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Cardiac pericytes mediate the remodeling response to myocardial infarction
Pearl Quijada, … , Eric M. Small, Reza Ardehali
Pearl Quijada, … , Eric M. Small, Reza Ardehali
Published May 15, 2023
Citation Information: J Clin Invest. 2023;133(10):e162188. https://doi.org/10.1172/JCI162188.
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Research Article Cardiology Vascular biology

Cardiac pericytes mediate the remodeling response to myocardial infarction

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Abstract

Despite the prevalence of pericytes in the microvasculature of the heart, their role during ischemia-induced remodeling remains unclear. We used multiple lineage-tracing mouse models and found that pericytes migrated to the injury site and expressed profibrotic genes, coinciding with increased vessel leakage after myocardial infarction (MI). Single-cell RNA-Seq of cardiac pericytes at various time points after MI revealed the temporally regulated induction of genes related to vascular permeability, extracellular matrix production, basement membrane degradation, and TGF-β signaling. Deleting TGF-β receptor 1 in chondroitin sulfate proteoglycan 4–expressing (Cspg4-expressing) cells reduced fibrosis following MI, leading to a transient improvement in the cardiac ejection fraction. Furthermore, genetic ablation of Cspg4-expressing cells resulted in excessive vascular permeability, a decline in cardiac function, and increased mortality in the second week after MI. These data reveal an essential role for cardiac pericytes in the control of vascular homeostasis and the fibrotic response after acute ischemic injury, information that will help guide the development of novel strategies to preserve vascular integrity and attenuate pathological cardiac remodeling.

Authors

Pearl Quijada, Shuin Park, Peng Zhao, Kamal S.S. Kolluri, David Wong, Kevin D. Shih, Kai Fang, Arash Pezhouman, Lingjun Wang, Ali Daraei, Matthew D. Tran, Elle M. Rathbun, Kimberly N. Burgos Villar, Maria L. Garcia-Hernandez, Thanh T.D. Pham, Charles J. Lowenstein, M. Luisa Iruela-Arispe, S. Thomas Carmichael, Eric M. Small, Reza Ardehali

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Figure 6

Deletion of Tgfbr1 in cardiac pericytes.

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Deletion of Tgfbr1 in cardiac pericytes.
(A) GSEA of TGF-β signaling in ...
(A) GSEA of TGF-β signaling in pericytes isolated from hearts 14 days after sham or MI surgery. (B) Heatmap representation of genes related to TGF-β signaling in cardiac pericytes isolated from sham-operated hearts and hearts at early and late stages of MI. The scale represents normalized expression. (C) Immunohistochemical analysis of pericytes (red) and p-SMAD3 (green) in control and experimental mice 7 days after MI. Yellow arrowheads highlight p-SMAD3 in tdTomato+ pericytes. Scale bars: 20 μm. Images are representative of 3 control and 3 experimental hearts. Evaluation of (D) cardiac function through the measurement of ejection fraction and (E) cardiac morphometry by analysis of left ventricular diastolic volume in control Cspg4CreER/+ Tgfbr1+/+ and experimental Cspg4CreER/+ Tgfbr1fl/fl mice. n = 15 control and n = 22 experimental mice at baseline; n = 11 control and n = 14 experimental mice 1 week after MI; n = 7 control and n = 8 experimental mice 2 weeks after MI. Data were analyzed by 2-way ANOVA with Šidák’s multiple-comparison test. Fibrosis in control and experimental mice (F and G) 7 days after MI and (H and I) 14 days after MI as measured by Picrosirius red staining. Collagen fibers, red. Live myocardium, yellow. n = 4 control and n = 5 experimental mice were analyzed by unpaired, 2-tailed Student’s t test. Scale bars: 500 μm. Data in F and H are representative of 4 control and 5 experimental hearts. *P < 0.05.

Copyright © 2023 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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