Modeling elastin-associated vasculopathy with patient induced pluripotent stem cells and tissue engineering

Cell Mol Life Sci. 2019 Mar;76(5):893-901. doi: 10.1007/s00018-018-2969-7. Epub 2018 Nov 20.

Abstract

Elastin-associated vasculopathies are life-threatening conditions of blood vessel dysfunction. The extracellular matrix protein elastin endows the recoil and compliance required for physiologic arterial function, while disruption of function can lead to aberrant vascular smooth muscle cell proliferation manifesting through stenosis, aneurysm, or vessel dissection. Although research efforts have been informative, they remain incomplete as no viable therapies exist outside of a heart transplant. Induced pluripotent stem cell technology may be uniquely suited to address current obstacles as these present a replenishable supply of patient-specific material with which to study disease. The following review will cover the cutting edge in vascular smooth muscle cell modeling of elastin-associated vasculopathy, and aid in the development of human disease modeling and drug screening approaches to identify potential treatments. Vascular proliferative disease can affect up to 50% of the population throughout the world, making this a relevant and critical area of research for therapeutic development.

Keywords: Disease modeling; Elastin; Engineering; Induced pluripotent stem cells.

Publication types

  • Review

MeSH terms

  • Biomechanical Phenomena
  • Cell Nucleus / physiology
  • Cell Proliferation
  • Drug Evaluation, Preclinical
  • Elastin / physiology*
  • Humans
  • Induced Pluripotent Stem Cells / physiology*
  • Muscle, Smooth, Vascular / cytology
  • Myocytes, Smooth Muscle / physiology
  • Signal Transduction
  • Tissue Engineering / methods*
  • Vascular Diseases / etiology*

Substances

  • Elastin