Abstract
Background: Peripheral Artery Disease (PAD) is an atherosclerotic process leading to vessel obstruction. Supervised walking exercise is a first-line treatment to improve walking ability and quality of life scores of patients. Despite its known benefits, the underlying mechanism is not fully understood. Thus, this study focuses on satellite cells (SCs), known for their role in muscular regeneration but also found to have an under investigated role as mediators of vascular growth through the secretion of cytokines and growth factors. Previous in vivo models have demonstrated increased migration of endothelial cells and smooth muscle cells, as well as blood vessel growth in response to SC activity. Aims: The project aims to enhance the efficacy of exercise therapy through a better understanding satellite cell biology and their pro-vasculogenic ability. Hypothesis: Exercise therapy will enhance SCs proliferation and secretion of paracrine growth factors inducing increased cell migration and vascular growth. Methods: Aortic Ring Assay: Murine thoracic aortic sections were embedded in a Type I collagen matrix in 96-wells. The wells were seeded with Opti-MEM (control), Opti-MEM+0.3% Vascular Endothelial Growth Factors (VEGF)(+ control), SC Conditioned Media (CM) (24hr incubation, 2M cells/plate), or denatured CM (56°C, 1 hr). The total length and number of branches were measured via ImageJ. Flow Cytometry: 18+ months old C57BL/6 were housed with voluntary running wheels with activity counter until day 28. Satellite cells were mechanically and chemically digested and were labeled as: CD11b-, CD45-, CD31-, Sca1-, and α7-integrin+ at 7-day intervals. Results: Aortic Ring Assay: SC CM showed significantly higher total branch length (13381.89±2470.44μm, n=6) (****p<0.0001) and numbers (19.24±3.87, n=6) (**p<0.01) compared to control (2158.18±382.31μm, n=9), (5.76±0.81, n=9). Flow Cytometry: SC proportion on day 21 (2.55±0.14,n=2) was significantly higher than control (1.54±0.298,n=8)(*p<0.05). Conclusion(s): These findings indicate that SC CM induces angiogenesis by secreting pro-angiogenic factors. The angiogenic activities could potentially be heightened through the proliferation of SCs under exercise therapy.
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