Abstract-Though in the past believed to be a rare phenomenon, endothelial-mesenchymal transdifferentiation has been described with increasing frequency in recent years. It is believed to be important in embryonic vascular development, yet less is known regarding its role in the adult vasculature. Using FACS and immunomagnetic (Dynabeads) purification techniques (based on uptake of DiI-acetylated low-density lipoproteins and/or PECAM-1 expression) and double-label indirect immunostaining (for endothelial and smooth muscle [SM] markers), we demonstrate that mature bovine vascular endothelium contains cells of an endothelial phenotype (defined by VE-cadherin, von Willebrand factor, PECAM-1, and elevated uptake of acetylated low-density lipoproteins) that can undergo endothelial-mesenchymal transdifferentiation and further differentiate into SM cells (as defined by expression of âŁ-SM-actin, SM22âŁ, calponin, and SM-myosin). "Transitional" cells, coexpressing both endothelial markers and âŁ-SM-actin, were consistently observed. The percentage of cells capable of endothelialmesenchymal transdifferentiation within primary endothelial cultures was estimated as 0.01% to 0.03%. Acquisition of a SM phenotype occurred even in the absence of proliferation, in â„-irradiated (30 Gy) and/or mitomycin C-treated primary cell cultures. Initiation of transdifferentiation correlated with disruption of cell-cell contacts (marked by loss of VE-cadherin expression) within endothelial monolayers, as well as with the action of transforming growth factor-†1 . In conclusion, our in vitro data show that mature bovine systemic and pulmonary endothelium contains cells that can acquire a SM phenotype via a transdifferentiation process that is transforming growth factor-†1 -and cell-cell contact-dependent, but proliferation-independent. Key Words: endothelial cell â
ą transforming growth factor-†â
ą smooth muscle myosin â
ą mesenchymal cell U ntil recently, endothelial cells (ECs) and smooth muscle cells (SMCs) were believed to arise from separate precursor cells. However, experiments in a murine embryonic stem cell model demonstrated that a common precursor cell can differentiate toward either endothelial or SM lineage. 1 Furthermore, a progenitor cell at different steps of a given differentiation pathway can switch its phenotype, a phenomenon called transdifferentiation. Studies of embryonic avian aortic and human pulmonary vascular development demonstrated that the endothelium itself could be the source of at least some SMCs in the arteries. 2-7 However, whether transdifferentiation of ECs into SMCs can occur in adult vasculature is not clear. Several in vivo and in vitro studies have demonstrated that, in the adult, ECs can transform at least into mesenchymal cells. 8 -10 Yet, a more advanced differentiation of endothelial-derived mesenchymal cells into SMCs has, to our knowledge, not been described.We hypothesized that endothelial-mesenchymal transdifferentiation can take place in the adult vasculature, and that endothelium-derived mesenchymal...