Inhibition of Intimal Proliferation of Rabbit Aorta by Ticlopidine
Proliferation of smooth muscle cells in the intima of arteries at sites adjacent to damaged endothelium may be stimulated by growth factors released from platelets. We have studied the effect of treatment with two inhibitors of platelet function, Ticlopidine and Sulphlnpyrazone, on the rate and extent of intimal proliferation In rabbit abdominal aorta following endarterectomy using a balloon catheter. Aortas were removed at Intervals after surgery, fixed, sectioned and the extent of intimal proliferation was measured using an Image analyser (Quantlmet 720). The arc a of Intimal growth as a percentage of total area of aorta was 42.4±2.8,22.3±1.2 and 50.9±2.0, 33.9±2.0 in control and Ticlopidine treated animals 30 and 60 days after endarterectomy, respectively. Thus treatment with Ticlopidine (50mg/kg/day P. O.) produced a highly significant (p<.001) reduction In the extent of intimai growth In these animals (c 50%), where as Sulphlnpyrazone (50mg/kg/day P. O.) had no effect. ADP Induced platelet aggregation was reduced (c 30%) during the treatment with Ticlopidine but not during treatment with Sulphlnpyrazone.These findings indicate that Ticlopidine treatment limits intimai proliferation In rabbits following endothelial cell Injury and may be of value in limiting this process In man.