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Updated: Apr 21, 2026

A Modified Surgical Model of Hind Limb Ischemia in ApoE-/- Mice using a Miniature Incision
Published on: May 13, 2021
Potential compensation among group I PAK members in hindlimb ischemia and wound healing
Laila Elsherif1, Mehmet Ozler1, Mohamed A Zayed1
1Department of Biochemistry and Biophysics, The University of North Carolina at Chapel Hill, Chapel Hill, NC, United States of America.
Abstract:
PAKs are serine/threonine kinases that regulate cytoskeletal dynamics and cell migration. PAK1 is activated by binding to the small EF hand protein, CIB1, or to the Rho GTPases Rac1 or Cdc42. The role of PAK1 in angiogenesis was established based only on in vitro studies and its role in angiogenesis in vivo has never been examined. Here we tested the hypothesis that PAK1 is an essential regulator of ischemic neovascularization (arteriogenesis and angiogenesis) and wound healing using a global PAK1 knockout mouse. Neovascularization was assessed using unilateral hindlimb ischemia. We found that plantar perfusion, limb use and appearance were not significantly different between 6-8 week old PAK1-/- and PAK1+/+ mice throughout the 21-day period following hindlimb ischemia; however a slightly delayed healing was observed in 16 week old PAK1-/- mice. In addition, the wound healing rate, as assessed with an ear punch assay, was unchanged in PAK1-/- mice. Surprisingly, however, we observed a notable increase in PAK2 expression and phosphorylation in ischemic gastrocnemius tissue from PAK1-/- but not PAK1+/+ mice. Furthermore, we observed higher levels of activated ERK2, but not AKT, in ischemic and non-ischemic muscle of PAK1-/- mice upon hindlimb ischemic injury. A group I PAK inhibitor, IPA3, significantly inhibited endothelial cell sprouting from aortic rings in both PAK1-/- and PAK1+/+ mice, implying that PAK2 is a potential contributor to this process. Taken together, our data indicate that while PAK1 has the potential to contribute to neovascularization and wound healing, PAK2 may functionally compensate when PAK1 is deficient.
Insights
While PAK1 deficiency showed minimal impact on neovascularization and wound healing, PAK2 compensated, suggesting its crucial role in these processes when PAK1 is absent.
Area of Science:
- Molecular Biology
- Cell Biology
- Physiology
Background:
- p21-activated kinases (PAKs) are serine/threonine kinases regulating cytoskeletal dynamics and cell migration.
- PAK1 activation involves binding to CIB1 or Rho GTPases like Rac1 and Cdc42.
- PAK1's role in angiogenesis has been primarily studied in vitro, with its in vivo function in neovascularization and wound healing unexamined.
Purpose of the Study:
- To investigate the in vivo role of PAK1 in ischemic neovascularization and wound healing using a global PAK1 knockout mouse model.
- To determine if PAK1 is essential for arteriogenesis and angiogenesis following hindlimb ischemia.
- To assess the impact of PAK1 deficiency on wound healing rates.
Main Methods:
- Utilized a global PAK1 knockout mouse model (PAK1-/-) and wild-type littermates (PAK1+/+).
- Assessed neovascularization via unilateral hindlimb ischemia, monitoring plantar perfusion, limb use, and appearance over 21 days.
- Evaluated wound healing using an ear punch assay and analyzed protein expression (PAK2, ERK2, AKT) and phosphorylation in muscle tissue.
Main Results:
- PAK1 knockout mice showed no significant difference in neovascularization compared to wild-type mice, although a slight delay in healing was observed in older knockout mice.
- Wound healing rates were unchanged in PAK1 knockout mice.
- Increased PAK2 expression and phosphorylation, along with elevated activated ERK2, were observed in ischemic muscle of PAK1 knockout mice.
- In vitro, a PAK inhibitor (IPA3) inhibited endothelial cell sprouting in both PAK1-/- and PAK1+/+ mice, suggesting PAK2 involvement.
Conclusions:
- PAK1 is not essential for ischemic neovascularization or wound healing in vivo, as PAK2 can functionally compensate for its absence.
- PAK2 plays a significant role in endothelial cell sprouting and may contribute to neovascularization processes.
- The study highlights the potential for functional redundancy between PAK family members in vascular repair mechanisms.
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