Key result
CGL overexpression increases running distance ~83% after hindlimb ischemia in mice.
Why the study?
The benefits of increasing endogenous cystathionine-γ-lyase and its mechanism of action in neovascularization had not yet been elucidated.
Does endogenous cystathionine-γ-lyase (CGL) overexpression improve neovascularization and functional recovery in a murine model of hindlimb ischemia?
Does endogenous cystathionine-γ-lyase (CGL) overexpression improve neovascularization and functional recovery in a murine model of hindlimb ischemia?
Transgenic overexpression of cystathionine-γ-lyase accelerates limb perfusion recovery, increases capillary density fourfold, and enhances exercise endurance following hindlimb ischemia in mice via modulation of the NAD+ pathway.
Answers are grounded in this paper and cite their sources.
CGL overexpression augments recovery in murine hindlimb ischemia; leaves open human translation for peripheral artery disease.
Hydrogen sulfide is a proangiogenic gas produced primarily by the transsulfuration enzyme cystathionine-γ-lyase (CGL). CGL-dependent hydrogen sulfide production is required for neovascularization in models of peripheral arterial disease. However, the benefits of increasing endogenous CGL and its mechanism of action have not yet been elucidated. Male whole body CGL-overexpressing transgenic (CGLTg) mice and wild-type (WT) littermates (C57BL/6J) were subjected to the hindlimb ischemia model (age, 10-12 weeks). Functional recovery was assessed via the treadmill exercise endurance test. Leg perfusion was measured by laser Doppler imaging and vascular endothelial-cadherin immunostaining. To examine the angiogenic potential, aortic ring sprouting assay and postnatal mouse retinal vasculature development studies were performed. Finally, comparative metabolomics analysis, oxidized/reduced nicotinamide adenine dinucleotide (NAD+/NADH) analysis, and quantitative real-time polymerase chain reaction were performed on CGLWT and CGLTg gastrocnemius muscle. The restoration of blood flow occurred more rapidly in CGLTg mice. Compared with the CGLWT mice, the median ± standard deviation running distance and time were increased for the CGLTg mice after femoral artery ligation (159 ± 53 m vs 291 ± 74 m [P < .005] and 17 ± 4 minutes vs 27 ± 5 minutes [P < .05], respectively). Consistently, in the CGLTg ischemic gastrocnemius muscle, the capillary density was increased fourfold (0.05 ± 0.02 vs 0.20 ± 0.12; P < .005). Ex vivo, the endothelial cell (EC) sprouting length was increased in aorta isolated from CGLTg mice, especially when cultured in VEGFA (vascular endothelial growth factor A)-only media (63 ± 2 pixels vs 146 ± 52 pixels; P < .05). Metabolomics analysis demonstrated a higher level of niacinamide, a precursor of NAD+/NADH in the muscle of CGLTg mice (61.4 × 106 ± 5.9 × 106 vs 72.4 ± 7.7 × 106 area under the curve; P < .05). Similarly, the NAD+ salvage pathway gene expression was increased in CGLTg gastrocnemius muscle. Finally, CGL overexpression or supplementation with the NAD+ precursor nicotinamide mononucleotide improved EC migration in vitro (wound closure: control, 35% ± 9%; CGL, 55% ± 11%; nicotinamide mononucleotide, 42% ± 13%; P < .05). Our results have demonstrated that CGL overexpression improves the neovascularization of skeletal muscle on hindlimb ischemia. These effects correlated with changes in the NAD pathway, which improved EC migration.
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Kiesworo et al. (2023) studied Peripheral arterial disease / Hindlimb ischemia. Cystathionine-γ-lyase (CGL) transgenic overexpression vs. Wild-type (CGLWT) littermate control mice was evaluated on Treadmill running distance after femoral artery ligation (day 14) (p=<0.005). CGL overexpression increased treadmill running distance and fourfold capillary density after hindlimb ischemia in mice.
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