1. Introduction
Human CD157, also known as bone marrow stromal antigen 1 (BST1), has recently gained increased interest, as an important immune cell adhesion molecule [
1]. CD157 is a glycosyl phosphatidylinositol-anchored membrane protein that belongs to the CD38 family [
1]. Despite being a NAD
+-metabolizing ectoenzyme role, the receptor role of CD157 has been clearly delineated with the identification of its high affinity binding to ECM proteins, such as fibronectin and transduction of intracellular signals [
2,
3].
Human CD157 is mainly expressed by human blood myeloid cells, but also by other cells, including the vascular endothelium and/or tissue-resident vascular endothelial stem cells, as well as synovial and follicular dendritic cells [
2,
4,
5,
6]. In particular, CD157 has been found in vascular endothelial junctions, where it regulates the transendothelial migration of myeloid cells [
4], by controlling the interaction with β1 and β2 integrins [
7]. In particular, αMβ2 integrin (CD11b; MAC-1) is a marker, highly expressed on myeloid populations, such as monocytes/macrophages and granulocytes, but also on some dendritic cells [
8].
Previous studies revealed that CD11b is a receptor for complement, fibrinogen, and endothelial cell adhesion molecules, including intercellular cell adhesion molecules-1/2 (ICAM1/2). Thus, CD11b has been shown to mediate myeloid cell adhesion, migration, chemotaxis and immune cell accumulation during inflammation [
9,
10,
11]. Importantly, Funaro et al. showed that CD11b acts as a receptor for CD157 to regulate myeloid cell adhesion and migration [
12], and plays an important role during inflammation, where it regulates the adhesion and trans-endothelial migration of neutrophils and monocytes [
7,
12].
CD157 was shown to regulate the binding to ECM components, such as fibronectin over integrin α
5β1/CD29 and integrin αvβ1/CD51 [
3]. For example, HUVECs displayed a substantial amount of α5β1 receptors at the cell surface, in monolayer in vitro cultures [
13]. Further, previous reports demonstrated that EC, showing increased mitotic index in vitro, correlated closely with increased α
5β
1/CD29 integrin expression [
14]. Further, the α
5β
1 integrin was shown to be highly expressed in quiescent EC, whereas other integrins are specifically expressed during the process of angiogenesis [
15].
Furthermore, it has been shown that CD157 signaling activates the SRC-family protein, tyrosine kinase, phosphoinositide 3-kinases (PI3Ks)/protein kinase B/Akt, mitogen-activated protein kinase (MAPK) and extracellular signal-regulated kinase (ERK) pathways and, thus, increased survival of acute myeloid leukemia cells [
16]. Further, CD157 directly activates SRC/ERK and PI3K/AKT signaling pathways in human endothelial cells. Those signaling pathways play a crucial role in the development of both blood [
17] and lymphatic endothelial cells [
18]. In particular, endothelial ERK signaling controls lymphatic fate specification during embryonal development [
18]. However, the CD157 regulation of SRC/ERK and PI3K/AKT signaling pathways in human primary endothelial cells has not been investigated so far.
Importantly, previous investigations demonstrated that CD157
+ endothelial cells (EC), derived from mouse liver, show enhanced clonal expansion, proliferation, and blood vessel formation, under physiological conditions after transplantation [
5,
19]. Thus, Wakabayashi et al. concluded that CD157-positive ECs’ fraction in mice represent tissue-resident vascular EC stem cell population [
5]. However, still, little is known about the specific function of human CD157 molecules on distinct human dermal microvascular endothelial cell (HDMEC) subpopulations, including blood endothelial cells (BEC) and lymphatic endothelial cells (LEC).
Herein, we report, for the first time, the specific expression pattern of CD157 on juvenile/adult (j/a) and fetal (f) skin HDMEC, as well as in bio-engineered prevascularized skin substitutes (vascDESS) in vivo. Moreover, CD157+ and CD157− HDMEC were characterized with respect to their relative clonogenic and proliferative potential, as well as their inflammatory response, following cytokine treatment. Our analysis further revealed some unique immune cell-binding features for human HDMEC, positive for CD157, when compared to CD157 negative cells. Thus, our data imply heterogeneity among dermal EC subtypes, including diverse metabolic and immune functions.
