[PDF][PDF] Targeting interleukin-1β protects from aortic aneurysms induced by disrupted transforming growth factor β signaling

F Da Ros, R Carnevale, G Cifelli, D Bizzotto… - Immunity, 2017 - cell.com
F Da Ros, R Carnevale, G Cifelli, D Bizzotto, M Casaburo, M Perrotta, L Carnevale
Immunity, 2017cell.com
Aortic aneurysms are life-threatening conditions with effective treatments mainly limited to
emergency surgery or trans-arterial endovascular stent grafts, thus calling for the
identification of specific molecular targets. Genetic studies have highlighted controversial
roles of transforming growth factor β (TGF-β) signaling in aneurysm development. Here, we
report on aneurysms developing in adult mice after smooth muscle cell (SMC)-specific
inactivation of Smad4, an intracellular transducer of TGF-β. The results revealed that Smad4 …
Summary
Aortic aneurysms are life-threatening conditions with effective treatments mainly limited to emergency surgery or trans-arterial endovascular stent grafts, thus calling for the identification of specific molecular targets. Genetic studies have highlighted controversial roles of transforming growth factor β (TGF-β) signaling in aneurysm development. Here, we report on aneurysms developing in adult mice after smooth muscle cell (SMC)-specific inactivation of Smad4, an intracellular transducer of TGF-β. The results revealed that Smad4 inhibition activated interleukin-1β (IL-1β) in SMCs. This danger signal later recruited innate immunity in the adventitia through chemokine (C-C motif) ligand 2 (CCL2) and modified the mechanical properties of the aortic wall, thus favoring vessel dilation. SMC-specific Smad4 deletion in Il1r1- or Ccr2-null mice resulted in milder aortic pathology. A chronic treatment with anti-IL-1β antibody effectively hampered aneurysm development. These findings identify a mechanistic target for controlling the progression of aneurysms with compromised TGF-β signaling, such as those driven by SMAD4 mutations.
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