Heterogeneous susceptibility of valve endothelial cells to mesenchymal transformation in response to TNFα

Ann Biomed Eng. 2014 Jan;42(1):149-61. doi: 10.1007/s10439-013-0894-3. Epub 2013 Aug 27.

Abstract

Lack of understanding of the early mechanisms of aortic valve stenosis and calcification hinders the development of diagnostic and therapeutic intervention strategies. Inflammation is a known component of early aortic valve disease and can induce mesenchymal transformation in a subset of aortic valve endothelial cells. Here we present a three-dimensional culture system that allows transforming and non-transforming cells to be independently isolated and analyzed. We have used the system to identify and characterize the dynamic invasion and phenotypic transition of two distinct subsets of endothelial cells: those that invade and transform under TNFα treatment, and those that resist mesenchymal transformation and remain endothelial. We determine that non-transformed cells maintain control levels of endothelial genes VE-cadherin and eNOS, while transformed cells lose these endothelial characteristics and upregulate α-smooth muscle actin. Both subsets of cells have an inflammatory phenotype marked by increased ICAM-1, but transformed cells have increased MMP-9, Notch1, TGF-β, and BMP-4, while non-transformed cells do not. Transformed cells also have distinct effects on alignment of collagen fibers as they invade the hydrogel system, which is not found in control endothelial or interstitial valve cells. Understanding the role of transforming and non-transforming endothelial cells in valve disease will provide an important pathological link between early inflammation and later stages of disease. Discovery of the molecular signature of transformation-resistant endothelial cells could inform development of treatment strategies that promote survival of the valve endothelium.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Animals
  • Antigens, CD / biosynthesis
  • Aortic Valve / metabolism*
  • Aortic Valve / pathology
  • Cadherins / biosynthesis
  • Cell Transdifferentiation / drug effects*
  • Cells, Cultured
  • Endothelial Cells / metabolism*
  • Endothelial Cells / pathology
  • Gene Expression Regulation / drug effects
  • Humans
  • Intercellular Adhesion Molecule-1 / biosynthesis
  • Matrix Metalloproteinase 9 / biosynthesis
  • Receptor, Notch1 / biosynthesis
  • Swine
  • Transforming Growth Factor beta / biosynthesis
  • Tumor Necrosis Factor-alpha / metabolism
  • Tumor Necrosis Factor-alpha / pharmacology*

Substances

  • Antigens, CD
  • Cadherins
  • Receptor, Notch1
  • Transforming Growth Factor beta
  • Tumor Necrosis Factor-alpha
  • cadherin 5
  • Intercellular Adhesion Molecule-1
  • Matrix Metalloproteinase 9