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Vascular mimicry in zebrafish fin regeneration: how macrophages build new blood vessels 斑马鱼鳍再生中的血管模拟:巨噬细胞如何构建新血管
IF 9.2 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-03-28 DOI: 10.1007/s10456-024-09914-y
Anita Senk, Jennifer Fazzari, Valentin Djonov

Vascular mimicry has been thoroughly investigated in tumor angiogenesis. In this study, we demonstrate for the first time that a process closely resembling tumor vascular mimicry is present during physiological blood vessel formation in tissue regeneration using the zebrafish fin regeneration assay. At the fin-regenerating front, vasculature is formed by mosaic blood vessels with endothelial-like cells possessing the morphological phenotype of a macrophage and co-expressing both endothelial and macrophage markers within single cells. Our data demonstrate that the vascular segments of the regenerating tissue expand, in part, through the transformation of adjacent macrophages into endothelial-like cells, forming functional, perfused channels and contributing to the de novo formation of microvasculature. Inhibiting the formation of tubular vascular-like structures by CVM-1118 prevents vascular mimicry and network formation resulting in a 70% shorter regeneration area with 60% reduced vessel growth and a complete absence of any signs of regeneration in half of the fin area. Additionally, this is associated with a significant reduction in macrophages. Furthermore, depleting macrophages using macrophage inhibitor PLX-3397, results in impaired tissue regeneration and blood vessel formation, namely a reduction in the regeneration area and vessel network by 75% in comparison to controls.

我们对肿瘤血管生成过程中的血管模拟进行了深入研究。在本研究中,我们利用斑马鱼鳍再生试验首次证明,在组织再生过程中,生理性血管形成过程与肿瘤血管模拟非常相似。在鳍再生前端,血管由镶嵌血管形成,内皮样细胞具有巨噬细胞的形态表型,单细胞内同时表达内皮和巨噬细胞标记。我们的数据表明,再生组织的血管片段部分是通过邻近的巨噬细胞转化为内皮样细胞而扩张的,形成了功能性灌注通道,促进了微血管的新生形成。CVM-1118 可抑制管状血管样结构的形成,防止血管模拟和网络形成,从而使再生区域缩短 70%,血管生长减少 60%,一半的鳍区域完全没有任何再生迹象。此外,这还与巨噬细胞的显著减少有关。此外,使用巨噬细胞抑制剂 PLX-3397 清除巨噬细胞也会导致组织再生和血管形成受损,即再生面积和血管网络比对照组减少 75%。
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引用次数: 0
Connective tissue disorders in COVID-19: Reply to “People with a connective tissue disorder may be especially vulnerable to the endothelial damage that characterizes long COVID due to the fragility of their vasculature and slow wound healing” COVID-19 中的结缔组织疾病:对 "结缔组织疾病患者由于血管脆弱和伤口愈合缓慢,可能特别容易受到长 COVID 所特有的内皮损伤 "的答复。
IF 9.2 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-03-26 DOI: 10.1007/s10456-024-09915-x
Xiaoming Wu, Valerie A. Novakovic, Jialan Shi

Connective tissue serves as a framework for other tissues and organs, supporting their functions, shielding them from harmful factors, and aiding repair. In COVID-19, damaged endothelial cells (ECs), increased endothelial permeability, and thrombi contribute to the connective tissue disorders. Even post-recovery, the damage to ECs and connective tissues persists, resulting in long COVID. Individuals with connective tissue disorders are prone to developing severe COVID-19 and experiencing long COVID symptoms. It is advised that these patients receive at least three vaccine doses, undergo early prophylactic antithrombotic therapy during acute COVID-19, and maintain prophylactic anticoagulant treatment in cases of long COVID.

