BMP4/Id2 signaling pathway is a novel therapeutic target for late outgrowth endothelial progenitor cell-mediated endothelial injury repair

Int J Cardiol. 2017 Feb 1:228:796-804. doi: 10.1016/j.ijcard.2016.11.027. Epub 2016 Nov 9.

Abstract

Background: Endothelial progenitor cells (EPCs) play a pivotal role in endothelial repair following artery injury, however, the molecular mechanism of late outgrowth EPCs (LEPCs) in endothelial repair remained to be studied. Bone morphogenetic protein 4 (BMP4) is involved in vascular injury-mediated mobilization and homing of LEPCs. Here, we investigated the influence of BMP4-modified signaling pathway in LEPC-related endothelial repair of human and underlying molecular mechanism.

Methods and results: In vitro, after a 28day culture, human LEPCs were pretreated with different concentrations of recombinant BMP4 (0, 10, 50, or 100ng/mL), which markedly augmented the migration and adhesion in vitro and demonstrated a significantly accelerated in vivo endothelial repair capacity of human LEPCs after transplantation into nude mice with carotid artery denudation injury. Moreover, the main Id gene (Id2), a well-characterized down-streaming target of BMP4, upregulated in LEPCs incubated with recombinant BMP4. The BMP4-induced enhancement in in vitro functional activities and in vivo endothelial repair capacity of human LEPCs were abolished by pretreatment with BMP antagonist Noggin or shRNA-mediated knockdown of BMP4 expression. Furthermore, BMP4 gene transfer remarkably activated BMP4-mediated signaling pathway and facilitated therapeutic endothelial repair capacity of LEPCs, and the improved functional activities of human LEPCs could be inhibited by Noggin.

Conclusion: Thus, the present study demonstrates for the first time that BMP4-related signaling pathway is essential with endothelial repair capacity of LEPCs in human. The upregulation of BMP4-modified signaling pathway in human LEPCs may be a novel therapeutic strategy for endothelial repair after injury.

Keywords: Bone morphogenetic protein 4; Cell therapy; Endothelial injury; Endothelial repair; Late outgrowth endothelial progenitor cells.

MeSH terms

  • Adult
  • Animals
  • Bone Morphogenetic Protein 4 / physiology*
  • Carotid Artery Injuries / pathology
  • Carotid Artery Injuries / physiopathology*
  • Cell Adhesion
  • Cell Movement
  • Disease Models, Animal
  • Endothelial Progenitor Cells / physiology*
  • Female
  • Humans
  • Inhibitor of Differentiation Protein 2 / physiology*
  • Male
  • Mice
  • Mice, Nude
  • Signal Transduction / physiology*
  • Wound Healing / physiology
  • Young Adult

Substances

  • Bone Morphogenetic Protein 4
  • Inhibitor of Differentiation Protein 2