[Arteriogenesis: a new strategy of therapeutic intervention in chronic arterial disorders. Cellular mechanism and experimental models]
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Updated: Jul 15, 2026

Assessing Therapeutic Angiogenesis in a Murine Model of Hindlimb Ischemia
Published on: June 8, 2019
Franciska Erdo1, Ivo R Buschmann
1IVAX Gyógyszerkutató Intézet Kft., Farmakológia Osztály, Budapest. erdof2002@yahoo.de
Insights
Arteriogenesis is the body's natural way to reroute blood flow through existing arteries to compensate for blockages. Stimulating this process shows promise for treating chronic artery diseases.
Area of Science:
- Cardiovascular Biology
- Vascular Medicine
- Regenerative Medicine
Context:
- Arteriogenesis is a natural compensation mechanism for tissue hypoperfusion caused by arterial stenosis or occlusion.
- Chronic artery diseases, including coronary heart disease, peripheral artery disease, and cerebrovascular disease, have been extensively studied for their roles in angiogenesis and arteriogenesis.
- Understanding the cellular and molecular mechanisms of collateral artery development is crucial for therapeutic interventions.
Purpose:
- To review the mechanisms of arteriogenesis and present experimental data on spontaneous and stimulated collateral artery growth.
- To provide an overview of arteriogenesis as a potential therapeutic approach for chronic artery diseases.
- To highlight key findings from in vivo and ex vivo studies on collateral vessel remodeling.
Summary:
- Arteriogenesis enhances blood distribution through pre-existent collateral arteries to counteract tissue hypoperfusion.
- Circulating monocytes, endothelial cells, and smooth muscle cells play vital roles in the remodeling of collateral blood vessels.
- Stimulation of arteriogenesis using chemokines and growth factors has shown promising preclinical results, including improved collateral conductance and reduced infarct size.
Impact:
- Preclinical studies demonstrate that stimulating arteriogenesis can improve functional parameters in conditions like myocardial ischemia and hemodynamic stroke.
- Therapeutic strategies targeting arteriogenesis offer a promising new avenue for treating chronic artery diseases.
- Further research is needed to address optimal delivery, dosage, timing, and follow-up for human investigations.
Abstract:
The term arteriogenesis became clarified only some years ago. This endogenous process is a natural compensation mechanism against stenosis or arterial occlusion-induced tissue hypoperfusion via improvement of blood distribution in the pre-existent collateral arteries. The main chronic artery disorders like coronary heart disease, peripheral artery disease and cerebrovascular disease were extensively studied for angiogenesis and arteriogenesis during the last decade. The in vivo animal experiments and the ex vivo analysis of the cellular and molecular mechanisms behind collateral artery development revealed the crucial role of circulating monocytes, endothelial and smooth muscle cells in the remodelling of collateral blood vessels. The adaptive arteriogenesis in the heart, brain and periphery can be stimulated by different chemokines and growth factors. The therapeutic application of these substances resulted in promising data in pre-clinical animal models, i.e. improved collateral conductance, extended neo-vascularization in the collateral dependent tissue regions, decreased infarct area after hemodynamic stroke and better functional parameters in myocardial ischemia. The questions that have to be addressed during the design of human investigations are the optimal delivery approach, the appropriate dosage, timing and the durability of the follow up. The present review tries to give an overview about the main points of the mechanism and the most important experimental data concerning spontaneous and stimulated collateral artery growth, this new and promising therapeutic approach for chronic artery diseases.
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