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Publication : Smooth Muscle Cell Klf4 Expression Is Not Required for Phenotype Modulation or Aneurysm Formation in Marfan Syndrome Mice-Brief Report.

First Author  Pedroza AJ Year  2023
Journal  Arterioscler Thromb Vasc Biol Volume  43
Issue  6 Pages  971-978
PubMed ID  37128911 Mgi Jnum  J:351792
Mgi Id  MGI:7663209 Doi  10.1161/ATVBAHA.122.318509
Citation  Pedroza AJ, et al. (2023) Smooth Muscle Cell Klf4 Expression Is Not Required for Phenotype Modulation or Aneurysm Formation in Marfan Syndrome Mice-Brief Report. Arterioscler Thromb Vasc Biol 43(6):971-978
abstractText  BACKGROUND: Smooth muscle cell (SMC) phenotypic reprogramming toward a mixed synthetic-proteolytic state is a central feature of aortic root aneurysm in Marfan syndrome (MFS). Previous work identified Klf4 as a potential mediator of SMC plasticity in MFS. METHODS: MFS (Fbn1(C1041G/+)) mouse strains with an inducible vascular SMC fluorescent reporter (MFS(SMC)) with or without SMC-specific deletion of Klf4 exons 2 to 3 (MFS(SMC-Klf4Delta)) were generated. Simultaneous SMC tracing and Klf4 loss-of-function (Klf4Delta mice) was induced at 6 weeks of age. Aneurysm growth was assessed via serial echocardiography (4-24 weeks). Twenty-four-week-old mice were assessed via histology, RNA in situ hybridization, and aortic single-cell RNA sequencing. RESULTS: MFS mice demonstrated progressive aortic root dilatation compared with control (WT(SMC)) mice regardless of Klf4 genotype (P<0.001), but there was no difference in aneurysm growth in MFS(SMC-Klf4Delta) versus MFS(SMC) (P=0.884). Efficient SMC Klf4 deletion was confirmed via lineage-stratified genotyping, RNA in situ hybridization, and immunohistochemistry. Single-cell RNA sequencing of traced SMCs revealed a highly similar pattern of phenotype modulation marked by loss of contractile markers (eg, Myh11, Cnn1) and heightened expression of matrix genes (eg, Col1a1, Fn1) between Klf4 genotypes. Pseudotemporal quantitation of SMC dedifferentiation confirmed that Klf4 deletion did not alter the global extent of phenotype modulation, but reduced expression of 23 genes during this phenotype transition in MFS(SMC-Klf4Delta)mice, including multiple chondrogenic genes expressed by only the most severely dedifferentiated SMCs (eg, Cytl1, Tnfrsf11b). CONCLUSIONS: Klf4 is not required to initiate SMC phenotype modulation in MFS aneurysm but may exert regulatory control over chondrogenic genes expressed in highly dedifferentiated SMCs.
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