探索马凡综合征中胸主动脉细胞外基质的改变:对主动脉壁结构的见解。
Exploring thoracic aorta ECM alterations in Marfan syndrome: insights into aorta wall structure.
作者信息
de Souza Rodrigo Barbosa, Cassiano Luara Lucena, Barnowski Philipp, Ventura Sara, Turato Walter Miguel, Nascimento Suelen Cristina Russafa, Mignanelli Giovanna Lodi, Caldeira Waldir, da Fonseca Martins Ana Maria Cristina Rebelo Pinto, de Carvalho Luposeli Flavio, Laurindo Francisco Rafael Martins, Reinhardt Dieter P, Sengle Gerhard, Koh Ivan Hong Jun, Meek Keith M, Lewis Philip N
机构信息
Department of Descriptive and Topographic Anatomy, Faculty of Santa Marcelina, São Paulo, Street Santa Marcelina, 91, 08270-140, SP, Brazil.
Department of Genetics and Evolutionary Biology, University of São Paulo, São Paulo, 05508-090, SP, Brazil.
出版信息
Sci Rep. 2025 Jul 22;15(1):26665. doi: 10.1038/s41598-025-09665-w.
Marfan syndrome is a connective tissue disorder caused by FBN1 mutations, leading to aortic wall fragility and increased susceptibility to aneurysm and dissection. This study investigated microstructural and molecular alterations in the thoracic aorta of Fbn1mgΔ mice, with a focus on the tunica intima and media. Histological and ultrastructural analyses demonstrated elastic fiber fragmentation and reduced fibrillin-1 expression. In the intima, endothelial cells showed partial detachment and decreased levels of fibrillin-1, perlecan, collagen IV, and α5β1 integrins, suggesting compromised adhesion to the extracellular matrix. Serial block-face scanning electron microscopy revealed discontinuities in the internal elastic lamina. In the media, we observed reduced fibronectin, altered α5β1 integrin distribution, and increased α-smooth muscle actin, indicative of remodeling in elastin-contractile units. Second harmonic generation imaging revealed increased collagen deposition, and thickness in areas of elastic fiber disruption, along with reduced and disorganized type III collagen and increased type I collagen. Echocardiographic evaluation showed aortic root, and ascendant-aorta dilatation, altered blood flow, and diastolic dysfunction. Elastic fiber integrity correlated strongly with fibrillin-1 expression (r = 0.93, p = 0.0003) and aortic blood flow (r = 0.77, p = 0.0064). These results suggest that early alterations in matrix organization and endothelial-matrix interactions may contribute to aortic wall weakening in Fbn1mgΔ mice.
马凡综合征是一种由FBN1基因突变引起的结缔组织疾病,可导致主动脉壁脆弱,增加动脉瘤和主动脉夹层的易感性。本研究调查了Fbn1mgΔ小鼠胸主动脉的微观结构和分子改变,重点关注内膜和中膜。组织学和超微结构分析显示弹性纤维断裂和原纤蛋白-1表达减少。在内膜中,内皮细胞显示部分脱离,原纤蛋白-1、基底膜聚糖、IV型胶原和α5β1整合素水平降低,提示与细胞外基质的粘附受损。连续块面扫描电子显微镜显示内弹性膜存在连续性中断。在中膜中,我们观察到纤连蛋白减少、α5β1整合素分布改变以及α-平滑肌肌动蛋白增加,这表明弹性蛋白收缩单位发生了重塑。二次谐波成像显示弹性纤维破坏区域的胶原沉积增加和厚度增加,同时III型胶原减少且排列紊乱,I型胶原增加。超声心动图评估显示主动脉根部和升主动脉扩张、血流改变以及舒张功能障碍。弹性纤维完整性与原纤蛋白-1表达密切相关(r = 0.93,p = 0.0003)和主动脉血流密切相关(r = 0.77,p = 0.0064)。这些结果表明,基质组织和内皮-基质相互作用的早期改变可能导致Fbn1mgΔ小鼠的主动脉壁薄弱。