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Angiogenesis
R.Parthasarathy
1
Judah Folkman
1933 - 2008
In 1971,
when he reported - all
cancer tumors are
angiogenesis-dependent.
It was not readily accepted.
But after a decade people
recognize a close relation between
tumor and angiogenesis.
It leads to development of
a new field named
“Angiogenesis” in science.
2
History of Angiogenesis
3
Cells involved in Angiogenesis
4
Pericycte
Mural cell
Periendothelial cell
Angiogenesis is the growth of blood vessels from the
existing vasculature.
It is a continuous process throughout our lifespan.
No metabolically active tissue in the body is more than
a few hundred micrometers from a blood capillary.
5
Definition
6
7
8
9
10
Cross section of blood vessels
11
Types of Angiogenesis
12
Angiogenesis By Chemical Stimulation
Vs
13
ExcessiveInsufficient
Cancer
Rheumatoid Arthritis
Blindness
(Diabetic retinopathy)
Psoriasis
Aids complication
Ulcers
Stroke
Heart disease
Infertility
Scleroderma
14
Angiogenesis and various diseases
15
16
17
Stages of Angiogenesis
1. Vasodilation, endothelial permeability and
periendothelial support.
2. Endothelial cell proliferation and migration.
3. Lumen formation.
4. Endothelial survival.
5. Endothelial differentiation.
6. Remodeling.
18
NO
• Formation of fenestrations,
• Vesiculo–vacuolar organelles
• Platelet endothelial cell adhesion
molecule (PECAM)-1
• Vascular endothelial (VE)–cadherin,
• Src kinases.
Angiopoietin (Ang) 1
Angiogenic
stimulators
VEGF, FGF
19
Angiogenic
stimulators
VEGF, FGF
Ang2
SMC
20
Angiogenic
stimulators
VEGF, FGFMMP
Chymase
or
Heparanase
21
Angiogenic
stimulators
VEGF, FGF
22
Morphological differentiation of Endothelial cells
23
Remodeling
24
Clinical use of Angiogenesis
Growth factor incorporated hydrogel are used
in treatment of
• Diabetic ulcers
• Pressure ulcers
More than 50 anti – angiogenic compounds are in
clinical trials which are used in cancer treatment.
Eg. Becaplerin
25
To treat ischemic heart disease.
inflammatory disorders.
Risk in growth factor usage
26
27
28
3832
29
30
References
1. Folkman, J. Angiogenesis. Annu. Rev. Med. 57, 1–18 (2006).
2. Carmeliet, P. Mechanisms of angiogenesis and arteriogenesis. Nature
medicine 6, 389–396 (2000).
3. Carmeliet, P. Angiogenesis in health and disease. Nat Med 9, 653–660 (2003).
4. Buschmann, I. & Schaper, W. Arteriogenesis Versus Angiogenesis: Two Mechanisms
of Vessel Growth. News Physiol. Sci. 14, 121–125 (1999).
5. http://ekjm.org/journal/view.php?number=21153
6. http://www.pbs.org/wgbh/nova/body/folkman-cancer.html
7. Adair TH, Montani JP. Angiogenesis. San Rafael (CA): Morgan & Claypool Life
Sciences; 2010. Author Biographies.
8. http://www.histology.leeds.ac.uk/circulatory/capillaries.php
9. http://www.gettyimages.in/detail/photo/normal-artery-in-cross-section-h-e-stain-
high-res-stock-photography/128124179
10. http://siklusair.com/arteries-veins-and-capillaries-differences
11. http://astro-awakenings.co.uk/wp-content/uploads/2013/05/tug_of_war_W-
Stanley-Proctor.jpg
12. http://www.i2clipart.com/cliparts/4/8/d/e/clipart-rope-512x512-48de.png
31

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Angiogenesis

Notas do Editor

  1. In Greek, Angio means vessels and genesis means formation. If we know how much strength is provided by this steel to built a building.. Likewise if we know what is angiogenesis and how it is happening inside our body it is possible to enhance the rate of wound healing.
  2. He is the founder for the field of angiogenesis. In 1971, when he reported - all cancer tumors are angiogenesis-dependent
  3. Angiogenesis initiates with vasodilation, a process involving nitric oxide Vascular permeability increases in response to VEGF. Angiopoietin (Ang) 1, a ligand of the endothelial Tie2 receptor, is a natural inhibitor of vascular permeability, tightening preexisting vessels.
  4. For endothelial cells to emigrate from their resident site, they need to loosen interendothelial cell contacts and to relieve periendothelial cell support; that is, mature vessels need to become destabilized (Fig. 3). Ang2, an inhibitor of Tie2 signaling, may be involved in detaching smooth muscle cells and loosening the matrix
  5. Proteinases of the plasminogen activator, matrix metalloproteinase (MMP), chymase or heparanase families influence angiogenesis by degrading matrix molecules and by activating or liberating growth factors (bFGF, VEGFand IGF-1), sequestered within the extracellular matrix
  6. Lumen formation: Endothelial cells often assemble as solid cords that subsequently acquire a lumen. Intercalation or thinning of endothelial cells and fusion of preexisting vessels allow vessels to increase their diameter and length. Endothelial survival: Once assembled in new vessels, endothelial cells become quiescent and survive for years. Endothelial apoptosis is induced through deprivation of nutrients or survival signals when the lumen is obstructed by spasms, thrombi or the shedding of dead endothelial cells, or when a change in the angiogenic gene profile occurs.
  7. To accommodate local physiological requirements, endothelial cells acquire specialized characteristics that are determined by host tissue