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1 Vascular Biology Program, Children's Hospital Boston, Boston, Massachusetts, United States; Department of Surgery, Children's Hospital Boston, Boston, Massachusetts, United States
2 Department of Pathology, Brigham and Women's Hospital, Boston, Massachusetts, United States
3 Vascular Biology Program, Children's Hospital Boston, Boston, Massachusetts, United States
* To whom correspondence should be addressed. E-mail: mark.puder{at}childrens.harvard.edu.
We hypothesize that compensatory lung growth after unilateral pneumonectomy in a murine model is angiogenesis-dependent and can be altered using angiogenic agents, possibly through regulation of endothelial cell proliferation and apoptosis. Left pneumonectomy was performed in mice. Mice were then treated with pro-angiogenic factors (VEGF, bFGF), VEGF-receptor antibodies (MF-1, DC101), and VEGF-receptor small molecule chemical inhibitors. Lung volume and mass were measured. The lungs were analyzed using immunohistochemistry by CD31 staining, Terminal deoxynucleotidyl transferase biotin-dUTP Nick End Labeling (TUNEL), type II pneumocytes staining, and proliferating cell nuclear antigen (PCNA). Compensatory lung growth was complete by post-operative day 10 and was associated with apoptosis of endothelial cells and pneumocytes. This process was accelerated by VEGF, such that growth was complete by post-operative day 4 with similar associated apoptosis. bFGF had no effect on lung growth. MF-1 and DC101 had no effect. The VEGF-receptor small molecule chemical inhibitors also had no effect. VEGF, but not bFGF, accelerates growth. VEGF-receptor inhibitors do not block growth, suggesting that other pro-angiogenic factors play a role or can compensate for VEGF-receptor blockade. Diffuse apoptosis, endothelial cell and pneumocyte, occurs at cessation of both normal compensatory and VEGF-accelerated growth. Angiogenesis modulators may control growth via regulation of endothelial cell proliferation and apoptosis, although the relationship between endothelial cells and pneumocytes has yet to be determined. The fact that bFGF did not accelerate growth in our model when it did accelerate regeneration in the liver model suggests that angiogenesis during organ regeneration is regulated in an organ-specific manner.
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