结缔组织是其他组织和器官的框架,支持它们的功能,保护它们免受有害因素的影响,并帮助修复。在 COVID-19 中,受损的内皮细胞(EC)、内皮通透性增加和血栓是结缔组织病变的原因。即使在康复后,对内皮细胞和结缔组织的损伤依然存在,导致 COVID 长期存在。患有结缔组织疾病的人很容易出现严重的 COVID-19 和长时间的 COVID 症状。建议这些患者至少接种三剂疫苗,在急性 COVID-19 期间及早进行预防性抗血栓治疗,并在出现长期 COVID 时坚持预防性抗凝治疗。
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引用次数: 0
Granzyme B degrades extracellular matrix and promotes inflammation and choroidal neovascularization 颗粒酶 B 降解细胞外基质,促进炎症和脉络膜新生血管形成
IF 9.2 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-03-18 DOI: 10.1007/s10456-024-09909-9
Gideon Obasanmi, Manjosh Uppal, Jing Z. Cui, Jeanne Xi, Myeong Jin Ju, Jun Song, Eleanor To, Siqi Li, Wania Khan, Darian Cheng, John Zhu, Lyden Irani, Isa Samad, Julie Zhu, Hyung-Suk Yoo, Alexandre Aubert, Jonathan Stoddard, Martha Neuringer, David J. Granville, Joanne A. Matsubara

Age-related macular degeneration (AMD) is a common retinal neurodegenerative disease among the elderly. Neovascular AMD (nAMD), a leading cause of AMD-related blindness, involves choroidal neovascularization (CNV), which can be suppressed by anti-angiogenic treatments. However, current CNV treatments do not work in all nAMD patients. Here we investigate a novel target for AMD. Granzyme B (GzmB) is a serine protease that promotes aging, chronic inflammation and vascular permeability through the degradation of the extracellular matrix (ECM) and tight junctions. Extracellular GzmB is increased in retina pigment epithelium (RPE) and mast cells in the choroid of the healthy aging outer retina. It is further increased in donor eyes exhibiting features of nAMD and CNV. Here, we show in RPE-choroidal explant cultures that exogenous GzmB degrades the RPE-choroid ECM, promotes retinal/choroidal inflammation and angiogenesis while diminishing anti-angiogenic factor, thrombospondin-1 (TSP-1). The pharmacological inhibition of either GzmB or mast-cell degranulation significantly reduces choroidal angiogenesis. In line with our in vitro data, GzmB-deficiency reduces the extent of laser-induced CNV lesions and the age-related deterioration of electroretinogram (ERG) responses in mice. These findings suggest that targeting GzmB, a serine protease with no known endogenous inhibitors, may be a potential novel therapeutic approach to suppress CNV in nAMD.

老年性黄斑变性(AMD)是老年人常见的视网膜神经退行性疾病。新生血管性黄斑变性(nAMD)是导致老年黄斑变性相关性失明的主要原因,它涉及脉络膜新生血管(CNV),抗血管生成治疗可抑制CNV。然而,目前的 CNV 治疗并不适用于所有 nAMD 患者。在此,我们研究了一种治疗 AMD 的新靶点。Granzyme B(GzmB)是一种丝氨酸蛋白酶,它通过降解细胞外基质(ECM)和紧密连接促进衰老、慢性炎症和血管通透性。细胞外 GzmB 在健康老化外视网膜脉络膜的视网膜色素上皮(RPE)和肥大细胞中增加。在表现出 nAMD 和 CNV 特征的供体眼中,GzmB 进一步增加。在这里,我们在 RPE-脉络膜外植体培养物中发现,外源性 GzmB 会降解 RPE-脉络膜 ECM,促进视网膜/脉络膜炎症和血管生成,同时减少抗血管生成因子血栓软骨素-1(TSP-1)。药理抑制 GzmB 或肥大细胞脱颗粒可显著减少脉络膜血管生成。与我们的体外研究数据一致,GzmB缺陷可减少激光诱导的小鼠CNV病变程度以及与年龄相关的视网膜电图(ERG)反应恶化。这些研究结果表明,靶向 GzmB(一种没有已知内源性抑制剂的丝氨酸蛋白酶)可能是抑制 nAMD 中 CNV 的一种潜在的新型治疗方法。
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引用次数: 0
Photoreceptors inhibit pathological retinal angiogenesis through transcriptional regulation of Adam17 via c-Fos 光感受器通过 c-Fos 对 Adam17 进行转录调控,从而抑制病理性视网膜血管生成。
IF 9.2 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-03-14 DOI: 10.1007/s10456-024-09912-0
Xudong Wang, Tianxi Wang, Satoshi Kaneko, Emil Kriukov, Enton Lam, Manon Szczepan, Jasmine Chen, Austin Gregg, Xingyan Wang, Angeles Fernandez-Gonzalez, S. Alex Mitsialis, Stella Kourembanas, Petr Baranov, Ye Sun

