Cthrc1 is a novel inhibitor of transforming growth factor-beta signaling and neointimal lesion formation
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Updated: Jul 16, 2026

A Rat Carotid Artery Pressure-Controlled Segmental Balloon Injury with Periadventitial Therapeutic Application
Published on: July 9, 2020
Renée J LeClair1, Tahir Durmus, Qiaozeng Wang
1Center for Molecular Medicine, Maine Medical Center Research Institute, Scarborough, ME 04074, USA.
Abstract:
We identified collagen triple helix repeat containing-1 (Cthrc1) as a novel gene expressed in the adventitia and neointima on arterial injury and found that it functionally increases cell migration while reducing collagen deposition. To address the in vivo role of Cthrc1, we generated transgenic mouse lines that constitutively overexpress Cthrc1. An intercross of 2 transgenic lines produced offspring with brittle bones caused by a reduction in collagenous bone matrix. Hemizygous Cthrc1 transgenic mice developed normally but neointimal lesion formation and adventitial collagen deposition in response to carotid artery ligation were significantly reduced compared with wild-type littermates. In 75% of Cthrc1 transgenic mice, cartilaginous metaplasia of medial smooth muscle cells was observed as assessed by Alcian blue staining and expression of the chondrocyte marker collagen type II. Transforming growth factor-beta signaling was reduced in smooth muscle cells of Cthrc1 transgenic arteries, as demonstrated by reduced phospho-Smad2/3 immunoreactivity, whereas Smad signaling related to bone morphogenetic proteins was unaffected. Similarly, primary smooth muscle cells and PAC1 smooth muscle cells overexpressing Cthrc1 had reduced levels of phospho-Smad2/3 as well as procollagen. Furthermore, Cthrc1 inhibited transforming growth factor-beta-sensitive reporter constructs in smooth muscle but not endothelial cells. These data indicate that Cthrc1 is a cell-type-specific inhibitor of transforming growth factor-beta, which in turn impacts collagen type I and III deposition, neointimal formation, and dedifferentiation of smooth muscle cells.
Insights
Collagen triple helix repeat containing-1 (Cthrc1) reduces arterial collagen deposition and neointimal formation by inhibiting transforming growth factor-beta signaling in smooth muscle cells. This gene impacts cell migration and collagen production in vascular injury responses.
Area of Science:
- Vascular Biology
- Molecular Biology
- Biochemistry
Background:
- Collagen triple helix repeat containing-1 (Cthrc1) is a novel gene identified in arterial adventitia and neointima following injury.
- Cthrc1 influences cell migration and collagen deposition, suggesting a role in vascular remodeling.
Purpose of the Study:
- To investigate the in vivo function of Cthrc1 in arterial injury response.
- To elucidate the molecular mechanisms by which Cthrc1 affects vascular smooth muscle cells and extracellular matrix production.
Main Methods:
- Generation of transgenic mouse lines overexpressing Cthrc1.
- Carotid artery ligation model to induce arterial injury.
- Alcian blue staining and collagen type II expression analysis for cartilaginous metaplasia.
- Western blot analysis for phospho-Smad2/3 and procollagen levels.
- Transforming growth factor-beta (TGF-β) reporter assays in smooth muscle and endothelial cells.
Main Results:
- Constitutive Cthrc1 overexpression in mice led to brittle bones due to reduced collagenous bone matrix.
- Hemizygous Cthrc1 transgenic mice exhibited significantly reduced neointimal lesion formation and adventitial collagen deposition after carotid artery ligation.
- A high percentage (75%) of Cthrc1 transgenic mice showed cartilaginous metaplasia in medial smooth muscle cells.
- Cthrc1 overexpression reduced TGF-β signaling (phospho-Smad2/3) in smooth muscle cells of transgenic arteries and in cultured cells, decreasing procollagen levels.
- Cthrc1 specifically inhibited TGF-β-sensitive reporter constructs in smooth muscle cells, but not in endothelial cells.
Conclusions:
- Cthrc1 acts as a cell-type-specific inhibitor of TGF-β signaling, primarily in smooth muscle cells.
- Cthrc1 negatively regulates collagen type I and III deposition, impacting neointimal hyperplasia and vascular remodeling.
- Cthrc1 plays a significant role in preventing smooth muscle cell dedifferentiation and contributes to maintaining vascular integrity post-injury.
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