Summary: Background: Several studies have demonstrated increased numbers of angiographically detectable collaterals after vascular endothelial growth factor (VEGF) gene transfer. However, VEGF appears to be insufficient for stimulating the growth of mature blood vessels. Therefore, we decided to reinvestigate in what way the VEGF gene transfer to rabbit ischaemic muscle can restore blood flow impaired by femoral artery excision.Methods: Naked DNA, either control plasmid (pSVβgal) or pSG5-VEGF165 (harbouring human VEGF cDNA), was injected into adductor magnus muscle.Results: Human VEGF165 mRNA was detected in the ischaemic muscle injected with pSG5-VEGF165, and human VEGF protein was present in the blood plasma of the same animals but not in rabbits treated with control plasmid. However, rabbit VEGF synthesis was also enhanced in ischaemic legs of both β-gal and VEGF-treated animals. In spite of the augmented generation of endogenous VEGF, the local blood flow decreased to 75 ± 13.9 % (of flow before excision) after 28 days in pSVβgal injected animals, whereas it was preserved (97.3 ± 15 %) in pSG5-VEGF165 treated rabbits (P < 0.02). Muscles of rabbits treated with pSG5-VEGF165 showed a significantly higher number of microvessels in comparison to ischaemic muscles treated with pSVβgal (230 ± 66 vessels/mm2 vs 134 ± 48; P < 0.01), but angiographic analysis did not demonstrate significant differences in the number of collaterals between animals. Conclusions: The restoration of blood flow is most probably due to increased local angiogenesis and not to the formation of stable collateral vessels. Zusammenfassung: Grundlagen: Verschiedene Studien haben eine erhöhte Anzahl an angiographisch nachweisbaren Kollateralen nach Vascular Endothelial Growth Factor (VEGF)-Gentransfer nachweisen können. Allerdings scheint VEGF allein nicht ausreichend für die Ausbildung voll entwickelter Blutgefäße zu sein. Deshalb haben wir untersucht, in welcher Weise ein VEGF-Gentransfer an einem ischämischen Kaninchenmuskel die Wiederdurchblutung nach Exzision der Arteria femoralis beeinflußt.Methodik: Die „nackte” DNA, entweder als Kontrollplasmid (pSVβgal) oder pSG5-VEGF165 (humane VEGF cDNA) wurde in den Musculus adductor magnus injiziert.Ergebnisse: Humane VEGF165 mRNA konnte in dem mit pSG5-VEGF165 behandelten Muskel und humanes VEGF-Protein im Blutplasma dieser Tiere nachgewiesen werden, nicht aber in den Kaninchen, die mit dem Kontrollplasmid behandelt wurden. Allerdings war die Synthese des Kaninchen-VEGF im ischämischen Muskel sowohl in der Therapie- als auch in der Kontrollgruppe erhöht. Im Gegensatz zu der erhöhten Bildung endogenen VEGFs sank der lokale Blutfluß nach 28 Tagen auf 75 ± 13,9 % (gegenüber dem Blutfluß vor Exzision) bei den Tieren, die pSVβgal injiziert bekommen haben. Bei den Kaninchen, die mit pSG5-VEGF165 behandelt wurden, blieb der Blutfluß (97,3 ± 15 %) erhalten (P < 0,02). Die mit pSG5-VEGF165 behandelten Muskeln zeigten eine signifikant höhere Anzahl an Mikrogefäßen im Vergleich zur pSVβgal Gruppe (230 ± 66 Gefäße/mm2 vs. 134 ± 48; P < 0,01). Die angiographische Analyse zeigte keinen signifikanten Unterschied der Anzahl an Kollateralen zwischen den Gruppen.Schlußfolgerungen: Die Verbesserung der Durchblutung ist auf eine erhöhte Mikrogefäßdichte wahrscheinlich aufgrund einer stimulierten Angiogenese zurückzuführen.
Recent studies underscore the critical role of heme oxygenase-1 in neovascularization, implicating heme oxygenase-1 as an attractive therapeutic target for treatment of cardiovascular disease.
Cutaneous contact sensitivity (CS) is a subtype of delayed-type sensitivity and is mediated by either CD4(+) or CD8(+) CS-effector T cells. CS can be induced by skin painting with haptens like trinitrophenyl chloride (TNP-Cl).We have previously shown that CS is under the negative regulation of T regulatory cells (Treg) induced by the iv injection of a high dose of homologous antigen or via epicutaneous application of any protein antigen prior to TNP-Cl painting. In this study, we examined the role of heme oxygenase (HO-1) in the negative regulation of CS in mice. We found that ip injection of heme, an inducer of HO-1, before TNP-Cl sensitization strongly suppresses CS when compared to uninjected controls. Using a transfer out protocol, we showed that suppressor activity can be transferred with lymph node and spleen cells isolated from mice treated with heme for 7 days before TNP-Cl or sham immunization, which suggests a lack of antigen specificity of observed suppression. Negative selection with monoclonal antibodies and complement showed that regulatory cells induced via heme injection belong to the population of TCRalphabeta+ lymphocytes. Using CBA/J (H-2(k)), SJL (H-2(s)), and DBA1 (H-2(q)) mice, we showed that the suppression mediated by HO-1 is major histocompatibility complex (MHC) unrestricted. In vitro treatment of heme induced Treg cells with tin protoporphyrin IX (SnPPIX), an inhibitor of HO activity, prior to adoptive transfer abolished the suppressor activity. In summary, injection of heme results in the induction of antigen non-specific and MHC unrestricted TCRalphabeta+ Treg that suppress CS response in mice, possibly in a HO-1-dependent manner.
The 2019 Nobel Prize for Physiology or Medicine was awarded to three physician scientists, Drs. William G. Kaelin, Jr., Peter Ratcliffe and Gregg Semenza, for their research investigating how cells sense and adapt to oxygen levels. Understanding the cellular adaptation to oxygen deficiency - hypoxia - has a deep impact on our knowledge of the pathogenesis of several conditions, including heart and inflammatory diseases, as well as tumours. HIF-1 is a transcription factor that plays an essential role in hypoxia-elicited gene responses. HIF-1 targets genes are involved in many pathways, such as cellular metabolism, survival and angiogenesis. Furthermore, hypoxia has been shown to impact the reprogramming process of somatic cells into induced pluripotent stem cell (iPSCs) and iPSC differentiation to cardiomyocytes (hiPSC-CMs). New strategies have been employed to improve the maturity of hiPSC-CMs, which includes the application of mechanistic or chemical stimuli and genetic/epigenetic manipulations. Currently, the role of hypoxia and energy metabolism in promoting maturation of hPSC-CMs is a subject of new studies.