COL1A1-Enhanced CD44/SLC7A11 Interaction and Cystine Uptake Result in CD34+ Foam-Like Macrophage Accumulation in

Junru Wu1,2, Tian He3, Mengyao Qi1

  • 1Clinical Research Center, Department of Cardiology, The Third Xiangya Hospital, Central South University, Changsha, China (J.W., M.Q., M.Y., X.Z., Q.Z., W.Z., X.H., Y.L., Y.G., T.S., C.W., L.P., Y.L., H.Y., J.C.).

Circulation
|August 4, 2026
PubMed

Insights

Researchers identified a new type of inflammatory macrophage in transplant arteriosclerosis. Targeting collagen type 1 α1 (COL1A1), CD44, and solute carrier family 7 member 11 (SLC7A11) can reduce inflammation and improve graft survival.

Area of Science:

  • Immunology
  • Vascular Biology
  • Transplantation

Background:

  • Chronic transplant arteriosclerosis is a major cause of long-term graft failure.
  • Targeting specific inflammatory macrophage subsets is crucial for controlling immune responses in allografts.
  • Understanding macrophage origins and regulation in allograft arteriosclerosis is key for developing targeted therapies.

Purpose of the Study:

  • To elucidate the origins and regulatory mechanisms of pro-inflammatory macrophages in allograft arteriosclerosis.
  • To identify novel therapeutic targets for mitigating transplant arteriosclerosis.

Main Methods:

  • Single-cell RNA sequencing and spatial transcriptomics on human and mouse allograft models.
  • Flow cytometry and immunofluorescence to characterize macrophage subpopulations.
  • Lineage tracing, depletion strategies, and in vitro/in vivo experiments to analyze cellular origins and molecular interactions.
  • Analysis of COL1A1, CD44, and SLC7A11 interactions, metabolic profiling, and functional validation using inhibitors and knockout mice.

Main Results:

  • A novel pro-inflammatory, foam-like macrophage phenotype was identified in allograft arterial adventitia, originating from CD34+ cells.
  • Macrophage lipogenesis and inflammation are driven by increased cystine uptake via the CD44-SLC7A11 complex, activating mTORC1-HIF-1α signaling.
  • Fibroblast-secreted COL1A1 anchors the CD44-SLC7A11 complex to the membrane, promoting macrophage activation.
  • Inhibition of COL1A1, CD44, or SLC7A11 attenuated signaling, inflammation, lipogenesis, foam cell accumulation, and intimal hyperplasia.

Conclusions:

  • Uncharacterized foam-like macrophages in transplant arteriosclerosis are regulated by COL1A1-enhanced amino acid metabolism.
  • This pathway modulates lipogenesis and foam cell formation, presenting potential therapeutic targets to improve transplant outcomes.
Abstract

Related Concept Videos