1.Agrimoniae Herba-Coptidis Rhizoma inhibits angiogenesis in colorectal cancer inflammatory microenvironment based on network pharmacology and experiment validation.
Xin-Ling SHEN ; Hai-Yan PENG ; Huang-Jie FU ; Ya-Ping HE ; Zhi-Yu LI ; Min-Yan HOU ; Shu-Juan ZHANG ; Han XIONG
China Journal of Chinese Materia Medica 2024;49(21):5762-5770
This study aims to investigate the effect and mechanism of the herb pair Agrimoniae Herba-Coptidis Rhizoma in inhibiting angiogenesis in the colorectal cancer inflammatory microenvironment by using the method of network pharmacology and the zebrafish model. The method of network pharmacology was employed to obtain the active components, potential core targets, and signaling pathways regulated by the herb pair in inhibiting angiogenesis in the inflammatory microenvironment of colorectal cancer, on the basis of which the underlying mechanism was predicted. The zebrafish model of colorectal cancer was established, and the inflammatory microenvironment was modeled. The effects of different concentrations of the herb pair on the area, number, and length of intersegmental vessels(ISVs) of the zebrafish model were observed. Western blot and real-time quantitative PCR were employed to measure the protein and mRNA levels, respectively, of vascular endothelial growth factor A(VEGFA), vascular epidermal growth factor receptor 2(VEGFR2, also known as kdrl, Flk1), and vascular epidermal growth factor receptor 3(VEGFR3, also known as Flt4). A total of 18 active components and 488 potential targets of Agrimoniae Herba-Coptidis Rhizoma were predicted, and 108 common targets were shared by the herb pair and the disease. According to the results of KEGG pathway enrichment analysis, the angiogenesis-related factors VEGFA, kdrl, and Flt4 in the VEGFA/VEGFR2 signaling pathway were selected for verification. The zebrafish experiment showed that compared with the blank group, the model group showed increased area, number, and length of ISVs in the inflammatory microenvironment. Compared with the model group, the herb pair decreased the area, number, and length of ISVs in a concentration-dependent manner. Compared with the blank group, the model group showed up-regulated protein and mRNA levels of VEGFA, kdrl, and Flt4 in the inflammatory microenvironment. Compared with the model group, the herb pair down-regulated the protein and mRNA levels of VEGFA, kdrl, and Flt4 in a concentration-dependent manner. The results indicated that in the colorectal cancer inflammatory microenvironment, the herb pair Agrimoniae Herba-Coptidis Rhizoma could inhibit angiogenesis via multiple components, targets, and pathways. The anti-angiogenesis effect might be related to the down-regulation of the expression levels of angiogenesis-related factors VEGFA, kdrl, and Flt4 in the VEGFA/VEGFR2 signaling pathway.
Zebrafish
;
Animals
;
Drugs, Chinese Herbal/pharmacology*
;
Network Pharmacology
;
Colorectal Neoplasms/metabolism*
;
Neovascularization, Pathologic/drug therapy*
;
Humans
;
Vascular Endothelial Growth Factor A/metabolism*
;
Tumor Microenvironment/drug effects*
;
Angiogenesis Inhibitors/pharmacology*
;
Vascular Endothelial Growth Factor Receptor-2/metabolism*
;
Signal Transduction/drug effects*
;
Coptis chinensis
;
Inflammation/drug therapy*
;
Angiogenesis
2.Morin, a matrix metalloproteinase 9 inhibitor, attenuates endothelial-to-mesenchymal transition in atherosclerosis by downregulating Notch-1 signaling.
Yuan HE ; Xiao-Xuan QIN ; Ming-Wei LIU ; Wei SUN
Journal of Integrative Medicine 2024;22(6):683-695
OBJECTIVE:
Atherosclerotic cardiovascular disease poses a significant health challenge globally. Recent findings highlight the pivotal role of the endothelial-to-mesenchymal transition (EndMT) in atherosclerosis. Morin is a bioflavonoid mainly extracted from white mulberry, a traditional Chinese herbal medicine with anti-inflammatory and antioxidant properties. This study examines whether morin can alleviate atherosclerosis by suppressing EndMT and seeks to elucidate the underlying mechanism.
