PMID- 30964192 OWN - NLM STAT- MEDLINE DCOM- 20200825 LR - 20200825 IS - 2284-0729 (Electronic) IS - 1128-3602 (Linking) VI - 23 IP - 6 DP - 2019 Mar TI - Combination of cells-based therapy with apelin-13 and hyperbaric oxygen efficiently promote neovascularization in ischemic animal model. PG - 2630-2639 LID - 17413 [pii] LID - 10.26355/eurrev_201903_17413 [doi] AB - OBJECTIVE: Critical lower-limb ischemia (CLLI) is characterized by high morbidity and mortality. The aim of this study was to explore the effectiveness of the combination of cell therapy with apelin-13 and hyperbaric oxygen in CLLI animal model. MATERIALS AND METHODS: The experimental ischemic rats were divided into five groups, including negative control, bone marrow derived mononuclear cells (BM-MNCs), apelin-13, hyperbaric oxygen treatment (HBOT) and apelin-13 with HBOT group. Each group was composed of 10 rats. Endothelial progenitor cells (EPCs) derived from bone marrow were transplanted into the ischemia rat model. After 3 weeks of transplantation, the formation of new vessels was evaluated by examining cluster of differentiation (CD)31, CD34 and vascular endothelial growth factor receptor 2 (VEGFR-2) expressions as well as a direct vision of vessels by hematoxylin and eosin (HE) staining and immunohistochemistry. RESULTS: Compared with the negative control group, both angiogenic factors expressions and the number of new vessels increased notably by the transplantation of BM-MNCs in the ischemic models. Apelin-13 or HBOT alone improved the efficacy within limit while the combination of the three elements remarkably promoted the neovascularization in ischemic limbs. CONCLUSIONS: BM-MNC induced angiogenesis in the ischemic limbs and was considered an effective resource for cell therapy. The preliminary data of this study showed that the combination of cell therapy with apelin-13 and HBOT improved the efficacy of angiogenesis. FAU - Yu, M AU - Yu M AD - Department of Vascular Surgery, General Hospital of Ningxia Medical University, Yinchuan, China. tyf224@163.com. FAU - Yuan, H-S AU - Yuan HS FAU - Li, Q AU - Li Q FAU - Li, Q AU - Li Q FAU - Teng, Y-F AU - Teng YF LA - eng PT - Journal Article PL - Italy TA - Eur Rev Med Pharmacol Sci JT - European review for medical and pharmacological sciences JID - 9717360 RN - 0 (Antigens, CD34) RN - 0 (Intercellular Signaling Peptides and Proteins) RN - 0 (Platelet Endothelial Cell Adhesion Molecule-1) RN - 0 (apelin-13 peptide) RN - EC 2.7.10.1 (Kdr protein, rat) RN - EC 2.7.10.1 (Vascular Endothelial Growth Factor Receptor-2) SB - IM MH - Animals MH - Antigens, CD34/metabolism MH - Combined Modality Therapy MH - Disease Models, Animal MH - Endothelial Progenitor Cells/metabolism/*transplantation MH - Gene Expression Regulation MH - Hindlimb/*blood supply MH - Hyperbaric Oxygenation MH - Intercellular Signaling Peptides and Proteins/*pharmacology MH - Ischemia/metabolism/*therapy MH - Male MH - Neovascularization, Physiologic MH - Platelet Endothelial Cell Adhesion Molecule-1/metabolism MH - Rats MH - Vascular Endothelial Growth Factor Receptor-2/metabolism EDAT- 2019/04/10 06:00 MHDA- 2020/08/26 06:00 CRDT- 2019/04/10 06:00 PHST- 2019/04/10 06:00 [entrez] PHST- 2019/04/10 06:00 [pubmed] PHST- 2020/08/26 06:00 [medline] AID - 17413 [pii] AID - 10.26355/eurrev_201903_17413 [doi] PST - ppublish SO - Eur Rev Med Pharmacol Sci. 2019 Mar;23(6):2630-2639. doi: 10.26355/eurrev_201903_17413.