PMID- 35128488 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220501 IS - 2666-3503 (Electronic) IS - 2666-3503 (Linking) VI - 3 DP - 2022 TI - Zinc deficiency impairs ischemia-induced angiogenesis. PG - 30-40 LID - 10.1016/j.jvssci.2021.09.023 [doi] AB - OBJECTIVE: Zinc is an important essential trace metal involved in many physiologic functions, and its deficiency can affect the development of multiple organs, including the vasculature. However, clarity is lacking regarding the effects of zinc deficiency in the regulation of angiogenesis. We investigated the effects of zinc deficiency on the revascularization process through animal experiments and examined the relationship between the circulating zinc levels and tissue blood perfusion in patients with chronic limb-threatening ischemia (CLTI). METHODS: Zinc-deficient mice and control wild-type mice had undergone surgery to create unilateral hindlimb ischemia. Next, we examined the relationship between the serum zinc levels and skin perfusion pressure (SPP) as an index of tissue blood perfusion in patients with CLTI. A total of 51 patients with CLTI who had been referred for de novo revascularization for CLTI due to arteriosclerosis obliterans at our hospital from May 2012 to March 2016 were enrolled. RESULTS: The zinc-deficient mice showed a significant reduction in blood flow recovery rates in the ischemic limb and capillary density in the ischemic adductor muscle fibers compared with the control wild-type mice. The zinc-deficient mice also showed increased reactive oxygen species production after hindlimb ischemia. Nicotinamide adenine dinucleotide phosphate oxidase inhibitors ameliorated the zinc deficient-induced impairment of revascularization. The serum zinc levels were positively associated with the SPP in the CLTI patients. Multivariate regression analysis also revealed that the serum zinc levels were significantly correlated with the SPP in patients with CLTI. CONCLUSIONS: Zinc deficiency impaired the rate of ischemia-induced revascularization through enhanced oxidative stress rates, suggesting that nutritional management for zinc sufficiency could be useful in CLTI prevention and treatment. CI - (c) 2021 Published by Elsevier Inc. on behalf of the Society for Vascular Surgery. FAU - Tsuruoka, Takuya AU - Tsuruoka T AD - Division of Vascular and Endovascular Surgery, Department of Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Kodama, Akio AU - Kodama A AD - Division of Vascular and Endovascular Surgery, Department of Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Yamaguchi, Shukuro AU - Yamaguchi S AD - Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Masutomi, Tomohiro AU - Masutomi T AD - Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Koyama, Akio AU - Koyama A AD - Division of Vascular and Endovascular Surgery, Department of Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Murohara, Toyoaki AU - Murohara T AD - Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Komori, Kimihiro AU - Komori K AD - Division of Vascular and Endovascular Surgery, Department of Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Shibata, Rei AU - Shibata R AD - Department of Advanced Cardiovascular Therapeutics, Nagoya University Graduate School of Medicine, Nagoya, Japan. LA - eng PT - Journal Article DEP - 20211208 PL - United States TA - JVS Vasc Sci JT - JVS-vascular science JID - 101767073 PMC - PMC8792263 OTO - NOTNLM OT - Angiogenesis OT - Ischemia OT - Zinc EDAT- 2022/02/08 06:00 MHDA- 2022/02/08 06:01 PMCR- 2021/12/08 CRDT- 2022/02/07 05:38 PHST- 2021/04/26 00:00 [received] PHST- 2021/09/07 00:00 [accepted] PHST- 2022/02/07 05:38 [entrez] PHST- 2022/02/08 06:00 [pubmed] PHST- 2022/02/08 06:01 [medline] PHST- 2021/12/08 00:00 [pmc-release] AID - S2666-3503(21)00046-8 [pii] AID - 10.1016/j.jvssci.2021.09.023 [doi] PST - epublish SO - JVS Vasc Sci. 2021 Dec 8;3:30-40. doi: 10.1016/j.jvssci.2021.09.023. eCollection 2022.