心疾患リスクと関連する隠れた遺伝的手がかりを発見(UW-Madison researchers find hidden genetic clues upping cardiovascular disease risk)

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2025-06-04 ウィスコンシン大学マディソン校(UW-Madison)

心疾患リスクと関連する隠れた遺伝的手がかりを発見(UW-Madison researchers find hidden genetic clues upping cardiovascular disease risk)
UW–Madison researchers studied smooth muscle cells like these, derived from induced pluripotent stem cells, to show that long-mysterious variations in an area of our genome harden blood vessels, puting some people at higher risk for cardiovascular disease. Image courtesy Lo Sardo Lab/UW–Madison

ウィスコンシン大学マディソン校の研究で、心疾患リスクに関与する9番染色体の9p21.3領域の変異が、血管平滑筋細胞の異常な石灰化を促進することが判明しました。iPS細胞を用いた実験で、リスク変異を除去すると正常状態に戻ることが確認され、変異が病的変化を直接引き起こす証拠となりました。今後、精密医療や新たな治療法の開発に貢献する可能性があります。

<関連情報>

9p21.3冠動脈疾患リスク遺伝子座が血管平滑筋細胞を骨軟化状態へ誘導する The 9p21.3 Coronary Artery Disease Risk Locus Drives Vascular Smooth Muscle Cells to an Osteochondrogenic State

Elsa Salido, Carolina de Medeiros Vieira, Jose Verdezoto Mosquera, Rohan Zade, Parth Parikh, Shraddha Suryavanshi, Clint L. Miller, and Valentina Lo Sardo
Arteriosclerosis, Thrombosis, and Vascular Biology  Published: 27 March 2025
DOI:https://doi.org/10.1161/ATVBAHA.124.322045

Abstract

BACKGROUND:

Genome-wide association studies have identified common genetic variants at ≈300 human genomic loci linked to coronary artery disease susceptibility. Among these genomic regions, the most impactful is the 9p21.3 coronary artery disease risk locus, which spans a 60-kb gene desert and encompasses ≈80 SNPs (single nucleotide polymorphism) in high linkage disequilibrium. Despite ≈2 decades since its discovery, the role of the 9p21.3 locus in cells of the vasculature remains incompletely resolved.

METHODS:

We differentiated induced pluripotent stem cells (iPSCs) from risk, nonrisk donors at 9p21.3, and isogenic knockouts into vascular smooth muscle cells (VSMCs). We performed single-cell transcriptomic profiling, including coembedding and comparison with publicly available human arterial data sets. We conducted functional characterization using migration and calcification assays and confirmed our findings on iPSC–VSMCs derived from additional donors. Finally, we used overexpression of ANRIL followed by gene expression analysis.

RESULTS:

We demonstrated that iPSC–VSMCs harboring the 9p21.3 risk haplotype preferentially adopt an osteochondrogenic state and show remarkable similarity to fibrochondrocytes from human artery tissue. The transcriptional profile and functional assessment of migration and calcification capacity across iPSC–VSMC lines from multiple donors concordantly resemble an osteochondrogenic state. Importantly, we identified numerous transcription factors driving different VSMC state trajectories. Additionally, we prioritized LIMCH1 and CRABP1 as signature genes critical for defining the risk transcriptional program. Finally, overexpression of a short isoform of ANRIL in 9p21.3 knockout cells was sufficient to induce the osteochondrogenic transcriptional signature.

CONCLUSIONS:

Our study provides new insights into the mechanism of the 9p21.3 risk locus and defines its previously undescribed role in driving a disease-prone transcriptional and functional state in VSMCs concordant with an osteochondrogenic-like state. Our data suggest that the 9p21.3 risk haplotype likely promotes arterial calcification, through altered expression of ANRIL, in a cell type–specific and cell-autonomous manner, providing insight into potential risk assessment and treatment for carriers.

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