2016
DOI: 10.1038/nm.4109
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Activation of the pluripotency factor OCT4 in smooth muscle cells is atheroprotective

Abstract: There are controversial claims that the embryonic stem cell (ESC) pluripotency factor OCT4 is activated in somatic cells, but there is no evidence it plays a functional role in these cells. Herein we demonstrate that smooth muscle cell (SMC)-specific conditional knockout of Oct4 within Apoe−/− mice resulted in increased lesion size and changes consistent with decreased plaque stability including a thinner fibrous cap, increased necrotic core, and increased intra-plaque hemorrhage. Results of SMC-lineage tracin… Show more

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Cited by 170 publications
(234 citation statements)
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“…Interestingly, recent studies by our lab 6,7 and others 8,9 have begun to demonstrate that SMCs are capable of many more functions than those just related to contraction, dilation, and ECM deposition. The role of SMCs in alternative pathways is thought to be mediated through a process known as SMC phenotypic switching.…”
Section: List Of Figures and Legendsmentioning
confidence: 99%
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“…Interestingly, recent studies by our lab 6,7 and others 8,9 have begun to demonstrate that SMCs are capable of many more functions than those just related to contraction, dilation, and ECM deposition. The role of SMCs in alternative pathways is thought to be mediated through a process known as SMC phenotypic switching.…”
Section: List Of Figures and Legendsmentioning
confidence: 99%
“…Unlike it's cardiac muscle and skeletal muscle cousins, SMCs, although fully differentiated, are not terminally differentiated and in response to vascular injury 12,13 or disease [6][7][8] retain the capability to undergo phenotypic switching; a process characterized by coordinate and profound down regulation of SMC marker genes and upregulation of ECM synthesis, pluripotency genes, and migratory genes such as KLF4 6,14,15 and OCT4 7 . Although multiple SMC genes 10 have been described and used to identify SMCs in vivo, including smooth muscle alpha actin (ACTA2) 16 , smooth muscle myosin heavy chain (MYH11) 17 , h1-calponin 18 , and smooth muscle 22-alpha (TAGLN) 19 , phenotypic switching of SMCs is a process which is defined by down regulation (or loss) of these genes, making identification of phenotypically modulated SMCs in vivo exceedingly difficult using traditional methods which rely on gene or protein expression.…”
Section: Phenotypic Switchingmentioning
confidence: 99%
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“…ACTA2) can be expressed by myeloid-derived cells and endothelial cells and SMC can express marker genes of macrophages (e.g. CD68 and LGALS3) [14][15][16][17][18][19][20] . Therefore major unanswered questions remained in the field as to whether SMC are the primary source of collagens in vivo and if SMC produced collagens in turn impact plaque development.…”
Section: Introductionmentioning
confidence: 99%