2. Materials and Methods
2.1. Cell Isolation and Culture
All experiments were performed according to the Declaration of Helsinki Principles and after permission from the Ethics Commission of the canton of Zurich. Human skin-derived dermal microvascular endothelial cells (HDMECs), dermal fibroblasts (HDF), and keratinocytes (KC) were isolated and expanded from: fetal skin obtained from Spina Bifida operations between 24 and 26 week of gestational age (University Children’s Hospital Zurich, ethics approval: BASEC No. PB_2020-00066), juvenile/adult skin including foreskin, scalp, skin from the hands, abdomen, legs and arms from children ≤18 years (University Children’s Hospital Zurich, BASEC No. 2018-00269); from adult patients (18–65 years old) from various body areas such as breast and abdomen (Kantonsspital Aarau, ethics approval: BASEC No. 2018-00269) as previously described. HUVEC were purchased from ScienceCell (order no. 8000, Basel, Switzerland).
Blood-derived immune cells were collected from peripheral blood mononuclear cells (PBMCs) isolated from blood donated by healthy volunteers. Informed written consent was obtained from all blood donors at the Zurich Blood Donation Center (Zurich Blood Transfusion Service of the Swiss Red Cross, Schlieren, Switzerland,
www.zhbsd.ch; accessed on 01.11.2021) according to the guidelines of the local ethics committee.
2.2. Cell Preparation for Flow Cytometric Analysis and Cell Sorting (FACS)
The phenotype of freshly isolated and cultured HDMEC (P1–P3) and/or BEC and LECs cells was determined by flow cytometry analysis. Cells (1 × 106) were incubated for 30 min at 4 °C with primary antibodies: anti-human CD31-PE (clone WM59, 1:50, BD Bioscience, Allschwil, Switzerland), anti-human CD157-Alexa Fluor 488 (clone 534509, 1:50, R&D, UK), anti-human Podoplanin-Alexa Fluor 647 (clone: NC-08, 1:50, BioLegend, Lucerne, Switzerland), anti-human HLA-DR-Pacific Blue (clone: LN3, 1:50, BioLegend, Lucerne, Switzerland), anti-human CD54-Alexa Fluor 488 (ICAM1) (clone: HCD54, 1:50, BioLegend, Lucerne, Switzerland), anti-human CD102-PE (ICAM-2) (clone: CBR-IC2/2, 1:50, BioLegend, Lucerne, Switzerland), anti-human CD62P-APC/Cyanine7 (P-Selectin) (clone: AK4, 1:50, BioLegend, Lucerne, Switzerland), Zombie Aqua (live/dead dye) (1:600, BioLegend, Lucerne, Switzerland) or isotype-matched control antibodies and then washed twice with FACS buffer (0.5% human serum albumin, 0.5 mM EDTA in PBS). Following isotype controls were used at the concentration as specific antibodies: isotype control PE (clone MOPC-21, BD Pharmingen, Allschwil, Switzerland), isotype control Alexa Fluor 488 (clone 11411, Novus, UK), isotype control Pacific Blue (clone: MOPC-21, BioLegend, Lucerne, Switzerland), and isotype control Alexa Fluor 647 (clone MOPC-21, BioLegend, Lucerne, Switzerland). After incubation, cells were washed with FACS buffer and then analyzed using a BD LSRFortessa flow cytometer (BD Biosciences, Allschwil, Switzerland).
Hierarchical steps during gating strategy involved: (a) identification of the cell population of interest using forward versus side scatter (FSC vs. SSC) gating, (b) exclusion of dead cells using Zombie Aqua staining, (c) gating on CD31
+ endothelial cells, and (d) discrimination between CD31
+PDP
− BEC and CD31
+PDP
+ LEC cells (
Supplementary Figure S1).
Accordingly, distinct BEC populations (CD31+PDP−CD157+ and CD31+PDP−CD157−) as well as distinct LEC cell populations (CD31+PDP+CD157+ and CD31+PDP+CD157−) were sorted using a BD FACSAriaTM III (BD Biosciences, Allschwil, Switzerland).
