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Published in: BMC Cardiovascular Disorders 1/2024

Open Access 01-12-2024 | Aortic Dissection | Research

A decrease in integrin α5β1/FAK is associated with increased apoptosis of aortic smooth muscle cells in acute type a aortic dissection

Authors: Mingming Xue, Lingyu Xing, Yilin Yang, Mian Shao, Fengqing Liao, Feixiang Xu, Yumei Chen, Sheng Wang, Bin Chen, Chenling Yao, Guorong Gu, Chaoyang Tong

Published in: BMC Cardiovascular Disorders | Issue 1/2024

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Abstract

Background

Acute type A aortic dissection (AAAD) is a devastating disease. Human aortic smooth muscle cells (HASMCs) exhibit decreased proliferation and increased apoptosis, and integrin α5β1 and FAK are important proangiogenic factors involved in regulating angiogenesis. The aim of this study was to investigate the role of integrin α5β1 and FAK in patients with AAAD and the potential underlying mechanisms.

Methods

Aortic tissue samples were obtained from 8 patients with AAAD and 4 organ donors at Zhongshan Hospital of Fudan University. The level of apoptosis in the aortic tissues was assessed by immunohistochemical (IHC) staining and terminal-deoxynucleotidyl transferase-mediated nick end labeling (TUNEL) assays. The expression of integrin α5β1 and FAK was determined. Integrin α5β1 was found to be significantly expressed in HASMCs, and its interaction with FAK was assessed via coimmunoprecipitation (Co-IP) analysis. Proliferation and apoptosis were assessed by Cell Counting Kit-8 (CCK-8) assays and flow cytometry after integrin α5β1 deficiency.

Results

The levels of integrin α5β1 and FAK were both significantly decreased in patients with AAAD. Downregulating the expression of integrin α5β1-FAK strongly increased apoptosis and decreased proliferation in HASMCs, indicating that integrin α5β1-FAK might play an important role in the development of AAAD.

