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Smooth Muscle Cells in Vascular Disease

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Pathology, Diagnostics, and Therapeutics".

Deadline for manuscript submissions: 20 September 2025 | Viewed by 1244

Special Issue Editor

Special Issue Information

Dear Colleagues,

Vascular smooth muscle cells (SMCs) are the major constituents of medium- and large-sized arteries. They are arranged in a helical pattern around the vessel lumen and play a key role in controlling blood pressure and blood distribution, as well as maintaining vascular structural integrity. In addition to their physiological properties, SMCs have also been strongly implicated in the pathogenesis of vascular diseases, particularly atherosclerosis, aortic aneurysm and pulmonary hypertension. Unlike adult skeletal or cardiac muscle, which are terminally differentiated, adult SMCs retain remarkable plasticity and can undergo profound and reversible changes in phenotype in response to stimuli or inputs from the environment. In normal healthy arteries, SMCs adopt a quiescent, contractile phenotype characterized by an elongated spindle-shaped morphology and express a unique repertoire of proteins and signaling molecules required for their contractile function. Upon vascular injury, aging or disease states, contractile SMCs can switch to a less differentiated state, characterized by a reduced expression of contractile proteins, and can acquire alternative phenotypes, transforming into foam cells, inflammatory-like cells, mesenchymal stem cells and osteochondrogenic cells, which can contribute both positively and negatively to disease progression. The molecular regulation of SMC behavior involves transcriptional factors, microRNAs and their target genes, epigenetic modifications and numerous environmental cues including growth factor/cytokines, cell–cell contact, extracellular matrix interactions, mechanical force and noxious stimuli. SMC senescence has been also associated with atherosclerosis development. Similar to other cell types, senescent SMCs display defective proliferative potential, increased levels of senescence markers and enhanced cell death. Moreover, senescent SMCs exhibit a more synthetic phenotype and an abnormal response to the vasoactive and regulating peptides produced in the vascular endothelium.

This Special Issue on “Smooth Muscle Cells in Vascular Disease” welcomes original research articles and reviews in the field, with a focus on (but not limited to) the molecular mechanisms that regulate the phenotypic plasticity of SMCs, their potential for monoclonal or oligoclonal expansion, the aberrant interplay between endothelial cells (ECs) and SMCs and the dysregulated signaling pathways activated within the SMCs that contribute to the onset and progression of vascular diseases. I also encourage submissions that aim to define new perspectives and therapeutic strategies targeting SMC-related pathways to clinically treat vascular remodeling and its complications.

Dr. Ida Daniela Perrotta
Guest Editor

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Keywords

  • smooth muscle cells (SMCs)
  • atherosclerosis
  • hypertension
  • aortic aneurysm
  • vascular ageing
  • extracellular matrix
  • endothelial cells (ECs)
  • SMC senescence
  • interleukin
  • platelet-derived growth factor
  • phenotype switching
  • SMC plasticity
  • SMC-derived cells
  • molecular subtypes
  • intimal thickening
  • plaque stability
  • transcription factors
  • microRNAs
  • clonality

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Published Papers (2 papers)

