Abstract
We have developed a novel in vivo model utilizing acute stretch to investigate endothelial cell proliferation as a marker of vascular growth in healing mouse skin. This study is a follow-up to ones revealing immediate stretch improves blood flow, decreases total tissue necrosis, and induces tissue insulin transcription. Dorsal distally based flaps of skin were stretched for 3 min using linear (skin hook) plus hemispherical load cycling (inflated subcutaneous silicone catheter). Unstretched, wounded skin along the back and sternum served as postoperative controls. Laser Doppler flowmetry demonstrated a threefold increase in flap perfusion at postoperative day 7. A stretch-induced sixfold increase in endothelial cell mitogenesis accompanied enhancements in blood flow and extracorporal wound healing over the sternum. Western blots revealed up-regulation/activation of insulin and mitogenic signaling intermediates in stretched skin. Activated insulin and insulin growth factor receptors (pIR/pIGFR), protein kinase B (Akt, pAkt), vascular endothelial growth factor (VEGF) and vascular endothelial growth factor receptor 2 (flk-1) were among the identified stretch-responsive intermediates. These results indicate the benefits of acute stretch are mediated through enhanced vascularity as evidenced by endothelial cell mitogenesis and up-regulation/activation of insulin and key angiogenic effectors in dorsal distally based skin flaps.
Similar content being viewed by others
References
Badr I, Brown MD, Egginton S, Hudlicka O, Milkiewicz M, Verhaeg J (2003) Differences in local environment determine the site of physiological angiogenesis in rat skeletal muscle. Exp Physiol 88:565–568
Beeson M, Sajan MP, Dizon M, Grebenev D, Gomez-Daspet J, Miura A, Kanoh Y, Powe J, Bandyopadhyay G, Standaert ML, Farese RV (2003) Activation of protein kinase C-zeta by insulin and phosphatidylinositol-3,4,5-(PO4)3 is defective in muscle in type 2 diabetes and impaired glucose tolerance: amelioration by rosiglitazone and exercise. Diabetes 52:1926–1934
Brewster L, Brey EM, Addis M, Xue L, Husak V, Ellinger J, Haudenschild CC, Greisler HP (2006) Improving endothelial healing with novel chimeric mitogens. Am J Surg 192:589–593
Brey EM, Uriel S, Greisler HP, McIntire LV (2005) Therapeutic neovascularization: contributions from bioengineering. Tissue Eng 11:567–584
Brown MD, Kent J, Kelsall CJ, Milkiewicz M, Hudlicka O (2003) Remodeling in the microcirculation of rat skeletal muscle during chronic ischemia. Microcirculation 10:179–191
Chau CH, Chen KY, Deng HT, Kim KJ, Hosoya K, Terasaki T, Shih HM, Ann DK (2002) Coordinating Etk/Bmx activation and VEGF upregulation to promote cell survival and proliferation. Oncogene 21:8817–8829
Davis GE, Saunders WB (2006) Molecular balance of capillary tube formation versus regression in wound repair: role of matrix metalloproteinases and their inhibitors. J Investig Dermatol Symp Proc 11:44–56
Folkman J (2003) Fundamental concepts of the angiogenic process. Curr Mol Med 3:643–651
Gordon SR (2002) Microfilament disruption in a noncycling organized tissue, the corneal endothelium, initiates mitosis. Exp Cell Res 272:127–134
Haas TL (2002) Molecular control of capillary growth in skeletal muscle. Can J Appl Physiol 27:491–515
Hochberg J, Raman M, Cilento E, Kemp K, Barrett M, Thomas R, Reilly F (1994) Development and evaluation of an in vivo mouse model for studying myocutaneous flap microcirculation and viability before and after suturing or stapling. Int J Microcirc Clin Exp 14:67–72
Hochberg J, Beasley M, Jennings T, Zhu X, Boo S, Cilento EV, Reilly FD (1998) Effects of hold time, cycling, and catheter fill-volume on the reported benefits of rapid intraoperative tissue expansion over simple undermining. Plast Surg Forum 286–289
Hochberg J, Zhu X, Beasley M, Cilento E, Reilly F (2000) The best estimates of total perfusion are from the base of myocutaneous flaps. In: Plast Surg Forum 452
Hudlicka O (1998) Is physiological angiogenesis in skeletal muscle regulated by changes in microcirculation? Microcirculation 5:5–23
Ingber DE (2002) Mechanical signaling and the cellular response to extracellular matrix in angiogenesis and cardiovascular physiology. Circ Res 91:877–887
Joung IS, Iwamoto MN, Shiu YT, Quam CT (2006) Cyclic strain modulates tubulogenesis of endothelial cells in a 3D tissue culture model. Microvasc Res 71:1–11
Kanda S, Mochizuki Y, Kanetake H (2003) Stromal cell-derived factor-1alpha induces tube-like structure formation of endothelial cells through phosphoinositide 3-kinase. J Biol Chem 278:257–262
Kawaguchi M, Koshimura K, Sohmiya M, Murakami Y, Gonda T, Kato Y (2001) Effect of insulin on nitric oxide synthase-like immunostaining of arteries in various organs in Zucker diabetic fatty rats. Eur J Endocrinol 145:343–349
