Pub Date : 2026-02-04DOI: 10.1007/s10456-026-10029-9
Tong Xu, Vera Janssen, Nathalie R Reinhard, Paula Sobrevals-Alcaraz, Robert M van Es, Annett de Haan, Julian de Swart, Martijn Wehrens, Hannah de Kraker, Albert Wolkerstorfer, Chantal M A M van der Horst, Harmjan R Vos, Stephan Huveneers
Capillary malformations (CMs) are congenital vascular lesions caused by somatic mutations in the GNAQ gene, most frequently resulting in a p.R183Q substitution in the Gαq protein in endothelial cells. However, the downstream signaling pathways by which Gαq-R183Q impairs vascular function remain poorly defined. To address this, we generated human dermal endothelial cells lacking endogenous Gαq and expressing the Gαq-R183Q mutant. Next, using SILAC-based quantitative proteomics, we mapped the Gαq-R183Q-induced endothelial phosphoproteome. These analyses identified aberrant activation of the Calcineurin-NFAT-DSCR1.4 signaling cascade as a key pathogenic feature. NFAT dysregulation and DSCR1 expression in endothelial cells were confirmed in patient-derived biopsies. Pharmacological inhibition of Calcineurin with tacrolimus partially normalized NFAT signaling in Gαq-R183Q endothelial cells. Strikingly, genetic depletion of DSCR1 in Gαq-R183Q cells fully restored Calcineurin/NFAT signaling and enabled proper endothelial migration and angiogenic sprouting, highlighting DSCR1 as a critical effector of Gαq-R183Q signaling in CMs. These findings reveal a druggable signaling circuit downstream of Gαq-R183Q that may serve as a foundation for future therapies targeting GNAQ-driven vascular malformations, including Sturge-Weber syndrome.
{"title":"Calcineurin-NFAT-DSCR1.4 signaling as druggable axis in Gαq-R183Q-driven capillary malformations.","authors":"Tong Xu, Vera Janssen, Nathalie R Reinhard, Paula Sobrevals-Alcaraz, Robert M van Es, Annett de Haan, Julian de Swart, Martijn Wehrens, Hannah de Kraker, Albert Wolkerstorfer, Chantal M A M van der Horst, Harmjan R Vos, Stephan Huveneers","doi":"10.1007/s10456-026-10029-9","DOIUrl":"10.1007/s10456-026-10029-9","url":null,"abstract":"<p><p>Capillary malformations (CMs) are congenital vascular lesions caused by somatic mutations in the GNAQ gene, most frequently resulting in a p.R183Q substitution in the Gαq protein in endothelial cells. However, the downstream signaling pathways by which Gαq-R183Q impairs vascular function remain poorly defined. To address this, we generated human dermal endothelial cells lacking endogenous Gαq and expressing the Gαq-R183Q mutant. Next, using SILAC-based quantitative proteomics, we mapped the Gαq-R183Q-induced endothelial phosphoproteome. These analyses identified aberrant activation of the Calcineurin-NFAT-DSCR1.4 signaling cascade as a key pathogenic feature. NFAT dysregulation and DSCR1 expression in endothelial cells were confirmed in patient-derived biopsies. Pharmacological inhibition of Calcineurin with tacrolimus partially normalized NFAT signaling in Gαq-R183Q endothelial cells. Strikingly, genetic depletion of DSCR1 in Gαq-R183Q cells fully restored Calcineurin/NFAT signaling and enabled proper endothelial migration and angiogenic sprouting, highlighting DSCR1 as a critical effector of Gαq-R183Q signaling in CMs. These findings reveal a druggable signaling circuit downstream of Gαq-R183Q that may serve as a foundation for future therapies targeting GNAQ-driven vascular malformations, including Sturge-Weber syndrome.</p>","PeriodicalId":7886,"journal":{"name":"Angiogenesis","volume":"29 2","pages":"16"},"PeriodicalIF":9.2,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12872783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146117700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-28DOI: 10.1007/s10456-025-10027-3
Alba Pau-Navalón, Tamara González-Costa, María Lancho Lavilla, Andrés A. Urrutia, José Luis de la Pompa, Henar Cuervo, Joaquim Grego-Bessa
Angiogenesis, the formation of new blood vessels from existing ones, is crucial for both development and disease. Its dysregulation is associated with diseases such as cancer, obesity, and blindness. Vascular endothelial growth factor A (VEGFA) signaling through VEGF receptor 2 (VEGFR2) is the central regulator of angiogenesis. Consequently, there is significant interest in identifying modulators of this pathway to develop targeted therapeutic interventions. Ubiquitination tags proteins for degradation, whereas deubiquitinases counteract this process by removing the attached ubiquitin molecules. Previous studies have shown that the deubiquitinase Ubiquitin-Specific Protease 8 (USP8) regulates VEGFR2 trafficking and activation in vitro, suggesting that USP8 may regulate endothelial cell function. To examine the role of endothelial USP8 in angiogenesis in vivo, we used conditional mouse genetics to delete Usp8 in endothelial cells at different stages: during embryonic development, after birth, and in adulthood. Loss of endothelial Usp8 during embryogenesis resulted in impaired intersomitic vessel angiogenesis and lethality by E10.5. Early postnatal deletion caused severe defects in retinal angiogenesis and abnormal brain vasculature, while adult deletion had no overt vascular effects. Impaired angiogenesis in endothelial Usp8 deficient mice was associated with decreased endothelial cell-cycle activation and increased vessel diameter in capillaries and veins. Mechanistically, we found that loss of endothelial Usp8 led to VEGFR2 accumulation in early endosome aggregates and reduced phospho-ERK signaling. Our findings identify endothelial USP8 as a key regulator of angiogenesis across developmental and postnatal contexts, while dispensable for endothelial homeostasis in adulthood, highlighting its potential as a therapeutic target for anti-angiogenic interventions.
