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Smad4 Deficiency in Smooth Muscle Cells Initiates the Formation of Aortic Aneurysm

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机构: [1]Inst Biotechnol, Genet Lab Dev & Dis, Collaborat Innovat Ctr Cardiovasc Disorders, State Key Lab Prote, Beijing 100071, Peoples R China; [2]Shanghai Jiao Tong Univ, Model Organism Div, E Inst, Shanghai 200030, Peoples R China; [3]Peking Univ, Hosp 3, Inst Vasc Med, Beijing 100871, Peoples R China; [4]Minist Hlth, Minist Educ, Key Lab Mol Cardiovasc Sci, Key Lab Cardiovasc Mol Biol & Regulatory Peptides, Beijing, Peoples R China; [5]Nanjing Univ, Model Anim Res Ctr, Nanjing 210008, Jiangsu, Peoples R China; [6]Nanjing Univ, MOE Key Lab Model Anim Dis Study, Nanjing 210008, Jiangsu, Peoples R China; [7]Nanjing Univ, Sch Med, Nanjing 210008, Jiangsu, Peoples R China; [8]Capital Med Univ, Beijing Inst Heart Lung & Blood Vessel Dis, Beijing AnZhen Hosp, Key Lab Remodeling Related Cardiovasc Dis,Minist, Beijing, Peoples R China; [9]Inst Biotechnol, Dongdajie 20, Beijing 100071, Peoples R China
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关键词: Smad4 protein aortic aneurysm macrophages aortic rupture myocytes smooth muscle

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Rationale: Aortic aneurysm is a life-threatening cardiovascular disorder caused by the predisposition for dissection and rupture. Genetic studies have proved the involvement of the transforming growth factor-beta (TGF-beta) pathway in aortic aneurysm. Smad4 is the central mediator of the canonical TGF-beta signaling pathway. However, the exact role of Smad4 in smooth muscle cells (SMCs) leading to the pathogenesis of aortic aneurysms is largely unknown. Objective: To determine the role of smooth muscle Smad4 in the pathogenesis of aortic aneurysms. Methods and Results: Conditional gene knockout strategy combined with histology and expression analysis showed that Smad4 or TGF-beta receptor type II deficiency in SMCs led to the occurrence of aortic aneurysms along with an upregulation of cathepsin S and matrix metallopeptidase-12, which are proteases essential for elastin degradation. We further demonstrated a previously unknown downregulation of matrix metallopeptidase-12 by TGF-beta in the aortic SMCs, which is largely abrogated in the absence of Smad4. Chemotactic assay and pharmacologic treatment demonstrated that Smad4-deficient SMCs directly triggered aortic wall inflammation via the excessive production of chemokines to recruit macrophages. Monocyte/macrophage depletion or blocking selective chemokine axis largely abrogated the progression of aortic aneurysm caused by Smad4 deficiency in SMCs. Conclusions: The findings reveal that Smad4-dependent TGF-beta signaling in SMCs protects against aortic aneurysm formation and dissection. The data also suggest important implications for novel therapeutic strategies to limit the progression of the aneurysm resulting from TGF-beta signaling loss-of-function mutations.

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出版当年[2015]版:
大类 | 1 区 医学
小类 | 1 区 心脏和心血管系统 1 区 血液学 1 区 外周血管病
最新[2023]版:
大类 | 1 区 医学
小类 | 1 区 心脏和心血管系统 1 区 血液学 1 区 外周血管病
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出版当年[2014]版:
Q1 HEMATOLOGY Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Q1 PERIPHERAL VASCULAR DISEASE
最新[2023]版:
Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Q1 HEMATOLOGY Q1 PERIPHERAL VASCULAR DISEASE

影响因子: 最新[2023版] 最新五年平均 出版当年[2014版] 出版当年五年平均 出版前一年[2013版] 出版后一年[2015版]

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第一作者机构: [1]Inst Biotechnol, Genet Lab Dev & Dis, Collaborat Innovat Ctr Cardiovasc Disorders, State Key Lab Prote, Beijing 100071, Peoples R China; [2]Shanghai Jiao Tong Univ, Model Organism Div, E Inst, Shanghai 200030, Peoples R China;
通讯作者:
通讯机构: [1]Inst Biotechnol, Genet Lab Dev & Dis, Collaborat Innovat Ctr Cardiovasc Disorders, State Key Lab Prote, Beijing 100071, Peoples R China; [2]Shanghai Jiao Tong Univ, Model Organism Div, E Inst, Shanghai 200030, Peoples R China; [9]Inst Biotechnol, Dongdajie 20, Beijing 100071, Peoples R China
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