TGF-beta activity protects against inflammatory aortic aneurysm progression and complications in angiotensin

Yu Wang1, Hafid Ait-Oufella, Olivier Herbin

  • 1INSERM U970, Paris Cardiovascular Research Center, Université Paris-Descartes and Assistance Publique-Hôpitaux de Paris, Paris, France.

Insights

Transforming growth factor-beta (TGF-β) neutralization increases susceptibility to abdominal aortic aneurysm (AAA) in mice. This study reveals TGF-β’s protective role in innate immunity and vessel integrity, contrasting its role in Marfan syndrome.

Area of Science:

  • Cardiovascular Biology
  • Immunology
  • Vascular Biology

Background:

  • Abdominal aortic aneurysm (AAA) poses a significant mortality risk, particularly in elderly men.
  • Angiotensin II (Ang II)-dependent TGF-β activity is implicated in aortic aneurysm progression in Marfan syndrome.
  • The specific role of TGF-β in experimental AAA models remains incompletely understood.

Purpose of the Study:

  • To comprehensively assess the role of TGF-β in experimental models of Ang II-induced AAA.
  • To investigate the impact of TGF-β neutralization on AAA formation and complications in normocholesterolemic mice.

Main Methods:

  • Systemic neutralization of TGF-β activity in normocholesterolemic C57BL/6 mice subjected to Ang II infusion.
  • Echographic assessment of aneurysm complications (fissuration, double channel formation, rupture).
  • Evaluation of immune cell involvement (T cells, B cells, monocytes) and specific molecular pathways (IFN-γ, IL-4, IL-6, TNF-α, CX3CR1, MMP-12).

Main Results:

  • TGF-β neutralization significantly increased susceptibility to Ang II-induced AAA formation and complications, including rupture and death.
  • Aneurysm development was refractory to inhibition of IFN-γ, IL-4, IL-6, or TNF-α signaling.
  • Monocyte depletion and MMP-12 deficiency markedly inhibited AAA progression and rupture, respectively, while TGF-β neutralization enhanced monocyte invasiveness and MMP-12 activity.

Conclusions:

  • TGF-β plays a critical role in modulating the innate immune response and maintaining vascular integrity in C57BL/6 mice, protecting against AAA.
  • This protective role contrasts with the previously reported pathogenic role of TGF-β in Marfan syndrome-associated AAA.
  • Targeting TGF-β may exacerbate AAA, highlighting its complex involvement in vascular disease pathogenesis.