{"title":"Endothelial USP8 is essential for angiogenesis","authors":"Alba Pau-Navalón, Tamara González-Costa, María Lancho Lavilla, Andrés A. Urrutia, José Luis de la Pompa, Henar Cuervo, Joaquim Grego-Bessa","doi":"10.1007/s10456-025-10027-3","DOIUrl":"10.1007/s10456-025-10027-3","url":null,"abstract":"<div><p>Angiogenesis, the formation of new blood vessels from existing ones, is crucial for both development and disease. Its dysregulation is associated with diseases such as cancer, obesity, and blindness. Vascular endothelial growth factor A (VEGFA) signaling through VEGF receptor 2 (VEGFR2) is the central regulator of angiogenesis. Consequently, there is significant interest in identifying modulators of this pathway to develop targeted therapeutic interventions. Ubiquitination tags proteins for degradation, whereas deubiquitinases counteract this process by removing the attached ubiquitin molecules. Previous studies have shown that the deubiquitinase Ubiquitin-Specific Protease 8 (USP8) regulates VEGFR2 trafficking and activation in vitro, suggesting that USP8 may regulate endothelial cell function. To examine the role of endothelial USP8 in angiogenesis in vivo, we used conditional mouse genetics to delete Usp8 in endothelial cells at different stages: during embryonic development, after birth, and in adulthood. Loss of endothelial <i>Usp8</i> during embryogenesis resulted in impaired intersomitic vessel angiogenesis and lethality by E10.5. Early postnatal deletion caused severe defects in retinal angiogenesis and abnormal brain vasculature, while adult deletion had no overt vascular effects. Impaired angiogenesis in endothelial <i>Usp8</i> deficient mice was associated with decreased endothelial cell-cycle activation and increased vessel diameter in capillaries and veins. Mechanistically, we found that loss of endothelial <i>Usp8</i> led to VEGFR2 accumulation in early endosome aggregates and reduced phospho-ERK signaling. Our findings identify endothelial USP8 as a key regulator of angiogenesis across developmental and postnatal contexts, while dispensable for endothelial homeostasis in adulthood, highlighting its potential as a therapeutic target for anti-angiogenic interventions.</p></div>","PeriodicalId":7886,"journal":{"name":"Angiogenesis","volume":"29 2","pages":""},"PeriodicalIF":9.2,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10456-025-10027-3.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146082927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-21DOI: 10.1007/s10456-025-10028-2
Andrey Anisimov, Madeleine H. Lackman, Hellmut G. Augustin, Eero Mervaala, Kari Alitalo, Sinem Karaman
Background
Endothelial cells (ECs) of the heart proliferate and form new vessels in response to vascular endothelial growth factor (VEGF), but VEGF has not benefited the therapy of cardiac ischemia because of its side effects. Here, we explored if deletion of the vascular steady-state homeostasis maintaining Tie1 and Tie2 receptor tyrosine kinases affects the proliferation and sprouting of cardiac ECs.
Methods
We analyzed EC proliferation and histological and immunohistochemical stainings by confocal microscopy, plus scRNA and qPCR analyses of gene expression in the heart, kidneys, and lungs of Tie1fl/fl, Tie2fl/fl, and Tie1fl/fl;Tie2fl/fl mice, in which vascular endothelial cadherin-driven CreERT2 recombinase was used to delete Tie1, Tie2 or both receptors. These analyses were also performed in mice subjected to transverse aortic constriction (TAC). Boyden chamber assays were performed to assess the migration of cultured ECs in cultures with or without TIE receptor silencing.
Results
Genetic deletion of Tie1, Tie2, or Tie1/Tie2 in mice increased significantly the proliferation of cardiac but not renal or pulmonary ECs, as measured by EdU incorporation into DNA and quantification of the cell cycle marker cyclin D1. Tie1/Tie2 or Tie2 deletion, but not Tie1 deletion alone, induced EC sprouting in coronary vasculature and expression of endothelial tip cell markers, including expression of the FOXO1-regulated Angpt2 and Esm1 genes in cardiac versus kidney or lung ECs. Consistent with these findings, silencing of TIE2, but not TIE1, in cultured ECs resulted in increased migration of ECs. Similar results were obtained in mice subjected to TAC.