Kawamura A, Horie T, Tsuda I, Abe Y, Yamada M, Egawa H, Iida J, Sakata H, Onodera K, Tamaki T, Furui H, Kukita K, Meguro J, Yonekawa M, Tanaka S (2006) Clinical study of therapeutic angiogenesis by autologous peripheral blood stem cell (PBSC) transplantation in 92 patients with critically ischemic limbs. J Artif Organs 9:226–233
Kelkar BR (2003) Induced angiogenesis for limb ischemia. Clin Orthop Relat Res 234–240
Kim KE, Cho CH, Kim HZ, Baluk P, McDonald DM, Koh GY (2006) In vivo actions of angiopoietins on quiescent and remodeling blood and lymphatic vessels in mouse airways and skin. Arterioscler Thromb Vasc Biol
Kobayashi T, Kamata K (2002) Short-term insulin treatment and aortic expressions of IGF-1 receptor and VEGF mRNA in diabetic rats. Am J Physiol Heart Circ Physiol 283:H1761–H1768
Laing AJ, Dillon JP, Condon ET, Street JT, Wang JH, McGuinness AJ, Redmond HP (2007) Mobilization of endothelial precursor cells: systemic vascular response to musculoskeletal trauma. J Orthop Res 25:44–50
Layton CJ, Becker S, Osborne NN (2006) The effect of insulin and glucose levels on retinal glial cell activation and pigment epithelium-derived fibroblast growth factor-2. Mol Vis 12:43–54
Li S, Huang NF, Hsu S (2005) Mechanotransduction in endothelial cell migration. J Cell Biochem 96:1110–1126
Linn T, Erb D, Schneider D, Kidszun A, Elcin AE, Bretzel RG, Elcin YM (2003) Polymers for induction of revascularization in the rat fascial flap: application of vascular endothelial growth factor and pancreatic islet cells. Cell Transplant 12:769–778
Luo J, Miller MW (1996) Ethanol inhibits basic fibroblast growth factor-mediated proliferation of C6 astrocytoma cells. J Neurochem 67:1448–1456
Luo J, Lang JA, Miller MW (1998) Transforming growth factor beta1 regulates the expression of cyclooxygenase in cultured cortical astrocytes and neurons. J Neurochem 71:526–534
Machida BK, Liu-Shindo M, Sasaki GH, Rice DH, Chandrasoma P (1991) Immediate versus chronic tissue expansion. Ann Plast Surg 26:227–231
Marino-Buslje C, Martin-Martinez M, Mizuguchi K, Siddle K, Blundell TL (1999) The insulin receptor: from protein sequence to structure. Biochem Soc Trans 27:715–726
Milkiewicz M, Brown MD, Egginton S, Hudlicka O (2001) Association between shear stress, angiogenesis, and VEGF in skeletal muscles in vivo. Microcirculation 8:229–241
Munoz-Chapuli R, Gonzalez-Iriarte M, Carmona R, Atencia G, Macias D, Perez-Pomares JM (2002) Cellular precursors of the coronary arteries. Tex Heart Inst J 29:243–249
Neuman CA (1957) The expansion of an area of skin by progressive distension of subcutaneous balloon. Plast Reconstr Surg 124–130
Pelegrinelli FF, Thirone AC, Gasparetti AL, Araujo EP, Velloso LA, Saad MJ (2001) Early steps of insulin action in the skin of intact rats. J Invest Dermatol 117:971–976
Sasaki GH (1987) Intraoperative sustained limited expansion (ISLE) as an immediate reconstructive technique. Clin Plast Surg 14:563–573
Schramm JC, Dinh T, Veves A (2006) Microvascular changes in the diabetic foot. Int J Low Extrem Wounds 5:149–159
Shiu YT, Weiss JA, Hoying JB, Iwamoto MN, Joung IS, Quam CT (2005) The role of mechanical stresses in angiogenesis. Crit Rev Biomed Eng 33:431–510
Siegert R, Weerda H, Hoffmann S, Mohadjer C (1993) Clinical and experimental evaluation of intermittent intraoperative short-term expansion. Plast Reconstr Surg 92:248–254
Sieminski AL, Gooch KJ (2000) Biomaterial-microvasculature interactions. Biomaterials 21:2232–2241
Sundell J, Knuuti J (2003) Insulin and myocardial blood flow. Cardiovasc Res 57:312–319
Wertheimer E, Trebicz M, Eldar T, Gartsbein M, Nofeh-Moses S, Tennenbaum T (2000) Differential roles of insulin receptor and insulin-like growth factor-1 receptor in differentiation of murine skin keratinocytes. J Invest Dermatol 115:24–29
Yu X, Rajala RV, McGinnis JF, Anderson RE, Yan X, Li S, Elias RV, Knapp RR, Zhou X, Cao W (2004) Involvement of insulin/phosphoinositide 3-kinase/akt signal pathway in 17-estradiol-mediated neuroprotection. J Biol Chem 279:13086–13094
Zhu X, Hall D, Ridenour G, Boo S, Jennings T, Hochberg J, Cilento E, Reilly F (2003) A mouse model for studying rapic intraoperative methods of skin closure and wound healing. Med Sci Monit 9:109–115
Zhu Y, Luo J, Barker J, Hochberg J, Cilento E, Reilly F (2002) Identification of genes induced by rapid intraoperative tissue expansion in mouse skin. Arch Dermatol Res 293:560–568
Acknowledgments
This research was supported by interim funds from the WVU Department of Neurobiology and Anatomy (account #: DA491030020 fund #: 12301430) and WVU College of Engineering and Mineral Resources (account #: DA310880010 fund #: 11100124).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Shrader, C.D., Ressetar, H.G., Luo, J. et al. Acute stretch promotes endothelial cell proliferation in wounded healing mouse skin. Arch Dermatol Res 300, 495–504 (2008). https://doi.org/10.1007/s00403-008-0836-3
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00403-008-0836-3