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Updated: Jun 18, 2026

Isolation of Primary Patient-specific Aortic Smooth Muscle Cells and Semiquantitative Real-time Contraction Measurements In Vitro
Published on: February 15, 2022
Smooth muscle phenotypic modulation is an early event in aortic aneurysms
Gorav Ailawadi1, Christopher W Moehle, Hong Pei
1Department of Surgery, University of Virginia, Charlottesville, VA 22908, USA. gorav@virginia.edu
Vascular smooth muscle cells change phenotype before aortic aneurysm formation, with reduced markers and increased matrix metalloproteinases. This suggests targeting smooth muscle cells could treat aortic aneurysms.
Area of Science:
- Vascular Biology
- Atherosclerosis Research
- Cellular Phenotypic Modulation
Background:
- Vascular smooth muscle cells (VSMCs) alter phenotype in response to injury, involving gene repression and matrix metalloproteinase (MMP) production.
- The specific role of VSMCs in aortic aneurysm development remains largely unknown.
- This study investigates VSMC phenotypic modulation during early aortic aneurysm development.
Purpose of the Study:
- To test the hypothesis that VSMCs undergo phenotypic modulation early in aortic aneurysm development.
- To characterize changes in VSMC marker gene expression and MMP production in experimental and human aortic aneurysms.
Main Methods:
- Abdominal aortas from C57B6 mice were perfused with elastase or saline and analyzed at various time points (1, 3, 7, 14 days).
- Quantitative polymerase chain reaction and immunohistochemistry were used to assess expression of VSMC markers (SM22α, smooth muscle α-actin) and MMPs (MMP-2, MMP-9).
- Human aortic aneurysms and control aortas were analyzed similarly.
Main Results:
- Elastase perfusion led to increased aortic diameter by 14 days.
- Significant reduction in SM22α and smooth muscle α-actin expression was observed by 7 days, preceding aneurysm formation.
- Increased MMP-2 and MMP-9 expression occurred at 7 and 14 days in experimental and human aneurysms compared to controls.
Conclusions:
- Aortic aneurysms are characterized by VSMC phenotypic modulation, including decreased VSMC markers and increased MMPs.
- These phenotypic changes precede aneurysm formation in experimental models.
- Modulating VSMCs towards a reparative phenotype may offer a novel therapeutic strategy for aortic aneurysms.
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