Conclusion
Deletion of Tie2 alone or together with Tie1 increases the proliferation and sprouting of cardiac, but not renal or pulmonary ECs, without to neovessel formation in the heart.
{"title":"Deletion of the angiopoietin receptor Tie2 enhances proliferation and sprouting of cardiac endothelial cells","authors":"Andrey Anisimov, Madeleine H. Lackman, Hellmut G. Augustin, Eero Mervaala, Kari Alitalo, Sinem Karaman","doi":"10.1007/s10456-025-10028-2","DOIUrl":"10.1007/s10456-025-10028-2","url":null,"abstract":"<div><h3>Background</h3><p>Endothelial cells (ECs) of the heart proliferate and form new vessels in response to vascular endothelial growth factor (VEGF), but VEGF has not benefited the therapy of cardiac ischemia because of its side effects. Here, we explored if deletion of the vascular steady-state homeostasis maintaining <i>Tie1</i> and <i>Tie2</i> receptor tyrosine kinases affects the proliferation and sprouting of cardiac ECs.</p><h3>Methods</h3><p>We analyzed EC proliferation and histological and immunohistochemical stainings by confocal microscopy, plus scRNA and qPCR analyses of gene expression in the heart, kidneys, and lungs of <i>Tie1</i><sup><i>fl/fl</i></sup>, <i>Tie2</i><sup><i>fl/fl</i></sup>, and <i>Tie1</i><sup><i>fl/fl</i></sup>;<i>Tie2</i><sup><i>fl/fl</i></sup> mice, in which vascular endothelial cadherin-driven <i>CreER</i><sup><i>T2</i></sup> recombinase was used to delete <i>Tie1</i>, <i>Tie2</i> or both receptors. These analyses were also performed in mice subjected to transverse aortic constriction (TAC). Boyden chamber assays were performed to assess the migration of cultured ECs in cultures with or without <i>TIE</i> receptor silencing.</p><h3>Results</h3><p>Genetic deletion of <i>Tie1</i>, <i>Tie2</i>, or <i>Tie1/Tie2</i> in mice increased significantly the proliferation of cardiac but not renal or pulmonary ECs, as measured by EdU incorporation into DNA and quantification of the cell cycle marker cyclin D1. <i>Tie1/Tie2</i> or <i>Tie2</i> deletion, but not <i>Tie1</i> deletion alone, induced EC sprouting in coronary vasculature and expression of endothelial tip cell markers, including expression of the FOXO1-regulated <i>Angpt2</i> and <i>Esm1</i> genes in cardiac versus kidney or lung ECs. Consistent with these findings, silencing of <i>TIE2</i>, but not <i>TIE1</i>, in cultured ECs resulted in increased migration of ECs. Similar results were obtained in mice subjected to TAC.</p><h3>Conclusion</h3><p>Deletion of <i>Tie2</i> alone or together with <i>Tie1</i> increases the proliferation and sprouting of cardiac, but not renal or pulmonary ECs, without to neovessel formation in the heart.</p></div>","PeriodicalId":7886,"journal":{"name":"Angiogenesis","volume":"29 2","pages":""},"PeriodicalIF":9.2,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10456-025-10028-2.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146001959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-19DOI: 10.1007/s10456-025-10022-8
Malte Jung, Jan N. Ness, Melanie E. Schwämmle, Julian Rapp, Stefaniya Boneva, Olaf Groß, Julia Mitschke, Günther Schlunck, Hansjürgen Agostini, Luciana Hannibal, Felicitas Bucher
Background
Vascular endothelial growth factor (VEGF) is regarded as the essential promoter of vitreoretinal vascular diseases that threaten eyesight, such as proliferative diabetic retinopathy (PDR). Therefore, VEGF is the primary therapeutic target in these diseases, but not all patients respond adequately to VEGF inhibition. This raises the question if other factors contribute to disease modulation. PDR evolves in an interplay of pathological processes including inflammation, barrier integrity loss, aberrant angiogenesis, and metabolic dysregulation. Interleukin-6 (IL-6), recognized for its pro-inflammatory properties, was the focus of this study.
Aim
Investigate IL-6 mediated angiogenic potential and disease-relevant mechanisms in the context of VEGF driven vitreoretinal disorder.
Methods
Levels of IL-6 and soluble IL-6 receptor (sIL-6R) were quantified in patient samples using ELISA. In vitro, the functional effect and downstream signaling patterns of IL-6, sIL-6R and VEGF on vascular endothelial cells were analyzed with western blot, spheroid sprouting-, migration-, seahorse assays and LC–MS/MS.
