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1 Division of Nephrology and Hypertension, Mayo Clinic College of Medicine, Rochester, Minnesota, United States
2 Division of Cardiovascular Diseases, Mayo CLinic College of Medicine, Rochester, Minnesota, United States
3 Biological Science, Minnesota State University, Mankato, Minnesota, United States
4 General Pathology and Medicine, University of Naples, Naples, Italy; Eans Dept. of Medicine and Whitaker Cardiovascular Institute, Boston University, Boston, Massachusetts, United States
5 Division of Nephrology and Hypertension, Mayo Clinic College of Medicine, Rochester, Minnesota, United States; Division of Cardiovascular Diseases, Mayo CLinic College of Medicine, Rochester, Minnesota, United States
* To whom correspondence should be addressed. E-mail: lerman.lilach{at}mayo.edu.
Background: The effects of chronic supplementation with antioxidant vitamins on angiogenesis are controversial. The aim of the present study was to evaluate in kidneys of normal pigs the effect of chronic supplementation with vitamins E and C, at doses that are effective in reducing oxidative stress and attenuating angiogenesis under pathological conditions. Methods: Domestic pigs were randomized to receive a 12-week normal diet without (n=6) or with antioxidant vitamins supplementation (vitamin C 1g/d, vitamin E 100 IU/Kg/d; n=6). Electron beam computed tomography (CT) was used to evaluate renal cortical vascular function in vivo, and micro-CT to assess the spatial density and average diameter of cortical microvessels (diameter <500µm) ex vivo. Oxidative stress and expressions of vascular endothelial growth factor (VEGF) and hypoxia-inducible factor (HIF)-1
were evaluated in renal tissue. The effects of increasing concentrations of the same vitamins on redox status and angiogenesis were also evaluated in human umbilical vascular endothelial cells (HUVEC). Results: Compared to normal, the density of cortical transmural microvessels was significantly greater in vitamin-supplemented pigs (149.0±11.7 vs. 333.8±48.1 vessel/cm2, p<0.05), while the cortical perfusion response to Ach was impaired. This was accompanied by a significant increase in tissue oxidative stress and levels of VEGF and HIF-1
. Low dose of antioxidant decreased, while high dose increased HUVEC oxidative stress and angiogenesis, which was partly mediated by hydrogen peroxide. Conclusions: Antioxidant vitamin supplementation can increase tissue oxidative redox and microvascular proliferation in the normal kidney, probably due to a biphasic effect that depends on basal redox balance.
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