Skip to main content

Advertisement

Log in

Asymmetric Cell–Matrix and Biomechanical Abnormalities in Elastin Insufficiency Induced Aortopathy

  • Published:
Annals of Biomedical Engineering Aims and scope Submit manuscript

Abstract

Aortopathy is characterized by vascular smooth muscle cell (VSMC) abnormalities and elastic fiber fragmentation. Elastin insufficient (Eln +/−) mice demonstrate latent aortopathy similar to human disease. We hypothesized that aortopathy manifests primarily in the aorto-pulmonary septal (APS) side of the thoracic aorta due to asymmetric cardiac neural crest (CNC) distribution. Anatomic (aortic root vs. ascending aorta) and molecular (APS vs. non-APS) regions of proximal aorta tissue were examined in adult and aged wild type (WT) and mutant (Eln +/−) mice. CNC, VSMCs, elastic fiber architecture, proteoglycan expression, morphometrics and biomechanical properties were examined using histology, 3D reconstruction, micropipette aspiration and in vivo magnetic resonance imaging (MRI). In the APS side of Eln +/− aorta, Sonic Hedgehog (SHH) is decreased while SM22 is increased. Elastic fiber architecture abnormalities are present in the Eln +/− aortic root and APS ascending aorta, and biglycan is increased in the aortic root while aggrecan is increased in the APS aorta. The Eln +/− ascending aorta is stiffer than the aortic root, the APS side is thicker and stiffer than the non-APS side, and significant differences in the individual aortic root sinuses are observed. Asymmetric structure–function abnormalities implicate regional CNC dysregulation in the development and progression of aortopathy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
Figure 6
Figure 7
Figure 8

Similar content being viewed by others

Abbreviations

APS:

Aorto-pulmonary septum

CNC:

Cardiac neural crest

ECM:

Extracellular matrix

EFF:

Elastic fiber fragmentation

Eln / :

Homozygous deletion of elastin gene

Eln +/− :

Heterozygous deletion of elastin gene

IOD:

Integrated optical density

MRI:

Magnetic resonance imaging

MRSD:

Maximum rate of systolic distension

PTA:

Persistent truncus arteriosus

SHH:

Sonic hedgehog

TAA:

Thoracic aortic aneurysm

VSMC:

Vascular smooth muscle cell

WT:

Wild type

References

  1. Anderson, R. H. Clinical anatomy of the aortic root. Heart 84:670–673, 2000.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  2. Bauer, M., M. Pasic, R. Meyer, N. Goetze, U. Bauer, H. Siniawski, and R. Hetzer. Morphometric analysis of aortic media in patients with bicuspid and tricuspid aortic valve. Ann. Thorac. Surg. 74:58–62, 2002.

    Article  PubMed  Google Scholar 

  3. Becker, A. E., M. J. Becker, and J. E. Edwards. Pathology of the semilunar valve in persistent truncus arteriosus. J. Thorac. Cardiovasc. Surg. 62:16–26, 1971.

    CAS  PubMed  Google Scholar 

  4. Bergwerff, M., M. C. DeRuiter, R. E. Poelmann, and A. C. Gittenberger-de Groot. Onset of elastogenesis and downregulation of smooth muscle actin as distinguishing phenomena in artery differentiation in the chick embryo. Anat. Embryol. (Berl). 194:545–557, 1996.

  5. Bergwerff, M., M. E. Verberne, M. C. DeRuiter, R. E. Poelmann, and A. C. Gittenberger-de Groot. Neural crest cell contribution to the developing circulatory system: implications for vascular morphology? Circ. Res. 82:221–231, 1998.

    Article  CAS  PubMed  Google Scholar 

  6. Bruneau, B. G. The developmental genetics of congenital heart disease. Nature 451:943–948, 2008.

    Article  CAS  PubMed  Google Scholar 

  7. Calder, L., R. Van Praagh, S. Van Praagh, W. P. Sears, R. Corwin, A. Levy, J. D. Keith, and M. H. Paul. Truncus arteriosus communis. Clinical, angiocardiographic, and pathologic findings in 100 patients. Am. Heart J. 92:23–38, 1976.

