Amlodipine Ameliorates Ischemia-Induced Neovascularization in Diabetic Rats through Endothelial Progenitor Cell Mobilization

Biomed Res Int. 2016:2016:3182764. doi: 10.1155/2016/3182764. Epub 2016 May 8.

Abstract

Objectives. We investigated whether amlodipine could improve angiogenic responses in a diabetic rat model of acute myocardial infarction (AMI) through improving bone marrow endothelial progenitor cell (EPC) mobilization, in the same way as angiotensin converting enzyme inhibitors. Methods. After induction of AMI by coronary artery ligation, diabetic rats were randomly assigned to receive perindopril (2 mgkg(-1) day(-1)), amlodipine (2.5 mgkg(-1) day(-1)), or vehicle by gavage (n = 20 per group). Circulating EPC counts before ligation and on days 1, 3, 5, 7, 14, and 28 after AMI were measured in each group. Microvessel density, cardiac function, and cardiac remodeling were assessed 4 weeks after treatment. The signaling pathway related to EPC mobilization was also measured. Results. Circulating EPC count in amlodipine- and perindopril-treated rats peaked at day 7, to an obvious higher level than the control group peak which was reached earlier (at day 5). Rats treated with amlodipine showed improved postischemia neovascularization and cardiac function, together with reduced cardiac remodeling, decreased interstitial fibrosis, and cardiomyocyte apoptosis. Amlodipine treatment also increased cardiac SDF-1/CXCR4 expression and gave rise to activation of VEGF/Akt/eNOS signaling in bone marrow. Conclusions. Amlodipine promotes neovascularization by improving EPC mobilization from bone marrow in diabetic rats after AMI, and activation of VEGF/Akt/eNOS signaling may in part contribute to this.

MeSH terms

  • Amlodipine / administration & dosage*
  • Animals
  • Cell Movement / drug effects
  • Cytokines / immunology
  • Diabetic Angiopathies / drug therapy*
  • Diabetic Angiopathies / immunology
  • Diabetic Angiopathies / pathology
  • Dose-Response Relationship, Drug
  • Endothelial Cells / drug effects
  • Endothelial Cells / immunology
  • Endothelial Cells / pathology*
  • Endothelial Progenitor Cells / drug effects
  • Endothelial Progenitor Cells / immunology
  • Endothelial Progenitor Cells / pathology*
  • Male
  • Myocardial Ischemia / complications
  • Myocardial Ischemia / drug therapy*
  • Myocardial Ischemia / immunology
  • Myocardial Ischemia / pathology
  • Neovascularization, Pathologic / etiology
  • Neovascularization, Pathologic / immunology
  • Neovascularization, Pathologic / prevention & control*
  • Rats
  • Rats, Sprague-Dawley
  • Treatment Outcome

Substances

  • Cytokines
  • Amlodipine