2.3. Immune Cell Binding Assay In Vitro
FACS-separated CD157+/− BEC and LEC (P1) were seeded onto 24-well plates (Corning, Root, Switzerland) until reaching 80–90% confluency. Peripheral blood mononuclear cells (PBMCs) were isolated from fresh whole human blood using buffy coats (Zurich Blood Transfusion Service of the Swiss Red Cross, Schlieren, Switzerland). Briefly, blood was diluted with PBS (1:1) and gently layered over an equal volume of Ficoll-Paque PLUS (GE Healthcare, Opfikon, Switzerland) and then centrifuged for 30 min at 400 g without brake. After centrifugation, the PBMC fraction was washed twice with PBS followed by 30 min staining with anti-human CD11b-PE antibody (clone M1/70, 1:20, BD Pharmingen, Allschwil, Switzerland) at 4 °C in the dark. After washing with FACS buffer, CD11b-positive myeloid cells were immediately sorted using a FACS ARIA III 4L (BD Biosciences, Allschwil, Switzerland. In the next step, EC in 24-well plates were stained with CellTracker Deep Red Dye (Invitrogen, Zug, Switzerland) and sorted myeloid fraction was stained with CellTracker Red CMTPX Dye (Invitrogen, Zug, Switzerland) according to the manufacturer’s instructions. Stained cells were then incubated separately in incubator at 37 °C for 30 min. Then, the myeloid cell fraction was added onto EC layer and incubated for further 30 min at 37 °C. In a last step, all cells were stained with Hoechst 33342 (Sigma-Aldrich, Buchs, Switzerland), fixed in PFA (4%) and analyzed on a confocal microscope (Leica SP8 inverse CLSM). The quantification was performed using Fiji (ver. 1.53i, NIH, Bethesda, MD, USA) by counting the number of immune cells to endothelial cells (Immune cells/EC ratio).
2.4. Clonogenic Assay
To assess the potential of CD157− and CD157+ HDMEC to form colonies in vitro, we performed a clonogenic assay. Sorted CD157− and CD157+ HDMEC (600 cells each) at passage 0–1 were seeded into 6 wells coated with 0.01 % gelatin solution and cultivated in EGM-2MV medium (Lonza, Switzerland) at 37 °C for 14 days with medium change every other second day. At day 14, the medium was aspirated and the cells were washed once with PBS (Invitrogen, Zug, Switzerland). Next, 3 mL of 6% glutaraldehyde and 0.5% crystal violet solution (each diluted in water, all Sigma-Aldrich, Buchs, Switzerland) was added for 30 min to all wells. Cells were washed with tap water and dried at room temperature. Cell colonies were counted under a microscope (Nikon AG, Egg, Switzerland; Software: Nikon ACT-1 version 2.70). Images were processed with Photoshop 10.0 (Adobe Systems, Inc., Basel, Switzerland).
2.5. Treatment of EC with Cytokines In Vitro
For the treatment with cytokines, two distinct BEC populations (CD31+PDP−CD157+ and CD31+PDP−CD157−) as well as two distinct LEC populations (CD31+PDP+CD157+ and CD31+PDP+CD157−) were separated by sorting and used at passage 0–1. The cells were seeded into 6-well plates coated with 0.01% gelatin solution and cultured in EGM-2MV (Lonza, Basel, Switzerland) at 37 °C until reaching 80–90% confluency. Two distinct cytokines, recombinant human Tumor-Necrosis-Factor-alpha (TNF-α; Peprotech, Hamburg, Germany) applied at concentration 16 ng/mL, and recombinant human Interferon-gamma (IFN-γ; Peprotech, Hamburg, Germany) applied at concentration 5 ng/mL, were diluted in 2 mL of culture media, added and the cells, which were further cultivated in the incubator (37 °C, 5% CO2) for either 24 h, 48 h, or 72 h. At the mentioned time points, the treatment was stopped by removing the cytokine-media mixture and the treated cells were then used either for flow cytometric analysis or immunofluorescence staining.