    Article  CAS  PubMed  Google Scholar 

  8. Carlo, W. F., E. D. McKenzie, and T. C. Slesnick. Root dilation in patients with truncus arteriosus. Congenit. Heart Dis. 6:228–233, 2011.

    Article  PubMed  Google Scholar 

  9. Cattell, M. A., P. S. Hasleton, and J. C. Anderson. Glycosaminoglycan content is increased in dissecting aneurysms of human thoracic aorta. Clin. Chim. Acta 226:29–46, 1994.

    Article  CAS  PubMed  Google Scholar 

  10. Cheung, C., A. S. Bernardo, M. W. Trotter, R. A. Pedersen, and S. Sinha. Generation of human vascular smooth muscle subtypes provides insight into embryological origin-dependent disease susceptibility. Nat. Biotechnol. 30:165–173, 2012.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  11. Choudhary, B., Y. Ito, T. Makita, T. Sasaki, Y. Chai, and H. M. Sucov. Cardiovascular malformations with normal smooth muscle differentiation in neural crest-specific type II TGFbeta receptor (Tgfbr2) mutant mice. Dev. Biol. 289:420–429, 2006.

    Article  CAS  PubMed  Google Scholar 

  12. Creazzo, T. L., R. E. Godt, L. Leatherbury, S. J. Conway, and M. L. Kirby. Role of cardiac neural crest cells in cardiovascular development. Annu. Rev. Physiol. 60:267–286, 1998.

    Article  CAS  PubMed  Google Scholar 

  13. Dodou, E., M. P. Verzi, J. P. Anderson, S. M. Xu, and B. L. Black. Mef2c is a direct transcriptional target of ISL1 and GATA factors in the anterior heart field during mouse embryonic development. Development 131:3931–3942, 2004.

    Article  CAS  PubMed  Google Scholar 

  14. Donato Aquaro, G., L. Ait-Ali, M. L. Basso, M. Lombardi, A. Pingitore, and P. Festa. Elastic properties of aortic wall in patients with bicuspid aortic valve by magnetic resonance imaging. Am. J. Cardiol. 108:81–87, 2011.

    Article  PubMed  Google Scholar 

  15. Eronen, M., M. Peippo, A. Hiippala, M. Raatikka, M. Arvio, R. Johansson, and M. Kahkonen. Cardiovascular manifestations in 75 patients with Williams syndrome. J. Med. Genet. 39:554–558, 2002.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  16. Faury, G., M. Pezet, R. H. Knutsen, W. A. Boyle, S. P. Heximer, S. E. McLean, R. K. Minkes, K. J. Blumer, A. Kovacs, D. P. Kelly, D. Y. Li, B. Starcher, and R. P. Mecham. Developmental adaptation of the mouse cardiovascular system to elastin haploinsufficiency. J. Clin. Invest. 112:1419–1428, 2003.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  17. Feng, M., S. Whitesall, Y. Zhang, M. Beibel, L. D’Alecy, and K. DiPetrillo. Validation of volume-pressure recording tail-cuff blood pressure measurements. Am. J. Hypertens. 21:1288–1291, 2008.

    Article  PubMed  Google Scholar 

  18. Goddeeris, M. M., R. Schwartz, J. Klingensmith, and E. N. Meyers. Independent requirements for Hedgehog signaling by both the anterior heart field and neural crest cells for outflow tract development. Development 134:1593–1604, 2007.

    Article  CAS  PubMed  Google Scholar 

  19. Goergen, C. J., K. N. Barr, D. T. Huynh, J. R. Eastham-Anderson, G. Choi, M. Hedehus, R. L. Dalman, A. J. Connolly, C. A. Taylor, P. S. Tsao, and J. M. Greve. In vivo quantification of murine aortic cyclic strain, motion, and curvature: implications for abdominal aortic aneurysm growth. J. Magn. Reson. Imaging 32:847–858, 2010.

