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  <front>
    <journal-meta id="journal-meta-4077a9498b2142eb9bc1648883a1a2b2">
      <journal-id journal-id-type="nlm-ta">Sciresol</journal-id>
      <journal-id journal-id-type="publisher-id">Sciresol</journal-id>
      <journal-id journal-id-type="journal_submission_guidelines">https://jmdr-idea.com/author-guidelines</journal-id>
      <journal-title-group>
        <journal-title>Journal of Multidisciplinary Dental Research</journal-title>
      </journal-title-group>
      <issn publication-format="print"/>
    </journal-meta>
    <article-meta id="article-meta-19f508cead9041e9bbd1a2957a586dca">
      <article-id pub-id-type="doi">10.38138/JMDR/v8i2.22.29</article-id>
      <article-categories>
        <subj-group>
          <subject>Original Article</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title id="article-title-e1326347678d492e8725e6ae4cda5741">Morphological Study on Development of Vascular Endothelium in Chick Embryo</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author" corresp="yes">
          <name id="name-7569f06f75ff41cbab7ff797f42727d1">
            <surname>Hara</surname>
            <given-names>Yaiko</given-names>
          </name>
          <email>hara-yaiko@tsurumi-u.ac.jp</email>
          <xref id="xref-b6e1de920282401aa3d0fb7507eac33d" rid="aff-8681f11a5c494036a9a15e8683521b1d" ref-type="aff">1</xref>
        </contrib>
        <aff id="aff-8681f11a5c494036a9a15e8683521b1d">
          <institution>Department of Anatomy, Tsurumi University School of Dental Medicine</institution>
          <addr-line>Yokohama, 230-8501</addr-line>
          <country country="JP">Japan</country>
        </aff>
      </contrib-group>
      <volume>8</volume>
      <issue>2</issue>
      <fpage>57</fpage>
      <permissions>
        <copyright-year>2022</copyright-year>
      </permissions>
      <abstract id="abstract-abstract-title-a3e095f4e20e468cb6cf0ec43bfe0cb4">
        <title id="abstract-title-a3e095f4e20e468cb6cf0ec43bfe0cb4">Abstract</title>
        <p id="paragraph-4229fdc7d826490d9caec54e2a81955a">The vascular endothelium and hematopoietic stem cells are believed to derive from common progenitor cells called hemangioblasts. However, morphological study on the development of vascular endothelial cell has been scarce. The present study is intended to provide more morphological explanation of the differentiation process of the hemangioblast. We performed histological observation, using 10 four-day-old chick embryos. After fixation with 4% concentration paraformaldehyde, hematoxylin eosin staining, toluidine blue staining and immunostaining were performed in that order for observation of morphological changes of the detected cells. Blood corpuscles were aggregated in the dorsal aorta and the heart (that had been observed to beat in its preparation). Some red blood cells showed immunoreactivity to both anti-Flk-1(VEGFR2) and anti-CD31 antibody. Additionally, some blood cells had small vacuoles in the cytoplasm, and they fused to form one larger vacuole ultimately a balloon-like shape that was connected to endothelial cells. These cells were present in close proximity to the vascular endothelium.  We reveal that some of the early embryonic blood cells differentiate into vascular endothelial cells.</p>
      </abstract>
      <kwd-group id="kwd-group-52ca4171b1df4aecae555ca4f20ba0b6">
        <title>Keywords</title>
        <kwd>Vasculogenesis</kwd>
        <kwd>Angiogenesis</kwd>
        <kwd>Hemangioblasts</kwd>
        <kwd>Vascular endothelial cells</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec>
      <title id="title-48fd8f0a474a45fe8593ba1d5e750e66">Introduction</title>