Conclusions

Downregulation of integrin α5β1-FAK is associated with increased apoptosis and decreased proliferation in aortic smooth muscle cells and may be a potential therapeutic strategy for AAAD.
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Literature
1.
go back to reference Howard DP, Banerjee A, Fairhead JF, Perkins J, Silver LE, Rothwell PM. Population-based study of incidence and outcome of acute aortic dissection and premorbid risk factor control: 10-year results from the Oxford Vascular Study. Circulation. 2013;127(20):2031–7. [PubMed:23599348].CrossRefPubMedPubMedCentral Howard DP, Banerjee A, Fairhead JF, Perkins J, Silver LE, Rothwell PM. Population-based study of incidence and outcome of acute aortic dissection and premorbid risk factor control: 10-year results from the Oxford Vascular Study. Circulation. 2013;127(20):2031–7. [PubMed:23599348].CrossRefPubMedPubMedCentral
2.
go back to reference Daily PO, Trueblood HW, Stinson,R EB, D Wuerflein. N E shumway: management of acute aortic dissections. Ann Thorac Surg. 1970;10(3):237–47. [PubMed:5458238].CrossRefPubMed Daily PO, Trueblood HW, Stinson,R EB, D Wuerflein. N E shumway: management of acute aortic dissections. Ann Thorac Surg. 1970;10(3):237–47. [PubMed:5458238].CrossRefPubMed
3.
go back to reference Hagan PG, Nienaber CA, Isselbacher EM, Bruckman D, Karavite DJ, Russman PL, Evangelista A, Fattori R, Suzuki T, Oh JK, et al. The International Registry of Acute Aortic dissection (IRAD): new insights into an old disease. JAMA. 2000;283(7):897–903. [PubMed: 10685714].CrossRefPubMed Hagan PG, Nienaber CA, Isselbacher EM, Bruckman D, Karavite DJ, Russman PL, Evangelista A, Fattori R, Suzuki T, Oh JK, et al. The International Registry of Acute Aortic dissection (IRAD): new insights into an old disease. JAMA. 2000;283(7):897–903. [PubMed: 10685714].CrossRefPubMed
4.
go back to reference Ishii T, Asuwa N. Collagen and elastin degradation by matrix metalloproteinases and tissue inhibitors of matrix metalloproteinase in aortic dissection. Hum Pathol. 2000;31(6):640–6. [PubMed:10872655].CrossRefPubMed Ishii T, Asuwa N. Collagen and elastin degradation by matrix metalloproteinases and tissue inhibitors of matrix metalloproteinase in aortic dissection. Hum Pathol. 2000;31(6):640–6. [PubMed:10872655].CrossRefPubMed
5.
go back to reference Jay S, Desgrosellier DA, Cheresh. Integrins in cancer: biological implications and therapeutic opportunities. Nat Rev Cancer. 2010;10(1):9–22. [PubMed:20029421].CrossRef Jay S, Desgrosellier DA, Cheresh. Integrins in cancer: biological implications and therapeutic opportunities. Nat Rev Cancer. 2010;10(1):9–22. [PubMed:20029421].CrossRef
6.
go back to reference Li L, Welser-Alves J, van der Flier A, Boroujerdi A, Hynes RO, Milner R. An angiogenic role for the alpha5beta1 integrin in promoting endothelial cell proliferation during cerebral hypoxia. Exp Neurol. 2012;237(1):46–54. [PubMed:22721769].CrossRefPubMedPubMedCentral Li L, Welser-Alves J, van der Flier A, Boroujerdi A, Hynes RO, Milner R. An angiogenic role for the alpha5beta1 integrin in promoting endothelial cell proliferation during cerebral hypoxia. Exp Neurol. 2012;237(1):46–54. [PubMed:22721769].CrossRefPubMedPubMedCentral
7.
go back to reference Roman J, Ritzenthaler JD, Roser-Page S, Sun X, Han S. alpha5beta1-integrin expression is essential for tumor progression in experimental lung cancer. Am J Respir Cell Mol Biol. 2010;43(6):684–91. [PubMed: 20081050].CrossRefPubMedPubMedCentral Roman J, Ritzenthaler JD, Roser-Page S, Sun X, Han S. alpha5beta1-integrin expression is essential for tumor progression in experimental lung cancer. Am J Respir Cell Mol Biol. 2010;43(6):684–91. [PubMed: 20081050].CrossRefPubMedPubMedCentral
8.