    Article  PubMed Central  PubMed  Google Scholar 

  20. Grande, K. J., R. P. Cochran, P. G. Reinhall, and K. S. Kunzelman. Stress variations in the human aortic root and valve: the role of anatomic asymmetry. Ann. Biomed. Eng. 26:534–545, 1998.

    Article  CAS  PubMed  Google Scholar 

  21. Guilak, F., L. G. Alexopoulos, M. A. Haider, H. P. Ting-Beall, and L. A. Setton. Zonal uniformity in mechanical properties of the chondrocyte pericellular matrix: micropipette aspiration of canine chondrons isolated by cartilage homogenization. Ann. Biomed. Eng. 33:1312–1318, 2005.

    Article  PubMed  Google Scholar 

  22. Gundiah, N., K. Kam, P. B. Matthews, J. Guccione, H. A. Dwyer, D. Saloner, T. A. Chuter, T. S. Guy, M. B. Ratcliffe, and E. E. Tseng. Asymmetric mechanical properties of porcine aortic sinuses. Ann. Thorac. Surg. 85:1631–1638, 2008.

    Article  PubMed  Google Scholar 

  23. Hahn, R. T., M. J. Roman, A. H. Mogtader, and R. B. Devereux. Association of aortic dilation with regurgitant, stenotic and functionally normal bicuspid aortic valves. J. Am. Coll. Cardiol. 19:283–288, 1992.

    Article  CAS  PubMed  Google Scholar 

  24. Hallidie-Smith, K. A., and S. Karas. Cardiac anomalies in Williams-Beuren syndrome. Arch. Dis. Child. 63:809–813, 1988.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  25. Heiberg, E., J. Sjogren, M. Ugander, M. Carlsson, H. Engblom, and H. Arheden. Design and validation of segment—freely available software for cardiovascular image analysis. BMC Med. Imaging 10:1, 2010.

    Article  PubMed Central  PubMed  Google Scholar 

  26. Hinton, R. B. Bicuspid aortic valve and thoracic aortic aneurysm: three patient populations, two disease phenotypes, and one shared genotype. Cardiol. Res. Pract. 2012:926975, 2012.

    PubMed Central  PubMed  Google Scholar 

  27. Hinton, R. B., J. Adelman-Brown, S. Witt, V. K. Krishnamurthy, H. Osinska, B. Sakthivel, J. F. James, D. Y. Li, D. A. Narmoneva, R. P. Mecham, and D. W. Benson. Elastin haploinsufficiency results in progressive aortic valve malformation and latent valve disease in a mouse model. Circ. Res. 107:549–557, 2010.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  28. Hinton, Jr., R. B., J. Lincoln, G. H. Deutsch, H. Osinska, P. B. Manning, D. W. Benson, and K. E. Yutzey. Extracellular matrix remodeling and organization in developing and diseased aortic valves. Circ. Res. 98:1431–1438, 2006.

    Article  CAS  PubMed  Google Scholar 

  29. Hiratzka, L. F., G. L. Bakris, J. A. Beckman, R. M. Bersin, V. F. Carr, D. E. Casey, Jr., K. A. Eagle, L. K. Hermann, E. M. Isselbacher, E. A. Kazerooni, N. T. Kouchoukos, B. W. Lytle, D. M. Milewicz, D. L. Reich, S. Sen, J. A. Shinn, L. G. Svensson, and D. M. Williams. 2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM guidelines for the diagnosis and management of patients with Thoracic Aortic Disease: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, American Association for Thoracic Surgery, American College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons, and Society for Vascular Medicine. Circulation 121:e266–e369, 2010.

