Evidence for the importance of angiotensin II type 1 receptor in ischemia-induced angiogenesis

J Clin Invest. 2002 Mar;109(5):603-11. doi: 10.1172/JCI13055.

Abstract

The role of the renin-angiotensin system (RAS) in angiogenesis is little known. Here, we show that the angiotensin II (ATII) type 1 (AT1) receptor plays an important role in ischemia-induced angiogenesis. Well-developed collateral vessels and angiogenesis were observed in wild-type (WT) mice in response to hindlimb ischemia, whereas these responses were reduced in ATII type 1a receptor knockout (AT1a(-/-)) mice. Ischemia-induced angiogenesis was also impaired in WT mice treated with the AT1 receptor blocker TCV-116. These effects were not due to reduced systemic blood pressure (SBP), because hydralazine treatment preserved angiogenesis in WT mice although it reduced SBP to a level similar to that of AT1a(-/-) mice. Infiltration of inflammatory mononuclear cells (MNCs), including macrophages and T lymphocytes, was suppressed in the ischemic tissues of AT1a(-/-) mice compared with WT mice. Double immunofluorescence staining revealed that infiltrated macrophages and T lymphocytes expressed VEGF, and the expression of VEGF and monocyte chemoattractant protein-1 was also decreased in AT1a(-/-). Finally, the impaired angiogenesis in AT1a(-/-) mice was rescued by intramuscular transplantation of MNCs obtained from WT mice, further indicating the importance of MNC infiltration in ischemia-induced angiogenesis. Thus, the ATII--AT1 receptor pathway promotes early angiogenesis by supporting inflammatory cell infiltration and angiogenic cytokine expression.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Angiotensin Receptor Antagonists
  • Animals
  • Blood Pressure / drug effects
  • Blood Pressure / physiology
  • Capillaries / pathology
  • Chemokine CCL2 / physiology
  • Endothelial Growth Factors / physiology
  • Hindlimb / blood supply
  • Hydralazine / pharmacology
  • Imidazoles / pharmacology
  • Inflammation / etiology
  • Inflammation / pathology
  • Ischemia / complications*
  • Ischemia / physiopathology*
  • Leukocytes, Mononuclear / pathology
  • Leukocytes, Mononuclear / transplantation
  • Lymphokines / physiology
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Neovascularization, Pathologic / etiology*
  • Neovascularization, Pathologic / physiopathology*
  • Pyridines / pharmacology
  • Receptor, Angiotensin, Type 1
  • Receptors, Angiotensin / deficiency
  • Receptors, Angiotensin / genetics
  • Receptors, Angiotensin / physiology*
  • Vascular Endothelial Growth Factor A
  • Vascular Endothelial Growth Factors

Substances

  • Angiotensin Receptor Antagonists
  • Chemokine CCL2
  • Endothelial Growth Factors
  • Imidazoles
  • Lymphokines
  • Pyridines
  • Receptor, Angiotensin, Type 1
  • Receptors, Angiotensin
  • Vascular Endothelial Growth Factor A
  • Vascular Endothelial Growth Factors
  • PD 123319
  • Hydralazine