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Mechanosensitive transcriptional regulation of gene expression in smooth muscle. Implications for health and disease

Daoud, Fatima LU (2022) In Lund University, Faculty of Medicine Doctoral Dissertation Series
Abstract
Smooth muscle participates in forming the wall of hollow organs, tracts, and blood vessels. Therefore, it plays a critical role in mediating vital functions in the body including regulation of blood pressure. In response to changes in the surrounding microenvironment, smooth muscle cells can modulate their phenotype and dedifferentiate from being quiescent contractile to a more proliferative and migratory phenotype. The mechanical force represents a
principle part of the microenvironment cues. Smooth muscle senses the mechanical force and converts it into a biochemical signal that affects gene expression eventually. Until now, there are two known families of mechanosensitive transcriptional regulators; myocardin-related transcription... (More)
Smooth muscle participates in forming the wall of hollow organs, tracts, and blood vessels. Therefore, it plays a critical role in mediating vital functions in the body including regulation of blood pressure. In response to changes in the surrounding microenvironment, smooth muscle cells can modulate their phenotype and dedifferentiate from being quiescent contractile to a more proliferative and migratory phenotype. The mechanical force represents a
principle part of the microenvironment cues. Smooth muscle senses the mechanical force and converts it into a biochemical signal that affects gene expression eventually. Until now, there are two known families of mechanosensitive transcriptional regulators; myocardin-related transcription factors (MRTFs); and the downstream effectors of the Hippo signaling pathway, Yes-associated proteins (YAP), and closely related transcriptional coactivator with PDZ-binding motif (TAZ). However, the role of these mechanosensitive transcriptional regulators and their contribution to smooth muscle homeostasis and disease are not well understood.
This work demonstrated the lethal impact of inducible deletion of YAP/TAZ in adult smooth muscle and showed that YAP and TAZ are critical for short- and long-term mechanotransduction. Arteries that lack YAP/TAZ have impaired agonist- and pressure-induced contraction which resulted in multiple vascular lesions under hypertensive setting. These findings suggest a protective role of YAP/TAZ against arterial damage caused by hypertension which is well-known risk factor for cardiovascular diseases. In addition to hypertension, atherosclerosis is also considered a risk factor for cardiovascular diseases. We investigated the role of MRTFA in foam cell formation which is a hallmark of atherosclerosis. We found that MRTFA stimulates lipid accumulation in human vascular cells by multiple mechanisms including, increased pinocytosis, decreased lipid efflux, and upregulation of LDL receptor. These changes collectively participate in converting smooth muscle cells into foam cells. We also
examined the relationship between MRTFA and unfolded protein response. We noticed tight negative correlation between smooth muscle markers and unfolded protein response in three well-recognized examples of phenotypic modulation in vivo. We also induced the unfolded protein response chemically in vitro and we observed that MRTFA could ameliorate the induction of unfolded protein response.
In summary, these results demonstrated essential roles of YAP/TAZ and MRTFA for smooth muscle structure and function, providing new insights into their physiological functions, as well as their role in disease development and
progression, in particular the vascular diseases. However, further studies are needed to propose new potential therapeutic targets against diseases with underlying smooth muscle modulation. (Less)
Please use this url to cite or link to this publication:
author
supervisor
opponent
  • Dr. Jørgensen, Helle, Division of Cardiovascular Medicine, University of Cambridge
organization
publishing date
type
Thesis
publication status
published
subject
keywords
smooth muscle cell, phenotypic modulation, Yap/Taz, MRTFA, hypertension, atherosclerosis
in
Lund University, Faculty of Medicine Doctoral Dissertation Series
issue
2022:91
pages
79 pages
publisher
Lund University, Faculty of Medicine
defense location
Segerfalksalen, BMC A10, Sölvegatan 17 i Lund. Join by Zoom: https://lu-se.zoom.us/j/68179429376
defense date
2022-06-15 09:00:00
ISSN
1652-8220
ISBN
978-91-8021-252-6
language
English
LU publication?
yes
id
d6c57e1d-5e7b-4333-a2f0-9e4df12a3dc4
date added to LUP
2022-05-25 13:23:15
date last changed
2022-06-29 14:38:33
@phdthesis{d6c57e1d-5e7b-4333-a2f0-9e4df12a3dc4,
  abstract     = {{Smooth muscle participates in forming the wall of hollow organs, tracts, and blood vessels. Therefore, it plays a critical role in mediating vital functions in the body including regulation of blood pressure. In response to changes in the surrounding microenvironment, smooth muscle cells can modulate their phenotype and dedifferentiate from being quiescent contractile to a more proliferative and migratory phenotype. The mechanical force represents a<br/>principle part of the microenvironment cues. Smooth muscle senses the mechanical force and converts it into a biochemical signal that affects gene expression eventually. Until now, there are two known families of mechanosensitive transcriptional regulators; myocardin-related transcription factors (MRTFs); and the downstream effectors of the Hippo signaling pathway, Yes-associated proteins (YAP), and closely related transcriptional coactivator with PDZ-binding motif (TAZ). However, the role of these mechanosensitive transcriptional regulators and their contribution to smooth muscle homeostasis and disease are not well understood.<br/>This work demonstrated the lethal impact of inducible deletion of YAP/TAZ in adult smooth muscle and showed that YAP and TAZ are critical for short- and long-term mechanotransduction. Arteries that lack YAP/TAZ have impaired agonist- and pressure-induced contraction which resulted in multiple vascular lesions under hypertensive setting. These findings suggest a protective role of YAP/TAZ against arterial damage caused by hypertension which is well-known risk factor for cardiovascular diseases. In addition to hypertension, atherosclerosis is also considered a risk factor for cardiovascular diseases. We investigated the role of MRTFA in foam cell formation which is a hallmark of atherosclerosis. We found that MRTFA stimulates lipid accumulation in human vascular cells by multiple mechanisms including, increased pinocytosis, decreased lipid efflux, and upregulation of LDL receptor. These changes collectively participate in converting smooth muscle cells into foam cells. We also<br/>examined the relationship between MRTFA and unfolded protein response. We noticed tight negative correlation between smooth muscle markers and unfolded protein response in three well-recognized examples of phenotypic modulation in vivo. We also induced the unfolded protein response chemically in vitro and we observed that MRTFA could ameliorate the induction of unfolded protein response.<br/>In summary, these results demonstrated essential roles of YAP/TAZ and MRTFA for smooth muscle structure and function, providing new insights into their physiological functions, as well as their role in disease development and<br/>progression, in particular the vascular diseases. However, further studies are needed to propose new potential therapeutic targets against diseases with underlying smooth muscle modulation.}},
  author       = {{Daoud, Fatima}},
  isbn         = {{978-91-8021-252-6}},
  issn         = {{1652-8220}},
  keywords     = {{smooth muscle cell; phenotypic modulation; Yap/Taz; MRTFA; hypertension; atherosclerosis}},
  language     = {{eng}},
  number       = {{2022:91}},
  publisher    = {{Lund University, Faculty of Medicine}},
  school       = {{Lund University}},
  series       = {{Lund University, Faculty of Medicine Doctoral Dissertation Series}},
  title        = {{Mechanosensitive transcriptional regulation of gene expression in smooth muscle. Implications for health and disease}},
  url          = {{https://lup.lub.lu.se/search/files/119038329/e_spik_ex_Fatima.pdf}},
  year         = {{2022}},
}