The Efficacy of HGF/VEGF Gene Therapy for Limb Ischemia in Mice with Impaired Glucose Tolerance: Shift from Angiogenesis to Axonal Growth and Oxidative Potential in Skeletal Muscle

Background: Combined non-viral gene therapy (GT) of ischemia and cardiovascular disease is a promising tool for potential clinical translation. In previous studies our group has developed combined gene therapy by vascular endothelial growth factor 165 (<i>VEGF165</i>) + hepatocyte growth...

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Main Authors: Iurii S. Stafeev I, Maria A. Boldyreva, Svetlana S. Michurina, Margarita Yu. Agareva, Arina V. Radnaeva, Mikhail Yu. Menshikov, Yu-Chen Hu, Pavel I. Makarevich, Yelena V. Parfyonova
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Language:English
Published: MDPI AG 2022-11-01
Series:Cells
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Online Access:https://www.mdpi.com/2073-4409/11/23/3824
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author Iurii S. Stafeev I
Maria A. Boldyreva
Svetlana S. Michurina
Margarita Yu. Agareva
Arina V. Radnaeva
Mikhail Yu. Menshikov
Yu-Chen Hu
Pavel I. Makarevich
Yelena V. Parfyonova
author_facet Iurii S. Stafeev I
Maria A. Boldyreva
Svetlana S. Michurina
Margarita Yu. Agareva
Arina V. Radnaeva
Mikhail Yu. Menshikov
Yu-Chen Hu
Pavel I. Makarevich
Yelena V. Parfyonova
author_sort Iurii S. Stafeev I
collection DOAJ
description Background: Combined non-viral gene therapy (GT) of ischemia and cardiovascular disease is a promising tool for potential clinical translation. In previous studies our group has developed combined gene therapy by vascular endothelial growth factor 165 (<i>VEGF165</i>) + hepatocyte growth factor (<i>HGF</i>). Our recent works have demonstrated that a bicistronic pDNA that carries both human <i>HGF</i> and <i>VEGF165</i> coding sequences has a potential for clinical application in peripheral artery disease (PAD). The present study aimed to test <i>HGF/VEGF</i> combined plasmid efficacy in ischemic skeletal muscle comorbid with predominant complications of PAD-impaired glucose tolerance and type 2 diabetes mellitus (T2DM). Methods: Male C57BL mice were housed on low-fat (LFD) or high-fat diet (HFD) for 10 weeks and metabolic parameters including FBG level, ITT, and GTT were evaluated. Hindlimb ischemia induction and plasmid administration were performed at 10 weeks with 3 weeks for post-surgical follow-up. Limb blood flow was assessed by laser Doppler scanning at 7, 14, and 21 days after ischemia induction. The necrotic area of <i>m.tibialis anterior</i>, macrophage infiltration, angio- and neuritogenesis were evaluated in tissue sections. The mitochondrial status of skeletal muscle (total mitochondria content, ETC proteins content) was assessed by Western blotting of muscle lysates. Results: At 10 weeks, the HFD group demonstrated impaired glucose tolerance in comparison with the LFD group. <i>HGF/VEGF</i> plasmid injection aggravated glucose intolerance in HFD conditions. Blood flow recovery was not changed by <i>HGF/VEGF</i> plasmid injection either in LFD or HFD conditions. GT in LFD, but not in HFD conditions, enlarged the necrotic area and CD68+ cells infiltration. However, <i>HGF/VEGF</i> plasmid enhanced neuritogenesis and enlarged NF200+ area on muscle sections. In HFD conditions, <i>HGF/VEGF</i> plasmid injection significantly increased mitochondria content and ETC proteins content. Conclusions: The current study demonstrated a significant role of dietary conditions in pre-clinical testing of non-viral GT drugs. <i>HGF/VEGF</i> combined plasmid demonstrated a novel aspect of potential participation in ischemic skeletal muscle regeneration, through regulation of innervation and bioenergetics of muscle. The obtained results made <i>HGF/VEGF</i> combined plasmid a very promising tool for PAD therapy in impaired glucose tolerance conditions.
