Sandra E. Burke's research while affiliated with Abbott Laboratories and other places

Publications (32)

Patent
Full-text available
A prodrug compound of a rapamycin analog and methods for inhibiting, treating, and preventing mammalian diseases.
Patent
Full-text available
A method of making a medical device which is at least partially bio-erodible and which exhibits controlled elution of therapeutic agent.
Patent
Full-text available
A medical device comprising a supporting structure capable of including or supporting a pharmaceutically acceptable carrier or excipient, which carrier or excipient may include one or more therapeutic agents or substances, with the carrier including a coating on the surface thereof, and the coating including the therapeutic substances, such as, for...
Article
Sirolimus (rapamycin) is an immunosuppressant used in preventing allograft rejection and in drug-eluting stents to prevent restenosis after angioplasty. Zotarolimus, an analogue of sirolimus, was designed to have a shorter in vivo half-life. Zotarolimus was found to be mechanistically similar to sirolimus in having high-affinity binding to the immu...
Article
During stent development, accurate monitoring of the drug concentration in animal tissues can provide critical information on how the drug is released into the circulation and the surrounding tissues. To establish the relationship between the drug concentration and the distance from the stent to the target tissue, a comprehensive strategy was devel...
Article
Drug-eluting stents have revolutionized the field of interventional cardiology and have provided a significant innovation for preventing coronary artery restenosis. Polymer coatings that deliver anti-proliferative drugs to the vessel wall are key components of these revolutionary medical devices. This article focuses on the development of stents wh...
Article
Introduction: Percutaneous coronary intervention (PCI) and stenting are common therapies used to mitigate symptomatic coronary artery stenosis. These mechanical procedures are invariably associated with local and systemic inflammation, including activation and cytokine release from monocytes/macrophages, which are major stimuli for smooth muscle ce...
Article
The role of endothelin-B (ET(B)) receptors in circulatory homeostasis is ambiguous, reflecting vasodilator and constrictor effects ascribed to the receptor and diuretic and natriuretic responses that could oppose the hypertensive effects of ET excess. With the use of conscious, telemetry-instrumented cynomolgus monkeys, we characterized the hyperte...
Article
To evaluate the feasibility of using dynamic contrast-enhanced magnetic resonance imaging (MRI) for assessment of muscle perfusion in a rat model of hind-limb ischemia. The acute alteration and chronic recovery in muscle perfusion and perfusion reserve after femoral artery ligation were quantified using the maximum Gd-DTPA uptake rate obtained by a...
Article
Bimoclomol has been shown to increase an inducible member of the heat shock protein 70 family (HSP70) and cytoprotect in vitro. Here, we addressed whether oral pretreatment of rats with bimoclomol could elevate myocardial HSP70 and reduce infarct size in a rat model of ischemia and reperfusion. Rats were pretreated with bimoclomol at 3, 6 or 18 h o...
Article
Endothelin-1 (ET-1), a potent vasoactive and mitogenic peptide, has been implicated in a number of cardiovascular diseases, including congestive heart failure, neointimal hyperplasia associated with restenosis, and hypertension. The vasoconstriction induced by ET-1 is thought to be mediated mainly by its action on ET(A) receptors on vascular smooth...
Article
Rapamycin, a macrolide antibiotic known to prevent allograft rejection, is a potent inhibitor of cell proliferation. Therefore we studied the effects of orally administered rapamycin in a pig model of balloon injury in an attempt to reduce the cellular proliferation and neointimal formation thought to play a role in restenosis. Twenty Yucatan minip...
Article
Catheter-directed thrombolysis has gained increasing acceptance for the treatment of patients who present with vascular occlusion; however, intravenous injection may be preferable in selected patients. Recombinant prourokinase (r-proUK) is a recently-developed fibrin-selective thrombolytic agent with specificity for clot-bound plasminogen. To compa...
Article
As endothelin binds to ET(A) receptors, it stimulates vascular smooth muscle cell proliferation and may thus be pivotally involved in the pathogenesis of restenosis. This study assessed the ability of a potent and selective ET(A) antagonist to reduce neointimal hyperplasia in a porcine coronary artery stented injury model. Fifty-five pigs were rand...
