Stachydrine alleviates thoracic aortic aneurysm via regulating lactate dehydrogenase A in Marfan syndrome mice

Yufan Zhou1, Jiaqi Huang1, Hao Liu2

  • 1Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan ,430022, China.

Abstract

Insights

Stachydrine (STA) protects against thoracic aortic aneurysm (TAA) in Marfan syndrome (MFS) by inhibiting lactate dehydrogenase A (LDHA). This metabolite modulates TGF-β signaling, offering a potential therapeutic strategy for TAA.

Area of Science:

  • Cardiovascular Biology
  • Metabolomics
  • Genetic Disorders

Background:

  • Marfan syndrome (MFS) is a genetic disorder caused by FBN1 mutations, leading to thoracic aortic aneurysm (TAA) with limited treatment options.
  • The role of metabolic dysregulation in MFS pathogenesis is not well understood.

Purpose of the Study:

  • To investigate the regulatory functions of metabolites in Marfan syndrome.
  • To identify potential therapeutic targets for thoracic aortic aneurysm in MFS.

Main Methods:

  • Utilized Fbn1C1039G/+ mice as a model for MFS-induced TAA.
  • Performed untargeted metabolomic screening on aortic tissues and proteomic sequencing on VSMCs.
  • Conducted in vivo and in vitro experiments, including echocardiography, EVG staining, and rescue assays with LDHA.

Main Results:

  • Stachydrine (STA) was found to be upregulated in MFS mouse aortas.
  • STA administration significantly reduced thoracic aortic dilation, medial degeneration, and matrix metalloproteinase expression in MFS mice.
  • STA treatment inhibited TGF-β signaling pathway activation and decreased lactate dehydrogenase A (LDHA) expression, with LDHA confirmed as a downstream mediator.

Conclusions:

  • Stachydrine (STA) attenuates TAA in Marfan syndrome by inhibiting LDHA.
  • STA modulates TGF-β signaling and maintains extracellular matrix homeostasis, highlighting its protective role.
  • LDHA emerges as a potential therapeutic target for treating thoracic aortic aneurysm in MFS.

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