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2016 ; 594
(21
): 6189-6209
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The transition of smooth muscle cells from a contractile to a migratory,
phagocytic phenotype: direct demonstration of phenotypic modulation
#MMPMID27393389
Sandison ME
; Dempster J
; McCarron JG
J Physiol
2016[Nov]; 594
(21
): 6189-6209
PMID27393389
show ga
KEY POINTS: Smooth muscle cell (SMC) phenotypic conversion from a contractile to
a migratory phenotype is proposed to underlie cardiovascular disease but its
contribution to vascular remodelling and even its existence have recently been
questioned. Tracking the fate of individual SMCs is difficult as no specific
markers of migratory SMCs exist. This study used a novel, prolonged time-lapse
imaging approach to continuously track the behaviour of unambiguously identified,
fully differentiated SMCs. In response to serum, highly-elongated, contractile
SMCs initially rounded up, before spreading and migrating and these migratory
cells displayed clear phagocytic activity. This study provides a direct
demonstration of the transition of fully contractile SMCs to a non-contractile,
migratory phenotype with phagocytic capacity that may act as a macrophage-like
cell. ABSTRACT: Atherosclerotic plaques are populated with smooth muscle cells
(SMCs) and macrophages. SMCs are thought to accumulate in plaques because fully
differentiated, contractile SMCs reprogramme into a 'synthetic' migratory
phenotype, so-called phenotypic modulation, whilst plaque macrophages are thought
to derive from blood-borne myeloid cells. Recently, these views have been
challenged, with reports that SMC phenotypic modulation may not occur during
vascular remodelling and that plaque macrophages may not be of haematopoietic
origin. Following the fate of SMCs is complicated by the lack of specific markers
for the migratory phenotype and direct demonstrations of phenotypic modulation
are lacking. Therefore, we employed long-term, high-resolution, time-lapse
microscopy to track the fate of unambiguously identified, fully-differentiated,
contractile SMCs in response to the growth factors present in serum. Phenotypic
modulation was clearly observed. The highly elongated, contractile SMCs initially
rounded up, for 1-3 days, before spreading outwards. Once spread, the SMCs became
motile and displayed dynamic cell-cell communication behaviours. Significantly,
they also displayed clear evidence of phagocytic activity. This macrophage-like
behaviour was confirmed by their internalisation of 1 ?m fluorescent latex beads.
However, migratory SMCs did not uptake acetylated low-density lipoprotein or
express the classic macrophage marker CD68. These results directly demonstrate
that SMCs may rapidly undergo phenotypic modulation and develop phagocytic
capabilities. Resident SMCs may provide a potential source of macrophages in
vascular remodelling.