hCT1 enhances angiogenesis and limits fibrosis during cardiac hypertrophy. (A-D) Rats were treated with hCT1 or PE for 2 weeks followed by withdrawal for 6 weeks. Capillary density was assessed by staining for CD31 (brown) and counterstaining with Hematoxylin (blue). hCT1-treated rats displayed a significant increase in CD31-positive capillaries (n = 4;**P < 0.01) at 2 weeks with reversion at 6 weeks post withdrawal; whereas PE-treated rats displayed a significant decrease at 2 weeks post treatment and 6 weeks post withdrawal (n = 4; *P < 0.05). Scale bar, 50 μm. (E) Primary cardiomyocytes were incubated with control serum-free medium (Ctrl, SF medium), hCT1 (0.5 nM), PE (100 μM), or PAC-1 (25 μM) for 24 h. hCT1 treatment resulted in a greater increase in vascular endothelial growth factor (VEGF) expression compared to PE or PAC-1. Immunofluorescence was used to detect α-actinin (red), VEGF (green), and nuclei were stained with DAPI (blue). Scale bar, 40 μm. (F) Similar procedure as in (E) above, however, conditioned medium was harvested at 24 h and expression of secreted VEGF protein was detected upon immunoblotting with anti-VEGF antibody. A significant increase in VEGF was observed in hCT1-treated samples (sets A-C) when compared to PE or Ctrl. (+), recombinant VEGF protein (40 ng) used as positive control. (#), cross-reactivity bands of antibody to components in conditioned medium. (G-J) Rats were treated as in (A) above and fibrosis/collagen was assessed using Masson's Trichrome staining (blue deposits). Rat hearts exposed to PE exhibited a significant increase in collagen/fibrosis at 2 weeks post treatment as well as 6 weeks post withdrawal (n = 4; ***P < 0.001 and **P < 0.01, respectively). Scale bar, 50 μm.