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An iPSC-derived vascular model of Marfan syndrome identifies key mediators of smooth muscle cell death.

Accepted version
Peer-reviewed

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Authors

Granata, Alessandra 
Serrano, Felipe 
Bernard, William George 
McNamara, Madeline 
Low, Lucinda 

Abstract

Marfan syndrome (MFS) is a heritable connective tissue disorder caused by mutations in FBN1, which encodes the extracellular matrix protein fibrillin-1. To investigate the pathogenesis of aortic aneurysms in MFS, we generated a vascular model derived from human induced pluripotent stem cells (MFS-hiPSCs). Our MFS-hiPSC-derived smooth muscle cells (SMCs) recapitulated the pathology seen in Marfan aortas, including defects in fibrillin-1 accumulation, extracellular matrix degradation, transforming growth factor-β (TGF-β) signaling, contraction and apoptosis; abnormalities were corrected by CRISPR-based editing of the FBN1 mutation. TGF-β inhibition rescued abnormalities in fibrillin-1 accumulation and matrix metalloproteinase expression. However, only the noncanonical p38 pathway regulated SMC apoptosis, a pathological mechanism also governed by Krüppel-like factor 4 (KLF4). This model has enabled us to dissect the molecular mechanisms of MFS, identify novel targets for treatment (such as p38 and KLF4) and provided an innovative human platform for the testing of new drugs.

Description

Keywords

Aortic Aneurysm, Apoptosis, Fibrillin-1, Gene Expression Regulation, Humans, Induced Pluripotent Stem Cells, Kruppel-Like Factor 4, Kruppel-Like Transcription Factors, Marfan Syndrome, Models, Biological, Muscle, Smooth, Vascular, Signal Transduction, Transforming Growth Factor beta, p38 Mitogen-Activated Protein Kinases

Journal Title

Nat Genet

Conference Name

Journal ISSN

1061-4036
1546-1718

Volume Title

Publisher

Springer Science and Business Media LLC
Sponsorship
Wellcome Trust (097922/Z/11/Z)
Cambridge University Hospitals NHS Foundation Trust (CUH) (unknown)
Cambridge University Hospitals NHS Foundation Trust (CUH) (3819/1415/06 /07 /12 /10)
Medical Research Council (MC_PC_12009)
British Heart Foundation (None)
British Heart Foundation (RG/17/5/32936)
British Heart Foundation (None)
This work was supported by Evelyn Trust, the NIHR Cambridge Biomedical Research Centre and the British Heart Foundation (FS/13/29/30024, RM/l3/3/30159, FS/11/77/29327).
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