HIF-regulated HO-1 gene transfer improves the post-ischemic limb recovery and diminishes TLR-triggered immune responses - Effects modified by concomitant VEGF overexpression

Vascul Pharmacol. 2015 Aug:71:127-38. doi: 10.1016/j.vph.2015.02.011. Epub 2015 Apr 10.

Abstract

Heme oxygenase-1 (HO-1) mitigates cellular injury by antioxidant, anti-apoptotic, anti-inflammatory and proangiogenic effects. Vascular endothelial growth factor (VEGF) is a critical regulator of blood vessel growth. Their coordinated action was analyzed in a model of femoral artery ligation (FAL) in mice lacking HO-1 gene (HO-1 KO). Gastrocnemius skeletal muscles of HO-1 KO mice were preemptively injected with plasmids containing hypoxia-response element (HRE) driving the expression of only HO-1 (pHRE-HO1) or both HO-1 and VEGF (pHRE-HO1-VEGF). At day 14th the pHRE-HO1 vector increased an impaired post-ischemic blood flow recovery in HO-1 KO mice to the level observed in wild-type (WT) mice subjected to FAL and pHRE-HO1-VEGF restored it already at day 7. The pHRE-HO1 gene therapy diminished, when compared to control pHRE-empty-treated HO-1 KO mice, the expression of toll-like receptors (TLR4 and TLR9) and inflammatory cytokines (IL-1β, IL-6 and TNFα) at day 3, whereas opposite effects were observed following concomitant HO-1 and VEGF gene transfer. Moreover, HO-1 diminished ischemia-induced expression of MyoD involved in satellite cell differentiation in HO-1 KO mice. Our results confirm the therapeutic potential of HO-1 and VEGF against critical limb ischemia although, their concomitant delivery may have contradictory actions on the resolution of inflammation.

Keywords: Gene therapy; HO-1; HRE; Inflammation; Regeneration; TLR; VEGF.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Female
  • Gene Expression Regulation
  • Gene Transfer Techniques
  • Heme Oxygenase-1 / administration & dosage
  • Heme Oxygenase-1 / genetics*
  • Hindlimb / blood supply
  • Hypoxia-Inducible Factor 1, alpha Subunit / administration & dosage
  • Hypoxia-Inducible Factor 1, alpha Subunit / genetics*
  • Immunity, Cellular / drug effects
  • Immunity, Cellular / physiology*
  • Ischemia / genetics*
  • Ischemia / immunology
  • Ischemia / therapy
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Recovery of Function / physiology
  • Toll-Like Receptors / biosynthesis*
  • Toll-Like Receptors / immunology
  • Vascular Endothelial Growth Factor A / biosynthesis*

Substances

  • Hif1a protein, mouse
  • Hypoxia-Inducible Factor 1, alpha Subunit
  • Toll-Like Receptors
  • Vascular Endothelial Growth Factor A
  • vascular endothelial growth factor A, mouse
  • HMOX1 protein, human
  • Heme Oxygenase-1