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Arginase Inhibition Attenuates Arteriogenesis and Interferes With Laboratory Investigation (2016) 96, 830–838 © 2016 USCAP, Inc All rights reserved 0023-6837/16 Arginase inhibition attenuates arteriogenesis and interferes with M2 macrophage accumulation Manuel Lasch1,4, Amelia Caballero-Martinez1,4, Kerstin Troidl2,3, Irmengard Schloegl1, Thomas Lautz1 and Elisabeth Deindl1 L-Arginine is the common substrate for nitric oxide synthases (NOS) and arginase. Whereas the contribution of NOS to collateral artery growth (arteriogenesis) has been demonstrated, the functional role of arginase remains to be elucidated and was topic of the present study. Arteriogenesis was induced in mice by ligation of the femoral artery. Laser Doppler perfusion measurements demonstrated a significant reduction in arteriogenesis in mice treated with the arginase inhibitor nor-NOHA (Nω-hydroxy-nor-arginine). Accompanying in vitro results on murine primary arterial endothelial cells and smooth muscle cells revealed that nor-NOHA treatment interfered with cell proliferation and resulted in increased nitrate/ nitrite levels, indicative for increased NO production. Immuno-histological analyses on tissue samples demonstrated that nor-NOHA administration caused a significant reduction in M2 macrophage accumulation around growing collateral arteries. Gene expression studies on isolated growing collaterals evidenced that nor-NOHA treatment abolished the differential expression of Icam1 (intercellular adhesion molecule 1). From our data we conclude that arginase activity is essential for arteriogenesis by promoting perivascular M2 macrophage accumulation as well as arterial cell proliferation. Laboratory Investigation (2016) 96, 830–838; doi:10.1038/labinvest.2016.62; published online 30 May 2016 Cardiovascular diseases such as myocardial infarction or macrophages have been described to contribute to vascular stroke are still the major cause of morbidity and death remodeling.7 worldwide. Current options to treat affected patients are Interestingly, it has been shown that exogenously admini- percutaneous transluminal angioplasty, percutaneous trans- strated nitric oxide (NO) donors promote arteriogenesis.8,9 luminal coronary angioplasty or bypass surgery.1 Aiming to This is somehow amazing as it is well known that NO develop non-invasive therapeutic options to treat such counteracts leukocyte adhesion as well as smooth muscle cell 10 patients much effort is made to understand the molecular proliferation (for an overview see ), two essential processes mechanisms of arteriogenesis. Arteriogenesis is the growth of in arteriogenesis. Indeed, the mechanistic function of NO for a natural bypass and occurs as adaptive response of the body collateral artery growth still remains elusive. In the body, NO can be produced by three different to vascular occlusion.1 It is well established that the trigger for isoforms of the NOS enzyme: NOS1, NOS2, and NOS3 arteriogenesis is increased laminar shear stress.2 This (neuronal, inducible, and endothelial NO synthase). These increased mechanical load is exerted on ECs (endothelial isoforms display differences in tissue distribution, intracel- cells) of pre-existing arteriolar connections by the redirected 11 3 lular location, molecular regulation, and enzymatic kinetics. blood flow caused by occlusion of a conductance artery. All three isoforms have been shown to be involved in Animal models, mainly for peripheral arteriogenesis, arteriogenesis.9,12–14 NOS1 is mainly localized in smooth evidenced that increased shear stress results in activation of muscle cells (SMCs) of collateral arteries and is upregulated the arteriolar endothelium with subsequent upregulation of during arteriogenesis.12 NOS3 presents the major form of monocyte chemoattractant protein-1 (MCP-1) as well as NOS in ECs, and has a role in maintaining native ICAM1 presenting the prerequisite for monocyte recruitment, collateral density.14 NOS3 enzymatic activity is critical for – adhesion, and extravasation.4 6 After extravasation, mono- NO-mediated vasodilation in collateral vessels, however, is cytes mature to macrophages, whereby M1 as well as M2 not essential for effective collateral artery growth as evidenced 1Walter-Brendel-Centre of Experimental Medicine, LMU Munich, Munich, Germany; 2Max-Planck-Institute for Heart and Lung Research, Bad Nauheim, Germany and 3Department of Vascular and Endovascular Surgery, University Hospital Frankfurt, Frankfurt, Germany Correspondence: Dr E Deindl, PhD, Walter-Brendel-Centre of Experimental Medicine, LMU Munich, Marchioninistr. 