L29 - angiogenesis, VEGFR, hypoxia Flashcards

(19 cards)

1
Q

what is angiogenesis

A
  • Formation of new blood vessels
    (capillaries) from the existing
    vasculature
  • Involves migration and proliferation of
    endothelial cells
  • Grow and regress in healthy tissues
    → functional demands
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2
Q

how do blood vessels originate

A

mesodermal stem cells –> hemangioblast –>
angioblast –> endothetial
hematopoietic stem cells –> hematopoietic cells

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3
Q

what is vasculogenesis

A

the origin of blood vessel from angioblasts

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4
Q

steps of vasculogenesis in the vertebrate embryo

A
  1. Arteries or veins: Angioblasts derived from lateral mesoderm are committed to become
    arteries or veins.
  2. VEGF-A stimulation: Artery precursor cells migrate toward a VEGF-A secreted from cells in the midline.
  3. Plexus: The migrating arterial angioblasts align into cords forming a plexus
  4. Dorsal Aorta: Arterial angioblasts combine forming the dorsal aorta.
  5. Assembly: Intersomite vessels are assembled from endothelial cells
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5
Q

how is vasculogensis directed

A

growth factors and morphogens e.g. VEGF

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6
Q

how many types of endothetial cells are there

A

3 - these become arteries, veins, capillaires

differ in membrane structure/thickness

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7
Q

two mechanisms of angiogenesis

A

Sprouting angiogenesis, Intussusceptive angiogenesis

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8
Q

explain sprouting angiogenesis

A

Endothelial cells will migrate to the relevant area, proliferating to increase density and then combine to form tubes

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9
Q

explain intussusceptive angiogenesis

A

Vessel wall extends into the lumen causing a single vessel to split
in two (splitting angiogenesis)

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10
Q

steps in sprouting angiogensis

A

HYPOXIA
1. Tip cells: Endothelial cells exposed to the highest VEGF-A concentration become tip cells.
2. Filopodia extension: The tip cells lead the developing sprout by extending numerous filopodia.
3. Elongation: The developing spout elongates by proliferation of endothelial stalk cells.
4. Conjoining: The tip cells from two developing sprouts fuse and create a
lumen.
5. Oxygenation: New capillary oxygenates the tissues → ↓ VEGF-A
6. Stabilisation: The newly developed capillary is stabilized by pericyte recruitment and deposition of ECM

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11
Q

how do tip cells work

A

VEGFR2 is highly concentrated in tip cells, these align with the VEGFA gradient produced in response to hypoxia

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12
Q

what is delta-notch signalling pathway

A

causes the reduction in tip cell VEGFR expression when two stalk cells meet,

VEGFA induces Delta-like-d (DLL4) → binds to notch receptor

Activation of notch receptor on stalk cell → reduce VEGRF2

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13
Q

what stimulate sprouting angiogenesis

A

when oxygen sensing mechanisms detect hypoxia → new vessels → meets metabolic need

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14
Q

steps in intussusceptive angiogenesis

A
  1. All vessel cells are exposed to VEGF
    2a. protrusion of opposing capillary walls
    3a. Pillars fuse together
    2b. intraluminal sprouting
    3b. intraluminal pillar formation
  2. splitting of blood vessels
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15
Q

metabolic regulation of angiogenesis

A

Oxygen regulation:
- over oxygenation →microvascular rarefaction (capillary dropout)
- hypoxia → capillary formation
- proportional relationship
- increased metabolism → capillary formation

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16
Q

hypertension and rarefaction

A
  • Hypertension → ↑ blood flow to tissues beyond normal oxygen need
  • Acute phase: vasoconstriction to limit blood flow → reduce oxygen supply
    (functional rarefaction)
  • Chronic phase: ↓ VEGF and other oxygen-sensitive proangiogenic growth
    factor → loss of microvessels (structural rarefaction)
17
Q

mechanical regulation of angiogenesis

A

Blood flow creates shear stress → sensed by the endothelial
cells→ cause morphological changes

Shear stress → activates VEGFR2
pathway (independent of VEGF) causing intussusceptive angiogenesis

18
Q

what elements of endothelial cells recognising sheer stress

A

caveolae (eNOS), ion channels, cell-cell adhesion molecules (VCAM, ICAM),

19
Q

promoters of angiogenesis