Key result
Age-related aortic distensibility changes link to altered VSMC and fibroblast proportions alongside SRR and CDH13 variants.
Why the study?
Although genome-wide association studies have identified genetic variations linked to aortic distensibility, the mechanisms underlying distensibility changes remain unclear.
How do cell-type specific gene expression and genetic variations impact age-related changes in aortic distensibility?
How do cell-type specific gene expression and genetic variations impact age-related changes in aortic distensibility?
Age-related changes in aortic distensibility are associated with specific genetic loci and altered gene expression in vascular smooth muscle cells, fibroblasts, and pericytes.
Should not yet change practice in vascular risk assessment; hypothesis-generating for cell-specific genetic targets in aortic aging.
Aortic distensibility refers to the ability of arteries to expand in response to pulse pressure generated by the cardiac cycle, and this often decreases with age. GWA studies have identified genetic variations associated with distensibility; however, the mechanisms behind the changes in distensibility remain unclear. In this study, we examined aortic distensibility through the lens of genomics, considering both cellular composition, inferred from bulk gene-expression data, as well as gene-expression within constituent cell types. This uncovered the factors contributing to the observed changes in distensibility associated with age and genotype. We found age-related decreases in the proportions of Pericytes and Fibroblast-I cells, while the proportion of VSMC-II increased. Notably, most of the age-related gene expression changes were identified in VSMC-I, VSMC-II and Fibroblast-I cells. Furthermore, we observed that the cell type-specific expression of most genes associated with distensibility correlated with age, specifically VSMC-I, VSMC-II, Fibroblast-I, and Pericyte cells. We also tested in the UK-Biobank for genetic associations with the rate of change of distensibility with age and found two independent loci, both of which showed a marginally significant association with the rate of change of distensibility with age. Interestingly, in our analysis of cell type-specific gene expression, we found specific GWAS SNPs involved in the altered expression of the SRR gene in VSMC-I, VSMC-II, and Fibroblast-I cells, as well as the CDH13 gene in VSMC-II cells. This suggests age-related changes, and the altered expression of genes within these essential cell types may impact genetic variations in this important physiological phenotype.
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Chopra et al. (2026) studied this question. Age-related aortic distensibility changes are linked to altered proportions of vascular smooth muscle cells and fibroblasts, alongside specific genetic variations affecting SRR and CDH13 expression.
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