From the Department of Medicine, Division of Cardiology (A.M.A., B.L., G.J., J.S.L., D.W., W.R.T., K.K.G.) and The Wallace H. Coulter Department of Biomedical Engineering (W.R.T.), Emory University, Atlanta, GA; and Department of Medicine, Division of Cardiology, Atlanta VA Medical Center, GA (W.R.T.).
Arterioscler Thromb Vasc Biol. 2014 Jul;34(7):1548-55. doi: 10.1161/ATVBAHA.114.303873. Epub 2014 May 22.
Collateral vessel formation can functionally compensate for obstructive vascular lesions in patients with atherosclerosis. Neovascularization processes are triggered by fluid shear stress, hypoxia, growth factors, chemokines, proteases, and inflammation, as well as reactive oxygen species, in response to ischemia. Polymerase δ-interacting protein 2 (Poldip2) is a multifunctional protein that regulates focal adhesion turnover and vascular smooth muscle cell migration and modifies extracellular matrix composition. We, therefore, tested the hypothesis that loss of Poldip2 impairs collateral formation.
The mouse hindlimb ischemia model has been used to understand mechanisms involved in postnatal blood vessel formation. Poldip2(+/-) mice were subjected to femoral artery excision, and functional and morphological analysis of blood vessel formation was performed after injury. Heterozygous deletion of Poldip2 decreased the blood flow recovery and spontaneous running activity at 21 days after injury. H2O2 production, as well as the activity of matrix metalloproteinases-2 and -9, was reduced in these animals compared with Poldip2(+/+) mice. Infiltration of macrophages in the peri-injury muscle was also decreased; however, macrophage phenotype was similar between genotypes. In addition, the formation of capillaries and arterioles was impaired, as was angiogenesis, in agreement with a decrease in proliferation observed in endothelial cells treated with small interfering RNA against Poldip2. Finally, regression of newly formed vessels and apoptosis was more pronounced in Poldip2(+/-) mice.
Together, these results suggest that Poldip2 promotes ischemia-induced collateral vessel formation via multiple mechanisms that likely involve reactive oxygen species-dependent activation of matrix metalloproteinase activity, as well as enhanced vascular cell growth and survival.
侧支血管的形成可以在动脉粥样硬化患者中对阻塞性血管病变起到功能性的补偿作用。新生血管过程由流体切应力、缺氧、生长因子、趋化因子、蛋白酶和炎症以及活性氧(response to ischemia)引发。聚合酶 δ 相互作用蛋白 2(Poldip2)是一种多功能蛋白,可调节焦点黏附的周转和血管平滑肌细胞的迁移,并改变细胞外基质的组成。因此,我们检验了缺失 Poldip2 会损害侧支形成的假设。
我们使用小鼠后肢缺血模型来理解参与血管生成的机制。将 Poldip2(+/-) 小鼠进行股动脉切除,并在损伤后对血管形成的功能和形态进行分析。杂合缺失 Poldip2 会降低损伤后 21 天的血流恢复和自发跑步活动。与 Poldip2(+/+) 小鼠相比,这些动物的 H2O2 产生以及基质金属蛋白酶-2 和 -9 的活性降低。损伤周围肌肉中的巨噬细胞浸润也减少;然而,基因型之间的巨噬细胞表型相似。此外,毛细血管和小动脉的形成以及血管生成受损,这与内皮细胞用针对 Poldip2 的小干扰 RNA 处理后观察到的增殖减少一致。最后,在 Poldip2(+/-) 小鼠中,新形成的血管和细胞凋亡的退化更为明显。
总之,这些结果表明,Poldip2 通过多种机制促进缺血诱导的侧支血管形成,这些机制可能涉及活性氧依赖的基质金属蛋白酶活性的激活,以及增强血管细胞的生长和存活。