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1 Genetic Therapy Inc., Novartis, Gaithersburg, MD, USA
2 Metabolic and Cardiovascular diseases, Novartis, Summit, NJ, USA
* To whom correspondence should be addressed. E-mail: gene.liau{at}pharma.novartis.com.
Insulin-like growth factor I (IGFI) and II (IGFII) are single-chain polypeptide growth factors that regulate pleiotropic cellular responses. We have characterized the effect of recombinant IGF proteins as well as third-generation adenoviral vectors encoding either IGF-I or IGF-II genes, on cardiomyocyte apoptosis and on angiogenesis. We found that endothelial cells cultured in the presence of the extracellular protein, laminin exhibit a robust respond to IGF-I and II proteins via enhanced cell migration and angiogenic outgrowth. Furthermore, IGF vectors greatly enhanced neovascularization in an in vivo matrigel model. Transduction of cardiomyocytes with the IGF adenoviral vectors resulted in a dose- and time-dependent increase in the expression of IGF-I or IGF-II protein. This correlated with abrogation of apoptosis induced by ischemia/reoxygenation, ceramide or heat shock with optimal inhibition of around 80%. We conclude that gene transfer of IGF-I and IGF-II is a plausible strategy for the local delivery of IGFs to treat ischemic heart disease and heart failure by stimulating angiogenesis and protecting cardiomyocytes from cell death.
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