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Angiotensin II-dependent TGF-Beta signaling contributes to Loeys-Dietz syndrome vascular pathogenesis
Angiotensin II-dependent TGF-Beta signaling contributes to Loeys-Dietz syndrome vascular pathogenesis
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Angiotensin II-dependent TGF-Beta signaling contributes to Loeys-Dietz syndrome vascular pathogenesis
Angiotensin II-dependent TGF-Beta signaling contributes to Loeys-Dietz syndrome vascular pathogenesis

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Angiotensin II-dependent TGF-Beta signaling contributes to Loeys-Dietz syndrome vascular pathogenesis
Angiotensin II-dependent TGF-Beta signaling contributes to Loeys-Dietz syndrome vascular pathogenesis
Journal Article

Angiotensin II-dependent TGF-Beta signaling contributes to Loeys-Dietz syndrome vascular pathogenesis

2014
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Overview
Loeys-Dietz syndrome (LDS) is a connective tissue disorder that is characterized by a high risk for aneurysm and dissection throughout the arterial tree and phenotypically resembles Marfan syndrome. LDS is caused by heterozygous missense mutations in either TGF-β receptor gene (TGFBR1 or TGFBR2), which are predicted to result in diminished TGF-bgr; signaling. In this paper, the authors generated 2 knockin mouse strains with LDS mutations in either Tgfbr1 or Tgfbr2 and a transgenic mouse overexpressing mutant Tgfbr2. Knockin and transgenic mice, but not haploinsufficient animals, recapitulated the LDS phenotype. The analysis of TGF-β signaling in the aortic wall in vivo revealed progressive upregulation of Smad2 phosphorylation and TGF-β target gene output, which paralleled worsening of aneurysm pathology and coincided with upregulation of TGF-β1 ligand expression. Importantly, the suppression of Smad2 phosphorylation and TGF-β1 expression correlated with the therapeutic efficacy of the angiotensin II type 1 receptor antagonist losartan.
Publisher
American Society for Clinical Investigation