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Capillary rarefaction: a missing link in renal and cardiovascular disease? 毛细血管稀疏:肾脏和心血管疾病中缺失的一环?
IF 9.8 1区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-02-01 Epub Date: 2023-06-16 DOI: 10.1007/s10456-023-09883-8
Floor M E G Steegh, Anke A Keijbeck, Patrick A de Hoogt, Timo Rademakers, Alfons J H M Houben, Koen D Reesink, Coen D A Stehouwer, Mat J A P Daemen, Carine J Peutz-Kootstra

Patients with chronic kidney disease (CKD) have an increased risk for cardiovascular morbidity and mortality. Capillary rarefaction may be both one of the causes as well as a consequence of CKD and cardiovascular disease. We reviewed the published literature on human biopsy studies and conclude that renal capillary rarefaction occurs independently of the cause of renal function decline. Moreover, glomerular hypertrophy may be an early sign of generalized endothelial dysfunction, while peritubular capillary loss occurs in advanced renal disease. Recent studies with non-invasive measurements show that capillary rarefaction is detected systemically (e.g., in the skin) in individuals with albuminuria, as sign of early CKD and/or generalized endothelial dysfunction. Decreased capillary density is found in omental fat, muscle and heart biopsies of patients with advanced CKD as well as in skin, fat, muscle, brain and heart biopsies of individuals with cardiovascular risk factors. No biopsy studies have yet been performed on capillary rarefaction in individuals with early CKD. At present it is unknown whether individuals with CKD and cardiovascular disease merely share the same risk factors for capillary rarefaction, or whether there is a causal relationship between rarefaction in renal and systemic capillaries. Further studies on renal and systemic capillary rarefaction, including their temporal relationship and underlying mechanisms are needed. This review stresses the importance of preserving and maintaining capillary integrity and homeostasis in the prevention and management of renal and cardiovascular disease.

慢性肾脏病(CKD)患者的心血管发病率和死亡率风险都会增加。毛细血管稀疏既可能是 CKD 和心血管疾病的原因之一,也可能是其后果。我们回顾了已发表的人体活检研究文献,得出结论认为,肾脏毛细血管稀疏的发生与肾功能衰退的原因无关。此外,肾小球肥大可能是全身内皮功能障碍的早期征兆,而肾病晚期则会出现管周毛细血管缺失。最近的无创测量研究表明,白蛋白尿患者全身(如皮肤)均可检测到毛细血管稀疏,这是早期慢性肾脏病和/或全身内皮功能障碍的标志。在晚期慢性肾脏病患者的网膜脂肪、肌肉和心脏活检中,以及在有心血管风险因素的人的皮肤、脂肪、肌肉、大脑和心脏活检中,都发现毛细血管密度降低。目前还没有对早期慢性肾脏病患者的毛细血管稀疏情况进行活检研究。目前还不清楚患有慢性肾功能衰竭和心血管疾病的人是否仅仅具有相同的毛细血管稀疏风险因素,或者肾脏和全身毛细血管稀疏之间是否存在因果关系。我们需要进一步研究肾脏和全身毛细血管稀疏,包括它们之间的时间关系和内在机制。本综述强调了在肾脏和心血管疾病的预防和治疗中保护和维持毛细血管完整性和平衡的重要性。
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引用次数: 0
Correction: The angiogenesis suppressor gene AKAP12 is under the epigenetic control of HDAC7 in endothelial cells. 更正:血管生成抑制基因AKAP12在内皮细胞中受HDAC7的表观遗传学控制。
IF 9.8 1区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-02-01 DOI: 10.1007/s10456-023-09898-1
Andrei Turtoi, Denis Mottet, Nicolas Matheus, Bruno Dumont, Paul Peixoto, Vincent Hennequière, Christophe Deroanne, Alain Colige, Edwin De Pauw, Akeila Bellahcène, Vincent Castronovo
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引用次数: 0
Multimodality imaging reveals angiogenic evolution in vivo during calvarial bone defect healing. 多模态成像显示颅骨骨缺损愈合过程中血管生成的体内进化。
IF 9.8 1区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-02-01 Epub Date: 2023-11-30 DOI: 10.1007/s10456-023-09899-0
Yunke Ren, Xinying Chu, Janaka Senarathna, Akanksha Bhargava, Warren L Grayson, Arvind P Pathak

