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These studies suggest that the development and differentiation of arteries and veins are regulated by complex genetic factors and molecular signals, with distinct physical and functional characteristics established early in embryonic development.
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The vertebrate circulatory system is composed of two primary types of blood vessels: arteries and veins. These vessels are essential for the delivery and exchange of gases, hormones, metabolic wastes, and immunity factors. The specification of arteries and veins occurs early in embryonic development, driven by a complex interplay of genetic and molecular signals .
The initial determination of artery or vein identity is regulated by several key signaling pathways. Notably, the Hedgehog (Hh), vascular endothelial growth factor (VEGF), Notch, and chicken ovalbumin upstream-transcription factor II (COUP-TFII) pathways play crucial roles in specifying endothelial cell fate. VEGF binding to its receptor activates the Notch signaling pathway, which induces arterial markers such as ephrin B2 and suppresses venous markers like ephrin receptor B4 .
COUP-TFII, an orphan nuclear receptor, is specifically expressed in venous endothelium and suppresses Notch signaling to maintain vein identity. Ablation of COUP-TFII in endothelial cells leads to the acquisition of arterial characteristics, indicating its critical role in repressing arterial markers and promoting venous identity .
Interestingly, arterial and venous endothelial cells are molecularly distinct even before the onset of circulation, suggesting that genetic programs are in place to coordinate arterial-venous differentiation from the earliest stages of development .
Single-cell transcriptomics has revealed significant differences in the cellular composition and functional pathways of arteries and veins. Arteries are richer in smooth muscle cells and exhibit enhanced contractility and extracellular matrix (ECM)-related pathways. In contrast, veins contain more immune cells and are enriched in pathways related to leukocyte migration, antigen presentation, and neutrophil activation.
Arteries and veins also express distinct markers. For instance, ephrin-B2 marks arterial endothelial cells, while Eph-B4 marks venous endothelial cells. This molecular distinction is crucial for the proper formation and function of the circulatory system. Additionally, specific markers such as Intelectin-1 (ITLN1) have been identified as arterial endothelial markers, further highlighting the molecular differences between these vessel types.
Recent advancements in deep learning have enabled the automated classification of arteries and veins using optical coherence tomography angiography (OCTA). The AV-Net, a fully convolutional network, incorporates enface OCT and OCTA to differentiate arteries and veins with high accuracy, facilitating clinical deployment of differential AV analysis.
The specification of arteries and veins is a complex process governed by a network of genetic and molecular signals. Key pathways such as VEGF, Notch, and COUP-TFII play critical roles in determining endothelial cell fate. Understanding these mechanisms not only provides insights into vascular development but also opens potential therapeutic avenues for vascular disorders. Advances in technology, such as deep learning, further enhance our ability to study and classify these essential components of the circulatory system.
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