Loss of tissue inhibitor of proteinase 3 (TIMP3), but not TIMP4, worsens abdominal and thoracic aortic aneurysm

Abstract

Background: Aorta exhibits regional heterogeneity (structural and mechanical), while different etiologies for thoracic and abdominal aortic aneurysm (TAA, AAA) are recognized. Tissue inhibitor of metalloproteinases (TIMPs) regulate vascular remodeling through different mechanisms. TIMP3 and TIMP4 have shown region-dependent functions in aortic pathologies. We investigated the region-specific function of these TIMPs in development of TAA versus AAA. Methods and Results: TAA or AAA was induced in male or female mice lacking TIMP3 ( Timp3 -/- ), TIMP4 ( Timp4 -/- ) or wildtype (WT) mice by peri-adventitial elastase application. Loss of TIMP3 exacerbated TAA and AAA severity in males and females. Timp3 -/- mice exhibited a greater increase in proteinase activity, smooth muscle cell phenotypic switching post-AAA and -TAA whereas inflammation increased in the media post-AAA, but in the adventitia post-TAA. Timp3 -/- mice showed impaired intimal barrier integrity ( in vivo) following AAA, but a greater adventitial vasa-vasorum branching post-TAA, which could explain the site of inflammation in TAA versus AAA. Timp4 -/- mice responded similarly to TAA and AAA induction as the WT. In vitro, Timp3 knockdown in human aortic EC more severely compromised the EC monolayer permeability compared to Timp4 knockdown and control groups following elastase treatment. In human aorta specimens, TIMP3 showed a region-specific expression pattern in TAA versus AAA consistent with the impact of its loss in the impaired intimal barrier in AAA, and the adventitial region in TAA. Conclusions: TIMP3 plays a protective role in both AAA and TAA, whereas loss of TIMP4 has minimal impact on the severity of aneurysm formation. TIMP3 loss in the aneurysmal aorta could be responsible for the inflammation, adverse remodeling and aortic dilation in AAA and TAA, through different mechanisms. Support: CIHR, Heart and Stroke. CIHR, Heart and Stroke. This is the full abstract presented at the American Physiology Summit 2023 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.