PKCδ impaired vessel formation and angiogenic factor expression in diabetic ischemic limbs

Farah Lizotte1, Martin Paré, Benoit Denhez

  • 1Clinical Research Center Étienne Le-Bel and Division of Endocrinology, Department of Medicine, Université de Sherbrooke, Sherbrooke, Québec, Canada.

Diabetes
|April 6, 2013
PubMed

Insights

Protein kinase C delta (PKCδ) activation impairs blood vessel formation in diabetic limbs. Inhibiting PKCδ in diabetic mice improved blood flow and vessel growth, suggesting new therapeutic targets for diabetes.

Area of Science:

  • Vascular biology
  • Diabetes research
  • Molecular medicine

Background:

  • Diabetes mellitus is associated with impaired collateral vessel formation in peripheral limbs, a process crucial for tissue reperfusion after ischemia.
  • Hyperglycemia in diabetes activates protein kinase C (PKC), which can negatively impact angiogenic growth factors like vascular endothelial growth factor (VEGF) and platelet-derived growth factor (PDGF).

Purpose of the Study:

  • To investigate the specific role of PKCδ in diabetes-induced defects in collateral vessel formation.
  • To elucidate the mechanisms by which PKCδ affects the expression and activity of key angiogenic factors and their receptors.

Main Methods:

  • Comparison of ischemic adductor muscle function and vascularization in diabetic and non-diabetic mice with and without the Prkcd gene (Prkcd(+/+) vs. Prkcd(-/-)).
  • Assessment of blood reperfusion, vascular density, and vessel counts.
  • Measurement of VEGF and PDGF mRNA and protein expression.
  • Analysis of phosphorylation status of VEGF receptor 2 (VEGFR2) and PDGF receptor-β (PDGFR-β).
  • Evaluation of SHP-1 expression levels.

Main Results:

  • Diabetic Prkcd(+/+) mice showed reduced blood reperfusion and vascular density compared to non-diabetic controls.
  • Diabetic Prkcd(-/-) mice exhibited significantly improved blood flow, capillary density, and vessel counts.
  • PKCδ activation was increased in diabetic Prkcd(+/+) mice, while VEGF and PDGF expression and VEGFR2/PDGFR-β phosphorylation were decreased.
  • These inhibitory effects were reversed in diabetic Prkcd(-/-) mice, with normalization of growth factor expression and receptor activity.
  • Increased SHP-1 expression was linked to the inhibition of VEGFR2 and PDGFR-β activity.

Conclusions:

  • PKCδ activation is a key mechanism underlying impaired collateral vessel formation in diabetic peripheral limbs.
  • Targeting PKCδ may offer a novel therapeutic strategy to enhance angiogenesis and improve outcomes in diabetic patients with peripheral vascular disease.

Related Concept Videos

Diabetic Retinopathy01:27

Diabetic Retinopathy

DefinitionDiabetic retinopathy is a microvascular complication of diabetes affecting the retinal blood vessels.Risk FactorsDiabetic retinopathy is present in almost all individuals with type 1 diabetes and more than 60% of those with type 2 diabetes after two decades of disease.The risk increases with poor glycemic control, hypertension, dyslipidemia, smoking, pregnancy, and puberty.Although cataracts and glaucoma are also more frequent in people with diabetes, retinopathy remains the leading...
Regulation of Angiogenesis and Blood Supply01:24

Regulation of Angiogenesis and Blood Supply

Rapidly dividing tumors, embryos, and wounded tissues require more oxygen than usual, lowering the oxygen concentration in the blood. At low oxygen or hypoxic conditions, an oxygen-sensitive transcription factor called the hypoxia-inducible factor 1 or HIF1 is activated. HIF1 is a dimeric protein of alpha (ɑ) and beta (β) subunits.  Under optimal oxygen conditions, HIF1β is present in the nucleus while HIF1ɑ remains in the cytosol. HIF1ɑ is hydroxylated by prolyl hydroxylase and factor...
Peripheral Artery Disease I: Introduction01:30

Peripheral Artery Disease I: Introduction

Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
Diabetic Foot Ulcer01:31

Diabetic Foot Ulcer

Definition A diabetic foot ulcer (DFU) is a chronic, non-healing wound that develops in individuals with diabetes. It typically occurs on pressure-bearing areas such as the heel, metatarsal heads, or hallux, and carries a high risk of infection and amputation.Pathophysiology • The development of DFUs can be explained by four interconnected mechanisms: neuropathy, ischemia, infection, and impaired wound healing. • Neuropathy is the most common factor. Sensory neuropathy reduces pain perception,...
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
Diabetic Nephropathy01:28

Diabetic Nephropathy

Definition Diabetic nephropathy is a chronic kidney complication that results from prolonged hyperglycemia.Prevalence It is the most common cause of chronic kidney disease (CKD) and end-stage renal disease (ESRD) worldwide, affecting up to half of individuals with diabetes.Pathophysiology • Sustained hyperglycemia triggers multiple hemodynamic and metabolic changes in the kidney. • Early in the disease, increased renal blood flow and glomerular hyperfiltration occur due to afferent arteriolar...