Abstract
Background - Human tissue kallikrein (HK) releases kinins from kininogen. We investigated whether adenovirus-mediated HK gene delivery is angiogenic in the context of ischemia. Methods and Results - Hindlimb ischemia, caused by femoral artery excision, increased muscular capillary density (P<0.001) and induced the expression of kinin B1 receptor gene (P<0.05). Pharmacological blockade of B1 receptors blunted ischemia-induced angiogenesis (P<0.01), whereas kinin B2 receptor antagonism was ineffective. Intramuscular delivery of adenovirus containing the HK gene (Ad.CMV-cHK) enhanced the increase in capillary density caused by ischemia (969±32 versus 541±18 capillaries/mm2 for control, P<0.001), accelerated blood flow recovery (P<0.01), and preserved energetic charge of ischemic muscle (P<0.01). Chronic blockade of kinin B1 or B2 receptors prevented HK-induced angiogenesis. Conclusions - HK gene delivery enhances the native angiogenic response to ischemia. Angiogenesis gene therapy with HK might be applicable to peripheral occlusive vascular disease.
Original language | English (US) |
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Pages (from-to) | 125-132 |
Number of pages | 8 |
Journal | Circulation |
Volume | 103 |
Issue number | 1 |
DOIs | |
State | Published - Jan 9 2001 |
Externally published | Yes |
Keywords
- Angiogenesis
- Bradykinin
- Gene therapy
- Ischemia
- Muscles
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Physiology (medical)