go back to reference Zhang Y, Cheng K, Xu B, Shi J, Qiang J, Shi S, Yi Y, Li H, Jin T, Guo R, et al. Epigenetic input dictates the threshold of Targeting of the integrin-dependent pathway in non-small cell LungCancer. Front Cell Dev Biol. 2020;22(8):652. [PubMed: 32793596].CrossRef Zhang Y, Cheng K, Xu B, Shi J, Qiang J, Shi S, Yi Y, Li H, Jin T, Guo R, et al. Epigenetic input dictates the threshold of Targeting of the integrin-dependent pathway in non-small cell LungCancer. Front Cell Dev Biol. 2020;22(8):652. [PubMed: 32793596].CrossRef
9.
go back to reference Kolasińska E, Janik ME, Lityńska A, Przybyło M. Contribution of sialic acids to integrin alpha α5β1 functioning in melanoma cells. Adv Med Sci. 2019;64(2):267–73. [PubMed: 30844664].CrossRefPubMed Kolasińska E, Janik ME, Lityńska A, Przybyło M. Contribution of sialic acids to integrin alpha α5β1 functioning in melanoma cells. Adv Med Sci. 2019;64(2):267–73. [PubMed: 30844664].CrossRefPubMed
10.
go back to reference Béliveau A, Bérubé M, Rousseau A, Pelletier G, Guérin SL. Expression of integrin α5β1 and MMPs associated with epithelioid morphology and malignancy of uveal melanoma. Invest Ophthalmol Vis Sci. 2000;41(8):2363–72. [PubMed: 10892885].PubMed Béliveau A, Bérubé M, Rousseau A, Pelletier G, Guérin SL. Expression of integrin α5β1 and MMPs associated with epithelioid morphology and malignancy of uveal melanoma. Invest Ophthalmol Vis Sci. 2000;41(8):2363–72. [PubMed: 10892885].PubMed
11.
go back to reference Ricci E, Fava M, Rizza P, Pellegrino M, Bonofiglio D, Casaburi I, Lanzino M, Giordano C, Bruno R, Sirianni R, et al. FoxO3a inhibits tamoxifen-resistant breast Cancer progression by inducing integrin alpha5 expression. Cancers (Basel). 2022;14(1):214. [PubMed: 35008379].CrossRefPubMed Ricci E, Fava M, Rizza P, Pellegrino M, Bonofiglio D, Casaburi I, Lanzino M, Giordano C, Bruno R, Sirianni R, et al. FoxO3a inhibits tamoxifen-resistant breast Cancer progression by inducing integrin alpha5 expression. Cancers (Basel). 2022;14(1):214. [PubMed: 35008379].CrossRefPubMed
12.
go back to reference Shen M, Jiang YZ, Wei Y, Ell B, Sheng X, Esposito M, Kang J, Hang X, Zheng H, Rowicki M. Tinagl1 suppresses triple-negative breast Cancer Progression and Metastasis by simultaneously inhibiting Integrin/FAK and EGFR Signaling. Cancer Cell. 2019;35(1):64–80. [PubMed: 30612941].CrossRefPubMed Shen M, Jiang YZ, Wei Y, Ell B, Sheng X, Esposito M, Kang J, Hang X, Zheng H, Rowicki M. Tinagl1 suppresses triple-negative breast Cancer Progression and Metastasis by simultaneously inhibiting Integrin/FAK and EGFR Signaling. Cancer Cell. 2019;35(1):64–80. [PubMed: 30612941].CrossRefPubMed
13.
go back to reference Chan SH, Huang WC, Chang JW, Chang KJ, Kuo WH, Wang MY, Lin KY, Uen YH, Hou MF, Lin CM, et al. MicroRNA-149 targets GIT1 to suppress integrin signaling and breast cancer metastasis. Oncogene. 2014;33(36):4496–507. [PubMed: 24608434].CrossRefPubMedPubMedCentral Chan SH, Huang WC, Chang JW, Chang KJ, Kuo WH, Wang MY, Lin KY, Uen YH, Hou MF, Lin CM, et al. MicroRNA-149 targets GIT1 to suppress integrin signaling and breast cancer metastasis. Oncogene. 2014;33(36):4496–507. [PubMed: 24608434].CrossRefPubMedPubMedCentral
14.
go back to reference Toquet C, Colson A, Jarry A, Bezieau S, Volteau C, Boisseau P, Merlin D, Laboisse CL, Mosnier JF. ADAM15 to alpha5beta1 integrin switch in colon carcinoma cells: a late event in cancer progression associated with tumor dedifferentiation and poor prognosis. Int J Cancer. 2012;130(2):278–87. [PubMed: 21190186].CrossRefPubMed Toquet C, Colson A, Jarry A, Bezieau S, Volteau C, Boisseau P, Merlin D, Laboisse CL, Mosnier JF. ADAM15 to alpha5beta1 integrin switch in colon carcinoma cells: a late event in cancer progression associated with tumor dedifferentiation and poor prognosis. Int J Cancer. 2012;130(2):278–87. [PubMed: 21190186].CrossRefPubMed
15.
go back to reference Guha D, Saha T, Bose S, Chakraborty S, Dhar S, Khan P, Adhikary A, Das T, Sa G. Integrin-EGFR interaction regulates anoikis resistance in colon cancer cells. Apoptosis. 2019;24(11–12):958–71. [PubMed: 31641961].CrossRefPubMed Guha D, Saha T, Bose S, Chakraborty S, Dhar S, Khan P, Adhikary A, Das T, Sa G. Integrin-EGFR interaction regulates anoikis resistance in colon cancer cells. Apoptosis. 2019;24(11–12):958–71. [PubMed: 31641961].CrossRefPubMed
