Rhee, Y. H. | Search bioRxiv

bioRxiv2026

Maternal E-cigarette Exposure Augments Murine Abdominal Aortic Aneurysm

Background: Smoking and family history are major risk factors for abdominal aortic aneurysm (AAA). Smoking and nicotine are modulators of DNA methylation, capable of causing heritable epigenetic alterations. Nicotine infusion and e-cigarette (e-cig) vaping augment murine AAA. We investigated the effects of murine maternal e-cig vaping on offspring experimental AAA, and impacts on transgenerational DNA methylation and accessibility. Methods: We performed perinatal e-cig nicotine vaping in two strains of adult female mice (ApoE-/- and C57BL/6J). Mice were mated to control males, and treated through gestation. A parallel group were instead sacrificed after treatment, for DNA analysis. Offspring were aged to adulthood, and AAAs were then induced by elastase (C57BL/6J) or angiotensin-II infusion (ApoE-/-), and ultrasound-tracked for 4 weeks. In a second cohort, parental and offspring aortic tissue and blood DNA underwent RRBS and ATAC-seq analysis respectively. Offspring abdominal aortic anatomy was examined, and stiffness was assessed with ex vivo arterial myography. Results: Maternal e-cig exposure increased offspring AAA growth in both models and genders. AAA incidence was increased in ApoE-/- males, and observed effects were overall more pronounced in males. Maternal vape exposure altered aortic DNA methylation and blood DNA accessibility in mothers and offspring, with differential sites in numerous genes identified, including AAA-related genes and pathways. Pathways were enriched for transcription factors, inflammation/immune-related genes, and angiogenesis genes, with similar changes identified in exposed mothers. Male offspring displayed more differential genes. Significant changes were located in genes known to harbor AAA risk loci in humans, and overlapped with published epigenetic alterations in human smokers. Differences also occurred in offspring aortic structure and stiffness. Conclusions: Maternal e-cig nicotine exposure augments AAA growth in multiple models across generations. These effects are accompanied by broad epigenetic DNA reprogramming of key AAA modulator genes and pathways.

genomics↗

bioRxiv2022

Platelets modulate inflammation and matrix remodeling in abdominal aortic aneurysm

Abdominal aortic aneurysm (AAA) is a highly lethal disease with progressive dilatation of the abdominal aorta accompanied by degradation and remodelling of the vessel wall due to chronic inflammation. Platelets play an important role in cardiovascular diseases but their role in AAA is poorly understood. The present study revealed that platelets play a crucial role in promoting AAA through modulation of inflammation and degradation of the ECM. They are responsible for the up-regulation of SPP1 (osteopontin, OPN) gene expression in macrophages and aortic tissue, which triggers inflammation and remodeling but also platelet adhesion and migration into the abdominal aortic wall and the intraluminal thrombus (ILT). Further, enhanced platelet activation and pro-coagulant activity results in elevated gene expression of various cytokines, Mmp9 and Col1a1 in macrophages and Il-6 and Mmp9 in fibroblasts. Enhanced platelet activation and pro-coagulant activity was also detected in AAA patients. Further, we detected platelets and OPN in the vessel wall and in the ILT of patients who underwent open repair of AAA. Platelet depletion in experimental murine AAA reduced inflammation and ECM remodeling, with reduced elastin fragmentation and aortic diameter expansion. Of note, OPN co-localized with platelets, suggesting a potential role of OPN for the recruitment of platelets into the ILT and the aortic wall. In conclusion, our data strongly supports the potential relevance of anti-platelet therapy to reduce AAA progression and rupture in AAA patients. Translational perspectiveAbdominal aortic aneurysm (AAA) is a severe cardiovascular disease (CVD) with high mortality. Since the role of platelets is unclear, we explored platelet-mediated processes in the pathogenesis of AAA. Results from platelet depleted mice and patients with AAA revealed that platelets modulate inflammatory and stiffness-related gene expression of macrophages and fibroblasts. Further, platelets induce the release of osteopontin important for the recruitment of platelets to the aortic wall and to the intraluminal thrombus (ILT). Consequently, platelet depletion significantly reduced aneurysm growth. Thus, therapeutic targeting of platelet activation might be crucial for the treatment of patients to reduce AAA formation and progression.

molecular biology↗