Ethoxidine, a
benzo[c]phenanthridine derivative, has been identified as a potent inhibitor of
topoisomerase I in
cancer cell lines. Our group has reported paradoxical properties of
ethoxidine in cellular processes leading to angiogenesis on endothelial cells. Because low concentration
ethoxidine is able to favor angiogenesis, the present study aimed to investigate the ability of 10-9 M
ethoxidine to modulate neovascularization in a model of mouse hindlimb
ischemia. After inducing unilateral hindlimb
ischemia, mice were treated for 21 days with
glucose 5% or with
ethoxidine, to reach plasma concentrations equivalent to 10-9 M.
Laser Doppler analysis showed that recovery of blood flow was 1.5 fold higher in
ethoxidine-treated mice in comparison with control mice. Furthermore, CD31 staining and angiographic studies confirmed an increase of vascular density in
ethoxidine-treated mice. This
ethoxidine-induced recovery was associated with an increase of NO production through an enhancement of eNOS phosphorylation on its activator site in skeletal muscle from ischemic hindlimb. Moreover, real-time RT-PCR and western blots have highlighted that
ethoxidine has pro-angiogenic properties by inducing a significant enhancement in
vegf transcripts and
VEGF expression, respectively. These findings suggest that
ethoxidine could contribute to favor neovascularization after an ischemic injury by promoting the NO pathway and
VEGF expression.