Colchicine Inhibits Smooth Muscle Cell Phenotypic Switch and Aortic Dissection in Mice-Brief Report

Hui Jiang1,2, Yaping Zhao1,3, Mei Jin4

  • 1Department of Endocrinology, Centre for Leading Medicine and Advanced Technologies of IHM, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei (H.J., Y.Z., Z.Z., J.W., S.X.).

Abstract

Insights

Colchicine shows protective effects against aortic dissection (AD) by reducing inflammation and vascular smooth muscle cell (VSMC) changes. This suggests colchicine as a potential therapeutic for AD.

Area of Science:

  • Cardiovascular Research
  • Pharmacology
  • Molecular Biology

Background:

  • Aortic dissection (AD) is a severe cardiovascular condition involving intimal tearing and aortic wall delamination.
  • Key factors in AD pathogenesis include VSMC phenotypic switch, extracellular matrix degradation, and chronic inflammation.
  • Colchicine, an anti-inflammatory drug, has known cardiovascular applications but its role in AD is unexplored.

Purpose of the Study:

  • To investigate the therapeutic potential of colchicine in preventing and treating aortic dissection.
  • To elucidate the molecular mechanisms by which colchicine affects AD pathogenesis, particularly VSMC behavior.

Main Methods:

  • A β-aminopropionitrile-induced AD mouse model was used to assess colchicine's impact on AD incidence and mortality.
  • Transcriptome sequencing identified genes and pathways regulated by colchicine.
  • In vitro studies with primary rat VSMCs explored colchicine's effect on VSMC phenotypic switch.

Main Results:

  • Colchicine demonstrated a protective effect in AD, reducing vascular inflammation and suppressing VSMC phenotypic switch.
  • Colchicine was found to reverse VSMC phenotypic switch, partly by modulating myocardin expression.
  • Transcriptomic analysis provided insights into colchicine's molecular mechanisms in AD.

Conclusions:

  • Colchicine shows promise as a therapeutic agent for aortic dissection.
  • It mitigates key pathological processes in AD, including vascular inflammation and VSMC phenotypic switch.
  • Further clinical investigation is warranted for repurposing colchicine in AD treatment.