2013
DOI: 10.1093/hmg/ddt167
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Smooth muscle hyperplasia due to loss of smooth muscle α-actin is driven by activation of focal adhesion kinase, altered p53 localization and increased levels of platelet-derived growth factor receptor-β

Abstract: Mutations in ACTA2, encoding the smooth muscle cell (SMC)-specific isoform of α-actin (α-SMA), cause thoracic aortic aneurysms and dissections and occlusive vascular diseases, including early onset coronary artery disease and stroke. We have shown that occlusive arterial lesions in patients with heterozygous ACTA2 missense mutations show increased numbers of medial or neointimal SMCs. The contribution of SMC hyperplasia to these vascular diseases and the pathways responsible for linking disruption of α-SMA fil… Show more

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Cited by 41 publications
(54 citation statements)
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“…Nonetheless, a gain in proliferative function may be a cause as well as a consequence of SMC dedifferentiation. Similarly to recent findings by the Milewicz group in Myh11-mutant and Acta2-deficient mice (29,30), we hypothesize that altered SMC mechanosensing may link the contractile dysfunction, MAPK activation, and medial hyperplasia that occur after Tgfbr2 disruption (Figure 7).…”
Section: Discussionsupporting
confidence: 86%
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“…Nonetheless, a gain in proliferative function may be a cause as well as a consequence of SMC dedifferentiation. Similarly to recent findings by the Milewicz group in Myh11-mutant and Acta2-deficient mice (29,30), we hypothesize that altered SMC mechanosensing may link the contractile dysfunction, MAPK activation, and medial hyperplasia that occur after Tgfbr2 disruption (Figure 7).…”
Section: Discussionsupporting
confidence: 86%
“…Contractile dysfunction is thought to underlie aortic aneurysm and dissection due to MYH11 and ACTA2 mutations in humans (25), and dedifferentiation of aortic SMCs harboring TGFBR2 missense mutations from clinical specimens has been described (10). In mice, Myh11 mutation and Acta2 deletion cause a milder phenotype characterized by abnormalities in vascular contractility without overt aortic disease; additional vascular injury in these strains unmasks a gain in proliferative function of SMCs (29,30). Although contractile protein expression gradually and modestly declines in our Tgfbr2 KO aortas, the early and robust loss of MLC phosphorylation correlates better with the rapid onset of vascular disease following TβRII inactivation.…”
Section: Discussionmentioning
confidence: 99%
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“…Reduction in proliferation was associated with increased expression of SM α-actin. Whereas these observations were incidental to the characterization of immortalized cells, they are consistent with results showing greater proliferation by primary smooth muscle cells and fibroblasts from patients heterozygous for other ACTA2 mutations, as well as from Acta2 −/− mice (16,30). In vivo, vascular smooth muscle hyperplasia in response to carotid artery injury greatly exceeded wild-type in Acta2 −/− mice (30).…”
Section: Discussionsupporting
confidence: 82%
“…In PNAS, Lu et al (3) addresses two of these mutations, primarily R258C and secondarily R258H, to try to gain insight into how changes induced by these mutations lead to TAAD by affecting actin function. Vascular material from an affected individual carrying the R258C mutation shows that the muscle layer of the vessel wall is abnormal, with disorganized structure and a dearth of contractile filaments compared with normal smooth muscle, suggesting abnormal filament assembly, protein instability, or failure of the assembled cytoskeleton to withstand the forces imposed on it by myosin during contraction of the muscle (4,5). However, the advanced disease stage at the time of tissue resection prevents early stages of the disease from being addressed.…”
mentioning
confidence: 99%