Pathogenetic sequence for aneurysm revealed in mice underexpressing fibrillin-1

Proc Natl Acad Sci U S A. 1999 Mar 30;96(7):3819-23. doi: 10.1073/pnas.96.7.3819.

Abstract

Dissecting aortic aneurysm is the hallmark of Marfan syndrome (MFS) and the result of mutations in fibrillin-1, the major constituent of elastin-associated extracellular microfibrils. It is yet to be established whether dysfunction of fibrillin-1 perturbs the ability of the elastic vessel wall to sustain hemodynamic stress by disrupting microfibrillar assembly, by impairing the homeostasis of established elastic fibers, or by a combination of both mechanisms. The pathogenic sequence responsible for the mechanical collapse of the elastic lamellae in the aortic wall is also unknown. Targeted mutation of the mouse fibrillin-1 gene has recently suggested that deficiency of fibrillin-1 reduces tissue homeostasis rather than elastic fiber formation. Here we describe another gene-targeting mutation, mgR, which shows that underexpression of fibrillin-1 similarly leads to MFS-like manifestations. Histopathological analysis of mgR/mgR specimens implicates medial calcification, the inflammatory-fibroproliferative response, and inflammation-mediated elastolysis in the natural history of dissecting aneurysm. More generally, the phenotypic severity associated with various combinations of normal and mutant fibrillin-1 alleles suggests a threshold phenomenon for the functional collapse of the vessel wall that is based on the level and the integrity of microfibrils.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Aorta / pathology
  • Aortic Aneurysm / genetics*
  • Aortic Aneurysm / pathology*
  • Aortic Dissection / genetics*
  • Aortic Dissection / pathology*
  • Fibrillin-1
  • Fibrillins
  • Heterozygote
  • Homozygote
  • Kyphosis / genetics
  • Kyphosis / pathology
  • Marfan Syndrome / genetics
  • Mice
  • Mice, Knockout
  • Microfilament Proteins / deficiency
  • Microfilament Proteins / genetics*
  • Microfilament Proteins / metabolism
  • Ribs / abnormalities
  • Tunica Media / pathology

Substances

  • Fbn1 protein, mouse
  • Fibrillin-1
  • Fibrillins
  • Microfilament Proteins
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