Angiogenisis Flashcards
What are the 2 processes reprising or got the formation of new blood vessels
Vasculogenesis -
Angiogenesis -
Vasculogensis
Differentiation of angioblasts into endotheialcells and the new formation of vascular network.
Occurs during embryogenesis
Angiogenesis
The formation of vascular spouts from pre exsisting vessels
Results in a highly branched vascular network.
Occurs during development and post natal life.
When does angiogenesis occur
During development
Post natal -
Blood vessel in placenta
Thickening of endometrium
ReSponse to stimulus
What are the main on switches of angiogenesis known as
Angiogenesis stimulating growth factors
What are the main off switches of angiogenesis known as
Angiogenesis inhibitors
How is angiogenesis tirner off
The production of more inhibitors than stimuiators
What eye conditions could unregauktion of angiogenesis lead to
Age related macular degeneration
Wet- presecence if immature vascularisation in retina which leak - occulusiom of retina - blindness
Diabetic retinopathy
How does angiogenesis contribute to atherosclerotic plaque
When blood vessels become thickened from atherosclerotic plaque , hypoxemia is stimulated in the local area. This is a stimulus to switch in angiogenesis process .
Thickened bv starts to make fragile micro vessels in order to supply oxygen to the area , this can lead to leakage of these immature vessels - formation of blood clotting , leading to cycle of plaques IN CVD.
Endometriosis
Lining of the womb, which normally thickens during menstral cycle, starts to grow outside of the womb. In bad cases , these lesions can cause tubular and ovarian adhesions, which needs removed by surgury.
Elevation in VEGF A and soluble vascular endothelial growth factor receptor 1 and 2 (sVEGFR 1+2)
Crohns disease
SVEGFR has been shown to be increased in patients. , increased angiogenesis is also leading to underlying o pathology.
Cancer
Cancer is a angiogenesis dependant process . A bowing tumour needs vat vascular network to provide nutrients and oxygen . In addition , new tumour blood vessels provide a way for tumour cells to enter the circulation and metastazie to sdistabt organs.
How does tumour stimulate angiogenesis
After about 2mm inner cells of tumour become starved of oxygen. This is a signal to the cells that they need oxygen
The repsponse is to stimulate angiogenesis
Secretion of gf to stimulate angiogenesis act on endothelial cells of capillary network.
Pridtcuon of new BV , supply oxygen and nutrients ti growing tumour , gets bugger , can develop beyond orginal place of growing cells
Travels through body - metastatic spread
Multi step process Of angiogenesis
Key proangiogenic factors
Vascular endothelial growth factor (VEGF)
angiopoietin 1
Basic fibroblast growth factor (FGF-2)
Platelet derived growth factor (PDGF)
Main tissues vegf is expressed in
Brain
Kidney
Liver
Spleen
What does vegf regulate in the Body
Vascular permeability after binding to endothelial cells , important for the initiation of angiogenesis.
How do you know VEGf plays important role in development of vascular system
If you delete even one allele of VEGf the embryo will not survive
What growth factors and cytokines indice transcription of VEGf
PDGF
epidermal growth factor
TNF a and b
Interleukin b
How is vegf regulated
By tissue oxygen tension - levels of vegf sensitive to oxygen levels of environment
Vegf receptors,
Vegfr 1+2
Regyaktuon o PEF vegfr regulated by oxygen levels
Angiopoeitins
Family of proteins . Four types agp 1234
Bund ti tyrosine receptor kinase. 2 molecules of meditator bind together. Causing receptor to dimerise , leading to tyrosine kinase function of this receptor and ibtraceukkar signal transduction downstream of receptor activator.
These receptors - tie 1 and 2 are preferentially expressed on endothelial cells.
Basic fgf
Basic fibroblast growth factor.
Secreted by
Stem cells
Vascular endothelial cells
Binding to receptor shown to trigger intracellular signalling cascade leading to
Proliferation and migration of endothelial cell
Angiogenesis
Production of proteases
Differentiation
FGF2 again binds ro tyrosi;kinase receptor
Platelet derived growth fvactorsn
Comproswd of four different polypeptide chains which are inactive in their monomeric form
4 diff Types a b c d
After the polypeptides have been translated they exhibit their effects by dimerising and binding to tyrosine kinase receptor.
Associated with various steps in angiogenesis
Maturation of newly formed vascular network
Proliferation and migration of endothelial cells
Stimulation and activation of endotheialcells and release of proangiogenic factors.