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Systemic glucocorticoids use in post-COVID-syndrome patients does not affect retinal microcirculation. COVID综合征后患者全身使用糖皮质激素不会影响视网膜微循环。
IF 9.2 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-08-01 Epub Date: 2024-05-03 DOI: 10.1007/s10456-024-09926-8
T Kuchler, C Schmaderer
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引用次数: 0
Blood flow regulates acvrl1 transcription via ligand-dependent Alk1 activity. 血流通过配体依赖性 Alk1 活性调节 acvrl1 的转录。
IF 9.2 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-08-01 Epub Date: 2024-05-10 DOI: 10.1007/s10456-024-09924-w
Anthony R Anzell, Amy B Kunz, James P Donovan, Thanhlong G Tran, Xinyan Lu, Sarah Young, Beth L Roman

Hereditary hemorrhagic telangiectasia (HHT) is an autosomal dominant disease characterized by the development of arteriovenous malformations (AVMs) that can result in significant morbidity and mortality. HHT is caused primarily by mutations in bone morphogenetic protein receptors ACVRL1/ALK1, a signaling receptor, or endoglin (ENG), an accessory receptor. Because overexpression of Acvrl1 prevents AVM development in both Acvrl1 and Eng null mice, enhancing ACVRL1 expression may be a promising approach to development of targeted therapies for HHT. Therefore, we sought to understand the molecular mechanism of ACVRL1 regulation. We previously demonstrated in zebrafish embryos that acvrl1 is predominantly expressed in arterial endothelial cells and that expression requires blood flow. Here, we document that flow dependence exhibits regional heterogeneity and that acvrl1 expression is rapidly restored after reinitiation of flow. Furthermore, we find that acvrl1 expression is significantly decreased in mutants that lack the circulating Alk1 ligand, Bmp10, and that, in the absence of flow, intravascular injection of BMP10 or the related ligand, BMP9, restores acvrl1 expression in an Alk1-dependent manner. Using a transgenic acvrl1:egfp reporter line, we find that flow and Bmp10 regulate acvrl1 at the level of transcription. Finally, we observe similar ALK1 ligand-dependent increases in ACVRL1 in human endothelial cells subjected to shear stress. These data suggest that ligand-dependent Alk1 activity acts downstream of blood flow to maintain or enhance acvrl1 expression via a positive feedback mechanism, and that ALK1 activating therapeutics may have dual functionality by increasing both ALK1 signaling flux and ACVRL1 expression.

遗传性出血性毛细血管扩张症(HHT)是一种常染色体显性遗传病,其特征是发生动静脉畸形(AVM),可导致严重的发病率和死亡率。HHT 主要是由骨形态发生蛋白受体 ACVRL1/ALK1 (一种信号受体)或内胚层蛋白受体 (ENG) (一种辅助受体)突变引起的。由于过表达 Acvrl1 可防止 Acvrl1 和 Eng 空位小鼠的 AVM 发生,因此增强 ACVRL1 的表达可能是开发 HHT 靶向疗法的一种有前途的方法。因此,我们试图了解 ACVRL1 的分子调控机制。我们之前在斑马鱼胚胎中证实,acvrl1 主要在动脉内皮细胞中表达,而且其表达需要血流的支持。在这里,我们发现血流依赖性表现出区域异质性,并且在恢复血流后,acvrl1 的表达会迅速恢复。此外,我们还发现,在缺乏循环 Alk1 配体 Bmp10 的突变体中,acvrl1 的表达明显降低,而在无血流的情况下,血管内注射 BMP10 或相关配体 BMP9 能以 Alk1 依赖性的方式恢复 acvrl1 的表达。利用转基因 acvrl1:egfp 报告基因系,我们发现血流和 Bmp10 在转录水平上调控 acvrl1。最后,我们在受剪切应力作用的人类内皮细胞中观察到类似的 ALK1 配体依赖性 ACVRL1 的增加。这些数据表明,配体依赖性 Alk1 活性在血流下游发挥作用,通过正反馈机制维持或增强 acvrl1 的表达,而 ALK1 激活疗法可能同时增加 ALK1 信号通量和 ACVRL1 的表达,从而具有双重功能。
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引用次数: 0
Emerging insights into the pathogenesis and therapeutic strategies for vascular endothelial injury-associated diseases: focus on mitochondrial dysfunction. 对血管内皮损伤相关疾病的发病机制和治疗策略的新认识:关注线粒体功能障碍。
IF 9.2 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-07-26 DOI: 10.1007/s10456-024-09938-4
Boxian Pang, Guangtong Dong, Tieliang Pang, Xinyao Sun, Xin Liu, Yifeng Nie, Xing Chang

