Abstract
Pericytes are critical for microvascular stability and maintenance, among other important physiological functions, yet their involvement in vessel formation processes remains poorly understood. To gain insight into pericyte behaviors during vascular remodeling, we developed two complementary tissue explant models utilizing ‘double reporter’ animals with fluorescently-labeled pericytes and endothelial cells (via Ng2:DsRed and Flk-1:eGFP genes, respectively). Time-lapse confocal imaging of active vessel remodeling within adult connective tissues and embryonic skin revealed a subset of pericytes detaching and migrating away from the vessel wall. Vessel-associated pericytes displayed rapid filopodial sampling near sprouting endothelial cells that emerged from parent vessels to form nascent branches. Pericytes near angiogenic sprouts were also more migratory, initiating persistent and directional movement along newly forming vessels. Pericyte cell divisions coincided more frequently with elongating endothelial sprouts, rather than sprout initiation sites, an observation confirmed with in vivo data from the developing mouse brain. Taken together, these data suggest that (i) pericyte detachment from the vessel wall may represent an important physiological process to enhance endothelial cell plasticity during vascular remodeling, and (ii) pericyte migration and proliferation are highly synchronized with endothelial cell behaviors during the coordinated expansion of a vascular network.
Keywords: pericyte, endothelial cell, angiogenesis, cell migration, proliferation, time-lapse imaging
Insight Box
In the current work, we harnessed the power of time-lapse imaging to capture the dynamic crosstalk between endothelial cells and pericytes during key phases of blood-vessel formation. Complementary adult and embryonic tissue explant models harboring reporters for each cell type revealed distinct yet integrated cellular behaviors during vascular remodeling. Within angiogenic vascular networks, a subset of pericytes detached from the vessel wall and migrated into the interstitial space in a phase of ‘pericyte shedding’ that may be functionally relevant during vessel remodeling in physiological and pathological settings. Pericyte migration and proliferation were also tightly coordinated with the behaviors of adjacent endothelial cells, highlighting the need to consider the contributions of both cell types in angiogenesis models.
INTRODUCTION
Angiogenic sprouting yields new blood vessels from pre-existing microvasculature. This multistage process involves collective endothelial cell migration [1, 2] orchestrated by dynamic cellular and molecular interactions across organ systems throughout development [3]. Endothelial cells receive and integrate proangiogenic cues from their local environment, coordinating the outward migration of an endothelial ‘tip’ cell with the expansion of adjacent ‘stalk’ cells that maintain the growth of the nascent vessel branch [4–7]. Although the tightly regulated, homotypic interactions among endothelial cells are known to be critical for successful angiogenic remodeling [8], the heterotypic interactions between endothelial cells and microvascular pericytes during angiogenesis are still being resolved at a more fundamental level. Pericytes stabilize quiescent microvasculature [9–11], among other critical functions [12], but during angiogenesis these specialized vascular cells can extend their coverage to the base of filopodia extending from endothelial tip cells [13, 14]. This close apposition to sprouting endothelial cells suggests that pericytes may be more prominently and uniquely involved in the different stages of angiogenic remodeling than previously appreciated.
For existing microvessels to begin remodeling, especially in adult tissues, the vessel wall must undergo a phase of coordinated disassembly [15–17], conveying a level of plasticity to endothelial cells in their response to angiogenic cues. Pericyte disengagement from the capillary wall is therefore likely to be an important and necessary component of this initial vessel deconstruction, as it facilitates the emergence of a sprouting endothelial cell [18]. However, similar to many angiogenic mechanisms [19], this process must be kept within a narrow physiological range. Misregulated and excessive pericyte divestment may ultimately become a contributing factor to disease pathogenesis. In proliferative diabetic retinopathy, for example, pericyte ‘dropout’ is a key clinical feature for disease progression [20]. Pericyte detachment has also been observed in fibrotic pathologies, most notably in the lungs and kidneys where detached pericytes are believed to exacerbate tissue fibrosis along with, or perhaps acting as, interstitial fibroblasts [21, 22]. Thus, although pericytes migrate away from the vessel wall in certain clinical disorders, this behavior might also constitute an important early phase of angiogenic remodeling, allowing adjacent endothelial cells to initiate sprouting from a parent vessel.
