期刊
GENE THERAPY
卷 19, 期 9, 页码 925-935出版社
NATURE PUBLISHING GROUP
DOI: 10.1038/gt.2011.158
关键词
fetal growth restriction; VEGF; uterine blood flow; adenovirus; pregnancy
类别
资金
- Ark Therapeutics Ltd, London
- University College London Hospital (UCLH) Charities
- UK Medical Research Council
- British Heart Foundation
- Department of Health's NIHR Biomedical Research Centres funding scheme
- British Heart Foundation [RG/11/11/29050, RG/06/003/21131] Funding Source: researchfish
Increasing uterine artery blood flow (UABF) may benefit fetal growth restriction where impaired uteroplacental perfusion prevails. Based on previous short-term results, we examined the long-term effects of adenovirus vector-mediated overexpression of vascular endothelial growth factor-A(165) (VEGF-A(165)) in the uterine artery (UtA). Transit-time flow probes were implanted around both UtAs of mid-gestation pregnant sheep (n = 11) to measure UABF. A carotid artery catheter was inserted to measure maternal or fetal hemodynamics. Baseline UABF was measured over 3 days, before injection of adenovirus vector (5 x 10(11) particles) encoding the VEGF-A(165) gene (Ad.VEGF-A(165)) into one UtA and a reporter beta-galactosidase gene (Ad.LacZ) contralaterally. UABF was then measured daily until term. At 4 weeks post injection, the increase in UABF was significantly higher in Ad. VEGF-A(165) compared with Ad.LacZ-transduced UtAs (36.53% vs 20.08%, P = 0.02). There was no significant effect on maternal and fetal blood pressure. Organ bath studies showed significantly lesser vasoconstriction (E-max 154.1 vs 184.7, P<0.001), whereas immunohistochemistry demonstrated a significantly increased number of adventitial blood vessels (140 vs 91, n = 26, P<0.05) following Ad.VEGF-A(165) transduction. Local overexpression of VEGF-A(165) in the UtAs of pregnant mid-gestation sheep leads to a sustained long-term increase in UABF, which may be explained by neovascularization and altered vascular reactivity.
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