Review Article

Critical Roles of Reactive Oxygen Species in Age-Related Impairment in Ischemia-Induced Neovascularization by Regulating Stem and Progenitor Cell Function

Figure 1

Schematic diagram of mechanisms involved in ischemia-induced neovascularization. Ischemia induces angiogenesis, the sprouting of new blood vessels from the preexisting ones. It involves the proliferation and migration of endothelial cells (ECs) at the local ischemic tissues. Cytokines, such as vascular endothelial growth factor (VEGF) and stromal cell-derived factor-1 (SDF-1), are released from the ischemic tissues to facilitate the recruitment of mobilizing endothelial progenitor cells (EPCs) through the binding of receptors. Vasculogenesis involves the proliferation and mobilization of EPCs from bone marrow to the circulating blood. EPCs express various surface receptors, such as VEGF receptor (VEGFR) and C-X-C motif receptor 4 (CXCR4). Once home to the ischemic sites, EPCs are capable of integrating with ECs and promote angiogenesis by secreting proangiogenic factors.