    Article  PubMed  Google Scholar 

  30. Ho, S. Y. Structure and anatomy of the aortic root. Eur. J. Echocardiogr. 10:i3–i10, 2009.

    Article  PubMed  Google Scholar 

  31. Keane, J. F., K. E. Fellows, C. G. LaFarge, A. S. Nadas, and W. F. Bernhard. The surgical management of discrete and diffuse supravalvar aortic stenosis. Circulation 54:112–117, 1976.

    Article  CAS  PubMed  Google Scholar 

  32. Kirby, M. L., T. F. Gale, and D. E. Stewart. Neural crest cells contribute to normal aorticopulmonary septation. Science 220:1059–1061, 1983.

    Article  CAS  PubMed  Google Scholar 

  33. Kirby, M. L., and K. L. Waldo. Role of neural crest in congenital heart disease. Circulation 82:332–340, 1990.

    Article  CAS  PubMed  Google Scholar 

  34. Krishnamurthy, V. K., F. Guilak, D. A. Narmoneva, and R. B. Hinton. Regional structure-function relationships in mouse aortic valve tissue. J. Biomech. 44:77–83, 2011.

    Article  PubMed Central  PubMed  Google Scholar 

  35. Krishnamurthy, V. K., A. M. Opoka, C. B. Kern, F. Guilak, D. A. Narmoneva, and R. B. Hinton. Maladaptive matrix remodeling and regional biomechanical dysfunction in a mouse model of aortic valve disease. Matrix Biol. 31:197–205, 2012.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  36. Li, D. Y., B. Brooke, E. C. Davis, R. P. Mecham, L. K. Sorensen, B. B. Boak, E. Eichwald, and M. T. Keating. Elastin is an essential determinant of arterial morphogenesis. Nature 393:276–280, 1998.

    Article  CAS  PubMed  Google Scholar 

  37. Li, D. Y., G. Faury, D. G. Taylor, E. C. Davis, W. A. Boyle, R. P. Mecham, P. Stenzel, B. Boak, and M. T. Keating. Novel arterial pathology in mice and humans hemizygous for elastin. J. Clin. Invest. 102:1783–1787, 1998.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  38. Majesky, M. W. Developmental basis of vascular smooth muscle diversity. Arterioscler. Thromb. Vasc. Biol. 27:1248–1258, 2007.

    Article  CAS  PubMed  Google Scholar 

  39. McLean, M., and J. W. Prothero. Three-dimensional reconstruction from serial sections. V. Calibration of dimensional changes incurred during tissue preparation and data processing. Anal. Quant. Cytol. Histol. 13:269–278, 1991.

    CAS  PubMed  Google Scholar 

  40. Morrison, T. M., G. Choi, C. K. Zarins, and C. A. Taylor. Circumferential and longitudinal cyclic strain of the human thoracic aorta: age-related changes. J. Vasc. Surg. 49:1029–1036, 2009.

    Article  PubMed Central  PubMed  Google Scholar 

  41. Nakamura, T., M. C. Colbert, and J. Robbins. Neural crest cells retain multipotential characteristics in the developing valves and label the cardiac conduction system. Circ. Res. 98:1547–1554, 2006.

    Article  CAS  PubMed  Google Scholar 

  42. Neeb, Z., J. D. Lajiness, E. Bolanis, and S. J. Conway. Cardiac outflow tract anomalies. Wiley Interdiscip. Rev. Dev. Biol. 2:499–530, 2013.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  43. Owens, G. K., M. S. Kumar, and B. R. Wamhoff. Molecular regulation of vascular smooth muscle cell differentiation in development and disease. Physiol. Rev. 84:767–801, 2004.

    Article  CAS  PubMed  Google Scholar 

  44. Pachulski, R. T., A. L. Weinberg, and K. L. Chan. Aortic aneurysm in patients with functionally normal or minimally stenotic bicuspid aortic valve. Am. J. Cardiol. 67:781–782, 1991.

