A ortic aneurysmal lesions exhibit fragmentation and disruption of elastic laminas, inflammatory cell infiltration, and loss of vascular smooth muscle cells (VSMCs) with aortic wall expansion.1,2 Elastic lamina plays key roles in maintaining the elasticity of aortae; therefore, the disruption of elastin fiber is a major cause of aortic aneurysm formation. Degradation of elastin fiber, one of the extracellular matrix, is mainly caused by induction of matrix metalloproteinase (MMP)-2 or MMP-9 from VSMCs and inflammatory cells.3 However, dysfunction of elastin fiber maturation causes matrix failure, contributing significantly to aneurysm formation.
See accompanying editorial on page 2138Tropoelastin, an uncross-linked soluble form of elastin, is a major component of elastin fiber. Elastin haploinsufficiency reduces the volume of the elastin cross-linking structure desmosine and enhances elastin fiber fragmentation. 4 Fibrillin-1 is a major component of the microfibrils that form a sheath surrounding elastin; mutations in the fibrillin-1 gene cause Marfan syndrome, which is characterized by matrix failure, and links to aneurysm formation. 5 Lysyl oxidase (LOX) is a crucial enzyme involved in elastin cross-linking and elastin coacervation; inactivation of the LOX gene leads to aortic aneurysms. 6 Additionally, studies involving the administration of the LOX inhibitor β-aminopropionitrile (BAPN) to adult rat or mouse models of aortic aneurysm 7,8 indicate that the mechanisms underlying elastin fiber formation, especially elastin crosslinking, protect against aortic wall expansion in mature aortae.Our previous report showed that smooth muscle cell-specific hypoxia-inducible factor-1α (Hif-1α) deficiency suppressed angiotensin II (Ang II)-induced medial thickening by suppressing VSMC hypertrophy and vascular fibrosis via decreased aortal mRNA expression of extracellular matrix-related genes, such as collagen I.9 However, it remains unclear whether suppression of vascular remodeling and extracellular matrix metabolism is a protective compensatory reaction against vascular vulnerability, which occurs in response to chronic exogenous stimuli. Here, we investigated the role of smooth muscle cell-derived Hif-1α in pharmacologically induced aortic aneurysms, using a mouse model of vascular vulnerability. Our results indicate that deficiency of smooth muscle cell-derived Hif-1α augments aortic aneurysms, accompanied by disruption of elastin fiber formation, but not changes of elastin fiber degradation.
Materials and MethodsMaterials and Methods are available in the online-only Data Supplement.© 2016 American Heart Association, Inc. Objective-The purpose of this study was to determine the role of smooth muscle cell-derived hypoxia-inducible factor-1α (Hif-1α) in the pathogenesis of aortic aneurysms. Approach and Results-Control mice and smooth muscle cell-specific hypoxia-inducible factor-1α-deficient mice were infused with β-aminopropionitrile for 2 weeks and angiotensin II for 6 weeks to induce aortic aneurysm formation. Muta...