Cheng Jiancheng, Zhou Xianwu, Jiang Xionggang, Sun Tucheng
Department of Cardiothoracic Surgery, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou 450007, China.
Department of Cardiovascular Surgery, Wuhan Asia Heart Hospital, Wuhan 430015, China.
J Thorac Dis. 2018 Aug;10(8):4733-4740. doi: 10.21037/jtd.2018.07.75.
Mutation of the ACTA2 (α-2 smooth muscle actin) gene accounts for ~15% of all cases of familial thoracic aortic aneurysms and dissections. Surprisingly, no severe vascular phenotypes were observed at baseline in mice carrying this gene mutation. Our aim was to explore whether mutation of ACTA2 promotes the development of aneurysms or dissections in the presence of angiotensin II (AngII) and to determine whether this mutation has an impact on the phenotypic modulation and apoptosis mediated by AngII in vascular smooth muscle cells (VSMCs).
Mice were divided into three groups: AngII stimulated-wild-type (WT) (AngII) and ACTA2 mice (ACTA2) group, in which AngII were administered subcutaneously into 8-week-old C57 mice and ACTA2 mice, respectively, for 4 weeks using osmotic minipumps, and the control group (WT), in which the WT mice were infused with normal saline (NS). Ultrasound was performed to quantify lumen diameters. RT-qPCR and Western blot were used to assess gene expression, and histobiochemistry was used to evaluate the pathological changes in the thoracoabdominal aortas. TUNEL was used to assess apoptosis in VSMCs.
Compared with the AngII- group, the ACTA2 mice exhibited more severity of dilated lumena of the aortas, a significantly increased expression of osteopontin (OPN), an elevated ratio of Bax/Bcl-2, increased apoptosis, and a decreased expression of α-smooth muscle actin (α-SMA).
Knockout of ACTA2 promoted AngII induced progressive lumen dilation of the aortas, apoptosis, and the phenotypic modulation in VSMCs in mice.
ACTA2(α-2平滑肌肌动蛋白)基因突变约占所有家族性胸主动脉瘤和主动脉夹层病例的15%。令人惊讶的是,携带该基因突变的小鼠在基线时未观察到严重的血管表型。我们的目的是探讨ACTA2基因突变在存在血管紧张素II(AngII)的情况下是否会促进动脉瘤或主动脉夹层的发展,并确定该突变是否会影响AngII介导的血管平滑肌细胞(VSMC)的表型调节和凋亡。
将小鼠分为三组:AngII刺激的野生型(WT)(AngII)和ACTA2小鼠(ACTA2)组,其中分别使用渗透微型泵对8周龄的C57小鼠和ACTA2小鼠皮下注射AngII,持续4周,以及对照组(WT),其中WT小鼠输注生理盐水(NS)。进行超声检查以量化管腔直径。采用RT-qPCR和蛋白质印迹法评估基因表达,采用组织化学法评估胸腹主动脉的病理变化。采用TUNEL法评估VSMC中的细胞凋亡。
与AngII组相比,ACTA2小鼠的主动脉管腔扩张更严重,骨桥蛋白(OPN)表达显著增加,Bax/Bcl-2比值升高,细胞凋亡增加,α-平滑肌肌动蛋白(α-SMA)表达降低。
ACTA2基因敲除促进了AngII诱导的小鼠主动脉管腔渐进性扩张、细胞凋亡以及VSMC中的表型调节。