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Gene Expression Profiling in Abdominal Aortic Aneurysms
Amelie L Behrens1,2, Susanne Dihlmann1, Caspar Grond-Ginsbach1
1Department of Vascular and Endovascular Surgery, University Hospital of Heidelberg, 69120 Heidelberg, Germany.
Journal of Clinical Medicine
|June 24, 2022
Summary
Gene expression in abdominal aortic aneurysms (AAA) is highly variable within patients. This heterogeneity means single biopsies cannot fully capture the molecular processes driving AAA disease progression.
Area of Science:
- Vascular Biology
- Genomics
- Bioinformatics
Background:
- Abdominal aortic aneurysms (AAA) involve chronic inflammation and extracellular matrix degradation.
- Understanding gene expression heterogeneity is crucial for characterizing AAA.
- Previous studies suggest molecular differences in AAA tissue.
Purpose of the Study:
- To investigate intra- and interpersonal gene expression differences in AAA.
- To correlate gene expression with biomechanical wall stress.
- To identify key molecular pathways involved in AAA pathogenesis.
Main Methods:
- Genome-wide RNA expression profiling (Illumina HumanHT-12) of 24 AAA biopsies from 12 patients.
- Analysis of biopsies from regions of high and low wall stress (determined by finite element analysis).
- Single gene analysis and pathway analysis (Gene Ontology enrichment).
Main Results:
- Significant heterogeneity in RNA expression was observed within and between AAA biopsies.
- Pathway analysis revealed enrichment in integrin signaling, cholecystokinin receptor, and chemokine signaling pathways.
- No direct correlation between gene expression and finite element analysis-derived wall stress was detailed, but regional differences were explored.
Conclusions:
- AAA vascular walls exhibit heterogeneous gene expression patterns.
- Single biopsy analysis is insufficient for a comprehensive understanding of AAA molecular processes.
- Targeted pathway analysis highlights key signaling cascades in AAA development.