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spelling doaj.art-58b2e8ff11524bf08842ac3272e091eb2023-11-24T10:44:23ZengMDPI AGCells2073-44092022-11-011123382410.3390/cells11233824The Efficacy of HGF/VEGF Gene Therapy for Limb Ischemia in Mice with Impaired Glucose Tolerance: Shift from Angiogenesis to Axonal Growth and Oxidative Potential in Skeletal MuscleIurii S. Stafeev I0Maria A. Boldyreva1Svetlana S. Michurina2Margarita Yu. Agareva3Arina V. Radnaeva4Mikhail Yu. Menshikov5Yu-Chen Hu6Pavel I. Makarevich7Yelena V. Parfyonova8National Medical Research Centre for Cardiology Named after Academician E.I.Chazov, 121552 Moscow, RussiaNational Medical Research Centre for Cardiology Named after Academician E.I.Chazov, 121552 Moscow, RussiaNational Medical Research Centre for Cardiology Named after Academician E.I.Chazov, 121552 Moscow, RussiaNational Medical Research Centre for Cardiology Named after Academician E.I.Chazov, 121552 Moscow, RussiaFaculty of Medicine, Lomonosov Moscow State University, 119192 Moscow, RussiaNational Medical Research Centre for Cardiology Named after Academician E.I.Chazov, 121552 Moscow, RussiaDepartment of Chemical Engineering, National Tsing Hua University, Hsinchu 300044, TaiwanFaculty of Medicine, Lomonosov Moscow State University, 119192 Moscow, RussiaNational Medical Research Centre for Cardiology Named after Academician E.I.Chazov, 121552 Moscow, RussiaBackground: Combined non-viral gene therapy (GT) of ischemia and cardiovascular disease is a promising tool for potential clinical translation. In previous studies our group has developed combined gene therapy by vascular endothelial growth factor 165 (<i>VEGF165</i>) + hepatocyte growth factor (<i>HGF</i>). Our recent works have demonstrated that a bicistronic pDNA that carries both human <i>HGF</i> and <i>VEGF165</i> coding sequences has a potential for clinical application in peripheral artery disease (PAD). The present study aimed to test <i>HGF/VEGF</i> combined plasmid efficacy in ischemic skeletal muscle comorbid with predominant complications of PAD-impaired glucose tolerance and type 2 diabetes mellitus (T2DM). Methods: Male C57BL mice were housed on low-fat (LFD) or high-fat diet (HFD) for 10 weeks and metabolic parameters including FBG level, ITT, and GTT were evaluated. Hindlimb ischemia induction and plasmid administration were performed at 10 weeks with 3 weeks for post-surgical follow-up. Limb blood flow was assessed by laser Doppler scanning at 7, 14, and 21 days after ischemia induction. The necrotic area of <i>m.tibialis anterior</i>, macrophage infiltration, angio- and neuritogenesis were evaluated in tissue sections. The mitochondrial status of skeletal muscle (total mitochondria content, ETC proteins content) was assessed by Western blotting of muscle lysates. Results: At 10 weeks, the HFD group demonstrated impaired glucose tolerance in comparison with the LFD group. <i>HGF/VEGF</i> plasmid injection aggravated glucose intolerance in HFD conditions. Blood flow recovery was not changed by <i>HGF/VEGF</i> plasmid injection either in LFD or HFD conditions. GT in LFD, but not in HFD conditions, enlarged the necrotic area and CD68+ cells infiltration. However, <i>HGF/VEGF</i> plasmid enhanced neuritogenesis and enlarged NF200+ area on muscle sections. In HFD conditions, <i>HGF/VEGF</i> plasmid injection significantly increased mitochondria content and ETC proteins content. Conclusions: The current study demonstrated a significant role of dietary conditions in pre-clinical testing of non-viral GT drugs. <i>HGF/VEGF</i> combined plasmid demonstrated a novel aspect of potential participation in ischemic skeletal muscle regeneration, through regulation of innervation and bioenergetics of muscle. The obtained results made <i>HGF/VEGF</i> combined plasmid a very promising tool for PAD therapy in impaired glucose tolerance conditions.https://www.mdpi.com/2073-4409/11/23/3824gene therapyplasmidlimb ischemiahigh-fat dietobesityVEGF
spellingShingle Iurii S. Stafeev I
Maria A. Boldyreva
Svetlana S. Michurina
Margarita Yu. Agareva
Arina V. Radnaeva
Mikhail Yu. Menshikov
Yu-Chen Hu
Pavel I. Makarevich
Yelena V. Parfyonova
The Efficacy of HGF/VEGF Gene Therapy for Limb Ischemia in Mice with Impaired Glucose Tolerance: Shift from Angiogenesis to Axonal Growth and Oxidative Potential in Skeletal Muscle
Cells
gene therapy
plasmid
limb ischemia
high-fat diet
obesity
VEGF
title The Efficacy of HGF/VEGF Gene Therapy for Limb Ischemia in Mice with Impaired Glucose Tolerance: Shift from Angiogenesis to Axonal Growth and Oxidative Potential in Skeletal Muscle
title_full The Efficacy of HGF/VEGF Gene Therapy for Limb Ischemia in Mice with Impaired Glucose Tolerance: Shift from Angiogenesis to Axonal Growth and Oxidative Potential in Skeletal Muscle
title_fullStr The Efficacy of HGF/VEGF Gene Therapy for Limb Ischemia in Mice with Impaired Glucose Tolerance: Shift from Angiogenesis to Axonal Growth and Oxidative Potential in Skeletal Muscle
title_full_unstemmed The Efficacy of HGF/VEGF Gene Therapy for Limb Ischemia in Mice with Impaired Glucose Tolerance: Shift from Angiogenesis to Axonal Growth and Oxidative Potential in Skeletal Muscle
title_short The Efficacy of HGF/VEGF Gene Therapy for Limb Ischemia in Mice with Impaired Glucose Tolerance: Shift from Angiogenesis to Axonal Growth and Oxidative Potential in Skeletal Muscle
title_sort efficacy of hgf vegf gene therapy for limb ischemia in mice with impaired glucose tolerance shift from angiogenesis to axonal growth and oxidative potential in skeletal muscle
topic gene therapy
plasmid
limb ischemia
high-fat diet
obesity
VEGF
url https://www.mdpi.com/2073-4409/11/23/3824
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