Efficacy of intracoronary or intravenous VEGF165 in a pig model of chronic myocardial ischemia
Kaori Sato, MD* ,
Tiangen Wu, MD*,
Roger J. Laham, MD*,
Robert B. Johnson, MD*,
Pamela Douglas, MD, FACC*,
Jianyi Li, MSc ,
Frank W. Sellke, MD ,
Stuart Bunting, PhD ,
Michael Simons, MD, FACC* and
Mark J. Post, MD, PhD*
* Angiogenesis Research Center, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA
Division of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA
Genentech, Inc., South San Francisco, California, USA

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Figure 1 Line plots of collateral index scores (see Methods) at treatment (mid) and three weeks after treatment (final).
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Figure 2 Regional blood flow change in the ischemic area between mid-study and final study at rest with individual data and mean and standard deviation. Increase in regional blood flow over time at rest was significant in the intracoronary VEGF group without L-NAME (*p = 0.006).
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Figure 3 Change in global ventricular function (fractional shortening) from mid-study to final study with individual data and mean and standard deviation. The asterisk indicates a significant decrease in global LV function at rest (p = 0.002) in the control group. Con = control group, slowIV: intravenous VEGF 0.05 µg/kg/min, fastIV: intravenous VEGF 0.25 µg/kg/min, IC: intracoronary VEGF 0.25 µg/kg/min, IC+LN: intracoronary VEGF 0.25 µg/kg/min plus L-NAME.
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Figure 4 Change in regional LV wall thickening from mid-study to final study with individual data and mean and standard deviation. In none of the groups did the indexed regional wall thickening change significantly over time. Con = control group, slowIV: intravenous VEGF 0.05 µg/kg/min, fastIV: intravenous VEGF 0.25 µg/kg/min, IC: intracoronary VEGF 0.25 µg/kg/min, IC+LN: intracoronary VEGF 0.25 µg/kg/min plus L-NAME.
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Figure 5 Endothelium dependent elaxation of microvessels. Relaxation was induced by adenosine diphosphate (ADP). Microvessels were taken from the ischemic area (LCX, dotted lines) and the normal area (LAD, uninterrupted lines) from pigs that were treated with intracoronary VEGF, intracoronary VEGF + L-NAME or vehicle. * LCX microvessels from intracoronary VEGF + L-NAME treated animals had a lower response to maximum dose of ADP than the intracoronary VEGF group (p = 0.011).
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