Article
Balloon angioplasty has become an important intervention in clinical cardiology; however, the technique is associated with a high incidence of restenosis, requiring repeated procedures. Endothelin-1 (ET-1), specifically through its action on ET(A) receptors, has been implicated in the cell proliferation and subsequent neointimal formation that lead...
Article
Pro-urokinase represents an important addition to the array of thrombolytic drugs currently available for clinical use because of its high clot specificity but distinctly different mechanism compared with that of t-PA. Recombinant pro-urokinase (r-proUK) is a single-chain precursor of high molecular weight urokinase which has been expressed in a mo...
Article
Endothelin-1 (ET-1), a potent vasoactive and mitogenic peptide produced by endothelial cells, has been implicated in a number of cardiovascular diseases, including congestive heart failure and neointimal hyperplasia associated with restenosis. The vasoconstriction induced by ET-1 is thought to be mediated mainly by its action on ET-A receptors on v...
Article
Endothelins are potent vasoactive peptides that exist as isoforms having different affinities for two main receptor subtypes, ETA and ETB. Based on their potential to produce adverse effects as a result of marked vasoconstrictor actions, these mediators have been widely studied to investigate their role in disease states involving the cardiovascula...
Article
These studies were conducted to examine the lytic efficacy of recombinant urokinase (r-UK) and pro-urokinase (r-proUK) in the presence and absence of truncated forms of plasminogen. Due to differences in their structures, these modified proteins are more readily activated to plasmin than the circulating form of plasminogen. Use of such modified sub...
Article
The present study was conducted to compare the effect of commercial heparin and a super sulfated low molecular weight heparin (SSLMWHep) on clot lysis in a dog model of femoral artery thrombosis In two groups of dogs, Ilz5-labeled clots were formed in the femoral artery and were monitored continuously for loss of counts as an indicator of clot lysi...
Article
Proinflammatory mediators such as histamine promote expression of Pselectin and PAF on endothelium of post-capillary venules, events which can lead to rolling and adhesion of leukocytes to the vessel wall. Although these interactions have been modified by PAF antagonists at single dose levels, dose-response data for this phenomenon has not been rep...
Article
Heparin is often used as an adjunct to thrombolytic therapy in order to prevent reocclusion of the patent vessels in patients with thrombotic disease. Controversy exists as to whether heparin is required for effective clot lysis with tissue-type plasminogen activator, while in vitro data and small scale clinical trials have suggested an enhancement...
Article
Pharmacologic lysis of occlusive, ischemia-producing thrombi has become widely accepted during the past decade. New developments in this field have centered around increasing the efficacy of the known plasminogen activators while employing methods to minimize the risk of hemorrhage and decrease the incidence of rethrombosis. Such methods have inclu...
Article
Current findings suggest that the efficacy of thrombolytic therapy may be limited by the availability of active forms of plasminogen at the thrombus site. The purpose of this study was to determine if the systemic administration of 0.5 mg kg-1 glu-plasminogen (glu-plg) or 0.5 mg kg-1 lys-plasminogen (lys-plg) could safely increase the efficacy of a...
Article
The efficacy of thrombolytic therapy may be limited by local availability of plasminogen near a poorly perfused thrombus. The purpose of this study was to determine if the local (i.e., clot site) administration of 0.5 mg glu-plasminogen (glu-plg) or 0.5 mg lysplasminogen (lys-plg) could safely increase the thrombolytic efficacy of a 30-min intraart...
Article
Rethrombosis is an important clinical problem for patients who have benefitted from pharmacologic thrombolysis. The present study describes a dog model of arterial thrombosis, which includes endothelial denudation, intimal damage, and stenosis, and is suitable for studying the phenomena of both thrombolysis and subsequent rethrombosis. The model wa...
Article
The purpose of this study was to compare the lytic efficacy of tissue plasminogen activator (tPA) following different dosing regimens. Radiolabelled clots from dog whole blood were inserted into an extracorporeal jugular loop in anesthetized dogs. Clot size (counts/min) was continuously recorded. tPA was administered as a single 1 min bolus of 0.4...

Citations

... Five LOE 3 good-quality studies supported the PICO question. [8][9][10][11][12] These studies varied in the mechanism of arterial thrombosis and the specific thrombolytic. Leach Dogs treated with streptokinase experienced more bleeding from surgical sites (ie, site of femoral vein exposure, thoracotomy, and thrombin injection site in the coronary artery) than saline-treated dogs. ...
