American College of Cardiology.

[63]  E. Edelman,et al.  Pathobiologic responses to stenting. , 1998, The American journal of cardiology.

[64]  D. Waters,et al.  Left ventricular remodeling in myocardial hibernation. , 1997, Circulation.

[65]  Miss A.O. Penney (b) , 1974, The New Yale Book of Quotations.

[66]  P. Hanrath,et al.  Angiotensin II Receptor Antagonist EXP 3174 Reduces Infarct Size Comparable with Enalaprilat and Augments Preconditioning in the Pig Heart , 1997, Cardiovascular Drugs and Therapy.

[67]  D. Waters,et al.  Functional and structural alterations with 24-hour myocardial hibernation and recovery after reperfusion. A pig model of myocardial hibernation. , 1996, Circulation.

[68]  Kevan J T Anderson,et al.  Microvessels in chronic total occlusions: pathways for successful guidewire crossing? , 2005, Journal of interventional cardiology.

[69]  J. Canty,et al.  18F-2-deoxyglucose deposition and regional flow in pigs with chronically dysfunctional myocardium. Evidence for transmural variations in chronic hibernating myocardium. , 1997, Circulation.

[70]  S. Sasayama,et al.  Histologic studies in percutaneous transluminal coronary angioplasty for chronic total occlusion: comparison of tapering and abrupt types of occlusion and short and long occluded segments. , 1993, Journal of the American College of Cardiology.

[71]  M. Phelps,et al.  Regional blood flow, oxidative metabolism, and glucose utilization in patients with recent myocardial infarction. , 1993, Circulation.

[72]  S. Vatner,et al.  Mechanism of impaired myocardial function during progressive coronary stenosis in conscious pigs. Hibernation versus stunning? , 1995, Circulation research.

[73]  J. Canty,et al.  Reductions in regional myocardial function at rest in conscious dogs with chronically reduced regional coronary artery pressure. , 1987, Circulation research.

[74]  W. Schaper,et al.  Infarct Size Reduction by Ischemic Preconditioning is a Monophasic, Short-Lived Phenomenon in Anesthetized Pigs , 1998, Journal of cardiovascular pharmacology and therapeutics.