Abstract

BackgroundThe pathological features of aortic dissection (AD) include vascular smooth muscle cell (VSMC) loss, elastic fiber fraction, and inflammatory responses in the aorta. However, little is known about the post-translational modification mechanisms responsible for these biological processes.MethodsA total of 72 aorta samples, used for protein detection, were collected from 36 coronary artery disease (CAD, served as the control) patients and 36 type A AD (TAAD) patients. Chromatin immunoprecipitation (ChIP)-PCR was used to identify the genes regulated by H3K23ac, and tubastatin A, an inhibitor of HDAC6, was utilized to clarify the downstream mechanisms regulated by HDAC6.ResultsWe found that the protein level of histone deacetylase HDAC6 was reduced in the aortas of patients suffering from TAAD and that the protein levels of H4K12ac, and H3K23ac significantly increased, while H3K18ac, H4K8ac, and H4K5ac dramatically decreased when compared with CAD patients. Although H3K23ac, H3K18ac, and H4K8ac increased in the human VSMCs after treatment with the HDAC6 inhibitor tubastatin A, only H3K23ac showed the same results in human tissues. Notably, the results of ChIP-PCR demonstrated that H3K23ac was enriched in extracellular matrix (ECM)-related genes, including Col1A2, Col3A1, CTGF, POSTN, MMP2, TIMP2, and ACTA2, in the aortic samples of TAAD patients. In addition, our results showed that HDAC6 regulates H4K20me2 and p-MEK1/2 in the pathological process of TAAD.ConclusionsThese results indicate that HDAC6 is involved in human TAAD formation by regulating H3K23ac, H4K20me2 and p-MEK1/2, thus, providing a strategy for the treatment of TAAD by targeting protein post-translational modifications (PTMs), chiefly histone PTMs.

Highlights

  • The pathological features of aortic dissection (AD) include vascular smooth muscle cell (VSMC) loss, elastic fiber fraction, and inflammatory responses in the aorta

  • As HDAC6 protein levels were reduced in type A AD (TAAD) patients, we investigated which histone sites were deacetylated by HDAC6 during TAAD formation

  • The western blot results demonstrated that H4K12ac and H3K23 acetylation (H3K23ac) levels were significantly elevated, while H3K18ac, H4K8ac, and H4K5ac levels were decreased remarkably in TAAD patients compared with coronary artery disease (CAD) patients (Fig. 1c and d)

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Summary

Introduction

The pathological features of aortic dissection (AD) include vascular smooth muscle cell (VSMC) loss, elastic fiber fraction, and inflammatory responses in the aorta. Because no conservative pharmacological approach can effectively prevent the progression or the risk of aortic rupture, surgical repair remains the only current treatment option for AD (Maegdefessel et al, 2014). This situation likely stems from the fact that the pathophysiological mechanisms of AD are not fully understood. Previous studies demonstrated that histone post-translational modifications (PTMs), especially histone acetylation, play critical roles in vascular smooth

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