PMID- 23089731 OWN - NLM STAT- MEDLINE DCOM- 20130509 LR - 20211021 IS - 1525-0024 (Electronic) IS - 1525-0016 (Print) IS - 1525-0016 (Linking) VI - 20 IP - 12 DP - 2012 Dec TI - AAV9-mediated VEGF-B gene transfer improves systolic function in progressive left ventricular hypertrophy. PG - 2212-21 LID - 10.1038/mt.2012.145 [doi] AB - Mechanisms of the transition from compensatory hypertrophy to heart failure are poorly understood and the roles of vascular endothelial growth factors (VEGFs) in this process have not been fully clarified. We determined the expression profile of VEGFs and relevant receptors during the progression of left ventricular hypertrophy (LVH). C57BL mice were exposed to transversal aortic constriction (TAC) and the outcome was studied at different time points (1 day, 2, 4, and 10 weeks). A clear compensatory phase (2 weeks after TAC) was seen with following heart failure (4 weeks after TAC). Interestingly, VEGF-C and VEGF-D as well as VEGF receptor-3 (VEGFR-3) were upregulated in the compensatory hypertrophy and VEGF-B was downregulated in the heart failure. After treatment with adeno-associated virus serotype 9 (AAV9)-VEGF-B(186) gene therapy in the compensatory phase for 4 weeks the function of the heart was preserved due to angiogenesis, inhibition of apoptosis, and promotion of cardiomyocyte proliferation. Also, the genetic programming towards fetal gene expression, a known phenomenon in heart failure, was partly reversed in AAV9-VEGF-B(186)-treated mice. We conclude that VEGF-C and VEGF-D are associated with the compensatory LVH and that AAV9-VEGF-B(186) gene transfer can rescue the function of the failing heart and postpone the transition towards heart failure. FAU - Huusko, Jenni AU - Huusko J AD - Department of Biotechnology and Molecular Medicine, A. I. Virtanen Institute for Molecular Sciences, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland. FAU - Lottonen, Line AU - Lottonen L FAU - Merentie, Mari AU - Merentie M FAU - Gurzeler, Erika AU - Gurzeler E FAU - Anisimov, Andrey AU - Anisimov A FAU - Miyanohara, Atsushi AU - Miyanohara A FAU - Alitalo, Kari AU - Alitalo K FAU - Tavi, Pasi AU - Tavi P FAU - Yla-Herttuala, Seppo AU - Yla-Herttuala S LA - eng GR - P01 HL066941/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20121023 PL - United States TA - Mol Ther JT - Molecular therapy : the journal of the American Society of Gene Therapy JID - 100890581 RN - 0 (Vascular Endothelial Growth Factor B) SB - IM MH - Adenoviridae/*genetics MH - Animals MH - Echocardiography MH - Hypertrophy, Left Ventricular/physiopathology/*therapy MH - Immunohistochemistry MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Reverse Transcriptase Polymerase Chain Reaction MH - Vascular Endothelial Growth Factor B/genetics/*metabolism PMC - PMC3519981 EDAT- 2012/10/24 06:00 MHDA- 2013/05/10 06:00 PMCR- 2013/12/01 CRDT- 2012/10/24 06:00 PHST- 2012/10/24 06:00 [entrez] PHST- 2012/10/24 06:00 [pubmed] PHST- 2013/05/10 06:00 [medline] PHST- 2013/12/01 00:00 [pmc-release] AID - S1525-0016(16)32225-0 [pii] AID - 10.1038/mt.2012.145 [doi] PST - ppublish SO - Mol Ther. 2012 Dec;20(12):2212-21. doi: 10.1038/mt.2012.145. Epub 2012 Oct 23.