Abstract

Angiogenesis factors are produced in response to hypoxic or ischemic insult at the site of pathology, which will cause neovascularization. Insulin like growth factor-1 (IGF-1) exerts potent proliferative, angiogenic and anti-apoptotic effects in target tissues. The present study was aimed to evaluate the effects of IGF-1 on circulating level of angiogenic cytokine interleukin-8 (IL-8), in experimentally-induced myocardial ischemia in rats. Male Sprague-Dawley rats were divided into control, IGF-1 treated (2 μg/kg/day subcutaneously, for 5 and 10 days), isoproterenol (ISO) treated (85 mg/kg, subcutaneously for two days) and ISO with IGF-1 treated (for 5 and 10 days). Heart weight, serum IGF-1, IL-8 and cardiac marker enzymes (CK-MB and LDH) were recorded after 5 and 10 days of treatment. Histopathological analyses of the myocardium were also done. There was a significant increase in serum cardiac markers with ISO treatment indicating myocardial infarction in rats. IGF-1 level increased significantly in ISO treated groups and the level of IGF-1 was significantly higher after 10 days of treatment. IL-8 level increased significantly after ISO treatment after 5 and 10 days and IGF-1 concurrent treatment to ISO rats had significantly increased IL-8 levels. Histopathologically, myocyte necrosis and nuclear pyknosis were reduced significantly in IGF-1 treated group and there were numerous areas of capillary sprouting suggestive of neovascularization in the myocardium. Thus, IGF-1 protects the ischemic myocardium with increased production of circulating angiogenic cytokine, IL-8 and increased angiogenesis.

Highlights

  • Angiogenesis is a process involving the formation of new blood vessels from pre-existing vasculature.It occurs in many physiological and pathological conditions [1]

  • We demonstrated that ISO treatment caused a significant increase in the heart weight when compared to the control group and similar finding were found in rats with MI that received Insulin like growth factor-1 (IGF-1) treatment

  • The present study showed that circulating levels of interleukin-8, an angiogenic cytokine and the proangiogenic growth factor IGF-1 were significantly increased after isoproterenol treatment

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Summary

Introduction

Angiogenesis is a process involving the formation of new blood vessels from pre-existing vasculature. It occurs in many physiological and pathological conditions [1]. Therapeutic angiogenesis is being tested as a novel treatment for ischemic heart disease [4]. The challenge to research has been to find methods of inducing new vascular growth in the ischemic myocardium due to atherosclerotic coronary artery disease, which could not be treated with balloon angioplasty or coronary by-pass grafting. Therapeutic angiogenesis with recombinant vascular endothelial growth factor proteins or gene encoding for the proteins is a new potential treatment for cardiovascular disease [5]. Insulin like growth factor-1 (IGF-1) is a peptide hormone structurally related to insulin which has a pleiotropic effect on cell growth and metabolism

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