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Updated: Feb 7, 2026

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Isolation of Murine Coronary Vascular Smooth Muscle Cells
Published on: May 30, 2016
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Allelic Variation at 9p21.3 Orchestrates Widespread RNA Splicing Shifts Governing Vascular Smooth Muscle Cell
S Suryavanshi1, H Yang1, E Salido1
1Department of Cell and Regenerative Biology; University of Wisconsin-Madison; Madison, WI 53705, USA.
Biorxiv : the Preprint Server for Biology
|February 6, 2026
Summary
The 9p21.3 genetic locus strongly influences coronary artery disease (CAD) risk by altering vascular smooth muscle cell (VSMC) splicing and phenotype. Targeting the DDX5 gene can mitigate this risk, offering new therapeutic avenues for cardiovascular disease.
Area of Science:
- Genetics
- Cardiovascular Biology
- Molecular Biology
Background:
- The 9p21.3 genomic locus is the most significant genetic risk factor for coronary artery disease (CAD), yet its cellular mechanisms remain elusive.
- Understanding how this locus affects vascular cells is crucial for developing targeted CAD therapies.
Purpose of the Study:
- To investigate the functional impact of the 9p21.3 locus on vascular smooth muscle cells (VSMCs).
- To compare the transcriptomic and splicing differences between CAD risk and non-risk haplotypes at 9p21.3.
- To identify molecular targets for mitigating CAD risk associated with the 9p21.3 locus.
Main Methods:
- Haplotype-biased genome editing in induced pluripotent stem cells (iPSCs) followed by differentiation into VSMCs.
- Long-read RNA sequencing to analyze allele-specific transcriptional programs and splicing.
- Functional validation of candidate genes, including DDX5, in VSMCs.
Main Results:
- Distinct allele-specific transcriptional programs and extensive mRNA splicing reprogramming were identified between risk and non-risk 9p21.3 haplotypes.
- The risk haplotype induces aberrant VSMC phenotypic modulation, promoting a pro-calcification and osteochondrogenic state.
- Disruption of transcript isoform expression in CAD-related genes, including DDX5, was observed.
- Modulating DDX5 expression in VSMCs ameliorated the risk-associated cellular phenotype.
Conclusions:
- The 9p21.3 locus significantly impacts VSMC phenotype through allele-specific regulation of transcription and alternative splicing.
- A 9p21.3-DDX5 axis is proposed as a key regulator of VSMC phenotypic plasticity and CAD risk.
- This study provides novel insights into CAD pathogenesis and identifies targetable transcripts for cardiovascular risk reduction.
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