{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:27:15Z","timestamp":1791296835846,"version":"4.1.0"},"reference-count":51,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2017,1,11]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              Marfan syndrome (\n              <jats:styled-content style=\"fixed-case\">MFS<\/jats:styled-content>\n              ) is caused by mutations in the gene encoding fibrillin\u20101 (\n              <jats:italic>\n                <jats:styled-content style=\"fixed-case\">FBN<\/jats:styled-content>\n                1\n              <\/jats:italic>\n              ); however, the mechanisms through which fibrillin\u20101 deficiency causes\n              <jats:styled-content style=\"fixed-case\">MFS<\/jats:styled-content>\n              \u2010associated aortopathy are uncertain. Recently, attention was focused on the hypothesis that\n              <jats:styled-content style=\"fixed-case\">MFS<\/jats:styled-content>\n              \u2010associated aortopathy is caused by increased transforming growth factor\u2010\u03b2 (\n              <jats:styled-content style=\"fixed-case\">TGF<\/jats:styled-content>\n              \u2010\u03b2) signaling in aortic medial smooth muscle cells (\n              <jats:styled-content style=\"fixed-case\">SMC<\/jats:styled-content>\n              ). However, there are many reasons to doubt that\n              <jats:styled-content style=\"fixed-case\">TGF<\/jats:styled-content>\n              \u2010\u03b2 signaling drives\n              <jats:styled-content style=\"fixed-case\">MFS<\/jats:styled-content>\n              \u2010associated aortopathy. We used a mouse model to test whether\n              <jats:styled-content style=\"fixed-case\">SMC TGF<\/jats:styled-content>\n              \u2010\u03b2 signaling is perturbed by a fibrillin\u20101 variant that causes\n              <jats:styled-content style=\"fixed-case\">MFS<\/jats:styled-content>\n              and whether blockade of\n              <jats:styled-content style=\"fixed-case\">SMC TGF<\/jats:styled-content>\n              \u2010\u03b2 signaling prevents\n              <jats:styled-content style=\"fixed-case\">MFS<\/jats:styled-content>\n              \u2010associated aortopathy.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              <jats:styled-content style=\"fixed-case\">MFS<\/jats:styled-content>\n              mice (\n              <jats:italic>Fbn1<\/jats:italic>\n              <jats:sup>C1039G\/+<\/jats:sup>\n              genotype) were genetically modified to allow postnatal\n              <jats:styled-content style=\"fixed-case\">SMC<\/jats:styled-content>\n              \u2010specific deletion of the type\n              <jats:styled-content style=\"fixed-case\">II TGF<\/jats:styled-content>\n              \u2010\u03b2 receptor (\n              <jats:styled-content style=\"fixed-case\">TBRII<\/jats:styled-content>\n              ; essential for physiologic\n              <jats:styled-content style=\"fixed-case\">TGF<\/jats:styled-content>\n              \u2010\u03b2 signaling). In young\n              <jats:styled-content style=\"fixed-case\">MFS<\/jats:styled-content>\n              mice with and without superimposed deletion of\n              <jats:styled-content style=\"fixed-case\">SMC<\/jats:styled-content>\n              \u2010\n              <jats:styled-content style=\"fixed-case\">TBRII<\/jats:styled-content>\n              , we measured aortic dimensions, histopathology, activation of aortic\n              <jats:styled-content style=\"fixed-case\">SMC TGF<\/jats:styled-content>\n              \u2010\u03b2 signaling pathways, and changes in aortic\n              <jats:styled-content style=\"fixed-case\">SMC<\/jats:styled-content>\n              gene expression. Young\n              <jats:italic>Fbn1<\/jats:italic>\n              <jats:sup>C1039G\/+<\/jats:sup>\n              mice had ascending aortic dilation and significant disruption of aortic medial architecture. Both aortic dilation and disrupted medial architecture were exacerbated by superimposed deletion of\n              <jats:styled-content style=\"fixed-case\">TBRII<\/jats:styled-content>\n              .\n              <jats:styled-content style=\"fixed-case\">TGF<\/jats:styled-content>\n              \u2010\u03b2 signaling was unaltered in aortic\n              <jats:styled-content style=\"fixed-case\">SMC<\/jats:styled-content>\n              of young\n              <jats:styled-content style=\"fixed-case\">MFS<\/jats:styled-content>\n              mice; however,\n              <jats:styled-content style=\"fixed-case\">SMC<\/jats:styled-content>\n              \u2010specific deletion of\n              <jats:styled-content style=\"fixed-case\">TBRII<\/jats:styled-content>\n              in\n              <jats:italic>Fbn1<\/jats:italic>\n              <jats:sup>C1039G\/+<\/jats:sup>\n              mice significantly decreased activation of\n              <jats:styled-content style=\"fixed-case\">SMC TGF<\/jats:styled-content>\n              \u2010\u03b2 signaling pathways.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              In young\n              <jats:italic>Fbn1<\/jats:italic>\n              <jats:sup>C1039G\/+<\/jats:sup>\n              mice, aortopathy develops in the absence of detectable alterations in\n              <jats:styled-content style=\"fixed-case\">SMC TGF<\/jats:styled-content>\n              \u2010\u03b2 signaling. Loss of physiologic\n              <jats:styled-content style=\"fixed-case\">SMC TGF<\/jats:styled-content>\n              \u2010\u03b2 signaling exacerbates\n              <jats:styled-content style=\"fixed-case\">MFS<\/jats:styled-content>\n              \u2010associated aortopathy. Our data support a protective role for\n              <jats:styled-content style=\"fixed-case\">SMC TGF<\/jats:styled-content>\n              \u2010\u03b2 signaling during early development of\n              <jats:styled-content style=\"fixed-case\">MFS<\/jats:styled-content>\n              \u2010associated aortopathy.