Preceding their divestment from the capillary wall, pericytes must dissolve the specialized extracellular matrix (ECM) surrounding themselves and the endothelium, often referred to as the vascular basement membrane (vBM). Pericytes are known to secrete matrix metalloproteinases (MMPs) such as MMP2, MMP3 and MMP9 during physiological angiogenesis as well as in certain pathological scenarios [16, 23–26]. Being embedded in the vBM of a quiescent microvascular network does not permit a high level of pericyte migration under homeostatic conditions. Pericytes are therefore assumed to be largely stationary and nonmigratory unless stimulated. Consistent with this idea is the observation that cellular extensions from adjacent pericytes, and not the pericyte somas themselves, reinvest and cover a region of the microvessel wall following pericyte ablation by high-power laser radiation [27]. Thus, it appears that pericyte migration along the capillary wall occurs primarily in the context of active angiogenesis and vessel remodeling [28–32], and less so along quiescent vascular networks that lose pericyte coverage in the absence of angiogenic stimulation. Additional studies will be necessary, though, to better understand pericyte migration dynamics across a range of physiological and pathological scenarios.
In addition to migrating along the microvasculature, pericytes can also divide and proliferate to expand their coverage of blood vessels where necessary. Certain chronic illnesses such as proliferative diabetic retinopathy and Alzheimer’s Disease have been suggested to involve a large component of pericyte loss from the vessel wall [20, 33–35]. In these settings, it might be advantageous to therapeutically target pericyte proliferation and migration as a means to restore their coverage and stabilization of vulnerable capillary networks. Targeted delivery of growth factors such as platelet-derived growth factor-BB (PDGF-BB), fibroblast growth factor-2, and/or heparin-binding epidermal growth factor-like growth factor (HB-EGF) may be able to drive pericyte proliferation [36]. However, pericytes may require multiple cues to initiate cell division (e.g. expanding angiogenic networks), as pericyte ablation experiments in the mouse brain suggest that pericytes do not divide to replace lost pericytes but simply extend cellular processes to re-establish vessel coverage [27]. Therefore, it is critical to continue developing cutting-edge models [28, 30, 37] and tools [27, 29] to further our understanding of the dynamic interactions between pericytes and the endothelium during vessel remodeling and homeostasis, especially with a focus on pericyte migration dynamics and proliferation. Visualization of pericyte behaviors along remodeling microvascular networks will provide new information for understanding the timing, location and activities of pericytes throughout the capillary formation process and guide future investigation of their importance.
In the current study, we utilized two complementary tissue explant models wherein we could observe dynamic vessel remodeling and associated pericyte behaviors. Specifically, we generated ‘double reporter’ animals in which pericytes were labeled by Ng2:DsRed expression and endothelial cells expressed a Flk-1:eGFP reporter gene. To avoid the complication of interpreting the presence of NG2+ oligodendrocyte precursors (OPCs) [38], we selected tissues containing a low to negligible number of these cells. We used time-lapse confocal imaging to examine ex vivo (i) adult mesenteric and mesometrium connective tissue undergoing vessel remodeling following exogenous stimulation [37, 39], and (ii) embryonic skin in which new vasculature formed from endogenous genetic and molecular regulation [31]. In both adult and embryonic vascular remodeling settings, we found that a subset of pericytes actively disengaged from the vessel wall. Pericytes adjacent to endothelial sprout initiation sites exhibited a higher rate of filopodial sampling as compared to pericytes at other locations throughout the vascular networks. Similarly, pericytes adjacent to sprouting endothelial cells were more likely to initiate a persistent and directional migration along newly forming vessels. Pericyte proliferation was also more frequent with respect to distinct locations within the remodeling microvasculature, specifically coinciding with elongating endothelial sprouts, which was further supported by in vivo observations. Overall, these data demonstrate that pericyte shedding, migration and proliferation are highly integrated with endothelial cell behaviors within actively remodeling capillary beds. Pericyte divestment from the microvessel wall may occur as a necessary physiological process to promote structural plasticity and subsequent outward endothelial cell migration, highlighting a potentially new avenue for further investigation of multicellular remodeling during angiogenic sprouting. These results also highlight that pericytes along capillaries are likely not all phenotypically the same, and their function might depend on their location or subtype. Perhaps more importantly, our findings—made possible by novel time-lapse visualization of pericyte dynamics—motivate new questions related to pericyte cell fate and relationships with interstitial cell types.
