Nephrology Dialysis Transplantation,
Год журнала:
2023,
Номер
39(5), С. 752 - 760
Опубликована: Ноя. 15, 2023
ABSTRACT
Fibrotic
diseases
are
characterized
by
the
uncontrolled
accumulation
of
extracellular
matrix
(ECM)
components
leading
to
disruption
tissue
homeostasis.
Myofibroblasts
as
main
ECM-producing
cells
can
originate
from
various
differentiated
cell
types
after
injury.
Particularly,
process
endothelial-to-mesenchymal
transition
(endMT),
describing
phenotypic
shifts
endothelial
adopt
a
fully
mesenchymal
identity,
may
contribute
pool
myofibroblasts
in
fibrosis,
while
capillary
rarefaction
and
exacerbation
hypoxia.
In
renal
disease,
incomplete
recovery
acute
kidney
injury
(AKI)
ensuing
fibrotic
reaction
stand
out
major
contributors
chronic
disease
(CKD)
development.
While
focus
has
largely
been
on
impaired
tubular
epithelial
repair
potential
fibrosis-driving
mechanism,
alterations
microcirculation
post-AKI,
particular
endMT
maladaptive
response,
could
hold
equal
significance.
Dysfunctional
interplays
among
microenvironment
instigate
endMT.
Transforming
growth
factor
beta
(TGF-β)
signaling,
with
its
downstream
activation
canonical/Smad-mediated
non-canonical
pathways,
identified
primary
driver
this
process.
However,
non-TGF-β-mediated
pathways
involving
inflammatory
agents
metabolic
intercellular
communication
within
also
trigger
These
harmful,
cell–cell
interactions
signaling
offer
targets
for
therapeutic
intervention
impede
decelerate
fibrogenesis
such
AKI–CKD
progression.
Presently,
partial
reduction
TGF-β
using
anti-diabetic
drugs
or
statins
context.
Nevertheless,
further
investigation
is
warranted
validate
underlying
mechanisms
assess
positive
effects
clinical
framework.
Journal of Advanced Research,
Год журнала:
2025,
Номер
unknown
Опубликована: Янв. 1, 2025
The
modification
of
endothelial
cells
(ECs)
biological
function
under
pathogenic
conditions
leads
to
the
expression
mesenchymal
stromal
(MSCs)
markers,
defined
as
endothelial-to-mesenchymal
transition
(EndMT).
Invisible
in
onset
and
slow
progression,
atherosclerosis
(AS)
is
a
potential
contributor
various
atherosclerotic
cardiovascular
diseases
(ASCVD).
By
triggering
AS,
EndMT,
"initiator"
induces
progression
ASCVD
such
coronary
heart
disease
(CHD)
ischemic
cerebrovascular
(ICD),
with
serious
clinical
complications
myocardial
infarction
(MI)
stroke.
In-depth
research
pathomechanisms
EndMT
identification
targeted
therapeutic
strategies
hold
considerable
value
for
prevention
treatment
ASCVD-associated
delayed
EndMT.
Although
previous
studies
have
progressively
unraveled
complexity
its
pathogenicity
triggered
by
alterations
vascular
microenvironmental
factors,
systematic
descriptions
most
recent
roles
strategies,
their
future
directions
are
scarce.
Cell Communication and Signaling,
Год журнала:
2025,
Номер
23(1)
Опубликована: Янв. 9, 2025
Endothelial-mesenchymal
transition
(EndMT)
is
defined
as
an
important
process
of
cellular
differentiation
by
which
endothelial
cells
(ECs)
are
prone
to
lose
their
characteristics
and
transform
into
mesenchymal
cells.
During
EndMT,
reduced
expression
adhesion
molecules
disrupts
intercellular
adhesion,
triggering
cytoskeletal
reorganization
transition.
Numerous
studies
have
proved
that
EndMT
a
multifaceted
biological
event
driven
primarily
cytokines
such
TGF-β,
TNF-α,
IL-1β,
alongside
signaling
pathways
like
WNT,
Smad,
MEK-ERK,
Notch.
Nevertheless,
the
exact
roles
in
complicated
diseases
not
been
comprehensively
reviewed.
In
this
review,
we
summarize
predominant
molecular
regulatory
mechanisms
contribute
development
well
highlight
contributions
series
imperative
non-coding
RNAs
curbing
initiation
EndMT.
Furthermore,
discuss
significant
impact
on
worsening
vasculature-related
diseases,
including
cancer,
cardiovascular
atherosclerosis,
pulmonary
vascular
diabetes-associated
fibrotic
conditions,
cerebral
cavernous
malformation,
providing
implications
targeting
holds
promise
therapeutic
strategy
mitigate
disease
progression.
Frontiers in Pharmacology,
Год журнала:
2025,
Номер
16
Опубликована: Март 17, 2025
Cardiac
immune-related
adverse
events
(irAEs)
from
PD-1-targeting
immune
check-point
inhibitors
(ICIs)
are
an
increasing
concern
due
to
their
high
mortality
rate.
