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Ann Thorac Surg 2004;77:458-463
© 2004 The Society of Thoracic Surgeons

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Original article: general thoracic

Induction of pulmonary angiogenesis by adenoviral-mediated gene transfer of vascular endothelial growth factor

^a Department of Pediatric Cardiac Surgery, Marie-Lannelongue Hospital, Le-Plessis-Robinson, France
^c Laboratory of Experimental Surgery, Marie-Lannelongue Hospital, Le-Plessis-Robinson, France
^b Department of Pathology, McGill University, Montreal, Quebec, Canada

Accepted for publication August 6, 2003.

^* Address reprint requests to Dr Lambert, Department of Pediatric Cardiac Surgery, Marie-Lannelongue Hospital, 133 Avenue de la Résistance, 92350 Le-Plessis-Robinson, France
e-mail: vlambert{at}ccml.com

BACKGROUND: We hypothesized that gene transfer of vascular endothelial growth factor (VEGF) mediated by an adenovirus vector might induce pulmonary artery angiogenesis in a lamb model of pulmonary artery hypoplasia.

METHODS: Thirteen fetal lambs had left pulmonary artery banding at 106 days of gestation. Following birth, 3 groups were divided: VEGF group (n = 5) and ß-GAL group (n = 4) received an adenoviral vector encoding respectively for human VEGF165 and for galactosidase A. A control group (n = 4) had neither gene nor virus. Viral suspensions were selectively instilled in the left bronchus 6.5 days after birth. Five nonoperated lambs constituted the normal group. Euthanasia was performed at 30 days of age. Gene transfer was confirmed by blue coloration of left lung obtained with Xgal solution in an additional experiment. Histomorphometric evaluation was performed. All groups were compared with ANOVA test and paired test was used to compare right and left lung in each animal.

RESULTS: Left lung was similarly hypoplastic in all operated lambs. Left pulmonary artery hypoplasia present in all operated groups was significantly less pronounced in VEGF group. The number of pleural arteries was similarly increased in left lung of all operated lambs. Left lung arterial density was higher in VEGF group than in all other groups. The percentage of parenchyma of left lung was lower in ß-GAL group than in all others, partially returned to normal in VEGF group.

CONCLUSIONS: In this model, transbronchial VEGF gene transfer induces pulmonary angiogenesis, proximal pulmonary artery growth and contributes to lung parenchyma recovery.

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