Neovascularization of ischemic muscle may be sufficient to preserve ti
ssue integrity and/or function and may thus be considered to be therap
eutic. The regulatory role of vascular endothelial growth factor (VEGF
) in therapeutic angiogenesis was suggested by experiments in which ex
ogenously administered VEGF was shown to augment collateral blood flow
in animals and patients with experimentally induced hindlimb or myoca
rdial ischemia, To address the possible contribution of postnatal endo
genous VEGF expression to collateral vessel development in ischemia ti
ssues, we developed a mouse model of hindlimb ischemia, The femoral ar
tery of one hindlimb was ligated and excised. Laser Doppler perfusion
imaging (LDPI) was employed to document the consequent reduction in hi
ndlimb blood flow, which typically persisted for up to 7 days. Serial
in vivo examinations by LDPI disclosed that hindlimb blood flow was pr
ogressively augmented over the course of 14 days, ultimately reaching
a plateau between 21 and 28 days. Morphometric analysis of capillary d
ensity performed at the same time points selected for in vivo analysis
of blood flow by LDPI confirmed that the histological sequence of neo
vascularization corresponded temporally to blood flow recovery detecte
d in vivo. Endothelial cell proliferation was documented by immunostai
ning for bromodeoxyuridine injected 24 hours before each of these time
points, providing additional evidence that angiogenesis constitutes t
he basis for improved collateral-dependent flow in this animal model.
Neovascularization was shown to develop in association with augmented
expression of VEGF mRNA and protein from skeletal myocytes as well as
endothelial cells in the Ischemic hindlimb; that such reparative angio
genesis is indeed dependent upon VEGF up-regulation was confirmed by i
mpaired neovascularization after administration of a neutralizing VEGF
antibody. Sequential characterization of the in vivo, histological, a
nd molecular findings in this novel animal model thus document the rol
e of VEGF as endogenous regulator of angiogenesis in the setting of ti
ssue ischemia, Moreover, this murine model represents a potential mean
s for studying the effects of gene targeting on nutrient angiogenesis
in vivo.