Results
Vitreous samples from PDR patients showed elevated levels of IL-6 and its corresponding soluble IL-6 receptor (sIL-6R) compared to clinical control groups. In vitro, IL-6 trans-signaling (IL-6 + sIL-6R) leads to a pro angiogenic phenotype in human vascular endothelial cells demonstrated in migration and spheroid sprouting assays, mirroring the effects of VEGF. Interestingly, IL-6 trans- and VEGF-signaling differ in their effects on barrier integrity and metabolic profile. IL-6 trans-signaling disrupts endothelial barrier function and shows an increased mitochondrial oxygen consumption rate in the Seahorse assay, as well as lower produced lactate levels compared to VEGF. Tocilizumab, an IL-6R antibody, showed additive treatment effects to anti-VEGF therapeutics regarding angiogenesis and VEGF induced metabolic drive in vitro.
Conclusion
IL-6 trans-signaling functions as an independent promoter of vitreoretinal vascular disease and therapeutic targeting of its pathway could beneficially complement current anti-VEGF treatment protocols.
{"title":"IL-6 trans-signaling: an overlooked driver of retinal neovascularization?","authors":"Malte Jung, Jan N. Ness, Melanie E. Schwämmle, Julian Rapp, Stefaniya Boneva, Olaf Groß, Julia Mitschke, Günther Schlunck, Hansjürgen Agostini, Luciana Hannibal, Felicitas Bucher","doi":"10.1007/s10456-025-10022-8","DOIUrl":"10.1007/s10456-025-10022-8","url":null,"abstract":"<div><h3>Background</h3><p>Vascular endothelial growth factor (VEGF) is regarded as the essential promoter of vitreoretinal vascular diseases that threaten eyesight, such as proliferative diabetic retinopathy (PDR). Therefore, VEGF is the primary therapeutic target in these diseases, but not all patients respond adequately to VEGF inhibition. This raises the question if other factors contribute to disease modulation. PDR evolves in an interplay of pathological processes including inflammation, barrier integrity loss, aberrant angiogenesis, and metabolic dysregulation. Interleukin-6 (IL-6), recognized for its pro-inflammatory properties, was the focus of this study.</p><h3>Aim</h3><p>Investigate IL-6 mediated angiogenic potential and disease-relevant mechanisms in the context of VEGF driven vitreoretinal disorder.</p><h3>Methods</h3><p>Levels of IL-6 and soluble IL-6 receptor (sIL-6R) were quantified in patient samples using ELISA. In vitro, the functional effect and downstream signaling patterns of IL-6, sIL-6R and VEGF on vascular endothelial cells were analyzed with western blot, spheroid sprouting-, migration-, seahorse assays and LC–MS/MS.</p><h3>Results</h3><p>Vitreous samples from PDR patients showed elevated levels of IL-6 and its corresponding soluble IL-6 receptor (sIL-6R) compared to clinical control groups. In vitro, IL-6 trans-signaling (IL-6 + sIL-6R) leads to a pro angiogenic phenotype in human vascular endothelial cells demonstrated in migration and spheroid sprouting assays, mirroring the effects of VEGF. Interestingly, IL-6 trans- and VEGF-signaling differ in their effects on barrier integrity and metabolic profile. IL-6 trans-signaling disrupts endothelial barrier function and shows an increased mitochondrial oxygen consumption rate in the Seahorse assay, as well as lower produced lactate levels compared to VEGF. Tocilizumab, an IL-6R antibody, showed additive treatment effects to anti-VEGF therapeutics regarding angiogenesis and VEGF induced metabolic drive in vitro.</p><h3>Conclusion</h3><p>IL-6 trans-signaling functions as an independent promoter of vitreoretinal vascular disease and therapeutic targeting of its pathway could beneficially complement current anti-VEGF treatment protocols.</p></div>","PeriodicalId":7886,"journal":{"name":"Angiogenesis","volume":"29 1","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10456-025-10022-8.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145779099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-19DOI: 10.1007/s10456-025-10024-6
Wei Wu, Yukun Zhang, Weihua Song, David Virshup, Xiaomeng Wang
Angiogenesis, the formation of new blood vessels from pre-existing vasculature, is essential for tissue homeostasis, development, and repair. Dysregulation of this tightly regulated process contributes to a wide range of diseases, including cancer, ischemic disorders, and chronic inflammatory conditions. This review focuses on the secreted frizzled-related protein (SFRP) family, a group of pivotal yet underappreciated regulators of neovascularization. We discuss the tissue-specific expression patterns, regulatory mechanisms, and functional roles of SFRPs in both physiological and pathological vascular remodeling. Particular attention is given to their interactions with key signaling pathways, including Wnt, highlighting their context-dependent effects on angiogenesis. Drawing on extensive preclinical evidence, we position SFRPs as novel regulators of vascular remodeling and explore their potential as promising targets for therapeutic intervention. This comprehensive analysis underscores the importance of further mechanistic and clinical studies to unlock the therapeutic potential of SFRPs in vascular pathologies.
