Pioglitazone enhances collateral blood flow in ischemic hindlimb of diabetic mice through an Akt-dependent VEGF-mediated mechanism, regardless of PPARgamma stimulation.

Vincenzo Arena, Giulia De Angelis, Andrea Flex, Federico Biscetti, Giuseppe Straface, Egidio Stigliano, Paola Rizzo, Giovanni Ghirlanda, Giovanni Pecorini, Luigi Iuliano

Risultato della ricerca: Contributo in rivistaArticolo in rivistapeer review

Abstract

BACKGROUND: Type 2 diabetes mellitus (T2DM) is commonly associated with both microvascular and macrovascular complications and a strong correlation exists between glycaemic control and the incidence and progression of vascular complications. Pioglitazone, a Peroxisome proliferator-activated receptor-gamma (PPARgamma) ligand indicated for therapy of type T2DM, induces vascular effects that seem to occur independently of glucose lowering. METHODS: By using a hindlimb ischemia murine model, in this study we have found that pioglitazone restores the blood flow recovery and capillary density in ischemic muscle of diabetic mice and that this process is associated with increased expression of Vascular Endothelial Growth Factor (VEGF). Importantly, these beneficial effects are abrogated when endogenous Akt is inhibited; furthermore, the direct activation of PPARgamma, with its selective agonist GW1929, does not restore blood flow recovery and capillary density. Finally, an important collateral vessel growth is obtained with combined treatment with pioglitazone and selective PPARgamma inhibitor GW9662. CONCLUSION: These data demonstrate that Akt-VEGF pathway is essential for ischemia-induced angiogenic effect of pioglitazone and that pioglitazone exerts this effect via a PPARgamma independent manner.
Lingua originaleEnglish
pagine (da-a)1-8
Numero di pagine8
RivistaCardiovascular Diabetology
Volume8
Stato di pubblicazionePubblicato - 2009

Keywords

  • Akt
  • PPARγ
  • Pioglitazone
  • VEGF
  • diabetic mice
  • ischemic hindlimb

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