As a vital component of blood vessels, endothelial cells play a key role in maintaining overall physiological function by residing between circulating blood and semi-solid tissue. Various stress stimuli can induce endothelial injury, leading to the onset of corresponding diseases in the body. In recent years, the importance of mitochondria in vascular endothelial injury has become increasingly apparent. Mitochondria, as the primary site of cellular aerobic respiration and the organelle for "energy information transfer," can detect endothelial cell damage by integrating and receiving various external stress signals. The generation of reactive oxygen species (ROS) and mitochondrial dysfunction often determine the evolution of endothelial cell injury towards necrosis or apoptosis. Therefore, mitochondria are closely associated with endothelial cell function, helping to determine the progression of clinical diseases. This article comprehensively reviews the interconnection and pathogenesis of mitochondrial-induced vascular endothelial cell injury in cardiovascular diseases, renal diseases, pulmonary-related diseases, cerebrovascular diseases, and microvascular diseases associated with diabetes. Corresponding therapeutic approaches are also provided. Additionally, strategies for using clinical drugs to treat vascular endothelial injury-based diseases are discussed, aiming to offer new insights and treatment options for the clinical diagnosis of related vascular injuries.

作为血管的重要组成部分,内皮细胞驻留在循环血液和半固体组织之间,在维持整体生理功能方面发挥着关键作用。各种应激刺激都会诱发内皮损伤,导致人体出现相应的疾病。近年来,线粒体在血管内皮损伤中的重要性日益凸显。线粒体作为细胞有氧呼吸的主要场所和 "能量信息传递 "的细胞器,可以通过整合和接收各种外部应激信号来检测内皮细胞损伤。活性氧(ROS)的产生和线粒体功能障碍往往决定着内皮细胞损伤向坏死或凋亡的演变。因此,线粒体与内皮细胞功能密切相关,有助于决定临床疾病的进展。本文全面综述了线粒体诱导的血管内皮细胞损伤在心血管疾病、肾脏疾病、肺部相关疾病、脑血管疾病以及糖尿病相关微血管疾病中的相互联系和发病机制。还提供了相应的治疗方法。此外,还讨论了使用临床药物治疗基于血管内皮损伤的疾病的策略,旨在为相关血管损伤的临床诊断提供新的见解和治疗方案。
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引用次数: 0
Somatic RIT1 delins in arteriovenous malformations hyperactivate RAS-MAPK signaling amenable to MEK inhibition. 动静脉畸形中的体细胞 RIT1 delins 可使 RAS-MAPK 信号超活化,从而适用于 MEK 抑制。
IF 9.2 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-07-05 DOI: 10.1007/s10456-024-09934-8
Friedrich G Kapp, Farhad Bazgir, Nagi Mahammadzade, Mehrnaz Mehrabipour, Erik Vassella, Sarah M Bernhard, Yvonne Döring, Annegret Holm, Axel Karow, Caroline Seebauer, Natascha Platz Batista da Silva, Walter A Wohlgemuth, Aviv Oppenheimer, Pia Kröning, Charlotte M Niemeyer, Denny Schanze, Martin Zenker, Whitney Eng, Mohammad R Ahmadian, Iris Baumgartner, Jochen Rössler