16.
go back to reference Bernice LY, Cheuk SWK, Cheng. Differential expression of integrin α5β1 in human abdominal aortic aneurysm and healthy aortic tissues and its significance in pathogenesis. J surg res actions search in PubMed search in NLM catalog add to search, 118(2):176–82, 2004. [PubMed:15100006]. Bernice LY, Cheuk SWK, Cheng. Differential expression of integrin α5β1 in human abdominal aortic aneurysm and healthy aortic tissues and its significance in pathogenesis. J surg res actions search in PubMed search in NLM catalog add to search, 118(2):176–82, 2004. [PubMed:15100006].
17.
go back to reference Davenpeck KL, Marcinkiewicz C, Wang D, Niculescu R, Shi Y, Martin JL, Zalewski A. Regional differences in integrin expression: role of alpha(5)beta(1) in regulating smooth m uscle cell functions. Circ Res Actions Search. 2001;88(3):352–8. [PubMed: 11179205]. Davenpeck KL, Marcinkiewicz C, Wang D, Niculescu R, Shi Y, Martin JL, Zalewski A. Regional differences in integrin expression: role of alpha(5)beta(1) in regulating smooth m uscle cell functions. Circ Res Actions Search. 2001;88(3):352–8. [PubMed: 11179205].
18.
go back to reference Liu H, Dong W, Lin Z, Lu J, Wan H, Zhou Z, Liu Z. CCN4 regulates vascular smooth muscle cell migration and proliferation. Mol Cells. 2013;36(2):112. [PubMed: 23807044].CrossRefPubMedPubMedCentral Liu H, Dong W, Lin Z, Lu J, Wan H, Zhou Z, Liu Z. CCN4 regulates vascular smooth muscle cell migration and proliferation. Mol Cells. 2013;36(2):112. [PubMed: 23807044].CrossRefPubMedPubMedCentral
19.
go back to reference Li L, Welser-Alves J, van der Flier A, Boroujerdi A, Hynes RO, Milner R. An angio-genic role for the α5β1 integrin in promoting endothelial cell proliferation during cerebralhypoxia. Exp Neurol. 2012;237(1):46–54. [PubMed: 22721769].CrossRefPubMedPubMedCentral Li L, Welser-Alves J, van der Flier A, Boroujerdi A, Hynes RO, Milner R. An angio-genic role for the α5β1 integrin in promoting endothelial cell proliferation during cerebralhypoxia. Exp Neurol. 2012;237(1):46–54. [PubMed: 22721769].CrossRefPubMedPubMedCentral
20.
go back to reference Cheng Gong Z, Yang F, Wu L, Han Y, Liu W, Gong. miR-17 inhibits ovarian cancer cell peritoneal metastasis by targeting ITGA5 and ITGB1. Oncol Rep actions search in PubMed search in NLM catalog add to search, 36(4):2177–83, 2016. [PubMed: 27499367]. Cheng Gong Z, Yang F, Wu L, Han Y, Liu W, Gong. miR-17 inhibits ovarian cancer cell peritoneal metastasis by targeting ITGA5 and ITGB1. Oncol Rep actions search in PubMed search in NLM catalog add to search, 36(4):2177–83, 2016. [PubMed: 27499367].
21.
go back to reference Li X, Tang M, Zhu Q, Wang X, Lin Y, Wang X. The exosomal integrin alpha5beta1/AEP complex derived from epithelial ovarian cancer cells promotes peritoneal metastasis through regulating mesothelial cell proliferation and migration. Cell Oncol (Dordr). 2020;43(2):263–77. [PubMed: 32080801].CrossRefPubMed Li X, Tang M, Zhu Q, Wang X, Lin Y, Wang X. The exosomal integrin alpha5beta1/AEP complex derived from epithelial ovarian cancer cells promotes peritoneal metastasis through regulating mesothelial cell proliferation and migration. Cell Oncol (Dordr). 2020;43(2):263–77. [PubMed: 32080801].CrossRefPubMed
22.
go back to reference Jumaporn Sonongbua S, Siritungyong S, Thongchot TKK, Utispan P, Thuwajit A, Pongpaibul. Sopit Wongkham, Chanitra Thuwajit: Periostin induces epithelialtomesenchymal transition via the integrin α5β1/T-WIST-2 axis in cholangiocarcinoma. Oncol Rep Actions Search. 2020;43(4):1147–58. [PubMed:32020235]. Jumaporn Sonongbua S, Siritungyong S, Thongchot TKK, Utispan P, Thuwajit A, Pongpaibul. Sopit Wongkham, Chanitra Thuwajit: Periostin induces epithelialtomesenchymal transition via the integrin α5β1/T-WIST-2 axis in cholangiocarcinoma. Oncol Rep Actions Search. 2020;43(4):1147–58. [PubMed:32020235].
23.
