Diabetes diminishes muscle precursor cell-mediated microvascular angiogenesis
PLOS ONE
RESEARCH ARTICLE
Diabetes diminishes muscle precursor cellmediated microvascular angiogenesis
Francisca M. Acosta ID1,2¤a, Settimio Pacelli1¤b, Christopher R. Rathbone ID1,2,3*
1 Department of Biomedical and Chemical Engineering, University of Texas at San Antonio, San Antonio, TX,
United States of America, 2 UTSA-UTHSCSA Joint Graduate Program in Biomedical Engineering, San
Antonio, TX, United States of America, 3 Institute of Regenerative Medicine, University of Texas at San
Antonio, San Antonio, TX, United States of America
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¤a Current address: Department of Biochemistry and Structural Biology, University of Texas Health Science
Center, San Antonio, TX, United States of America
¤b Current address: Department of Biomedical Engineering, Illinois Institute of Technology, Chicago, IL,
United States of America
*
Abstract
OPEN ACCESS
Citation: Acosta FM, Pacelli S, Rathbone CR
(2023) Diabetes diminishes muscle precursor cellmediated microvascular angiogenesis. PLoS ONE
18(8): e0289477. https://doi.org/10.1371/journal.
pone.0289477
Editor: Kanhaiya Singh, Indiana University Purdue
University at Indianapolis, UNITED STATES
Received: January 26, 2023
Accepted: July 19, 2023
Published: August 4, 2023
Copyright: © 2023 Acosta et al. This is an open
access article distributed under the terms of the
Creative Commons Attribution License, which
permits unrestricted use, distribution, and
reproduction in any medium, provided the original
author and source are credited.
Data Availability Statement: All relevant data are
within the paper and its Supporting Information
files.
Funding: This work was financially supported by
the National Institutes of Health in the form of a
grant (SC1DK122578) awarded to CRR. This work
was also financially supported by the National
Institutes of Health in the form of trainee support
awarded to FMA through an institutional grant
(GM060655). The Bioanalytics and Single-Cell Core
at UTHSCSA, which is supported by CPRIT grant
(RP150600) and the Office of Vice President of
The skeletal muscles of Type II diabetic (T2D) patients can be characterized by a reduced
vessel density, corresponding to deficiencies in microvascular angiogenesis. Interestingly,
T2D also inhibits the function of many myogenic cells resident within skeletal muscle, including satellite cells, which are well-known for the role they play in maintaining homeostasis.
The current study was undertaken to gain a better understanding of the mechanisms
whereby satellite cell progeny, muscle precursor cells (MPCs), influence microvascular
angiogenesis. Network growth and the expression of genes associated with angiogenesis
were reduced when microvessels were treated with conditioned media generated by proliferating MPCs isolated from diabetic, as compared to control rat skeletal muscle, a phenomenon that was also observed when myoblasts from control or diabetic human skeletal
muscle were used. When only exosomes derived from diabetic or control MPCs were used
to treat microvessels, no differences in microvascular growth were observed. An evaluation
of the angiogenesis factors in control and diabetic MPCs revealed differences in Leptin, vascular endothelial growth factor (VEGF), IL1-β, interleukin 10, and IP-10, and an evaluation
of the MPC secretome revealed differences in interleukin 6, MCP-1, VEGF, and interleukin
4 exist. Angiogenesis was also reduced in tissue-engineered skeletal muscles (TE-SkM)
containing microvessels when they were generated from MPCs isolated from diabetic as
compared to control skeletal muscle. Lastly, the secretome of injured control, but not diabetic, TE-SkM was able to increase VEGF and increase microvascular angiogenesis. This
comprehensive analysis of the interaction between MPCs and microvessels in the context
of diabetes points to an area for alleviating the deleterious effects of diabetes on skeletal
muscle.
PLOS ONE | https://doi.org/10.1371/journal.pone.0289477 August 4, 2023
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PLOS ONE
Research at UT Health SA, was utilized for the
completion of these studies. The funders had no
additional role in study design, data collection and
analysis, decision to publish, or preparation of the
manuscript.
Competing interests: The authors have declared
that no competing interests exist.
Diabetes diminishes muscle precursor cell-mediated microvascular angiogenesis
Introduction
Given the importance of the perfusion of skeletal muscle fibers in maintaining homeostasis, it
is intuitive that reductions in capillary density and disruptions in the microvascular function
that accompany diseases, like Type II diabetes (T2D), are associated with deleterious consequences in skeletal muscle [1–3]. Satellite cells, resident adult muscle stem cells, are widely recognized for their contribution to muscle homeostasis and muscle repair through their direct
participation in myogenesis. The ability of satellite cells to influence their microenvironment
through the secretion of factors that impact, for example, neurogenesis, inflammation, and
angiogenesis, to name a few, is recognized as an additional satellite cell attribute [4–6]. With
regards to the latter, the observation that resident stem cells within skeletal muscle called satellite cells are closely associated with blood vessels in vivo, and that the number of satellite cells
positively correlates with capillarization implies that an association between satellite cells and
microvessels may contribute to muscle homeostasis by affecting the vasculature [7, 8]. Collectively, when specifically taking T2D into consideration, the knowledge that satellite cell content, regenerative capacity, and capillary density are all reduced in muscles in diabetes and/or
obesity suggests the interaction between satellite cells and microvessels in diabetic muscle is a
critical facet of the disease [9–14].
In vitro experiments support the idea that satellite cells exert a positive influence over
microvessels. Factors secreted by the progeny of satellite cells (myoblasts, MPCs, MuSCs, etc.)
or their immortalized cell equivalent (C2C12 cells) can stimulate angiogenesis [15, 16]. For the
remainder of the manuscript, the progeny of satellite cells will be referred to as muscle precursor cells (MPCs) where appropriate. Following in line with the idea that this interaction may
be impaired in the context of disease, secretions from muscle cells taken from unhealthy tissue,
or treated to resemble diseased cells, have a reduced ability to stimulate angiogenesis [17–20].
The types and/or quantity of growth factors secreted by diseased satellite cells (or their in vitro
progeny) that are responsible for this insufficiency are beginning to be delineated. For example, myotubes derived from T2D subjects produced an increase in the level of Interleukin 8
that was associated with a reduction in human umbilical vein (HUVEC) tube formation and
capillary outgrowth [19]. Conversely, decrea (...truncated)