Collagen
plays
a
crucial
role
in
maintaining
cardiac
structure,
elasticity,
and
signal
transduction;
however,
the
effects
mechanisms
of
PD-1
inhibitor
on
collagen
remodeling
remain
poorly
understood.
C57BL/6
mice
were
injected
with
anti-mouse
antibody
create
inhibitor-treated
model.
function
was
measured
by
echocardiography,
distribution
analyzed
Masson's
trichrome
staining
Sirius
Red
staining.
Single-nucleus
RNA
sequencing
performed
examine
inhibition
gene
expression
fibroblasts
(CFs)
endothelial
cells
(ECs).
EC-CF
crosstalk
assessed
using
co-culture
experiments
ELISA.
ChIP
assay
analyze
regulation
TCF12
TGF-β1
promoter.
Western
blot,
qRT-PCR,
immunofluorescence
used
detect
TCF12,
TGF-β1,
endothelial-to-mesenchymal
transition
(EndMT)
markers.
Reactive
oxygen
species
(ROS)
levels
evaluated
DHE
staining,
MDA
content,
SOD
activity
assays.
We
report
newly
discovered
cardiotoxic
effect
inhibitor,
which
causes
aberrant
heart,
marked
decrease
interstitial
increase
perivascular
deposition.
Mechanistically,
does
not
directly
affect
CFs
but
instead
impact
them
through
crosstalk.
reduces
secretion
ECs
downregulating
we
identify
as
transcriptional
promoter
TGF-β1.
This
subsequently
decreases
CF
activity,
leading
reduced
Additionally,
induces
EndMT,
The
dysfunction
induced
results
ROS
accumulation
ECs.
Inhibiting
N-acetylcysteine
(NAC)
preserves
normal
reversing
downregulation
EndMT
Our
suggest
that
ECs,
imbalanced
(decrease
collagen)
heart
modulating
TCF12/TGF-β1-mediated
EndMT.
NAC
supplementation
could
be
effective
clinical
strategy
mitigate
inhibitor-induced
dysfunction.
International Journal of Molecular Sciences,
Год журнала:
2024,
Номер
25(11), С. 6180 - 6180
Опубликована: Июнь 4, 2024
Under
different
pathophysiological
conditions,
endothelial
cells
lose
phenotype
and
gain
mesenchymal
cell-like
via
a
process
known
as
endothelial-to-mesenchymal
transition
(EndMT).
At
the
molecular
level,
expression
of
cell-specific
markers
such
CD31/platelet-endothelial
cell
adhesion
molecule,
von
Willebrand
factor,
vascular-endothelial
cadherin
α-smooth
muscle
actin,
N-cadherin,
vimentin,
fibroblast
specific
protein-1,
collagens.
EndMT
is
induced
by
numerous
pathways
triggered
modulated
multiple
often
redundant
mechanisms
in
context-dependent
manner
depending
on
status
cell.
plays
an
essential
role
embryonic
development,
particularly
atrioventricular
valve
development;
however,
also
implicated
pathogenesis
several
genetically
determined
acquired
diseases,
including
malignant,
cardiovascular,
inflammatory,
fibrotic
disorders.
Among
cardiovascular
aberrant
reported
atherosclerosis,
pulmonary
hypertension,
valvular
disease,
fibroelastosis,
cardiac
fibrosis.
Accordingly,
understanding
behind
cause
and/or
effect
to
eventually
target
appears
be
promising
strategy
for
treating
EndMT-associated
diseases.
However,
this
approach
limited
lack
precise
functional
pathways,
causes
effects,
robust
animal
models
human
data
about
Here,
we
review
various
Abstract
Endothelial
cells
(ECs)
that
line
blood
vessels
act
as
gatekeepers
and
shape
the
metabolic
environment
of
every
organ
system.
In
normal
conditions,
endothelial
are
relatively
quiescent
with
organ-specific
expression
signatures
profiles.
cancer,
ECs
metabolically
reprogrammed
to
promote
formation
new
fuel
tumor
growth
metastasis.
addition
EC’s
role
on
cells,
tortuous
vasculature
contributes
an
immunosuppressive
by
limiting
T
lymphocyte
infiltration
activity
while
also
promoting
recruitment
other
accessory
pro-angiogenic
immune
cells.
These
elements
aid
in
metastatic
spreading
cancer
contribute
therapeutic
resistance.
The
concept
restoring
a
more
stabilized
concert
immunotherapy
is
emerging
potential
approach
overcoming
barriers
treatment.
This
review
summarizes
metabolism
their
regulation
nutrient
uptake
delivery,
impact
shaping
microenvironment
anti-tumor
immunity.
We
highlight
approaches
target
harness
response.
Appreciating
integration
state
levels
crosstalk
among
TME
may
provide
avenues
for
intervention.