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Neural crest development. Neural crest forms at the junction between neural plate and non-neural ectoderm. Inductive signals include wnt, BMP, and FGF signaling. The neural plate border regions are specified by a range of transcription factors that include Msx1, Msx2, Pax3, and Pax7. Subsequently, a group of neural crest specifiers including c-Myc, Snai1, Sox9, and FoxD3 are expressed in migrating neural crest cells, which can self-renew or differentiate to a range of cell types 

Neural crest development. Neural crest forms at the junction between neural plate and non-neural ectoderm. Inductive signals include wnt, BMP, and FGF signaling. The neural plate border regions are specified by a range of transcription factors that include Msx1, Msx2, Pax3, and Pax7. Subsequently, a group of neural crest specifiers including c-Myc, Snai1, Sox9, and FoxD3 are expressed in migrating neural crest cells, which can self-renew or differentiate to a range of cell types 

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Vascular smooth muscle cells (SMCs) arise from multiple origins during development, raising the possibility that differences in embryological origins between SMCs could contribute to site-specific localization of vascular diseases. In this review, we first examine the developmental pathways and embryological origins of vascular SMCs and then discus...

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... development [33] and at approximately the 4th week of human development [34]. The induction of neural crest precursors occurs at the edge of the neural plate and is regulated by multiple signaling pathways including bone morphogenetic protein (BMP), wingless-type MMTv integration family (wnt), fibroblast growth factor (FGF), and notch [35,36] (Fig. 2). Numerous studies have shown that diminished BMP signaling pro- motes neural induction during vertebrate development [37]. to SMCs in the ascending aorta and arch while the descending aorta is derived from the somites. The aortic root base originates from the sec- ondary heart field, a lateral plate mesoderm derivative, while coronary ...

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... Additionally, the utilization of iPSCs in manufacturing functional and contractile vascular smooth muscle cells has already demonstrated significant value. They not only contain disease-causing mutations but also, in many cases, possess the permissive genetic background required for full disease expression (Ge et al., 2012;Sinha et al., 2014), making iPSCs highly suitable for vascular disease model reconstruction. ...
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... Progressive aortic wall degeneration, aneurysm, and aortic dissection predominantly in the ascending aorta (Stanford Type A) have been widely attributed to locally elevated hemodynamics, with MFS deemed as a matrix disease 1,2 . However, it is also known that ascending aortic smooth muscle cells (ASMCs) come from a distinct embryologic developmental origin [3][4][5][6] . While ascending-ASMCs are ectodermal derived, descending and other ASMCs are mesodermal derived, with each SMC sub-type occupying a distinct region within the aorta [3][4][5][7][8][9] . ...
... However, it is also known that ascending aortic smooth muscle cells (ASMCs) come from a distinct embryologic developmental origin [3][4][5][6] . While ascending-ASMCs are ectodermal derived, descending and other ASMCs are mesodermal derived, with each SMC sub-type occupying a distinct region within the aorta [3][4][5][7][8][9] . While investigation of the origin-specific differences in ASMCs can improve our understanding of their role in MFS, dissecting their involvement has been challenging with animal models in vivo. ...
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... SM is derived from both mesoderm and neural crest cells, and it can have a local common progenitor origin in adult tissue (for example, vascular progenitors) [10]. SM tissue is located throughout the body and is crucial, from a functional standpoint, in a variety of tissues [11]. ...
... At a cellular level, SM is described as a nonstriated muscle, with neural innervations from the autonomic nervous system, and it differs from SkM in many ways, possibly the most functionally significant being its ability to be contracted and controlled involuntarily [11]. SMCs are usually characterized by identification of multiple markers namely smooth muscle actin (α-SMA), smoothelin, calponin, smooth muscle 22 (SM22α), and smooth muscle myosin heavy chain (MYH11) [10,13]. These proteins can also be transiently detected in other cell types, such as α-SMA in activated fibroblasts or myofibroblasts [10]. ...
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... [68][69][70][71] Furthermore, these differences may underlie vascular disease states, including aortic aneurysms and vascular calcification. [72][73][74] Our studies are valuable because they confirm the indelible role of SMAD4 in cardiac NC cell survival using a different set of reagents. In addition, we discovered that cells of non-NC origin differentiate into smooth muscle cells to compensate for the reduced numbers of NC-derived cells in the arches. ...
