成纤维细胞促进移植心脏中的淋巴管形成。

Fibroblasts facilitate lymphatic vessel formation in transplanted heart.

机构信息

Department of Cardiology, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Department of Cardiovascular Surgery, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

出版信息

Theranostics. 2024 Feb 24;14(5):1886-1908. doi: 10.7150/thno.92103. eCollection 2024.

Abstract

Lymphangiogenesis plays a critical role in the transplanted heart. The remodeling of lymphatics in the transplanted heart and the source of newly formed lymphatic vessels are still controversial, especially the mechanism of lymphangiogenesis remains limited. Heart transplantation was performed among , , , ; and (); mice. scRNA-seq, Elisa assay, Western blotting, Q-PCR and immunohistochemical staining were used to identify the cells and cell-cell communications of allograft heart. Cell depletion was applied to in and in experiments. Whole-mount staining and three-dimensional reconstruction depicted the cell distribution within transparent transplanted heart. Genetic lineage tracing mice and scRNA-seq analysis have revealed that these newly formed lymphatic vessels mainly originate from recipient LYVE1 cells. It was found that LECs primarily interact with activated fibroblasts. Inhibition of lymphatic vessel formation using a VEGFR3 inhibitor resulted in a decreased survival time of transplanted hearts. Furthermore, when activated fibroblasts were ablated in transplanted hearts, there was a significant suppression of lymphatic vessel generation, leading to earlier graft failure. Additional investigations have shown that activated fibroblasts promote tube formation of LECs primarily through the activation of various signaling pathways, including VEGFD/VEGFR3, MDK/NCL, and SEMA3C/NRP2. Interestingly, knockdown of VEGFD and MDK in activated fibroblasts impaired cardiac lymphangiogenesis after heart transplantation. Our study indicates that cardiac lymphangiogenesis primarily originates from recipient cells, and activated fibroblasts play a crucial role in facilitating the generation of lymphatic vessels after heart transplantation. These findings provide valuable insights into potential therapeutic targets for enhancing graft survival.

摘要

淋巴管生成在移植心脏中起着关键作用。移植心脏中淋巴管的重塑和新形成的淋巴管的来源仍存在争议,特别是淋巴管生成的机制仍有限。我们在 、 、 、 和 小鼠中进行了心脏移植。使用 scRNA-seq、Elisa 测定、Western blot、Q-PCR 和免疫组织化学染色来鉴定同种异体心脏的细胞和细胞间通讯。细胞耗竭用于 和 实验中。全器官染色和三维重建描绘了透明移植心脏内细胞的分布。遗传谱系追踪小鼠和 scRNA-seq 分析表明,这些新形成的淋巴管主要来源于受者 LYVE1 细胞。结果发现,LECs 主要与激活的成纤维细胞相互作用。使用 VEGFR3 抑制剂抑制淋巴管生成会导致移植心脏存活时间缩短。此外,当在移植心脏中消融激活的成纤维细胞时,淋巴管生成会受到显著抑制,导致移植物更早衰竭。进一步的研究表明,激活的成纤维细胞主要通过激活各种信号通路(包括 VEGFD/VEGFR3、MDK/NCL 和 SEMA3C/NRP2)促进 LECs 的管腔形成。有趣的是,在激活的成纤维细胞中敲低 VEGFD 和 MDK 会损害心脏移植后的淋巴管生成。我们的研究表明,心脏淋巴管生成主要来源于受者细胞,激活的成纤维细胞在心脏移植后促进淋巴管生成中起着关键作用。这些发现为增强移植物存活的潜在治疗靶点提供了有价值的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eac/10945330/70b76991400a/thnov14p1886g001.jpg

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