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Endothelial progerin expression causes cardiovascular pathology through an impaired mechanoresponse
Selma Osmanagic-Myers, … , Maria Eriksson, Roland Foisner
Selma Osmanagic-Myers, … , Maria Eriksson, Roland Foisner
Published November 13, 2018
Citation Information: J Clin Invest. 2019;129(2):531-545. https://doi.org/10.1172/JCI121297.
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Research Article Aging Cell biology

Endothelial progerin expression causes cardiovascular pathology through an impaired mechanoresponse

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Abstract

Hutchinson-Gilford progeria syndrome (HGPS) is a premature aging disorder characterized by accelerated cardiovascular disease with extensive fibrosis. It is caused by a mutation in LMNA leading to expression of truncated prelamin A (progerin) in the nucleus. To investigate the contribution of the endothelium to cardiovascular HGPS pathology, we generated an endothelium-specific HGPS mouse model with selective endothelial progerin expression. Transgenic mice develop interstitial myocardial and perivascular fibrosis and left ventricular hypertrophy associated with diastolic dysfunction and premature death. Endothelial cells show impaired shear stress response and reduced levels of endothelial nitric oxide synthase (eNOS) and NO. On the molecular level, progerin impairs nucleocytoskeletal coupling in endothelial cells through changes in mechanoresponsive components at the nuclear envelope, increased F-actin/G-actin ratios, and deregulation of mechanoresponsive myocardin-related transcription factor-A (MRTFA). MRTFA binds to the Nos3 promoter and reduces eNOS expression, thereby mediating a profibrotic paracrine response in fibroblasts. MRTFA inhibition rescues eNOS levels and ameliorates the profibrotic effect of endothelial cells in vitro. Although this murine model lacks the key anatomical feature of vascular smooth muscle cell loss seen in HGPS patients, our data show that progerin-induced impairment of mechanosignaling in endothelial cells contributes to excessive fibrosis and cardiovascular disease in HGPS patients.

Authors

Selma Osmanagic-Myers, Attila Kiss, Christina Manakanatas, Ouafa Hamza, Franziska Sedlmayer, Petra L. Szabo, Irmgard Fischer, Petra Fichtinger, Bruno K. Podesser, Maria Eriksson, Roland Foisner

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Figure 7

Impaired MRTFA signaling in Prog-Tg ECs affects eNOS and profibrotic signaling.

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Impaired MRTFA signaling in Prog-Tg ECs affects eNOS and profibrotic sig...
(A) Immunofluorescence of Wt and Prog-Tg ECs using MRTFA antibody and DAPI (images are representative of n = 3 independent experiments). Scale bar: 10 μm. (B) Representative confocal average intensity projections of Z stacks from mouse aorta of Wt and Prog-Tg animals stained with DAPI and MRTFA and progerin antibodies. EC nuclei (arrowheads) lie on internal elastic membrane that displays blue autofluorescence. Arrowheads, MRTFA-positive ECs. Note that MRTFA accumulates at the nuclear periphery of progerin-positive (white arrowheads) but not progerin-negative (yellow arrowheads) ECs (n = 3 Wt and Prog-Tg littermate pairs). Scale bar: 10 μm. (C) Nos3 mRNA in Wt and Prog-Tg ECs after 24-hour treatment with 15 μM CCG-203971 MRTFA inhibitor or DMSO vehicle control. Values are normalized to Hprt and Nos3/Hprt values in Prog-Tg cells are shown relative to values in Wt cells after MRTFA-inhibitor and control treatment. Nos3/Hprt levels in Wt cells were arbitrary and set to 1 in both control and CCG-203971 conditions (n = 5 independent experiments). Nos3/Hprt levels in Prog-Tg cells relative to Wt are not significantly different (NS) after drug treatment, in contrast to control conditions (P < 0.01). (D) Chromatin immunoprecipitation using anti-MRTFA or goat IgG control. Precipitated DNA was amplified by qPCR with primers spanning Nos3 promoter or gene body (n = 3 independent experiments). **P < 0.01 by unpaired Student’s t test (C and D). Data presented as mean ± SEM. (E) Acta2 levels normalized to Hprt in fibroblasts after 3 days of coculture with Wt and Prog-Tg ECs either left untreated (left) or treated with 25 μM MRTFA inhibitor CCG-203971 (right). Values were subtracted from those obtained in untreated or CCG-203971–treated fibroblast single cultures (n = 6 Wt, n = 8 Prog-Tg, and n = 3 inhibitor-treated Prog-Tg samples). *P < 0.05 by Mann-Whitney U test. Data presented as median (middle line) with boxes encompassing 25th to 75th percentile, and whiskers, minimum to maximum values.

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ISSN: 0021-9738 (print), 1558-8238 (online)

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