      <p id="paragraph-53ce25828cb54acd804b8412dc4b4616">There have been a lot of studies about the development of vascular endothelium <xref rid="R161485226606065" ref-type="bibr">1</xref>, <xref rid="R161485226606071" ref-type="bibr">2</xref>, <xref rid="R161485226606054" ref-type="bibr">3</xref>, and vasculogenesis and angiogenesis are two commonly known developmental processes. Angiogeneisis is known to be a process of sprouting of new capillaries from pre-existing blood vessels while vasculogenesis is a process of de novo formation of primitive vascular networks by differentiation, expansion <xref rid="R161485226606066" ref-type="bibr">4</xref>, <xref rid="R161485226606060" ref-type="bibr">5</xref>, and coalescence. Vasculogenesis is also known to be involved in angiogenesis during the progression of periodontal disease <xref id="xref-1f2678e1a47b45a791494aad58d678ad" rid="R161485226606063" ref-type="bibr">6</xref>  and tumor growth <xref rid="R161485226606058" ref-type="bibr">7</xref>, <xref rid="R161485226606052" ref-type="bibr">8</xref>, but their detailed morphological study has been scarce. Both mechanisms might establish the rapid development of the blood circulating system in early embryonic stage.</p>
      <p id="paragraph-1ecada60ee8c4849bc7112e0dd64266f"> There is increasing evidence that hematopoietic cells and endothelial cells might be derived from the common precursor cells which is called hemangioblasts <xref id="xref-e6bc5b7278294f5d8a20ec1f02ecd5e6" rid="R161485226606055" ref-type="bibr">9</xref>. It is thought that the hemangioblasts are derived from mesodermal cells and that they differentiate into blood-cell lineages or the endothelial cells <xref id="xref-7241a9130eb8499ea8406437d2f2e27f" rid="R161485226606070" ref-type="bibr">10</xref>. However, it is morphologically not clear how the hemangioblast differentiates into the vascular endothelial cell.</p>
      <p id="paragraph-1408bb0f329f40bf9cfd4e06b281c75b">Our previous histological study <xref id="xref-73951b3502af490ba69650865d2554f0" rid="R161485226606056" ref-type="bibr">11</xref> reported that some blood corpuscles differentiate into endocardial endothelial cells. The endocardial endothelium is a monolayer of epithelium that is continuous to the vascular endothelium. Therefore, the formation of vascular endothelium and heart endocardium is believed to follow the same developmental process <xref rid="R161485226606059" ref-type="bibr">12</xref>, <xref rid="R161485226606067" ref-type="bibr">13</xref> and more morphological explanation is needed concerning this differentiation process. Here we report histological analysis of how the red blood cells change their form to vascular endothelial cells. </p>
    </sec>
    <sec>
      <title id="title-ef0cc4f7e4d14c10acdb1750cc533e0d">Materials and Methods</title>
      <p id="paragraph-c701300f351440e9b4c1e61c9806856f">In this study, twenty fertilized eggs were used. According to Hamburger and Hamilton stages <xref id="xref-9aac2ea5ba4a4e9a8ee9b523c3163447" rid="R161485226606053" ref-type="bibr">14</xref>, white leghorn chick embryos staged 4 were incubated at 38℃ under 80% humidity. The embryos were explanted from yolk sac together with surrounding area vasculosa and whole bodies were fixed with 4% paraformaldehyde solution for both light-microscopic and electron-microscopic observations. Our experiments were approved by the Ethical Committee of Animal Experiments of the Tsurumi University School of Dental Medicine and conducted in compliance with guidelines for Care and Use of Experimental Animals.</p>
      <sec>
        <title id="t-20cdc0f0ce0e">
          <bold id="strong-44f3ff6e498c425eb7f6935ff00e6470">Light microscopy</bold>
        </title>
        <sec>
          <title id="t-ed147480aeb2">
            <bold id="strong-deb70e6d4062423a9cac556d3db81cef">HE-Staining</bold>
          </title>
          <p id="paragraph-ed98ff5c1c454aa4a52f9cb6134730a2">For light-microscopic observation, the whole embryo was removed and fixed with 0.1M Phosphate-buffered (pH7.3) 4% paraformaldehyde containing 15% saturated picric acid. The fixed samples were embedded in paraffin wax (Palaplast, Leica, Richmond) after dehydration with ethanol. Paraffin sections were cut at a thickness of 6um of the chick embryos. These sections were stained with hematoxylin-eosin (HE).</p>
        </sec>
        <sec>
          <title id="t-a3c56a0f25d1">
            <bold id="strong-f5f06c6874bc41698ef82929c046d96b">Transmission Electron Microscopy (TEM)</bold>
          </title>
          <p id="paragraph-fa2854e84e104989b497afea150b4573">The specimens were fixed with cacodylate-buffered glutaraldehyde solution. After dehydration, the samples were embedded in epoxy resin. Semithin sections were stained with 1% concentration toluidine blue. </p>
        </sec>
        <sec>
          <title id="t-a26c5cbd885e">
            <bold id="strong-929322ade2ff455d83a83275e8c71dbd">Immunohistochemistry</bold>
          </title>
          <p id="paragraph-1fab5ddeaf0d422dadb8a34963bf5bcf">For immunohistochemical identification of FLK-1(VEGFR-2) and CD31, the samples were stained by using the streptavidin-biotin-peroxidase complex (SAB) method <xref id="x-ff922286eae2" rid="R161485226606064" ref-type="bibr">15</xref>. Specific cellular staining was employed with mouse monoclonal antibodies IgG1 to FLK1 (Santa Cruz Biotechnology, TX), or CD31 (Dako, Copenhagen, Denmark). Paraffin sections for staining with primary antibodies were deparaffinized and blocked with 20% normal goat serum in phosphate-buffered saline (PBS). The sections were treated with primary antibodies at an appropriate dilution of each antibody for FLK-1 (1:500) or CD31 (1:40) in 1% bovine serum albumin (BSA; SIGMA-Aldrich, St. Louis, MO) in PBS with Triton X-100 (WAKO, Tokyo, Japan) overnight. The sections were rinsed with PBS without Triton X-100. The sections were incubated with secondary antibodies which is in biotinylated goat anti-mouse Ig (1:600: DAKO), diluted in 1%BSA in PBS. They were incubated at room temperature for 30min with peroxidase-conjugated streptavidin (DAKO), dilated 1:300. The reaction was visualized by using 0.025% 3,3-diaminobenzidine tetrahydrochloride (DAB; Sigma-Aldrich) and 0.01%hydrogen peroxide in 0.05 M TRIS-HCL buffer (pH 7.3) for 5min. After counterstaining with hematoxylin, the samples were dehydrated and mounted in Permount (Fisher-Scientific, Fair Lawn NJ).</p>
        </sec>
      </sec>
    </sec>
    <sec>
      <title id="title-8333e98096dc4cdfbab17a4497abbaab">Results</title>
      <p id="paragraph-96c65210bcf944d1a85bdd8603cede01">The blood-circulation system of the observed chick embryo had developed as early as at the age of four days (<xref id="x-f33264595ff9" rid="f-094ce58652b8" ref-type="fig">Figure 1</xref> a) and at this stage, numerous red blood corpuscles were observed in various places of the chick embryo such as the heart and blood vessels including dorsal aorta, cardial vessels, small vessels and sinusoids in the liver. The nucleated blood corpuscles looking spindle- or oval-shaped (<xref id="x-d9a2ccd497ab" rid="f-094ce58652b8" ref-type="fig">Figure 1</xref>b) were observed in some blood vessels. Balloon-shaped cells were in close proximity to the blood vessel wall (<xref id="x-0764a4eaaf9b" rid="f-094ce58652b8" ref-type="fig">Figure 1</xref>b).</p>
