Nykänen Antti I, Pajusola Katri, Krebs Rainer, Keränen Mikko A I, Raisky Olivier, Koskinen Petri K, Alitalo Kari, Lemström Karl B
Transplantation Laboratory, University of Helsinki Central Hospital, Helsinki, Finland.
Circ Res. 2006 Jun 9;98(11):1373-80. doi: 10.1161/01.RES.0000225987.52765.13. Epub 2006 May 11.
Angiopoietin-1 (Ang1) and Ang2 regulate the maintenance of normal vasculature by direct endothelial and indirect smooth muscle cell (SMC) effects. Dysfunction of vascular wall cells is considered central in cardiac allograft vasculopathy (CAV), where inflammation and arterial injury initiate subsequent intimal SMC proliferation. In this study, we investigated the effect of exogenous Ang1 and Ang2 in chronically rejecting rat cardiac allografts by intracoronary adeno-associated virus (AAV)-mediated gene transfer. Bioluminescent imaging of AAV-transfected syngeneic grafts revealed gradual and stable transgene expression in graft cardiomyocytes. In cardiac allografts, both AAV-Ang1 and AAV-Ang2 decreased inflammation and increased antiapoptotic Bcl-2 mRNA and Bcl-2/Bax ratio at 8 weeks. Only AAV-Ang2 decreased the development of CAV, whereas AAV-Ang1 activated arterial SMC and increased PDGF-A mRNA in the allograft. Collectively, our results show that exogenous Ang1 and Ang2 have similar antiinflammatory and antiapoptotic effects in cardiac allografts. Prolonged AAV-mediated Ang1 transgene expression also induced SMC activation, whereas AAV-Ang2 lacked the SMC activating effects and decreased CAV. Our results thus highlight the common protective and diverse SMC effects of Ang1 and Ang2 in cardiac allograft microenvironment and the importance of timing of angiopoietins to achieve therapeutic effects.
血管生成素-1(Ang1)和血管生成素-2(Ang2)通过直接作用于内皮细胞和间接作用于平滑肌细胞(SMC)来调节正常血管系统的维持。血管壁细胞功能障碍被认为是心脏移植血管病变(CAV)的核心问题,在CAV中,炎症和动脉损伤会引发内膜SMC增殖。在本研究中,我们通过冠状动脉内腺相关病毒(AAV)介导的基因转移,研究了外源性Ang1和Ang2对慢性排斥反应大鼠心脏移植的影响。AAV转染的同基因移植物的生物发光成像显示,移植物心肌细胞中存在逐渐且稳定的转基因表达。在心脏移植中,AAV-Ang1和AAV-Ang2在8周时均减少了炎症反应,增加了抗凋亡蛋白Bcl-2的mRNA水平以及Bcl-2/Bax比值。只有AAV-Ang2减少了CAV的发展,而AAV-Ang1激活了动脉SMC并增加了移植心脏中血小板衍生生长因子-A(PDGF-A)的mRNA水平。总体而言,我们的结果表明外源性Ang1和Ang2在心脏移植中具有相似的抗炎和抗凋亡作用。延长AAV介导的Ang1转基因表达也会诱导SMC激活,而AAV-Ang2则缺乏SMC激活作用并减少了CAV。因此我们的结果突出了Ang1和Ang2在心脏移植微环境中的共同保护作用及对SMC的不同作用,以及血管生成素作用时机对实现治疗效果的重要性。