In prior studies from multiple groups, outcomes following experimental peripheral arterial disease (PAD) differed considerably across inbred mouse strains. Similarly in humans with PAD, disease outcomes differ even when there are similarities in risk factors, disease anatomy, arteriosclerotic burden and hemodynamic measures. We previously identified a locus on mouse chromosome 7 (LSq-1) that was sufficient to modify outcomes following experimental PAD.
We compared expression of genes within LSq-1 in Balb/c that normally show poor outcomes following experimental PAD to that in C57Bl/6 that normally show favorable outcomes, and found ADAM12, a disintegrin and metalloproteinase gene had the most differential expression. Augmentation of ADAM12 expression in vivo improved outcomes following experimental PAD in Balb/c mice while knock down of ADAM12 made outcomes worse in C56Bl/6 mice. In vitro, ADAM12 expression modulates endothelial cell proliferation, survival, and angiogenesis in ischemia and this appeared to be dependent on Tie2 activation.
ADAM12 is sufficient to modify PAD severity in mice and this likely occurs through regulation of Tie2.