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Neuropeptide Y induces ischemic angiogenesis and restores function of ischemic skeletal muscles
Edward W. Lee, … , Derrick S. Grant, Zofia Zukowska
Edward W. Lee, … , Derrick S. Grant, Zofia Zukowska
Published June 15, 2003
Citation Information: J Clin Invest. 2003;111(12):1853-1862. https://doi.org/10.1172/JCI16929.
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Article Cardiology

Neuropeptide Y induces ischemic angiogenesis and restores function of ischemic skeletal muscles

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Abstract

Previously we showed that neuropeptide Y (NPY), a sympathetic vasoconstrictor neurotransmitter, stimulates endothelial cell migration, proliferation, and differentiation in vitro. Here, we report on NPY’s actions, receptors, and mediators in ischemic angiogenesis. In rats, hindlimb ischemia stimulates sympathetic NPY release (attenuated by lumbar sympathectomy) and upregulates NPY-Y2 (Y2) receptor and a peptidase forming Y2/Y5-selective agonist. Exogenous NPY at physiological concentrations also induces Y5 receptor, stimulates neovascularization, and restores ischemic muscle blood flow and performance. NPY-mediated ischemic angiogenesis is not prevented by a selective Y1 receptor antagonist but is reduced in Y2–/– mice. Nonischemic muscle vascularity is also lower in Y2–/– mice, whereas it is increased in NPY-overexpressing rats compared with their WT controls. Ex vivo, NPY-induced aortic sprouting is markedly reduced in Y2–/– aortas and spontaneous sprouting is severely impaired in NPY–/– mice. NPY-mediated aortic sprouting, but not cell migration/proliferation, is blocked by an antifetal liver kinase 1 antibody and abolished in mice null for eNOS. Thus, NPY mediates neurogenic ischemic angiogenesis at physiological concentrations by activating Y2/Y5 receptors and eNOS, in part due to release of VEGF. NPY’s effectiveness in revascularization and restoring function of ischemic tissue suggests its therapeutic potential in ischemic conditions.

Authors

Edward W. Lee, Mieczyslaw Michalkiewicz, Joanna Kitlinska, Ivana Kalezic, Hanna Switalska, Peter Yoo, Amarin Sangkharat, Hong Ji, Lijun Li, Teresa Michalkiewicz, Milos Ljubisavljevic, Hakan Johansson, Derrick S. Grant, Zofia Zukowska

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Figure 3

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NPY normalizes blood flow of ischemic gastrocnemius muscle (a) and impro...
NPY normalizes blood flow of ischemic gastrocnemius muscle (a) and improves it in the footpad (b), and restores function of ischemic gastrocnemius muscle. (c, d, and e) Individual recordings of 112 tetanic contractions, superimposed on each other, in nonischemic, ischemic, and NPY-treated ischemic muscles. Note the peak force of the first (uppermost) and last (lowest curve) contractions, indicating declining force due to prominent fatigue. (f) Isometric speed (time to attain the peak slope of the first tetanic contraction) and the fatigue index (the percent ratio of the peak force of the first to the 52nd contraction) in nonischemic, ischemic, and NPY-treated ischemic muscles (*P < 0.001, **P < 0.01, n = 6–8).

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ISSN: 0021-9738 (print), 1558-8238 (online)

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