Pathological retinal angiogenesis profoundly impacts visual function in vascular eye diseases, such as retinopathy of prematurity (ROP) in preterm infants and age-related macular degeneration in the elderly. While the involvement of photoreceptors in these diseases is recognized, the underlying mechanisms remain unclear. This study delved into the pivotal role of photoreceptors in regulating abnormal retinal blood vessel growth using an oxygen-induced retinopathy (OIR) mouse model through the c-Fos/A disintegrin and metalloprotease 17 (Adam17) axis. Our findings revealed a significant induction of c-Fos expression in rod photoreceptors, and c-Fos depletion in these cells inhibited pathological neovascularization and reduced blood vessel leakage in the OIR mouse model. Mechanistically, c-Fos directly regulated the transcription of Adam17 a shedding protease responsible for the production of bioactive molecules involved in inflammation, angiogenesis, and cell adhesion and migration. Furthermore, we demonstrated the therapeutic potential by using an adeno-associated virus carrying a rod photoreceptor-specific short hairpin RNA against c-fos which effectively mitigated abnormal retinal blood vessel overgrowth, restored retinal thickness, and improved electroretinographic (ERG) responses. In conclusion, this study highlights the significance of photoreceptor c-Fos in ROP pathology, offering a novel perspective for the treatment of this disease.

病理性视网膜血管生成严重影响血管性眼病的视觉功能,如早产儿的早产儿视网膜病变(ROP)和老年人的老年性黄斑变性。虽然光感受器与这些疾病的关系已得到公认,但其潜在机制仍不清楚。本研究利用氧诱导视网膜病变(OIR)小鼠模型,通过c-Fos/A分解蛋白和金属蛋白酶17(Adam17)轴,深入研究了光感受器在调节视网膜血管异常生长中的关键作用。我们的研究结果表明,c-Fos在杆状光感受器中的表达有明显的诱导作用,这些细胞中的c-Fos耗竭抑制了OIR小鼠模型中病理性新生血管的形成并减少了血管渗漏。从机理上讲,c-Fos 可直接调节 Adam17 的转录,Adam17 是一种脱落蛋白酶,负责产生参与炎症、血管生成、细胞粘附和迁移的生物活性分子。此外,我们还利用携带杆状光感受器特异性 c-fos 短发夹 RNA 的腺相关病毒证明了其治疗潜力,该病毒可有效缓解视网膜血管异常增生、恢复视网膜厚度并改善视网膜电图(ERG)反应。总之,这项研究强调了光感受器 c-Fos 在 ROP 病理学中的重要作用,为治疗这种疾病提供了一个新的视角。
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引用次数: 0
Group XIV C-type lectins: emerging targets in tumor angiogenesis 第 XIV 组 C 型凝集素:肿瘤血管生成的新靶点。
IF 9.2 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-03-12 DOI: 10.1007/s10456-024-09907-x
Elliott J. Yee, Isaac Vigil, Yi Sun, Robert J. Torphy, Richard D. Schulick, Yuwen Zhu

