Vascularization of ischemic and fabricated tissues is essential for successful tissue repair and replacement therapies. Endothelial cells (EC) and mesenchymal stem/stromal cells (MSC) in close proximity spontaneously organize into vessels… Click to show full abstract
Vascularization of ischemic and fabricated tissues is essential for successful tissue repair and replacement therapies. Endothelial cells (EC) and mesenchymal stem/stromal cells (MSC) in close proximity spontaneously organize into vessels after co-implantation in semisolid matrices. Thus, local injection of EC mixed with MSC may facilitate tissue (re)vascularization. The organization of these cells into vessels is accompanied by induction of a key regulator of vasculogenesis, activin A, in MSC through juxtacrine pathway. Mechanisms regulating activin A expression are poorly understood, therefore the contributions of notch signaling pathways were evaluated in EC-Adipose MSC (ASC) co-cultures. Disruption of notch signaling in EC+ASC co-cultures with a γ-secretase inhibitor, DAPT, completely abrogated both activin A induction or production, depending on the stage of vasculogenesis. While DAPT stimulated EC proliferation concurrent with increased secretion of vasculogenic factors, it also prevented the crucial transition of ASC from progenitor to smooth muscle cell phenotype, collectively resulting in ineffective tubulogenesis. Silencing Notch2 in ASC abolished activin A production in co-cultures, but resulted in normal ASC maturation. In contrast, silencing Notch3 in ASC lead to autonomous upregulation of mural cell markers, and intercellular contact with EC further enhanced upregulation of these markers, concurrent with amplified activin A secretion. Strong induction of activin A expression was achieved by exposing ASC to immobilized notch ligand jagged1, whereas jagged1 IgG, added to EC+ASC incubation media, prevented activin A expression. Overall, this study revealed that EC control activin A expression in ASC through trans juxtacrine notch signaling pathways, and uninterrupted notch signaling is required for activin A production, although signaling through Notch2 and Notch3 produce opposing effects.
               
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