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Am J Physiol Heart Circ Physiol (February 25, 2005). doi:10.1152/ajpheart.01105.2004
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Submitted on November 2, 2004
Accepted on February 23, 2005

Nitric oxide, VEGF and VEGFR-2: interactions in activity-induced angiogenesis in rat skeletal muscle

Malgorzata Milkiewicz1, Olga Hudlicka2*, Margaret D Brown3, and Hayley Silgram2

1 School of Sport and Exercise Sciences, University of Birmingham, Birmingham, United Kingdom; Department of Physiology, University of Birmingham, Birmingham, United Kingdom
2 Department of Physiology, University of Birmingham, Birmingham, United Kingdom
3 School of Sport and Exercise Sciences, University of Birmingham, Birmingham, United Kingdom

* To whom correspondence should be addressed. E-mail: O.hudlicka{at}bham.ac.uk.

Vascular endothelial growth factor (VEGF) is considered to be important in promotion of capillary growth in skeletal muscles exposed to increased activity. We studied its interactions with nitric oxide (NO) by examining the expression of eNOS, VEGF and VEGF receptor-2 proteins in relation to capillary growth in rat extensor digitorum longus muscles electrically stimulated for two, four or seven days with and without NO synthase inhibition by N{omega}-nitro-l-arginine (L-NNA, 3 mg.day-1). Stimulation increased all proteins from two days onwards, concomitantly with capillary proliferation (labelling for proliferating cell nuclear antigen). Capillary:fiber ratio (C:F) was elevated by 25 % after seven days. Concurrent administration of oral L-NNA did not affect the increase in eNOS but depressed its activity, as shown by increased blood pressure and decreased arteriolar diameters in two day stimulated muscles. NOS inhibition eliminated the increased expression of VEGFR-2 and VEGF proteins in muscles stimulated for two and four days but not seven days. However, it depressed capillary proliferation and the increase in C:F ratio at all time points studied. We conclude that in stimulated muscles, NO, generated by activation of nNOS via muscle activity or eNOS by increased blood flow and capillary shear stress, may increase capillary proliferation in the early stages of stimulation through up-regulation of VEGFR-2 and VEGF. With longer stimulation, capillary growth appears to require NO, and high levels of VEGF and VEGFR-2 may be contributing to maintenance of the increased capillary bed.




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