Objective-Alpha6 integrin subunit (␣6) expression is increased by proangiogenic growth factors such as vascular endothelial growth factor (VEGF) and fibroblast growth factor. This increase correlates with enhanced in vitro tube formation by endothelial cells and their progenitors called Endothelial Colony-Forming Cells (ECFCs). We thus studied the role of ␣6 in vasculogenesis induced by human ECFCs, in a mouse model of hindlimb ischemia. Methods and Results-We used small interfering RNA (siRNA) to inhibit ␣6 expression on the surface of ECFCs. For in vivo studies, human ECFCs were injected intravenously into a nude mouse model of unilateral hind limb ischemia. Transfection with siRNA ␣6 abrogated neovessel formation and reperfusion of the ischemic hind limb induced by ECFCs (PϽ0.01 and PϽ0.001, respectively). It also inhibited ECFC incorporation into the vasculature of the ischemic muscle (PϽ0.001). In vitro, siRNA ␣6 inhibited ECFC adhesion (PϽ0.01), pseudotube formation on Matrigel, migration, and AKT phosphorylation (PϽ0.0001), with no effect on cell proliferation or apoptosis. Key Words: adhesion molecules Ⅲ angiogenesis Ⅲ ischemia Ⅲ peripheral arterial disease Ⅲ vascular biology T he ␣6-integrin subunit (␣6) is a 140-kDa protein that can associate with 1-or 4-integrin subunits. Integrin ␣61 is a receptor for laminin, the main component of the basement membrane, but can also bind other extracellular matrix (ECM) proteins, such as the angiogenic inducer CYR61. 1 It is expressed on platelets, monocytes/macrophages, neutrophils, and endothelial cells. Integrin ␣64 primarily binds laminin; its expression is restricted to epithelial tissues, endothelia, and peripheral nerves; and it is responsible for adhesion junctions called hemidesmosomes.
Conclusion-␣6In mice, deletion of the gene coding for ␣6 leads to an absence of hemidesmosomes and, consequently, to severe skin blistering and neonatal death. 2 In humans, defects in ␣6 result in hemidesmosome deficiency, causing epidermolysis bullosa or pyloric atresia and, in most cases, early postnatal death. 3,4 No obvious vascular abnormalities have been reported in such patients or in ␣6 knockout mice, suggesting that ␣6 does not have a major role in vasculogenesis during embryogenesis. In contrast, ␣6 is involved in the angiogenic properties of mature cells. For example, ␣6 is required for the formation of vascular networks in vitro by human brain microvascular endothelial cells 5 and human umbilical vein endothelial cells. 6 Regarding immature cells, activation of CD117-positive cells localized in the subepicardium of adult human heart is associated with ␣6 expression. 7 Cell transplantation experiments on irradiated mice have shown that ␣6 plays a role in hematopoietic stem cell homing to bone marrow. 8 Because hematopoietic cells and endothelial cells might arise from a common precursor (the hemangioblast), we investigated the possible role of ␣6 in the homing of endothelial progenitor cells (EPCs).EPCs are marrow-derived circulating cells involved in postnata...