Introduction
Retinoic acid (RA), the active form of vitamin A (retinol), acts through specific nuclear receptors inducing expression of specific genes. Retinoid receptors are expressed in vascular smooth muscle cells and RA is known to have inhibitory effects on the proliferation of these cells. Here we investigated for the first time the safety and efficacy of a cobalt chromium retinoic acid-eluting stent (RES) with a biodegradable polymer.
Methods
Cobalt chromium stents (10 mm length, Medispes SA, Greece), bare (group BARE, n =6), coated with a biodegradable poly(lactide-co-glycolide) (PLGA)-based polymer (group POL, n =6), coated with PLGA and a relatively low dose of 6 μg RA (group LOW, n =8), and coated with PLGA and a relatively high dose of 24 μg RA (group HIGH, n =5), were implanted in the iliac arteries of New Zealand rabbits. After 28 days, the animals were sacrificed and histomorphometric analysis was performed.