HGF appears to have a protective role in vascular disease and its levels may be modulated by mechanical, inflammatory and metabolic stress

HGF appears to have a protective role in vascular disease and its levels may be modulated by mechanical, inflammatory and metabolic stress. == Figure 5. cultured human endothelial, smooth Trimetrexate muscle cells and monocytes treated with LPS in presence or absence of HGF and PF-04217903. We found that HGF concentrations were significantly higher in blood collected from human intracranial aneurysms (1076 656 pg/ml) than in femoral arteries (196 436 pg/ml, p <0. 001). HGF and c-Met were detected by immunostaining in STA, and in both ruptured and unruptured human intracranial aneurysms. A c-Met antagonist did not alter the formation of intracranial aneurysms (P> 0. 05), but significantly increased the prevalence of subarachnoid hemorrhage and decreased survival in mice (P <0. 05). HGF attenuated expression of VCAM-1 (P <0. 05) and E-Selectin (P <0. 05) in human aortic endothelial cells. In conclusion, plasma HGF concentrations are elevated in intracranial aneurysms. HGF and c-Met are expressed in STA and in intracranial aneurysms. HGF signaling through c-Met may decrease inflammation in endothelial cells and protect against intracranial aneurysm rupture. Keywords: Intracranial aneurysm, Inflammation, Hepatocyte Growth Factor, Subarachnoid hemorrhage, C-met, E-selectin, VCAM-1 == Introduction == Inflammation appears to play a key role in the formation and rupture of intracranial aneurysms. 1, 2Various constituents of the inflammatory response appear to be increased in intracranial aneurysms including cytokines, chemokines, growth factors, reactive oxygen species, leukocytes, matrix metalloproteinases, and vascular smooth muscle cells. 24Therapies targeting the inflammatory cascade have also shown promising results in humans and experimental animals. 2, 58 Hepatocyte Growth Factor (HGF), initially discovered as a growth factor of hepatocytes, was shown to have mitogenic, motogenic, morphogenic, antifibrotic, and antiapoptotic activities in several tissues. 914The biological responses to HGF are mediated through a tyrosine kinase receptor, the c-Met protooncogene. 15Emerging data suggest that HGF modulates the cytokine profile and protects various tissues including arterial walls from inflammatory damage. 10, 13, 1620A recent study found that HGF promotes an anti-inflammatory cytokine profile in abdominal aortic aneurysm tissue and concluded that pharmacological interventions enhancing endogenous HGF secretion Th could have efficacy in prevention and treatment of these aneurysms. 13There have been no reports regarding the role of HGF in intracranial aneurysms. The purpose of this study was to assess the role of endogenous HGF in the pathogenesis of intracranial aneurysms. Specifically, we sought to determine: 1) whether HGF concentrations were higher in blood samples drawn from the lumen of human intracranial aneurysms as compared to femoral arteries of the same patients; 2) whether HGF and c-Met were expressed in the wall of human intracranial aneurysms; 3) whether a c-Met antagonist increases the risk of aneurysm rupture in a mouse model; and 4) whether HGF modulates the expression of inflammatory molecules in cultured endothelial, smooth muscle cells, and monocytes. == Methods == == Human studies == The human study protocol was approved by the University of Iowa Institutional Review Board (IRB). The nature, benefits and risks of the study were explained to all patients prior to the study, and all participants read and signed written the IRB-approved informed consent. == Measurement of HGF concentrations in plasma == All patients presented to the Department of Neurosurgery at the University of Iowa Hospitals and Clinics between November 2012 and December 2012. Consecutive patients harboring saccular intracranial aneurysms (ruptured or unruptured) who were candidates for coil embolization were enrolled in the study. Patients taking corticosteroids, aspirin, or immunosuppressant therapy were excluded. A total of 16 patients harboring 18 aneurysms were enrolled. Other findings in the cohort (12 with unruptured and 4 with ruptured CA) were described previously. 16 In each patient, arterial access was obtained through Trimetrexate femoral puncture by use of the Seldinger technique, and a 7-French arterial sheath was inserted. A Trimetrexate blood sample was subsequently drawn from the femoral artery. The guiding catheter was navigated into the studied vessel and the aneurysm was identified. A microcatheter was subsequently advanced over a micro-wire and placed in the aneurysm lumen. A blood sample (5 ml) was taken from the aneurysm lumen prior to coil deployment. Blood was centrifuged, and the plasma was stored at 80 C until analysis. Serum concentrations of HGF in aneurysm and femoral samples were quantified with Luminex-based immunoassay. == Expression of HGF and c-Met in human intracranial aneurysms == Samples of intracranial aneurysms (5 ruptured and 5 unruptured) were taken from patients undergoing microsurgical clipping. A segment of.