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Angiotensin Ⅱ type 1 receptor autoantibody-AT1R-Bmal1 axis promotes phenotypic transition of vascular smooth muscle cells and vascular fibrosis
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Lingxia XUE, Yaolin LONG, Jiayan FENG, Tian MAO, Jiao GUO, Zhuoxi WANG, Yang LI, Xiaohui WANG, Li WANG
Journal of Army Medical University | 2025, 47(11) : 1155 - 1164
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Journal of Army Medical University | 2025, 47(11): 1155-1164
• Basic Medicine •
Angiotensin Ⅱ type 1 receptor autoantibody-AT1R-Bmal1 axis promotes phenotypic transition of vascular smooth muscle cells and vascular fibrosis
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Lingxia XUE, Yaolin LONG, Jiayan FENG, Tian MAO, Jiao GUO, Zhuoxi WANG, Yang LI, Xiaohui WANG, Li WANG
Affiliations
  • 1School of Basic Medical Sciences,Shanxi Medical University,Taiyuan,Shanxi,China
Published: 2025-06-15 doi: 10.16016/j.2097-0927.202412142
Outline
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Objective‍

To investigate the mechanism by which angiotensin Ⅱ type 1 receptor autoantibody (AT1-AA) promotes phenotypic switch of vascular smooth muscle cells (VSMCs) and vascular fibrosis through abnormal expression of circadian clock protein BMAL1.

Methods‍

Twelve male SD rats (6~8 weeks old, weighing 180~220 g) were randomly divided into (n=6) a control group and an AT1-AA-positive group [established by active immunization of SD rats with AT1R extracellular loop Ⅱ peptide (AT1R-ECLⅡ)]. HE and Masson stainings were used to observe structural changes and fibrosis in the thoracic aorta (n=3). Western blotting was performed to detect the expression of Collagen I, phenotypic switch-related proteins (SM22, α-SMA, OPN and MMP2) in vascular tissues and primary VSMCs (n=4), as well as the expression of BMAL1 at CT0, CT4, CT8, CT12, CT16, and CT20. Transwell and scratch assays were used to assess the proliferation and migration of VSMCs (n=3). si-RNA was employed to knock down Bmal1, followed by detection of BMAL1, Collagen I, and phenotypic conversion-related protein expression (n=3). Additionally, AT1-AA-positive AT1R-knockout (AT1R-KO) rats were constructed to measure BMAL1 expression in thoracic aortic tissues (n=4).

Results‍

The AT1-AA-positive rats had significantly thickened thoracic aortic vessel wall [(140±9)% vs (120±5)%, P<0.05], badly arranged VSMCs, obvious blue Masson staining, and up-regulated Collagen I expression (P<0.05). In the thoracic aorta of AT1-AA-positive rats and AT1-AA-treated VSMCs, the expression of contractile phenotype-related proteins (α-SMA, SM22) was decreased (P<0.05), while the expression of synthetic phenotype-related proteins (OPN, MMP2) was increased (P<0.05). AT1-AA enhanced the scratch healing ability and migration ability of VSMCs. Furthermore, both mRNA and protein levels of Bmal1 were significantly up-regulated at CT12 (P<0.05), and the rhythmicity of Bmal1 was lost. Knockdown of Bmal1 partially ameliorated AT1-AA-induced phenotypic switch of VSMCs. Compared with AT1-AA-positive WT rats, AT1-AA-positive AT1R-KO rats showed significantly reduced BMAL1 expression in the thoracic aorta (1.35±0.06 vs 0.86±0.07,P<0.001). At the cellular level, AT1-AA-induced phenotypic switch and high Collagen I expression in VSMCs were partially improved in AT1R-KO VSMCs.

Conclusion‍

AT1-AA promotes VSMCs phenotypic conversion and vascular fibrosis through the AT1R-Bmal1 axis.

angiotensin Ⅱ-1 type 1 receptor autoantibody  /  Bmal1  /  angiotensin Ⅱ-1 type 1 receptor  /  vascular smooth muscle cells  /  phenotypic transition  /  vascular fibrosis
薛灵霞, 龙瑶琳, 冯佳艳, 毛田, 郭娇, 王卓玺, 李杨, 王晓晖, 王丽. 血管紧张素Ⅱ-1型受体自身抗体-AT1R-Bmal1轴促进血管平滑肌细胞表型转换和血管纤维化. 陆军军医大学学报, 2025 , 47 (11) : 1155 -1164 . DOI: 10.16016/j.2097-0927.202412142
Lingxia XUE, Yaolin LONG, Jiayan FENG, Tian MAO, Jiao GUO, Zhuoxi WANG, Yang LI, Xiaohui WANG, Li WANG. Angiotensin Ⅱ type 1 receptor autoantibody-AT1R-Bmal1 axis promotes phenotypic transition of vascular smooth muscle cells and vascular fibrosis[J]. Journal of Army Medical University, 2025 , 47 (11) : 1155 -1164 . DOI: 10.16016/j.2097-0927.202412142
Year 2025 volume 47 Issue 11
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8
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doi: 10.16016/j.2097-0927.202412142
  • Receive Date:2024-12-29
  • Online Date:2026-10-28
  • Published:2025-06-15
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  • Received:2024-12-29
  • Revised:2025-03-23
Affiliations
    1School of Basic Medical Sciences,Shanxi Medical University,Taiyuan,Shanxi,China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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