METHODS:
We induced an in vitro EndMT model in human umbilical vein endothelial cells (HUVECs) by stimulating the cells with transforming growth factor-β1 (TGF-β1) (10 ng/mL) for 48 h. The in vivo experiments were performed in an atherosclerosis model using apolipoprotein E (ApoE)-/- mice fed with a high-fat diet (HFD). Mice in the intervention group were given morin (50 mg/kg) orally for 4 weeks. Molecular docking and microscale thermophoresis were assayed to understand the interactions between morin and matrix metalloproteinase-9 (MMP-9).
RESULTS:
Morin inhibited the expression of EndMT markers in a dose-dependent manner in TGF-β1-treated HUVECs. Administering 50 μmol/L morin suppressed the upregulation of MMP-9 and Notch-1 signaling in TGF-β1-induced EndMT. Moreover, the overexpression of MMP-9 activated Notch-1 signaling, thereby reversing morin's inhibitory effect on EndMT. In the HFD-induced atherosclerotic ApoE-/- mice, morin notably reduced aortic intimal hyperplasia and plaque formation by suppressing EndMT. Furthermore, morin demonstrated a strong binding affinity for MMP-9.
CONCLUSION
Morin acts as an MMP-9 inhibitor to disrupt EndMT in atherosclerosis by limiting the activation of Notch-1 signaling. This study underscores morin's potential utility in the development of anti-atherosclerotic medication. Please cite this article as: He Y, Qin XX, Liu MW, Sun W. Morin, a matrix metalloproteinase 9 inhibitor, attenuates endothelial-to-mesenchymal transition in atherosclerosis by downregulating Notch-1 Signaling. J Integr Med. 2024; 22(6): 684-696.
Flavonoids/pharmacology*
;
Animals
;
Atherosclerosis/metabolism*
;
Humans
;
Receptor, Notch1/genetics*
;
Signal Transduction/drug effects*
;
Matrix Metalloproteinase 9/genetics*
;
Human Umbilical Vein Endothelial Cells/drug effects*
;
Mice
;
Epithelial-Mesenchymal Transition/drug effects*
;
Down-Regulation/drug effects*
;
Male
;
Transforming Growth Factor beta1/genetics*
;
Matrix Metalloproteinase Inhibitors/pharmacology*
;
Mice, Inbred C57BL
;
Flavones
3.Effects of components in stasis-resolving and collateral-dredging Chinese herbal medicines on angiogenesis and inflammatory response of human umbilical vein endothelial cells induced by VEGF.
Bing LUAN ; Rong YUAN ; Qi-Qi XIN ; Wei-Hong CONG ; Ping SONG
China Journal of Chinese Materia Medica 2022;47(3):737-744
The present study investigated the mechanism of components in stasis-resolving and collateral-dredging Chinese herbal medicines, including scutellarin(Scu), paeonol(Pae), and hydroxy safflower yellow A(HSYA), in the treatment of psoriasis by regulating angiogenesis and inflammation. The human umbilical vein endothelial cells(HUVECs) cultured in vitro were divided into a normal group, a model group, a VEGFR tyrosine kinase inhibitor Ⅱ(VRI) group, and Scu, Pae, and HSYA groups with low, me-dium, and high doses. Cell viability was detected by the CCK-8 assay. Cell migration was detected by wound healing assay. Tube formation assay was used to measure the tube formation ability. Western blot was used to detect the protein expression of the VEGFR2/Akt/ERK1/2 signaling pathway. The secretion levels of inflammatory cytokines IFN-γ, IL-1β, IL-6, and TNF-α were detected by ELISA. The results showed that compared with the model group, all the Scu, Pae, and HSYA groups could reduce cell viability, inhibit cell migration and tube formation(P<0.05, P<0.01), and down-regulated the protein expression of VEGFR2, p-VEGFR2, Akt, p-Akt, ERK1/2, and p-ERK1/2. Scu and Pae could down-regulate VEGFR2 expression(P<0.05, P<0.01), while other groups only showed a downward trend. Scu and Pae significantly reduced IFN-γ and IL-6 levels(P<0.01), and HSYA significantly reduced the levels of IFN-γ, IL-1β, and IL-6(P<0.01). Scu, Pae, and HSYA had no significant effect on TNF-α. The results suggested that Scu, Pae, and HSYA may exert a therapeutic role in psoriasis-related angiogenesis and inflammation by inhibiting VEGFR2/Akt/ERK1/2 signaling pathway and inhibiting the secretion of IFN-γ, IL-1β, and IL-6.
