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Blood, 15 June 2002, Vol. 99, No. 12, pp. 4434-4442
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
Adenovirus encoding vascular endothelial growth factor-D induces
tissue-specific vascular patterns in vivo
Tatiana V. Byzova,
Corey K. Goldman,
Jurek Jankau,
Juhua Chen,
Gustavo Cabrera,
Marc G. Achen,
Steven A. Stacker,
Kevin A. Carnevale,
Maria Siemionow,
Steven R. Deitcher, and
Paul E. DiCorleto
From the Departments of Molecular Cardiology and
Cardiology, Vascular Medicine, Cell Biology, and Plastic and
Reconstructive Surgery, The Cleveland Clinic Foundation, OH; and the
Ludwig Institute for Cancer Research, Royal Melbourne Hospital,
Victoria, Australia.
The capacity of an adenovirus encoding the mature form of vascular
endothelial growth factor (VEGF)-D, VEGF-D N C, to induce angiogenesis, lymphangiogenesis, or both was analyzed in 2 distinct in
vivo models. We first demonstrated in vitro that VEGF-D N C encoded
by the adenovirus (Ad-VEGF-D N C) is capable of inducing endothelial cell proliferation and migration and that the latter response is primarily mediated by VEGF receptor-2 (VEGFR-2). Second, we
characterized a new in vivo model for assessing experimental angiogenesis, the rat cremaster muscle, which permits live
videomicroscopy and quantitation of functional blood vessels. In this
model, a proangiogenic effect of Ad-VEGF-D N C was evident as early
as 5 days after injection. Immunohistochemical analysis of the
cremaster muscle demonstrated that neovascularization induced by
Ad-VEGF-D N C and by Ad-VEGF-A165 (an adenovirus
encoding the 165 isoform of VEGF-A) was composed primarily of laminin
and VEGFR-2-positive vessels containing red blood cells, thus
indicating a predominantly angiogenic response. In a skin model,
Ad-VEGF-D N C induced angiogenesis and lymphangiogenesis, as
indicated by staining with laminin, VEGFR-2, and VEGFR-3, whereas
Ad-VEGF-A165 stimulated the selective growth of blood
vessels. These data suggest that the biologic effects of VEGF-D are
tissue-specific and dependent on the abundance of blood vessels and
lymphatics expressing the receptors for VEGF-D in a given tissue. The
capacity of Ad-VEGF-D N C to induce endothelial cell proliferation,
angiogenesis, and lymphangiogenesis demonstrates that its potential
usefulness for the treatment of coronary artery disease, cerebral
ischemia, peripheral vascular disease, restenosis, and tissue edema
should be tested in preclinical models.

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