An iPSC-derived vascular model of Marfan syndrome identifies key mediators of smooth muscle cell death

Nat Genet. 2017 Jan;49(1):97-109. doi: 10.1038/ng.3723. Epub 2016 Nov 28.

Abstract

Marfan syndrome (MFS) is a heritable connective tissue disorder caused by mutations in FBN1, which encodes the extracellular matrix protein fibrillin-1. To investigate the pathogenesis of aortic aneurysms in MFS, we generated a vascular model derived from human induced pluripotent stem cells (MFS-hiPSCs). Our MFS-hiPSC-derived smooth muscle cells (SMCs) recapitulated the pathology seen in Marfan aortas, including defects in fibrillin-1 accumulation, extracellular matrix degradation, transforming growth factor-β (TGF-β) signaling, contraction and apoptosis; abnormalities were corrected by CRISPR-based editing of the FBN1 mutation. TGF-β inhibition rescued abnormalities in fibrillin-1 accumulation and matrix metalloproteinase expression. However, only the noncanonical p38 pathway regulated SMC apoptosis, a pathological mechanism also governed by Krüppel-like factor 4 (KLF4). This model has enabled us to dissect the molecular mechanisms of MFS, identify novel targets for treatment (such as p38 and KLF4) and provided an innovative human platform for the testing of new drugs.

MeSH terms

  • Aortic Aneurysm / metabolism
  • Aortic Aneurysm / pathology*
  • Apoptosis*
  • Fibrillin-1 / metabolism
  • Gene Expression Regulation
  • Humans
  • Induced Pluripotent Stem Cells / metabolism
  • Induced Pluripotent Stem Cells / pathology*
  • Kruppel-Like Factor 4
  • Kruppel-Like Transcription Factors / metabolism
  • Marfan Syndrome / metabolism
  • Marfan Syndrome / pathology*
  • Models, Biological*
  • Muscle, Smooth, Vascular / metabolism
  • Muscle, Smooth, Vascular / pathology*
  • Signal Transduction
  • Transforming Growth Factor beta / metabolism
  • p38 Mitogen-Activated Protein Kinases / metabolism

Substances

  • Fibrillin-1
  • KLF4 protein, human
  • Kruppel-Like Factor 4
  • Kruppel-Like Transcription Factors
  • Transforming Growth Factor beta
  • p38 Mitogen-Activated Protein Kinases