\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.116.004968","type":"journal-article","created":{"date-parts":[[2017,1,25]],"date-time":"2017-01-25T02:00:18Z","timestamp":1485309618000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":108,"title":["Aortopathy in a Mouse Model of Marfan Syndrome Is Not Mediated by Altered Transforming Growth Factor \u03b2 Signaling"],"prefix":"10.1161","volume":"6","author":[{"given":"Hao","family":"Wei","sequence":"first","affiliation":[{"name":"Department of Medicine, University of Washington, Seattle, WA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie Hong","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Washington, Seattle, WA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stoyan N.","family":"Angelov","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Washington, Seattle, WA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Fox","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Washington, Seattle, WA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Washington, Seattle, WA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Enstrom","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Washington, Seattle, WA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Washington, Seattle, WA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A.","family":"Dichek","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Washington, Seattle, WA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/352337a0"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.med.51.1.481"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1038\/352279a0"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1083\/jcb.103.6.2499"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1172\/JCI115589"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1038\/352334a0"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/1058-9813(96)00161-0"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1038\/ng1097-218"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.96.7.3819"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1172\/JCI200420641"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.RES.88.1.37"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1161\/hq0701.092136"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/bies.950150904"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1038\/ng1116"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1172\/JCI200422715"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1126\/science.1124287"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1038\/ng0303-331"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1038\/nature02006"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000165133.84978.E2"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.1002\/path.2516"},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0153811"},{"key":"e_1_3_5_23_2","doi-asserted-by":"publisher","DOI":"10.1161\/ATVBAHA.114.305150"},{"key":"e_1_3_5_24_2","doi-asserted-by":"publisher","DOI":"10.1126\/science.1192149"},{"key":"e_1_3_5_25_2","doi-asserted-by":"publisher","DOI":"10.1038\/ng.2349"},{"key":"e_1_3_5_26_2","doi-asserted-by":"publisher","DOI":"10.1182\/blood.V100.2.560"},{"key":"e_1_3_5_27_2","doi-asserted-by":"publisher","DOI":"10.1002\/dvg.20448"},{"key":"e_1_3_5_28_2","doi-asserted-by":"publisher","DOI":"10.1161\/ATVBAHA.111.238410"},{"key":"e_1_3_5_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.yjmcc.2006.06.067"},{"key":"e_1_3_5_30_2","doi-asserted-by":"publisher","DOI":"10.1161\/ATVBAHA.115.306573"},{"key":"e_1_3_5_31_2","doi-asserted-by":"publisher","DOI":"10.1074\/jbc.M110.202135"},{"key":"e_1_3_5_32_2","doi-asserted-by":"publisher","DOI":"10.1038\/nprot.2008.73"},{"key":"e_1_3_5_33_2","doi-asserted-by":"publisher","DOI":"10.1038\/ng1511"},{"key":"e_1_3_5_34_2","doi-asserted-by":"publisher","DOI":"10.1083\/jcb.131.2.539"},{"key":"e_1_3_5_35_2","doi-asserted-by":"publisher","DOI":"10.1359\/jbmr.2000.15.1.68"},{"key":"e_1_3_5_36_2","doi-asserted-by":"publisher","DOI":"10.1074\/jbc.M209256200"},{"key":"e_1_3_5_37_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.108.841981"},{"key":"e_1_3_5_38_2","first-page":"980","article-title":"Atenolol versus Losartan in Marfan's syndrome","volume":"372","author":"Lacro RV","year":"2015","unstructured":"Lacro RV, Dietz HC, Mahony L. Atenolol versus Losartan in Marfan's syndrome. N Engl J Med. 2015;372:980\u2013981.","journal-title":"N Engl J Med"},{"key":"e_1_3_5_39_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMe1412950"},{"key":"e_1_3_5_40_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.matbio.2015.05.005"},{"key":"e_1_3_5_41_2","doi-asserted-by":"publisher","DOI":"10.1083\/jcb.200403067"},{"key":"e_1_3_5_42_2","doi-asserted-by":"publisher","DOI":"10.1172\/JCI38136"},{"key":"e_1_3_5_43_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.RES.86.10.1024"},{"key":"e_1_3_5_44_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12471-014-0622-0"},{"key":"e_1_3_5_45_2","doi-asserted-by":"publisher","DOI":"10.1126\/science.1192152"},{"key":"e_1_3_5_46_2","doi-asserted-by":"publisher","DOI":"10.1172\/JCI69942"},{"key":"e_1_3_5_47_2","doi-asserted-by":"publisher","DOI":"10.1093\/cvr\/cvq291"},{"key":"e_1_3_5_48_2","doi-asserted-by":"publisher","DOI":"10.1038\/nature10145"},{"key":"e_1_3_5_49_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2559.2006.02513.x"},{"key":"e_1_3_5_50_2","doi-asserted-by":"publisher","DOI":"10.1083\/jcb.200903097"},{"key":"e_1_3_5_51_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.coph.2013.01.002"},{"key":"e_1_3_5_52_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCRESAHA.114.304936"}],"container-title":["Journal of the American Heart Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/JAHA.116.004968","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T08:24:01Z","timestamp":1738830241000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/JAHA.116.004968"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1,11]]},"references-count":51,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,1,11]]}},"alternative-id":["10.1161\/JAHA.116.004968"],"URL":"https:\/\/doi.org\/10.1161\/jaha.116.004968","relation":{},"ISSN":["2047-9980"],"issn-type":[{"value":"2047-9980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,1,11]]},"assertion":[{"value":"2016-10-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-12-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-01-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e004968"}}