Angiogenesis Inhibitors/pharmacology*
;
China
;
Human Umbilical Vein Endothelial Cells
;
Humans
;
Neovascularization, Pathologic/drug therapy*
;
Vascular Endothelial Growth Factor A/metabolism*
4.Expert Consensus on the Treatment of Antiangiogenic Agents for Radiation Brain Necrosis.
Yi CHEN ; Xin WANG ; Bing SUN ; Maobin MENG ; Enmin WANG ; Zhiyong YUAN ; Hongqing ZHUANG
Chinese Journal of Lung Cancer 2022;25(5):291-294
Vascular damage is followed by vascular endothelial growth factor (VEGF) expression at high levels, which is an important mechanism for cerebral radiation necrosis (CRN) development. Antiangiogenic agents (Bevacizumab) alleviates brain edema symptoms caused by CRN through inhibiting VEGF and acting on vascular tissue around the brain necrosis area. Many studies have confirmed that Bevacizumab effectively relieves symptoms caused by brain necrosis, improves patients' performance status and brain necrosis imaging. Considering that the efficacy of antiangiogenic therapy is mainly related to the duration of drug action, low-dose antiangiogenic agents can achieve favorable efficacy. Prevention is the best treatment. The occurrence of CRN is associated with tumor-related factors and treatment-related factors. By controlling these factors, CRN can be effectively prevented.
.
Angiogenesis Inhibitors/pharmacology*
;
Bevacizumab/therapeutic use*
;
Brain/metabolism*
;
Consensus
;
Humans
;
Lung Neoplasms/drug therapy*
;
Necrosis/etiology*
;
Radiation Injuries/etiology*
;
Vascular Endothelial Growth Factor A/metabolism*
5.HBV-upregulated Lnc-HUR1 inhibits the apoptosis of liver cancer cells.
Yongchen CHEN ; Jinyan WEN ; Dandan QI ; Xiaomei TONG ; Ningning LIU ; Xin YE
Chinese Journal of Biotechnology 2022;38(9):3501-3514
Lnc-HUR1 is an HBV-related long non-coding RNA, which can promote the proliferation of hepatoma cells and the occurrence and development of liver cancer. In this study we explored the effect of lnc-HUR1 on the apoptosis of hepatocellular carcinoma cells by taking the approach of immunoblotting, quantitative real time PCR, luciferase reporter assay, chromatin immunoprecipitation (ChIP) and flow cytometry. We found that overexpression of lnc-HUR1 significantly reduced the activity of caspase3/7 and the cleavage of PARP-1, while knocking down of lnc-HUR1 significantly increased the activity of caspase3/7 and promoted the cleavage of PARP-1 in HepG2 cells treated with TGF-β, pentafluorouracil or staurosporine. Consistently, the data from Annexin-V/PI staining showed that overexpression of lnc-HUR1 inhibited apoptosis, while knockdown of lnc-HUR1 promoted apoptosis. Moreover, overexpression of lnc-HUR1 up-regulated the apoptosis inhibitor Bcl-2 and down-regulated the pro-apoptotic factor BAX at both RNA and protein levels. In the CCL4-induced acute liver injury mice model, the expression of Bcl-2 in the liver tissue of lnc-HUR1 transgenic mice was higher than that of the control mice. The data from ChIP assay indicated that lnc-HUR1 reduced the enrichment of p53 on Bcl-2 and BAX