Skin capillary endothelial cells form a network of spatiotemporally conserved Ca2+ activity

Ca 2+ signaling and its regulation are important for endothelial cell (EC) function and signaling. Yet, the spatiotemporal organization of Ca 2+ activity and its regulation across a vascular plexus is poorly understood in an in vivo mammalian context. To overcome this gap in knowledge, we developed an intravital imaging approach to resolve Ca 2+ activity with single cell resolution in skin vasculature of adult mice via multiphoton microscopy. Here, we tracked thousands of Ca 2+ events in the skin capillary plexus during homeostasis and observed signaling heterogeneity between ECs, with just over half displaying Ca 2+ activity at any given time. Longitudinal tracking of the same mice revealed that the same capillary ECs maintain Ca 2+ activity over days to weeks. Interestingly, activity dynamics, such as frequency and event duration, are not conserved at a single cell level but are maintained at an EC population level. Molecularly, conditional deletion of the gap junction protein Connexin 43 (Cx43cKO) in ECs lead to a subset of ECs displaying sustained Ca 2+ activity, biasing signaling dynamics of the whole network towards chronically persistent activity over time. Sustained capillary Ca 2+ activity resulted in vascular permeability and flow dysregulation. Lastly, through pharmacological targeting of known agonists/antagonists, we showed that inhibition of L-type Voltage Gated Ca 2+ channels (VGCCs) non cell-autonomously restores Ca 2+ activity, blood flow, and barrier function in Cx43cKO mice. Collectively, our work provides insight into the characteristics, extent, and regulation of Ca 2+ activity in skin capillaries of live mice with unprecedented spatial and temporal resolution. Significance Statement Ca 2+ signaling in mammalian endothelial cells (ECs) locally regulates blood flow, force sensing, and vessel permeability. Past studies have investigated Ca 2+ signaling during vascular remodeling and repair. However, there is a gap in our understanding of how tissue-level Ca 2+ is spatiotemporally organized and regulated during homeostasis. Intravital imaging in skin vasculature of live mice reveals that a conserved network of ECs participates in tissue-wide Ca 2+ signaling over weeks. How this network maintains itself over time requires cellular communication through gap junction protein Connexin 43 (Cx43). Loss of EC Cx43 leads to heightened plexus-wide Ca 2+ activity, and vessel barrier and flow dysregulation. Inhibition of L-type Ca 2+ channels non-cell autonomously restores the capillary Ca 2+ landscape, and rescues both barrier and flow dysfunction.