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Cardiovascular Research Advance Access first published online on September 17, 2009
This version [Corrected Proof] published online on October 8, 2009

Cardiovascular Research, doi:10.1093/cvr/cvp313
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org.

Impaired recruitment of HHT-1 mononuclear cells to the ischaemic heart is due to an altered CXCR4/CD26 balance

Simone Post1,2,{dagger}, Anke M. Smits1,{dagger}, Alexandra J. van den Broek1, Joost P.G. Sluijter1, Imo E. Hoefer1, Ben J. Janssen3, Repke J. Snijder4, Johannes J. Mager4, Gerard Pasterkamp1,2, Christine L. Mummery2,5, Pieter A. Doevendans1,2 and Marie-José Goumans1,*

1 Department of Cardiology, Division Heart & Lung, UMCU, Utrecht, the Netherlands
2 Interuniversity Cardiology Institute of the Netherlands, Utrecht, the Netherlands
3 Department of Pharmacology and Toxicology, Cardiovascular Research Institute Maastricht, University of Maastricht, Maastricht, the Netherlands
4 Department of Pulmonary Disease, St Antonius Hospital, Nieuwegein, the Netherlands
5 Department of Anatomy and Embryology, LUMC, Leiden, the Netherlands

* Corresponding author: Department of Molecular Cell Biology, LUMC, Einthovenweg 20, 2333 ZC, Leiden, the Netherlands. Tel: +31 71 526 9277, Fax: +31 71 526 8270, Email: m.j.goumans{at}lumc.nl

Aims: Mononuclear cells (MNCs) from patients with hereditary haemorrhagic telangiectasia type 1 (HHT1), a genetic disorder caused by mutations in endoglin, show a reduced ability to home to infarcted mouse myocardium. Stromal cell-derived factor-1{alpha} (SDF-1{alpha}) and the chemokine receptor CXCR4 are crucial for homing and negatively influenced by CD26. The aim of this study was to gain insight into the impaired homing of HHT1-MNCs.

Methods and results: CXCR4 and CD26 expression on MNCs was determined by flow cytometry. Transwell migration to SDF-1{alpha} was used to analyse in vitro migration. Experimentally induced myocardial infarction in mice, followed by tail vein injection of MNCs, was applied to study homing in vivo. HHT1-MNCs expressed elevated levels of CXCR4, but this was counterbalanced by high levels of CD26, resulting in decreased migration towards an SDF-1{alpha} gradient in vitro. Migration was enhanced by inhibiting CD26 with Diprotin-A. While MNCs from healthy controls responded to transforming growth factor-beta stimulation by increasing CXCR4 and lowering CD26 expression levels, HHT1-MNCs did not react as efficiently: in particular, CD26 expression remained high. Inhibiting CD26 on MNCs increased the homing of human cells into the infarcted mouse heart. Interestingly, the defect in homing of HHT1-MNCs was restored by pre-incubating the HHT1-MNCs with Diprotin-A before injection into the tail vein.

Conclusion: We show that a decreased homing of HHT1-MNCs is caused by an impaired ability of the cells to respond to SDF-1{alpha}. Our results suggest that modulating CD26 levels using inhibitors like Diprotin-A can restore homing in cases where increased expression of CD26 contributes to the underlying pathological mechanism.

KEYWORDS Mononuclear cells; Chemokines; Genetics; Myocardial infarction; Migration


Time for primary review: 35 days

{dagger} These authors contributed equally to the work.


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