{"title":"Secreted frizzled-related proteins in angiogenesis: molecular mechanisms and clinical implications","authors":"Wei Wu, Yukun Zhang, Weihua Song, David Virshup, Xiaomeng Wang","doi":"10.1007/s10456-025-10024-6","DOIUrl":"10.1007/s10456-025-10024-6","url":null,"abstract":"<div><p>Angiogenesis, the formation of new blood vessels from pre-existing vasculature, is essential for tissue homeostasis, development, and repair. Dysregulation of this tightly regulated process contributes to a wide range of diseases, including cancer, ischemic disorders, and chronic inflammatory conditions. This review focuses on the secreted frizzled-related protein (SFRP) family, a group of pivotal yet underappreciated regulators of neovascularization. We discuss the tissue-specific expression patterns, regulatory mechanisms, and functional roles of SFRPs in both physiological and pathological vascular remodeling. Particular attention is given to their interactions with key signaling pathways, including Wnt, highlighting their context-dependent effects on angiogenesis. Drawing on extensive preclinical evidence, we position SFRPs as novel regulators of vascular remodeling and explore their potential as promising targets for therapeutic intervention. This comprehensive analysis underscores the importance of further mechanistic and clinical studies to unlock the therapeutic potential of SFRPs in vascular pathologies.</p></div>","PeriodicalId":7886,"journal":{"name":"Angiogenesis","volume":"29 1","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10456-025-10024-6.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145779111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-12DOI: 10.1007/s10456-025-10025-5
Junchul Shin, Junyoung Hong, Iuliia Molokotina, Irene Krukovets, Ellin Kim, Svyatoslav Tkachenko, Eugene Podrez, Tatiana V. Byzova, Olga A. Cherepanova
The study investigates the sex-specific effects of the pluripotency factor OCT4 deficiency in endothelial cells (ECs) on angiogenesis. OCT4 is known for its role in embryonic stem cells, but we recently found that it plays a protective role in ECs during atherosclerosis. Herein, we utilized cultured mouse aortic ECs (MAECs) and several in vivo models, including skin wounding, melanoma tumor implantation, and hindlimb ischemia, to explore the role of OCT4 in angiogenesis in both male and female mice. Our findings revealed significant sexual dimorphism in wild type mice, along with sex differences in responses to OCT4 deficiency across all three in vivo models. Male mice with endothelial Oct4 knockout had faster skin wound healing, increased vascularization, and quicker blood flow recovery after hindlimb ischemia than wild-type mice. In contrast, female mice with endothelial Oct4 knockout experienced delayed wound healing, no significant change in blood flow recovery after hindlimb ischemia, and increased tumor growth. Mechanistically, MCP1, a key angiogenic chemokine, was differentially regulated in male and female Oct4 knockout compared to wild-type MAECs, suggesting OCT4-dependent regulation of MCP1 as a critical mechanism for sex differences in angiogenic responses. RNA sequencing (RNAseq) analysis revealed distinct gene expression profiles in male and female MAECs upon OCT4 deficiency. Notably, female ECs exhibited upregulation of pro-inflammatory genes, which, although modest relative to their already elevated baseline, may contribute to the enhanced tumor growth observed in mutant females. In contrast, male ECs exhibited increased expression of cell cycle- and angiogenesis-related genes, correlating with their enhanced angiogenic responses. Overall, the research provides novel insights into the sex-specific functional role of OCT4 in ECs during angiogenesis and emphasizes the need for developing sex-specific EC-targeting therapeutic strategies for cardiovascular diseases and cancer.
