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10.1038/nm.3703

http://scihub22266oqcxt.onion/10.1038/nm.3703
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C4257756!4257756!25362254
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suck abstract from ncbi


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pmid25362254      Nat+Med 2014 ; 20 (12): 1464-71
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  • An anti-angiogenic isoform of VEGF-A contributes to impaired vascularization in peripheral artery disease #MMPMID25362254
  • Kikuchi R; Nakamura K; MacLauchlan S; Ngo DTM; Shimizu I; Fuster JJ; Katanasaka Y; Yoshida S; Qiu Y; Yamaguchi TP; Matsushita T; Murohara T; Gokce N; Bates DO; Hamburg NM; Walsh K
  • Nat Med 2014[Dec]; 20 (12): 1464-71 PMID25362254show ga
  • Peripheral artery disease (PAD) generates tissue ischemia through arterial occlusions and insufficient collateral vessel formation. Vascular insufficiency in PAD occurs despite higher circulating levels of vascular endothelial growth factor A (VEGF-A),1,2 a key regulator of angiogenesis. Here, we show that clinical PAD is associated with elevated anti-angiogenic VEGF-A splice isoform (VEGF-A165b), and a corresponding reduction of the pro-angiogenic VEGF-A165a isoform. In a murine model of PAD, VEGF-A165b was upregulated by conditions associated with impaired limb revascularization, including leptin-deficiency, diet-induced obesity, genetic ablation of the secreted frizzled-related protein 5 (Sfrp5) adipokine and transgenic overexpression of Wnt5a in myeloid cells. In PAD models, delivery of VEGF-A165b inhibited revascularization of ischemic hind limbs, whereas treatment with an isoform-specific neutralizing antibody reversed the impaired revascularization phenotype caused by metabolic dysfunction or perturbations in the Wnt5a/Sfrp5 regulatory system. These results indicate that inflammation driven expression of the anti-angiogenic VEGF-A isoform can contribute to impaired collateralization in ischemic cardiovascular disease.
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