Harris Devon, Liang Yuanyuan, Chen Cang, Li Senlin, Patel Om, Qin Zhenyu
Division of Vascular Surgery, Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX.
Department of Epidemiology and Biostatistics, University of Texas Health Science Center at San Antonio, San Antonio, TX.
Ann Vasc Surg. 2015 Feb;29(2):328-40. doi: 10.1016/j.avsg.2014.10.006. Epub 2014 Oct 29.
The blotchy mouse caused by mutations of ATP7A develops low blood copper and aortic aneurysm and rupture. Although the aortic pathologies are believed primarily due to congenital copper deficiencies in connective tissue, perinatal copper supplementation does not produce significant therapeutic effects, hinting additional mechanisms in the symptom development, such as an independent effect of the ATP7A mutations during adulthood.
We investigated if bone marrow from blotchy mice contributes to these symptoms. For these experiments, bone marrow from blotchy mice (blotchy marrow group) and healthy littermate controls (control marrow group) was used to reconstitute recipient mice (irradiated male low-density lipoprotein receptor -/- mice), which were then infused with angiotensin II (1,000 ng/kg/min) for 4 weeks.
By using Mann-Whitney U test, our results showed that there was no significant difference in the copper concentrations in plasma and hematopoietic cells between these 2 groups. And plasma level of triglycerides was significantly reduced in blotchy marrow group compared with that in control marrow group (P < 0.05), whereas there were no significant differences in cholesterol and phospholipids between these 2 groups. Furthermore, a bead-based multiplex immunoassay showed that macrophage inflammatory protein (MIP)-1β, monocyte chemotactic protein (MCP)-1, MCP-3, MCP-5, tissue inhibitor of metalloproteinases (TIMP)-1, and vascular endothelial growth factor (VEGF)-A production was significantly reduced in the plasma of blotchy marrow group compared with that in control marrow group (P < 0.05). More important, although angiotensin II infusion increased maximal external aortic diameters in thoracic and abdominal segments, there was no significant difference in the aortic diameters between these 2 groups. Furthermore, aortic ruptures, including transmural breaks of the elastic laminae in the abdominal segment and lethal rupture in the thoracic segment, were observed in blotchy marrow group but not in control marrow group; however, there was no significant difference in the incidence of aortic ruptures between these 2 groups (P = 0.10; Fisher's exact test).
Overall, our study indicated that the effect of bone marrow from blotchy mice during adulthood is dispensable in the regulation of blood copper, plasma cholesterol and phospholipids levels, and aortic pathologies, but contributes to a reduction of MIP-1β, MCP-1, MCP-3, MCP-5, TIMP-1, and VEGF-A production and triglycerides concentration in plasma. Our study also hints that bone marrow transplantation cannot serve as an independent treatment option.
由ATP7A突变引起的斑驳小鼠出现血铜降低、主动脉瘤和破裂。尽管主动脉病变主要被认为是由于结缔组织先天性铜缺乏所致,但围产期补充铜并未产生显著的治疗效果,这提示症状发展存在其他机制,例如ATP7A突变在成年期的独立作用。
我们研究了斑驳小鼠的骨髓是否导致这些症状。在这些实验中,使用斑驳小鼠的骨髓(斑驳骨髓组)和健康同窝对照的骨髓(对照骨髓组)来重建受体小鼠(经辐射的雄性低密度脂蛋白受体敲除小鼠),然后给它们输注血管紧张素II(1000 ng/kg/分钟),持续4周。
通过曼-惠特尼U检验,我们的结果表明这两组之间血浆和造血细胞中的铜浓度没有显著差异。与对照骨髓组相比,斑驳骨髓组的血浆甘油三酯水平显著降低(P < 0.05),而这两组之间胆固醇和磷脂水平没有显著差异。此外,基于微珠的多重免疫分析表明,与对照骨髓组相比,斑驳骨髓组血浆中巨噬细胞炎性蛋白(MIP)-1β、单核细胞趋化蛋白(MCP)-1、MCP-3、MCP-5、金属蛋白酶组织抑制剂(TIMP)-1和血管内皮生长因子(VEGF)-A的产生显著降低(P < 0.05)。更重要的是,尽管输注血管紧张素II增加了胸段和腹段主动脉的最大外径,但这两组之间的主动脉直径没有显著差异。此外,在斑驳骨髓组中观察到主动脉破裂,包括腹段弹性膜透壁破裂和胸段致命破裂,但对照骨髓组未观察到;然而,这两组之间主动脉破裂的发生率没有显著差异(P = 0.10;Fisher精确检验)。
总体而言,我们的研究表明,成年期斑驳小鼠的骨髓在调节血铜、血浆胆固醇和磷脂水平以及主动脉病变方面的作用是可有可无的,但有助于降低血浆中MIP-1β、MCP-1、MCP-3、MCP-5、TIMP-1和VEGF-A的产生以及甘油三酯浓度。我们的研究还提示骨髓移植不能作为一种独立的治疗选择。