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2015 ; 4
(9
): e002384
Nephropedia Template TP
gab.com Text
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English Wikipedia
Vascular Smooth Muscle Sirtuin-1 Protects Against Aortic Dissection During
Angiotensin II-Induced Hypertension
#MMPMID26376991
Fry JL
; Shiraishi Y
; Turcotte R
; Yu X
; Gao YZ
; Akiki R
; Bachschmid M
; Zhang Y
; Morgan KG
; Cohen RA
; Seta F
J Am Heart Assoc
2015[Sep]; 4
(9
): e002384
PMID26376991
show ga
BACKGROUND: Sirtuin-1 (SirT1), a nicotinamide adenine dinucleotide(+)-dependent
deacetylase, is a key enzyme in the cellular response to metabolic, inflammatory,
and oxidative stresses; however, the role of endogenous SirT1 in the vasculature
has not been fully elucidated. Our goal was to evaluate the role of vascular
smooth muscle SirT1 in the physiological response of the aortic wall to
angiotensin II, a potent hypertrophic, oxidant, and inflammatory stimulus.
METHODS AND RESULTS: Mice lacking SirT1 in vascular smooth muscle (ie, smooth
muscle SirT1 knockout) had drastically high mortality (70%) caused by aortic
dissection after angiotensin II infusion (1 mg/kg per day) but not after an
equipotent dose of norepinephrine, despite comparable blood pressure increases.
Smooth muscle SirT1 knockout mice did not show any abnormal aortic morphology or
blood pressure compared with wild-type littermates. Nonetheless, in response to
angiotensin II, aortas from smooth muscle SirT1 knockout mice had severely
disorganized elastic lamellae with frequent elastin breaks, increased oxidant
production, and aortic stiffness compared with angiotensin II-treated wild-type
mice. Matrix metalloproteinase expression and activity were increased in the
aortas of angiotensin II-treated smooth muscle SirT1 knockout mice and were
prevented in mice overexpressing SirT1 in vascular smooth muscle or with use of
the oxidant scavenger tempol. CONCLUSIONS: Endogenous SirT1 in aortic smooth
muscle is required to maintain the structural integrity of the aortic wall in
response to oxidant and inflammatory stimuli, at least in part, by suppressing
oxidant-induced matrix metalloproteinase activity. SirT1 activators could
potentially be a novel therapeutic approach to prevent aortic dissection and
rupture in patients at risk, such as those with hypertension or genetic
disorders, such as Marfan's syndrome.
|*Angiotensin II
[MESH]
|Animals
[MESH]
|Aorta, Thoracic/enzymology/pathology
[MESH]
|Aortic Aneurysm/chemically induced/enzymology/genetics/pathology/*prevention &
control
[MESH]
|Aortic Dissection/chemically induced/enzymology/genetics/pathology/*prevention &
control
[MESH]