The healing of calvarial bone defects is a pressing clinical problem that involves the dynamic interplay between angiogenesis and osteogenesis within the osteogenic niche. Although structural and functional vascular remodeling (i.e., angiogenic evolution) in the osteogenic niche is a crucial modulator of oxygenation, inflammatory and bone precursor cells, most clinical and pre-clinical investigations have been limited to characterizing structural changes in the vasculature and bone. Therefore, we developed a new multimodality imaging approach that for the first time enabled the longitudinal (i.e., over four weeks) and dynamic characterization of multiple in vivo functional parameters in the remodeled vasculature and its effects on de novo osteogenesis, in a preclinical calvarial defect model. We employed multi-wavelength intrinsic optical signal (IOS) imaging to assess microvascular remodeling, intravascular oxygenation (SO2), and osteogenesis; laser speckle contrast (LSC) imaging to assess concomitant changes in blood flow and vascular maturity; and micro-computed tomography (μCT) to validate volumetric changes in calvarial bone. We found that angiogenic evolution was tightly coupled with calvarial bone regeneration and corresponded to distinct phases of bone healing, such as injury, hematoma formation, revascularization, and remodeling. The first three phases occurred during the initial two weeks of bone healing and were characterized by significant in vivo changes in vascular morphology, blood flow, oxygenation, and maturity. Overall, angiogenic evolution preceded osteogenesis, which only plateaued toward the end of bone healing (i.e., four weeks). Collectively, these data indicate the crucial role of angiogenic evolution in osteogenesis. We believe that such multimodality imaging approaches have the potential to inform the design of more efficacious tissue-engineering calvarial defect treatments.

颅骨骨缺损的愈合是一个迫切的临床问题,涉及到成骨生态位内血管生成和成骨生成之间的动态相互作用。尽管成骨生态位中的结构和功能血管重塑(即血管生成进化)是氧合、炎症和骨前体细胞的重要调节剂,但大多数临床和临床前研究仅限于表征血管和骨的结构变化。因此,我们开发了一种新的多模态成像方法,首次能够在临床前颅骨缺损模型中纵向(即超过四周)和动态表征重建血管的多种体内功能参数及其对新生成骨的影响。我们采用多波长本征光信号(IOS)成像来评估微血管重塑、血管内氧合(SO2)和成骨;激光散斑对比(LSC)成像评估伴随的血流变化和血管成熟度;微计算机断层扫描(μCT)来验证颅骨体积的变化。我们发现血管生成进化与颅骨骨再生密切相关,并与骨愈合的不同阶段相对应,如损伤、血肿形成、血管重建和重塑。前三个阶段发生在骨愈合的最初两周,其特点是血管形态、血流、氧合和成熟度在体内发生了显著变化。总体而言,血管生成进化先于成骨,而成骨仅在骨愈合结束时(即四周)达到稳定。总的来说,这些数据表明血管生成进化在成骨过程中起着至关重要的作用。我们相信,这种多模态成像方法有潜力为设计更有效的组织工程颅骨缺损治疗提供信息。
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引用次数: 0
A defined clathrin-mediated trafficking pathway regulates sFLT1/VEGFR1 secretion from endothelial cells. 一种明确的网格蛋白介导的运输途径调节内皮细胞的sFLT1/VEGFR1分泌。
IF 9.8 1区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-02-01 Epub Date: 2023-09-11 DOI: 10.1007/s10456-023-09893-6
Karina Kinghorn, Amy Gill, Allison Marvin, Renee Li, Kaitlyn Quigley, Simcha Singh, Michaelanthony T Gore, Ferdinand le Noble, Feilim Mac Gabhann, Victoria L Bautch

