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Chu, X; Kheirollahi, V; Lingampally, A; Chelladurai, P; Valasarajan, C; Vazquez-Armendariz, AI; Hadzic, S; Khadim, A; Pak, O; Rivetti, S; Wilhelm, J; Bartkuhn, M; Crnkovic, S; Moiseenko, A; Heiner, M; Kraut, S; Sotoodeh, L; Koepke, J; Valente, G; Ruppert, C; Braun, T; Samakovlis, C; Alexopoulos, I; Looso, M; Chao, CM; Herold, S; Seeger, W; Kwapiszewska, G; Huang, X; Zhang, JS; Pullamsetti, SS; Weissmann, N; Li, X; El, Agha, E; Bellusci, S.
GLI1+ Cells Contribute to Vascular Remodeling in Pulmonary Hypertension.
Circ Res. 2024;
Doi: 10.1161/CIRCRESAHA.123.323736
Web of Science
PubMed
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- Co-authors Med Uni Graz
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Crnkovic Slaven
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Kwapiszewska-Marsh Grazyna
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- Abstract:
- BACKGROUND: The precise origin of newly formed ACTA2+ (alpha smooth muscle actin-positive) cells appearing in nonmuscularized vessels in the context of pulmonary hypertension is still debatable although it is believed that they predominantly derive from preexisting vascular smooth muscle cells (VSMCs). METHODS: Gli1Cre-ERT2; tdTomatoflox mice were used to lineage trace GLI1+ (glioma-associated oncogene homolog 1-positive) cells in the context of pulmonary hypertension using 2 independent models of vascular remodeling and reverse remodeling: hypoxia and cigarette smoke exposure. Hemodynamic measurements, right ventricular hypertrophy assessment, flow cytometry, and histological analysis of thick lung sections followed by state-of-the-art 3-dimensional reconstruction and quantification using Imaris software were used to investigate the contribution of GLI1+ cells to neomuscularization of the pulmonary vasculature. RESULTS: The data show that GLI1+ cells are abundant around distal, nonmuscularized vessels during steady state, and this lineage contributes to around 50% of newly formed ACTA2+ cells around these normally nonmuscularized vessels. During reverse remodeling, cells derived from the GLI1+ lineage are largely cleared in parallel to the reversal of muscularization. Partial ablation of GLI1+ cells greatly prevented vascular remodeling in response to hypoxia and attenuated the increase in right ventricular systolic pressure and right heart hypertrophy. Single-cell RNA sequencing on sorted lineage-labeled GLI1+ cells revealed an Acta2high fraction of cells with pathways in cancer and MAPK signaling as potential players in reprogramming these cells during vascular remodeling. Analysis of human lung-derived material suggests that GLI1 signaling is overactivated in both group 1 and group 3 pulmonary hypertension and can promote proliferation and myogenic differentiation. CONCLUSIONS: Our data highlight GLI1+ cells as an alternative cellular source of VSMCs in pulmonary hypertension and suggest that these cells and the associated signaling pathways represent an important therapeutic target for further studies.
- Find related publications in this database (Keywords)
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actins
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blood pressure
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hypertension, pulmonary
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hypoxia
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vascular remodeling