Endothelial dysfunction and compromised eNOS/Akt signaling in the thoracic aorta during the progression of Marfan

A W Y Chung1, K Au Yeung, S F Cortes

  • 1Child and Family Research Institute and Departments of Anesthesiology, Pharmacology and Therapeutics, University of British Columbia, Vancouver, BC, Canada. achung@mrl.ubc.ca

Abstract

Insights

Marfan syndrome (MFS) impairs aortic endothelial function and nitric oxide (NO) production, particularly in the thoracic aorta. This dysfunction contributes to the progression of aortic complications in MFS patients.

Area of Science:

  • Cardiovascular Biology
  • Connective Tissue Disorders
  • Endothelial Function

Background:

  • Marfan syndrome (MFS) is a genetic disorder caused by FBN1 mutations, leading to significant aortic complications and mortality.
  • Endothelial dysfunction and impaired nitric oxide (NO) production are implicated in cardiovascular disease progression.

Purpose of the Study:

  • To investigate the impact of Marfan syndrome on endothelial function and NO production in the aorta.
  • To determine if FBN1 mutations affect the signaling pathways involved in NO synthesis.

Main Methods:

  • Comparison of Marfan mice (Fbn1 C1039G/+) with age-matched controls at various ages (3-12 months).
  • Assessment of aortic function using isometric force measurements and biochemical analyses (Western blotting).
  • Evaluation of nitric oxide production and signaling pathways, including eNOS phosphorylation and cGMP levels.

Main Results:

  • Marfan mice exhibited diminished aortic relaxation to acetylcholine, indicating impaired endothelial-dependent vasodilation.
  • Loss of basal NO production was observed in the thoracic aorta of Marfan mice by one year of age.
  • Reduced phosphorylation of endothelial NO synthase (eNOS) and Akt, along with decreased cGMP levels, was evident in the Marfan thoracic aorta.

Conclusions:

  • Marfan syndrome significantly impairs endothelial function and NO signaling in the thoracic aorta.
  • These findings highlight the critical role of NO in the age-related development of aortic abnormalities in MFS.
  • Targeting NO pathways may offer therapeutic potential for managing aortic complications in Marfan syndrome.

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