“…In cultured vascular endothelial cells, excess versican induced mitochondrial dysfunction when transported by exosomes to vascular smooth muscle cells 88 . Whilst, in cell culture models of axon growth, chondroitin sulphate proteoglycans, though not versican specifically, impaired mitochondrial respiration and decreased ATP synthesis through downstream deleterious effects on the mitochondrial membrane potential, mitochondrial biogenesis and morphology 89,90 . In the context of insulin resistance and diabetes, aberrant remodelling of the skeletal muscle extracellular matrix alters mechano-signal transduction, which, in turn, disrupts the expression of genes relevant to oxidative metabolism and mitochondrial biogenesis 91,92 .…”