    Article  CAS  PubMed  Google Scholar 

  45. Passman, J. N., X. R. Dong, S. P. Wu, C. T. Maguire, K. A. Hogan, V. L. Bautch, and M. W. Majesky. A sonic hedgehog signaling domain in the arterial adventitia supports resident Sca1+ smooth muscle progenitor cells. Proc. Natl Acad. Sci. U.S.A. 105:9349–9354, 2008.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  46. Pezet, M., M. P. Jacob, B. Escoubet, D. Gheduzzi, E. Tillet, P. Perret, P. Huber, D. Quaglino, R. Vranckx, D. Y. Li, B. Starcher, W. A. Boyle, R. P. Mecham, and G. Faury. Elastin haploinsufficiency induces alternative aging processes in the aorta. Rejuvenation Res. 11:97–112, 2008.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  47. Rosenquist, T. H., and A. C. Beall. Elastogenic cells in the developing cardiovascular system. Smooth muscle, nonmuscle, and cardiac neural crest. Ann. N. Y. Acad. Sci. 588:106–119, 1990.

    Article  CAS  PubMed  Google Scholar 

  48. Rosenquist, T. H., A. C. Beall, L. Modis, and R. Fishman. Impaired elastic matrix development in the great arteries after ablation of the cardiac neural crest. Anat. Rec. 226:347–359, 1990.

    Article  CAS  PubMed  Google Scholar 

  49. Schonherr, E., H. T. Jarvelainen, L. J. Sandell, and T. N. Wight. Effects of platelet-derived growth factor and transforming growth factor-beta 1 on the synthesis of a large versican-like chondroitin sulfate proteoglycan by arterial smooth muscle cells. J. Biol. Chem. 266:17640–17647, 1991.

    CAS  PubMed  Google Scholar 

  50. Snarr, B. S., E. E. Wirrig, A. L. Phelps, T. C. Trusk, and A. Wessels. A spatiotemporal evaluation of the contribution of the dorsal mesenchymal protrusion to cardiac development. Dev. Dyn. 236:1287–1294, 2007.

    Article  PubMed Central  PubMed  Google Scholar 

  51. Stoller, J. Z., and J. A. Epstein. Cardiac neural crest. Semin. Cell Dev. Biol. 16:704–715, 2005.

    Article  CAS  PubMed  Google Scholar 

  52. Szabo, Z., M. W. Crepeau, A. L. Mitchell, M. J. Stephan, R. A. Puntel, K. Yin Loke, R. C. Kirk, and Z. Urban. Aortic aneurysmal disease and cutis laxa caused by defects in the elastin gene. J. Med. Genet. 43:255–258, 2006.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  53. Tadros, T. M., M. D. Klein, and O. M. Shapira. Ascending aortic dilatation associated with bicuspid aortic valve: pathophysiology, molecular biology, and clinical implications. Circulation 119:880–890, 2009.

    Article  PubMed  Google Scholar 

  54. Theret, D. P., M. J. Levesque, M. Sato, R. M. Nerem, and L. T. Wheeler. The application of a homogeneous half-space model in the analysis of endothelial cell micropipette measurements. J. Biomech. Eng. 110:190–199, 1988.

    Article  CAS  PubMed  Google Scholar 

  55. Treasure, T., J. Pepper, T. Golesworthy, R. Mohiaddin, and R. H. Anderson. External aortic root support: NICE guidance. Heart 98:65–68, 2012.

    Article  PubMed  Google Scholar 

  56. Wagenseil, J. E., and R. P. Mecham. Vascular extracellular matrix and arterial mechanics. Physiol. Rev. 89:957–989, 2009.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  57. Wagenseil, J. E., N. L. Nerurkar, R. H. Knutsen, R. J. Okamoto, D. Y. Li, and R. P. Mecham. Effects of elastin haploinsufficiency on the mechanical behavior of mouse arteries. Am. J. Physiol. Heart Circ. Physiol. 289:H1209–H1217, 2005.