C-type lectins, distinguished by a C-type lectin binding domain (CTLD), are an evolutionarily conserved superfamily of glycoproteins that are implicated in a broad range of physiologic processes. The group XIV subfamily of CTLDs are comprised of CD93, CD248/endosialin, CLEC14a, and thrombomodulin/CD141, and have important roles in creating and maintaining blood vessels, organizing extracellular matrix, and balancing pro- and anti-coagulative processes. As such, dysregulation in the expression and downstream signaling pathways of these proteins often lead to clinically relevant pathology. Recently, group XIV CTLDs have been shown to play significant roles in cancer progression, namely tumor angiogenesis and metastatic dissemination. Interest in therapeutically targeting tumor vasculature is increasing and the search for novel angiogenic targets is ongoing. Group XIV CTLDs have emerged as key moderators of tumor angiogenesis and metastasis, thus offering substantial therapeutic promise for the clinic. Herein, we review our current knowledge of group XIV CTLDs, discuss each’s role in malignancy and associated potential therapeutic avenues, briefly discuss group XIV CTLDs in the context of two other relevant lectin families, and offer future direction in further elucidating mechanisms by which these proteins function and facilitate tumor growth.

C型凝集素由C型凝集素结合结构域(CTLD)区分,是一种进化保守的超家族糖蛋白,与多种生理过程有关。第 XIV 组 CTLDs 亚家族由 CD93、CD248/内多糖蛋白、CLEC14a 和血栓调节蛋白/CD141 组成,在创建和维护血管、组织细胞外基质以及平衡促凝和抗凝过程中发挥着重要作用。因此,这些蛋白的表达和下游信号通路失调往往会导致临床相关的病理变化。最近,研究表明 XIV 组 CTLD 在癌症进展(即肿瘤血管生成和转移扩散)中发挥着重要作用。针对肿瘤血管进行治疗的兴趣与日俱增,寻找新型血管生成靶点的工作也在持续进行。第十四组 CTLD 已成为肿瘤血管生成和转移的关键调节因子,从而为临床提供了巨大的治疗前景。在此,我们回顾了目前我们对第十四组 CTLDs 的了解,讨论了每一种 CTLDs 在恶性肿瘤中的作用和相关的潜在治疗途径,结合其他两个相关凝集素家族简要讨论了第十四组 CTLDs,并提出了进一步阐明这些蛋白的功能和促进肿瘤生长的机制的未来方向。
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引用次数: 0
Vascularized organoid-on-a-chip: design, imaging, and analysis 血管化的类器官芯片:设计、成像和分析。
IF 9.2 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-02-26 DOI: 10.1007/s10456-024-09905-z
Tingting Yu, Qihang Yang, Bo Peng, Zhongze Gu, Dan Zhu

Vascularized organoid-on-a-chip (VOoC) models achieve substance exchange in deep layers of organoids and provide a more physiologically relevant system in vitro. Common designs for VOoC primarily involve two categories: self-assembly of endothelial cells (ECs) to form microvessels and pre-patterned vessel lumens, both of which include the hydrogel region for EC growth and allow for controlled fluid perfusion on the chip. Characterizing the vasculature of VOoC often relies on high-resolution microscopic imaging. However, the high scattering of turbid tissues can limit optical imaging depth. To overcome this limitation, tissue optical clearing (TOC) techniques have emerged, allowing for 3D visualization of VOoC in conjunction with optical imaging techniques. The acquisition of large-scale imaging data, coupled with high-resolution imaging in whole-mount preparations, necessitates the development of highly efficient analysis methods. In this review, we provide an overview of the chip designs and culturing strategies employed for VOoC, as well as the applicable optical imaging and TOC methods. Furthermore, we summarize the vascular analysis techniques employed in VOoC, including deep learning. Finally, we discuss the existing challenges in VOoC and vascular analysis methods and provide an outlook for future development.

