RRC ID 63628
著者 Matsuo M, Nadanaka S, Soga M, Sugiyama T, Serigano S, Shimano K, Ichinose F, Nakamura T, Maeda T, Houkin K, Era T, Kitagawa H.
タイトル Vulnerability to shear stress caused by altered peri-endothelial matrix is a key feature of Moyamoya disease.
ジャーナル Sci Rep
Abstract Moyamoya disease (MMD) is characterized by progressive bilateral stenotic changes in the terminal portion of the internal carotid arteries. Although RNF213 was identified as a susceptibility gene for MMD, the exact pathogenesis remains unknown. Immunohistochemical analysis of autopsy specimens from a patient with MMD revealed marked accumulation of hyaluronan and chondroitin sulfate (CS) in the thickened intima of occlusive lesions of MMD. Hyaluronan synthase 2 was strongly expressed in endothelial progenitor cells in the thickened intima. Furthermore, MMD lesions showed minimal staining for CS and hyaluronan in the endothelium, in contrast to control endothelium showing positive staining for both. Glycosaminoglycans of endothelial cells derived from MMD and control induced pluripotent stem cells demonstrated a decreased amount of CS, especially sulfated CS, in MMD. A computational fluid dynamics model showed highest wall shear stress values in the terminal portion of the internal carotid artery, which is the predisposing region in MMD. Because the peri-endothelial extracellular matrix plays an important role in protection, cell adhesion and migration, an altered peri-endothelial matrix in MMD may contribute to endothelial vulnerability to wall shear stress. Invading endothelial progenitor cells repairing endothelial injury would produce excessive hyaluronan and CS in the intima, and cause vascular stenosis.
巻・号 11(1)
ページ 1552
公開日 2021-1-15
DOI 10.1038/s41598-021-81282-9
PII 10.1038/s41598-021-81282-9
PMID 33452387
PMC PMC7810726
MeSH Adenosine Triphosphatases / metabolism Adolescent Aged Biomechanical Phenomena / physiology Carotid Artery, Internal / pathology Carotid Intima-Media Thickness Chondroitin Sulfates / analysis Endothelial Cells / metabolism* Endothelial Cells / physiology Endothelium / metabolism Female Genetic Predisposition to Disease Humans Hyaluronic Acid / analysis Hydrodynamics Induced Pluripotent Stem Cells / metabolism Male Moyamoya Disease / metabolism Moyamoya Disease / physiopathology* Shear Strength / physiology Stress, Mechanical Ubiquitin-Protein Ligases / metabolism
IF 3.998
リソース情報
ヒト・動物細胞 409B2(HPS0076)