A Unique Collateral Artery Development Program Promotes Neonatal Heart Regeneration

Soumyashree Das, Andrew B. Goldstone, Hanjay Wang, Justin Farry, Gaetano D'Amato, Michael J. Paulsen, Anahita Eskandari, Camille E. Hironaka, Ragini Phansalkar, Bikram Sharma, Siyeon Rhee, Elya Ali Shamskhou, Dritan Agalliu, Vinicio de Jesus Perez, Y. Joseph Woo, Kristy Red-Horse

Research output: Contribution to journalArticlepeer-review

162 Scopus citations

Abstract

Collateral arteries are an uncommon vessel subtype that can provide alternate blood flow to preserve tissue following vascular occlusion. Some patients with heart disease develop collateral coronary arteries, and this correlates with increased survival. However, it is not known how these collaterals develop or how to stimulate them. We demonstrate that neonatal mouse hearts use a novel mechanism to build collateral arteries in response to injury. Arterial endothelial cells (ECs) migrated away from arteries along existing capillaries and reassembled into collateral arteries, which we termed “artery reassembly”. Artery ECs expressed CXCR4, and following injury, capillary ECs induced its ligand, CXCL12. CXCL12 or CXCR4 deletion impaired collateral artery formation and neonatal heart regeneration. Artery reassembly was nearly absent in adults but was induced by exogenous CXCL12. Thus, understanding neonatal regenerative mechanisms can identify pathways that restore these processes in adults and identify potentially translatable therapeutic strategies for ischemic heart disease. A neonatal regenerative pathway involving migration of arterial endothelial cells to build collateral arteries that can provide blood flow under conditions of infarction or vascular occlusion has the potential to be harnessed for adult ischemic heart disease.

Original languageEnglish
Pages (from-to)1128-1142.e18
JournalCell
Volume176
Issue number5
DOIs
StatePublished - 21 Feb 2019
Externally publishedYes

Keywords

  • CXCL12
  • arterialization
  • arteriogenesis
  • collateral arteries
  • endothelial cells
  • heart regeneration
  • myocardial infarction

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