Arteriovenous malformations (AVM) are benign vascular anomalies prone to pain, bleeding, and progressive growth. AVM are mainly caused by mosaic pathogenic variants of the RAS-MAPK pathway. However, a causative variant is not identified in all patients. Using ultra-deep sequencing, we identified novel somatic RIT1 delins variants in lesional tissue of three AVM patients. RIT1 encodes a RAS-like protein that can modulate RAS-MAPK signaling. We expressed RIT1 variants in HEK293T cells, which led to a strong increase in ERK1/2 phosphorylation. Endothelial-specific mosaic overexpression of RIT1 delins in zebrafish embryos induced AVM formation, highlighting their functional importance in vascular development. Both ERK1/2 hyperactivation in vitro and AVM formation in vivo could be suppressed by pharmacological MEK inhibition. Treatment with the MEK inhibitor trametinib led to a significant decrease in bleeding episodes and AVM size in one patient. Our findings implicate RIT1 in AVM formation and provide a rationale for clinical trials with targeted treatments.

动静脉畸形(AVM)是一种良性血管畸形,容易引起疼痛、出血和进行性生长。动静脉畸形主要是由 RAS-MAPK 通路的镶嵌致病变体引起的。然而,并非所有患者都能找到致病变体。通过超深度测序,我们在三名 AVM 患者的病变组织中发现了新型体细胞 RIT1 delins 变异。RIT1 编码一种 RAS 样蛋白,可调节 RAS-MAPK 信号转导。我们在 HEK293T 细胞中表达了 RIT1 变体,这导致 ERK1/2 磷酸化强烈增加。在斑马鱼胚胎中,内皮特异性镶嵌式过表达 RIT1 delins 会诱导 AVM 的形成,这突显了它们在血管发育中的重要功能。体外的 ERK1/2 过度激活和体内的 AVM 形成均可被药物 MEK 抑制所抑制。使用MEK抑制剂曲美替尼治疗后,一名患者的出血发作和AVM大小明显减少。我们的研究结果表明 RIT1 与 AVM 的形成有关,并为靶向治疗的临床试验提供了依据。
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引用次数: 0
A streamlined method to generate endothelial cells from human pluripotent stem cells via transient doxycycline-inducible ETV2 activation. 通过瞬时强力霉素诱导的 ETV2 激活,从人多能干细胞生成内皮细胞的简化方法。
IF 9.2 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-07-05 DOI: 10.1007/s10456-024-09937-5
Allen Chilun Luo, Jiuhai Wang, Kai Wang, Yonglin Zhu, Liyan Gong, Umji Lee, Xiang Li, Daniel M Tremmel, Ruei-Zeng Lin, Donald E Ingber, James Gorman, Juan M Melero-Martin

The development of reliable methods for producing functional endothelial cells (ECs) is crucial for progress in vascular biology and regenerative medicine. In this study, we present a streamlined and efficient methodology for the differentiation of human induced pluripotent stem cells (iPSCs) into induced ECs (iECs) that maintain the ability to undergo vasculogenesis in vitro and in vivo using a doxycycline-inducible system for the transient expression of the ETV2 transcription factor. This approach mitigates the limitations of direct transfection methods, such as mRNA-mediated differentiation, by simplifying the protocol and enhancing reproducibility across different stem cell lines. We detail the generation of iPSCs engineered for doxycycline-induced ETV2 expression and their subsequent differentiation into iECs, achieving over 90% efficiency within four days. Through both in vitro and in vivo assays, the functionality and phenotypic stability of the derived iECs were rigorously validated. Notably, these cells exhibit key endothelial markers and capabilities, including the formation of vascular networks in a microphysiological platform in vitro and in a subcutaneous mouse model. Furthermore, our results reveal a close transcriptional and proteomic alignment between the iECs generated via our method and primary ECs, confirming the biological relevance of the differentiated cells. The high efficiency and effectiveness of our induction methodology pave the way for broader application and accessibility of iPSC-derived ECs in scientific research, offering a valuable tool for investigating endothelial biology and for the development of EC-based therapies.

