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Published on: November 22, 2019
Cardiovascular pathology in Hutchinson-Gilford progeria: correlation with the vascular pathology of aging
Michelle Olive1, Ingrid Harten, Richard Mitchell
1National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, USA.
Insights
Hutchinson-Gilford progeria syndrome (HGPS) accelerates cardiovascular disease (CVD) and shares pathologies with aging. Progerin accumulation in blood vessels increases with age, suggesting its role in common cardiovascular aging.
Area of Science:
- Cardiovascular Pathology
- Gerontology
- Rare Genetic Disorders
Background:
- Hutchinson-Gilford progeria syndrome (HGPS) causes rapid cardiovascular disease (CVD) in children.
- HGPS patients often die from myocardial infarction or stroke at a young age.
Purpose of the Study:
- To conduct the first histological comparison of cardiovascular tissues between HGPS and aging-related CVD.
- To investigate the role of progerin in HGPS and general cardiovascular aging.
Main Methods:
- Structural and immunohistological analysis of cardiovascular tissues from two HGPS patients.
- Comparative analysis with tissues from non-HGPS individuals across a wide age range.
Main Results:
- HGPS cardiovascular tissues showed atherosclerosis, arteriolosclerosis, and prominent adventitial fibrosis.
- Progerin was detected in HGPS coronary arteries and also present in non-HGPS individuals.
- Progerin staining increased significantly with age in coronary arteries (3.34% per year).
Conclusions:
- Cardiovascular pathology in HGPS shares similarities with aging-related CVD.
- HGPS exhibits more pronounced adventitial fibrosis than typical CVD.
- Increasing vascular progerin with age suggests a role in general population cardiovascular aging.
Objective:
Children with Hutchinson-Gilford progeria syndrome (HGPS) exhibit dramatically accelerated cardiovascular disease (CVD), causing death from myocardial infarction or stroke between the ages of 7 and 20 years. We undertook the first histological comparative evaluation between genetically confirmed HGPS and the CVD of aging.
Methods And Results:
We present structural and immunohistological analysis of cardiovascular tissues from 2 children with HGPS who died of myocardial infarction. Both had features classically associated with the atherosclerosis of aging, as well as arteriolosclerosis of small vessels. In addition, vessels exhibited prominent adventitial fibrosis, a previously undescribed feature of HGPS. Importantly, although progerin was detected at higher rates in the HGPS coronary arteries, it was also present in non-HGPS individuals. Between the ages of 1 month and 97 years, progerin staining increased an average of 3.34% per year (P<0.0001) in coronary arteries.
Conclusions:
We find concordance among many aspects of cardiovascular pathology in both HGPS and geriatric patients. HGPS generates a more prominent adventitial fibrosis than typical CVD. Vascular progerin generation in young non-HGPS individuals, which significantly increases throughout life, strongly suggests that progerin has a role in cardiovascular aging of the general population.
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