promoters. All these results indicated that lnc-HUR1 inhibited the apoptosis by promoting the expression of apoptosis inhibitor Bcl-2 and inhibiting the expression of apoptosis promoting factor BAX. Further studies showed that lnc-HUR1 regulated the transcription of Bcl-2 and BAX in HCT116 cells, but had no effect on the expression of Bcl-2 and BAX in HCT116 p53-/- cells, indicating that lnc-HUR1 regulates the transcription of Bcl-2 and BAX dependent upon the activity of p53. In conclusion, HBV upregulated lnc-HUR1 can inhibit the apoptosis of hepatoma cells. Lnc-HUR1 inhibits apoptosis by inhibiting the transcriptional activity of p53. These results suggest that lnc-HUR1 plays an important role in the occurrence and development of HBV-related hepatocellular carcinoma.
Animals
;
Annexins/pharmacology*
;
Apoptosis
;
Carcinoma, Hepatocellular/genetics*
;
Cell Proliferation
;
Hep G2 Cells
;
Hepatitis B virus/metabolism*
;
Humans
;
Liver Neoplasms/genetics*
;
Mice
;
Poly(ADP-ribose) Polymerase Inhibitors/pharmacology*
;
Proto-Oncogene Proteins c-bcl-2/pharmacology*
;
RNA, Long Noncoding/metabolism*
;
Staurosporine/pharmacology*
;
Transforming Growth Factor beta/pharmacology*
;
Tumor Suppressor Protein p53/pharmacology*
;
bcl-2-Associated X Protein/pharmacology*
6.Panax Notoginseng Saponin Attenuates Gastric Mucosal Epithelial Cell Injury Induced by Dual Antiplatelet Drugs through COX and PI3K/Akt/ VEGF-GSK-3β-RhoA Network Pathway.
Ming-Ming WANG ; Mei XUE ; Zhong-Hai XIN ; Yan-Hui WANG ; Rui-Jie LI ; Hong-Yan JIANG ; Da-Zhuo SHI
Chinese journal of integrative medicine 2021;27(11):819-824
OBJECTIVE:
To elucidate the underlying mechanism of Panax notoginseng saponin (PNS) on gastric epithelial cell injury and barrier dysfunction induced by dual antiplatelet (DA).
METHODS:
Human gastric mucosal epithelial cell (GES-1) was cultured and divided into 4 groups: a control, a DA, a PNS+DA and a LY294002+PNS+DA group. GES-1 apoptosis was detected by flow cytometry, cell permeability were detected using Transwell, level of prostaglandins E2 (PGE2), 6-keto-prostaglandin F1α (6-keto-PGF1α) and vascular endothelial growth factor (VEGF) in supernatant were measured by enzyme linked immunosorbent assay (ELISA), expression of phosphatidylinositide 3-kinase (PI3K), phosphorylated-PI3K (p-PI3K), Akt, phosphorylated-Akt (p-Akt), cyclooxygenase-1 (COX-1), cyclooxygenase-2 (COX-2), glycogen synthase kinase-3β (GSK-3β) and Ras homolog gene family member A (RhoA) were measured by Western-blot.
RESULTS:
DA induced apoptosis and hyper-permeability in GES-1, reduced supernatant level of PGE2, 6-keto-PGF1α and VEGF (P<0.05). Addition of PNS reduced the apoptosis of GES-1 caused by DA, restored the concentration of PGE2, 6-keto-PGF1α and VEGF (P<0.05). In addition, PNS attenuated the alteration of COX-1 and COX-2 expression induced by DA, up-regulated p-PI3K/p-Akt, down-regulated RhoA and GSK-3β. LY294002 mitigated the effects of PNS on cell apoptosis, cell permeability, VEGF concentration, and expression of RhoA and GSK-3β significantly.
