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Endothelial transplantation rejuvenates aged hematopoietic stem cell function
Michael G. Poulos, Pradeep Ramalingam, Michael C. Gutkin, Pierre Llanos, Katherine Gilleran, Sina Y. Rabbany, Jason M. Butler
Michael G. Poulos, Pradeep Ramalingam, Michael C. Gutkin, Pierre Llanos, Katherine Gilleran, Sina Y. Rabbany, Jason M. Butler
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Concise Communication

Endothelial transplantation rejuvenates aged hematopoietic stem cell function

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Abstract

Age-related changes in the hematopoietic compartment are primarily attributed to cell-intrinsic alterations in hematopoietic stem cells (HSCs); however, the contribution of the aged microenvironment has not been adequately evaluated. Understanding the role of the bone marrow (BM) microenvironment in supporting HSC function may prove to be beneficial in treating age-related functional hematopoietic decline. Here, we determined that aging of endothelial cells (ECs), a critical component of the BM microenvironment, was sufficient to drive hematopoietic aging phenotypes in young HSCs. We used an ex vivo hematopoietic stem and progenitor cell/EC (HSPC/EC) coculture system as well as in vivo EC infusions following myelosuppressive injury in mice to demonstrate that aged ECs impair the repopulating activity of young HSCs and impart a myeloid bias. Conversely, young ECs restored the repopulating capacity of aged HSCs but were unable to reverse the intrinsic myeloid bias. Infusion of young, HSC-supportive BM ECs enhanced hematopoietic recovery following myelosuppressive injury and restored endogenous HSC function in aged mice. Coinfusion of young ECs augmented aged HSC engraftment and enhanced overall survival in lethally irradiated mice by mitigating damage to the BM vascular microenvironment. These data lay the groundwork for the exploration of EC therapies that can serve as adjuvant modalities to enhance HSC engraftment and accelerate hematopoietic recovery in the elderly population following myelosuppressive regimens.

Authors

Michael G. Poulos, Pradeep Ramalingam, Michael C. Gutkin, Pierre Llanos, Katherine Gilleran, Sina Y. Rabbany, Jason M. Butler

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Figure 2

Characterization of cultured ECs from aged mice.

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Characterization of cultured ECs from aged mice.
(A) Representative phas...
(A) Representative phase-contrast and immunofluorescence images of cultured BM-derived ECs from young and aged mice. Scale bars: 200 μm (phase-contrast) and 50 μm (immunofluorescence). (B) Representative flow plots of cultured ECs stained for VECAD+CD31+ demonstrating highly purified EC populations. (C–E) AFM analysis of elasticity in cultured young and aged ECs showing an increase in aged EC stiffness. (C) Representative reconstructed images of EC monolayers. (D) Box plots of the median stiffness in cultured young and aged ECs (n = 3 biological replicates). (E) Normalized relative EC stiffness (n = 3 biological replicates). (F and G) Proliferation status of cultured young and aged ECs. (F) Representative histograms of Edu incorporation following cell-cycle synchronization. (G) Quantification of Edu incorporation demonstrating an early inhibition of cell-cycle entry into the S phase in aged ECs that was resolved by 24 hours (n = 3 biological replicates). (H) Quantification of SA β-gal activity in young and aged ECs (n = 3 biological replicates). (I and J) In vitro scratch wound-healing assay showing a functional delay in cell migration in aged ECs. (I) Representative phase-contrast images (dashed lines demarcate the initial scratch wound). Scale bar: 400 μm. (J) Quantification of EC wound healing (n = 3 biological replicates). (K) Normalized gene expression in cultured young and aged ECs (n = 3 biological replicates). *P < 0.05, **P < 0.01, and ***P < 0.001. Significance was determined using an unpaired, 2-tailed Student’s t test, with error bars representing the sample mean ± SEM. A nonparametric, 1-sided Wilcoxon rank-sum test was used to compare median endothelial stiffness in D. Data are presented as box plots, with whiskers representing an IQR of ± 1.5. Relative endothelial stiffness in E was normalized to young ECs and presented as a 95% CI.

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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