Angiogenesis Research Laboratory, Department of Cariology, Restorative Sciences and Endodontics, University of Michigan School of Dentistry, Ann Arbor, MI, 48109, USA.
Department of Biomedical Engineering, University of Michigan College of Engineering, Ann Arbor, MI, USA.
Cell Death Dis. 2021 Jun 24;12(7):644. doi: 10.1038/s41419-021-03925-z.
Dental pulp stem cells (DPSC) are capable of differentiating into vascular endothelial cells. Although the capacity of vascular endothelial growth factor (VEGF) to induce endothelial differentiation of stem cells is well established, mechanisms that maintain stemness and prevent vasculogenic differentiation remain unclear. Here, we tested the hypothesis that p53 signaling through p21 and Bmi-1 maintains stemness and inhibits vasculogenic differentiation. To address this hypothesis, we used primary human DPSC from permanent teeth and Stem cells from Human Exfoliated Deciduous (SHED) teeth as models of postnatal mesenchymal stem cells. DPSC seeded in biodegradable scaffolds and transplanted into immunodeficient mice generated mature human blood vessels invested with smooth muscle actin-positive mural cells. Knockdown of p53 was sufficient to induce vasculogenic differentiation of DPSC (without vasculogenic differentiation medium containing VEGF), as shown by increased expression of endothelial markers (VEGFR2, Tie-2, CD31, VE-cadherin), increased capillary sprouting in vitro; and increased DPSC-derived blood vessel density in vivo. Conversely, induction of p53 expression with small molecule inhibitors of the p53-MDM2 binding (MI-773, APG-115) was sufficient to inhibit VEGF-induced vasculogenic differentiation. Considering that p21 is a major downstream effector of p53, we knocked down p21 in DPSC and observed an increase in capillary sprouting that mimicked results observed when p53 was knocked down. Stabilization of ubiquitin activity was sufficient to induce p53 and p21 expression and reduce capillary sprouting. Interestingly, we observed an inverse and reciprocal correlation between p53/p21 and the expression of Bmi-1, a major regulator of stem cell self-renewal. Further, direct inhibition of Bmi-1 with PTC-209 resulted in blockade of capillary-like sprout formation. Collectively, these data demonstrate that p53/p21 functions through Bmi-1 to prevent the vasculogenic differentiation of DPSC.
牙髓干细胞(DPSC)能够分化为血管内皮细胞。虽然血管内皮生长因子(VEGF)诱导干细胞内皮分化的能力已得到充分证实,但维持干细胞特性和防止血管生成分化的机制仍不清楚。在这里,我们检验了这样一种假设,即 p53 信号通过 p21 和 Bmi-1 维持干细胞特性并抑制血管生成分化。为了验证这一假设,我们使用来自恒牙的原代人牙髓干细胞(DPSC)和人乳牙来源的干细胞(SHED)作为成体间充质干细胞的模型。将 DPSC 接种在可生物降解的支架上,并移植到免疫缺陷小鼠体内,生成成熟的人类血管,被平滑肌肌动蛋白阳性壁细胞包裹。p53 的敲低足以诱导 DPSC 的血管生成分化(没有含有 VEGF 的血管生成分化培养基),表现为内皮标记物(VEGFR2、Tie-2、CD31、VE-钙粘蛋白)的表达增加,体外毛细血管芽生增加;体内 DPSC 衍生的血管密度增加。相反,用 p53-MDM2 结合的小分子抑制剂(MI-773、APG-115)诱导 p53 的表达足以抑制 VEGF 诱导的血管生成分化。考虑到 p21 是 p53 的主要下游效应物,我们在 DPSC 中敲低了 p21,观察到毛细血管芽生增加,这与敲低 p53 时观察到的结果相似。泛素活性的稳定足以诱导 p53 和 p21 的表达,并减少毛细血管芽生。有趣的是,我们观察到 p53/p21 与 Bmi-1 的表达之间存在相反的相互关系,Bmi-1 是干细胞自我更新的主要调节因子。此外,用 PTC-209 直接抑制 Bmi-1 导致毛细血管样芽形成受阻。总之,这些数据表明 p53/p21 通过 Bmi-1 发挥作用,防止 DPSC 的血管生成分化。
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