This study has established a stable and efficient method for the isolation, culture, and functional determination of vascular wall-resident CD34+ stem cells (CD34+ VW-SCs). This easy-to-follow and time-effective isolation method can be utilized by other investigators to study the potential mechanisms involved in cardiovascular diseases.
Resident CD34+ vascular wall-resident stem and progenitor cells (VW-SCs) are increasingly recognized for their crucial role in regulating vascular injury and repair. Establishing a stable and efficient method to culture functional murine CD34+ VW-SCs is essential for further investigating the mechanisms involved in the proliferation, migration, and differentiation of these cells under various physiological and pathological conditions. The described method combines magnetic bead screening and flow cytometry to purify primary cultured resident CD34+ VW-SCs. The purified cells are then functionally identified through immunofluorescence staining and Ca2+ imaging. Briefly, vascular cells from the adventitia of the murine aorta and mesenteric artery are obtained through tissue block attachment, followed by subculturing until reaching a cell count of at least 1 × 107. Subsequently, CD34+ VW-SCs are purified using magnetic bead sorting and flow cytometry. Identification of CD34+ VW-SCs involves cellular immunofluorescence staining, while functional multipotency is determined by exposing cells to a specific culture medium for oriented differentiation. Moreover, functional internal Ca2+ release and external Ca2+ entry is assessed using a commercially available imaging workstation in Fura-2/AM-loaded cells exposed to ATP, caffeine, or thapsigargin (TG). This method offers a stable and efficient technique for isolating, culturing, and identifying vascular wall-resident CD34+ stem cells, providing an opportunity for in vitro studies on the regulatory mechanisms of VW-SCs and the screening of targeted drugs.
The vascular wall plays a pivotal role in vascular development, homeostatic regulation, and the progression of vascular diseases. In recent years, numerous studies have unveiled the presence of various stem cell lineages in arteries. In 2004, Professor Qingbo Xu's group first reported the existence of vascular stem/progenitor cells in the periphery of the adult vascular wall, expressing CD34, Sca-1, c-kit, and Flk-11. These vascular stem cells exhibit multidirectional differentiation and proliferation potential. Under normal conditions, they remain relatively quiescent; however, when activated by specific factors, they can differentiate into smooth muscle cells, endothelial cells, and fibroblasts. Alternatively, they can regulate the perivascular matrix and microvessel formation through paracrine effects to promote the repair or remodeling of injured vessels2,3,4,5,6. Recently, resident CD34+ stem cells in the vascular wall were found to play a role in endothelial cell regeneration after femoral artery guidewire injury2. Consequently, the isolation and quantification of CD34+ VW-SCs and the examination of the basic biological characteristics of CD34+ stem cells are crucial for further studying the signal pathways involved in the regulation of CD34+ VW-SCs.
Various methods for cell separation are currently available, including techniques based on cell culture characteristics or physical properties of cells such as density gradient centrifugation, which results in sorted cells containing many non-target cells and relatively low purity7,8,9,10,11,12. Another commonly used technique is fluorescence/magnetic-assisted cell sorting. Fluorescence-activated cell sorting (FACS) is a complex system with high technical requirements, and it is relatively expensive, time-consuming, and potentially affects the activity of sorted cells13,14. However, magnetic-activated cell sorting (MACS) is more efficient and convenient, with a high recovery rate and cell activity and less impact on downstream applications8. Therefore, in this protocol, we applied MACS to purify CD34+ VW-SCs and further identified the cells by flow cytometry. The establishment of MACS-based isolation methods for studying vascular wall stem cells would be invaluable. Firstly, it permits experimental genetic and cell biological studies. Secondly, efficient isolation and culture of vascular wall resident stem cells allow systematic assessment and screening of signaling factors regulating stem cell functions. Thirdly, identification of crucial phenotypes in stem cells provides important 'quality control' in assessing cell status. Thus, identifying methods to purify could be useful for similar applications to analogous stem cells derived from vessels.
This report provides a detailed demonstration of a stable and reliable method for the culture of CD34+ VW-SCs, including cell identification and functional assessment performed by flow cytometry, immunofluorescence staining, and Ca2+ signaling measurement. This study provides a basis for further in-depth research on the function of CD34+ VW-SCs and their regulatory mechanisms in physiological and pathological conditions.
