PMID- 22704605 OWN - NLM STAT- MEDLINE DCOM- 20130104 LR - 20121016 IS - 1878-0539 (Electronic) IS - 1748-6815 (Linking) VI - 65 IP - 11 DP - 2012 Nov TI - EPO reverses defective wound repair in hypercholesterolaemic mice by increasing functional angiogenesis. PG - 1559-68 LID - S1748-6815(12)00272-0 [pii] LID - 10.1016/j.bjps.2012.05.006 [doi] AB - This study aims to elucidate the effect of erythropoietin (EPO) on the microcirculation during wound healing in mice genetically depleted of apolipoprotein E (ApoE(-/-)). The skinfold chamber in mice was used for intravital microscopy, whereby an incisional wound was created within the chamber. Animals received Recormon((R)) 1000 U kg(-1) body weight (BW) intra-peritoneally (i.p.) at day 1, 3, 5, 7, 9 and 11 post-wounding at a concentration of 100 Uml(-1) (n=42). Normal healing and vehicle-treated wild type animals (WT) served as controls. The microcirculation of the wound was analysed quantitatively in vivo using epi-illumination intravital fluorescence microscopy. Microtomography (micro-CT) analysis of casted wound microvessels was performed allowing three-dimensional (3D) histomorphometric analysis. Tissue samples were examined ex vivo for wound scoring and for expression analysis of EPO-Receptor (Epo-R) and endothelial nitric oxide synthase (eNOS). Upon EPO treatment, the total wound score in ApoE(-/-) mice was increased by 23% on day 3, by 26% on day 7 and by 18% on day 13 when compared to untreated ApoE(-/-) mice (all P<0.05 vs. vehicle). Improved wound healing was accompanied with a significant increase of functional angiogenetic density and angiogenetic red blood cell perfusion on days 5, 7, 9 and 11 post-wounding. 3D histomorphometric analysis revealed an increase of vessel thickness (1.7-fold), vessel volume (2.4-fold) and vessel surface (1.7-fold) (all P<0.05 vs. vehicle). In addition, improved wound healing was associated with enhanced Epo-R expression (4.6-fold on day 3 and 13.5-fold on day 7) and eNOS expression (2.4-fold on day 7) (all P<0.05 vs. vehicle). Our data demonstrate that repetitive systemic EPO treatment reverses microvascular dysfunction during wound healing in hypercholesterolaemic mice by inducing new vessel formation and by providing the wound with more oxygen. CI - Copyright (c) 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. FAU - Elsherbiny, Ahmed AU - Elsherbiny A AD - Division of Plastic and Reconstructive Surgery, Department of Surgery, University Hospital Zurich, CH-8091 Zurich, Switzerland. FAU - Hogger, Dominik C AU - Hogger DC FAU - Borozadi, Meisam Khorrami AU - Borozadi MK FAU - Schmidt, Christian A AU - Schmidt CA FAU - Plock, Jan AU - Plock J FAU - Largo, Rene D AU - Largo RD FAU - Lindenblatt, Nicole AU - Lindenblatt N FAU - Giovanoli, Pietro AU - Giovanoli P FAU - Contaldo, Claudio AU - Contaldo C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120615 PL - Netherlands TA - J Plast Reconstr Aesthet Surg JT - Journal of plastic, reconstructive & aesthetic surgery : JPRAS JID - 101264239 RN - 0 (Recombinant Proteins) RN - 0 (epoetin beta) RN - 11096-26-7 (Erythropoietin) RN - EC 1.14.13.39 (Nitric Oxide Synthase Type III) RN - EC 1.14.13.39 (Nos3 protein, mouse) SB - IM MH - Animals MH - Erythropoietin/*pharmacology MH - Immunoenzyme Techniques MH - Mice MH - Microcirculation/*drug effects MH - Microscopy, Electron, Scanning MH - Microscopy, Fluorescence MH - Neovascularization, Physiologic/*drug effects MH - Nitric Oxide Synthase Type III/metabolism MH - Recombinant Proteins/pharmacology MH - Wound Healing/*drug effects MH - X-Ray Microtomography EDAT- 2012/06/19 06:00 MHDA- 2013/01/05 06:00 CRDT- 2012/06/19 06:00 PHST- 2012/03/06 00:00 [received] PHST- 2012/04/17 00:00 [revised] PHST- 2012/05/06 00:00 [accepted] PHST- 2012/06/19 06:00 [entrez] PHST- 2012/06/19 06:00 [pubmed] PHST- 2013/01/05 06:00 [medline] AID - S1748-6815(12)00272-0 [pii] AID - 10.1016/j.bjps.2012.05.006 [doi] PST - ppublish SO - J Plast Reconstr Aesthet Surg. 2012 Nov;65(11):1559-68. doi: 10.1016/j.bjps.2012.05.006. Epub 2012 Jun 15.