Clonal Expansion in Cardiovascular Pathology.

cardiovascular diseases clonal expansion endothelial cells macrophages vascular smooth muscle cells

Journal

JACC. Basic to translational science
ISSN: 2452-302X
Titre abrégé: JACC Basic Transl Sci
Pays: United States
ID NLM: 101677259

Informations de publication

Date de publication:
Jan 2024
Historique:
received: 03 02 2023
revised: 13 04 2023
accepted: 14 04 2023
medline: 16 2 2024
pubmed: 16 2 2024
entrez: 16 2 2024
Statut: epublish

Résumé

Clonal expansion refers to the proliferation and selection of advantageous "clones" that are better suited for survival in a Darwinian manner. In recent years, we have greatly enhanced our understanding of cell clonality in the cardiovascular context. However, our knowledge of the underlying mechanisms behind this clonal selection is still severely limited. There is a transpiring pattern of clonal expansion of smooth muscle cells and endothelial cells-and, in some cases, macrophages-in numerous cardiovascular diseases irrespective of their differing microenvironments. These findings indirectly suggest the possible existence of stem-like vascular cells which are primed to respond during disease. Subsequent clones may undergo further phenotypic changes to adopt either protective or detrimental roles. By investigating these clone-forming vascular cells, we may be able to harness this inherent clonal nature for future therapeutic intervention. This review comprehensively discusses what is currently known about clonal expansion across the cardiovascular field. Comparisons of the clonal nature of vascular cells in atherosclerosis (including clonal hematopoiesis of indeterminate potential), pulmonary hypertension, aneurysm, blood vessel injury, ischemia- and tumor-induced angiogenesis, and cerebral cavernous malformations are evaluated. Finally, we discuss the potential clinical implications of these findings and propose that proper understanding and specific targeting of these clonal cells may provide unique therapeutic options for the treatment of these cardiovascular conditions.

Identifiants

pubmed: 38362345
doi: 10.1016/j.jacbts.2023.04.008
pii: S2452-302X(23)00196-1
pmc: PMC10864919
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

120-144

Subventions

Organisme : British Heart Foundation
ID : RG/20/5/34796
Pays : United Kingdom

Informations de copyright

© 2024 The Authors.

Déclaration de conflit d'intérêts

Mr Lin is supported by an Australian Government Research Training Program (RTP) Scholarship. Drs Baker, Sluimer, and MIsra are supported by an Heart Research Institute (HRI-UK) Grant.

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Auteurs

Alexander Lin (A)

Atherosclerosis and Vascular Remodeling Group, Heart Research Institute, Sydney, New South Wales, Australia.
School of Biomedical Engineering, Faculty of Engineering, The University of Sydney, Sydney, New South Wales, Australia.

Mairi Brittan (M)

Centre for Cardiovascular Science, The Queen's Medical Research Institute, University of Edinburgh, Edinburgh, United Kingdom.

Andrew H Baker (AH)

Centre for Cardiovascular Science, The Queen's Medical Research Institute, University of Edinburgh, Edinburgh, United Kingdom.
CARIM School for Cardiovascular Sciences, Department of Pathology, Maastricht University Medical Center (MUMC), Maastricht, the Netherlands.

Stefanie Dimmeler (S)

Institute for Cardiovascular Regeneration, Goethe University Frankfurt, Frankfurt, Germany.
German Center for Cardiovascular Research (DZHK), partner site Frankfurt Rhine-Main, Berlin, Germany.
Cardiopulmonary Institute, Goethe University Frankfurt, Frankfurt, Germany.

Edward A Fisher (EA)

Department of Medicine/Division of Cardiology, New York University Grossman School of Medicine, New York, New York, USA.
Cardiovascular Research Center, New York University Grossman School of Medicine, New York, New York, USA.

Judith C Sluimer (JC)

Centre for Cardiovascular Science, The Queen's Medical Research Institute, University of Edinburgh, Edinburgh, United Kingdom.
CARIM School for Cardiovascular Sciences, Department of Pathology, Maastricht University Medical Center (MUMC), Maastricht, the Netherlands.

Ashish Misra (A)

Atherosclerosis and Vascular Remodeling Group, Heart Research Institute, Sydney, New South Wales, Australia.
Heart Research Institute, The University of Sydney, Sydney, New South Wales, Australia.
Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.

Classifications MeSH