CONCLUSIONS
PNS attenuates the suppression on COX/PG pathway from DA, alleviates DA-induced GES-1 apoptosis and barrier dysfunction through PI3K/Akt/ VEGF-GSK-3β-RhoA network pathway.
Cyclooxygenase 1
;
Epithelial Cells/metabolism*
;
Glycogen Synthase Kinase 3 beta
;
Humans
;
Panax notoginseng
;
Phosphatidylinositol 3-Kinases/metabolism*
;
Platelet Aggregation Inhibitors
;
Proto-Oncogene Proteins c-akt/metabolism*
;
Saponins/pharmacology*
;
Vascular Endothelial Growth Factor A
;
rhoA GTP-Binding Protein
7.Role of cyclophilin A during coronavirus replication and the antiviral activities of its inhibitors.
Lu TIAN ; Wenjun LIU ; Lei SUN
Chinese Journal of Biotechnology 2020;36(4):605-611
Cyclophilin A (CypA) is a widely distributed and highly conserved protein in organisms. It has peptidyl-prolyl cis/trans isomerase activity and is a receptor for cyclosporin A (CsA). Coronaviruses are enveloped, single-stranded, positive-sense RNA viruses. Seven types of coronaviruses are currently known to infect humans, among which SARS-CoV, MERS-CoV, and SARS-CoV-2 are fatal for humans. It is well established that CypA is essential for the replication of various coronaviruses such as SARS-CoV, CoV-229E, CoV-NL63, and FCoV. Additionally, CsA and its derivatives (ALV, NIM811, etc.) have obvious inhibitory effects on a variety of coronaviruses. These results suggest that CypA is a potential antiviral target and the existing drug CsA might be used as an anti-coronavirus drug. At the end of 2019, SARS-CoV-2 raged in China, which seriously theatern human health and causes huge economic lases. In view of this, we describe the effects of CypA on the replication of coronaviruses and the antiviral activities of its inhibitors, which will provide the scientific basis and ideas for the development of antiviral drugs for SARS-CoV-2.
Antiviral Agents
;
pharmacology
;
therapeutic use
;
Betacoronavirus
;
drug effects
;
growth & development
;
Coronavirus
;
drug effects
;
growth & development
;
Coronavirus Infections
;
drug therapy
;
epidemiology
;
virology
;
Cyclophilin A
;
antagonists & inhibitors
;
Cyclosporine
;
chemistry
;
pharmacology
;
therapeutic use
;
Humans
;
Pandemics
;
Pneumonia, Viral
;
drug therapy
;
epidemiology
;
virology
;
SARS Virus
;
drug effects
;
growth & development
;
Virus Replication
;
drug effects
8.RGFP966 inactivation of the YAP pathway attenuates cardiac dysfunction induced by prolonged hypothermic preservation.