MATERIALS AND METHODS
Animal husbandry and genetics
All animal experiments were conducted with review and approval from the Virginia Tech and University of Florida IACUC. All protocols were reviewed and approved by VT and UF IACUC boards. The Virginia Tech NIH/PHS Animal Welfare Assurance Number is A-32081-01 (expires 31 July 2021). Mice expressing enhanced GFP (eGFP) under control of the Flk-1 (Vascular Endothelial Growth Factor Receptor-2) promoter (i.e. Flk-1:eGFP mice) [Kdrtm2.1Jrt/J, #017006, The Jackson Laboratory] were set up in timed mating with females expressing the red fluorescent protein variant (DsRed.T1) under control of the mouse NG2 (Ng2/Cspg4) promoter/enhancer (i.e. Ng2:DsRed mice) [NG2DsRedBAC or Tg(Cspg4-DsRed.T1)1Akik/J, #008241, The Jackson Laboratory] to create ‘double reporter’ mouse progeny.
Adult mesenteric and mesometrium tissue explant
The oil stimulation protocol to induce vascularization of the mesenteric connective tissue followed previously established methods reported in Suarez-Martinez et al. Microcirc 2018 [37]. Briefly, adult, female Flk-1:eGFP; Ng2:DsRed and Ng2:DsRed only mice received a single intraperitoneal (IP) injection of 0.1 ml of sterile sunflower oil for five consecutive days. Mesentery tissues from the ‘double reporter’ mice and mesometrium tissues from Ng2:DsRed only mice were harvested 21 or 26 days after the last oil injection, as previously described [37, 39]. Excised tissues were spread on cell-crown inserts with membranes and inverted into 6-well plates with 4 ml of minimum essential medium (Gibco) + 1% penicillin–streptomycin +20% fetal bovine serum (FBS) (see Supplemental Fig. 1). Tissues were incubated under normal culture conditions (37°C, 5% CO2, humidity) for 5 days, and media was changed every 24 hours.
Embryonic dorsal skin explant
Following mating with double-reporter Flk-1:eGFP; Ng2:DsRed males, pregnant c57BL/6 female mice were sacrificed at 14.5 days postcoitum or embryonic day 14.5 (E14.5) by CO2 inhalation and cervical dislocation. An abdominal incision was made at the midline, and the intestines were moved toward the upper abdomen, exposing the uterus. The uterus was dissected and rinsed in a dish containing cold phosphate buffer saline (PBS). The uterine membrane was dissociated to extract the embryos. Embryos were placed into a separate dish of cold dissection media containing DMEM-H + 5% antibiotic/antimycotic (Gibco) to visually genotype via fluorescence under a dissection microscope. Embryos positive for both Ng2-DsRed (i.e. pericyte signal) and Flk1-eGFP (i.e. endothelial cell signal) were selected for further microdissection to isolate dorsal skin, again tissue lacking NG2+ OPCs/glia [38]. Embryos were transferred to 35-mm dish with cold dissection media. Dorsal skin was cut along the midline, down the spine to the base of the tail. The skin flap extended outward to the hindlimbs and back around the top of the head. Small forceps placed underneath the dermal tissue were cyclically opened and closed to incrementally dissociate the dermis from the embryo proper while avoiding damaging the sample. Dermal tissues were placed in single wells of a glass-bottom 6-well plate (in-house fabrication) and embedded in a fibrin matrix [40] with the hypodermis (subcutaneous layer) facing the glass. Embryonic skin cultures were allowed to equilibrate for 10 minutes at room temperature, then 20 minutes in a cell culture incubator. Basic culture media (DMEM-H + 10% FBS +5% antibiotic–antimycotic) was added at 3 ml per well.
Live imaging of ex vivo angiogenesis in adult mesentery/mesometrium and embryonic skin
Adult mesentery and embryonic tissue culture plates were transferred to an incubation chamber (37°C, 5% CO2, humidity controlled) mounted on a Zeiss LSM880 confocal microscope (Carl Zeiss, Thornwood, NY, USA) for live imaging [31]. Multiposition, time-lapse confocal scans were acquired through each sample thickness (z-stacks: 6–15 images with 1–2 microns between planes) at 20–25 minute intervals for a minimum of 12 hours using a 20× objective. Through-thickness z-stacks at each time point were compressed (maximum intensity projections) and exported as a video file (TIF stack or AVI) in RGB channel format. Representative movie sequences shown are from nonconsecutive images.
Adult mesometrium tissue culture plates were also transferred to an incubation chamber (37°C, 5% CO2, humidity controlled) mounted on a Nikon Eclipse Ti2 inverted fluorescent microscope (Nikon, Melville, NY, USA) for live imaging. Time-lapse imaging of NG2+ cells at certain locations was acquired for 144 hours using a 10× objective. On Day 0, images were taken every 12 hours, Day 1–3 images were taken every 2 hours, and Day 4 and 5 images were taken every 4 hours. Images were compiled into a TIF stack using ImageJ and then converted into an AVI file to create the movies.
