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Publication : Age and sex dependency of thoracic aortopathy in a mouse model of Marfan syndrome.

First Author  Gharraee N Year  2022
Journal  Am J Physiol Heart Circ Physiol Volume  322
Issue  1 Pages  H44-H56
PubMed ID  34714692 Mgi Jnum  J:317123
Mgi Id  MGI:6794109 Doi  10.1152/ajpheart.00255.2021
Citation  Gharraee N, et al. (2021) Age and Sex Dependency of Thoracic Aortopathy in a Mouse Model of Marfan Syndrome. Am J Physiol Heart Circ Physiol
abstractText  Thoracic aortic aneurysm is one of the manifestations of Marfan syndrome (MFS) that is known to affect men more severely than women. However, the incidence of MFS is similar between men and women. The aim of this study is to show that during pathological aortic dilation, sex-dependent severity of thoracic aortopathy in a mouse model of Marfan syndrome translates into sex-dependent alterations in cells and matrix of the ascending aorta, consequently affecting aortic biomechanics. Fibrillin1 C1041G/+ were used as a mouse model of MFS. Ultrasound measurements from 3-12 months showed increased aortic diameter in Marfan aorta with larger percent increase in diameter for males compared to females. Immunohistochemistry showed decreased contractile smooth muscle cells in Marfan aortic wall compared to healthy aorta, which was accompanied by decreased contractility measured by wire myography. Elastin autofluorescence, second harmonic generation microscopy of collagen fibers and passive biomechanical assessments using myography showed more severe damage to elastin fibers, increased medial fibrosis, and increased stiffness of the aortic wall in MFS males but not females. Male and female heterozygotes showed increased expression of Sca-1-positive adventitial progenitor cells vs. controls at young ages. In agreement with clinical data, Marfan mice demonstrate sex-dependent severity of thoracic aortopathy. It was also shown that aging exacerbates the disease state especially for males. Our findings suggest that female mice are protected from progression of aortic dilation at early ages, leading to a lag in aneurysm growth.
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