FLT1/VEGFR1 negatively regulates VEGF-A signaling and is required for proper vessel morphogenesis during vascular development and vessel homeostasis. Although a soluble isoform, sFLT1, is often mis-regulated in disease and aging, how sFLT1 is trafficked and secreted from endothelial cells is not well understood. Here we define requirements for constitutive sFLT1 trafficking and secretion in endothelial cells from the Golgi to the plasma membrane, and we show that sFLT1 secretion requires clathrin at or near the Golgi. Perturbations that affect sFLT1 trafficking blunted endothelial cell secretion and promoted intracellular mis-localization in cells and zebrafish embryos. siRNA-mediated depletion of specific trafficking components revealed requirements for RAB27A, VAMP3, and STX3 for post-Golgi vesicle trafficking and sFLT1 secretion, while STX6, ARF1, and AP1 were required at the Golgi. Live-imaging of temporally controlled sFLT1 release from the endoplasmic reticulum showed clathrin-dependent sFLT1 trafficking at the Golgi into secretory vesicles that then trafficked to the plasma membrane. Depletion of STX6 altered vessel sprouting in 3D, suggesting that endothelial cell sFLT1 secretion influences proper vessel sprouting. Thus, specific trafficking components provide a secretory path from the Golgi to the plasma membrane for sFLT1 in endothelial cells that utilizes a specialized clathrin-dependent intermediate, suggesting novel therapeutic targets.

FLT1/VEGFR1负调控VEGF-A信号传导,是血管发育和血管稳态过程中正确的血管形态发生所必需的。尽管可溶性亚型sFLT1在疾病和衰老中经常被错误调节,但sFLT1是如何从内皮细胞运输和分泌的尚不清楚。在这里,我们定义了从高尔基体到质膜的内皮细胞中组成型sFLT1运输和分泌的要求,并且我们表明sFLT1分泌需要高尔基体处或附近的网格蛋白。影响sFLT1运输的扰动减弱了内皮细胞分泌,并促进了细胞和斑马鱼胚胎中的细胞内错误定位。siRNA介导的特定运输组分的耗竭揭示了高尔基体后囊泡运输和sFLT1分泌对RAB27A、VAMP3和STX3的需求,而高尔基体需要STX6、ARF1和AP1。时间控制的sFLT1从内质网释放的实时成像显示网格蛋白依赖性sFLT1在高尔基体运输到分泌囊泡,然后运输到质膜。STX6的耗竭改变了3D中的血管发芽,表明内皮细胞sFLT1的分泌影响血管的正常发芽。因此,特定的运输成分为内皮细胞中的sFLT1提供了从高尔基体到质膜的分泌途径,该途径利用了一种特殊的网格蛋白依赖性中间体,这表明了新的治疗靶点。
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引用次数: 0
Role of endothelial PDGFB in arterio-venous malformations pathogenesis 内皮 PDGFB 在动静脉畸形发病机制中的作用
IF 9.8 1区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-12-09 DOI: 10.1007/s10456-023-09900-w
Yanzhu Lin, Johannes Gahn, Kuheli Banerjee, Gergana Dobreva, Mahak Singhal, Alexandre Dubrac, Roxana Ola

Arterial-venous malformations (AVMs) are direct connections between arteries and veins without an intervening capillary bed. Either familial inherited or sporadically occurring, localized pericytes (PCs) drop is among the AVMs’ hallmarks. Whether impaired PC coverage triggers AVMs or it is a secondary event is unclear. Here we evaluated the role of the master regulator of PC recruitment, Platelet derived growth factor B (PDGFB) in AVM pathogenesis. Using tamoxifen-inducible deletion of Pdgfb in endothelial cells (ECs), we show that disruption of EC Pdgfb-mediated PC recruitment and maintenance leads to capillary enlargement and organotypic AVM-like structures. These vascular lesions contain non-proliferative hyperplastic, hypertrophic and miss-oriented capillary ECs with an altered capillary EC fate identity. Mechanistically, we propose that PDGFB maintains capillary EC size and caliber to limit hemodynamic changes, thus restricting expression of Krüppel like factor 4 and activation of Bone morphogenic protein, Transforming growth factor β and NOTCH signaling in ECs. Furthermore, our study emphasizes that inducing or activating PDGFB signaling may be a viable therapeutic approach for treating vascular malformations.