Quantitative movie analysis—adult mesometrium
Live imaging analysis of adult mesometrium vessel formation included tracking movements of individual NG2+ cells from Ng2:DsRed only mice to identify distinct cell behaviors. Four unique dynamics emerged: (i) NG2+ pericytes migrating from vessel networks into the interstitial space, (ii) NG2+ cells migrating from the interstitial space onto microvessels, (iii) NG2+ pericytes that migrated from one location within the microvasculature to another part of the network and (iv) NG2+ pericytes along microvessels that were stationary, exhibiting no movement. Each movie was analyzed multiple times to track individual NG2+ cells that moved within the tissue, assigning it to one of the four categories described above. The number of cells that clearly exhibited one of the four behaviors was quantified for each movie (n = 4 movies of mesometrium tissues from two different animals). A subset of NG2+ cells were excluded from quantification due temporal gaps in imaging, cell movement beyond the region-of-interest, and loss of distinct signal, among other minor technical issues.
Quantitative movie analysis—embryonic skin
Movies of ex vivo blood-vessel development in E14.5 dorsal skin explants were first analyzed using FIJI/ImageJ for endogenous pericyte distribution along the vasculature (n = 4 movies of embryonic dorsal skin explants from four different animals). Initial pericyte distribution was established by identifying NG2+ cells on microvessels at the following morphological locations: (i) established vessel lengths, (ii) extended endothelial sprouts, (iii) at a vessel branch point and (iv) at the base of sprouting endothelial cell (see Supplemental Fig. 1). The percent of pericytes at each location was calculated as the number of pericytes at a given locale over the total number of discernable pericytes within the region of vasculature imaged. Vessel-remodeling activity was observed over the entire imaging time-course. From these temporal data and vessel morphology, distinct network regions were classified into subtypes of remodeling activity, as done previously [1, 41], specifically: (i) endothelial sprout initiation, (ii) sprout elongation, (iii) vessel connection/anastomosis, (iv) branch point collapse, (v) vessel diameter expansion and (vi) minimal vessel remodeling. All movies were also analyzed for the four behaviors observed in the adult mesometrium tissues as described above.
Pericyte filopodial extensions were analyzed with respect to these specific vessel-remodeling behaviors. Filopodial ‘sampling’ activity was classified as either ‘High’ (3+ distinct filopodia) or ‘Minimal’ (0–2 filopodia). Pericytes were quantified relative to each vessel-remodeling activity and categorized based on filopodial extensions, yielding a percentage of NG2+ pericytes as highly or minimally active in filopodial sampling. Similarly, NG2+ pericyte migration was classified as ‘Highly Migratory’ or ‘Minimally Migratory’ based on the total distance traveled, and each pericyte was assigned a location based on nearby vessel-remodeling activity. Pericyte migration was further classified as being highly or minimally directional, i.e. migration in a persistent direction (e.g. along a sprouting vessel) vs. movement lacking sustained directionality. NG2+ pericyte proliferation was also analyzed with respect to vessel remodeling behaviors, yielding percentages of dividing cells in relation to these activities.
Immunostaining, imaging and analysis—postnatal mouse brain vasculature
Wild-type postnatal Day 1 (P1) mice were euthanized by isoflurane overexposure, in accordance with IACUC guidelines. Following a secondary method of euthanasia, animals were perfusion fixed with 4% paraformaldehyde (PFA) via intracardiac infusion (5 ml). The brain was dissected from the skull and immersion fixed in 4% PFA overnight at 4°C. Fixed WT P1 brains were washed in PBS, and prepared for slicing by vibratome. Slices of 100–200 μm in thickness were obtained, placed in single wells of a 24-well plate for antibody immunostaining. Samples were incubated for 30 minutes at room temperature in PBS + 0.1% Triton-X (PBS-T) + 5% normal donkey serum. Primary antibodies were diluted in PBS-T and incubated with slices overnight at 4°C with slight agitation. Secondary antibodies in PBS-T were incubated at room temperature for 1–3 hours with slight agitation. PBS washes (three times for 10 minutes each) occurred in between each step. Primary and secondary antibody combinations included: (i) goat antimouse platelet–endothelial cell adhesion molecule-1 (PECAM-1/CD31, R&D Systems) + donkey antigoat Alexa Fluor® 488 (Jackson ImmunoResearch), (ii) rat antimouse PDGF receptor-β (PDGFRβ/CD140b, clone APB5, ThermoFisher Scientific) + donkey antirat DyLight® 550 (cross-adsorbed, Invitrogen) and (iii) Alexa Fluor® 647 rabbit antimouse phospho-histone H3 (Ser10, clone D2C8, cell signaling). DAPI (4,6-diamidino-2-phenylindole) was applied at 1:1000 for 30 minutes at room temperature to label cell nuclei. Through-thickness images (z-stacks) were acquired on a Zeiss LSM880 confocal microscope, and compressed using FIJI/ImageJ software. Pericytes positive for PDGFRβ and PH3 (n = 18 within seven brain slices acquired from two different WT c57BL/6 P1 mice) were scored for their position along vessels based on hallmarks of vessel-remodeling activity (i.e. filopodia for sprouting endothelial tip cells, etc.), vessel diameter expansion, or the lack of obvious endothelial cell rearrangement (i.e. seemingly quiescent).