This study was approved, and the animals were handled in accordance with the Guidelines for the Management and Use of Laboratory Animals in China. The research strictly adhered to the ethical requirements of animal experiments, with approval from the Animal Ethics Committee (Approval Number: SWMU2020664). Eight-week-old healthy C57BL/6 mice of either gender, weighing between 18-20 g, were utilized for the present study. The animals were housed at the Laboratory Animal Center of Southwest Medical University (SWMU).
1. Tissue block culture of adventitia from Aorta and mesenteric arteries
2. Cell identification by immunofluorescence
3. Induced differentiation and characterization of CD34+ VW-SCs
4. Detection of intracellular Ca2+ signaling in vascular CD34+ stem cells
Isolation and purification of CD34+ VW-SCs
High purity of CD34+ VW-SCs is obtained from the adventitia of the mouse aortic and mesenteric artery by tissue attachment and magnetic microbead sorting. The percentage of CD34+ cells in the vessel wall is generally 10%-30%. Flow cytometry confirms that the purity of CD34+ cells obtained by magnetic bead sorting is more than 90% (Figure 1A). Cellular immunofluorescence staining shows that CD34+ VW-SCs predominantly express CD34, c-kit, Flk-1, and Ki-67, with a relatively lower expression of Sca-1 (Figure 1B).
Differentiation of CD34+ VW-SCs
CD34+ VW-SCs are able to differentiate into endothelial cells and fibroblasts in vitro. CD34+ stem cells could be induced to differentiate into endothelial cells with increased expression of endothelial cell markers CD31 and VWF. Additionally, the differentiated fibroblast cells showed long spindle morphology and increased expression of fibroblast markers PDGFRα and Vimentin (Figure 2A,B). Furthermore, flow cytometry also confirmed the cells' differentiation ability; the percentage of CD34+CD31+ endothelial cells after differentiation increased 1.5 times compared with the undifferentiated cells (Figure 2C), and the percentage of CD34+PDGFRa+ fibroblast cells after differentiation increased 1.7 times compared with the undifferentiated cells (Figure 2D).
Characterization of Ca2+ signaling in CD34+ VW-SCs
Extracellular administration of ATP (10 µM) increased the intracellular Ca2+ level through the G-protein-coupled receptors (GPCR)-mediated signal pathway, and thapsigargin (TG) inhibited sarcoplasmic reticulum (SR) Ca2+ ATPase (SERCA) to deplete intracellular SR Ca2+ stores and triggered store-operated calcium entry (SOCE). Furthermore, caffeine stimulated the increased [Ca2+]i by activating ryanodine receptors (RyRs)-mediated Ca2+ release (Figure 3).
Figure 1: Harvested CD34+ VW-SCs by tissue culture and magnetically activated cell sorting (MACS). (A) Flow cytometric evaluation of purified CD34+ VW-SCs. (B) Representative images showing the expression of stem cell markers CD34, c-kit, Flk-1, Sca-1 and cell proliferation marker (Ki-67). Scale bars: 50 µm. Please click here to view a larger version of this figure.
Figure 2: Detection of multidirectional differentiation ability of CD34+ VW-SCs. (A) Representative images showing the expression of endothelial markers CD31 and VWF, and fibroblast markers PDGFRα and Vimentin in CD34+ VW-SCs before differentiation. (B) Representative images showing the expression of endothelial markers CD31 and VWF, and fibroblast markers PDGFRα and Vimentin in CD34+ VW-SCs after differentiation. Scale bars: 50 µm. The inset scale bar is 10 µm. (C) The percentage of CD34+CD31+ endothelial cells before and after differentiation measured by Flow cytometry. (D) The percentage of CD34+PDGFRa+ fibroblast cells before and after differentiation measured by Flow cytometry. Please click here to view a larger version of this figure.
Figure 3: Intracellular Ca2+ signal in CD34+ VW-SCs. (A) Representative curve shows the effect of ATP (10 µM) on intracellular Ca2+ signaling. (B) Representative curve shows TG (1 µM)-induced intracellular Ca2+ release from SR store and the subsequent extracellular Ca2+ influx triggered by Ca2+ depletion after re-addition of 2 mM Ca2+. (C) Representative curve showing caffeine (10 mM)-activated intracellular Ca2+ signaling. Please click here to view a larger version of this figure.
