Department of Oromaxillofacial-Head and Neck Oncology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China; College of Stomatology, Shanghai Jiao Tong University, Shanghai, China; National Center for Stomatology, Shanghai, China; National Clinical Research Center for Oral Diseases, Shanghai, China; Shanghai Key Laboratory of Stomatology, Shanghai, China.
Shanghai Institute of Precision Medicine, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
J Invest Dermatol. 2024 Aug;144(8):1850-1864.e9. doi: 10.1016/j.jid.2024.01.029. Epub 2024 Feb 19.
Infantile hemangioma (IH) is the most prevalent vascular tumor during infancy, characterized by a rapid proliferation phase of disorganized blood vessels and spontaneous involution. IH possibly arises from a special type of multipotent stem cells called hemangioma stem cells (HemSCs), which could differentiate into endothelial cells, pericytes, and adipocytes. However, the underlying mechanisms that regulate the cell fate determination of HemSCs remain elusive. In this study, we unveil KLF2 as a candidate transcription factor involved in the control of HemSCs differentiation. KLF2 exhibits high expression in endothelial cells in proliferating IH but diminishes in adipocytes in involuting IH. Using a combination of in vitro culture of patient-derived HemSCs and HemSCs implantation mouse models, we show that KLF2 governs the proliferation, apoptosis, and cell cycle progression of HemSCs. Importantly, KLF2 acts as a crucial determinant of HemSC fate, directing their differentiation toward endothelial cells while inhibiting adipogenesis. Knockdown of KLF2 induces a proadipogenic transcriptome in HemSCs, leading to impaired blood vessel formation and accelerated adipocyte differentiation. Collectively, our findings highlight KLF2 as a critical regulator controlling the progression and involution of IH by modulating HemSC fate decisions.
婴儿血管瘤 (IH) 是婴儿期最常见的血管肿瘤,其特征是血管无序增殖和自发消退。IH 可能起源于一种称为血管瘤干细胞 (HemSCs) 的特殊多能干细胞,它可以分化为内皮细胞、周细胞和成脂细胞。然而,调节 HemSCs 细胞命运决定的潜在机制仍不清楚。在这项研究中,我们揭示了 KLF2 是参与控制 HemSCs 分化的候选转录因子。KLF2 在增殖性 IH 的内皮细胞中高表达,但在消退性 IH 的脂肪细胞中减少。我们使用患者来源的 HemSCs 的体外培养和 HemSCs 植入小鼠模型的组合,表明 KLF2 控制着 HemSCs 的增殖、凋亡和细胞周期进程。重要的是,KLF2 作为 HemSC 命运的关键决定因素,指导它们向内皮细胞分化,同时抑制成脂分化。KLF2 的敲低会在 HemSCs 中诱导一个促脂肪生成的转录组,导致血管形成受损和脂肪细胞分化加速。总的来说,我们的研究结果强调了 KLF2 通过调节 HemSC 命运决定来控制 IH 的进展和消退的关键调节作用。
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