Key result
Ageing did not significantly affect carotid artery ligation-induced neointimal formation, percentage lumen occlusion, or cellular proliferation in mice.
Why the study?
Does age affect Wnt4-mediated VSMC proliferation and carotid artery ligation-induced intimal thickening in a murine model?
Does age affect Wnt4-mediated VSMC proliferation and carotid artery ligation-induced intimal thickening in a murine model?
Answers are grounded in this paper and cite their sources.
Age does not affect carotid artery ligation-induced neointimal formation in vivo, suggesting that therapeutic Wnt4 inhibition to prevent restenosis may be applicable to patients of all ages.
Following interventions to treat atherosclerosis, such as coronary artery bypass graft surgery, restenosis occurs in approximately 40% of patients. Identification of proteins regulating intimal thickening could represent targets to prevent restenosis. Our group previously demonstrated that in a murine model of vascular occlusion, Wnt4 protein expression and β-catenin signalling was upregulated which promoted vascular smooth muscle cell (VSMC) proliferation and intimal thickening. In this study, the effect of age on VSMC proliferation, intimal hyperplasia and Wnt4 expression was investigated. In vitro proliferation of VSMCs isolated from young (2 month) or old (18–20 month) C57BL6/J mice was assessed by immunocytochemistry for EdU incorporation. As previously reported, 400 ng/mL recombinant Wnt4 protein increased proliferation of VSMCs from young mice. However, this response was absent in VSMCs from old mice. As our group previously reported reduced intimal hyperplasia in Wnt4 +/− mice compared to wildtype controls, we hypothesised that impaired Wnt4 signalling with age may result in reduced neointimal formation. To investigate this, carotid artery ligation was performed in young and old mice and neointimal area was assessed 21 days later. Surprisingly, neointimal area and percentage lumen occlusion were not significantly affected by age. Furthermore, neointimal cell density and proliferation were also unchanged. These data suggest that although Wnt4-mediated proliferation was impaired with age in primary VSMCs, carotid artery ligation induced neointimal formation and proliferation were unchanged in old mice. These results imply that Wnt4-mediated proliferation is unaffected by age in vivo , suggesting that therapeutic Wnt4 inhibition could inhibit restenosis in patients of all ages.
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Brown et al. (2017) studied Restenosis (n=24). Ageing (Old age) vs. Young age (2 months) was evaluated on Neointimal area and percentage lumen occlusion 21 days after carotid artery ligation (p=NS). Ageing did not significantly affect carotid artery ligation-induced neointimal formation, percentage lumen occlusion, or cellular proliferation in mice.
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