    Article  CAS  PubMed  Google Scholar 

  58. Waldo, K. L., M. R. Hutson, C. C. Ward, M. Zdanowicz, H. A. Stadt, D. Kumiski, R. Abu-Issa, and M. L. Kirby. Secondary heart field contributes myocardium and smooth muscle to the arterial pole of the developing heart. Dev. Biol. 281:78–90, 2005.

    Article  CAS  PubMed  Google Scholar 

  59. Wang, J., A. Nagy, J. Larsson, M. Dudas, H. M. Sucov, and V. Kaartinen. Defective ALK5 signaling in the neural crest leads to increased postmigratory neural crest cell apoptosis and severe outflow tract defects. BMC Dev. Biol. 6:51, 2006.

    Article  PubMed Central  PubMed  Google Scholar 

  60. Washington Smoak, I., N. A. Byrd, R. Abu-Issa, M. M. Goddeeris, R. Anderson, J. Morris, K. Yamamura, J. Klingensmith, and E. N. Meyers. Sonic hedgehog is required for cardiac outflow tract and neural crest cell development. Dev. Biol. 283:357–372, 2005.

    Article  CAS  PubMed  Google Scholar 

  61. Wyffels, J. T. Principles and techniques of electron microscopy: biological applications, fourth edition, by M. A. Hayat. Microsc. Microanal. 7:66, 2001.

    CAS  PubMed  Google Scholar 

  62. Xie, W. B., Z. Li, N. Shi, X. Guo, J. Tang, W. Ju, J. Han, T. Liu, E. P. Bottinger, Y. Chai, P. A. Jose, and S. Y. Chen. Smad2 and myocardin-related transcription factor B cooperatively regulate vascular smooth muscle differentiation from neural crest cells. Circ. Res. 113:e76–e86, 2013.

    Article  CAS  PubMed  Google Scholar 

  63. Ke, Y., and R. Sukthankar. PCA-SIFT: a more distinctive representation for local image descriptors. Proceedings of Computer Vision and Pattern Recognition, 2004.

  64. Yacoub, M. H., P. J. Kilner, E. J. Birks, and M. Misfeld. The aortic outflow and root: a tale of dynamism and crosstalk. Ann. Thorac. Surg. 68:S37–S43, 1999.

    Article  CAS  PubMed  Google Scholar 

  65. Zhao, X., R. Pratt, and J. Wansapura. Quantification of aortic compliance in mice using radial phase contrast MRI. J. Magn. Reson. Imaging 30:286–291, 2009.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

We thank Amy Opoka for her assistance. We also thank Dr. Dean Y. Li (University of Utah) for providing the elastin knockout mice and Dr. Robert P. Mecham (Washington University) for helpful discussions. Present address for Varun K. Krishnamurthy: Department of Bioengineering, Rice University, Houston, TX 77005, USA. This work was supported by the AHA 11PRE7210044 (VKK), NIH HL086856-01 (RLG), NIH HL085122 (RBH), and Cincinnati Children’s Research Foundation (RBH).

Disclosures

The authors have nothing to disclose.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Robert B. Hinton.

Additional information

Associate Editor Jane Grande-Allen oversaw the review of this article.

Varun K. Krishnamurthy and Ashlie N. Evans contributed equally to this work.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (M4 V 7873 kb)

Supplementary material 2 (M4 V 8715 kb)

Supplementary material 3 (DOCX 20 kb)

Supplementary material 4 (TIFF 30614 kb)

Supplementary material 5 (TIFF 6479 kb)

Supplementary material 6 (TIFF 6450 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Krishnamurthy, V.K., Evans, A.N., Wansapura, J.P. et al. Asymmetric Cell–Matrix and Biomechanical Abnormalities in Elastin Insufficiency Induced Aortopathy. Ann Biomed Eng 42, 2014–2028 (2014). https://doi.org/10.1007/s10439-014-1072-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10439-014-1072-y

Keywords

Navigation