This study provides a quick and convenient method for obtaining functional CD34+ VW-SCs from the aorta and mesenteric arteries of mice. CD34+ VW-SCs obtained by this method have proliferative activity and multidirectional differentiation properties. Triphosphate inositol 1,4,5-trisphosphate receptors (IP3Rs), ryanodine receptors (RyRs), and store-operated calcium channels mediate Ca2+ release and entry in CD34+ VW-SCs. The establishment of this technique will lay the foundation for further investigation into the mechanisms involved in CD34+ VW-SCs participating in structural and functional remodeling in cardiovascular diseases.
The most common methods for primary cell isolation include tissue block attachment and enzymatic dissociation15,16. In the present report, tissue block attachment and magnetic bead sorting are combined to obtain high purity of CD34+ VW-SCs. The sorted vessel wall CD34+ stem cells are positive for CD34, and few express the endothelial cell marker CD31, which is consistent with a previous report2. Also, Jiang et al.2, using single-cell sequencing of freshly isolated femoral artery cells in mice, found that CD34 was mainly expressed in the endothelial and mesenchymal cell populations and not in the smooth muscle cell population. Experiments in vivo also confirm that CD34+ VW-SCs can differentiate into endothelial cells to participate in vascular repair post-injury. Since VW-SCs are heterogeneous, the CD34+ VW-SCs sorted by this method, along with other stem cell positive markers such as Flk-1, c-kit, and Sca-1, have different subpopulations, so their morphology may be different.
The most widely used methods for sorting stem cells are flow cytometry and immunomagnetic bead sorting17,18,19. The FACS method is characterized by high cell purity and recovery rate, but FACS is relatively time-consuming and expensive. Immunomagnetic bead separation is a highly specific cell sorting technology that integrates the theories of immunology, cell biology, and magnetic mechanics. This method is simple and fast and can be completed within 2 h. Different cell sorting methods affect cell purity and yield20. Similar to previous reports21, the sorting magnetic beads used in this experiment are only 50 nm in diameter, which exerts relatively less mechanical pressure on cells and does not cause cell damage and affect the biological activity of sorted cells. In addition, unlike the separation method reported in the literature8, we generally sort cells after being passaged for 5 generations, when the number of cells in a T75 flask can reach at least 1 × 107, and cell proliferation is active. Furthermore, after sorted cells are cultured for 3-5 passages, it is crucial to repeat the purification protocol and ensure whether auto-differentiation exists during culture and passages.
During the subculture of VW-SCs, DMEM high glucose medium with 0.2% LIF is used, in which FBS promotes the proliferation of VW-SCs, and LIF inhibits cell differentiation and supports the expansion of stem cells. In agreement with the existing study11, low-density culture favors the maintenance of stemness of VW-SCs, and the possibility of self-differentiation increases with passages. Furthermore, the selection of serum during culture is also crucial since some serum will potentially induce cell self-differentiation and affect the biological characteristics10.
Ca2+ is a major second messenger that controls various cellular functions, including cell contraction, migration, gene expression, cell growth, and apoptosis9. Previous reports8 only briefly described the basic characteristics of CD34+ VW-SCs, while in this study, we further detected the Ca2+ release from internal calcium stores and the extracellular Ca2+ influx triggered by ATP, caffeine, and TG, respectively. ATP is a nucleotide that is not only regarded as the major energy currency within cells but also acts as a transmitter/signaling molecule. ATP activates IP3Rs mediated Ca2+ release from the SR and regulates the activity of multiple downstream targets. Therefore, the cellular response to ATP may reflect the functional state of the cell22. Caffeine has long been used as a pharmacological probe for studying RyRs-mediated intracellular Ca2+ release. In this study, both ATP and caffeine rapidly increased intracellular Ca2+, and the elevated intracellular Ca2+ slowly decreased to the baseline within 1 min. Furthermore, SOCE is present in most non-excitable and partially excitable cells. In the present study, TG suppresses the Ca2+-ATP enzyme in CD34+ VW-SCs to induce Ca2+ depletion in the SR and mediate external Ca2+ influx23. The effect of ATP, caffeine, and TG on intracellular Ca2+ in CD34+ VW-SCs is consistent with other cells reported in previous studies24,25, suggesting that the CD34+ stem cells isolated in this study have normal intracellular Ca2+ release and external Ca2+ influx signaling properties.
