Neovascularization may contribute to functional recovery after neural injury. Combination treatment of
stroke with a
nitric oxide donor, (Z)-1-[N-(2-aminoethyl)-N-(2-ammonioethyl) amino] diazen-1-ium-1, 2-diolate (
DETA-NONOate) and bone marrow stromal cells promotes functional recovery. However, the mechanisms underlying functional improvement have not been elucidated. In this study, we tested the hypothesis that combination treatment upregulates
angiopoietin-1 and its
receptor Tie2 in the ischemic brain and bone marrow stromal cells, thereby enhancing cerebral neovascularization after
stroke. Adult wild type male C57BL/6 mice were i.v. administered PBS, bone marrow stromal cells 5x10(5),
DETA-NONOate 0.4 mg/kg or combination
DETA-NONOate with bone marrow stromal cells (n=12/group) after
middle cerebral artery occlusion. Combination treatment significantly upregulated
angiopoietin-1/Tie2 and
tight junction protein (
occludin) expression, and increased the number, diameter and perimeter of blood vessels in the ischemic brain compared with vehicle control (mean+ or -S.E., P<0.05). In vitro,
DETA-NONOate significantly increased
angiopoietin-1/Tie2
protein (n=6/group) and Tie2
mRNA (n=3/group) expression in bone marrow stromal cells.
DETA-NONOate also significantly increased
angiopoietin-1 protein (n=6/group) and
mRNA (n=3/group) expression in mouse brain endothelial cells (P<0.05).
Angiopoietin-1 mRNA (n=3/group) was significantly increased in mouse brain endothelial cells treated with
DETA-NONOate in combination with bone marrow stromal cell-
conditioned medium compared with cells treated with bone marrow stromal cell-
conditioned medium or
DETA-NONOate alone. Mouse brain endothelial cell capillary tube-like formation assays (n=6/group) showed that
angiopoietin-1 peptide, the supernatant of bone marrow stromal cells and
DETA-NONOate significantly increased capillary tube formation compared with vehicle control. Combination treatment significantly increased capillary tube formation compared with
DETA-NONOate treatment alone. Inhibition of
angiopoietin-1 significantly attenuated combination treatment-induced tube formation. Our data indicated that combination treatment of
stroke with
DETA-NONOate and bone marrow stromal cells promotes neovascularization, which is at least partially mediated by upregulation of the
angiopoietin-1/Tie2 axis.