Osteopontin expression and adventitial angiogenesis induced by local vascular endothelial growth factor 165 reduces experimental aortic calcification

Vascular calcification is a common pathologic and precisely regulated process involving bone-associated proteins such as osteopontin. In this study, we investigated mechanisms by which recombinant human vascular endothelial growth factor 165 protects the arterial wall from severe vascular remodeling...

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Veröffentlicht in:The Journal of thoracic and cardiovascular surgery 2005-04, Vol.129 (4), p.773-781
Hauptverfasser: Seipelt, Ralf G., Backer, Carl L., Mavroudis, Constantine, Stellmach, Veronica, Cornwell, Mona, Seipelt, Ingrid M., Schoendube, Friedrich A., Crawford, Susan E.
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container_issue 4
container_start_page 773
container_title The Journal of thoracic and cardiovascular surgery
container_volume 129
creator Seipelt, Ralf G.
Backer, Carl L.
Mavroudis, Constantine
Stellmach, Veronica
Cornwell, Mona
Seipelt, Ingrid M.
Schoendube, Friedrich A.
Crawford, Susan E.
description Vascular calcification is a common pathologic and precisely regulated process involving bone-associated proteins such as osteopontin. In this study, we investigated mechanisms by which recombinant human vascular endothelial growth factor 165 protects the arterial wall from severe vascular remodeling, including calcification, a newly discovered biologic action of vascular endothelial growth factor. In a rabbit model of thoracic aortic end-to-end anastomosis that simulates cardiovascular intervention, recombinant human vascular endothelial growth factor 165 at a dose of 0.75 μg (n = 19) or albumin (control; n = 19) was delivered intraluminally and on the serosal surface. Animals were killed, and aortic tissue was evaluated by Western blotting, immunohistochemistry, and immunofluorescence at 4, 8, and 24 hours; 1 week; and 1 month after surgery. All controls revealed extensive aortic medial calcification at 1 month, whereas calcification was significantly reduced or absent with vascular endothelial growth factor treatment. Compared with controls, vascular endothelial growth factor treatment resulted in an earlier infiltration of macrophages in the vessel media (at 8 hours: 5.7 ± 2.3 macrophages per high-power field in control vs 32.1 ± 7.5 in vascular endothelial growth factor-treated aortas; P < .001), whereas controls showed an increase in macrophages starting at 1 week (24.1 ± 6.9 vs 4.3 ± 1.8; P < .001). Osteopontin expression was transiently increased and detected in macrophages and endothelial cells in vascular endothelial growth factor-treated vessels, and adventitial microvascular density was significantly increased by 1 week (9.5 ± 0.43 vs 25.0 ± 1.3; P < .001). Our data suggest that exogenous vascular endothelial growth factor is capable of increasing adventitial angiogenesis and shifting macrophage infiltration and osteopontin expression in the media to an earlier time point, thereby promoting prompt repair and diminishing vascular remodeling and calcification after acute vascular injury.
doi_str_mv 10.1016/j.jtcvs.2004.06.039
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In this study, we investigated mechanisms by which recombinant human vascular endothelial growth factor 165 protects the arterial wall from severe vascular remodeling, including calcification, a newly discovered biologic action of vascular endothelial growth factor. In a rabbit model of thoracic aortic end-to-end anastomosis that simulates cardiovascular intervention, recombinant human vascular endothelial growth factor 165 at a dose of 0.75 μg (n = 19) or albumin (control; n = 19) was delivered intraluminally and on the serosal surface. Animals were killed, and aortic tissue was evaluated by Western blotting, immunohistochemistry, and immunofluorescence at 4, 8, and 24 hours; 1 week; and 1 month after surgery. All controls revealed extensive aortic medial calcification at 1 month, whereas calcification was significantly reduced or absent with vascular endothelial growth factor treatment. Compared with controls, vascular endothelial growth factor treatment resulted in an earlier infiltration of macrophages in the vessel media (at 8 hours: 5.7 ± 2.3 macrophages per high-power field in control vs 32.1 ± 7.5 in vascular endothelial growth factor-treated aortas; P &lt; .001), whereas controls showed an increase in macrophages starting at 1 week (24.1 ± 6.9 vs 4.3 ± 1.8; P &lt; .001). Osteopontin expression was transiently increased and detected in macrophages and endothelial cells in vascular endothelial growth factor-treated vessels, and adventitial microvascular density was significantly increased by 1 week (9.5 ± 0.43 vs 25.0 ± 1.3; P &lt; .001). 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In this study, we investigated mechanisms by which recombinant human vascular endothelial growth factor 165 protects the arterial wall from severe vascular remodeling, including calcification, a newly discovered biologic action of vascular endothelial growth factor. In a rabbit model of thoracic aortic end-to-end anastomosis that simulates cardiovascular intervention, recombinant human vascular endothelial growth factor 165 at a dose of 0.75 μg (n = 19) or albumin (control; n = 19) was delivered intraluminally and on the serosal surface. Animals were killed, and aortic tissue was evaluated by Western blotting, immunohistochemistry, and immunofluorescence at 4, 8, and 24 hours; 1 week; and 1 month after surgery. All controls revealed extensive aortic medial calcification at 1 month, whereas calcification was significantly reduced or absent with vascular endothelial growth factor treatment. Compared with controls, vascular endothelial growth factor treatment resulted in an earlier infiltration of macrophages in the vessel media (at 8 hours: 5.7 ± 2.3 macrophages per high-power field in control vs 32.1 ± 7.5 in vascular endothelial growth factor-treated aortas; P &lt; .001), whereas controls showed an increase in macrophages starting at 1 week (24.1 ± 6.9 vs 4.3 ± 1.8; P &lt; .001). Osteopontin expression was transiently increased and detected in macrophages and endothelial cells in vascular endothelial growth factor-treated vessels, and adventitial microvascular density was significantly increased by 1 week (9.5 ± 0.43 vs 25.0 ± 1.3; P &lt; .001). 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Our data suggest that exogenous vascular endothelial growth factor is capable of increasing adventitial angiogenesis and shifting macrophage infiltration and osteopontin expression in the media to an earlier time point, thereby promoting prompt repair and diminishing vascular remodeling and calcification after acute vascular injury.</abstract><cop>Philadelphia, PA</cop><pub>Mosby, Inc</pub><pmid>15821643</pmid><doi>10.1016/j.jtcvs.2004.06.039</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Animals
Aorta, Thoracic - drug effects
Aorta, Thoracic - pathology
Aortic Diseases - prevention & control
Biological and medical sciences
Calcinosis - prevention & control
Capillaries - drug effects
Capillaries - pathology
Disease Models, Animal
Elastic Tissue - drug effects
Elastic Tissue - pathology
Endothelium, Vascular - drug effects
Endothelium, Vascular - pathology
Humans
Macrophages - drug effects
Macrophages - pathology
Male
Medical sciences
Microcirculation - drug effects
Microcirculation - pathology
Neovascularization, Physiologic - drug effects
Osteopontin
Phosphoproteins - analysis
Rabbits
Sialoglycoproteins - analysis
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Time Factors
Tunica Media - drug effects
Tunica Media - pathology
Vascular Endothelial Growth Factor A - therapeutic use
title Osteopontin expression and adventitial angiogenesis induced by local vascular endothelial growth factor 165 reduces experimental aortic calcification
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