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Cardiac pericyte reprogramming by MEK inhibition promotes arteriologenesis and angiogenesis of the ischemic heart
Elisa Avolio, … , Massimo Caputo, Paolo Madeddu
Elisa Avolio, … , Massimo Caputo, Paolo Madeddu
Published March 29, 2022
Citation Information: J Clin Invest. 2022;132(10):e152308. https://doi.org/10.1172/JCI152308.
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Research Article Angiogenesis Vascular biology

Cardiac pericyte reprogramming by MEK inhibition promotes arteriologenesis and angiogenesis of the ischemic heart

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Abstract

Pericytes (PCs) are abundant yet remain the most enigmatic and ill-defined cell population in the heart. Here, we investigated whether PCs can be reprogrammed to aid neovascularization. Primary PCs from human and mouse hearts acquired cytoskeletal proteins typical of vascular smooth muscle cells (VSMCs) upon exclusion of EGF/bFGF, which signal through ERK1/2, or upon exposure to the MEK inhibitor PD0325901. Differentiated PCs became more proangiogenic, more responsive to vasoactive agents, and insensitive to chemoattractants. RNA sequencing revealed transcripts marking the PD0325901-induced transition into proangiogenic, stationary VSMC-like cells, including the unique expression of 2 angiogenesis-related markers, aquaporin 1 (AQP1) and cellular retinoic acid–binding protein 2 (CRABP2), which were further verified at the protein level. This enabled us to trace PCs during in vivo studies. In mice, implantation of Matrigel plugs containing human PCs plus PD0325901 promoted the formation of αSMA+ neovessels compared with PC only. Two-week oral administration of PD0325901 to mice increased the heart arteriolar density, total vascular area, arteriole coverage by PDGFRβ+AQP1+CRABP2+ PCs, and myocardial perfusion. Short-duration PD0325901 treatment of mice after myocardial infarction enhanced the peri-infarct vascularization, reduced the scar, and improved systolic function. In conclusion, myocardial PCs have intrinsic plasticity that can be pharmacologically modulated to promote reparative vascularization of the ischemic heart.

Authors

Elisa Avolio, Rajesh Katare, Anita C. Thomas, Andrea Caporali, Daryl Schwenke, Michele Carrabba, Marco Meloni, Massimo Caputo, Paolo Madeddu

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Figure 8

Discovery of unique antigens identifying naive PCs and VSMC-like differentiated PCs (DPCs).

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Discovery of unique antigens identifying naive PCs and VSMC-like differe...
(A) Schematic illustrating the experimental design. We compared the RNA-Seq results for PCs, PD0325901-differentiated PCs (DPCs), and control human coronary artery SMCs (CASMCs) to identify transcripts uniquely expressed by PCs and DPCs. (B) List of top genes that emerged during the analysis. Genes in the heatmap are ranked for average transcripts per million (TPM) expression in the positive population. (C and D) Three transcripts were validated at the protein level using Western blotting (C) and immunocytochemistry (D) in human PCs (n = 2 patients, same patients’ cells used for the RNA-Seq). Scale bars: 50 μm. Representative immunofluorescence images of PCs are from 1 patient. CADM3, cell adhesion molecule 3; CRABP2, cellular retinoic acid–binding protein 2; AQP1, aquaporin 1. The antigens employed for histology were selected according to the following criteria: (a) high identity between the human and mouse proteins to allow matching data from studies in the 2 species, (b) intracellular or membrane marker for precise localization in PCs in situ (exclusion of soluble factors), and (c) suitability for microscopy imaging.

Copyright © 2025 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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