E.A.L. Biessen

Fibrin and activated platelets cooperatively guide stem cells to a vascular injury and promote differentiation towards an endothelial cell phenotype.

Objective—Bone marrow-derived progenitor cells play a role in vascular regeneration. However, their homing to areas of vascular injury is poorly understood. One of the earliest responses to an injury is the activation of coagulation and platelets. In this study we assessed the role of hemostatic components in the recruitment of CD34+ cells to sites of injury. Methods and Results—Using an ex vivo injury model, representing endothelial cell (EC) injury or vessel denudation, we studied homing of CD34+ under flow. Platelet aggregates facilitated initial tethering and rolling of CD34+ cells through interaction of P-selectin expressed by platelets and P-selectin glycoprotein ligand-1 (PSGL-1), expressed by CD34+ cells. Ligation of PSGL-1 activated adhesion molecules on CD34+ cells, ultimately leading to firm adhesion of CD34+ cells to tissue factor-expressing ECs or to fibrin-containing thrombi formed on subendothelium. We also demonstrate that fibrin-containing thrombi can support migration of CD34+ cells to the site of injury and subsequent differentiation toward a mature EC phenotype. Additionally, intravenously injected CD34+ cells homed in vivo to denuded arteries in the presence of endogenous leukocytes. Conclusions—We provide evidence that hemostatic factors, associated with vascular injury, provide a regulatory microenvironment for re-endothelialization mediated by circulating progenitor cells.

CD70 limits atherosclerosis and promotes macrophage function

The co-stimulatory molecule CD70 is expressed on activated immune cells and is known to modulate responses of T, B, and NK cells via its receptor CD27. Until now, there is only limited data describing the role of CD70 in atherosclerosis. We observed that ruptured human carotid atherosclerotic plaques displayed higher CD70 expression than stable carotid atherosclerotic plaques, and that CD70 expression in murine atheroma localized to macrophages. Lack of CD70 impaired the inflammatory capacity (e.u2009g. reactive oxygen species and nitric oxide production) of bone marrow-derived macrophages, increased both M1-like and M2-like macrophage markers, and rendered macrophages metabolically inactive and prone to apoptosis. Moreover, CD70-deficient macrophages expressed diminished levels of scavenger receptors and ABC-transporters, impairing uptake of oxidised low-density lipoprotein (oxLDL) and cholesterol efflux, respectively. Hyperlipidaemic Apoe-/- mice reconstituted with CD70-deficient bone marrow displayed a profound increase in necrotic core size, plaque area, and number of lesional macrophages as compared to mice receiving control bone marrow. Accordingly, 18 week-old, chow diet-fed CD70-deficient Apoe-/- mice displayed larger atheroma characterised by lower cellularity and more advanced plaque phenotype than Apoe-/- mice. In conclusion, CD70 promotes macrophage function and viability and is crucial for effective phagocytosis and efflux of oxLDL. Deficiency in CD70 results in more advanced atheroma. Our data suggest that CD70 mitigates atherosclerosis at least in part by modulating macrophage function.

CD27 co-stimulation increases the abundance of regulatory T cells and reduces atherosclerosis in hyperlipidaemic mice

AimsnThe co-stimulatory receptor CD27 modulates responses of T cells, B cells, and NK cells. Various T cell subsets participate in atherogenesis. However, the role of CD27 in atherosclerosis remains unexplored.nnnMethods and resultsnHere we investigated the effect of bone marrow-derived and systemic CD27 deficiency in Apolipoprotein E-deficient (Apoe-/-) mice in early and advanced stages of atherosclerosis. Lethally-irradiated Apoe-/- mice reconstituted with Cd27-/-Apoe-/- bone marrow and consuming an atherogenic diet displayed a markedly increased plaque size and lesional inflammation compared to mice receiving Cd27+/+Apoe-/- bone marrow. Accordingly, chow diet-fed Cd27-/-Apoe-/- mice showed exacerbated lesion development and increased inflammation at the age of 18u2009weeks. At a more advanced stage of atherosclerosis (28u2009weeks), lesion size and phenotype did not differ between the two groups. Systemic and bone marrow-derived CD27 deficiency reduced the abundance of regulatory T cells (Treg) in blood, lymphoid organs, and the aorta. Numbers of other immune cells were not affected while expression of inflammatory cytokine genes (e.g. IL-1β and IL-6) was increased in the aorta when haematopoietic CD27 was lacking. In vitro, Tregs of CD27-deficient mice showed similar suppressive capacity compared with their wild-type controls and migrated equally towards CCL19 and CCL21. However, thymic Cd27-/- Tregs underwent increased apoptosis and expressed fewer markers of proliferation in vivo. Reconstitution of Cd27-/-Apoe-/- mice with Cd27+/+Apoe-/- Tregs reversed the increase in atherosclerosis.nnnConclusionnWe demonstrate that CD27 co-stimulation increases the number of Tregs and limits lesion development and inflammation in experimental atherosclerosis, particularly during early stages of disease. Thus, our study suggests that promotion of CD27 function may mitigate atherosclerosis.

Plaque lymphangiogenesis: To drain or not to drain

Objectives: To investigate the actions of nutraceuticals on key macrophage processes associated with atherosclerosis. Background: Atherosclerosis is an inflammatory disorder of the vasculature orchestrated by the action of cytokines. Macrophages play a pivotal role in atherosclerosis and represent promising therapeutic targets. Current therapies against atherosclerosis are associated with substantial residual risk together with other issues such as adverse side effects. In addition, there have been numerous disappointments on many pharmaceutical agents identified from drug discovery programs. This has initiated interest in nutraceuticals as preventative or therapeutic agents in atherosclerosis but requires an in-depth understanding of their actions. The purpose of this study was to delineate the effects of nutraceuticals on key macrophage processes associated with atherosclerosis together with the molecular mechanisms underlying their actions. n nMethods: The studies used a combination of macrophage cell lines and primary cultures. Gene expression was monitored by real time quantitative PCR and western blot analysis. The production of reactive oxygen species was determined using a kit from Abcam. Foam cell formation was monitored by uptake of fluorescently labeled modified LDL, intracellular lipid profile and cholesterol efflux. Inflammasome activation was evaluated by following the release of interleukin (IL)-1beta. Cell viability was assessed by release of lactate dehydrogenase. Results: The studies focused on key components in olive oil and omega-6 polyunsaturated fatty acids. These attenuated the expression of key markers of inflammation induced by several pro-atherogenic cytokines, the uptake of modified LDL, macropinocytosis and foam cell formation in macrophages. In addition, they stimulated macrophage cholesterol efflux. A differential effect was observed for other parameters such as production of reactive oxygen species and production of IL-1beta via inflammasome activation. The mechanisms underlying such actions will be presented. Conclusions: The studies provide novel insights into the actions of nutraceuticals on key macrophage pprocesses associated with atherosclerosisroces