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SLC44A2 regulates vascular smooth muscle cell phenotypic switching and aortic aneurysm
Tianyu Song, … , Liping Xie, Yong Ji
Tianyu Song, … , Liping Xie, Yong Ji
Published June 25, 2024
Citation Information: J Clin Invest. 2024;134(16):e173690. https://doi.org/10.1172/JCI173690.
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Research Article Vascular biology

SLC44A2 regulates vascular smooth muscle cell phenotypic switching and aortic aneurysm

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Abstract

Aortic aneurysm is a life-threatening disease with limited interventions that is closely related to vascular smooth muscle cell (VSMC) phenotypic switching. SLC44A2, a member of the solute carrier series 44 (SLC44) family, remains undercharacterized in the context of cardiovascular diseases. Venn diagram analysis based on microarray and single-cell RNA sequencing identified SLC44A2 as a major regulator of VSMC phenotypic switching in aortic aneurysm. Screening for Slc44a2 among aortic cell lineages demonstrated its predominant location in VSMCs. Elevated levels of SLC44A2 were evident in the aorta of both patients with abdominal aortic aneurysm and angiotensin II–infused (Ang II–infused) Apoe–/– mice. In vitro, SLC44A2 silencing promoted VSMCs toward a synthetic phenotype, while SLC44A2 overexpression attenuated VSMC phenotypic switching. VSMC-specific SLC44A2-knockout mice were more susceptible to aortic aneurysm under Ang II infusion, while SLC44A2 overexpression showed protective effects. Mechanistically, SLC44A2’s interaction with NRP1 and ITGB3 activates TGF-β/SMAD signaling, thereby promoting contractile gene expression. Elevated SLC44A2 in aortic aneurysm is associated with upregulated runt-related transcription factor 1 (RUNX1). Furthermore, low-dose lenalidomide (LEN; 20 mg/kg/day) suppressed aortic aneurysm progression by enhancing SLC44A2 expression. These findings reveal that the SLC44A2-NRP1-ITGB3 complex is a major regulator of VSMC phenotypic switching and provide a potential therapeutic approach (LEN) for aortic aneurysm treatment.

Authors

Tianyu Song, Shuang Zhao, Shanshan Luo, Chuansheng Chen, Xingeng Liu, Xiaoqi Wu, Zhongxu Sun, Jiawei Cao, Ziyu Wang, Yineng Wang, Bo Yu, Zhiren Zhang, Xiaolong Du, Xiaoqiang Li, Zhijian Han, Hongshan Chen, Feng Chen, Liansheng Wang, Hong Wang, Kangyun Sun, Yi Han, Liping Xie, Yong Ji

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Figure 5

SLC44A2 activates TGF-β signaling to maintain the VSMC contractile phenotype via NRP1.

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SLC44A2 activates TGF-β signaling to maintain the VSMC contractile pheno...
(A) Lysates from HASMCs were immunoprecipitated with anti-SLC44A2 antibody followed by mass spectrometry analysis to identify the proteins that interact with SLC44A2. The graph shows the TGF-β signaling–related proteins. iBAQ, intensity-based absolute quantification. (B) HASMCs were treated with Ang II (1 μM). Lysates were immunoprecipitated with anti-SLC44A2 antibody, and blotted with anti-NRP1 and anti-SLC44A2 antibodies. n = 5. (C) HASMCs were treated with Ang II. Lysates were immunoprecipitated with anti-NRP1 antibody, and blotted with anti-SLC44A2 and anti-NRP1 antibodies. n = 4. (D) Apoe–/– TaglnCre/+ mice were intravenously injected with lentivirus containing control vector or Slc44a2. Osmotic pumps were then implanted subcutaneously to infuse saline or Ang II. The interaction of SLC44A2 with NRP1 (red dots marked by arrowheads) in suprarenal abdominal aorta was detected by proximity ligation assay (PLA). Scale bars: 10 μm. n = 5. (E–J) HASMCs were infected with lentivirus containing empty vector or SLC44A2-encoding plasmids with or without siNRP1 transfection, and then treated with Ang II. (E) The TGF-β levels in culture medium was measured by ELISA. n = 5. (F) The levels of p-SMAD2 and p-SMAD3 were detected by Western blotting. n = 4. (G) The levels of VSMC synthetic and contractile markers were detected by Western blotting. n = 5. (H) Contraction of HASMCs grown in collagen discs was assessed and quantified by gel area. Scale bars: 5 mm. n = 5. (I) The activity of MMP2 and MMP9 in culture medium was measured by gel zymography. n = 6. (J) Immunofluorescence images of in situ zymography (DQ gelatin) in HASMCs. MMP activity was quantified by immunofluorescence intensity. Scale bars: 40 μm. n = 5. Differences were analyzed by Welch’s ANOVA followed by Tamhane’s T2 multiple-comparison test (D and I), 1-way ANOVA followed by Tukey’s multiple-comparison test (E, H, and J), or 1-way ANOVA followed by Tukey’s multiple-comparison test or Welch’s ANOVA followed by Tamhane’s T2 multiple-comparison test (G).

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