The exploration to identify key molecules in the interaction between endothelial cells and mono-macrophages in

Boyu Li1,2, Ruiyang Zhu1,2, Na Gao1

  • 1Center for Gene Diagnosis and Department of Clinical Laboratory Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China.

Insights

This study reveals key cell interactions in atherosclerosis, identifying the Midkine (MK) pathway involving MDK-NCL as crucial for plaque development in coronary artery disease (CAD). These findings offer potential therapeutic targets for CAD.

Area of Science:

  • Cardiovascular Biology
  • Immunology
  • Genomics

Background:

  • Coronary artery disease (CAD), driven by atherosclerosis (AS), is a major cause of cardiovascular mortality.
  • Monocyte/macrophage and endothelial cell interactions are critical in atherosclerotic plaque formation and progression.

Purpose of the Study:

  • To characterize single-cell profiles of carotid artery cells in atherosclerotic plaques (AC) versus adjacent healthy tissue (PA).
  • To identify cell subpopulations and signaling pathways, particularly between endothelial cells (ECs) and monocyte-macrophages (MMs), altered in AS.
  • To explore potential therapeutic targets for CAD.

Main Methods:

  • Utilized single-cell RNA sequencing datasets from human AC and PA tissues.
  • Analyzed cell-cell communication (CCC) to identify altered signaling pathways and ligand-receptor pairs.
  • Performed in vitro Transwell co-culture experiments with human endothelial cells and macrophages.

Main Results:

  • Identified 15 cell clusters and 6 AS-associated cell subpopulations.
  • Highlighted significant alterations in MK (Midkine), GALECTIN, and SPP1 pathways in AC, with MK being most prominent.
  • Found upregulation of the MDK-NCL pair in AS-associated EC and MM subpopulations, confirmed by in vitro assays.

Conclusions:

  • Characterized significant cell heterogeneity in AS.
  • Identified the MK pathway and MDK-NCL interaction as key players in AS pathogenesis.
  • Provides potential novel targets for CAD prevention and treatment.

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