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American Heart Association

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Final ID: VD10

Reduction of Abdominal Aortic Aneurysm Rupture by Modulating Smooth Muscle Cell Phenotype Switching

Abstract Body (Do not enter title and authors here): Background: Vascular smooth muscle cell (SMC) loss and phenotype switch promote abdominal aortic aneurysm (AAA) development, yet whether strategically enhancing positive aortic wall remodeling can reduce AAA rupture is unknown. We hypothesize inhibiting necroptosis signaling in SMCs may drive differentiation into resilient and regenerative phenotypes, thus reinforcing AAA wall integrity and rupture resistance. Methods: We developed Cre-loxP transgenic mice with SMC-specific loss-of-function mutation of the necroptosis regulatory gene, Ripk3 (Ripk3Δ). AAAs were induced using the topical elastase plus β-aminopropionitrile murine model. Results: Rupture-free survival at 56-days post-AAA induction was drastically improved with both homozygous and heterozygous loss of SMC RIPK3 function (Ripk3ΔHO: 100%, Ripk3ΔHet: 92.3% versus Ripk3ΔWT: 47.1%). Ripk3 mutant aortas demonstrated rupture-resistance despite substantial aneurysmal dilations ranging 127-527%, and morphologically displayed significant medial thickening with SMC expansion. Bulk RNA-sequencing revealed stark transcriptional changes between 14-day Ripk3ΔHO and Ripk3ΔWT aortas. Both genotypes showed typical aneurysmal processes, however, Ripk3 depletion greatly reduced aneurysm-induced inflammatory responses. We identified 54 uniquely altered transcripts in mutant tissues, coding for cell cycle regulators and extracellular matrix proteins. Ongoing tissue analysis will determine whether regenerative, matrix-producing SMCs vary among human AAAs and healthy aortas. Conclusions: AAA rupture is significantly reduced by inhibiting RIPK3 in SMCs, likely by promoting positive structural adaptations and down-regulating classic pathways of aneurysmal degeneration. We postulate pharmacologically inhibiting RIPK3-mediated SMC modulation could be a novel approach in AAA patient management, to reduce rupture risk from diagnosis to optimal timing of surgical repair.
  • Bontekoe, Jack  ( University of Wisconsin-Madison , Madison , Wisconsin , United States )
  • Dimusto, Paul  ( University of Wisconsin-Madison , Madison , Wisconsin , United States )
  • Liu, Bo  ( University of Wisconsin-Madison , Madison , Wisconsin , United States )
  • Yang, Qianfan  ( University of Wisconsin-Madison , Madison , Wisconsin , United States )
  • Zhou, Ting  ( University of Wisconsin-Madison , Madison , Wisconsin , United States )
  • Yang, Huan  ( University of Wisconsin-Madison , Madison , Wisconsin , United States )
  • Silva-pedraza, Zulmari  ( University of Wisconsin-Madison , Madison , Wisconsin , United States )
  • Kim, Jooyong  ( University of Wisconsin-Madison , Madison , Wisconsin , United States )
  • Conte, Michelle  ( University of Wisconsin-Madison , Madison , Wisconsin , United States )
  • Morgan, Courtney  ( University of Wisconsin-Madison , Madison , Wisconsin , United States )
  • Aufhauser, David  ( University of Wisconsin-Madison , Madison , Wisconsin , United States )
  • Author Disclosures:
    Jack Bontekoe: DO NOT have relevant financial relationships | Paul Dimusto: DO NOT have relevant financial relationships | Bo Liu: DO NOT have relevant financial relationships | Qianfan Yang: No Answer | Ting Zhou: DO NOT have relevant financial relationships | Huan Yang: No Answer | Zulmari Silva-Pedraza: No Answer | Jooyong Kim: No Answer | Michelle Conte: DO NOT have relevant financial relationships | Courtney Morgan: No Answer | David Aufhauser: No Answer
Meeting Info:

Scientific Sessions 2024

2024

Chicago, Illinois

Session Info:

Best of AHA Specialty Conferences: Vascular Discovery 2024

Saturday, 11/16/2024 , 10:30AM - 11:30AM

Best of Specialty Conferences

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