Review Article

Recent Advances in Pharmacotherapy Development for Abdominal Aortic Aneurysm

Table 1

Pharmacotherapy for abdominal aortic aneurysm in animal models.

TargetDrugModelMechanism of AAA inhibitionEffects in human AAA

Oxidative stress -Tocopherol (vitamin E)ATII/ApoE −/− mice [11]ROS , macrophage infiltration No effect on growth [12]
Elastase/rat [13]

Estrogen receptor 17 -estradiolElastase/rat [14]Macrophage infiltration , MCP-1 , No evidence
ATII/ApoE −/− mice [15]NF- B activity , MMP-9 , preserved elastin

RAS ACE inhibitor (captopril, lisinopril, and enalapril) Elastase/rat [16]Preserved elastinRupture risk [17]  
growth [18]
ARB (valsartan)Elastase/rat [19]Macrophage infiltration , NF- B activity , MMP-9 No effect on rupture risk [17]

Mevalonate pathway
Statin
(simvastatin and atorvastatin)
Elastase/mice
Macrophage infiltration , IL-1 , MCP-1 , NF- B activity , MMP-9 ,MCP-1 , MMP-9 [2023]
growth [2427]
Elastase/ApoE −/− mice [28]
Elastase/rat [29, 30]Preserved elastinNo effect on growth [18, 31, 32]

Mast cellDSCG [33]Elastase/miceMast cell and macrophage infiltration , IFN- , IL-6 , MMP activity , preserved elastinNo evidence
Tranilast [34] CaCl2/rat
ATII/ApoE −/− mice

NF- BPDTC [35] Elastase/miceCellular infiltration , IL-1 , IL-6 , NF- B activity , MMP-9 , preserved elastinNo evidence

JNKSP600125 [36]CaCl2/ mice Macrophage infiltration , MMP-9 , preserved elastin, regression of established AAAMMP-9 , TIMP-3 [36, 37]
ATII /ApoE −/− mice

MMP DoxycyclineElastase/rats [3841]MMP-9 , preserved elastin MMP-9 [42, 43]
Elastase/mice [44, 45]
CaCl2/mice [46]
ATII/ApoE −/− mice [47, 48]
Thioglycolate plus plasmin/rats [49]

AAA: abdominal aortic aneurysm; ATII: angiotensin II; ROS: reactive oxygen species; MMP: matrix metalloproteinase; NF: nuclear factor; MCP: monocyte chemoattractant protein; RAS: renin-angiotensin system; ACE: angiotensin converting enzyme; ARB: angiotensin receptor blocker; IL: interleukin; DSCG: disodium cromoglycate; IFN: interferon; PDTC: pyrrolidine dithiocarbamate; JNK: c-Jun N-terminal kinase; TIMP: tissue inhibitor of metalloproteinase.