Role of monocytes and macrophages in adult angiogenesis: a light at the tunnel's end

Morphogenesis of embryonic CNS vessels

This chapter focuses on the morphology of blood vessel formation in and around the early central nervous system (CNS, i.e., brain and spinal cord) of avian embryos. We discuss cell lineages, proliferation and interactions of endothelial cells, pericytes and smooth muscle cells, and macrophages. Due to space limitations, we can not review the molecular control of CNS angiogenesis, but refer the reader to other chapters in this book and to recent publications on the assembly of the vasculature (1,2).

Tissular insemination of progenitor endothelial cells: the problem, and a suggested solution

The contribution of circulating precursor endothelial cells (CPEC) to adult angiogenesis is now well established. However, the mechanism of their tissular engrafting remains poorly understood. The classical paradigm of "sprouting" cannot accommodate the main features of the CPEC-based angiogenic process. Additionally, vasculogenesis based on the differentiation of angioblasts, as defined in the embryonic stages, is not applicable to adult neo-vascularization either. In search for a solution to this dilemma, I suggest that the ability of monocytes/macrophages to produce tunnels, as effect of their protease-dependent migration in the extracellular matrices, is instrumental for the tissular insemination of CPEC. Here I present in vivo and in vitro experimental evidence for the existence of tunnels, and for their colonization by monocytes/macrophages and by other cells, including CPEC. As a paradigm of CPEC behavior, the tunneling model (in an extended sense) may also explain the propagation of the endothelium with arteriolar phenotype within the pre-existent downstream capillary network. Thus, the sprouting mechanism might be a valid explanation for the formation of new capillaries and venules, whereas CPEC would contribute mostly, if not exclusively, to the extension of arteriolar branches of microvasculature. Adult angiogenesis occurs therefore as a multifunctional process based on intercellular cooperation, in which there are involved endothelial cells (EC) or their precursors, as well as other cell types. In specific circumstances, the lumen (i.e. the tunnel) may occur before the "definitive" microvessel. Therefore the very notion of microvessel may need to be extended, to include the tunnels.

Making vascular networks in the adult: branching morphogenesis without a roadmap

The vascular system is unique in that extensive branching morphogenesis may take place in the adult. Developmental neovascularization is guided by precise spatial cues but vessel formation in the adult is not genetically programmed. Here, we review different adult modes for branch patterning, acquiring artery or vein identity and allocating vascular progenitor cells. The endothelium shows a remarkable degree of self-organization into a treelike network and hemodynamic forces are important in rectifying abnormal branching. This discussion is in the context of a contemplated therapy for improving organ perfusion by creating new vascular loops properly integrated within the existing network.