Statistical analysis
Using GraphPad Prism 8 software, statistical analysis was applied as appropriate. For adult mesometrium data, a one-way Analysis of Variance (ANOVA) test followed by Tukey’s multiple comparisons test was used to analyze the differences between the four dynamics; statistical significance was achieved when P < 0.05. Pericyte distribution measurements, pericyte filopodial sampling and migration, and pericyte proliferation percentages from live imaging observations and from immunostained brain slices were compared by chi-square analysis; statistical significance was achieved when P < 0.05.
RESULTS
Pericytes divest from adult and embryonic capillaries during angiogenic remodeling
Pericytes have often been characterized as ‘bumps-on-a-log’ [12, 42], suggesting a predilection for associating with capillary segments, though pericytes localizing predominantly to microvessel branch points has also been described [33]. As a singular protein marker for pericytes remains elusive, a combinatorial approach of marker expression and phenotypic characteristics, including morphology and proximity to the endothelium, is required for identification [12, 43]. In this study, we used the pericyte marker Ng2/Cspg4 to drive DsRed fluorescence, which can also be expressed by OPCs [38] and possibly macrophages [44, 45]. To support the identity of Ng2:DsRed + cells as pericytes, we selected a tissue (skin) in which OPCs are sparse if not altogether absent. Additionally, we labeled embryonic skin of Ng2:DsRed E14.5 mice with an endothelial cell marker (PECAM-1/CD31) and a macrophage marker (F4/80), finding little to no overlap between the Ng2:DsRed and F4/80 signals (Supplemental Fig. 1). Therefore, we began our analysis by establishing a baseline distribution of pericytes throughout vascular networks in embryonic skin before the observed time-course of vascular remodeling. Although there was a slight increase in the percentage of Ng2:DsRed + cells at vessel branch points, pericytes were mostly distributed evenly across vessel lengths and branch points, along extended endothelial cell sprouts, and at the base of sprouting vessels (Supplemental Fig. 2). Establishing pericyte distribution throughout the network was important for subsequent interpretation of pericyte activity, as their initial location within the microvasculature may correlate to their dynamics during vessel remodeling. For example, finding a higher density of pericytes at a specific location might suggest an increase in particular actions such as dividing or migrating.
To address the frequency of distinct pericyte behaviors, we began by assessing pericyte movements within the adult mesenteric and mesometrium vascular networks as well as in the embryonic dorsal skin vasculature. We hypothesized that a large wave of pericyte detachment might occur during the initial stages of vascular remodeling to allow greater endothelial cell plasticity in sprouting and outward migration [15–17]. We found that, from both adult and embryonic capillaries, pericyte divestment occurred, seemingly as a phase of ‘pericyte shedding’ (Fig. 1 and Supplemental Movies 1 and 2); however, more studies will be necessary to determine if this phenomenon directly facilitates angiogenic remodeling or occurs for other purposes. Nevertheless, the majority of pericytes in the mesometrium (~70%) and embryonic skin (~80%) remained on microvessels (Fig. 1B and D). This observation is consistent with the well-established role of pericytes in maintaining vessel stability [9–11]. Embryonic pericytes also remained in relatively fixed positions unless an angiogenic event occurred in close proximity. While pericytes migrating into the interstitial space were tracked for the duration of each live imaging session, we were unable to assign any new discrete cell behaviors that might suggest a new physiologic role. Consequently, our observations of pericyte shedding introduce new and intriguing questions regarding (i) mechanisms that drive detachment at specific locations, (ii) cell population distinctions and (iii) the ultimate cell fate for disengaged pericytes migrating into the interstitium [22, 46, 47], among others, all of which warrant further investigation.
