Bramel Emily E, Creamer Tyler J, Saqib Muzna, Camejo Nunez Wendy A, Bagirzadeh Rustam, Roker LaToya Ann, Goff Loyal A, MacFarlane Elena Gallo
McKusick-Nathans Department of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Predoctoral Training in Human Genetics and Molecular Biology, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Front Cardiovasc Med. 2022 Apr 8;9:826495. doi: 10.3389/fcvm.2022.826495. eCollection 2022.
Heterozygous, loss of function mutations in positive regulators of the Transforming Growth Factor-β (TGF-β) pathway cause hereditary forms of thoracic aortic aneurysm. It is unclear whether and how the initial signaling deficiency triggers secondary signaling upregulation in the remaining functional branches of the pathway, and if this contributes to maladaptive vascular remodeling. To examine this process in a mouse model in which time-controlled, partial interference with postnatal TGF-β signaling in vascular smooth muscle cells (VSMCs) could be assessed, we used a VSMC-specific tamoxifen-inducible system, and a conditional allele, to inactivate at 6 weeks of age, after completion of perinatal aortic development. This intervention induced dilation and histological abnormalities in the aortic root, with minor involvement of the ascending aorta. To analyze early and late events associated with disease progression, we performed a comparative single cell transcriptomic analysis at 10- and 18-weeks post-deletion, when aortic dilation is undetectable and moderate, respectively. At the early time-point, -inactivation resulted in a broad reduction in the expression of extracellular matrix components and critical components of focal adhesions, including integrins and anchoring proteins, which was reflected histologically by loss of connections between VSMCs and elastic lamellae. At the later time point, however, expression of several transcripts belonging to the same functional categories was normalized or even upregulated; this occurred in association with upregulation of transcripts coding for TGF-β ligands, and persistent downregulation of negative regulators of the pathway. To interrogate how VSMC heterogeneity may influence this transition, we examined transcriptional changes in each of the four VSMC subclusters identified, regardless of genotype, as partly reflecting the proximal-to-distal anatomic location based on RNA hybridization. The response to -deficiency varied depending on subset, and VSMC subsets over-represented in the aortic root, the site most vulnerable to dilation, most prominently upregulated TGF-β ligands and pro-pathogenic factors such as thrombospondin-1, angiotensin converting enzyme, and pro-inflammatory mediators. These data suggest that is required for maintenance of focal adhesions, and that loss of contacts with the extracellular matrix has consequences specific to each VSMC subset, possibly contributing to the regional susceptibility to dilation in the aorta.
转化生长因子-β(TGF-β)信号通路正向调节因子的杂合功能丧失突变会导致遗传性胸主动脉瘤。目前尚不清楚初始信号缺陷是否以及如何触发该信号通路其余功能分支中的继发性信号上调,以及这是否会导致适应性不良的血管重塑。为了在一个小鼠模型中研究这一过程,在该模型中可以评估对血管平滑肌细胞(VSMC)出生后TGF-β信号进行时间控制的部分干扰,我们使用了VSMC特异性他莫昔芬诱导系统和一个条件等位基因,在围产期主动脉发育完成后的6周龄时使其失活。这种干预导致主动脉根部扩张和组织学异常,升主动脉受累较轻。为了分析与疾病进展相关的早期和晚期事件,我们在缺失后10周和18周分别进行了比较单细胞转录组分析,此时主动脉扩张分别不可检测和中度。在早期时间点,失活导致细胞外基质成分和粘着斑关键成分(包括整合素和锚定蛋白)的表达广泛降低,这在组织学上表现为VSMC与弹性膜之间连接的丧失。然而,在后期时间点,属于相同功能类别的几个转录本的表达恢复正常甚至上调;这与编码TGF-β配体的转录本上调以及该信号通路负调节因子的持续下调有关。为了探究VSMC异质性如何影响这种转变,我们检查了所确定的四个VSMC亚群中每个亚群的转录变化,无论基因型如何,这些亚群部分反映了基于RNA杂交的从近端到远端的解剖位置。对缺陷的反应因亚群而异,并且在主动脉根部(最易扩张的部位)中过度表达的VSMC亚群最显著地上调了TGF-β配体和促致病因子,如血小板反应蛋白-1、血管紧张素转换酶和促炎介质。这些数据表明维持粘着斑需要,并且与细胞外基质失去接触对每个VSMC亚群都有特定影响,这可能导致主动脉区域对扩张的易感性。