Smooth muscle–derived adventitial progenitor cells direct atherosclerotic plaque composition complexity in a Klf4-dependent manner

We previously established that vascular smooth muscle–derived adventitial progenitor cells (AdvSca1-SM) preferentially differentiate into myofibroblasts and contribute to fibrosis in response to acute vascular injury. However, the role of these progenitor cells in chronic atherosclerosis has not bee...

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Main Authors: Allison M. Dubner, Sizhao Lu, Austin J. Jolly, Keith A. Strand, Marie F. Mutryn, Tyler Hinthorn, Tysen Noble, Raphael A. Nemenoff, Karen S. Moulton, Mark W. Majesky, Mary C.M. Weiser-Evans
Format: Article
Language:English
Published: American Society for Clinical investigation 2023-11-01
Series:JCI Insight
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Online Access:https://doi.org/10.1172/jci.insight.174639
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author Allison M. Dubner
Sizhao Lu
Austin J. Jolly
Keith A. Strand
Marie F. Mutryn
Tyler Hinthorn
Tysen Noble
Raphael A. Nemenoff
Karen S. Moulton
Mark W. Majesky
Mary C.M. Weiser-Evans
author_facet Allison M. Dubner
Sizhao Lu
Austin J. Jolly
Keith A. Strand
Marie F. Mutryn
Tyler Hinthorn
Tysen Noble
Raphael A. Nemenoff
Karen S. Moulton
Mark W. Majesky
Mary C.M. Weiser-Evans
author_sort Allison M. Dubner
collection DOAJ
description We previously established that vascular smooth muscle–derived adventitial progenitor cells (AdvSca1-SM) preferentially differentiate into myofibroblasts and contribute to fibrosis in response to acute vascular injury. However, the role of these progenitor cells in chronic atherosclerosis has not been defined. Using an AdvSca1-SM cell lineage tracing model, scRNA-Seq, flow cytometry, and histological approaches, we confirmed that AdvSca1-SM–derived cells localized throughout the vessel wall and atherosclerotic plaques, where they primarily differentiated into fibroblasts, smooth muscle cells (SMC), or remained in a stem-like state. Krüppel-like factor 4 (Klf4) knockout specifically in AdvSca1-SM cells induced transition to a more collagen-enriched fibroblast phenotype compared with WT mice. Additionally, Klf4 deletion drastically modified the phenotypes of non–AdvSca1-SM–derived cells, resulting in more contractile SMC and atheroprotective macrophages. Functionally, overall plaque burden was not altered with Klf4 deletion, but multiple indices of plaque composition complexity, including necrotic core area, macrophage accumulation, and fibrous cap thickness, were reduced. Collectively, these data support that modulation of AdvSca1-SM cells through KLF4 depletion confers increased protection from the development of potentially unstable atherosclerotic plaques.
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spelling doaj.art-457a71ce90e84954826e313a6a63b0aa2023-11-07T16:26:27ZengAmerican Society for Clinical investigationJCI Insight2379-37082023-11-01822Smooth muscle–derived adventitial progenitor cells direct atherosclerotic plaque composition complexity in a Klf4-dependent mannerAllison M. DubnerSizhao LuAustin J. JollyKeith A. StrandMarie F. MutrynTyler HinthornTysen NobleRaphael A. NemenoffKaren S. MoultonMark W. MajeskyMary C.M. Weiser-EvansWe previously established that vascular smooth muscle–derived adventitial progenitor cells (AdvSca1-SM) preferentially differentiate into myofibroblasts and contribute to fibrosis in response to acute vascular injury. However, the role of these progenitor cells in chronic atherosclerosis has not been defined. Using an AdvSca1-SM cell lineage tracing model, scRNA-Seq, flow cytometry, and histological approaches, we confirmed that AdvSca1-SM–derived cells localized throughout the vessel wall and atherosclerotic plaques, where they primarily differentiated into fibroblasts, smooth muscle cells (SMC), or remained in a stem-like state. Krüppel-like factor 4 (Klf4) knockout specifically in AdvSca1-SM cells induced transition to a more collagen-enriched fibroblast phenotype compared with WT mice. Additionally, Klf4 deletion drastically modified the phenotypes of non–AdvSca1-SM–derived cells, resulting in more contractile SMC and atheroprotective macrophages. Functionally, overall plaque burden was not altered with Klf4 deletion, but multiple indices of plaque composition complexity, including necrotic core area, macrophage accumulation, and fibrous cap thickness, were reduced. Collectively, these data support that modulation of AdvSca1-SM cells through KLF4 depletion confers increased protection from the development of potentially unstable atherosclerotic plaques.https://doi.org/10.1172/jci.insight.174639Stem cellsVascular biology
spellingShingle Allison M. Dubner
Sizhao Lu
Austin J. Jolly
Keith A. Strand
Marie F. Mutryn
Tyler Hinthorn
Tysen Noble
Raphael A. Nemenoff
Karen S. Moulton
Mark W. Majesky
Mary C.M. Weiser-Evans
Smooth muscle–derived adventitial progenitor cells direct atherosclerotic plaque composition complexity in a Klf4-dependent manner
JCI Insight
Stem cells
Vascular biology
title Smooth muscle–derived adventitial progenitor cells direct atherosclerotic plaque composition complexity in a Klf4-dependent manner
title_full Smooth muscle–derived adventitial progenitor cells direct atherosclerotic plaque composition complexity in a Klf4-dependent manner
title_fullStr Smooth muscle–derived adventitial progenitor cells direct atherosclerotic plaque composition complexity in a Klf4-dependent manner
title_full_unstemmed Smooth muscle–derived adventitial progenitor cells direct atherosclerotic plaque composition complexity in a Klf4-dependent manner
title_short Smooth muscle–derived adventitial progenitor cells direct atherosclerotic plaque composition complexity in a Klf4-dependent manner
title_sort smooth muscle derived adventitial progenitor cells direct atherosclerotic plaque composition complexity in a klf4 dependent manner
topic Stem cells
Vascular biology
url https://doi.org/10.1172/jci.insight.174639
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