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Updated: Jun 23, 2026

A Modified Surgical Model of Hind Limb Ischemia in ApoE-/- Mice using a Miniature Incision
Published on: May 13, 2021
Matrix metalloproteinase-9 is essential for ischemia-induced neovascularization by modulating bone marrow-derived
Po-Hsun Huang1, Yung-Hsiang Chen, Chao-Hung Wang
1Division of Cardiology, Taipei Veterans General Hospital, No. 201, Sec. 2, Shih-Pai Road, Taipei, Taiwan.
Objective:
Both matrix metalloproteinases (MMPs) and endothelial progenitor cells (EPCs) have been implicated in the process of neovascularization. Here we show that the impaired neovascularization in mice lacking MMP-9 is related to a defect in EPC functions in vasculogenesis.
Methods And Results:
Hindlimb ischemia surgery was conducted in MMP-9(-/-) mice and wild-type (MMP-9(+/+)) mice. Blood flow recovery was markedly impaired in MMP-9(-/-) mice when compared with that in wild-type mice as determined by laser Doppler imaging. Flow cytometry demonstrated that the number of EPC-like cells (Sca-1(+)/Flk-1(+)) in peripheral blood increased in wild-type mice after hindlimb ischemia surgery and exogenous vascular endothelial growth factor stimulation, but not in MMP-9(-/-) mice. Plasma levels and bone marrow concentrations of soluble Kit-ligand (sKitL) were significantly elevated in wild-type mice in response to tissue ischemia, but not in MMP-9(-/-) mice. C-kit positive bone marrow cells of MMP-9(-/-) mice have attenuated adhesion and migration than those isolated from wild-type mice. In in vitro studies, incubation with selective MMP-9 inhibitor suppressed the colony formation, migration, and tube formation capacities of EPC. Transplantation of bone marrow cells from wild-type mice restored collateral flow formation in MMP-9(-/-) mice.
Conclusions:
These findings suggest that MMP-9 deficiency impairs ischemia-induced neovascularization, and these effects may occur through a reduction in releasing the stem cell-active cytokine, and EPC mobilization, migration, and vasculogenesis functions.
Insights
Matrix metalloproteinase-9 (MMP-9) deficiency impairs blood flow recovery after ischemia by hindering endothelial progenitor cell (EPC) function. This study reveals MMP-9 is crucial for EPC mobilization and vasculogenesis, essential for neovascularization.
Area of Science:
- Cardiovascular Biology
- Regenerative Medicine
- Molecular Biology
Background:
- Neovascularization is critical for tissue repair following ischemic events.
- Matrix metalloproteinases (MMPs) and endothelial progenitor cells (EPCs) play key roles in blood vessel formation.
- MMP-9's specific role in EPC function and neovascularization remains to be fully elucidated.
Purpose of the Study:
- To investigate the impact of MMP-9 deficiency on EPC function and neovascularization in a mouse model of hindlimb ischemia.
- To determine the mechanisms by which MMP-9 influences EPC mobilization and vasculogenesis.
Main Methods:
- Hindlimb ischemia surgery was performed on MMP-9 knockout (MMP-9(-/-)) and wild-type (MMP-9(+/+)) mice.
- Blood flow recovery was assessed using laser Doppler imaging.
- Flow cytometry analyzed EPC-like cell populations (Sca-1(+)/Flk-1(+)) and C-kit positive bone marrow cells.
- Plasma and bone marrow levels of soluble Kit-ligand (sKitL) were measured.
- In vitro studies assessed EPC colony formation, migration, and tube formation with and without MMP-9 inhibition.
- Bone marrow transplantation was performed to evaluate functional restoration.
Main Results:
- MMP-9(-/-) mice exhibited significantly impaired blood flow recovery compared to wild-type mice.
- Ischemia failed to increase EPC-like cell numbers and sKitL levels in MMP-9(-/-) mice.
- MMP-9 deficiency attenuated the adhesion and migration of C-kit positive bone marrow cells.
- In vitro, MMP-9 inhibition suppressed EPC colony formation, migration, and tube formation.
- Transplantation of wild-type bone marrow cells restored collateral flow in MMP-9(-/-) mice.
Conclusions:
- MMP-9 deficiency impairs ischemia-induced neovascularization.
- These effects are mediated by reduced stem cell-active cytokine release, leading to impaired EPC mobilization, migration, and vasculogenesis.
- MMP-9 is essential for effective EPC function and neovascularization in response to ischemic injury.
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