go back to reference Huang R, Rofstad EK. Integrins as therapeutic targets in the organ-specific metastasis of human malignant melanoma. J Exp Clin Cancer Res, 37(1): 92, 2018. [PubMed: 29703238]. Huang R, Rofstad EK. Integrins as therapeutic targets in the organ-specific metastasis of human malignant melanoma. J Exp Clin Cancer Res, 37(1): 92, 2018. [PubMed: 29703238].
24.
go back to reference Ye D-J, Kwon Y-J, Shin S, Baek H-S, Shin D-W. Young-Jin Chun. Induction of integrin signaling by steroid sulfatase in human cervical cancer cells. Biomol Ther (Seoul). 2017;25:321–8. [PubMed: 27956712].CrossRefPubMed Ye D-J, Kwon Y-J, Shin S, Baek H-S, Shin D-W. Young-Jin Chun. Induction of integrin signaling by steroid sulfatase in human cervical cancer cells. Biomol Ther (Seoul). 2017;25:321–8. [PubMed: 27956712].CrossRefPubMed
25.
go back to reference Vermont P, Dia,Elvira Gonzalez de Mejia. Lunasin potentiates the effect of oxaliplatin preventing outgrowth of colon cancer metastasis, binds to alpha5beta1 integrin and suppresses FAK/ERK/NF-kappaB signaling. Cancer Lett. 2011;313:167–80. [PubMed: 21963225].CrossRef Vermont P, Dia,Elvira Gonzalez de Mejia. Lunasin potentiates the effect of oxaliplatin preventing outgrowth of colon cancer metastasis, binds to alpha5beta1 integrin and suppresses FAK/ERK/NF-kappaB signaling. Cancer Lett. 2011;313:167–80. [PubMed: 21963225].CrossRef
26.
go back to reference Chen L, Miao W, Zhang H, Zeng F, Cao C, Qiu R, Yang J, Luo F, Lv JYH, Xu Q. A monoclonal antibody targeting neuropilin-1 inhibits adhesion of MCF7 breast cancer cells to fibronectin by suppressing the FAK/p130cas signaling pathway. Anticancer Drugs. 2014;25:663–72. [PubMed: 26000395].CrossRefPubMed Chen L, Miao W, Zhang H, Zeng F, Cao C, Qiu R, Yang J, Luo F, Lv JYH, Xu Q. A monoclonal antibody targeting neuropilin-1 inhibits adhesion of MCF7 breast cancer cells to fibronectin by suppressing the FAK/p130cas signaling pathway. Anticancer Drugs. 2014;25:663–72. [PubMed: 26000395].CrossRefPubMed
27.
go back to reference Lv X, Li Z, Guan J, Zhang J, Xu B, He W, Lan Y, Zhao K, Lu H, Song D, Gao F. ATN-161 reduces virus proliferation in PHEV-infected mice by inhibiting the integrin alpha5beta1-FAK signaling pathway. Vet Microbiol. 2019;233:147–53. [PubMed: 31176401].CrossRefPubMed Lv X, Li Z, Guan J, Zhang J, Xu B, He W, Lan Y, Zhao K, Lu H, Song D, Gao F. ATN-161 reduces virus proliferation in PHEV-infected mice by inhibiting the integrin alpha5beta1-FAK signaling pathway. Vet Microbiol. 2019;233:147–53. [PubMed: 31176401].CrossRefPubMed
28.
go back to reference Kyuho Jeong J-H, Kim JM, Murphy H, Park S-J, Kim, Yelitza AR, Rodriguez H, Kong C, Choi J-L, Guan, Joan M, Taylor, Thomas M, Lincoln, William T, Gerthoffer J-S, Kim. Eun-Young Erin Ahn, David D Schlaepfer, Ssang-Taek Steve Lim. Nuclear focal adhesion kinase controls vascular smooth muscle cell proliferation and Neointimal Hyperplasia through GATA4-Mediated cyclin D1 transcription. Circ Res. 2019;125:152–66. [PubMed: 31096851].CrossRefPubMedPubMedCentral Kyuho Jeong J-H, Kim JM, Murphy H, Park S-J, Kim, Yelitza AR, Rodriguez H, Kong C, Choi J-L, Guan, Joan M, Taylor, Thomas M, Lincoln, William T, Gerthoffer J-S, Kim. Eun-Young Erin Ahn, David D Schlaepfer, Ssang-Taek Steve Lim. Nuclear focal adhesion kinase controls vascular smooth muscle cell proliferation and Neointimal Hyperplasia through GATA4-Mediated cyclin D1 transcription. Circ Res. 2019;125:152–66. [PubMed: 31096851].CrossRefPubMedPubMedCentral
Metadata
Title
A decrease in integrin α5β1/FAK is associated with increased apoptosis of aortic smooth muscle cells in acute type a aortic dissection
Authors
Mingming Xue
Lingyu Xing
Yilin Yang
Mian Shao
Fengqing Liao
Feixiang Xu
Yumei Chen
Sheng Wang
Bin Chen
Chenling Yao
Guorong Gu
Chaoyang Tong
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Cardiovascular Disorders / Issue 1/2024
Electronic ISSN: 1471-2261
DOI
https://doi.org/10.1186/s12872-024-03778-2

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