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Integrative Physiology |
From the Department of Experimental Cardiology (M.H., T.Z., S.W., B.F., A.H., S.M., S.T., W.S.), Max-Planck-Institute for Physiological and Clinical Research, Bad Nauheim, Germany; Protein Design Labs, Inc. (W.A.K.), Fremont, Calif; Kerckhoff-Clinic (G.B.), Bad Nauheim, Germany.
Correspondence to Matthias Heil, Benekestr. 2, 61231 Bad Nauheim, Germany. E-mail m.heil{at}kerckhoff.mpg.de
Arteriogenesis has been associated with the presence of monocytes/macrophages within the collateral vessel wall. Induced macrophage migration in vivo is driven by the binding of monocyte chemoattractant protein-1 (MCP-1, or CCL2 in the new nomenclature) to the CCR2-chemokine receptor on macrophages. To determine whether the CCL2-CCR2 signaling pathway is involved in the accumulation of macrophages in growing collateral vessels, we used mice that are deficient in CCR2 in a model of experimental arterial occlusion and collateral vessel growth. In an in vitro CCL2-driven chemotaxis assay, mononuclear cells isolated from wild-type BALB/c mice exhibited CCL2 concentrationdependent migration, whereas this migration was abolished in cells from CCR2-/- mice on a BALB/c genetic background. In vivo, blood flow recovery as measured by laser Doppler (LDI) and MRI (MRI) was impaired in CCR2-/- mice on either the BALB/c or C57BL/6 genetic backgrounds. Three weeks after femoral artery ligation, LDI perfusion ratio of operated versus nonoperated distal hindlimb in BALB/c wild-type mice increased to 0.45±0.06 and in CCR2-/- animals only to 0.21±0.03 (P<0.01). In C57BL/6 mice, ratio increased to 0.96±0.09 and 0.85±0.08 (P<0.05), respectively. MRI at 3 weeks (0.76±0.06 versus 0.62±0.01; P<0.05) and hemoglobin oxygen saturation measurements confirmed these findings. Active foot movement score significantly decreased and gastrocnemius muscle atrophy was significantly greater in CCR2-/- mice. Morphometric analysis showed a lesser increase in collateral vessel diameters in CCR2-/- mice. Importantly, the number of invaded monocytes/macrophages in the perivascular space of collateral arteries of CCR2-/- animals was dramatically reduced in comparison to wild-type mice. In conclusion, our results demonstrate that the CCR2 signaling pathway is essential for efficient collateral artery growth.
Key Words: collateral artery growth monocytes CCL2 CCR2 hindlimb ischemia
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