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Angiopoietin-1 stimulates HIF-1-mediated SDF-1 overexpression and recovers ischemic injury through BM-derived progenitor cell recruitment
서울대학교병원 심혈관연구실¹ , 서울대학교병원 순환기내과² , 한국과학기술원 생명과학과³
윤석원¹, 이세원¹ , 이재원¹ , 정한결¹ , 서정원² , 윤창환² , 강현재² , 김학주³ , 고규영³ , 오병희² , 박영배² , 김효수¹ ²
Background: Recruitment and adhesion of bone marrow (BM)-derived circulating progenitor cells to ischemic tissue are important for vasculogenesis and tissue repair. Recently, we found angiopoietin-1 (Ang-1) is a useful cell-priming agent to improve the therapeutic efficacy of progenitor cells. However, the systemic effect and the underlying mechanisms of Ang-1 on recruitment of BM-derived progenitor cells to foci of vascular injury have not been well defined. Methods and Results: Ang-1 is a critical stimulator of stromal cell-derived factor (SDF-1), the principal regulator of BM-cells trafficking. Furthermore, SDF-1 stimulation by Ang-1 was blocked by siRNA against hypoxia-inducible factor-1(HIF-1α). Ang-1 increased the synthesis of HIF-1α by activating mammalian target of rapamycin (mTOR) in hypoxic endothelium. The intermediate mechanism transmitting Ang-1 signal to downstream mTOR/HIF1α/SDF-1 pathway was the enhanced binding of Tie2 receptor with integrin-linked kinase (ILK), an upstream activator of mTOR. In mouse ischemic model, local injection of Ang-1 stimulated the incorporation of BM-derived progenitor cells into ischemic limb, thereby enhanced neovasculogenesis and limb salvage. Conclusion: Our findings identify Ang-1/HIF-1α/SDF-1 pathway as a novel inducer of BM-derived progenitor cells recruitment and neovasculogenesis in ischemic disease.


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