Smith Andrew H, Putta Priya, Driscoll Erin C, Chaudhuri Pinaki, Birnbaumer Lutz, Rosenbaum Michael A, Graham Linda M
Department of Vascular Surgery, Cleveland Clinic, Cleveland.
Department of Biomedical Engineering, Cleveland Clinic, Cleveland.
JVS Vasc Sci. 2020;1:136-150. doi: 10.1016/j.jvssci.2020.07.002. Epub 2020 Jul 28.
Previous studies showed the benefit of canonical transient receptor potential 6 (TRPC6) channel deficiency in promoting endothelial healing of arterial injuries in hypercholesterolemic animals. Long-term studies utilizing a carotid wire-injury model were undertaken in wild-type (WT) and TRPC6 mice to determine the effects of TRPC6 on phenotypic modulation of vascular smooth muscle cells (SMC) and neointimal hyperplasia. We hypothesized that TRPC6 was essential in the maintenance or reexpression of a differentiated SMC phenotype and minimized luminal stenosis following arterial injury.
The common carotid arteries (CCA) of WT and TRPC6 mice were evaluated at baseline and 4 weeks after wire injury. At baseline, CCA of TRPC6 mice had reduced staining of MYH11 and SM22, fewer elastin lamina, luminal dilation, and wall thinning. After carotid wire injury, TRPC6 mice developed significantly more pronounced luminal stenosis compared with WT mice. Injured TRPC6 CCA demonstrated increased medial/intimal cell number and active cell proliferation when compared with WT CCA. Immunohistochemistry suggested that expression of contractile biomarkers in medial SMC were essentially at baseline levels in WT CCA at 28 days after wire injury. By contrast, at 28 days after injury medial SMC from TRPC6 CCA showed a significant decrease in the expression of contractile biomarkers relative to baseline levels. To assess the role of TRPC6 in systemic arterial SMC phenotype modulation, SMC were harvested from thoracic aortae of WT and TRPC6 mice and were characterized. TRPC6 SMC showed enhanced proliferation and migration in response to serum stimulation. Expression of contractile phenotype biomarkers, MYH11 and SM22, was attenuated in TRPC6 SMC. siRNA-mediated TRPC6 deficiency inhibited contractile biomarker expression in a mouse SMC line.
These results suggest that TRPC6 contributes to the restoration or maintenance of arterial SMC contractile phenotype following injury. Understanding the role of TRPC6 in phenotypic modulation may lead to mechanism-based therapies for attenuation of IH.
先前的研究表明,在高胆固醇血症动物中,经典瞬时受体电位6(TRPC6)通道缺陷对促进动脉损伤后的内皮愈合有益。利用颈动脉线损伤模型进行了长期研究,以确定TRPC6对血管平滑肌细胞(SMC)表型调节和内膜增生的影响。我们假设TRPC6对于维持或重新表达分化的SMC表型以及最小化动脉损伤后的管腔狭窄至关重要。
在基线和线损伤后4周对野生型(WT)和TRPC6小鼠的颈总动脉(CCA)进行评估。在基线时,TRPC6小鼠的CCA中MYH11和SM22的染色减少,弹性蛋白层较少,管腔扩张且管壁变薄。颈动脉线损伤后,与WT小鼠相比,TRPC6小鼠出现了明显更明显的管腔狭窄。与WT CCA相比,受损的TRPC6 CCA显示中膜/内膜细胞数量增加且细胞增殖活跃。免疫组织化学表明,线损伤后28天,WT CCA中膜SMC中收缩性生物标志物的表达基本处于基线水平。相比之下,损伤后28天,TRPC6 CCA的中膜SMC相对于基线水平,收缩性生物标志物的表达显著降低。为了评估TRPC6在全身动脉SMC表型调节中的作用,从WT和TRPC6小鼠的胸主动脉中收集SMC并进行表征。TRPC6 SMC在血清刺激下显示出增强的增殖和迁移。收缩表型生物标志物MYH11和SM22在TRPC6 SMC中的表达减弱。siRNA介导的TRPC6缺陷抑制了小鼠SMC系中收缩性生物标志物 的表达。
这些结果表明,TRPC6有助于损伤后动脉SMC收缩表型的恢复或维持。了解TRPC6在表型调节中的作用可能会导致基于机制的内膜增生衰减治疗方法。