2.6. Immunohistochemical Staining
Immunofluorescence staining on cryosections was performed as described in [
20]. For immunofluorescence staining the following antibodies were used: anti-human CD31 (clone JC70A, 1:50, DAKO, Switzerland), anti-CD157 (clone 534509, 1:100, R&D, Abingdon, UK), anti-human PROX1 (polyclonal, 1:100, ReliaTech, Munich, Germany), anti-human LYVE1 (clone ab10278, 1:100, abcam, Cambridge, UK), anti-human Podoplanin (clone 18H5, 1:100, Santa Cruz, Heoidelberg, Germany), anti-human CD11b (clone M1/70, 1:50, BD Pharmingen, Allschwil, Switzerland), anti-human HLA-DR (clone: LN3, 1:50, BioLegend, Lucerne, Switzerland), anti-human CD54 (ICAM1) (clone: HCD54, 1:50, BioLegend, Lucerne, Switzerland), anti-rat CD11b/c (clone OX42, 1:50, BioLegend, Lucerne, Switzerland), anti-rat Myeloid Lineage Antibody-FITC (clone OX-82, 1:50, BioLegend, Lucerne, Switzerland), anti-rat Granulocytes (clone HIS48, 1:100, Heidelberg, Santa Cruz, Germany). As secondary antibodies, we used: anti-mouse Alexa Fluor 488, anti-rabbit Alexa Fluor 488, anti-mouse Alexa Fluor 568, anti-rabbit Alexa Fluor 568, anti-mouse Alexa Fluor 647 (all from Abcam). For double immunofluorescence, some of the primary antibodies were pre-labeled with Alexa 488, 647 or 555-conjugated polyclonal goat F(ab′)2 fragments, according to the manufacturer’s instructions (Zenon Mouse IgG Labeling Kit, Molecular Probes, Invitrogen, Zug, Switzerland). Matched isotype controls were used instead of primary antibodies at the concentration as specific antibodies: isotype control PE (clone MOPC-21, BD Pharmingen, Allschwil, Switzerland), isotype control AF488 (clone 11411, Novus, Manchester, UK), isotype control FITC (clone MOPC-173, BioLegend, Lucerne, Switzerland). Images were taken by a fluorescence microscope (Nikon AG, Egg, Switzerland; Software: Nikon ACT-1 version 2.70). Images were processed with Photoshop 10.0 (Adobe Systems, Inc., Basel, Switzerland).
2.7. Quantification of CD157 Expression on Blood and Lymphatic Capillaries
The following procedure was followed for evaluating stained 6–8 μm thick cryo-sections: normal juvenile/adult (j/a) and fetal (f) human skin biopsies were triple-stained for CD31+PDP−CD157+ (BEC) and CD31+PDP+CD157+ (LEC) and quantified using Fiji image analysis software (ver. 1.53i, NIH, USA). At least three sections from each biopsy were stained by triple immunofluorescence technique and five images were randomly obtained (n = 5 independent skin donors). The number of CD157-expressing capillaries was quantified as percentage of all blood (CD31+Podo−) and lymphatic (CD31+Podo+) capillaries in normal j/a and f human skin. The entire view field regions at 10× magnification images were counted (n = 10 j/a and n = 10 f skin biopsies).
2.8. Preparation of vascDESS and Non-vascDESS
Collagen type I hydrogels were prepared as previously described [
21]. In total, 5 × 10
4 EC and 5 × 10
4 fibroblasts (1:1 ratio) were resuspended in 1 mL collagen gel to generate prevascularized DESS (vascDESS). The non-vascularized controls (non-vascDESS) were prepared with 1 × 10
5 fibroblasts without EC. All gels were placed in 6-well cell culture inserts with membranes of 3.0 μm pore size (BD Falcon, Kaiserlautern, Germany) and kept for 30 min at 37 °C in a humidified incubator containing 5% CO
2. After a polymerization period, EGM-2MV (Lonza, Basel, Switzerland) was added to the upper and lower chambers of the well/insert and hydrogels were incubated for two weeks. Then, hydrogels were covered by keratinocytes (7.5 × 10
4/gel), cultured for an additional week, and transplanted onto immuno-incompetent rats [
21]. In total, three different skin cell donors (n = 3) were used for hydrogel preparation.
2.9. Transplantation of Tissue-Engineered Skin Substitutes
The surgical protocol was approved by the local Committee for Experimental Animal Research (Cantonal veterinary office Zurich, permission number ZH045/2019). Immuno-incompetent female nu/nu rats, eight- to ten-weeks-old (Envigo, Horst, The Netherlands) were anesthetized by inhalation of 5% Isoflurane (Baxter, Volketswil, Switzerland), and maintained by inhalation of 2.5% Isoflurane via mask. The dermo–epidermal skin substitutes were transplanted on full-thickness skin wounds created on the back of the rats.
