Decreased aortic compliance is a precursor to numerous cardiovascular
diseases. Compliance is regulated by the stiffness of the aortic wall
and the vascular smooth muscle cells (VSMCs) within it. During ageing,
the extracellular matrix of the aortic wall stiffens, reducing
compliance and leading to conditions such as hypertension. In response,
VSMCs generate enhanced contractile forces and undergo hypertrophy,
promoting VSMC stiffening and further reducing compliance. Due to a lack
of suitable in vitro models, the mechanisms driving VSMC hypertrophy in
response to matrix stiffness remain poorly defined. Human VSMCs were
seeded onto polyacrylamide hydrogels whose stiffness mimicked either
healthy or aged/diseased aortae. VSMC response to contractile agonist
stimulation was measured through changes in cell area and volume. VSMCs
were pre-treated with pharmacological agents prior to agonist
stimulation to identify regulators of VSMC contractility and
hypertrophy. VSMCs undergo a differential response to contractile
agonist stimulation based on matrix stiffness. On pliable hydrogels,
VSMCs contract, decreasing in cell area whereas on rigid hydrogels,
VSMCs undergo a hypertrophic response, increasing in area and volume.
Microtubule stabilisation prevented hypertrophy whilst leaving VSMC
contraction on pliable hydrogels unimpeded. Conversely, microtubule
destabilisation inhibited contraction and induced hypertrophy within
VSMCs on pliable hydrogels. In response to enhanced matrix rigidity,
VSMC undergo a hypertrophic response as result of decreased microtubule
stability. Using standard biological techniques and equipment, we
present a screening assay capable of identifying novel regulators of
matrix rigidity induced VSMC hypertrophy. This assay can identify both
beneficial and deleterious effects of pharmacological agents to
cardiovascular health.