{"title":"Sex-specific angiogenic responses in endothelial cells—role of the pluripotency factor OCT4","authors":"Junchul Shin, Junyoung Hong, Iuliia Molokotina, Irene Krukovets, Ellin Kim, Svyatoslav Tkachenko, Eugene Podrez, Tatiana V. Byzova, Olga A. Cherepanova","doi":"10.1007/s10456-025-10025-5","DOIUrl":"10.1007/s10456-025-10025-5","url":null,"abstract":"<div><p>The study investigates the sex-specific effects of the pluripotency factor OCT4 deficiency in endothelial cells (ECs) on angiogenesis. OCT4 is known for its role in embryonic stem cells, but we recently found that it plays a protective role in ECs during atherosclerosis. Herein, we utilized cultured mouse aortic ECs (MAECs) and several in vivo models, including skin wounding, melanoma tumor implantation, and hindlimb ischemia, to explore the role of OCT4 in angiogenesis in both male and female mice. Our findings revealed significant sexual dimorphism in wild type mice, along with sex differences in responses to OCT4 deficiency across all three in vivo models. Male mice with endothelial <i>Oct4</i> knockout had faster skin wound healing, increased vascularization, and quicker blood flow recovery after hindlimb ischemia than wild-type mice. In contrast, female mice with endothelial <i>Oct4</i> knockout experienced delayed wound healing, no significant change in blood flow recovery after hindlimb ischemia, and increased tumor growth. Mechanistically, MCP1, a key angiogenic chemokine, was differentially regulated in male and female <i>Oct4</i> knockout compared to wild-type MAECs, suggesting OCT4-dependent regulation of MCP1 as a critical mechanism for sex differences in angiogenic responses. RNA sequencing (RNAseq) analysis revealed distinct gene expression profiles in male and female MAECs upon OCT4 deficiency. Notably, female ECs exhibited upregulation of pro-inflammatory genes, which, although modest relative to their already elevated baseline, may contribute to the enhanced tumor growth observed in mutant females. In contrast, male ECs exhibited increased expression of cell cycle- and angiogenesis-related genes, correlating with their enhanced angiogenic responses. Overall, the research provides novel insights into the sex-specific functional role of OCT4 in ECs during angiogenesis and emphasizes the need for developing sex-specific EC-targeting therapeutic strategies for cardiovascular diseases and cancer.</p></div>","PeriodicalId":7886,"journal":{"name":"Angiogenesis","volume":"29 1","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10456-025-10025-5.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145730233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clinical evidence has indicated that pressure overload-induced cardiac hypertrophy is closely linked with adverse cardiac outcomes. Endothelial dysfunction is a key contributor to the progression of cardiac hypertrophy and heart failure (HF). Although leucine-rich repeat-containing 8A (LRRC8A) serves as a critical regulator of vascular endothelial homeostasis, its functional role in pressure overload-induced pathological hypertrophy and dysfunction remains unclear. In this study, we aimed to investigate the role and mechanism of endothelial LRRC8A in pressure overload-induced pathological hypertrophy.
Methods and results
Here, we found that LRRC8A expression was markedly downregulated in hypertrophic hearts and cardiac endothelial cells (CECs) from both patients and mice. Endothelial LRRC8A knockout mice exhibited exacerbated pathological hypertrophy and dysfunction following transverse aortic constriction (TAC) surgery. Moreover, single-cell RNA sequencing (scRNA-seq) analysis revealed that LRRC8A-deficient CECs displayed downregulation of gene programs related to angiogenesis, migration, and proliferation. Consistently, endothelial LRRC8A deficiency reduced capillary density in TAC hearts in vivo and inhibited endothelial cell (EC) tube formation, migration, and proliferation in vitro. Mechanistically, LRRC8A positively regulated the VEGF-VEGFR2 axis, interacted with VEGFR2, and promoted VEGFR2 endocytosis. Therapeutically, AAV9-ICAM2-LRRC8A gene therapy restored coronary angiogenesis and ameliorated TAC-induced hypertrophy and dysfunction.
Conclusion
Our findings identify endothelial LRRC8A as a critical regulator of coronary angiogenesis in pressure overload-induced hypertrophic hearts and indicate that it could serve as a therapeutic target for cardiac hypertrophy and HF.
{"title":"Endothelial LRRC8A mitigates pressure overload-induced cardiac hypertrophy by promoting coronary angiogenesis","authors":"Lingjun Jie, Baolong Feng, Yufan Zhou, Chan Du, Wenlin Zhou, Ruonan Zhang, Wei Shen, Jiajin Chen, Penglong Wu, Xu Kong, Yuliang Zhan, Meimei Shi, Guiyang Li, Lei Li, Lei Pan, Yanhui Zhang","doi":"10.1007/s10456-025-10021-9","DOIUrl":"10.1007/s10456-025-10021-9","url":null,"abstract":"<div><h3>Objective</h3><p>Clinical evidence has indicated that pressure overload-induced cardiac hypertrophy is closely linked with adverse cardiac outcomes. Endothelial dysfunction is a key contributor to the progression of cardiac hypertrophy and heart failure (HF). Although leucine-rich repeat-containing 8A (LRRC8A) serves as a critical regulator of vascular endothelial homeostasis, its functional role in pressure overload-induced pathological hypertrophy and dysfunction remains unclear. In this study, we aimed to investigate the role and mechanism of endothelial LRRC8A in pressure overload-induced pathological hypertrophy.