Rationale: Marfan syndrome (MFS) is a systemic connective tissue disorder notable for the development of aortic root aneurysms and the subsequent life-threatening complications of aortic dissection and rupture. Underlying fibrillin-1 gene mutations cause increased transforming growth factor- (TGF-) signaling. Although TGF- blockade prevents aneurysms in MFS mouse models, the mechanisms through which excessive TGF- causes aneurysms remain ill-defined.
Objective:We investigated the role of microRNA-29b (miR-29b) in aneurysm formation in MFS. Methods and Results: Using quantitative polymerase chain reaction, we discovered that miR-29b, a microRNA regulating apoptosis and extracellular matrix synthesis/deposition genes, is increased in the ascending aorta of Marfan (Fbn1 C1039G/؉ ) mice. Increased apoptosis, assessed by increased cleaved caspase-3 and caspase-9, enhanced caspase-3 activity, and decreased levels of the antiapoptotic proteins, Mcl-1 and Bcl-2, were found in the Fbn1 C1039G/؉ aorta. Histological evidence of decreased and fragmented elastin was observed exclusively in the Fbn1 C1039G/؉ ascending aorta in association with repressed elastin mRNA and increased matrix metalloproteinase-2 expression and activity, both targets of miR-29b. Evidence of decreased activation of nuclear factor B, a repressor of miR-29b, and a factor suppressed by TGF-, was also observed in Fbn1 C1039G/؉ aorta. Furthermore, administration of a nuclear factor B inhibitor increased miR-29b levels, whereas TGF- blockade or losartan effectively decreased miR-29b levels in Fbn1 C1039G/؉ mice. Finally, miR-29b blockade by locked nucleic acid antisense oligonucleotides prevented early aneurysm development, aortic wall apoptosis, and extracellular matrix deficiencies.
Conclusions: