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Distinct populations of lung capillary endothelial cells and their functional significance
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  • Published: 26 December 2025

Distinct populations of lung capillary endothelial cells and their functional significance

  • Joel James1 na1,
  • Aleksandr Dekan  ORCID: orcid.org/0009-0005-1672-50351 na1,
  • Sedat Kacar  ORCID: orcid.org/0000-0002-0671-85291 na1,
  • Maki Niihori1,
  • Takanori Sano1,
  • Nolan McClain2,
  • Mathews Varghese1,
  • Dinesh Bharti1,
  • Odunayo Susan Lawal1,
  • Marco Padilla-Rodrigez2,
  • Dan Yi  ORCID: orcid.org/0000-0002-2614-50273,
  • Huanling Gao4,
  • Robert S. Tepper4,
  • Zhiyu Dai3,
  • Oleg Gusev  ORCID: orcid.org/0000-0002-6203-97585,6,
  • Olga Rafikova1 &
  • …
  • Ruslan Rafikov  ORCID: orcid.org/0000-0001-5950-40761 

Communications Biology , Article number:  (2025) Cite this article

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We are providing an unedited version of this manuscript to give early access to its findings. Before final publication, the manuscript will undergo further editing. Please note there may be errors present which affect the content, and all legal disclaimers apply.

Subjects

  • Mechanisms of disease
  • Preclinical research

Abstract

The role of the lung’s microcirculation and capillary endothelial cells in normal physiology and the pathobiology of pulmonary diseases is obviously vital. The recent discovery of molecularly distinct aerocytes and general capillary (gCaps) endothelial cells by single-cell transcriptomics (scRNAseq) advanced the field in understanding microcirculatory milieu and cellular communications. However, increasing evidence from different groups indicated the possibility of a more heterogeneous nature of lung capillaries. Therefore, we investigated enriched lung endothelial cells by scRNAseq and identified five novel populations of gCaps with distinct molecular signatures and roles. Our analysis suggests that two major populations of gCaps that express Scn7a(Na+) and Clic4(Cl-) ion transporters form the arterial-to-vein phenotypic transition. We also discovered and named mitotically-active “root” cells (Flot1+ ) on the interface between arterial, Scn7a+ , and Clic4+ endothelium, responsible for the regeneration and repair of the adjacent endothelial populations. Furthermore, the transition of gCaps to a vein requires a venous-capillary endothelium expressing Lingo2. Finally, gCaps disconnected from the zonation represent a high level of Fabp4, other metabolically active genes, and tip-cell markers showing angiogenesis-regulating capacity. The hypoxia-induced models demonstrated that “root” cells exhibit a marked expansion in hypoxia, supporting their role in vascular regeneration and neocapillarization. We also showed a developmental time-course analysis demonstrating an evolution of progenitor (FoxM1+ ) cells, which are progressively replaced by “root” cells during lung maturation, revealing a switch in vascular homeostasis. The discovery of these populations will translate into a better understanding of the involvement of capillary phenotypes and their communications in lung disease pathogenesis.

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Data availability

All scRNAseq data associated with this manuscript are deposited at Genome Sequence Archive (GSA) with accession ID- PRJCA047802 and submission ID subPRO070142. All other associated data can be found at Dataverse. Fig 1b- https://doi.org/10.7910/DVN/1LSWWO. Fig. 2b- https://doi.org/10.7910/DVN/JNEZCJ, Fig. 4D- https://doi.org/10.7910/DVN/P9PACR, Supplementary data and numerical source data for graphs can be found at https://doi.org/10.7910/DVN/X0VAXH. The raw spatial sequence data (Fig. 5c, d) reported in this paper have been deposited in the Genome Sequence Archive (Genomics, Proteomics & Bioinformatics 2025) in the National Genomics Data Center (Nucleic Acids Res 2025), China National Center for Bioinformation / Beijing Institute of Genomics, Chinese Academy of Sciences (GSA-Human: HRA014847), which are publicly accessible at https://ngdc.cncb.ac.cn/gsa-human/browse/HRA014847.

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Acknowledgements

This work was supported by NIH grants R01HL151447 and R01HL132918 (R.R.), R01HL133085 and R01HL160666 (O.R.), R01HL158596 and R01HL162794 (Z.D.), the AHA postdoctoral fellowship 834220 and NIH K99HL171869 (J.J.) and AHA fellowship 831538 (M.V.), the AHA Transformational award 969574 (OR), the AHA Career Development Award 23CDA1050843 (M.N.). We thank Paulo Pires for the critical reading of the manuscript. We acknowledge the Microscopy Core at Indiana University and the Indiana Center for Biological Microscopy for their support in confocal imaging. We thank the Center for Medical Genomics at Indiana University School of Medicine and the University of Arizona Genetics Core for performing the barcoding and sequencing. We also thank Yukiko T. Matsunaga from the Department of Bioengineering at the University of Tokyo for providing silicone chips used in vessel-on-chip experiments. Additionally, we extend our gratitude to the Pulmonary Hypertension Breakthrough Initiative (grant to PHBI, NHLBI R24 HL123767) for providing tissue OCT blocks for spatial transcriptomics.

Author information

Author notes
  1. These authors contributed equally: Joel James, Aleksandr Dekan, Sedat Kacar.

Authors and Affiliations

  1. Division of Pulmonary, Critical Care, Sleep and Occupational Medicine, Department of Medicine, Indiana University, Indianapolis, IN, USA

    Joel James, Aleksandr Dekan, Sedat Kacar, Maki Niihori, Takanori Sano, Mathews Varghese, Dinesh Bharti, Odunayo Susan Lawal, Olga Rafikova & Ruslan Rafikov

  2. Department of Medicine, The University of Arizona, Tucson, AZ, USA

    Nolan McClain & Marco Padilla-Rodrigez

  3. Division of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University School of Medicine, St. Louis, USA

    Dan Yi & Zhiyu Dai

  4. Division of Pulmonology, Department of Pediatrics, Herman B. Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, IN, USA

    Huanling Gao & Robert S. Tepper

  5. Intractable Disease Research Center, Graduate School of Medicine, Juntendo University, Tokyo, Japan

    Oleg Gusev

  6. Life Improvement by Future Technologies (LIFT) Center, Moscow, Russia

    Oleg Gusev

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Contributions

Conception and design: R.R., O.R.; Experimentation, cells isolations, scRNAseq analysis, and interpretation: A.D., O.S.L., N.M., J.J., M.N., M.V., D.B., M.P.R., D.Y., Z.D., H.G., S.K., T.S.; Drafting the manuscript for important intellectual content: R.S.T., O.G., J.J., O.R., R.R.

Corresponding author

Correspondence to Ruslan Rafikov.

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James, J., Dekan, A., Kacar, S. et al. Distinct populations of lung capillary endothelial cells and their functional significance. Commun Biol (2025). https://doi.org/10.1038/s42003-025-09420-x

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  • Received: 04 June 2025

  • Accepted: 11 December 2025

  • Published: 26 December 2025

  • DOI: https://doi.org/10.1038/s42003-025-09420-x

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