Objective-Intimal hyperplasia is considered to be a healing response and is a major cause of vessel narrowing after injury, where migration of vascular progenitor cells contributes to pathological events, including transplant arteriosclerosis. Approach and Results-In this study, we used a rat aortic-allograft model to identify the predominant cell types associated with transplant arteriosclerosis and to identify factors important in their recruitment into the graft. Transplantation of labeled adventitial tissues allowed us to identify the adventitia as a major source of cells migrating to the intima. RNA microarrays revealed a potential role for monocyte chemoattractant protein 1 (MCP-1), stromal cell-derived factor 1, regulated on activation, normal T cell expressed and secreted, and interferon-inducible protein 10 in the induced vasculopathy. MCP-1 induced migration of adventitial fibroblast cells. CCR2, the receptor for MCP-1, was coexpressed with CD90, CD44, NG2, or sca-1 on mesenchymal stem cells. In vivo experiments using MCP-1-deficient and CCR2-deficient mice confirmed an important role of MCP-1 in the formation of intimal hyperplasia in a mouse model of vascular injury. The aim of this study was to examine the contribution of MSCs in intimal hyperplasia and to identify relevant factors that affect their recruitment. We found that local inflammation in transplanted vessels exerts an effect on surrounding tissue and vessels that leads to phenotypic modulation of SMCs; however, those cells did not migrate to the intima and did not contribute to the intimal hyperplasia. Rather, as shown by transplantation of labeled cells, adventitial progenitor cells seemed to be a prominent source of host-derived cells in the lesion, and MCP-1 exhibits an important role in their recruitment and the pathological process of intimal hyperplasia.
Conclusions-The
Materials and MethodsMaterials and Methods are available in the online-only Supplement.
Results
Transplantation of Allografts Leads to Structural Changes in Adjacent TissuesRejection of transplanted organs is associated with inflammation, and the production of factors that may activate cells in surrounding tissues. To determine how allografts influence the adjacent vessel tissues, we transplanted a fragment of rat isogenic (from F344 rats) or allogenic (from LEW rats) aortic graft into the abdominal aorta of F344 rats. Samples of aortic allografts and adjacent vessel segments were collected at 1, 2, 4, 8, and 12 weeks and analyzed separately; isograft samples were collected at 8 weeks.In 2-week-old allografts, immunohistochemical staining for α-smooth muscle actin was decreasing in the media, and α-smooth muscle actin positive cells had migrated to the neointima. Similar, but less prominent, changes were observed in adjacent vessels ( Figure 1A). At 1 to 2 weeks after transplantation, electron microscopy revealed distinct structural alterations in SMCs in the inner layer of the media and progressive de-endothelization of the allograft. Most of the SMCs were contracti...