Key result
Angiotensin type 2 receptor deletion improved blood flow reperfusion recovery in the ischaemic muscle of diabetic mice (68% vs 35% in wild-type controls).
Why the study?
Beneficial effects of angiotensin type 2 receptor deletion in diabetic mice occurred 2 weeks post-surgery, suggesting it may regulate other pro-angiogenic signalling pathways during early phases of ischaemia.
Does deletion of angiotensin type 2 receptor improve blood flow reperfusion in diabetic mice with ischaemic muscle?
Does deletion of angiotensin type 2 receptor improve blood flow reperfusion in diabetic mice with ischaemic muscle?
Absolute Event Rate: 68% vs 35%
Deletion of the angiotensin type 2 receptor promotes blood flow reperfusion in diabetic mice following ischaemia by preserving endothelial cell survival and function.
AT2 receptor deletion warrants exploration as a strategy to improve perfusion in diabetic ischemia; leaves open applicability to clinical peripheral artery disease.
Peripheral artery disease is a severe complication of diabetes. We have reported that the deletion of angiotensin type 2 receptor in diabetic mice promoted vascular angiogenesis in the ischaemic muscle 4 weeks following ischaemia. However, the angiotensin type 2 receptor deletion beneficial effects occurred 2 weeks post surgery suggesting that angiotensin type 2 receptor may regulate other pro-angiogenic signalling pathways during the early phases of ischaemia. Nondiabetic and diabetic angiotensin type 2 receptor–deficient mice ( Agtr2 −/Y ) underwent femoral artery ligation after 2 months of diabetes. Blood perfusion was measured every week up to 2 weeks post surgery. Expression of vascular endothelial growth factor, vascular endothelial growth factor receptor and endothelial nitric oxide synthase expression and activity were evaluated. Blood flow reperfusion in the ischaemic muscle of diabetic Agtr2 +/Y mice was recovered at 35% as compared to a 68% recovery in diabetic Agtr2 −/Y mice. The expression of vascular endothelial growth factor and its receptors was diminished in diabetic Agtr2 +/Y mice, an observation not seen in diabetic Agtr2 −/Y mice. Interestingly, Agtr2 −/Y mice were protected from diabetes-induced glutathionylation, nitration and decreased endothelial nitric oxide synthase expression, which correlated with reduced endothelial cell death and enhanced vascular density in diabetic ischaemic muscle. In conclusion, our results suggest that the deletion of angiotensin type 2 receptor promotes blood flow reperfusion in diabetes by favouring endothelial cell survival and function.
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Robillard et al. (2019) studied Peripheral artery disease in diabetes. Angiotensin type 2 receptor deletion (Agtr2 -/Y) vs. Diabetic Agtr2 +/Y mice was evaluated on Blood flow reperfusion recovery in the ischaemic muscle. Angiotensin type 2 receptor deletion improved blood flow reperfusion recovery in the ischaemic muscle of diabetic mice (68% vs 35% in wild-type controls).
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