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2015 ; 7
(10
): 1366-84
Nephropedia Template TP
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VEGF dose regulates vascular stabilization through Semaphorin3A and the
Neuropilin-1+ monocyte/TGF-?1 paracrine axis
#MMPMID26323572
Groppa E
; Brkic S
; Bovo E
; Reginato S
; Sacchi V
; Di Maggio N
; Muraro MG
; Calabrese D
; Heberer M
; Gianni-Barrera R
; Banfi A
EMBO Mol Med
2015[Oct]; 7
(10
): 1366-84
PMID26323572
show ga
VEGF is widely investigated for therapeutic angiogenesis, but while short-term
delivery is desirable for safety, it is insufficient for new vessel persistence,
jeopardizing efficacy. Here, we investigated whether and how VEGF dose regulates
nascent vessel stabilization, to identify novel therapeutic targets. Monoclonal
populations of transduced myoblasts were used to homogeneously express specific
VEGF doses in SCID mouse muscles. VEGF was abrogated after 10 and 17 days by
Aflibercept treatment. Vascular stabilization was fastest with low VEGF, but
delayed or prevented by higher doses, without affecting pericyte coverage.
Rather, VEGF dose-dependently inhibited endothelial Semaphorin3A expression,
thereby impairing recruitment of Neuropilin-1-expressing monocytes (NEM), TGF-?1
production and endothelial SMAD2/3 activation. TGF-?1 further initiated a
feedback loop stimulating endothelial Semaphorin3A expression, thereby amplifying
the stabilizing signals. Blocking experiments showed that NEM recruitment
required endogenous Semaphorin3A and that TGF-?1 was necessary to start the
Semaphorin3A/NEM axis. Conversely, Semaphorin3A treatment promoted NEM
recruitment and vessel stabilization despite high VEGF doses or transient
adenoviral delivery. Therefore, VEGF inhibits the endothelial
Semaphorin3A/NEM/TGF-?1 paracrine axis and Semaphorin3A treatment accelerates
stabilization of VEGF-induced angiogenesis.