</p><h3>Methods and results</h3><p>Here, we found that LRRC8A expression was markedly downregulated in hypertrophic hearts and cardiac endothelial cells (CECs) from both patients and mice. Endothelial LRRC8A knockout mice exhibited exacerbated pathological hypertrophy and dysfunction following transverse aortic constriction (TAC) surgery. Moreover, single-cell RNA sequencing (scRNA-seq) analysis revealed that LRRC8A-deficient CECs displayed downregulation of gene programs related to angiogenesis, migration, and proliferation. Consistently, endothelial LRRC8A deficiency reduced capillary density in TAC hearts in vivo and inhibited endothelial cell (EC) tube formation, migration, and proliferation in vitro. Mechanistically, LRRC8A positively regulated the VEGF-VEGFR2 axis, interacted with VEGFR2, and promoted VEGFR2 endocytosis. Therapeutically, AAV9-ICAM2-LRRC8A gene therapy restored coronary angiogenesis and ameliorated TAC-induced hypertrophy and dysfunction.</p><h3>Conclusion</h3><p>Our findings identify endothelial LRRC8A as a critical regulator of coronary angiogenesis in pressure overload-induced hypertrophic hearts and indicate that it could serve as a therapeutic target for cardiac hypertrophy and HF.</p><h3>Graphical abstract</h3><div><figure><div><div><picture><source><img></source></picture></div></div></figure></div></div>","PeriodicalId":7886,"journal":{"name":"Angiogenesis","volume":"29 1","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145699446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-07DOI: 10.1007/s10456-025-10019-3
Santiago A. Forero, Zhihua Chen, Ali Pirani, Arpan De, Zachary Wise, Xiaofeng Zheng, John E. Morales, Joseph H. McCarty
Precise control of cell–cell communication networks within brain neurovascular units (NVUs) promotes normal tissue physiology. Dysregulation of these networks can lead to pathologies including uncontrolled angiogenesis, endothelial barrier disruption, and intracerebral hemorrhage (ICH). The cellular and molecular mechanisms underlying ICH pathogenesis and subsequent tissue repair processes remain poorly understood. Here we employed fixed single cell RNA profiling coupled with spatial in situ gene expression profiling to characterize NVU signaling pathways associated with ICH in Itgb8/β8 integrin mutant mice. In this model, early neonatal stages of ICH were characterized by downregulation of extracellular matrix (ECM)-associated signaling factors (Adamtsl2, Htra3, and Lama4) linked to canonical TGFβ activation and signaling in endothelial cells. Conversely, the progressive resolution of ICH involved upregulation of neuroinflammatory signaling networks (Gas6 and Axl) alongside activation of iron metabolism pathway components (Hmox1, Cp, and Slc40a1) in microglia/macrophages. Integrated computational modeling identifies additional ligand-receptor signaling networks between perivascular glial cells and angiogenic endothelial cells. Collectively, these findings illuminate the molecular signaling networks that promote NVU maturation and provide novel mechanistic insights into the pathways controlling ICH pathogenesis and repair in Itgb8 mutant mice.
{"title":"Integrative single cell RNA and spatial profiling identify mechanisms of neonatal brain hemorrhage pathophysiology and repair","authors":"Santiago A. Forero, Zhihua Chen, Ali Pirani, Arpan De, Zachary Wise, Xiaofeng Zheng, John E. Morales, Joseph H. McCarty","doi":"10.1007/s10456-025-10019-3","DOIUrl":"10.1007/s10456-025-10019-3","url":null,"abstract":"<div><p>Precise control of cell–cell communication networks within brain neurovascular units (NVUs) promotes normal tissue physiology. Dysregulation of these networks can lead to pathologies including uncontrolled angiogenesis, endothelial barrier disruption, and intracerebral hemorrhage (ICH). The cellular and molecular mechanisms underlying ICH pathogenesis and subsequent tissue repair processes remain poorly understood. Here we employed fixed single cell RNA profiling coupled with spatial in situ gene expression profiling to characterize NVU signaling pathways associated with ICH in Itgb8/β8 integrin mutant mice. In this model, early neonatal stages of ICH were characterized by downregulation of extracellular matrix (ECM)-associated signaling factors (Adamtsl2, Htra3, and Lama4) linked to canonical TGFβ activation and signaling in endothelial cells. Conversely, the progressive resolution of ICH involved upregulation of neuroinflammatory signaling networks (Gas6 and Axl) alongside activation of iron metabolism pathway components (Hmox1, Cp, and Slc40a1) in microglia/macrophages. Integrated computational modeling identifies additional ligand-receptor signaling networks between perivascular glial cells and angiogenic endothelial cells. Collectively, these findings illuminate the molecular signaling networks that promote NVU maturation and provide novel mechanistic insights into the pathways controlling ICH pathogenesis and repair in Itgb8 mutant mice.</p></div>","PeriodicalId":7886,"journal":{"name":"Angiogenesis","volume":"29 1","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12682726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145699477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-07DOI: 10.1007/s10456-025-10023-7
Clément R. Massonnaud, Maya Hites, Nathan Peiffer-Smadja, Jeanne Rancic, Yazdan Yazdanpanah, Sophie Luneau, Annabelle Dupont, Christelle Delmas, Jean-Luc Diehl, Aurélien Philippe, Sophie Susen, France Mentré, Florence Ader, David M. Smadja, the DisCoVeRy Study group
Background
Hydroxychloroquine (HCQ), long used for its immunomodulatory and vasculoprotective properties in autoimmune diseases such as antiphospholipid syndrome, was among the first drugs evaluated for COVID-19. Given the prominent endothelial dysfunction and coagulopathy in severe COVID-19, we investigated whether HCQ could modulate circulating biomarkers of vascular injury.
