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Important role of erythropoietin receptor to promote VEGF expression and angiogenesis in peripheral ischemia in mice.

Abstract
We have recently demonstrated that endogenous erythropoietin (Epo)/Epo receptor (EpoR) system plays an important protective role in hypoxia-induced pulmonary hypertension. However, it remains to be examined whether vascular EpoR system contributes to angiogenesis in response to ischemia. We examined angiogenesis in EpoR(-/-)-rescued mice that lack EpoR in most organs including cardiovascular system except erythroid-lineage cells. Two weeks after femoral artery ligation, blood flow recovery, activation of VEGF/VEGF receptor system, and mobilization of endothelial progenitor cells were all impaired in EpoR(-/-)-rescued mice as compared with wild-type (WT) mice. Bone marrow (BM) transplantation with WT-BM cells in EpoR(-/-)-rescued mice partially but significantly improved blood flow recovery after hindlimb ischemia. The extent of VEGF upregulation and the number of BM-derived cells in ischemic tissue were significantly less in EpoR(-/-)-rescued mice compared with WT mice even after BM reconstitution with WT-BM cells. Similarly, the recovery of blood flow was significantly impaired in recipient EpoR(-/-)-rescued mice that had been transplanted with WT-BM or EpoR(-/-)-rescued-BM as compared with recipient WT mice. Furthermore, the Matrigel implantation assay and aortic ring assay showed that microvessel growth in vitro was significantly reduced in EpoR(-/-)-rescued mice as compared with WT mice. These results indicate that vascular EpoR system also plays an important role in angiogenesis in response to hindlimb ischemia through upregulation of VEGF/VEGF receptor system, both directly by enhancing neovascularization and indirectly by recruiting endothelial progenitor cells and BM-derived proangiogenic cells.
AuthorsMakoto Nakano, Kimio Satoh, Yoshihiro Fukumoto, Yoshitaka Ito, Yutaka Kagaya, Naoto Ishii, Kazuo Sugamura, Hiroaki Shimokawa
JournalCirculation research (Circ Res) Vol. 100 Issue 5 Pg. 662-9 (Mar 16 2007) ISSN: 1524-4571 [Electronic] United States
PMID17293480 (Publication Type: Comparative Study, Journal Article)
Chemical References
  • Receptors, Erythropoietin
  • Vascular Endothelial Growth Factor A
Topics
  • Animals
  • Cell Movement (genetics)
  • Endothelium, Vascular (metabolism, pathology)
  • Hindlimb (blood supply, metabolism)
  • Humans
  • Ischemia (genetics, metabolism)
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Mice, Transgenic
  • Neovascularization, Pathologic (genetics, metabolism, physiopathology)
  • Receptors, Erythropoietin (physiology)
  • Stem Cells (metabolism, pathology)
  • Up-Regulation (genetics)
  • Vascular Endothelial Growth Factor A (biosynthesis, genetics)

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