Following this, vascDESS (6 rats) and non-vascDESS (6 rats) were prepared using three independent donors for HDMEC, fibroblasts, and keratinocytes each (n = 3) and transplanted onto full-thickness skin defects prepared on the backs of the rats (12 rats in total) for one week. To prevent wound closure from surrounding rat skin, custom made steel rings (diameter 2.6 cm) were sutured into full-thickness skin defects using non-absorbable polyester sutures (Ethibond®, Ethicon, NJ, Somerville, USA). The transplants were then covered with a silicone foil (Silon-SES, BMS, USA), a polyurethane sponge (Ligasano, Ligamed, Innsbruck, Austria), a cohesive conforming bandage (Sincohaft, Theo Frey AG, Bern, Switzerland), and tape as wound dressing. Animals were euthanized using carbon dioxide and the transplanted skin analogs were harvested after 1 week by in toto excision and processed for immunohistochemical analysis.
2.10. Statistical Analysis
All results are reported as mean ±SD. Statistical analysis was performed with GraphPad Prism 4.0 (Graph Pad software, La Jolla, CA, USA). Comparison between two groups was performed using the two-tailed unpaired Student’s t-test and between multiple groups using two-way ANOVA with Bonferroni multiple comparisons test. * indicates p-value 0.01 to 0.05 (significant), ** indicates p-value 0.001 to 0.01 (very significant), *** indicates p-value 0.0001 to 0.001 (extremely significant), **** indicates p-value p < 0.0001 (extremely significant), ns indicates p ≥ 0.05 not significant.
4. Discussion
We identified CD157 as a marker with specific and crucial roles in the regulation of skin innate immunity. In particular, our work demonstrates that CD157 (1) is constitutively expressed at vascular blood (BEC), and lymphatic endothelial cells (LEC), in vitro and in vivo, (2) affect the levels of immune adhesion molecules, following stimulation with pro-inflammatory cytokines, (3) orchestrates adhesion of myeloid cells in vitro and in vivo. Specific aspects of this study require detailed consideration.
Insufficient vascularization represents the major obstacle in the tissue engineering of large skin constructs. Rapid proliferation rate, stable endothelial phenotype, high vasculogenic potential, and appropriate interactions of EC with other cell types, during skin wound healing, in particular, immune cells, are requirements for a successful vascularization and skin regeneration process in vivo. Since CD157 has been reported to play a crucial role in the mouse neo-vascularization [
25], we sought to investigate its role in human skin.
We detected, here, a relatively high expression of CD157 in human fetal and adult blood (BEC) and lymphatic endothelial cells (LEC) in the dermis. In this line, the study of Iba et al., also reported high expression of CD157 in a mouse skin endothelial cell side population (SP-EC), representing a vascular stem cell reservoir [
25]. However, the data of both studies are not directly comparable, as we did not apply, in this study, the Hoechst efflux assay to specify the SP-EC of human skin [
25].
Further, Wakabayashi et al. identified CD157 expressing EC, exclusively, in large-diameter vessels, in different mouse organs, but not in small-diameter capillaries [
5]. Our work, however, confirmed the high expression level of CD157 in HDMEC lining small-diameter capillaries of human skin in situ. This data comparison indicates that there is a strong variation in the expression of CD157, concerning different vessel types, in various organs of mice and humans.
With regard to clonal expansion potential, we did not detect any differences between CD157-positive and -negative HDMEC fractions. These results are different to findings reported by Wakabayashi et al. for mouse organs [
5]. However, further stem cell assays are required to investigate the stem cell potential of human CD157
+ EC in more detail.
We observed, in this study, that the CD157
+ HDMEC was the slower proliferating cell fraction, as compared to CD157
− cells. These results differ from the findings described in a mouse study, showing enhanced proliferative potential of CD157
+ mouse EC, harvested from different organs [
5]. Importantly, we have observed, in this study, that sorted CD157
+ showed lower attachment to coated cell culture plates. We speculate that the antibody used for staining and sorting of distinct fractions possibly masked CD157 epitopes, leading to lower attachment of CD157
+ HDMEC to coated plates afterwards, and, consequently, lower values in proliferation assay. Indeed, previous reports suggested an important functional link between high expression of CD157 and the increased cell attachment to ECM, spreading, and motility of cancer cells, pointing to an important function of CD157 in cell adhesion and migration [
3].
Moreover, it was shown that the knockdown of CD157 in human ovarian cancer cells changed their morphology and cytoskeleton organization, and attenuated the activation of intracellular signaling that impaired their binding to different matrix proteins, such as fibronectin, gelatin, collagen type I, laminin I, and others [
3]. Based on these data, we assumed that the masked CD157 epitopes, on freshly sorted HDMEC, partially blocked the CD157 receptor function, and, consequently, attenuated cell adhesion, spreading, and proliferation of the CD157
+ cell fraction.