Although the angiogenic activity was relatively comparable between the adult and embryonic tissue explant models, the rate of structural remodeling was generally higher in the embryonic tissue; we therefore focused the remainder of the study on the embryonic dorsal skin explant model for experimental tractability. We also concentrated the remainder of our analysis on the subpopulation of pericytes that remained physically associated with the vasculature.
Pericyte filopodial sampling and migration activity increase near endothelial sprout initiation sites
Berthiaume et al. recently observed pericytes extending cellular processes akin to filopodia to re-establish coverage of brain microvessels from which a pericyte had been removed by laser ablation [27]. The authors did not observe the migration of adjacent pericytes into these regions, suggesting the presence of a cue sufficient to stimulate filopodial extension but not to induce cell migration. Within an actively remodeling vascular network, it is plausible that pericyte filopodial ‘sampling’ of their local microenvironment would dramatically increase in response to the regional abundance of proangiogenic cues, such as those generated at the angiogenic sprouting front [6]. Interestingly, quantification of live confocal imaging in our embryonic skin explant model we found that pericytes adjacent to endothelial cells undergoing sprout initiation as ‘tip’ cells [4–7] were more likely to exhibit a high level of filopodial extension and retraction i.e. sampling (Fig. 2 and Supplemental Movie 3). These observations are consistent with data suggesting high secretion levels of pericyte-recruiting factor, PDGF-BB [48], from endothelial tip cells during the onset of angiogenesis [6, 48, 49], although additional studies are needed to establish the underlying molecular mechanisms. In contrast, pericytes in other regions of the vasculature, particularly on elongating vessel sprouts, displayed very little filopodia activity (Fig. 2 and Supplemental Movie 3).
We complemented our analysis of pericyte filopodia dynamics with quantification of directional pericyte migration along microvessels. We reasoned that perhaps the lower levels of pericyte filopodia sampling on elongating sprouts was due, in part, to a shift toward a more migratory phenotype for pericytes near sprouting endothelial cells. We found that pericytes were not uniformly migratory within the vasculature, as pericytes were not highly migratory on relatively quiescent vessels or on vessels experiencing diameter expansion or branch point collapse [1] (Fig. 3 and Supplemental Movie 4). Pericytes were notably more migratory on vessels undergoing sprout initiation, elongation and connection, with pericytes adjacent to sprout initiations showing a significant increase in migratory behavior. In addition, pericytes near sprout initiation sites were significantly more directional in their migration, that is, they persisted in a uniform direction more often (largely in the direction of a lengthening sprout) (Fig. 3 and Supplemental Movie 4). Highly migratory pericytes on elongating and connecting sprouts displayed less directional migration, as their movements were seemingly more randomized and not sustained in a particular direction. Thus, chemotactic cues from sprouting endothelial cells seem to induce a phenotypic transition for pericytes to shift from being largely stationary to more migratory. This transition appears to entail an initial phase of active filopodial sampling and then a subsequent progression to directional migration to maintain pericyte coverage of nascent vessel sprouts.
Pericyte divisions occur predominantly along elongating angiogenic sprouts
Sprouting endothelial cells secrete high levels of PDGF-BB [6, 48, 49], which is a potent mitogen for microvascular pericytes [49, 50]. We hypothesized that, given the increase in filopodial and migratory activity of pericytes near endothelial sprout initiation sites, pericyte proliferation would also be more frequent at these locations. Although Ng2:DsRed + pericytes divided at sprout initiations sites and at connection points with a moderate level of frequency, the majority of pericyte divisions occurred adjacent to elongating endothelial cell sprouts (Fig. 4 and Supplemental Movie 5). In several cases, multiple pericyte divisions were observed along the same sprout. However, the mechanisms driving these phenomena remain unclear, with possibilities including, but not limited to, PDGF-BB signaling [48], morphological geometry [51, 52], mechanical environment [53], and ECM substrate [54].