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Background During embryogenesis, cardiac neural crest‐derived cells (NCs) migrate into the pharyngeal arches and give rise to the vascular smooth muscle cells (vSMCs) of the pharyngeal arch arteries (PAAs). vSMCs are critical for the remodeling of the PAAs into their final adult configuration, giving rise to the aortic arch and its arteries (AAAs). Results We investigated the role of SMAD4 in NC‐to‐vSMC differentiation using lineage‐specific inducible mouse strains. We found that the expression of SMAD4 in the NC is indelible for regulating the survival of cardiac NCs. Although the ablation of SMAD4 at E9.5 in the NC lineage led to a near‐complete absence of NCs in the pharyngeal arches, PAAs became invested with vSMCs derived from a compensatory source. Analysis of AAA development at E16.5 showed that the alternative vSMC source compensated for the lack of NC‐derived vSMCs and rescued AAA morphogenesis. Conclusions Our studies uncovered the requisite role of SMAD4 in the contribution of the NC to the pharyngeal arch mesenchyme. We found that in the absence of SMAD4⁺ NCs, vSMCs around the PAAs arose from a different progenitor source, rescuing AAA morphogenesis. These findings shed light on the remarkable plasticity of developmental mechanisms governing AAA development.
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... 30 Previous studies reported that VSMC-specific loss of SMAD4 or TEAD1 could lead to embryonic lethality at E11.5 or E12.5 by harnessing the proliferation of VSMCs. 27,31,32 Consistent with these phenotypes caused by VSMC defects, our data also showed that VSMC-specific Ddx24 depletion affected embryonic development as early as E11.5 and resulted in complete lethality at E13.5. The effect of VSMCs in embryonic development is largely due to their impact on vascular development. ...
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Background: The DEAD-box family is essential for tumorigenesis and embryogenesis. Previously, we linked the malfunction of DDX (DEAD-box RNA helicase)-24 to a special type of vascular malformation. Here, we aim to investigate the function of DDX24 in vascular smooth muscle cells (VSMCs) and embryonic vascular development. Methods: CMC/VSMC-specific Ddx24 knockout mice were generated by crossing Tagln-Cre mice with Ddx24flox/flox transgenic mice. The development of blood vessels was explored by stereomicroscope photography and immunofluorescence staining. Flow cytometry and cell proliferation assays were used to verify the regulation of DDX24 on the function of VSMCs. RNA sequencing and RNA immunoprecipitation quantitative real-time polymerase chain reaction were combined to investigate DDX24 downstream regulatory molecules. RNA pull-down and RNA stability experiments were performed to explore the regulation mechanism of DDX24. Results: CMC/VSMC-specific Ddx24 knockout mice died before embryonic day 13.5 with defects in vessel formation and abnormal vascular remodeling in extraembryonic tissues. Ddx24 knockdown suppressed VSMC proliferation via cell cycle arrest, likely due to increased DNA damage. DDX24 protein bound to and stabilized the mRNA of FANCA (FA complementation group A) that responded to DNA damage. Consistent with the function of DDX24, depletion of FANCA also impacted cell cycle and DNA repair of VSMCs. Overexpression of FANCA was able to rescue the alterations caused by DDX24 deficiency. Conclusions: Our study unveiled a critical role of DDX24 in VSMC-mediated vascular development, highlighting a potential therapeutic target for VSMC-related pathological conditions.
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... The rapid hemodynamic force change and higher blood flow shear stress in the proximal thoracic aortic region may hinder the aortic regression caused by aortic wall healing. The differences in embryological origins between SMCs or aortic segments could contribute to site-specific aortic aneurysm pathogenesis (27,28). The specific detailed differences between murine PTAA lesions and descending TAA lesions at the molecular level need to be revealed through genome wide RNA sequencing in the future. ...
