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CD44 expression in endothelial colony-forming cells regulates neurovascular trophic effect
Susumu Sakimoto, Valentina Marchetti, Edith Aguilar, Kelsey Lee, Yoshihiko Usui, Salome Murinello, Felicitas Bucher, Jennifer K. Trombley, Regis Fallon, Ravenska Wagey, Carrie Peters, Elizabeth L. Scheppke, Peter D. Westenskow, Martin Friedlander
Susumu Sakimoto, Valentina Marchetti, Edith Aguilar, Kelsey Lee, Yoshihiko Usui, Salome Murinello, Felicitas Bucher, Jennifer K. Trombley, Regis Fallon, Ravenska Wagey, Carrie Peters, Elizabeth L. Scheppke, Peter D. Westenskow, Martin Friedlander
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Research Article Angiogenesis Stem cells

CD44 expression in endothelial colony-forming cells regulates neurovascular trophic effect

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Abstract

Vascular abnormalities are a common component of eye diseases that often lead to vision loss. Vaso-obliteration is associated with inherited retinal degenerations, since photoreceptor atrophy lowers local metabolic demands and vascular support to those regions is no longer required. Given the degree of neurovascular crosstalk in the retina, it may be possible to use one cell type to rescue another cell type in the face of severe stress, such as hypoxia or genetically encoded cell-specific degenerations. Here, we show that intravitreally injected human endothelial colony-forming cells (ECFCs) that can be isolated and differentiated from cord blood in xeno-free media collect in the vitreous cavity and rescue vaso-obliteration and neurodegeneration in animal models of retinal disease. Furthermore, we determined that a subset of the ECFCs was more effective at anatomically and functionally preventing retinopathy; these cells expressed high levels of CD44, the hyaluronic acid receptor, and IGFBPs (insulin-like growth factor–binding proteins). Injection of cultured media from ECFCs or only recombinant human IGFBPs also rescued the ischemia phenotype. These results help us to understand the mechanism of ECFC-based therapies for ischemic insults and retinal neurodegenerative diseases.

Authors

Susumu Sakimoto, Valentina Marchetti, Edith Aguilar, Kelsey Lee, Yoshihiko Usui, Salome Murinello, Felicitas Bucher, Jennifer K. Trombley, Regis Fallon, Ravenska Wagey, Carrie Peters, Elizabeth L. Scheppke, Peter D. Westenskow, Martin Friedlander

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Figure 3

Subpopulation of ECFCs facilitates regeneration of retinal vasculature and reduces pathological angiogenesis in oxygen-induced retinopathy model.

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Subpopulation of ECFCs facilitates regeneration of retinal vasculature a...
(A) Representative GS lectin–stained flat-mount retinas. Scale bar: 500 μm. (B and C) Oxygen-induced retinopathy (OIR) quantification for eyes injected at P12 with CD44hi ECFCs, CD44lo ECFCs, or vehicle. Retinas were harvested at P17 using a different clone of CD44 antibody. Results for neovascular tufts (NV) are shown in B and vaso-obliterated regions (VO) are shown in C. Quantifications show the results of each clone of antibody (G44-26 or DB105) for CD44 selection. *P < 0.01, Kruskal-Wallis test with Dunn’s multiple comparison test; G44-26, n = 24 in ECFCs and 16 in vehicle; DB105, n = 18 in ECFCs and 14 in vehicle. (D and E) Quantification of OIR retinas, harvested at P17, that were injected at P12 with control knockdown (KD) ECFCs (ECFCs-scrRNA), CD44-KD ECFCs (ECFCs-shCD44), or vehicle. Results for NV are shown in D, and results for VO are shown in E. *P < 0.01, n = 22 in ECFCs and 18 in vehicle. (F and G) Retinal sections at P30, after injection at P12, show highly efficient neuroprotection with CD44hi ECFC injection in the OIR model. (F) Results of immunohistochemistry with MAP2 (red) and PECAM-1 (green) antibodies for OIR retinas injected with CD44hi ECFCs, CD44lo ECFCs, or vehicle, compared with retinas from mice housed in normoxic conditions. Nuclear staining was performed with Hoechst33342 (blue). IPL, inner plexiform layer; INL, inner nuclear layer; OPL, outer plexiform layer. Scale bar: 50 μm. (G) Quantification for each retinal layer thickness of central retina after ECFC injection. n = 12 in ECFCs and normoxia, n = 9 in vehicle. *P < 0.01, **P < 0.001. 1-way ANOVA with Tukey analysis. Error bars represent SEM in B–E and SD in G.

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