Methods
A longitudinal analysis comparing standard of care (SoC; n = 148) with HCQ plus SoC (n = 145) was conducted within the phase 3, multicenter, open-label, randomized, adaptive, controlled trial DisCoVeRy in hospitalized patients with COVID-19 (NCT04315948), which primary outcome was clinical status at day 15, measured by the WHO 7-point ordinal scale. Biomarkers of endothelial activation and coagulopathy—angiopoietin-2, P-selectin, and D-dimer—were measured on days 1, 3, 5, 8, and 11. Linear mixed-effects models assessed the influence of HCQ and baseline severity on biomarker trajectories.
Results
Severe disease at baseline was associated with higher biomarker levels: angiopoietin-2 (p < 10⁻⁵), P-selectin (p < 10⁻⁶), and D-dimer (p < 10⁻⁷). HCQ had no effect on angiopoietin-2 levels over time (0.002 95%CI: [− 0.003;0.007], p = 0.42). P-selectin increased significantly in both non-severe and severe SoC patients, but HCQ had no effect on the slope (0.005 95%CI: [− 0.001;0.012], p = 0.12). Regarding D-dimer, neither disease severity nor HCQ significantly affected the slope (− 0.004 95%CI: [− 0.016;0.009], p = 0.57 and − 0.000 95%CI: [− 0.009;0.009], p = 0.98, respectively).
Conclusions
HCQ was not found to modify the longitudinal evolution of angiopoietin-2, P-selectin, or D-dimer in hospitalized patients with COVID-19. These findings confirm the absence of vascular benefit, reinforcing evidence against HCQ’s clinical utility in COVID-19 and underscoring the need for alternative endothelial-targeted approaches.
{"title":"Hydroxychloroquine does not affect endotheliopathy or coagulopathy biomarkers in COVID-19: longitudinal results from the DisCoVeRy randomized trial","authors":"Clément R. Massonnaud, Maya Hites, Nathan Peiffer-Smadja, Jeanne Rancic, Yazdan Yazdanpanah, Sophie Luneau, Annabelle Dupont, Christelle Delmas, Jean-Luc Diehl, Aurélien Philippe, Sophie Susen, France Mentré, Florence Ader, David M. Smadja, the DisCoVeRy Study group","doi":"10.1007/s10456-025-10023-7","DOIUrl":"10.1007/s10456-025-10023-7","url":null,"abstract":"<div><h3>Background</h3><p>Hydroxychloroquine (HCQ), long used for its immunomodulatory and vasculoprotective properties in autoimmune diseases such as antiphospholipid syndrome, was among the first drugs evaluated for COVID-19. Given the prominent endothelial dysfunction and coagulopathy in severe COVID-19, we investigated whether HCQ could modulate circulating biomarkers of vascular injury.</p><h3>Methods</h3><p>A longitudinal analysis comparing standard of care (SoC; <i>n</i> = 148) with HCQ plus SoC (<i>n</i> = 145) was conducted within the phase 3, multicenter, open-label, randomized, adaptive, controlled trial <i>DisCoVeRy</i> in hospitalized patients with COVID-19 (NCT04315948), which primary outcome was clinical status at day 15, measured by the WHO 7-point ordinal scale. Biomarkers of endothelial activation and coagulopathy—angiopoietin-2, P-selectin, and D-dimer—were measured on days 1, 3, 5, 8, and 11. Linear mixed-effects models assessed the influence of HCQ and baseline severity on biomarker trajectories.</p><h3>Results</h3><p>Severe disease at baseline was associated with higher biomarker levels: angiopoietin-2 (<i>p</i> < 10⁻⁵), P-selectin (<i>p</i> < 10⁻⁶), and D-dimer (<i>p</i> < 10⁻⁷). HCQ had no effect on angiopoietin-2 levels over time (0.002 95%CI: [− 0.003;0.007], <i>p</i> = 0.42). P-selectin increased significantly in both non-severe and severe SoC patients, but HCQ had no effect on the slope (0.005 95%CI: [− 0.001;0.012], <i>p</i> = 0.12). Regarding D-dimer, neither disease severity nor HCQ significantly affected the slope (− 0.004 95%CI: [− 0.016;0.009], <i>p</i> = 0.57 and − 0.000 95%CI: [− 0.009;0.009], <i>p</i> = 0.98, respectively).</p><h3>Conclusions</h3><p>HCQ was not found to modify the longitudinal evolution of angiopoietin-2, P-selectin, or D-dimer in hospitalized patients with COVID-19. These findings confirm the absence of vascular benefit, reinforcing evidence against HCQ’s clinical utility in COVID-19 and underscoring the need for alternative endothelial-targeted approaches.</p></div>","PeriodicalId":7886,"journal":{"name":"Angiogenesis","volume":"29 1","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12682712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145699496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}