动静脉畸形(AVM)是动脉和静脉之间的直接连接,中间没有毛细血管床。无论是家族遗传还是偶发,局部周细胞(PC)下降都是动静脉畸形的特征之一。目前还不清楚PC覆盖能力受损是否会诱发视网膜畸形,抑或是一种继发性事件。在这里,我们评估了 PC 招募的主调节因子血小板衍生生长因子 B (PDGFB) 在动静脉畸形发病机制中的作用。利用他莫昔芬诱导的内皮细胞(ECs)中 Pdgfb 的缺失,我们发现,EC Pdgfb 介导的 PC 招募和维持的中断会导致毛细血管扩大和有机型 AVM 样结构。这些血管病变包含非增殖性增生、肥大和定向错误的毛细血管 EC,其毛细血管 EC 的命运特征发生了改变。从机理上讲,我们认为 PDGFB 可维持毛细血管 EC 的大小和口径以限制血流动力学变化,从而限制 Krüppel 类因子 4 的表达以及 EC 中骨形态发生蛋白、转化生长因子 β 和 NOTCH 信号的激活。此外,我们的研究强调,诱导或激活 PDGFB 信号可能是治疗血管畸形的一种可行疗法。
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引用次数: 0
Circulating Von Willebrand factor: a consistent biomarker predicting in-hospital mortality across different waves of the COVID-19 pandemic 循环Von Willebrand因子:在COVID-19大流行的不同波次中预测院内死亡率的一致生物标志物
IF 9.8 1区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-12-09 DOI: 10.1007/s10456-023-09901-9
D. Smadja, A. Jannot, A. Philippe, Estelle Lu, Jeanne Rancic, O. Sanchez, R. Chocron, N. Gendron, J. Diehl
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引用次数: 0
Executive summary of the 14th HHT international scientific conference 第十四届HHT国际科学会议执行摘要。
IF 9.8 1区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-09-11 DOI: 10.1007/s10456-023-09886-5
Roxana Ola, Josefien Hessels, Adrienne Hammill, Cassi Friday, Marianne Clancy, Hanny Al-Samkari, Stryder Meadows, Vivek Iyer, Rosemary Akhurst

Hereditary Hemorrhagic Telangiectasia (HHT) is an autosomal dominant vascular disorder characterized by small, dilated clustered vessels (telangiectasias) and by larger visceral arteriovenous malformations (AVMs), which directly connect the feeding arteries with the draining veins. These lesions are fragile, prone to rupture, and lead to recurrent epistaxis and/or internal hemorrhage among other complications. Germline heterozygous loss-of-function (LOF) mutations in Bone Morphogenic Protein 9 (BMP9) and BMP10 signaling pathway genes (endoglin-ENG, activin like kinase 1 ACVRL1 aka ALK1, and SMAD4) cause different subtypes of HHT (HHT1, HHT2 and HHT-juvenile polyposis (JP)) and have a worldwide combined incidence of about 1:5000. Expert clinicians and international scientists gathered in Cascais, Portugal from September 29th to October 2nd, 2022 to present the latest scientific research in the HHT field and novel treatment strategies for people living with HHT. During the largest HHT scientific conference yet, participants included 293 in person and 46 virtually. An impressive 209 abstracts were accepted to the meeting and 59 were selected for oral presentations. The remaining 150 abstracts were presented during judged poster sessions. This review article summarizes the basic and clinical abstracts selected as oral presentations with their new observations and discoveries as well as surrounding discussion and debate. Two discussion-based workshops were also held during the conference, each focusing on mechanisms and clinical perspectives in either AVM formation and progression or current and future therapies for HHT. Our hope is that this paper will represent the current progress and the remaining unanswered questions surrounding HHT, in order to serve as an update for those within the field and an invitation to those scientists and clinicians as yet outside of the field of HHT.