血管化有机体芯片(VOoC)模型可实现有机体深层的物质交换,并提供更贴近生理的体外系统。VOoC 的常见设计主要涉及两类:内皮细胞(EC)自组装形成微血管和预制血管腔,两者都包括供 EC 生长的水凝胶区域,并允许在芯片上控制液体灌注。表征 VOoC 的血管通常依赖于高分辨率显微成像。然而,浑浊组织的高散射会限制光学成像的深度。为了克服这一限制,组织光学清除(TOC)技术应运而生,可结合光学成像技术实现 VOoC 的三维可视化。大规模成像数据的获取,加上整装制备的高分辨率成像,需要开发高效的分析方法。在本综述中,我们概述了 VOoC 所采用的芯片设计和培养策略,以及适用的光学成像和 TOC 方法。此外,我们还总结了 VOoC 中采用的血管分析技术,包括深度学习。最后,我们讨论了 VOoC 和血管分析方法的现有挑战,并对未来发展进行了展望。
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引用次数: 0
2-Desaza-annomontine (C81) impedes angiogenesis through reduced VEGFR2 expression derived from inhibition of CDC2-like kinases 2-Desaza-annomontine (C81) 通过抑制 CDC2 类激酶减少血管内皮生长因子受体 2 的表达来阻碍血管生成
IF 9.2 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-02-26 DOI: 10.1007/s10456-024-09906-y
T. J. Zech, A. Wolf, M. Hector, I. Bischoff-Kont, G. M. Krishnathas, S. Kuntschar, T. Schmid, F. Bracher, T. Langmann, R. Fürst

Angiogenesis is a crucial process in the progression of various pathologies, like solid tumors, wet age-related macular degeneration, and chronic inflammation. Current anti-angiogenic treatments still have major drawbacks like limited efficacy in diseases that also rely on inflammation. Therefore, new anti-angiogenic approaches are sorely needed, and simultaneous inhibition of angiogenesis and inflammation is desirable. Here, we show that 2-desaza-annomontine (C81), a derivative of the plant alkaloid annomontine previously shown to inhibit endothelial inflammation, impedes angiogenesis by inhibiting CDC2-like kinases (CLKs) and WNT/β-catenin signaling. C81 reduced choroidal neovascularization in a laser-induced murine in vivo model, inhibited sprouting from vascular endothelial growth factor A (VEGF-A)-activated murine aortic rings ex vivo, and reduced angiogenesis-related activities of endothelial cells in multiple functional assays. This was largely phenocopied by CLK inhibitors and knockdowns, but not by inhibitors of the other known targets of C81. Mechanistically, CLK inhibition reduced VEGF receptor 2 (VEGFR2) mRNA and protein expression as well as downstream signaling. This was partly caused by a reduction of WNT/β-catenin pathway activity, as activating the pathway induced, while β-catenin knockdown impeded VEGFR2 expression. Surprisingly, alternative splicing of VEGFR2 was not detected. In summary, C81 and other CLK inhibitors could be promising compounds in the treatment of diseases that depend on angiogenesis and inflammation due to their impairment of both processes.

