Histopathology · 2014 · 15 citations · 39 references
MedicineCardiologyPathologyGene ExpressionHistopathologyMolecular PathologyAortic DiseaseCardiovascular PathologyCollagen DepositionFibrosisMuscle TissueVascular PathologyCollagen NetworksFibrosis PathogenesisType I Collagen DepositionType I Collagen ProductionVascular Smooth Muscle Cell PathologyVascular Smooth Muscle Dysfunction
AIMS: Aortic dissection (AD) is characterized by changes in the extracellular matrix, including fibrosis with collagen production. P54(nrb) /NonO is known to be involved in collagen formation. In this study, we examined whether AD is associated with abnormal P54(nrb) /NonO expression. METHODS AND RESULTS: Aortic specimens and serum were obtained from 10 patients with AD and 10 controls. In-vitro cultures of vascular smooth muscle cells (VSMCs) and adventitial fibroblasts (AFs) were obtained from organ donors. P54(nrb) /NonO protein and mRNA levels were determined by Western blot, immunohistochemistry and quantitative real-time reverse transcription-polymerase chain reaction (quantitative real-time RT-PCR). To evaluate collagen expression, we stained tissue sections with Masson's trichrome. Serum concentration of TNF-α was determined by enzyme-linked immunosorbent assay (ELISA). Aortic P54(nrb) /NonO protein and mRNA were decreased in AD patients, compared with controls. Decreased P54(nrb) /NonO mRNA correlated significantly with increased collagen deposition and fibrosis in AD aortas. In VSMCs and AFs from normal human aortas, P54(nrb) /NonO was expressed strongly and localized to the nucleus. CONCLUSIONS: Patients with AD exhibited significantly decreased expression of P54(nrb) /NonO. The significant correlation between P54(nrb) /NonO and collagen may point to novel thinking about collagen metabolism research in AD aorta.
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The International Registry of Acute Aortic Dissection (IRAD)
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