开发生产功能性内皮细胞(ECs)的可靠方法对于血管生物学和再生医学的发展至关重要。在本研究中,我们提出了一种简化、高效的方法,利用强力霉素诱导系统瞬时表达ETV2转录因子,将人类诱导多能干细胞(iPSC)分化为诱导EC(iEC),并在体外和体内保持血管生成能力。这种方法简化了方案,提高了不同干细胞系之间的可重复性,从而减轻了直接转染方法(如mRNA介导的分化)的局限性。我们详细介绍了多西环素诱导 ETV2 表达的 iPSCs 的生成及其随后向 iECs 的分化,在四天内达到 90% 以上的效率。通过体外和体内试验,衍生的 iECs 的功能和表型稳定性得到了严格验证。值得注意的是,这些细胞表现出关键的内皮标志物和能力,包括在体外微生理平台和小鼠皮下模型中形成血管网络。此外,我们的研究结果表明,通过我们的方法生成的 iECs 与原代 ECs 在转录和蛋白质组方面非常接近,这证实了分化细胞的生物学相关性。我们的诱导方法的高效性和有效性为 iPSC 衍生 ECs 在科学研究中的更广泛应用和可及性铺平了道路,为研究内皮生物学和开发基于 EC 的疗法提供了宝贵的工具。
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引用次数: 0
Site-specific genetic and functional signatures of aortic endothelial cells at aneurysm predilection sites in healthy and AngII ApoE-/- mice. 健康小鼠和 AngII ApoE-/- 小鼠动脉瘤预选部位主动脉内皮细胞的特异性基因和功能特征。
IF 9.2 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-07-04 DOI: 10.1007/s10456-024-09933-9
Alexander Brückner, Adrian Brandtner, Sarah Rieck, Michaela Matthey, Caroline Geisen, Benedikt Fels, Marta Stei, Kristina Kusche-Vihrog, Bernd K Fleischmann, Daniela Wenzel

Aortic aneurysm is characterized by a pathological dilation at specific predilection sites of the vessel and potentially results in life-threatening vascular rupture. Herein, we established a modified "Häutchen method" for the local isolation of endothelial cells (ECs) from mouse aorta to analyze their spatial heterogeneity and potential role in site-specific disease development. When we compared ECs from aneurysm predilection sites of healthy mice with adjacent control segments we found regulation of genes related to extracellular matrix remodeling, angiogenesis and inflammation, all pathways playing a critical role in aneurysm development. We also detected enhanced cortical stiffness of the endothelium at these sites. Gene expression of ECs from aneurysms of the AngII ApoE-/- model when compared to sham animals mimicked expression patterns from predilection sites of healthy animals. Thus, this work highlights a striking genetic and functional regional heterogeneity in aortic ECs of healthy mice, which defines the location of aortic aneurysm formation in disease.

主动脉瘤的特征是血管特定部位的病理扩张,并可能导致危及生命的血管破裂。在此,我们建立了一种改良的 "Häutchen 法",用于从小鼠主动脉局部分离内皮细胞(ECs),以分析其空间异质性和在特定部位疾病发展中的潜在作用。当我们比较健康小鼠动脉瘤预选部位的内皮细胞与邻近对照节段的内皮细胞时,发现了与细胞外基质重塑、血管生成和炎症有关的基因调控,而所有这些途径都在动脉瘤的发展中发挥着关键作用。我们还检测到这些部位内皮的皮质硬度增强。与假动物相比,AngII ApoE-/- 模型动脉瘤内皮细胞的基因表达模拟了健康动物偏爱部位的表达模式。因此,这项工作强调了健康小鼠主动脉内皮细胞在遗传和功能上的显著区域异质性,这也确定了疾病中主动脉瘤形成的位置。
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引用次数: 0
ACVR1/ALK2-p21 signaling axis modulates proliferation of the venous endothelium in the retinal vasculature. ACVR1/ALK2-p21 信号轴调节视网膜血管中静脉内皮的增殖。
IF 9.2 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-07-02 DOI: 10.1007/s10456-024-09936-6
Boryeong Pak, Minjung Kim, Orjin Han, Heon-Woo Lee, Alexandre Dubrac, Woosoung Choi, Jee Myung Yang, Kevin Boyé, Heewon Cho, Kathryn M Citrin, Injune Kim, Anne Eichmann, Victoria L Bautch, Suk-Won Jin

