{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T16:01:38Z","timestamp":1791388898981,"version":"4.3.3"},"reference-count":277,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T00:00:00Z","timestamp":1751414400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Chinese Academy of Medical Sciences (CAMS), the Innovation Fund for Medical Sciences","award":["2021-I2M-1-072"],"award-info":[{"award-number":["2021-I2M-1-072"]}]},{"name":"Chinese Academy of Medical Sciences (CAMS), the Innovation Fund for Medical Sciences","award":["2021-I2M-1-035"],"award-info":[{"award-number":["2021-I2M-1-035"]}]},{"name":"Chinese Academy of Medical Sciences (CAMS), the Innovation Fund for Medical Sciences","award":["231111313400"],"award-info":[{"award-number":["231111313400"]}]},{"name":"Chinese Academy of Medical Sciences (CAMS), the Innovation Fund for Medical Sciences","award":["3332024175"],"award-info":[{"award-number":["3332024175"]}]},{"name":"Key R&amp;D Special Project in Henan Province","award":["2021-I2M-1-072"],"award-info":[{"award-number":["2021-I2M-1-072"]}]},{"name":"Key R&amp;D Special Project in Henan Province","award":["2021-I2M-1-035"],"award-info":[{"award-number":["2021-I2M-1-035"]}]},{"name":"Key R&amp;D Special Project in Henan Province","award":["231111313400"],"award-info":[{"award-number":["231111313400"]}]},{"name":"Key R&amp;D Special Project in Henan Province","award":["3332024175"],"award-info":[{"award-number":["3332024175"]}]},{"name":"Fundamental Research Funds for the Central Universities of Peking Union Medical University","award":["2021-I2M-1-072"],"award-info":[{"award-number":["2021-I2M-1-072"]}]},{"name":"Fundamental Research Funds for the Central Universities of Peking Union Medical University","award":["2021-I2M-1-035"],"award-info":[{"award-number":["2021-I2M-1-035"]}]},{"name":"Fundamental Research Funds for the Central Universities of Peking Union Medical University","award":["231111313400"],"award-info":[{"award-number":["231111313400"]}]},{"name":"Fundamental Research Funds for the Central Universities of Peking Union Medical University","award":["3332024175"],"award-info":[{"award-number":["3332024175"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cells"],"abstract":"<jats:p>Abdominal aortic aneurysm (AAA) is the most common aortic disease occurring below the renal arteries, caused by multiple etiologies. Currently, no effective drug treatment exists, and the specific pathogenesis remains unclear. Due to its insidious onset and diagnostic challenges, AAA often culminates in aortic rupture, which has a high mortality rate. During AAA development, vascular smooth muscle cells (VSMCs) undergo significant pathological alterations, including contractile dysfunction, phenotypic modulation, cellular degradation, and heightened inflammatory and oxidative stress responses. In particular, emerging evidence implicates vascular smooth muscle cell (VSMC) metabolic dysregulation and mitochondrial dysfunction as key contributors to AAA progression. In this review, we systematically summarize the current understanding of VSMC biology, including their developmental origins, structural characteristics, and functional roles in aortic wall homeostasis, along with the regulatory networks governing the VSMC phenotype and functional maintenance. This review highlights the urgent need for further investigation into the aortic wall VSMC pathophysiology to identify novel therapeutic targets for AAA. These insights may pave the way for innovative treatment strategies in aortic disease management.<\/jats:p>","DOI":"10.3390\/cells14131009","type":"journal-article","created":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T04:11:04Z","timestamp":1751429464000},"page":"1009","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["The Pathophysiological Role of Vascular Smooth Muscle Cells in Abdominal Aortic Aneurysm"],"prefix":"10.3390","volume":"14","author":[{"given":"Dou","family":"Shi","sequence":"first","affiliation":[{"name":"Graduate School, Hebei North University, Zhangjiakou 075031, China"},{"name":"Institute of Laboratory Animal Science, Chinese Academy of Medical Sciences (CAMS) & Comparative Medicine Centre, Peking Union Medical Collage (PUMC), Beijing 100021, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mo","family":"Zhang","sequence":"additional","affiliation":[{"name":"Graduate School, Hebei North University, Zhangjiakou 075031, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuhan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Institute of Laboratory Animal Science, Chinese Academy of Medical Sciences (CAMS) & Comparative Medicine Centre, Peking Union Medical Collage (PUMC), Beijing 100021, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Shi","sequence":"additional","affiliation":[{"name":"Institute of Laboratory Animal Science, Chinese Academy of Medical Sciences (CAMS) & Comparative Medicine Centre, Peking Union Medical Collage (PUMC), Beijing 100021, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xing","family":"Liu","sequence":"additional","affiliation":[{"name":"Institute of Laboratory Animal Science, Chinese Academy of Medical Sciences (CAMS) & Comparative Medicine Centre, Peking Union Medical Collage (PUMC), Beijing 100021, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xianxian","family":"Wu","sequence":"additional","affiliation":[{"name":"Institute of Laboratory Animal Science, Chinese Academy of Medical Sciences (CAMS) & Comparative Medicine Centre, Peking Union Medical Collage (PUMC), Beijing 100021, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhiwei","family":"Yang","sequence":"additional","affiliation":[{"name":"Institute of Laboratory Animal Science, Chinese Academy of Medical Sciences (CAMS) & Comparative Medicine Centre, Peking Union Medical Collage (PUMC), Beijing 100021, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,7,2]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e83","DOI":"10.1161\/ATVBAHA.119.312000","article-title":"Updates of recent aortic aneurysm research","volume":"39","author":"Davis","year":"2019","journal-title":"Arterioscler. 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