Peripheral arterial disease (PAD) affects millions of people and compromises quality of life. Critical limb ischemia (CLI), which is the most advanced stage of PAD, can cause nonhealing ulcers and strong chronic pain, and it shortens the patients’ life expectancy. Cell-based angiogenic therapies are becoming a real therapeutic approach to treat CLI. Pericytes are cells that surround vascular endothelial cells to reinforce vessel integrity and regulate local blood pressure and metabolism. In the past decade, researchers also found that pericytes may function as stem or progenitor cells in the body, showing the potential to differentiate into several cell types. We investigated the gene expression profiles of pericytes during the early stages of limb ischemia, as well as the alterations in pericyte subpopulations to better understand the behavior of pericytes under ischemic conditions.
In this study, we used a hindlimb ischemia model to mimic CLI in C57/BL6 mice and explore the role of pericytes in regeneration. To this end, muscle pericytes were isolated at different time points after the induction of ischemia. The phenotypes and transcriptomic profiles of the pericytes isolated at these discrete time points were assessed using flow cytometry and RNA sequencing.
Ischemia triggered proliferation and migration and upregulated the expression of myogenesis-related transcripts in pericytes. Furthermore, the transcriptomic analysis also revealed that pericytes induce or upregulate the expression of a number of cytokines with effects on endothelial cells, leukocyte chemoattraction, or the activation of inflammatory cells.
Our findings provide a database that will improve our understanding of skeletal muscle pericyte biology under ischemic conditions, which may be useful for the development of novel pericyte-based cell and gene therapies.

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This is a list of supplementary files associated with this preprint. Click to download.
Event numbers of endothelial cell and pericyte populations. (a-d) Event numbers of (a) endothelial cells, (b) pericytes, (c) type I pericytes and (d) type II pericytes in one cell suspension sample prepared from one ischemic gastrocnemius muscle. Student’s t test was used to perform statistical analyses. *, p<0.05; **, p<0.01
Isolation of pericytes (CD45-CD31-CD146+) using FACS. Representative figure of gated pericytes (CD146+CD31-) (P5) in the CD45- population processed using FACS (upper panel). Then, the purity of the sorted pericytes was analyzed again using the same gating criteria (lower panel).
Comparison of enriched KEGG pathways between dynamic profiles. The results of analyses and comparisons of the enriched KEGG pathways in each dynamic profile determined by STEM using ClusterProfiler packages.
Heatmaps of the expression levels of genes in cell-cell contact and extracellular matrix categories based on GO terms. Heatmaps present the expression profiles of genes involved in (a) cell junction regulation, (b) ECM regulation, and (c) regulation of cell adhesion that were selected based on the GO tree (see Table 1). The genes mentioned in the text are marked with arrows.
Cytokine production in pericytes. Heatmaps present the expression profiles of genes involved in (a) cytokine production and (b) leukocyte activation that were selected based on the GO tree (see Table 1). (c) Quantitation of the CD45+ hematopoietic cell population in ischemic muscles. The genes mentioned in the text are marked with arrows.
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Posted 21 Dec, 2020
On 03 Jan, 2021
On 02 Jan, 2021
Received 01 Jan, 2021
On 31 Dec, 2020
Received 29 Dec, 2020
On 21 Dec, 2020
On 21 Dec, 2020
Invitations sent on 19 Dec, 2020
On 15 Dec, 2020
On 15 Dec, 2020
On 15 Dec, 2020
On 12 Dec, 2020
Posted 21 Dec, 2020
On 03 Jan, 2021
On 02 Jan, 2021
Received 01 Jan, 2021
On 31 Dec, 2020
Received 29 Dec, 2020
On 21 Dec, 2020
On 21 Dec, 2020
Invitations sent on 19 Dec, 2020
On 15 Dec, 2020
On 15 Dec, 2020
On 15 Dec, 2020
On 12 Dec, 2020
Peripheral arterial disease (PAD) affects millions of people and compromises quality of life. Critical limb ischemia (CLI), which is the most advanced stage of PAD, can cause nonhealing ulcers and strong chronic pain, and it shortens the patients’ life expectancy. Cell-based angiogenic therapies are becoming a real therapeutic approach to treat CLI. Pericytes are cells that surround vascular endothelial cells to reinforce vessel integrity and regulate local blood pressure and metabolism. In the past decade, researchers also found that pericytes may function as stem or progenitor cells in the body, showing the potential to differentiate into several cell types. We investigated the gene expression profiles of pericytes during the early stages of limb ischemia, as well as the alterations in pericyte subpopulations to better understand the behavior of pericytes under ischemic conditions.
In this study, we used a hindlimb ischemia model to mimic CLI in C57/BL6 mice and explore the role of pericytes in regeneration. To this end, muscle pericytes were isolated at different time points after the induction of ischemia. The phenotypes and transcriptomic profiles of the pericytes isolated at these discrete time points were assessed using flow cytometry and RNA sequencing.
Ischemia triggered proliferation and migration and upregulated the expression of myogenesis-related transcripts in pericytes. Furthermore, the transcriptomic analysis also revealed that pericytes induce or upregulate the expression of a number of cytokines with effects on endothelial cells, leukocyte chemoattraction, or the activation of inflammatory cells.
Our findings provide a database that will improve our understanding of skeletal muscle pericyte biology under ischemic conditions, which may be useful for the development of novel pericyte-based cell and gene therapies.

Figure 1

Figure 2

Figure 3

Figure 4

Figure 5

Figure 6
This is a list of supplementary files associated with this preprint. Click to download.
Event numbers of endothelial cell and pericyte populations. (a-d) Event numbers of (a) endothelial cells, (b) pericytes, (c) type I pericytes and (d) type II pericytes in one cell suspension sample prepared from one ischemic gastrocnemius muscle. Student’s t test was used to perform statistical analyses. *, p<0.05; **, p<0.01
Isolation of pericytes (CD45-CD31-CD146+) using FACS. Representative figure of gated pericytes (CD146+CD31-) (P5) in the CD45- population processed using FACS (upper panel). Then, the purity of the sorted pericytes was analyzed again using the same gating criteria (lower panel).
Comparison of enriched KEGG pathways between dynamic profiles. The results of analyses and comparisons of the enriched KEGG pathways in each dynamic profile determined by STEM using ClusterProfiler packages.
Heatmaps of the expression levels of genes in cell-cell contact and extracellular matrix categories based on GO terms. Heatmaps present the expression profiles of genes involved in (a) cell junction regulation, (b) ECM regulation, and (c) regulation of cell adhesion that were selected based on the GO tree (see Table 1). The genes mentioned in the text are marked with arrows.
Cytokine production in pericytes. Heatmaps present the expression profiles of genes involved in (a) cytokine production and (b) leukocyte activation that were selected based on the GO tree (see Table 1). (c) Quantitation of the CD45+ hematopoietic cell population in ischemic muscles. The genes mentioned in the text are marked with arrows.
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