Impact of Notch3 Activation on Aortic Aneurysm Development in Marfan Syndrome

Background. The leading cause of mortality in patients with Marfan syndrome (MFS) is thoracic aortic aneurysm and dissection. Notch signaling is essential for vessel morphogenesis and function. However, the role of Notch signaling in aortic pathology and aortic smooth muscle cell (SMC) differentiati...

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Main Authors: Kathryn Jespersen, Chenxin Li, Rishi Batra, Christopher A. Stephenson, Paul Harding, Kylie Sestak, Ryan T. Foley, Harrison Greene, Trevor Meisinger, Jason R. Cook, B. Timothy Baxter, Wanfen Xiong
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Journal of Immunology Research
Online Access:http://dx.doi.org/10.1155/2022/7538649
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author Kathryn Jespersen
Chenxin Li
Rishi Batra
Christopher A. Stephenson
Paul Harding
Kylie Sestak
Ryan T. Foley
Harrison Greene
Trevor Meisinger
Jason R. Cook
B. Timothy Baxter
Wanfen Xiong
author_facet Kathryn Jespersen
Chenxin Li
Rishi Batra
Christopher A. Stephenson
Paul Harding
Kylie Sestak
Ryan T. Foley
Harrison Greene
Trevor Meisinger
Jason R. Cook
B. Timothy Baxter
Wanfen Xiong
author_sort Kathryn Jespersen
collection DOAJ
description Background. The leading cause of mortality in patients with Marfan syndrome (MFS) is thoracic aortic aneurysm and dissection. Notch signaling is essential for vessel morphogenesis and function. However, the role of Notch signaling in aortic pathology and aortic smooth muscle cell (SMC) differentiation in Marfan syndrome (MFS) is not completely understood. Methods. RNA-sequencing on ascending aortic tissue from a mouse model of MFS, Fbn1mgR/mgR, and wild-type controls was performed. Notch 3 expression and activation in aortic tissue were confirmed with real-time RT-PCR, immunohistochemistry, and Western blot. Fbn1mgR/mgR and wild-type mice were treated with a γ-secretase inhibitor, DAPT, to block Notch activation. Aortic aneurysms and rupture were evaluated with connective tissue staining, ultrasound, and life table analysis. Results. The murine RNA-sequencing data were validated with mouse and human MFS aortic tissue, demonstrating elevated Notch3 activation in MFS. Data further revealed that upregulation and activation of Notch3 were concomitant with increased expression of SMC contractile markers. Inhibiting Notch3 activation with DAPT attenuated aortic enlargement and improved survival of Fbn1mgR/mgR mice. DAPT treatment reduced elastin fiber fragmentation in the aorta and reversed the differentiation of SMCs. Conclusions. Our data demonstrated that matrix abnormalities in the aorta of MFS are associated with increased Notch3 activation. Enhanced Notch3 activation in MFS contributed to aortic aneurysm formation in MFS. This might be mediated by inducing a contractile phenotypic change of SMC. Our results suggest that inhibiting Notch3 activation may provide a strategy to prevent and treat aortic aneurysms in MFS.
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spelling doaj-art-35b0749cb78247e98cfac514fcd259032025-02-03T00:59:32ZengWileyJournal of Immunology Research2314-71562022-01-01202210.1155/2022/7538649Impact of Notch3 Activation on Aortic Aneurysm Development in Marfan SyndromeKathryn Jespersen0Chenxin Li1Rishi Batra2Christopher A. Stephenson3Paul Harding4Kylie Sestak5Ryan T. Foley6Harrison Greene7Trevor Meisinger8Jason R. Cook9B. Timothy Baxter10Wanfen Xiong11Department of SurgeryDepartment of OphthalmologyDepartment of SurgeryDepartment of SurgeryDepartment of SurgeryDepartment of SurgeryDepartment of SurgeryDepartment of SurgeryDepartment of SurgeryDepartment of SurgeryDepartment of SurgeryDepartment of SurgeryBackground. The leading cause of mortality in patients with Marfan syndrome (MFS) is thoracic aortic aneurysm and dissection. Notch signaling is essential for vessel morphogenesis and function. However, the role of Notch signaling in aortic pathology and aortic smooth muscle cell (SMC) differentiation in Marfan syndrome (MFS) is not completely understood. Methods. RNA-sequencing on ascending aortic tissue from a mouse model of MFS, Fbn1mgR/mgR, and wild-type controls was performed. Notch 3 expression and activation in aortic tissue were confirmed with real-time RT-PCR, immunohistochemistry, and Western blot. Fbn1mgR/mgR and wild-type mice were treated with a γ-secretase inhibitor, DAPT, to block Notch activation. Aortic aneurysms and rupture were evaluated with connective tissue staining, ultrasound, and life table analysis. Results. The murine RNA-sequencing data were validated with mouse and human MFS aortic tissue, demonstrating elevated Notch3 activation in MFS. Data further revealed that upregulation and activation of Notch3 were concomitant with increased expression of SMC contractile markers. Inhibiting Notch3 activation with DAPT attenuated aortic enlargement and improved survival of Fbn1mgR/mgR mice. DAPT treatment reduced elastin fiber fragmentation in the aorta and reversed the differentiation of SMCs. Conclusions. Our data demonstrated that matrix abnormalities in the aorta of MFS are associated with increased Notch3 activation. Enhanced Notch3 activation in MFS contributed to aortic aneurysm formation in MFS. This might be mediated by inducing a contractile phenotypic change of SMC. Our results suggest that inhibiting Notch3 activation may provide a strategy to prevent and treat aortic aneurysms in MFS.http://dx.doi.org/10.1155/2022/7538649
spellingShingle Kathryn Jespersen
Chenxin Li
Rishi Batra
Christopher A. Stephenson
Paul Harding
Kylie Sestak
Ryan T. Foley
Harrison Greene
Trevor Meisinger
Jason R. Cook
B. Timothy Baxter
Wanfen Xiong
Impact of Notch3 Activation on Aortic Aneurysm Development in Marfan Syndrome
Journal of Immunology Research
title Impact of Notch3 Activation on Aortic Aneurysm Development in Marfan Syndrome
title_full Impact of Notch3 Activation on Aortic Aneurysm Development in Marfan Syndrome
title_fullStr Impact of Notch3 Activation on Aortic Aneurysm Development in Marfan Syndrome
title_full_unstemmed Impact of Notch3 Activation on Aortic Aneurysm Development in Marfan Syndrome
title_short Impact of Notch3 Activation on Aortic Aneurysm Development in Marfan Syndrome
title_sort impact of notch3 activation on aortic aneurysm development in marfan syndrome
url http://dx.doi.org/10.1155/2022/7538649
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