To further support these live imaging data, we collected tissues undergoing substantial vascular growth and development in the early postnatal stages, specifically from the P1 mouse brain. We targeted our analysis to a region containing rapidly proliferating glial and neuronal precursors [9, 25], which creates hypoxic conditions that fuel robust angiogenic growth including pericyte proliferation. This area is located approximately within the caudothalamic groove, residing posterior to the intraventricular foramen, in the floor of the lateral ventricle. Brain slices were immunolabeled for mitotic cells with an antibody against phospho-histone H3 (PH3) [55, 56] and costained for endothelial cells (i.e. platelet–endothelial cell adhesion molecule-1, PECAM-1/CD31) and pericytes (i.e. PDGF Receptor-β, PDGFRβ/CD140b). Confocal imaging and quantitative analysis of these in vivo preparations corroborated the dynamic imaging of pericyte divisions ex vivo, providing evidence of mitotic pericytes within actively angiogenic regions, particularly on elongating endothelial cell sprouts (Fig. 5). Observations from both experimental approaches support the idea that endothelial sprouts extending from a parent vessel provide a more favorable, though not exclusive, configuration for promoting pericyte proliferation in developing vascular networks.
DISCUSSION
Pericytes play key roles in stabilizing the microcirculation following vessel remodeling [9–11], in addition to other essential functions [12]. Their proximity to endothelial cells during angiogenesis [13, 14] suggests an important crosstalk between these two cell types at various stages in this process. As insight into the cellular and molecular mechanisms coordinating their interactions continues to grow, it appears increasingly likely that phenotypically distinct subpopulations of pericytes exist during capillary sprouting [57–60]. In this study, we applied live imaging approaches to adult and embryonic tissue explant models of angiogenic remodeling, facilitating classification of endothelial cells and pericytes engaged in distinct cellular behaviors (Fig. 6). Consistent with previous observations from a variety of models [20–22], we observed numerous instances of pericyte detachment from the microvessel wall. Although further investigation is needed, it is possible that this phase of ‘pericyte shedding’ enables disassembly of the vessel wall to allow greater plasticity for endothelial cell remodeling including angiogenic sprouting [15–17]. Vessel-associated pericytes adjacent to endothelial cells initiating new vessel sprouts demonstrated a high level of filopodial sampling of their local microenvironment as well as increased directional migration, largely along angiogenic sprouts. Further evidence of tight synchronization between endothelial cell and pericyte behaviors was found in the elevated frequency of pericyte divisions on elongating endothelial cell sprouts. Thus, similar to the phenotypic diversity of endothelial subtypes observed during angiogenesis (i.e. tip vs. stalk vs. phalanx cells) [2, 61–63], pericytes may also assume distinct functional roles according to their location and/or subtype, which appears to be highly integrated with endothelial cell activity and behaviors.
Pericyte detachment from the capillary wall has primarily been associated with microvascular dysfunction in certain disease states such as proliferative diabetic retinopathy [20], idiopathic pulmonary fibrosis [21] and kidney disease [22], among others. Pericyte loss or absence from the vessel wall has also been described as a hallmark of the progression of many solid tumor types [64]. We found that, in both embryonic and adult tissues undergoing active vascular remodeling, pericytes appeared to ‘shed’ from the vessel wall. Although we did not measure pericyte divestment from the microvasculature in direct relation to subsequent angiogenic sprouting in this study, it is interesting to consider that outward pericyte migration could be a component of the coordinated disassembly of blood vessels that must occur before extensive structural remodeling can proceed [15–17], suggesting new dynamics for further investigation. Our analysis was also unable to identify a definitive transformation of dissociated pericytes into other unique cell types, although such a transition has been described for pericytes in becoming myo−/fibroblasts or perhaps a cell type very similar to these interstitial cells [21, 65, 66]. Not all pericytes observed in our embryonic and adult models detached from microvessel. Discrete subpopulations of vessel-associated pericytes engaged in active migration and coordinated cell division, and many others remained stationary and integrated within the vessel wall. This phenotypic diversity aligns with a similar heterogeneity found in pericyte marker expression [57–60] and morphology [27] at distinct locations throughout the microcirculation. Overall, our study reinforces the notion that, similar to the phenotypic specification of endothelial cells during angiogenesis [2, 61–63], pericytes may also assume distinct roles and subtypes to support the various stages of vessel remodeling [1]. Pericytes may also adopt these unique roles to maintain a level of vessel coverage so they can quickly transition into promoting vascular stabilization and quiescence as angiogenesis concludes.
Although we initially expected pericytes to divide more frequently near endothelial cells undergoing sprout initiation, pericyte mitosis occurred most often along endothelial sprouts that were extending from the parent vessel. This observation is consistent with previous studies suggesting that a linear orientation is more favorable for cell division [51, 52]. It is possible that cellular geometry, PDGF-BB retained along the vessel wall, and local ECM composition collectively contribute to this promitotic environment for pericytes [54], and warrants further investigation. For instance, there is likely to be regional heterogeneity in the ECM components of the vBM that contribute mechanistically to the diverse functions of pericyte subtypes during angiogenesis. Endothelial cells and pericytes may collaborate to build this provisional vBM during angiogenic sprouting to stimulate and support pericyte proliferation, expansion and subsequent investment into new vessel branches.
