Valvular & structural heart disease

COL1A1-Enhanced CD44/SLC7A11 Interaction and Cystine Uptake Result in CD34 + Foam-Like Macrophage Accumulation in Transplant Arteriosclerosis

CirculationPublished Mechanistic study

Authors' conclusion

This study has revealed previously uncharacterized foam-like macrophages in transplant arteriosclerosis, with COL1A1-enhanced amino acid metabolism modulating lipogenesis and foamy macrophage formation.

Study context

Population
Human chronic allograft vasculopathy specimens and mouse vascular allograft models
Methodological detailssingle-cell RNA sequencing, spatial transcriptomics, CD34+ lineage tracing, myeloid-specific Slc7a11 knockout mice
  • Single-cell RNA sequencing
  • Spatial transcriptomics
  • CD34+ lineage tracing
  • Myeloid-specific Slc7a11 knockout mice

Main finding

As reported in the abstract

  • Novel proinflammatory foam-like macrophage phenotype identified in allograft arterial adventitia
  • These macrophages primarily originate from bone marrow-derived CD34+ lineage cells, with heightened de novo lipogenesis and proinflammatory activity
  • Lipogenesis driven by increased cystine uptake via enhanced membrane CD44-SLC7A11 complex, activating mTORC1-HIF-1α signaling
  • Fibroblast-secreted COL1A1 anchors the complex to the cell membrane through direct interaction with CD44
  • Blocking COL1A1, CD44 or SLC7A11 attenuated mTORC1-HIF-1α signaling, inflammation and lipogenesis in macrophages, and foam-like cell accumulation and intimal hyperplasia in allograft arteries

Original publication

COL1A1-Enhanced CD44/SLC7A11 Interaction and Cystine Uptake Result in CD34 + Foam-Like Macrophage Accumulation in Transplant Arteriosclerosis. Circulation. Published 4 August 2026. doi:10.1161/circulationaha.126.080261

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