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Objective This study was performed to develop a murine model of elastase-induced proximal thoracic aortic aneurysms (PTAAs).Methods The ascending thoracic aorta and aortic arch of adult C57BL/6J male mice were exposed through a midline incision in the anterior neck, followed by peri-adventitial elastase or saline application. The maximal ascending thoracic aorta diameter was measured with high-resolution micro-ultrasound. Twenty-eight days after the operation, the aortas were harvested and analyzed by histopathological examination and qualitative polymerase chain reaction to determine the basic characteristics of the aneurysmal lesions.ResultsFourteen days after the operation, the dilation rate (mean ± standard error) in the 10-min elastase application group (n = 10, 71.44 ± 10.45%) or 5-min application group (n = 9, 42.67 ± 3.72%) were significantly higher than that in the saline application group (n = 9, 7.37 ± 0.94%, P < 0.001 for both). Histopathological examination revealed aortic wall thickening, degradation of elastin fibers, loss of smooth muscle cells, more vasa vasorum, enhanced extracellular matrix degradation, augmented collagen synthesis, upregulated apoptosis and proliferation capacity of smooth muscle cells, and increased macrophages and CD4+ T cells infiltration in the PTAA lesions. Qualitative analyses indicated higher expression of the proinflammatory markers, matrix metalloproteinase-2 and -9 as well as Collagen III, Collagen I in the PTAAs than in the controls.Conclusion We established a novel in vivo mouse model of PTAAs through a midline incision in the anterior neck by peri-adventitial application of elastase. This model may facilitate research into the pathogenesis of PTAA formation and the treatment strategy for this devastating disease.
... The SMC of the aortic root derives from the secondary heart field of lateral plate mesoderm, while the brachiocephalic artery SMC comes from neural crest [34]. There is evidence that differences in SMC origin influence the function of the mature vessel and the constituent SMC [35,36]. ...
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Introduction: We previously identified Notch2 in smooth muscle cells (SMC) in human atherosclerosis and found that signaling via Notch2 suppressed human SMC proliferation. Thus, we tested whether loss of Notch2 in SMC would alter atherosclerotic plaque progression using a mouse model. Methods: Atherogenesis was examined at the brachiocephalic artery and aortic root in a vascular SMC null (inducible smooth muscle myosin heavy chain Cre) Notch2 strain on the ApoE-/- background. We measured plaque morphology and size, as well as lipid, inflammation, and smooth muscle actin content after Western diet. Results: We generated an inducible SMC Notch2 null on the ApoE-/- background. We observed ∼90% recombination efficiency with no detectable Notch2 in the SMC. Loss of SMC Notch2 did not significantly change plaque size, lipid content, necrotic core, or medial area. However, loss of SMC Notch2 reduced the contractile SMC in brachiocephalic artery lesions and increased inflammatory content in aortic root lesions after 6 weeks of Western diet. These changes were not present with loss of SMC Notch2 after 14 weeks of Western diet. Conclusions: Our data show that loss of SMC Notch2 does not significantly reduce atherosclerotic lesion formation, although in early stages of plaque formation there are changes in SMC and inflammation.
... In current mice embryological studies, it could be shown that vascular cells within the outer layer of the tunica media of the ascending aorta derive from the 2nd heart field (pharyngeal mesoderm), whereas the inner cell layers form from the neural crest ectomesenchyme. These transition zones ( Figure 2) are referred to as ontogenetic borders and suspected to be predilection sites for vascular pathologies, such as Stanford type A or B aortic dissection and CeAD [27,28]. Multiple dissections might occur predominantly in arterial locations based on embryologic aspects or similarities in vessel wall composition. ...
... the ascending aorta derive from the 2nd heart field (pharyngeal mesoderm), whereas the inner cell layers form from the neural crest ectomesenchyme. These transition zones (Figure 2) are referred to as ontogenetic borders and suspected to be predilection sites for vascular pathologies, such as Stanford type A or B aortic dissection and CeAD [27,28]. Multiple dissections might occur predominantly in arterial locations based on embryologic aspects or similarities in vessel wall composition. ...
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Background: Although patients with multiple arterial dissections in distinct arterial regions rarely present with known connective tissue syndromes, we hypothesized that mild connective tissue abnormalities are common findings in these patients. Methods: From a consecutive register of 322 patients with cervical artery dissection (CeAD), we identified and analyzed 4 patients with a history of additional dissections in other vascular beds. In three patients, dermal connective tissue was examined by electron microscopy. DNA from all four patients was studied by whole-exome sequencing and copy number variation (CNV) analysis. Results: The collagen fibers of dermal biopsies were pathologic in all three analyzed patients. One patient carried a CNV disrupting the COL3A1 and COL5A2 genes (vascular or hypermobility type of Ehlers-Danlos syndrome), and another patient a CNV in MYH11 (familial thoracic aortic aneurysms and dissections). The third patient carried a missense substitution in COL5A2. Conclusion: Three patients showed morphologic alterations of the dermal connective tissue, and two patients carried pathogenic variants in genes associated with arterial connective tissue dysfunction. The findings suggest that genetic testing should be recommended after recurrent arterial dissections, independently of apparent phenotypical signs of connective tissue disorders.