The proliferation of the endothelium is a highly coordinated process to ensure the emergence, expansion, and homeostasis of the vasculature. While Bone Morphogenetic Protein (BMP) signaling fine-tunes the behaviors of endothelium in health and disease, how BMP signaling influences the proliferation of endothelium and therefore, modulates angiogenesis remains largely unknown. Here, we evaluated the role of Activin A Type I Receptor (ACVR1/ALK2), a key BMP receptor in the endothelium, in modulating the proliferation of endothelial cells. We show that ACVR1/ALK2 is a key modulator for the proliferation of endothelium in the retinal vessels. Loss of endothelial ALK2 leads to a significant reduction in endothelial proliferation and results in fewer branches/endothelial cells in the retinal vessels. Interestingly, venous endothelium appears to be more susceptible to ALK2 deletion. Mechanistically, ACVR1/ALK2 inhibits the expression of CDKN1A/p21, a critical negative regulator of cell cycle progression, in a SMAD1/5-dependent manner, thereby enabling the venous endothelium to undergo active proliferation by suppressing CDKN1A/p21. Taken together, our findings show that BMP signaling mediated by ACVR1/ALK2 provides a critical yet previously underappreciated input to modulate the proliferation of venous endothelium, thereby fine-tuning the context of angiogenesis in health and disease.

内皮的增殖是一个高度协调的过程,以确保血管的出现、扩张和平衡。虽然骨形态发生蛋白(BMP)信号调节内皮在健康和疾病中的行为,但 BMP 信号如何影响内皮的增殖并进而调节血管生成在很大程度上仍是未知数。在这里,我们评估了内皮中的一个关键 BMP 受体--Activin A I 型受体(ACVR1/ALK2)在调节内皮细胞增殖中的作用。我们发现 ACVR1/ALK2 是视网膜血管内皮细胞增殖的关键调节因子。内皮 ALK2 的缺失会导致内皮增殖显著减少,并导致视网膜血管中的分支/内皮细胞减少。有趣的是,静脉内皮似乎更容易受到 ALK2 缺失的影响。从机理上讲,ACVR1/ALK2 以 SMAD1/5 依赖性方式抑制细胞周期进展的关键负调控因子 CDKN1A/p21 的表达,从而通过抑制 CDKN1A/p21 使静脉内皮细胞积极增殖。综上所述,我们的研究结果表明,由 ACVR1/ALK2 介导的 BMP 信号为调节静脉内皮的增殖提供了一种关键的、但以前未得到充分重视的输入,从而对健康和疾病中的血管生成进行了微调。
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引用次数: 0
Botulinum neurotoxin serotype A inhibited ocular angiogenesis through modulating glial activation via SOCS3. 肉毒杆菌神经毒素血清型A通过SOCS3调节神经胶质活化抑制眼部血管生成
IF 9.2 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-06-26 DOI: 10.1007/s10456-024-09935-7
Austin T Gregg, Tianxi Wang, Manon Szczepan, Enton Lam, Hitomi Yagi, Katherine Neilsen, Xingyan Wang, Lois E H Smith, Ye Sun

Background: Pathological angiogenesis causes significant vision loss in neovascular age-related macular degeneration and other retinopathies with neovascularization (NV). Neuronal/glial-vascular interactions influence the release of angiogenic and neurotrophic factors. We hypothesized that botulinum neurotoxin serotype A (BoNT/A) modulates pathological endothelial cell proliferation through glial cell activation and growth factor release.

