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Letter to the Editor| Volume 165, ISSUE 1, P195-197, April 30, 2013

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Improved limb perfusion and neoangiogenesis after intramuscular erythropoietin infusion in experimental model of limb ischemia

Published:September 10, 2012DOI:https://doi.org/10.1016/j.ijcard.2012.08.008
      Erythropoietin (EPO) is a hematopoietic cytokine which also enhances the mobilization of endothelial progenitor cells (EPCs) [
      • Heeschen C.
      • Aicher A.
      • Lehmann R.
      • et al.
      Erythropoietin is a potent physiologic stimulus for endothelial progenitor cell mobilization.
      ] and exerts a protective effect on endothelial cells in several vascular injury models [
      • Heil M.
      • Schaper W.
      Influence of mechanical, cellular, and molecular factors on collateral artery growth.
      ]. In addition, neovascularization plays a role in diseases involving ischemia, including tumors, atherosclerotic plaques, and ischemic heart disease [
      • Carmeliet P.
      Angiogenesis in health and disease.
      ]. The angiopoietin (Ang)/Tie system has been reported to be critically involved in disease progression through the activation of signaling pathways that control angiogenic remodeling [
      • Sato T.N.
      • Tozawa Y.
      • Deutsch U.
      • et al.
      Distinct roles of the receptor tyrosine kinases Tie-1 and Tie-2 in blood vessel formation.
      ]. Although Ang-1 and Ang-2 share similar binding affinities for the Tie2 receptor (the tyrosine kinase with immunoglobulin and epidermal growth factor [EGF] homology domain 2 receptor), they have opposing effects on receptor activation. Ang-1 induces receptor phosphorylation and contributes to blood vessel stabilization by the recruitment of periendothelial cells [
      • Davis S.
      • Aldrich T.H.
      • Jones P.F.
      • et al.
      Isolation of angiopoietin-1, a ligand for the TIE2 receptor, by secretion-trap expression cloning.
      ]. Therefore, we sought to investigate the effects of erythropoietin administration on perfusion, neovascularization and angiogenic factors' expression in an experimental model of limb ischemia. More specifically, we aimed to assess its effects on blood flow and vascular endothelial growth factor (VEGF), Ang-2/Tie-2 expression in the ischemic limb.

      Keywords

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      References

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        Erythropoietin is a potent physiologic stimulus for endothelial progenitor cell mobilization.
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