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Research

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17 pages, 7042 KiB  
Article
Acid Sphingomyelinase Regulates AdipoRon-Induced Differentiation of Arterial Smooth Muscle Cells via TFEB Activation
by Xiang Li, Wei Zhao, Zhengchao Wang, Alexandra K. Moura, Kiana Roudbari, Rui Zuo, Jenny Z. Hu, Yun-Ting Wang, Pin-Lan Li and Yang Zhang
Int. J. Mol. Sci. 2025, 26(5), 2147; https://doi.org/10.3390/ijms26052147 - 27 Feb 2025
Viewed by 535
Abstract
AdipoRon is a selective adiponectin receptor agonist that inhibits vascular remodeling by promoting the differentiation of arterial smooth muscle cells (SMCs). Our recent studies have demonstrated that activation of TFEB and its downstream autophagy–lysosomal signaling contribute to adipoRon-induced differentiation of SMCs. The present [...] Read more.
AdipoRon is a selective adiponectin receptor agonist that inhibits vascular remodeling by promoting the differentiation of arterial smooth muscle cells (SMCs). Our recent studies have demonstrated that activation of TFEB and its downstream autophagy–lysosomal signaling contribute to adipoRon-induced differentiation of SMCs. The present study was designed to examine whether acid sphingomyelinase (ASM; gene symbol Smpd1) is involved in mediating adipoRon-induced activation of TFEB–autophagy signaling and inhibition of proliferation/migration in arterial SMCs. Our results showed that adipoRon induced ASM expression and ceramide production in Smpd1+/+ SMCs, which were abolished in Smpd1−/− SMCs. Compared to Smpd1+/+ SMCs, Smpd1−/− SMCs exhibited less TFEB nuclear translocation and activation of autophagy signaling induced by adipoRon stimulation. SMC differentiation was further characterized by retarded wound healing, reduced proliferation, F-actin reorganization, and MMP downregulation. The results showed that Smpd1−/− SMCs were less responsive to adipoRon-induced differentiation than Smpd1+/+ SMCs. Mechanistically, adipoRon increased the expression of protein phosphatases such as calcineurin and PP2A in Smpd1+/+ SMCs. The calcineurin inhibitor FK506/cyclosporin A or PP2A inhibitor okadaic acid significantly attenuated adipoRon-induced activation of TFEB–autophagy signaling. In addition, adipoRon-induced expressions of calcineurin and PP2A were not observed in Smpd1−/− SMCs. However, activation of calcineurin by lysosomal TRPML1-Ca2+ channel agonist ML-SA1 rescued the activation of TFEB–autophagy signaling and the effects of adipoRon on cell differentiation in Smpd1−/− SMCs. Taken together, these data suggested that ASM regulates adipoRon-induced SMC differentiation through TFEB activation. This study provided novel mechanistic insights into the therapeutic effects of adipoRon on TFEB signaling and pathological vascular remodeling. Full article
(This article belongs to the Special Issue Smooth Muscle Cells in Vascular Disease)
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Review

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16 pages, 1215 KiB  
Review
O-GlcNAcylation and Phosphorylation Crosstalk in Vascular Smooth Muscle Cells: Cellular and Therapeutic Significance in Cardiac and Vascular Pathologies
by Israel O. Bolanle and Timothy M. Palmer
Int. J. Mol. Sci. 2025, 26(7), 3303; https://doi.org/10.3390/ijms26073303 - 2 Apr 2025
Viewed by 199
Abstract
More than 400 different types of post-translational modifications (PTMs), including O-GlcNAcylation and phosphorylation, combine to co-ordinate almost all aspects of protein function. Often, these PTMs overlap and the specific relationship between O-GlcNAcylation and phosphorylation has drawn much attention. In the last [...] Read more.
More than 400 different types of post-translational modifications (PTMs), including O-GlcNAcylation and phosphorylation, combine to co-ordinate almost all aspects of protein function. Often, these PTMs overlap and the specific relationship between O-GlcNAcylation and phosphorylation has drawn much attention. In the last decade, the significance of this dynamic crosstalk has been linked to several chronic pathologies of cardiovascular origin. However, very little is known about the pathophysiological significance of this crosstalk for vascular smooth muscle cell dysfunction in cardiovascular disease. O-GlcNAcylation occurs on serine and threonine residues which are also targets for phosphorylation. A growing body of research has now emerged linking altered vascular integrity and homeostasis with highly regulated crosstalk between these PTMs. Additionally, a significant body of evidence indicates that O-GlcNAcylation is an important contributor to the pathogenesis of neointimal hyperplasia and vascular restenosis responsible for long-term vein graft failure. In this review, we evaluate the significance of this dynamic crosstalk and its role in cardiovascular pathologies, and the prospects of identifying possible targets for more effective therapeutic interventions. Full article
(This article belongs to the Special Issue Smooth Muscle Cells in Vascular Disease)
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