Methods: A laser-induced choroidal NV (CNV) was employed to investigate the anti-angiogenic effects of BoNT/A. Fundus fluorescence angiography, immunohistochemistry, and real-time PCR were used to assess BoNT/A efficacy in inhibiting CNV and the molecular mechanisms underlying this inhibition. Neuronal and glial suppressor of cytokine signaling 3 (SOCS3) deficient mice were used to investigate the molecular mechanisms of BoNT/A in inhibiting CNV via SOCS3.

Findings: In laser-induced CNV mice with intravitreal BoNT/A treatment, CNV lesions decreased > 30%; vascular leakage and retinal glial activation were suppressed; and Socs3 mRNA expression was induced while vascular endothelial growth factor A (Vegfa) mRNA expression was suppressed. The protective effects of BoNT/A on CNV development were diminished in mice lacking neuronal/glial SOCS3.

Conclusion: BoNT/A suppressed laser-induced CNV and glial cell activation, in part through SOCS3 induction in neuronal/glial cells. BoNT/A treatment led to a decrease of pro-angiogenic factors, including VEGFA, highlighting the potential of BoNT/A as a therapeutic intervention for pathological angiogenesis in retinopathies.

背景:病理性血管生成会导致新生血管性老年黄斑变性和其他伴有新生血管(NV)的视网膜病变的视力严重下降。神经元/胶质细胞-血管之间的相互作用会影响血管生成因子和神经营养因子的释放。我们假设肉毒杆菌神经毒素血清型 A(BoNT/A)通过激活神经胶质细胞和释放生长因子来调节病理性内皮细胞增殖:方法:采用激光诱导的脉络膜无视网膜病变(CNV)来研究 BoNT/A 的抗血管生成作用。眼底荧光血管造影术、免疫组化和实时 PCR 被用来评估 BoNT/A 在抑制 CNV 方面的功效以及这种抑制作用的分子机制。利用神经元和胶质细胞因子信号转导抑制因子 3(SOCS3)缺陷小鼠研究 BoNT/A 通过 SOCS3 抑制 CNV 的分子机制:研究结果:激光诱导的CNV小鼠经玻璃体内BoNT/A治疗后,CNV病变减少> 30%;血管渗漏和视网膜胶质细胞活化被抑制;Socs3 mRNA表达被诱导,而血管内皮生长因子A(Vegfa)mRNA表达被抑制。在缺乏神经元/胶质细胞 SOCS3 的小鼠中,BoNT/A 对 CNV 发生的保护作用减弱:结论:BoNT/A抑制了激光诱导的CNV和神经胶质细胞活化,部分原因是通过诱导神经元/神经胶质细胞中的SOCS3。BoNT/A治疗导致促血管生成因子(包括VEGFA)减少,突出了BoNT/A作为视网膜病变中病理性血管生成治疗干预的潜力。
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引用次数: 0
A C-type lectin from Bothrops jararacussu venom reprograms endothelial cell biology. 一种来自两头乌鸦毒液的 C 型凝集素可重塑内皮细胞生物学。
IF 9.8 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-06-15 DOI: 10.1007/s10456-024-09931-x
Federico G Baudou, Nancy L Charó, Marco A Scheidegger, Juan C Stupirski, Juan M Pérez Sáez, María F Troncoso, Mora Massaro, Adolfo R de Roodt, Mauricio C De Marzi, Mirta Schattner, Gabriel A Rabinovich

Snake venoms are intricate mixtures of enzymes and bioactive factors that induce a range of detrimental effects in afflicted hosts. Certain Viperids, including Bothrops jararacussu, harbor C-type lectins (CTLs) known for their modulation of a variety of host cellular responses. In this study, we isolated and purified BjcuL, a CTL from B. jararacussu venom and investigated its impact on endothelial cell behavior, contrasting it with human galectin-1 (Gal-1), a prototype member of the galectin family with shared β-galactoside-binding activity. We found that BjcuL binds to human dermal microvascular endothelial cells (HMECs) in a concentration- and carbohydrate-dependent fashion and reprograms the function of these cells, favoring a pro-inflammatory and pro-coagulant endothelial phenotype. In light of the quest for universal antagonists capable of mitigating the harmful consequences of snake venoms, BjcuL emerges as a promising target to be blocked in order to regulate pathological endothelial cell responses.

