Background:
Marfan syndrome (MFS) is caused by mutations in the gene for fibrillin-1 (
FBN1
); however, the mechanisms by which these mutations cause aortic aneurysms are poorly understood. Although it was hypothesized previously that dysregulation of the complex TGF-β signaling pathway leads to aortic aneurysm formation,
FBN1
mutations appear to have a paradoxical effect on TGF-β signaling in MFS. In this study, we evaluated cell-specific TGF-β expression in non-immune cells in MFS aortic tissue.
Methods:
We performed single-cell RNA sequencing of ascending aortic aneurysm tissues from MFS patients (n=3) undergoing aneurysm repair and age-matched, non-aneurysmal control tissue from cardiac transplant donors and recipients (n=4). Non-immune cells were separated out from the data and analyzed using the Seurat package in R. Differentially expressed genes were identified using edgeR.
Results:
Conserved gene expression was used to identify populations of smooth muscle cells (SMCs; n=6), fibroblasts (n=3), and endothelial cells (ECs; n=3). We found that
TGFB1
was significantly upregulated in quiescent fibroblasts (identified by increased expression of
DCN
,
LUM
, and complement factors) with log2FC of 1.30 and FDR 8.25x10
-8
, as well as in activated fibroblasts (identified by increased expression of genes involved in blood vessel repair and healing including
ACTA2
,
NOTCH3
,
THBS2
, and
PDGFRB
) with log2FC of 1.25 and FDR 6.15x10
-22
. Despite this increase in
TGFB1
, expression of TGF-β receptor genes (predominately
TGFBR2
) as well as downstream SMAD genes was downregulated significantly in the SMC, fibroblast, and endothelial cell clusters. Finally, genes involved in the non-canonical TGF-β pathway, including
ERK
,
JNK,
and p38, were not differentially expressed in non-immune cells in MFS compared with control tissues.
Conclusion:
Increased expression of
TGFB1
in non-immune cells in MFS was driven by two clusters of fibroblasts. Despite this, our data do not support associated upregulation of other genes in the canonical or non-canonical TGF-β pathways and in fact support downregulation of canonical TGF-β signaling in non-immune cells of aneurysmal tissues from MFS patients with advanced aortic disease.