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Publication : Aging Reprograms the Hematopoietic-Vascular Niche to Impede Regeneration and Promote Fibrosis.

First Author  Chen Y Year  2021
Journal  Cell Metab Volume  33
Issue  2 Pages  395-410.e4
PubMed ID  33357457 Mgi Jnum  J:303721
Mgi Id  MGI:6510384 Doi  10.1016/j.cmet.2020.11.019
Citation  Chen Y, et al. (2021) Aging Reprograms the Hematopoietic-Vascular Niche to Impede Regeneration and Promote Fibrosis. Cell Metab 33(2):395-410.e4
abstractText  Regenerative capacity is frequently impaired in aged organs. Stress to aged organs often causes scar formation (fibrosis) at the expense of regeneration. It remains to be defined how hematopoietic and vascular cells contribute to aging-induced regeneration to fibrotic transition. Here, we find that aging aberrantly reprograms the crosstalk between hematopoietic and vascular cells to impede the regenerative capacity and enhance fibrosis. In aged lung, liver, and kidney, induction of Neuropilin-1/hypoxia-inducible-factor 2alpha (HIF2alpha) suppresses anti-thrombotic and anti-inflammatory endothelial protein C receptor (EPCR) pathway, leading to formation of pro-fibrotic platelet-macrophage rosette. Activated platelets via supplying interleukin 1alpha synergize with endothelial-produced angiocrine chemokine to recruit fibrogenic TIMP1(high) macrophages. In mouse models, genetic targeting of endothelial Neuropilin-1-HIF2alpha, platelet interleukin 1alpha, or macrophage TIMP1 normalized the pro-fibrotic hematopoietic-vascular niche and restored the regenerative capacity of old organs. Targeting of aberrant endothelial node molecules might help propel "regeneration without scarring" in the repair of multiple organs.
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