Graphical abstract

摘要 血管生成是实体瘤、湿性老年性黄斑变性和慢性炎症等各种病症进展的关键过程。目前的抗血管生成治疗仍存在一些重大缺陷,如对依赖炎症的疾病疗效有限。因此,亟需新的抗血管生成方法,而同时抑制血管生成和炎症是可取的。在这里,我们研究发现,2-desaza-annomontine(C81)是植物生物碱annomontine的一种衍生物,以前曾被证明能抑制内皮炎症,它能通过抑制CDC2样激酶(CLKs)和WNT/β-catenin信号转导来阻碍血管生成。在激光诱导的小鼠体内模型中,C81 可减少脉络膜新生血管,抑制血管内皮生长因子 A(VEGF-A)激活的小鼠主动脉环的体内萌发,并在多种功能测试中降低内皮细胞与血管生成相关的活性。CLK抑制剂和基因敲除在很大程度上可以抑制这种作用,但C81其他已知靶点的抑制剂却不能抑制这种作用。从机理上讲,CLK 抑制剂降低了血管内皮生长因子受体 2(VEGFR2)的 mRNA 和蛋白表达以及下游信号传导。部分原因是 WNT/β-catenin 通路活性降低,因为激活该通路会诱导 VEGFR2 的表达,而敲除 β-catenin 则会阻碍 VEGFR2 的表达。令人惊讶的是,没有检测到 VEGFR2 的替代剪接。总之,C81和其他CLK抑制剂可能是治疗依赖血管生成和炎症的疾病的有前途的化合物,因为它们会损害这两个过程。 图表摘要
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引用次数: 0
Evidence of premature vascular dysfunction in young adults who regularly use e-cigarettes and the impact of usage length 经常使用电子烟的年轻人过早出现血管功能障碍的证据以及使用时长的影响。
IF 9.2 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-02-12 DOI: 10.1007/s10456-023-09903-7
Chloe Matheson, Tijana Simovic, Allison Heefner, Marisa Colon, Enrique Tunon, Kolton Cobb, Christopher Thode, Alison Breland, Caroline O. Cobb, Patrick Nana-Sinkam, Ryan Garten, Paula Rodriguez-Miguelez

Background

Electronic (e-) cigarettes are increasingly popular tobacco products on the US market. Traditional tobacco products are known to cause vascular dysfunction, one of the earliest indicators of cardiovascular disease (CVD) development. However, little is known about the effect of regular e-cigarette use on vascular function. The purpose of this study was to investigate the impact of regular e-cigarette use on vascular function and cardiovascular health in young, healthy adults.

Methods

Twenty-one regular users of e-cigarettes (ECU) and twenty-one demographically matched non-users (NU) completed this study. Vascular health was assessed in the cutaneous microcirculation through different reactivity tests to evaluate overall functionality, endothelium-dependent vasodilation (EDD), and endothelium-independent vasodilation (EID). Macrovascular function was assessed using flow-mediated dilation (FMD).

Results

Our results suggest that regular users of e-cigarettes present with premature microvascular impairment when compared to non-users. Specifically, they exhibit lower hyperemic (p = 0.003), thermal (p = 0.010), and EDD (p = 0.004) responses. No differences in EID between the groups were identified. We also identified that individuals who use e-cigarettes for longer than 3 years also present with systemic manifestations, as observed by significantly reduced macrovascular (p = 0.002) and microvascular (p ≤ 0.044) function.

Conclusions

Our novel data suggests that young, apparently healthy, regular users of e-cigarettes present with premature vascular dysfunction in the microcirculation when compared to non-users. We have also identified systemic vascular dysfunction affecting both the micro and macrovasculature in those young individuals who used e-cigarettes for longer than 3 years. Taken together, these findings associate regular e-cigarette use with premature vascular dysfunctions and adverse cardiovascular outcomes.

背景:电子香烟是美国市场上日益流行的烟草产品。众所周知,传统烟草产品会导致血管功能障碍,而血管功能障碍是心血管疾病(CVD)发生的最早指标之一。然而,人们对经常使用电子烟对血管功能的影响知之甚少。本研究的目的是调查定期使用电子烟对年轻、健康成年人的血管功能和心血管健康的影响:这项研究由 21 名电子烟经常使用者(ECU)和 21 名人口统计学匹配的非使用者(NU)完成。通过不同的反应测试评估整体功能、内皮依赖性血管舒张(EDD)和内皮非依赖性血管舒张(EID),从而评估皮肤微循环的血管健康状况。大血管功能通过血流介导的扩张(FMD)进行评估:结果:我们的研究结果表明,与不使用电子烟的人相比,经常使用电子烟的人过早出现微血管损伤。具体来说,他们表现出较低的充血(p = 0.003)、热(p = 0.010)和 EDD(p = 0.004)反应。各组之间的 EID 没有差异。我们还发现,使用电子烟超过 3 年的人还会出现全身性表现,大血管(p = 0.002)和微血管(p ≤ 0.044)功能明显降低:我们的新数据表明,与不使用电子烟的人相比,年轻、表面健康、经常使用电子烟的人过早出现微循环血管功能障碍。在使用电子烟超过 3 年的年轻人中,我们还发现了影响微血管和大血管的全身性血管功能障碍。综上所述,这些发现表明,经常使用电子烟与过早出现血管功能障碍和不良心血管后果有关。
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引用次数: 0
A high-resolution view of the heterogeneous aging endothelium 高分辨率观察异质性老化内皮。
IF 9.2 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-02-07 DOI: 10.1007/s10456-023-09904-6
Sarah Dobner, Fanni Tóth, Laura P. M. H. de Rooij

