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Am J Physiol Endocrinol Metab (August 26, 2008). doi:10.1152/ajpendo.90345.2008
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Submitted on April 8, 2008
Revised on July 26, 2008
Accepted on August 25, 2008

Enhanced Angiogenesis in Obesity and in Response to PPAR{gamma} Activators Through Adipocyte VEGF and ANGPTL4 Production

Olga Gealekman1, Alison Burkart1, My Chouinard1, Sarah Nicoloro1, Juerg Straubhaar1, and Silvia Corvera1*

1 University of Massachusetts Medical School

* To whom correspondence should be addressed. E-mail: silvia.corvera{at}umassmed.edu.

PPAR{gamma} activators such as rosiglitazone (RSG) stimulate adipocyte differentiation and increase subcutaneous adipose tissue mass. However, in addition to pre-adipocyte differentiation, adipose tissue expansion requires neo-vascularization to support increased adipocyte numbers. Paradoxically, endothelial cell growth and differentiation is potently inhibited by RSG in-vitro, raising the question of how this drug can induce an increase in adipose tissue mass while inhibiting angiogenesis. We find that adipose tissue from mice treated with RSG have increased capillary density. To determine whether adipose tissue angiogenesis was stimulated by RSG, we developed a novel assay to study angiogenic sprout formation ex-vivo. Angiogenic sprout formation from equally sized adipose tissue fragments, but not from aorta rings, was greatly increased by obesity and by TZD treatment in vivo. To define the mechanism involved in RSG-stimulated angiogenesis in adipose tissue, the expression of pro-angiogenic factors by adipocytes was examined. Expression of VEGFA and VEGFB, as well as of the Angiopoietin-Like Factor-4 (ANGPTL4) was stimulated by in-vivo treatment with RSG. To define the potential role of these factors, we analyzed their effects on endothelial cell growth and differentiation in-vitro. We find that ANGPTL4 stimulates endothelial cell growth and tubule formation, albeit more weakly than VEGF. However, ANGPTL4 mitigates the growth inhibitory actions of RSG on endothelial cells in the presence or absence of VEGF. Thus, the interplay between VEGF and ANGPTL4 could lead to a net expansion of the adipose tissue capillary network, required for adipose tissue growth, in response to PPAR{gamma} activators.







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