蛇毒是酶和生物活性因子的复杂混合物,会对受害宿主产生一系列有害影响。某些蝰蛇(包括蝮蛇)体内含有C型凝集素(CTL),可调节宿主细胞的各种反应。在这项研究中,我们分离并纯化了贾拉acussu蝰蛇毒液中的一种CTL--BjcuL,研究了它对内皮细胞行为的影响,并将其与人类半凝集素-1(Gal-1)进行了对比,后者是半凝集素家族的原型成员,具有共同的β-半乳糖苷结合活性。我们发现,BjcuL 能以浓度和碳水化合物依赖的方式与人真皮微血管内皮细胞(HMECs)结合,并对这些细胞的功能进行重编程,有利于形成促炎症和促凝血的内皮表型。鉴于人们正在寻找能够减轻蛇毒有害后果的通用拮抗剂,BjcuL 成为了一个有希望被阻断的靶点,以调节病理内皮细胞反应。
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引用次数: 0
Breathing new life into tissue engineering: exploring cutting-edge vascularization strategies for skin substitutes. 为组织工程注入新活力:探索皮肤替代品的尖端血管化策略。
IF 9.8 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-06-06 DOI: 10.1007/s10456-024-09928-6
M Zohaib Iqbal, Mahrukh Riaz, Thomas Biedermann, Agnes S Klar

Tissue-engineered skin substitutes (TESS) emerged as a new therapeutic option to improve skin transplantation. However, establishing an adequate and rapid vascularization in TESS is a critical factor for their clinical application and successful engraftment in patients. Therefore, several methods have been applied to improve the vascularization of skin substitutes including (i) modifying the structural and physicochemical properties of dermal scaffolds; (ii) activating biological scaffolds with growth factor-releasing systems or gene vectors; and (iii) developing prevascularized skin substitutes by loading scaffolds with capillary-forming cells. This review provides a detailed overview of the most recent and important developments in the vascularization strategies for skin substitutes. On the one hand, we present cell-based approaches using stem cells, microvascular fragments, adipose tissue derived stromal vascular fraction, endothelial cells derived from blood and skin as well as other pro-angiogenic stimulation methods. On the other hand, we discuss how distinct 3D bioprinting techniques and microfluidics, miRNA manipulation, cell sheet engineering and photosynthetic scaffolds like GelMA, can enhance skin vascularization for clinical applications. Finally, we summarize and discuss the challenges and prospects of the currently available vascularization techniques that may serve as a steppingstone to a mainstream application of skin tissue engineering.

组织工程皮肤替代物(TESS)是改善皮肤移植的一种新疗法。然而,在 TESS 中建立充分、快速的血管化是其临床应用和在患者体内成功移植的关键因素。因此,人们采用了多种方法来改善皮肤替代物的血管化,包括:(i)改变真皮支架的结构和理化特性;(ii)用释放生长因子的系统或基因载体激活生物支架;以及(iii)通过在支架中加入毛细血管形成细胞来开发预血管化皮肤替代物。本综述详细概述了皮肤替代品血管化策略的最新重要进展。一方面,我们介绍了使用干细胞、微血管片段、脂肪组织衍生的基质血管部分、血液和皮肤衍生的内皮细胞以及其他促血管生成刺激方法的基于细胞的方法。另一方面,我们还讨论了独特的三维生物打印技术和微流控技术、miRNA 操作、细胞片工程和光合作用支架(如 GelMA)如何在临床应用中增强皮肤血管生成。最后,我们总结并讨论了目前可用的血管化技术所面临的挑战和前景,这些技术可作为皮肤组织工程主流应用的垫脚石。
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引用次数: 0
期刊
Angiogenesis
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