The dynamic crosstalk between pericytes and endothelial cells during microvascular remodeling necessitates the development of new models and approaches to capture and compare their interactions in a variety of settings [67]. For example, in the present study, we found that adult blood vessels undergo pericyte detachment in a manner consistent with embryonic vasculature, suggesting this phenomenon may be conserved from early vascular development and re-engaged during adult angiogenesis. Taking into consideration that our observations were quantified in models that are devoid of key physiological inputs such as blood flow and immune cell recruitment, the coupling our findings with corresponding in vivo scenarios will further expand our understanding of their physiological relevance. Pericytes are known to disengage from the vessel wall in vivo [21, 22], for instance, and the models presented here can begin to address questions surrounding their detachment—does pericyte shedding immediately precede angiogenic activity? How do pericytes redistribute after detachment? Do they reassociate with endothelial sprouts to promote stabilization? Observations from these models might also guide development of clinical therapies seeking to restore pericyte coverage [20, 33–35], as pericyte proliferation and migration along the microvascular endothelium may only occur at substantial levels during angiogenic stimulation and subsequent vessel remodeling.
Supplementary Material
ACKNOWLEDGEMENTS
We thank the Chappell and Murfee labs for critical and extensive discussions of the primary data, and the Kushner lab for technical expertise provided.
Contributor Information
Laura Beth Payne, Email: indigo@vt.edu, Center for Heart and Reparative Medicine Research, Fralin Biomedical Research Institute, Roanoke, VA 24014, USA.
Jordan Darden, Email: jadarden@carilionclinic.org, Center for Heart and Reparative Medicine Research, Fralin Biomedical Research Institute, Roanoke, VA 24014, USA; Graduate Program in Translational Biology, Medicine, & Health, Virginia Polytechnic Institute and State University, Blacksburg, VA 24061, USA.
Ariana D Suarez-Martinez, Email: adsuarez@ufl.edu, J. Crayton Pruitt Family Department of Biomedical Engineering, University of Florida, Gainesville, FL 32611, USA.
Huaning Zhao, Email: hz376@njms.rutgers.edu, Center for Heart and Reparative Medicine Research, Fralin Biomedical Research Institute, Roanoke, VA 24014, USA; Department of Biomedical Engineering and Mechanics, Virginia Polytechnic Institute and State University, Blacksburg, VA 24061, USA.
Alissa Hendricks, Email: alissa94@vt.edu, Graduate Program in Translational Biology, Medicine, & Health, Virginia Polytechnic Institute and State University, Blacksburg, VA 24061, USA.
Caitlin Hartland, Email: cmhartland16@gmail.com, Center for Heart and Reparative Medicine Research, Fralin Biomedical Research Institute, Roanoke, VA 24014, USA.
Diana Chong, Email: dianacchong@gmail.com, Department of Biology, The University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Erich J Kushner, Email: erich.kushner@du.edu, Department of Biological Sciences, University of Denver, Denver, CO 80208 USA.
Walter L Murfee, Email: WMurfee@bme.ufl.edu, J. Crayton Pruitt Family Department of Biomedical Engineering, University of Florida, Gainesville, FL 32611, USA.
John C Chappell, Email: JChappell@vtc.vt.edu, Center for Heart and Reparative Medicine Research, Fralin Biomedical Research Institute, Roanoke, VA 24014, USA; Graduate Program in Translational Biology, Medicine, & Health, Virginia Polytechnic Institute and State University, Blacksburg, VA 24061, USA; Department of Biomedical Engineering and Mechanics, Virginia Polytechnic Institute and State University, Blacksburg, VA 24061, USA; Department of Basic Science Education, Virginia Tech Carilion School of Medicine, Roanoke, VA 24016, USA.
Disclosures
None.
Abbreviations
ECM, extracellular matrix; platelet-derived growth factor receptor-β, PDGFRβ; NG2, neural glial antigen-2; vBM, vascular basement membrane; Col-IV, type IV Collagen; VEGF-A, vascular endothelial growth factor-A.
Funding
This work was supported in part by funding from the National Institutes of Health (R01-HL146596 to J.C.C. and R01-AG049821 to W.L.M.) and the National Science Foundation (CAREER Award 1752339 to J.C.C.).
Conflict of interest statement
None declared.
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