      <p id="p-aa395258ad82"/>
      <fig id="f-094ce58652b8" orientation="portrait" fig-type="graphic" position="anchor">
        <label>Figure 1 </label>
        <caption id="c-30dc2698cfe4">
          <title id="t-8c5b943053b8">Four-day-old chick embryo under light microscope. </title>
          <p id="p-95d796fe427d">a) Many accumulated red blood cells are observed in the dorsal aorta at a magnification of 40. The rectangular inset shows a lower magnification (x4) of (a), b) In the blood vessels there can be seen many spindle-shaped or roundish undifferentiated vascular endothelial cells with a dark nucleus. The inset shows that crescent-shaped cells (pointed at by the hollow triangles) in close proximity to the vascular endothelium. CBC; clusters of blood corpuscles, EC; endothelial cells, DA; dorsal aorta, LV; liver,</p>
        </caption>
        <graphic id="g-2d236c050f21" xlink:href="https://typeset-prod-media-server.s3.amazonaws.com/article_uploads/18199884-a47c-429d-9a7d-ca207d4b573b/image/763140d0-1306-45c5-8924-a4481104bf7e-uimage.png"/>
      </fig>
      <p id="p-3d0e6238f6d5"/>
      <p id="paragraph-37e67e6b01ba45859373973c6606d977">FLK-1(VEGFR-2) positive cells were found in some blood cells of the blood vessels (<xref id="x-28f7ba666b80" rid="f-98416a11aad5" ref-type="fig">Figure 2</xref>a), and some blood corpuscles were not stained with FLK-1 antibody. In addition, CD31-positive cells were found in some blood cells and CD31 immunoreaction was also identified composing the vascular endothelial cell-chains (<xref id="x-b50afe986d8a" rid="f-98416a11aad5" ref-type="fig">Figure 2</xref>b).</p>
      <p id="p-f8b382c746c2"/>
      <fig id="f-98416a11aad5" orientation="portrait" fig-type="graphic" position="anchor">
        <label>Figure 2 </label>
        <caption id="c-8fac6f388994">
          <title id="t-49c2dfb74434">Immunostaining for FLK-1 (VEGFR2) and CD31</title>
        </caption>
        <graphic id="g-489130692d4d" xlink:href="https://typeset-prod-media-server.s3.amazonaws.com/article_uploads/18199884-a47c-429d-9a7d-ca207d4b573b/image/24c2cb4d-51fc-4fe8-8ab2-af47c3693e33-uimage.png"/>
      </fig>
      <p id="p-cdc1112b0233"/>
      <p id="paragraph-36a9d1e758ae42aaab8659c902344cf3">In the sinusoid of the liver, undifferentiated vascular endothelial cells in which the cytoplasm of some blood cells were deeply stained and changed from spindle-shaped, and cells with vacuoles in the cytoplasm close to the blood vessel wall were observed (<xref id="x-eae123b55deb" rid="f-8c09d05ffec0" ref-type="fig">Figure 3</xref>a-d). The vacuoles gradually appeared in the cytoplasm (<xref id="x-08e4d60ffdc0" rid="f-8c09d05ffec0" ref-type="fig">Figure 3</xref>a, b) and it was observed that some undifferentiated vascular endothelial cells, which had coalesced these vacuoles, were present near the vessel walls (<xref id="x-15491a66922f" rid="f-8c09d05ffec0" ref-type="fig">Figure 3</xref>b). In addition, dome- and crescent- shaped cells appeared to be continuously gathered so as to cover the inner surface of the blood vessels (<xref id="x-21402159c1d7" rid="f-8c09d05ffec0" ref-type="fig">Figure 3</xref>c, d). </p>
      <p id="p-7a0a82aa89a2"/>
      <fig id="f-8c09d05ffec0" orientation="portrait" fig-type="graphic" position="anchor">
        <label>Figure 3 </label>
        <caption id="c-3f297df2fe84">
          <title id="t-938c5891aedb">Morphological differentiation process from precursor cells into endothelial cells</title>
        </caption>
        <graphic id="g-87d6ca18cc1b" xlink:href="https://typeset-prod-media-server.s3.amazonaws.com/article_uploads/18199884-a47c-429d-9a7d-ca207d4b573b/image/2e468bb2-d9bd-480c-8c18-f257e3483484-uimage.png"/>