In this study, functional CD34+ VW-SCs from mouse aortic and mesenteric arteries are efficiently cultured. The study of VW-SCs may provide significant insights into the mechanisms of vascular remodeling. The development of protocols with more markers and functional studies of CD34+ VW-SCs will further define the role of these cells in cardiovascular disease. Cell purification serves as a potent tool for delving into the cellular and genetic foundations of organ development and growth. MACS purification presents the advantage of being a convenient method for refining cell enrichment. When coupled with other techniques, such as RNA sequencing analysis, it has the potential to unveil new mechanisms underlying stem cell proliferation, migration, and differentiation in both physiological and pathological contexts12. This approach facilitates systematic screening of biological factors, extracellular matrix components, and small molecules that either promote or inhibit the fundamental functions of stem cells. Conducting such studies opens up unique opportunities for performing loss-of-function and gain-of-function experiments, ultimately contributing to a deeper understanding of the genetic basis of cardiovascular diseases. There are also some limitations within this method. For example, due to the phenotypic and functional heterogeneity of CD34+ cells in the vascular wall, it will need more markers to identify the specific subcellular type of resident vascular CD34+ cells.
The authors have nothing to disclose.
This work was funded by grants from National Natural Science Foundation of China (No. 82070502, 31972909, 32171099), the Sichuan Science and Technology Program of Sichuan Province (23NSFSC0576, 2022YFS0607). The authors would like to thank Qingbo Xu from Zhejiang University for help with the cell culture, and the authors acknowledge the scientific and technical assistance of the flow cytometry platform in Southwest Medical University.
2% gelatin solution | Sigma | G1393 | |
Anti-CD31 antibody | R&D | AF3628 | |
Anti-CD34 antibody | Abcam | ab81289 | |
Anti-c-kit antibody | CST | 77522 | |
Anti-FITC MicroBeads | Miltenyi Biotec | 130-048-701 | |
Anti-FITC MicroBeads MACS | Miltenyi Biotec | 130-048-701 | |
Anti-Flk- 1 antibody | Abcam | ab24313 | |
Anti-Ki67 antibody | CST | 34330 | |
Anti-PDGFRα antibody | Abcam | ab131591 | |
Anti-Sca- 1 antibody | Invitrogen | 710952 | |
CD140a (PDGFRA) Monoclonal Antibody (APA5), FITC | eBioscience Invitrogen | 11-1401-82 | |
CD31 (PECAM-1) Monoclonal Antibody (390), APC | eBioscience Invitrogen | 17-0311-82 | |
CD34 Antibody, anti-mouse, FITC, REAfinity Clone REA383 | Miltenyi Biotec | 130-117-775 | |
cell culture hood | JIANGSU SUJING GROUP CO.,LTD | SW-CJ-2FD | |
Centrifuge | CENCE | L530 | |
CO2 incubators | Thermofisher Scientific | 4111 | |
Confocal laser scanning microscope | Zeiss | zeiss 980 | |
DMEM High Glucose Medium | ATCC | 30-2002 | |
EBM-2 culture medium | Lonza | CC-3162 | |
FACSMelody | BD Biosciences | ||
FACSMelody™ System | BD | ||
Fetal bovine serum | Millipore | ES-009-C | |
FM-2 culture medium | ScienCell | 2331 | |
Fura-2/AM | Invitrogen | M1292 | |
Goat anti-Rabbit IgG (H+L) Highly Cross-Adsorbed Secondary Antibody, Alexa Fluor Plus 488 | Thermofisher Scientific | A32731 | |
Leukemia inhibitory factor | Millipore | LIF2010 | |
Microscope | Olympus | IX71 | |
MiniMACS Starting Kit | Miltenyi Biotec | 130-090-312 | |
Penicillin-Streptomycin-Amphotericin B Solution | Beyotime | C0224 | |
Purified Rat Anti-Mouse CD16/CD32 (Mouse BD Fc Block) | BD Pharmingen | 553141 | |
Stereo Microscope | Olympus | SZX10 | |
TILLvisION 4.0 program | T.I.L.L.Photonics GmbH | polychrome V | |
VWF Monoclonal Antibody (F8/86) | Thermofisher Scientific | MA5-14029 | |
β-Mercaptoethanol | Thermofisher Scientific | 21985023 |