Transforming Growth Factor-β1 Inhibits Pseudoaneurysm Formation After Aortic Patch Angioplasty

Pseudoaneurysms remain a significant complication after vascular procedures. We hypothesized that TGF-β (transforming growth factor-β) signaling plays a mechanistic role in the development of pseudoaneurysms. Rat aortic pericardial patch angioplasty was associated with a high incidence (88%) of pseu...

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Veröffentlicht in:Arteriosclerosis, thrombosis, and vascular biology thrombosis, and vascular biology, 2018-01, Vol.38 (1), p.195-205
Hauptverfasser: Bai, Hualong, Lee, Jung Seok, Hu, Haidi, Wang, Tun, Isaji, Toshihiko, Liu, Shirley, Guo, Jianming, Liu, Haiyang, Wolf, Katharine, Ono, Shun, Guo, Xiangjiang, Yatsula, Bogdan, Xing, Ying, Fahmy, Tarek M, Dardik, Alan
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container_issue 1
container_start_page 195
container_title Arteriosclerosis, thrombosis, and vascular biology
container_volume 38
creator Bai, Hualong
Lee, Jung Seok
Hu, Haidi
Wang, Tun
Isaji, Toshihiko
Liu, Shirley
Guo, Jianming
Liu, Haiyang
Wolf, Katharine
Ono, Shun
Guo, Xiangjiang
Yatsula, Bogdan
Xing, Ying
Fahmy, Tarek M
Dardik, Alan
description Pseudoaneurysms remain a significant complication after vascular procedures. We hypothesized that TGF-β (transforming growth factor-β) signaling plays a mechanistic role in the development of pseudoaneurysms. Rat aortic pericardial patch angioplasty was associated with a high incidence (88%) of pseudoaneurysms at 30 days, with increased smad2 phosphorylation in small pseudoaneurysms but not in large pseudoaneurysms; TGF-β1 receptors were increased in small pseudoaneurysms and preserved in large pseudoaneurysms. Delivery of TGF-β1 via nanoparticles covalently bonded to the patch stimulated smad2 phosphorylation both in vitro and in vivo and significantly decreased pseudoaneurysm formation (6.7%). Inhibition of TGF-β1 signaling with SB431542 decreased smad2 phosphorylation both in vitro and in vivo and significantly induced pseudoaneurysm formation by day 7 (66.7%). Normal healing after aortic patch angioplasty is associated with increased TGF-β1 signaling, and recruitment of smad2 signaling may limit pseudoaneurysm formation; loss of TGF-β1 signaling is associated with the formation of large pseudoaneurysms. Enhancement of TGF-β1 signaling may be a potential mechanism to limit pseudoaneurysm formation after vascular intervention.
doi_str_mv 10.1161/ATVBAHA.117.310372
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We hypothesized that TGF-β (transforming growth factor-β) signaling plays a mechanistic role in the development of pseudoaneurysms. Rat aortic pericardial patch angioplasty was associated with a high incidence (88%) of pseudoaneurysms at 30 days, with increased smad2 phosphorylation in small pseudoaneurysms but not in large pseudoaneurysms; TGF-β1 receptors were increased in small pseudoaneurysms and preserved in large pseudoaneurysms. Delivery of TGF-β1 via nanoparticles covalently bonded to the patch stimulated smad2 phosphorylation both in vitro and in vivo and significantly decreased pseudoaneurysm formation (6.7%). Inhibition of TGF-β1 signaling with SB431542 decreased smad2 phosphorylation both in vitro and in vivo and significantly induced pseudoaneurysm formation by day 7 (66.7%). Normal healing after aortic patch angioplasty is associated with increased TGF-β1 signaling, and recruitment of smad2 signaling may limit pseudoaneurysm formation; loss of TGF-β1 signaling is associated with the formation of large pseudoaneurysms. 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Normal healing after aortic patch angioplasty is associated with increased TGF-β1 signaling, and recruitment of smad2 signaling may limit pseudoaneurysm formation; loss of TGF-β1 signaling is associated with the formation of large pseudoaneurysms. Enhancement of TGF-β1 signaling may be a potential mechanism to limit pseudoaneurysm formation after vascular intervention.</abstract><cop>United States</cop><pmid>29146747</pmid><doi>10.1161/ATVBAHA.117.310372</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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subjects Aneurysm, False - etiology
Aneurysm, False - metabolism
Aneurysm, False - pathology
Aneurysm, False - prevention & control
Angioplasty - adverse effects
Angioplasty - instrumentation
Animals
Aorta - metabolism
Aorta - pathology
Aorta - surgery
Aortic Aneurysm - etiology
Aortic Aneurysm - metabolism
Aortic Aneurysm - pathology
Aortic Aneurysm - prevention & control
Cells, Cultured
Coated Materials, Biocompatible
Male
Mice
Nanoparticles
Pericardium - transplantation
Phosphorylation
Prosthesis Design
Rats, Wistar
Signal Transduction - drug effects
Smad2 Protein - metabolism
Time Factors
Transforming Growth Factor beta1 - administration & dosage
Wound Healing - drug effects
title Transforming Growth Factor-β1 Inhibits Pseudoaneurysm Formation After Aortic Patch Angioplasty
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