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Updated: Sep 30, 2025

Murine Aortic Crush Injury: An Efficient In Vivo Model of Smooth Muscle Cell Proliferation and Endothelial Function
Published on: June 11, 2017
Platelet-derived microvesicles regulate vascular smooth muscle cell energy metabolism via PRKAA after intimal injury
Jing Yan1, Yang-Jing Fan1, Han Bao1
1Institute of Mechanobiology & Medical Engineering, School of Life Sciences & Biotechnology, Shanghai Jiao Tong University, Shanghai 200240, China.
Abstract:
Vascular intimal injury initiates various cardiovascular disease processes. Exposure to subendothelial collagen can cause platelet activation, leading to collagen-activated platelet-derived microvesicles (aPMVs) secretion. In addition, vascular smooth muscle cells (VSMCs) exposed to large amounts of aPMVs undergo abnormal energy metabolism; they proliferate excessively and migrate after the loss of endothelium, eventually contributing to neointimal hyperplasia. However, the roles of aPMVs in VSMC energy metabolism are still unknown. Our carotid artery intimal injury model indicated that platelets adhered to injured blood vessels. In vitro, phosphorylated Pka (cAMP-dependent protein kinase) content was increased in aPMVs. We also found that aPMVs significantly reduced VSMC glycolysis and increased oxidative phosphorylation, and promoted VSMC migration and proliferation by upregulating phosphorylated PRKAA (α catalytic subunit of AMP-activated protein kinase) and phosphorylated FoxO1. Compound C, an inhibitor of PRKAA, effectively reversed the enhancement of cellular function and energy metabolism triggered by aPMVs in vitro and neointimal formation in vivo. We show that aPMVs can affect VSMC energy metabolism through the Pka-PRKAA-FoxO1 signaling pathway and this ultimately affects VSMC function, indicating that the shift in VSMC metabolic phenotype by aPMVs can be considered a potential target for the inhibition of hyperplasia. This provides a new perspective for regulating the abnormal activity of VSMCs after injury.
Insights
Collagen-activated platelet-derived microvesicles (aPMVs) alter vascular smooth muscle cell (VSMC) metabolism, promoting hyperplasia. Inhibiting the Pka-PRKAA-FoxO1 pathway with Compound C reversed these effects, offering a therapeutic target.
Area of Science:
- Cardiovascular Biology
- Cellular Metabolism
- Vascular Biology
Background:
- Vascular intimal injury triggers cardiovascular diseases.
- Platelet activation and microvesicle secretion occur upon collagen exposure.
- Vascular smooth muscle cells (VSMCs) exhibit abnormal metabolism and proliferation when exposed to microvesicles, contributing to neointimal hyperplasia.
Purpose of the Study:
- To investigate the role of collagen-activated platelet-derived microvesicles (aPMVs) in VSMC energy metabolism.
- To elucidate the signaling pathway through which aPMVs affect VSMC function.
- To evaluate the therapeutic potential of targeting this pathway for neointimal hyperplasia.
Main Methods:
- Carotid artery intimal injury model in vivo.
- In vitro studies using VSMCs exposed to aPMVs.
- Analysis of protein phosphorylation (Pka, PRKAA, FoxO1) and cellular metabolism (glycolysis, oxidative phosphorylation).
- Assessment of VSMC migration, proliferation, and neointimal formation.
- Pharmacological inhibition of PRKAA using Compound C.
Main Results:
- aPMVs increased phosphorylated Pka content.
- aPMVs reduced VSMC glycolysis and increased oxidative phosphorylation.
- aPMVs promoted VSMC migration and proliferation via upregulated phosphorylated PRKAA and FoxO1.
- Compound C reversed aPMV-induced changes in VSMC function and energy metabolism, and inhibited neointimal formation.
Conclusions:
- aPMVs modulate VSMC energy metabolism through the Pka-PRKAA-FoxO1 pathway.
- This metabolic shift promotes VSMC proliferation and migration, contributing to neointimal hyperplasia.
- Targeting the aPMV-induced metabolic reprogramming of VSMCs presents a potential therapeutic strategy for preventing vascular hyperplasia.
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