PMID- 17960159 OWN - NLM STAT- MEDLINE DCOM- 20080411 LR - 20211020 IS - 1476-5462 (Electronic) IS - 0969-7128 (Print) IS - 0969-7128 (Linking) VI - 15 IP - 1 DP - 2008 Jan TI - Adeno-associated viral vector-mediated hypoxia-regulated VEGF gene transfer promotes angiogenesis following focal cerebral ischemia in mice. PG - 30-9 AB - Uncontrolled expression of vascular endothelial growth factor (VEGF) in vivo may cause unexpected side effects, such as brain hemangioma or tumor growth. Because hypoxia-inducible factor-1 (HIF-1) is upregulated during cerebral ischemia and regulates gene expression by binding to a cis-acting hypoxia-responsive element (HRE), we therefore used a novel HRE, originating in the 3'-end of the erythropoietin (Epo) gene, to control gene expression in the ischemic brain. A concatemer of nine copies (H9) of the consensus sequence of HRE was used to mediate hypoxia induction. Three groups of adult CD-1 mice received AAVH9-VEGF, AAVH9-lacZ or saline injection, and then underwent 45 min of transient middle cerebral artery occlusion (tMCAO). Results show that HIF-1 was persistently expressed in the ischemic brain. VEGF was overexpressed in the ischemic perifocal region in AAVH9-VEGF-transduced mice. Double-labeled immunostaining showed that VEGF expressed in neurons and astrocytes but not endothelial cells, suggesting that adeno-associated virus (AAV) vectors transduced neurons and astrocytes predominantly. The total number of microvessels/enlarged microvessels was greatly increased in the AAVH9-VEGF-transduced mice (180+/-29/27+/-4) compared to the AAVH9-lacZ (118+/-19/14+/-3) or saline-treated (119+/-20/14+/-2) mice after tMCAO (P<0.05). Cell proliferation examination demonstrated that these microvessels were newly formed. Regional cerebral blood flow recovery in the AAVH9-VEGF-transduced mice was also better than in AAVH9-lacZ or saline-treated mice (P<0.05). Our data indicated that HRE is a novel trigger for the control of VEGF expression in the ischemic brain. VEGF overexpression through AAVH9-VEGF gene transfer showed stable focal angiogenic effects in post-ischemic repair process, providing an opportunity to rebuild injured brain tissue. FAU - Shen, F AU - Shen F AD - Department of Anesthesia and Perioperative Care, Center for Cerebrovascular Research, University of California, San Francisco, CA 94110, USA. FAU - Fan, Y AU - Fan Y FAU - Su, H AU - Su H FAU - Zhu, Y AU - Zhu Y FAU - Chen, Y AU - Chen Y FAU - Liu, W AU - Liu W FAU - Young, W L AU - Young WL FAU - Yang, G-Y AU - Yang GY LA - eng GR - P01 NS044145/NS/NINDS NIH HHS/United States GR - R01 NS027713/NS/NINDS NIH HHS/United States GR - P01 NS044155-05/NS/NINDS NIH HHS/United States GR - R01 NS027713-17/NS/NINDS NIH HHS/United States GR - R21 NS050668/NS/NINDS NIH HHS/United States GR - P01 NS044155/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20071025 PL - England TA - Gene Ther JT - Gene therapy JID - 9421525 RN - 0 (3' Untranslated Regions) RN - 0 (Hypoxia-Inducible Factor 1) RN - 0 (Vascular Endothelial Growth Factor A) RN - 11096-26-7 (Erythropoietin) SB - IM MH - 3' Untranslated Regions MH - Animals MH - Astrocytes/chemistry MH - Brain Ischemia/metabolism/physiopathology/*therapy MH - Cerebrovascular Circulation MH - Dependovirus/*genetics MH - Erythropoietin/genetics MH - Gene Expression MH - Genetic Therapy/*methods MH - Genetic Vectors/*administration & dosage MH - Hypoxia/metabolism MH - Hypoxia-Inducible Factor 1/analysis/genetics MH - Immunohistochemistry MH - Mice MH - Neovascularization, Physiologic MH - Neurons/chemistry MH - Transduction, Genetic/*methods MH - Vascular Endothelial Growth Factor A/analysis/*genetics PMC - PMC2586392 MID - NIHMS75426 EDAT- 2007/10/26 09:00 MHDA- 2008/04/12 09:00 PMCR- 2008/11/24 CRDT- 2007/10/26 09:00 PHST- 2007/10/26 09:00 [pubmed] PHST- 2008/04/12 09:00 [medline] PHST- 2007/10/26 09:00 [entrez] PHST- 2008/11/24 00:00 [pmc-release] AID - 3303048 [pii] AID - 10.1038/sj.gt.3303048 [doi] PST - ppublish SO - Gene Ther. 2008 Jan;15(1):30-9. doi: 10.1038/sj.gt.3303048. Epub 2007 Oct 25.