EphB4 stimulation prevents aberrant angiogenesis by uncontrolled adenoviral VEGF delivery both in normal and in ischemic muscle EphB4 stimulation prevents.

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EphB4 stimulation prevents aberrant angiogenesis by uncontrolled adenoviral VEGF delivery both in normal and in ischemic muscle EphB4 stimulation prevents aberrant angiogenesis by uncontrolled adenoviral VEGF delivery both in normal and in ischemic muscle A–CImmune‐deficient SCID mice received intramuscular injections of adenovirus expressing murine VEGF164 (Ad‐mVEGF) and were treated systemically with ephrinB2‐Fc or control Fc proteins. Muscles were harvested 2 weeks later, and frozen sections were stained for endothelium (CD31, red), pericytes (NG2, green), and smooth muscle cells (α‐SMA, cyan) (A). Vessel diameters were quantified, and results are shown as size distribution (B) and mean of individual measurements in each sample ± SEM (C). EphB4 stimulation prevented the appearance of aberrantly enlarged and smooth muscle‐covered vascular structures and reduced the average diameter of induced vessels. Scale bar = 50 μm. n = 4 independent samples/group; *P < 0.05 (one‐tailed t‐test, after data normalization by logarithmic‐transformation).D–HHindlimb ischemia was induced in immune‐competent LDLR−/−ApoB100/100 mice. Adenoviral vectors expressing human VEGF165 (Ad‐hVEGF) or control LacZ (Ad‐LacZ) were delivered by intramuscular injection and animals received systemic treatment with ephrinB2‐Fc or control Fc proteins. After 11 days, muscles were harvested and immunohistochemical staining for CD31 was performed to assess vessel morphology (D) and to quantify vascular size by measuring vessel perimeters (E), while tissue damage was quantified on H&E‐stained sections (F, G), distinguishing tissue areas as normal, necrotic, early‐, and late‐regenerating (ER and LR, respectively). Blood flow was measured non‐invasively by contrast‐enhanced ultrasound (H) before and after surgery (pre‐op and post‐op, respectively) and after 4, 7, and 11 days (d4, d7, and d11) and is presented as the ratio of ischemic/contralateral normal leg of each animal. EphB4 stimulation prevented the appearance of aberrantly enlarged vascular lacunae and normalized the size of VEGF‐induced vessels, while a non‐significant trend was also observed toward reduced tissue necrosis, increased regeneration, and normalized blood flow. Scale bars = 100 μm (D) and 2 mm (F). Mean ± SEM; (D–G) n = 7–9 independent samples/group; *P < 0.05 and ***P < 0.001 (one‐way ANOVA and Bonferroni post hoc test); (H) n = 4–10 animals/group; ***P < 0.001 post‐op vs. pre‐op, **P < 0.01 post‐op vs. day 11 Ad‐LacZ, or vs. Ad‐VEGF, or vs. Ad‐VEGF + ephrinB2‐Fc, according to the corresponding color (one‐way ANOVA and Bonferroni multiple comparisons test). Elena Groppa et al. EMBO Rep. 2018;embr.201745054 © as stated in the article, figure or figure legend