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2016 ; 113
(35
): 9934-9
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Bioelectric impact of pathological angiogenesis on vascular function
#MMPMID27551068
Puro DG
; Kohmoto R
; Fujita Y
; Gardner TW
; Padovani-Claudio DA
Proc Natl Acad Sci U S A
2016[Aug]; 113
(35
): 9934-9
PMID27551068
show ga
Pathological angiogenesis, as seen in many inflammatory, immune, malignant, and
ischemic disorders, remains an immense health burden despite new molecular
therapies. It is likely that further therapeutic progress requires a better
understanding of neovascular pathophysiology. Surprisingly, even though
transmembrane voltage is well known to regulate vascular function, no previous
bioelectric analysis of pathological angiogenesis has been reported. Using the
perforated-patch technique to measure vascular voltages in human retinal
neovascular specimens and rodent models of retinal neovascularization, we
discovered that pathological neovessels generate extraordinarily high voltage.
Electrophysiological experiments demonstrated that voltage from aberrantly
located preretinal neovascular complexes is transmitted into the intraretinal
vascular network. With extensive neovascularization, this voltage input is
substantial and boosts the membrane potential of intraretinal blood vessels to a
suprahyperpolarized level. Coincident with this suprahyperpolarization, the
vasomotor response to hypoxia is fundamentally altered. Instead of the
compensatory dilation observed in the normal retina, arterioles constrict in
response to an oxygen deficiency. This anomalous vasoconstriction, which would
potentiate hypoxia, raises the possibility that the bioelectric impact of
neovascularization on vascular function is a previously unappreciated
pathophysiological mechanism to sustain hypoxia-driven angiogenesis.