15, 81377 Munich, Germany. E-mail: [email protected] 4These authors contributed equally to this work. Received 9 November 2015; revised 5 April 2016; accepted 21 April 2016 830 Laboratory Investigation | Volume 96 August 2016 | www.laboratoryinvestigation.org Arginase inhibition in arteriogenesis M Lasch et al by histological analyses.9,13 NOS2 deficiency in contrast surgical procedure and administered until the end of the strongly interferes with collateral artery growth.9 As NOS2 experiment. is the major form of NOS expressed in leukocytes it is likely that leukocyte derived NO is relevant for effective Femoral Artery Ligation, Laser Doppler Perfusion and arteriogenesis. Blood Pressure Measurements L-Arginine is the substrate for NOS, however, also presents To induce peripheral arteriogenesis, C57/BL6 mice under- the substrate for arginase.11 It has previously been demon- went unilateral femoral artery ligation (occ) of the right leg strated that arteriogenesis is reduced in animals treated whereas the left leg was sham operated as previously 5,20 with L-NAME, which was attributed to disrupted NO described. During surgery none of the mice died and no 15 production. However, L-NAME does not only inhibit NOS necrosis or infection of the wound was observed during the but also arginase.16 There are two different isoforms of observation period. arginase, arginase 1 and arginase 2, showing different Blood flow measurements were conducted using the LDI subcellular locations. Whereas arginase 1 is located in the technique (Moor LDI 5061 and Moor Software Version 3.01, cytosol, arginase 2 is a mitochondrial enzyme.11 The function from Moor Instruments, Remagen, Germany) as previously 5,20 of arginase 2 is less well characterized, however, arginase 1 has described. Mice were anesthetized and kept at 37 °C body been shown to be essential for vascular cell proliferation, and temperature in a heating chamber for 10 min. The measure- to be a feature of M2 macrophages.11 We therefore asked ments were performed before surgery, directly after surgery, whether arginase is essential for the process of arteriogenesis. and on day 3 and day 7 after surgery. The right-to-left ratio For our study, we employed a murine hindlimb model in was calculated for each mouse and background tissue values which femoral artery ligation results in collateral artery were subtracted to eliminate tissue bias. growth.5 We evaluated the efficiency of the process of Blood pressure was measured non-invasively by determin- arteriogenesis by measuring hindlimb perfusion non- ing the tail blood pressure using a two-module system invasively by means of laser Doppler imaging (LDI) and consisting of an occlusion tail cuff and a volume pressure quantified macrophage infiltration as well as Icam1 expression recording sensor from CODA System (Kent Scientific, in mice treated with the arginase inhibitor nor-NOHA Torrington, CT, USA). The measurements were done as 21 compared with saline-treated control mice. Furthermore, we previously described. The blood pressure was measured one performed accessory in vitro proliferation assays on primary day after the surgical procedure and at day 7. murine arterial ECs and SMCs and investigated NO production by means of nitrate/nitrite measurements. Tissue Sampling for Immuno-Histology and RNA Expression Analyses For RNA tissue sampling, the abdominal aorta was cannu- MATERIALS AND METHODS lated, and both hindlimbs were perfused with latex flexible Reagents compound (Chicago Latex, Chicago, IL, USA) to visualize L-Lys (L-lysine monohydrochloride) and L-Arg (L-arginine) superficial collateral arteries. Twelve hours after surgery, two were purchased from Sigma-Aldrich (St. Louis, MO, USA), superficial collateral arteries per animal per side were isolated. nor-NOHA from Bachem (Bubendorf, Switzerland). For All samples were snap frozen in dry ice and stored at –80 °C. proliferation assays, L-Arg-, L-Lys- phenol-free DMEM ’ ’ For histology tissue sampling on day 7 after the surgical (Dulbecco s Modified Eagle s Medium; Sigma-Aldrich) was procedure, mice were perfused as described above with 0.1% μ supplemented with 272 M L-Lys. (w/v) adenosine (Sigma-Aldrich) and 0.5% (w/v) bovine serum albumin (Sigma-Aldrich) dissolved in phosphate- Animals and Treatments buffered saline (PBS; PAN Biotech, Aidenbach, Germany), The investigation was approved and controlled by the local pH7.4, followed by 3% (for cryopreservation) or 4% (for ethics committee and carried out according to the guidelines paraffin embedding) paraformaldehyde in PBS, pH7.4, for of the German law for protection of animal life. Mice were 20 min. For cryoconservation adductor muscles were cut and kept under a 12 h day and night cycle with chow and water placed in 15% (w/v) sucrose in PBS for 4 h and in 30% provided ad libitum. Eight to 10 weeks old C57/BL6 male sucrose (w/v) overnight at 4 °C. Muscle samples were then mice (Charles River, Sulzfeld, Germany) were used for in vivo embedded in tissue tek
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