A functional variant of SMAD4 enhances macrophage recruitment and inflammatory response via TGF-β signal activation in Thoracic aortic aneurysm and dissection

• Published in: Aging (Albany, NY.) NY.), 2018-12, Vol.10 (12), p.3683-3701
• Main Authors: Wang, Ying, Yin, Pei, Chen, Yi-Huan, Yu, Yun-Sheng, Ye, Wen-Xue, Huang, Hao-Yue, Ji, Zhen-Chun, Shen, Zhen-Ya
• Format: Article
• Language: English
• Subjects: Aneurysm, Dissecting - genetics; Aneurysm, Dissecting - metabolism; Aneurysm, Dissecting - pathology; Animals; Aorta, Thoracic - metabolism; Aorta, Thoracic - pathology; Aortic Aneurysm, Thoracic - genetics; Aortic Aneurysm, Thoracic - metabolism; Aortic Aneurysm, Thoracic - pathology; Case-Control Studies; Cells, Cultured; Dilatation, Pathologic; Disease Models, Animal; Female; Inflammation Mediators - metabolism; Macrophages - metabolism; Macrophages - pathology; Male; Mice, Knockout; Muscle, Smooth, Vascular - metabolism; Muscle, Smooth, Vascular - pathology; Myocytes, Smooth Muscle - metabolism; Myocytes, Smooth Muscle - pathology; Polymorphism, Single Nucleotide; Research Paper; Signal Transduction; Smad4 Protein - deficiency; Smad4 Protein - genetics; Smad4 Protein - metabolism; Transforming Growth Factor beta - metabolism; Vascular Remodeling
• ISSN: 1945-4589; 1945-4589
• DOI: 10.18632/aging.101662

Thoracic aortic aneurysm and dissection (TAAD) is the most fatal macro vascular disease. The mortality of 48h after diagnosis of dissection is up to approximately 50-68%. However, the genetic factors and potential mechanism underlying sporadic TAAD remain largely unknown. Our previous study suggested rs12455792 variant of gene significantly contributed to the increased risk and might participated the pathological progression of TAAD. This investigation aims to test (1) the associations between rs12455792 and MØ recruitment, inflammatory response in aggressiveness of TAAD, and (2) the molecular mechanism accounting for their effects. In TGF-β signaling molecular detection, rs12455792 C>T variant activated the canonical and non-canonical TGF-β mediators. It also increased the secretion of chemotactic factors of HASMCs. To confirm the impact of this change, we detected MØ recruitment and infiltration in HASMCs and aortic tissues of TAAD patients. We found that MØ recruitment in cells and tissues with rs12455792 variant genotypes was increased than that in wild type groups. Moreover, rs12455792 variant increased M1 type inflammatory response, which might contribute much to TAAD progression. To mimic the suppression effect of rs12455792 in vivo, we constructed the KD mouse. After induction with Ang II for 4w, the thoracic aorta dilatation and vascular remodeling were more serious than that of wild type group. In conclusion, rs12455792 increased MØ recruitment, M1 type inflammatory response via activated TGF-β signaling, and further promoted vascular remodeling and pathological progress of TAAD.