Pathogenetic sequence for aneurysm revealed in mice underexpressing fibrillin-1

L Pereira, SY Lee, B Gayraud… - Proceedings of the …, 1999 - National Acad Sciences
L Pereira, SY Lee, B Gayraud, K Andrikopoulos, SD Shapiro, T Bunton, NJ Biery, HC Dietz…
Proceedings of the National Academy of Sciences, 1999National Acad Sciences
Dissecting aortic aneurysm is the hallmark of Marfan syndrome (MFS) and the result of
mutations in fibrillin-1, the major constituent of elastin-associated extracellular microfibrils. It
is yet to be established whether dysfunction of fibrillin-1 perturbs the ability of the elastic
vessel wall to sustain hemodynamic stress by disrupting microfibrillar assembly, by
impairing the homeostasis of established elastic fibers, or by a combination of both
mechanisms. The pathogenic sequence responsible for the mechanical collapse of the …
Dissecting aortic aneurysm is the hallmark of Marfan syndrome (MFS) and the result of mutations in fibrillin-1, the major constituent of elastin-associated extracellular microfibrils. It is yet to be established whether dysfunction of fibrillin-1 perturbs the ability of the elastic vessel wall to sustain hemodynamic stress by disrupting microfibrillar assembly, by impairing the homeostasis of established elastic fibers, or by a combination of both mechanisms. The pathogenic sequence responsible for the mechanical collapse of the elastic lamellae in the aortic wall is also unknown. Targeted mutation of the mouse fibrillin-1 gene has recently suggested that deficiency of fibrillin-1 reduces tissue homeostasis rather than elastic fiber formation. Here we describe another gene-targeting mutation, mgR, which shows that underexpression of fibrillin-1 similarly leads to MFS-like manifestations. Histopathological analysis of mgR/mgR specimens implicates medial calcification, the inflammatory–fibroproliferative response, and inflammation-mediated elastolysis in the natural history of dissecting aneurysm. More generally, the phenotypic severity associated with various combinations of normal and mutant fibrillin-1 alleles suggests a threshold phenomenon for the functional collapse of the vessel wall that is based on the level and the integrity of microfibrils.
National Acad Sciences