Xiao-He ZHENG ; Lin-Lin WANG ; Ming-Zhi ZHENG ; Jin-Jie ZHONG ; Ying-Ying CHEN ; Yue-Liang SHEN
Journal of Zhejiang University. Science. B 2020;21(9):703-715
Oxidative stress and apoptosis are the key factors that limit the hypothermic preservation time of donor hearts to within 4-6 h. The aim of this study was to investigate whether the histone deacetylase 3 (HDAC3) inhibitor RGFP966 could protect against cardiac injury induced by prolonged hypothermic preservation. Rat hearts were hypothermically preserved in Celsior solution with or without RGFP966 for 12 h followed by 60 min of reperfusion. Hemodynamic parameters during reperfusion were evaluated. The expression and phosphorylation levels of mammalian STE20-like kinase-1 (Mst1) and Yes-associated protein (YAP) were determined by western blotting. Cell apoptosis was measured by the terminal deoxynucleotidyl-transferase (TdT)-mediated dUTP nick-end labeling (TUNEL) method. Addition of RGFP966 in Celsior solution significantly inhibited cardiac dysfunction induced by hypothermic preservation. RGFP966 inhibited the hypothermic preservation-induced increase of the phosphorylated (p)-Mst1/Mst1 and p-YAP/YAP ratios, prevented a reduction in total YAP protein expression, and increased the nuclear YAP protein level. Verteporfin (VP), a small molecular inhibitor of YAP-transcriptional enhanced associate domain (TEAD) interaction, partially abolished the protective effect of RGFP966 on cardiac function, and reduced lactate dehydrogenase activity and malondialdehyde content. RGFP966 increased superoxide dismutase, catalase, and glutathione peroxidase gene and protein expression, which was abolished by VP. RGFP966 inhibited hypothermic preservation-induced overexpression of B-cell lymphoma protein 2 (Bcl-2)-associated X (Bax) and cleaved caspase-3, increased Bcl-2 mRNA and protein expression, and reduced cardiomyocyte apoptosis. The antioxidant and anti-apoptotic effects of RGFP966 were cancelled by VP. The results suggest that supplementation of Celsior solution with RGFP966 attenuated prolonged hypothermic preservation-induced cardiac dysfunction. The mechanism may involve inhibition of oxidative stress and apoptosis via inactivation of the YAP pathway.
Acrylamides/pharmacology*
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Animals
;
Apoptosis/drug effects*
;
Cryopreservation
;
Disaccharides/pharmacology*
;
Electrolytes/pharmacology*
;
Glutamates/pharmacology*
;
Glutathione/pharmacology*
;
Heart/physiology*
;
Heart Transplantation/methods*
;
Hepatocyte Growth Factor/antagonists & inhibitors*
;
Histidine/pharmacology*
;
Histone Deacetylase Inhibitors/pharmacology*
;
Intracellular Signaling Peptides and Proteins/antagonists & inhibitors*
;
Male
;
Mannitol/pharmacology*
;
Oxidative Stress/drug effects*
;
Phenylenediamines/pharmacology*
;
Proto-Oncogene Proteins/antagonists & inhibitors*
;
Rats
;
Rats, Sprague-Dawley
;
Signal Transduction/drug effects*
;
YAP-Signaling Proteins
9.Effect of Tripterygium Glycosides Tablets on synovial angiogenesis in rats with type Ⅱ collagen induced arthritis.
Jing-Xia WANG ; Chun-Fang LIU ; Yi-Qun LI ; Xiao-Hui SU ; Li-Ling LIU ; Ya-Ge TIAN ; Jin-Xia WANG ; Ke-Xin JIA ; Na LIN
China Journal of Chinese Materia Medica 2019;44(16):3441-3447
To observe the effect of Tripterygium Glycosides Tablets on angiogenesis of rats with type Ⅱ collagen-induced arthritis( CIA) and on the tube formation of human umbilical vein endothelial cells( HUVEC) in vitro. The HUVEC were induced by 20 μg·L-1 vascular endothelial growth factor( VEGF) in vitro,and were treated with 0. 1,1,10 mg·L-1 Tripterygium Glycosides Tablets continuously for 7 hours. The numbers of branches of tube formation were measured. SD rats were immunized to establish CIA. CIA rats were treated with 9,18,36 mg·kg-1·d-1 Tripterygium Glycosides Tablets for 42 days. Histopathological examination( HE) was performed to observe the vascular morphology and vascular density in the synovial membrane of the inflamed joints. Immunohistochemistry and immunofluorescence were performed to observe the expression of platelets-endothelial cell adhesion molecule( CD31) and αsmooth muscle actin( αSMA) in synovial membrane. Immunohistochemistry and Western blot were performed to observe the expression of hypoxia-inducible factors 1α( HIF1α) and angiotensin 1( Ang1) in the synovial tissue. The results showed that the numbers of branches of tube formation of HUVEC induced by VEGF were improved,and declined significantly after treated by Tripterygium Glycosides Tablets. Compared with the normal group,the vascular density,CD31 positive expression,CD31 +/αSMA-immature and total vascular positive expression in the synovial membrane of the model group were significantly increased,and so as HIF1α and Ang1 in the synovium. Tripterygium Glycosides Tablets reduced the synovial vascular density and inhibited the positive expression of CD31,CD31+/αSMA-immature blood vessels and total vascular,but has no effect on CD31+/αSMA+mature blood vessels. Tripterygium Glycosides Tablets also inhibited the expression of HIF1α and Ang1 in synovial membrane of inflammatory joints. Our results demonstrated that Tripterygium Glycosides Tablets could inhibit the angiogenesis of synovial tissue in CIA rats and the tube formation of HUVEC,which is related to the down-regulation of HIF1α/Ang1 signal axis.
