Abstract

Based on the observation that mouse strains differing in lymphocyte-mediated immune responses differed also markedly in collateral density, in their ability to develop a collateral circulation, in remodeling and the expression of VEGF-A after femoral artery occlusion, previously reported by Scholz et al,1 Chalothorn,2 and Helisch et al,3 van Weel et al had set out to test the role of lymphocytes in arteriogenesis.4 They found that NK-cells and CD4 cells are important for collateral vessel growth and that substitution in animals deficient for these cells accelerated collateral development. These elegant studies, using mouse genetics as well as antibody-based deletion experiments, provide a solution to a long smoldering discussion about the role of lymphocytes in arteriogenesis as well as in angiogenesis. As early as 1976 Klintworth and collaborators5 showed that angiogenesis in response to corneal injury was associated with an influx of leukocytes. The causal relationship was proven by irradiation to depress the bone marrow leading to impaired angiogenesis. The contribution of subsets of leukocytes was difficult to discern at the time because …

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