Concerning the CD157 expression during in vitro cell expansion, we detected, in this study, a stable expression of CD157 at early passages (0–1), whereas extended cell culturing and cell passaging led to reduced expression of this marker. These findings are crucial when designing in vitro assays using CD157-positive cells, since already, at passage two, HDMECs exhibited a significantly reduced expression. Other groups also reported a down-regulation of other glycoprotein receptors and stem cell receptors during in vitro expansion [
26,
27]. However, so far, no specific studies have been performed on human CD157 expression profile in cultured HDMEC.
Our study demonstrates that enhanced expression of CD157 is accompanied by elevated levels of CD31. Importantly, CD31 is also known as platelet endothelial cell adhesion molecule 1, and thus, contributes to transendothelial leukocyte migration, cell–cell adhesion, and antiapoptotic signaling of EC [
28]. In particular, we have shown that CD157 is highly enriched in the population of skin EC, which express high levels of CD31 (CD31
High), whereas only low levels of CD157 are detected in CD31
Low HDMEC population.
Further, we detected CD31HighCD157+ capillaries, predominantly, in the CD39-positive upper (papillary) dermis, located close to the epidermis. These findings are indicative of potential involvement of CD157 in myeloid cell recruitment to the upper dermis of human skin. Consequently, these findings imply a functional heterogeneity of dermal capillaries, linked to their distinct immune functions in the papillary versus reticular dermis.
Importantly, the process of inflammation leads to activation of vascular HDMEC that contributes to vascular leakage and the recruitment of leukocytes. These processes have been described as being particularly active in upper parts of the dermis, in the course of multiple inflammatory skin disorders, including psoriaris [
29], eczema [
30], atopic dermatitis [
31], dermatoses [
32], rosacea [
33], and acute generalized exanthematous pustulosis (AGEP) induced by drugs [
34,
35]. In addition, neutrophil migration, and its accumulation in papillary dermis in active psoriatic lesions, has an established role in the pathophysiology of psoriasis [
29,
36].
TNF-α is one of the chemokines generated during the inflammatory phase of wound healing that provokes a robust up-regulation of the key leukocyte adhesion receptors, such as ICAM1, ICAM2, CD54 and CD62P [
37] and, thus, plays a pivotal role in the pathogenesis of an early shock state (i.e., hypotension, fever), inducing increased inflammatory cell extravasation tissue damage by acting on endothelial cells [
38]. Another inflammatory cytokine, IFNγ, further enhances endothelial activation induced by TNF-α, and regulates major histocompatibility complex (MHC) expression [
39]. Therefore, both cytokines are implicated in allograft and xenograft rejection [
40], and were applied in this study.
Interestingly, we detected enhanced protein expression of those adhesion molecules, in either unstimulated or cytokine-stimulated CD157-positive HDMEC, in particular, LEC. These findings are in accordance with those reported regarding the ability of human LEC to express increased levels of cytokine-induced cell adhesion molecules in culture [
37]. However, this particular study did not investigate the co-expression of CD157 marker and, consequently, did not compare the levels of cell adhesion molecules between CD157
+ and CD157
− fraction [
37].
In particular, LEC residing in the papillary dermis were described to act as main binding sites for the myeloid cells. In a previous study, Yamamoto et al. reported that ICAM-1 and endothelial leukocyte adhesion molecule-1 (E-selectin) were predominantly expressed on HDMEC of microvessels in the papillary dermis of human psoriatic skin lesions [
41]. Further, Groeger et al. analyzed inflamed skin samples and cytokine-stimulated organ-cultured skin and also detected a subset of “activated” HDMEC, expressing high levels of adhesion molecules within the papillary dermis [
42]. However, none of the published reports studied a possible role of CD157 in those processes.
Furthermore, we observed that CD157 was also present on the bioengineered capillaries, when incorporated into prevascularized dermo–epidermal skin substitutes (vascDESS) and transplanted on rats. Importantly, we detected a high binding capacity of myeloid cells to those CD157-positive blood and lymphatic capillaries, located predominantly in upper parts of the dermis of vascDESS. These data imply that there might be a direct link between enhanced expression of CD157 and high levels of cell adhesion molecules, expressed by those HDMEC that result in increased binding of myeloid cells, including monocytes/macrophages and neutrophils in vivo. Collectively, CD157 represent a potential future target for anti-inflammatory therapies.