Myeloid DRP1 deficiency limits revascularization in ischemic muscles via inflammatory macrophage polarization and

Shikha Yadav1, Vijay C Ganta1,2, Sudhahar Varadarajan1,3,4

  • 1Vascular Biology Center.

JCI Insight
|November 26, 2024
PubMed

Insights

Mitochondrial fission protein DRP1 in macrophages is vital for repairing tissue after peripheral artery disease (PAD). Lack of DRP1 impairs healing by promoting inflammation and hindering blood vessel growth.

Area of Science:

  • Cell Biology
  • Immunology
  • Vascular Biology

Background:

  • Macrophages are key to tissue repair after ischemia, particularly in peripheral artery disease (PAD).
  • Mitochondrial dynamics, regulated by DRP1, influence macrophage function and inflammation.
  • The specific role of DRP1 in macrophage-driven neovascularization is not well understood.

Purpose of the Study:

  • To investigate the role of DRP1 in myeloid cells during the repair of ischemic tissue.
  • To determine how DRP1 deficiency in macrophages affects inflammation, metabolism, and angiogenesis in experimental PAD.

Main Methods:

  • Utilized a mouse model of hind limb ischemia (HLI) to mimic PAD.
  • Generated myeloid-specific DRP1 knockout mice (myeloid Drp1-/-).
  • Assessed limb perfusion, angiogenesis, muscle regeneration, macrophage polarization, and molecular markers in vivo and in vitro.

Main Results:

  • Myeloid DRP1 deficiency impaired limb perfusion recovery, angiogenesis, and muscle regeneration post-HLI.
  • DRP1-deficient macrophages showed increased M1 (proinflammatory) polarization and reduced M2 (anti-inflammatory) polarization.
  • In vitro, DRP1-deficient macrophages exhibited enhanced glycolysis, mitochondrial dysfunction, increased ROS production, and elevated proinflammatory cytokine secretion, suppressing endothelial cell angiogenesis.

Conclusions:

  • Macrophage DRP1 is crucial for promoting anti-inflammatory polarization and metabolic reprogramming necessary for neovascularization in PAD.
  • DRP1 deficiency in macrophages under ischemic conditions drives a proinflammatory state, hindering tissue repair and revascularization.
  • Targeting macrophage DRP1 may offer a therapeutic strategy for improving outcomes in peripheral artery disease.