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Urokinase-type plasminogen activator receptor (uPAR, or CD87) is a key component of the fibrinolytic system involved in extracellular matrix remodeling and angiogenesis. The cleavage/inactivation of uPAR is a crucial step in fibroblast-to-myofibroblast transition and has been implicated in systemic sclerosis (SSc, scleroderma) peripheral microvasculopathy and impaired angiogenesis. In the present study, we investigated whether uPAR gene inactivation in mice could result in tissue fibrosis and peripheral microvasculopathy resembling human SSc. Skin and lung sections from uPAR-deficient mice and wild-type littermates at 12 and 24 weeks of age were stained with hematoxylin-eosin, Masson’s trichrome and Picrosirius red. Dermal thickness and hydroxyproline content were quantified. The number of myofibroblasts and microvessels were determined in skin sections immunostained for alpha-smooth muscle actin and the pan-endothelial cell marker CD31, respectively. Endothelial cell apoptosis was assessed by TUNEL/CD31 immunofluorescence assay. Dermal thickness, collagen content and myofibroblast counts were significantly greater in uPAR-deficient mice than in wild-type littermates. In uPAR-deficient mice, dermal fibrosis was paralleled by endothelial cell apoptosis and severe loss of microvessels. Lung specimens from uPAR-deficient mice exhibited non-specific interstitial pneumonia-like pathological features with large patchy areas of lung parenchyma displaying a uniform interstitial involvement characterized by both diffuse cellular inflammation and collagen deposition. In uPAR-deficient mice pulmonary pathology worsened significantly from 12 to 24 weeks of age, as shown by a significant increase in alveolar septal width and collagen content.The absence of uPAR induces dermal and pulmonary fibrosis and peripheral microvasculopathy in mice closely mimicking human SSc. uPAR-deficient mice might be a promising preclinical model to study the pathogenetic mechanisms of human SSc and enable testing of antifibrotic agents and drugs targeting small vessel vasculopathy simultaneously.
Mice doubly heterozygous for a modified tissue factor pathway inhibitor (TFPI) allele (tfpi delta) lacking its Kunitz-type domain-1 (TFPI+/delta) and for a deficiency of the factor VII gene (FVII+/-) were mated to generate 309 postnatal and 205 embryonic day 17.5 (E17. 5) offspring having all the predicted genotypic combinations. Progeny singly homozygous for the tfpidelta modification but with the wild-type fVII allele (FVII+/+/TFPIdelta/delta), and mice singly homozygous for the fVII deficiency and possessing the wild-type tfpi allele (FVII-/-/TFPI+/+), displayed previously detailed phenotypes (i.e., a high percentage of early embryonic lethality at E9.5 or normal development with severe perinatal bleeding, respectively). Surprisingly, mice of the combined FVII-/-/TFPIdelta/delta genotype were born at the expected mendelian frequency but suffered the fatal perinatal bleeding associated with the FVII-/- genotype. Mice carrying the FVII+/-/TFPIdelta/delta genotype were also rescued from the lethality associated with the FVII+/+/TFPIdelta/delta genotype but succumbed to perinatal consumptive coagulopathy. Thus, the rescue of TFPIdelta/delta embryos, either by an accompanying homozygous or heterozygous FVII deficiency, suggests that diminishment of FVII activity precludes the need for TFPI-mediated inhibition of the FVIIa/tissue factor coagulation pathway during embryogenesis. Furthermore, the phenotypes of these combined deficiency states suggest that embryonic FVII is produced in mice as early as E9.5 and that any level of maternal FVII in early-stage embryos is insufficient to cause a coagulopathy in TFPIdelta/delta mice.
Rossignol, P.; Luttun, A.; Carmeliet, P.; Collen, D.; Angles-Cano, E.; Lijnen, H. R. Author Information