Abstract 9533: Retention of Endothelial Progenitor Cells in Bone Marrow in a Murine Model of Endogenous Tissue Plasminogen Activator (tPA) Deficiency in Response to Critical Limb Ischemia

Abstract

Background: This study tested the hypothesis that tissue plasminogen activator (tPA) is crucial for regulating endothelial progenitor cell (EPC) mobilization from bone marrow to circulation in murine critical limb ischemia (CLI) by ligating left femoral artery. Methods and Results: Wild-type (C57BL/6) (n=40) mice were equally divided into group 1A (sham control), group 2A (CLI), group 3A [control-tPA (4.0 mg/kg, intravenously at 3h after CLI)], group 4A (CLI-tPA). Similarly, tPA knock-out (tPA -/- ) mice (n=40) were equally divided into group 1B (sham control) group 2B (CLI), group 3B [control-tPA (4.0 mg/kg)], group 4B (CLI-tPA). The circulating levels of EPCs (C-kit/CD31+, Sca-1/KDR+, CXCR4/CD34+) were lower in groups 1B and 2B than in groups 1A and 2A, respectively (all p<0.01), and were reversed after tPA treatment (3B vs. 3A or 4B vs. 4A, p>0.05) at 6h and 18h post-CLI. Levels of these biomarkers decreased again 14 days after CLI in tPA -/- mice compared to those in wild-type between the respective groups (all p<0.01). Laser Doppler flowmetry showed a higher ratio of ischemic-to-normal blood flow in 2A than in 2B and in 4A than in 4B by day 14 after CLI (all p<0.05). Angiogenesis at protein (CXCR4, SDF-1α, VEGF) and cellular (CXCR4+, SDF-1α +, and CD31+ cells) levels were highest in animals with CLI-tPA, significantly higher in mice with CLI only than in sham controls for both wild-type and tPA -/- mice (p<0.01). Conclusion: tPA played an essential role in augmenting circulating EPCs, angiogenesis, and blood flow in the ischemic limb in a murine model. Key words: tissue plasminogen activator, critical limb ischemia, angiogenesis, circulating endothelial progenitor cells