      </fig>
      <p id="p-324c97f39d1f"/>
    </sec>
    <sec>
      <title id="title-b554f6f4ecd44cd19e5f529d90af19dd">Discussion</title>
      <p id="paragraph-09d30a1265e94f7984a81ad4e7132e40">The blood-vessel formation is an important factor in wound healing, tumor development and deterioration of periodontal disease. Although many studies have reported on the development of vascular endothelial cells, morphological evidence of differentiation process of vascular endothelial cells is little available. Hematopoietic cells and endothelial cells are thought to be derived from the same progenitor cell called hemangioblast <xref rid="R161485226606055" ref-type="bibr">9</xref>, <xref rid="R161485226606069" ref-type="bibr">16</xref>. Hemangioblast differentiates into angioblast and becomes vascular endothelial cells.</p>
      <p id="paragraph-99477eef6a27443daffb8b8c572ab7a6">It is believed that the hemangioblast is required for vascular formation, and at an early stage, growth factors such as fibroblast growth factor (FGF) and vascular endothelial growth factor (VEGF), that are known to have proliferative and migratory effects on the endothelial cells are of great significance <xref id="xref-05d138ac6b22406eb1e28eaf07ad1f26" rid="R161485226606057" ref-type="bibr">17</xref>. VEGF is also considered to be involved in the maintenance of periodontal tissue health, progression and healing of periodontal disease <xref id="xref-b623346acc6944b19a94aa3d70d5e0cc" rid="R161485226606063" ref-type="bibr">6</xref>.</p>
      <p id="paragraph-0de0b487df1f4507877780523466d98c">In a previous report of ours, we have reported that some of the blood corpuscles changed their forms from roundish cells to endocardial endothelial cells. </p>
      <p id="paragraph-96b2e720adf54dad8a6e080b13691afe">The endocardium is covered with a single layer of vascular endothelial cells and exists spreading like a film. The present study shows that the formation of vascular endothelium is similar to endocardial endothelium. We would call these cells undifferentiated vascular endothelial cells due to their potential to differentiate into vascular endothelial cells. There are many reports on the development of molecular biological endothelial cells <xref rid="R161485226606068" ref-type="bibr">18</xref>, <xref rid="R161485226606061" ref-type="bibr">19</xref>, but few reports are seen on their histological examination.</p>
      <p id="paragraph-ebe08681f87c4984812b4d204997e5ea"> Flk-1 (VEGFR2) is important for endothelial cell differentiation and CD31 is also crucial to cell adhesion <xref id="xref-d78ca585331644a39e448c9b3487053a" rid="R161485226606062" ref-type="bibr">20</xref>. In the present study, immunopositive reactions of FLK-1 and CD31, which are important for blood vessel formation, were detected. These positive cells are supposed to differentiate into vascular endothelium. </p>
    </sec>
    <sec>
      <title id="title-1b253223e6e64a83a98f30a3585deeb5">Conclusion</title>
      <p id="paragraph-b2ba337a49624d33b153ed1d2ab20e7b">The present morphological study suggests that some early embryonic blood cells differentiate into vascular endothelial cells.</p>
      <p id="p-ff102778a41c"/>
    </sec>
  </body>
  <back>
    <ack>
      <title id="title-8306ae19c86d417cb37ed522bf7b87b7">Acknowledgments</title>
      <p id="paragraph-dd82079f1b014850b6a9355bb2d1e790">I am grateful to Dr. Kenjiro Wake for his collaboration in the early stages of this work. <bold id="strong-c5e62d3e2a6b4fbea5832e95e8a8963d">Conflict of interest: </bold>None</p>
      <p id="p-56aa922f6e85"/>
    </ack>
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