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CCN2 deficiency in smooth muscle cells triggers cell reprogramming and aggravates aneurysm development
Yu Wang, Xuesong Liu, Qian Xu, Wei Xu, Xianming Zhou, Andrew Leask, Zhiyong Lin
Yu Wang, Xuesong Liu, Qian Xu, Wei Xu, Xianming Zhou, Andrew Leask, Zhiyong Lin
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Research Article Vascular biology

CCN2 deficiency in smooth muscle cells triggers cell reprogramming and aggravates aneurysm development

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Abstract

Vascular smooth muscle cell (SMC) phenotypic switching is widely recognized as a key mechanism responsible for the pathogenesis of several aortic diseases, such as aortic aneurysm. Cellular communication network factor 2 (CCN2), often upregulated in human pathologies and animal disease models, exerts myriad context-dependent biological functions. However, current understanding of the role of SMC-CCN2 in SMC phenotypic switching and its function in the pathology of abdominal aortic aneurysm (AAA) is lacking. Here, we show that SMC-restricted CCN2 deficiency causes AAA in the infrarenal aorta of angiotensin II–infused (Ang II–infused) hypercholesterolemic mice at a similar anatomic location to human AAA. Notably, the resistance of naive C57BL/6 WT mice to Ang II–induced AAA formation is lost upon silencing of CCN2 in SMC. Furthermore, the pro-AAA phenotype of SMC-CCN2-KO mice is recapitulated in a different model that involves the application of elastase–β-aminopropionitrile. Mechanistically, our findings reveal that CCN2 intersects with TGF-β signaling and regulates SMC marker expression. Deficiency of CCN2 triggers SMC reprograming associated with alterations in Krüppel-like factor 4 and contractile marker expression, and this reprograming likely contributes to the development of AAA in mice. These results identify SMC-CCN2 as potentially a novel regulator of SMC phenotypic switching and AA biology.

Authors

Yu Wang, Xuesong Liu, Qian Xu, Wei Xu, Xianming Zhou, Andrew Leask, Zhiyong Lin

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Figure 2

SMC-specific deficiency of CCN2 exacerbates Ang II–induced AAA in hypercholesterolemia mice.

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SMC-specific deficiency of CCN2 exacerbates Ang II–induced AAA in hyperc...
(A) Representative gross images of aortas from CCN2fl/fl (WT, n = 13) and CCN2SMCΔ (KO, n = 11) mice infused with Ang II. (B) Representative abdominal ultrasound images (long- and short-axis views) of mice in both groups. (C) AAA incidence in mice from both groups. *P < 0.05, χ2 test. (D) Maximal external aortic diameters at study endpoint in mice from both groups. Data were quantified and represented as mean ± SEM. ***P < 0.001, 2-tailed Student’s t test. (E) Systolic blood pressure (SBP) measured at various time points before and after Ang II infusion for mice in both groups (n = 8). (F) Representative images of H&E-stained (5× and 20×) and Elastin-stained (20×) abdominal aortic sections from both groups (n = 5). Red arrows indicate elastin break points. (G) Immunofluorescence double staining of abdominal aortic sections from both groups with specific antibodies against αSMA (red) and SMMHC (green). Nuclei were stained with DAPI (blue). n = 4. Scale bars: 100 μm.

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