... Five LOE 3 good-quality studies supported the PICO question. [8][9][10][11][12] These studies varied in the mechanism of arterial thrombosis and the specific thrombolytic. Leach Dogs treated with streptokinase experienced more bleeding from surgical sites (ie, site of femoral vein exposure, thoracotomy, and thrombin injection site in the coronary artery) than saline-treated dogs. ...
... Pulsed drug release is very important for improving the therapeutic effect of many bioactive molecules, particularly hormones [33][34][35]. However, we require temperature sensitive materials with Ttr above 37 °C so pulsed drug release occurs when temperature rises above this temperature to a maximum of 42 °C, a temperature below the threshold for body heat sensors [36]. ...
... Anticoagulation following thrombolysis is a key component in the maintenance of reperfusion and is standard of care in humans treated with thrombolysis for unstable pulmonary embolism (19). Though there are no comparable studies involving venous thrombosis, numerous canine coronary artery reperfusion studies have documented that anticoagulation has a favorable effect not only on time to thrombolysis but also in delaying or preventing reocclusion after successful thrombolysis (22)(23)(24)(25). The prolongation of aPTT out of range was the obvious reason for discontinuation of heparin therapy as one would expect that therapeutic anticoagulation had been achieved and risk of bleeding was high. ...
... New strategies to increase the likelihood of complete and partial recanalization are justified because unsatisfactory recanalization rates have been reported with intravenous rt-PA alone [4][5][6][7][8][9]. Anticoagulation (AC) therapy, concomitant to rt-PA treatment, with either unfractionated heparin or low molecular weight heparin (LMWH) could potentially decrease reocclusion, as well as increase recanalization rates [10]. ...
... Two different subtypes of development of ischaemia / reperfusion injury. ET receptors, ET and ET , have been characterised and A monoclonal antibody against ET-1 (AwETN40) was A B cloned [8] [9]. ET and ET receptors located on vascular initially used to elucidate the pathophysiological role of A B smooth muscle mediate vasoconstriction, whereas ET endogenous ET-1. ...
... 3,7 Given the absence of a further rise in ET-1 during sitaxentan, our data do not support the possibility that blocking irreversible ET A receptor binding additionally increases ET-1. [30][31][32][33][34] VEGF stimulates endothelial NO production by, among other factors, increased expression of the gene encoding the endothelial NO synthase. In line with this, previous studies have shown that VEGF inhibition is associated with reduced NO production. ...
... Our conclusion that the increased neointima formation in mice with End.LepR deletion may be the result of increased endothelial ET-1 release is supported by previous studies showing that exogenous ET-1 administration dose dependently enhances neointima formation, 36 whereas antagonization of ET receptors effectively reduced intimal hyperplasia in experimental models of vascular injury. [37][38][39] Furthermore, deletion of ET-1 selectively in ECs was shown to reduce neointima formation, vascular adhesion molecule expression, and SMC proliferation, 40 whereas endothelial ET-1 overexpression was associated with vascular hypertrophic remodeling and endothelial dysfunction. 34 Increased local ET-1 expression has been reported in human coronary atherosclerotic plaques, 41 and higher ET-1 and ET-1 receptor expression levels, particularly in ECs, has been described in human atherosclerotic lesions. ...
... No trials have compared LIT with IVT directly, but PROACT II had a lower rate of symptomatic intracranial haemorrhage as compared to NINDS trial at 6 hours (10% vs 12%), LIT tends to be efficacious at lower doses as compared to IVT, as seen in the case reported where only 10 lakh units of urokinase produced a dramatic recovery. Experimental evidence from animal experiments in a canine model show that intra arterial (IA) thrombolysis uses 100 times lower dose of lytic agents as compared to IVT and achieve similar levels of lysis [9]. This suggests that systemic effects of lysis, resulting in haemorrhage, are less likely with the IA route of administration. ...
... 322 , 323 Rapamycin has also been shown to reduce intimal thickening in various animal studies of intimal thickening. [324][325][326] Klugherz and colleagues in a randomized, blinded, prospective study, investigated the efficacy of a sirolimus-eluting stent in rabbit iliac arteries. 327 Sirolimus levels in whole blood peaked at 1 hour post-insertion and fell below quantifiable levels by 72 hours, but a prolonged intramural arterial deposition was confirmed for the duration of the study. ...