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. 2021 May 15;2:136–148. doi: 10.1016/j.jvssci.2021.02.002

Table.

Marker genes associated with SMC phenotypic transitionsa

Cell type Gene marker Experimental design
Macrophage-like/phagocytic cells
Mouse studies
 Cd74, yz2, C1qa, C1qb, H2-Aa, H2-Ab1, C1qC, H2-Eb1 SMC-derived cells in macrophage cell cluster by scRNA sequencing with SMC-lineage tracing of ApoE−/-− mice38
 Itgam, Mrc1, Adgre1, Ptprc, Cd68, Lgals3 SMC-derived cells in macrophage cell cluster by scRNA sequencing with SMC-lineage tracing of ApoE−/− mice39
 CD68, Lyz2, Fcer1g SMC-derived cells in macrophage cell clusters by scRNA sequencing with SMC-lineage tracing of ApoE−/− mice21
 Lgals3, CD68 Immunofluorescent staining in vivo; oxidized low-density lipoprotein staining and morphologic analysis by electron microscopy35
Human studies
 CD68 Immunofluorescent staining in vivo; phagocytosis assay in vitro with cholesterol loading22
 ACTA2, CD68, Abca1 Immunofluorescent staining42
In vitro studies
 Mac2, CD68, Abca1 In vitro cholesterol loading; phagocytosis assay in vitro10,43
MSC-like cells
Mouse studies
 Ly6a/Sca1 scRNA sequencing with SMC-lineage tracing of ApoE−/− mice; immunofluorescent staining in vivo21
 Sca1 Immunofluorescent staining in vivo22
 Sca1, Lgals3, Vcam1 SMC-derived transitioning cluster by scRNA sequencing with SMC lineage tracing of ApoE−/− mice; Lgals3 SMC dual lineage tracing validation39
Human studies
 Human homolog Sca1 has not been identified
Osteochondrogenic/chondrocyte-like cells
Mouse studies
 Runx2, RANKL Runx2-deficient mice consuming high-fat diet showed decreased vascular calcification in vivo44
Sox9, Ibsp, Chad SMC-derived cells present in chondrocyte cell cluster by scRNA sequencing with SMC lineage tracing of ApoE−/− mice21
 Sox9, Runx2, Cytl1, Ibsp, Alpl SMC-derived osteogenic cluster by scRNA sequencing with SMC-lineage tracing mice; Sox9 staining on mouse plaque39
Human studies
 TRPV4, S100 B, Sox9 Validation in ruptured human coronary atherosclerotic lesions39
In vitro studies
 PiT-1, Dmp1, E11, SOST In vitro calcification, as measured by Alizarin red staining and alkaline phosphatase activity48
 Runx2, BMP-2 Hypoxic conditions and HiPO4 treatment drove increased mineralization of SMCs45
 ALPL, Runx2, MGP, COL1A2 Alkaline phosphatase activity and deposition of calcified matrix in vitro46
 Sox9, Agg, Col II, TG2 In vitro chondrogenesis of SMCs47
Fibromyocyte
Mouse studies
 Lgals3, Tnfrsf11b, TCF21, Lum, Dcn, Bgn, Mgp SMC-derived fibromyocyte cluster by scRNA sequencing with SMC lineage tracing of ApoE−/− mice; in situ hybridization for Lum mRNA on mouse fibrous cap; TCF21 SMC-specific knockout reduced SMC contribution to fibrous cap by SMC-lineage tracing38
Human studies
 TCF21, Tnfrsf11b, Mgp, Bgn, Lum, MMP2, Dcn Human atherosclerotic coronary arteries scRNA sequencing; in situ hybridization of Tnfrsf11b mRNA within human coronary lesion38

MSC, Mesenchymal stem cell; scRNA, small conditional RNA; SMC, smooth muscle cell.

a

Some markers such as Sox9 seem specific to the osteochondrogenic transition; however, others such as Lgals3 appear to not be expressed by different SMC subpopulations.