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Recapitulation of developmental mechanisms to revascularize the ischemic heart
Karina N. Dubé, … , Paul R. Riley, Nicola Smart
Karina N. Dubé, … , Paul R. Riley, Nicola Smart
Published November 16, 2017
Citation Information: JCI Insight. 2017;2(22):e96800. https://doi.org/10.1172/jci.insight.96800.
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Research Article Cardiology

Recapitulation of developmental mechanisms to revascularize the ischemic heart

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Abstract

Restoring blood flow after myocardial infarction (MI) is essential for survival of existing and newly regenerated tissue. Endogenous vascular repair processes are deployed following injury but are poorly understood. We sought to determine whether developmental mechanisms of coronary vessel formation are intrinsically reactivated in the adult mouse after MI. Using pulse-chase genetic lineage tracing, we establish that de novo vessel formation constitutes a substantial component of the neovascular response, with apparent cellular contributions from the endocardium and coronary sinus. The adult heart reverts to its former hypertrabeculated state and repeats the process of compaction, which may facilitate endocardium-derived neovascularization. The capacity for angiogenic sprouting of the coronary sinus vein, the adult derivative of the sinus venosus, may also reflect its embryonic origin. The quiescent epicardium is reactivated and, while direct cellular contribution to new vessels is minimal, it supports the directional expansion of the neovessel network toward the infarcted myocardium. Thymosin β4, a peptide with roles in vascular development, was required for endocardial compaction, epicardial vessel expansion, and smooth muscle cell recruitment. Insight into pathways that regulate endogenous vascular repair, drawing on comparisons with development, may reveal novel targets for therapeutically enhancing neovascularization.

Authors

Karina N. Dubé, Tonia M. Thomas, Sonali Munshaw, Mala Rohling, Paul R. Riley, Nicola Smart

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Figure 10

Thymosin β4 is required for epicardial activation, epithelial-to-mesenchymal transition, and expansion of the epicardial neovascular network.

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Thymosin β4 is required for epicardial activation, epithelial-to-mesench...
Epicardial activation following myocardial infarction was diminished in Tβ4KO hearts (A and B). By immunostaining, large regions of WT epicardium contained WT-1+ cells by day 7 (A), compared with only small regions in Tβ4KO hearts (B). This was reflected in whole-heart qRT-PCR, with reduced expression of Wt1 (C), Tbx18 (D) and Aldh1a2 (E) by 2-way ANOVA (n = 3 separate hearts per time point, mean ± SEM indicated). Post-hoc tests with Bonferroni correction confirmed significant reduction of Wt1 at day 7 and Aldh1a2 at day 4. **P ≤ 0.01, ***P < 0.001. Defects in epicardial mobilization were confirmed in explant culture: WT explants outgrew within 7 days (F), whereas KO explants produced fewer epicardial cells, and these failed to spread and form an epithelial layer (G; n = 3 of 8 cultures); moreover, several failed to outgrow altogether (H; n = 5 of 8 cultures). Coincident with expansion, a smooth muscle–lined vascular network extended throughout the WT epicardium (I). Even selecting for regions of greatest epicardial expansion in Tβ4KO hearts, vascular growth was severely diminished and notably lacked smooth muscle support (J). Quantification of epicardial vessel density at day 7 confirmed a significant reduction in KO, compared with WT (K). Delaminating αSMA+ cells invaded the myocardium of WT hearts (L), while KO cells failed to migrate inward (M). WT cells extended actin cytoskeleton for migration and downregulated WT-1 (N); in contrast, Tβ4KO cells remained spindle shaped, failed to orientate for invasion, and retained WT-1 expression (arrowheads, O), suggesting incomplete mesenchymal transition. Dotted lines indicate the epicardial-myocardial boundary. Sections are representative of n = 10 hearts per genotype and n = 10 of each quantified in K; each data point represents a separate animal; 2-tailed t test; ***P < 0.001. Scale bars: 500 μm (A and B); 50 μm (F–H, L, and M); 200 μm (I and J); 100 μm (N and O).

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