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性血管疾病,其特征是小型扩张的聚集性血管(毛细血管扩张症)和较大的内脏动静脉畸形(AVM),这些畸形直接连接供血动脉和引流静脉。这些病变很脆弱,容易破裂,并导致复发性鼻出血和/或内出血等并发症。骨形成蛋白9(BMP9)和BMP10信号通路基因(endoglin ENG、激活素样激酶1 ACVRL1 aka ALK1和SMAD4)中的种系杂合功能丧失(LOF)突变导致不同亚型的HHT(HHT1、HHT2和HHT幼年息肉病(JP)),在全球范围内的综合发病率约为1:5000。2022年9月29日至10月2日,专家临床医生和国际科学家聚集在葡萄牙卡斯凯,介绍HHT领域的最新科学研究以及HHT患者的新治疗策略。在迄今为止规模最大的HHT科学会议上,与会者包括293人,46人。会议接受了令人印象深刻的209篇摘要,并选出59篇进行口头陈述。其余150篇摘要是在经过评委的海报会议上发表的。这篇综述文章总结了被选为口头陈述的基础和临床摘要,以及它们的新观察和发现,以及周围的讨论和辩论。会议期间还举办了两次基于讨论的研讨会,每一次都侧重于AVM形成和进展的机制和临床观点,或HHT的当前和未来治疗方法。我们希望这篇论文将代表当前的进展和围绕HHT的剩余未回答的问题,以便为该领域的研究人员提供最新信息,并邀请那些尚未进入HHT领域的科学家和临床医生。
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引用次数: 0
2022 14th HHT International Scientific Conference Abstracts 2022年第14届HHT国际科学会议摘要。
IF 9.8 1区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-09-08 DOI: 10.1007/s10456-023-09887-4
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引用次数: 0
Reply to “Embracing imatinib: a novel approach to safeguarding the endothelial barrier in patients with COVID-19” 回复“拥抱伊马替尼:保护新冠肺炎患者内皮屏障的新方法”。
IF 9.8 1区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-09-02 DOI: 10.1007/s10456-023-09894-5
Xiaoming Wu, Jialan Shi
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引用次数: 0
The modes of angiogenesis: an updated perspective 血管生成的模式:一个更新的视角。
IF 9.8 1区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-08-28 DOI: 10.1007/s10456-023-09895-4
Andrew C. Dudley, Arjan W. Griffioen

Following the process of vasculogenesis during development, angiogenesis generates new vascular structures through a variety of different mechanisms or modes. These different modes of angiogenesis involve, for example, increasing microvasculature density by sprouting of endothelial cells, splitting of vessels to increase vascular surface area by intussusceptive angiogenesis, fusion of capillaries to increase blood flow by coalescent angiogenesis, and the recruitment of non-endothelial cells by vasculogenic mimicry. The recent reporting on coalescent angiogenesis as a new mode of vessel formation warrants a brief overview of angiogenesis mechanisms to provide a more complete picture. The journal Angiogenesis is devoted to the delineation of the different modes and mechanisms that collectively dictate blood vessel formation, inhibition, and function in health and disease.

在发育过程中,血管生成通过各种不同的机制或模式产生新的血管结构。这些不同的血管生成模式包括,例如,通过内皮细胞的发芽来增加微血管密度,通过套叠血管生成来分裂血管以增加血管表面积,通过聚结血管生成来融合毛细血管以增加血流量,以及通过血管生成拟态来募集非内皮细胞。最近关于聚结血管生成作为一种新的血管形成模式的报道保证了对血管生成机制的简要概述,以提供更完整的图像。《血管生成》杂志致力于描述不同的模式和机制,这些模式和机制共同决定了血管的形成、抑制以及在健康和疾病中的功能。
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引用次数: 2
期刊
Angiogenesis
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