Vascular endothelial cell (EC) aging has a strong impact on tissue perfusion and overall cardiovascular health. While studies confined to the investigation of aging-associated vascular readouts in one or a few tissues have already drastically expanded our understanding of EC aging, single-cell omics and other high-resolution profiling technologies have started to illuminate the intricate molecular changes underlying endothelial aging across diverse tissues and vascular beds at scale. In this review, we provide an overview of recent insights into the heterogeneous adaptations of the aging vascular endothelium. We address critical questions regarding tissue-specific and universal responses of the endothelium to the aging process, EC turnover dynamics throughout lifespan, and the differential susceptibility of ECs to acquiring aging-associated traits. In doing so, we underscore the transformative potential of single-cell approaches in advancing our comprehension of endothelial aging, essential to foster the development of future innovative therapeutic strategies for aging-associated vascular conditions.

血管内皮细胞(EC)老化对组织灌注和整体心血管健康有很大影响。虽然局限于调查一种或几种组织中与老化相关的血管读数的研究已经极大地扩展了我们对血管内皮细胞老化的认识,但单细胞全息技术和其他高分辨率剖析技术已经开始大规模地揭示不同组织和血管床中内皮老化背后错综复杂的分子变化。在这篇综述中,我们概述了最近对老化血管内皮异质性适应性的见解。我们探讨了以下关键问题:内皮对衰老过程的组织特异性和普遍性反应、整个生命周期中内皮细胞的更替动态以及内皮细胞对获得衰老相关特征的不同易感性。在此过程中,我们强调了单细胞方法在推进我们对内皮老化的理解方面所具有的变革潜力,这对促进未来针对老化相关血管疾病的创新治疗策略的开发至关重要。
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引用次数: 0
People with a connective tissue disorder may be especially vulnerable to the endothelial damage that characterizes long COVID due to the fragility of their vasculature and slow wound healing 结缔组织疾病患者的血管脆弱,伤口愈合缓慢,因此特别容易受到长 COVID 所特有的内皮损伤。
IF 9.2 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-02-06 DOI: 10.1007/s10456-024-09908-w
Jeffrey Lubell

A growing body of evidence documents the central role that endothelial damage plays in the pathophysiology of long COVID. But it remains unclear why only certain people get Long COVID and why recovery times are so long for many affected individuals. One potential explanation is that some forms of long COVID are experienced disproportionately by people with a connective tissue disorder who are more vulnerable than others to incurring serious damage to the endothelium and the vascular extracellular matrix from the inflammatory processes triggered by COVID-19 and much slower to heal. Further research is needed to explore this hypothesis.

越来越多的证据表明,内皮损伤在长COVID的病理生理学中起着核心作用。但目前仍不清楚为什么只有某些人会患上长COVID,以及为什么许多患者的康复时间如此之长。一种可能的解释是,患有结缔组织疾病的人更容易患上某些形式的长COVID,他们比其他人更容易因COVID-19引发的炎症过程而对血管内皮和细胞外基质造成严重损伤,而且愈合速度更慢。这一假设还需要进一步研究。
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引用次数: 0
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Angiogenesis
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