Carriero, R. | Search bioRxiv

bioRxiv2026

Disruption of endothelial stability directly impacts vascular neighboring cells in Hereditary Hemorrhagic Telangiectasia

BACKGROUNDHereditary hemorrhagic telangiectasia (HHT) is a genetic disorder caused by pathogenic variants in the endothelial TGF{beta}/BMP pathway, crucial for the vascular arterial-venous differentiation. Vascular defects result in fragile and malformed vessels. The precise mechanisms driving vascular network failure remain incompletely understood, complicating the design of targeted therapies. METHODSNasal telangiectasias from HHT patients carrying variants in ACVRL1 or ENG were used to perform scRNA-seq (2 ACVRL1- and 1 ENG-patient) and spatial transcriptomics (1 ACVRL1 and 1 ENG) to uncover endothelial cells (EC) populations. Vascular characteristics within biopsies were evaluated using transmission electron microscopy (TEM) (1 ACVRL1 and 1 ENG) and histological analyses (23 ACVRL1 and 7 ENG), with particular attention to regions exhibiting varying degrees of damage. RESULTSComparing our HHT tissues with healthy donor from the literature, we identified cellular heterogeneity within EC populations, revealing two distinct venous clusters: a stable, quiescent population (Mature Vein) and an activated, pro-inflammatory population (HHT Vein). The coexistence of these two clusters suggests cellular diversity within the biopsy, further validated by TEM and histology, revealing a juxtaposition of well-organized collagen and cellular architecture with severely disrupted, fibrotic regions. Moreover, cellular crosstalk analyses allowed us to identify critical ligands in ECs that interact with fibroblasts and mural cells. In particular, we found Midkine (MDK) lost in HHT Vein ECs with further validation in vitro, suggesting its potential role in cellular stability. Furthermore, spatial transcriptomics allowed to further uncover pathologic phenotypes in cells neighboring HHT Vein ECs. CONCLUSIONSHHT biopsies exhibit localized inflamed and fibrotic vascular areas with the presence of different transcriptional sub-populations of EC. Within the same tissue, stable and activated ECs can be distinguished. The pathologic-like EC cluster, present exclusively in the HHT samples, may contribute to vascular leakage through the loss of important ligands involved in cellular communication.

cell biology↗

bioRxiv2022

Multimodal single-cell profiling of intrahepatic cholangiocarcinoma defineshyperactivated Tregs as a potential therapeutic target

The quality of the immune infiltrate of intrahepatic cholangiocarcinoma (iCCA), a rare, yet aggressive tumor of the biliary tract, remains poorly characterized, limiting development of successful immunotherapies. We used high-dimensional flow cytometry to characterise the T cell and myeloid compartments of iCCA comparing these with their tumor-free peritumoral and circulating counterparts. We found poor infiltration of putative tumor-specific CD39+ CD8+ T cells accompanied by abundant infiltration of hyperactivated CD4+ regulatory T cells (Tregs), whose frequency in relation to that of CD4+ CD69+ T cells and conventional type 2 dendritic cells was associated with poor prognosis. Single-cell RNA-sequencing identified an altered network of transcription factors in iCCA-infiltrating compared to peritumoral T cells, suggesting reduced effector functions by tumor-infiltrating CD8+ T cells and enhanced immunosuppression by CD4+ Tregs. Specifically, we found that expression of mesenchyme homeobox 1 (MEOX1) was highly enriched in tumor-infiltrating Tregs, and demonstrated that MEOX1 overexpression is sufficient to reprogram circulating precursors to acquire the transcriptional and epigenetic landscape of tumorinfiltrating Tregs. Interfering with hyperactivated Tregs should be thus explored to enhance antitumor immunity in iCCA.

immunology↗