Angiogenesis Inhibitors
;
pharmacology
;
Angiotensin I
;
metabolism
;
Animals
;
Arthritis, Experimental
;
chemically induced
;
drug therapy
;
Drugs, Chinese Herbal
;
pharmacology
;
Glycosides
;
pharmacology
;
Human Umbilical Vein Endothelial Cells
;
drug effects
;
Humans
;
Hypoxia-Inducible Factor 1, alpha Subunit
;
metabolism
;
Rats
;
Rats, Sprague-Dawley
;
Signal Transduction
;
Synovial Membrane
;
drug effects
;
Tablets
;
Tripterygium
;
chemistry
;
Vascular Endothelial Growth Factor A
10.Coexistence of proangiogenic potential and increased MMP-9, TIMP-1, and TIMP-2 levels in the plasma of patients with critical limb ischemia.
Radosław WIECZÓR ; Anna Maria WIECZÓR ; Arleta KULWAS ; Grzegorz PULKOWSKI ; Jacek BUDZYŃSKI ; Danuta ROŚĆ
Journal of Zhejiang University. Science. B 2019;20(8):687-692
The objective of this study was to assess the angiogenic potential expressed as a quotient of vascular endothelial growth factor A (VEGF-A), as an indicator of proangiogenic activity, and the circulating receptors (soluble VEGF receptor protein R1 (sVEGFR-1) and sVEGFR-2), as indicators of the effect of angiogenic inhibition, depending on the concentrations of matrix metalloproteinase 2 (MMP-2) and MMP-9 and their tissue inhibitor 1 (TIMP-1) and TIMP-2 in the plasma of patients with lower extremity artery disease (LEAD). These blood parameters in patients with intermittent claudication (IC) and critical limb ischemia (CLI) were compared for select clinical and biochemical features. Stimulation of angiogenesis in the plasma of individuals with LEAD was evident as indicated by the significant increase in VEGF-A concentration along with reduced inhibition depending on circulating receptors sVEGFR-1 and sVEGFR-2. Critical ischemia was associated with higher VEGF-A, MMP-9, TIMP-1, and TIMP-2 concentrations than in the case of IC.
Aged
;
Angiogenesis Inhibitors/pharmacology*
;
Female
;
Gene Expression Regulation
;
Humans
;
Intermittent Claudication/drug therapy*
;
Ischemia/drug therapy*
;
Lower Extremity/blood supply*
;
Male
;
Matrix Metalloproteinase 9/blood*
;
Middle Aged
;
Neovascularization, Pathologic
;
Tissue Inhibitor of Metalloproteinase-1/blood*
;
Tissue Inhibitor of Metalloproteinase-2/blood*
;
Vascular Endothelial Growth Factor A/blood*
;
Vascular Endothelial Growth Factor Receptor-1/blood*
;
Vascular Endothelial Growth Factor Receptor-2/blood*

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