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Selenoprotein deficiency disorder predisposes to aortic aneurysm formation

  • Erik Schoenmakers
  • , Federica Marelli
  • , Helle F. Jørgensen
  • , W. Edward Visser
  • , Carla Moran
  • , Stefan Groeneweg
  • , Carolina Avalos
  • , Sean J. Jurgens
  • , Nichola Figg
  • , Alison Finigan
  • , Neha Wali
  • , Maura Agostini
  • , Hannah Wardle-Jones
  • , Greta Lyons
  • , Rosemary Rusk
  • , Deepa Gopalan
  • , Philip Twiss
  • , Jacob J. Visser
  • , Martin Goddard
  • , Samer A. M. Nashef
  • Robin Heijmen, Paul Clift, Sanjay Sinha, James P. Pirruccello, Patrick T. Ellinor, Elisabeth M. Busch-Nentwich, Ramiro Ramirez-Solis, Michael P. Murphy, Luca Persani, Martin Bennett, Krishna Chatterjee*
*Corresponding author for this work
  • University of Cambridge
  • IRCCS Istituto Auxologico Italiano - Milano
  • Erasmus MC
  • Clínica Alemana de Santiago
  • Broad Institute
  • Amsterdam UMC
  • Wellcome Sanger Institute
  • Cambridge University Hospitals NHS Foundation Trust
  • Royal Papworth Hospital NHS Foundation Trust
  • Radboud University Medical Center
  • University Hospitals Birmingham NHS Foundation Trust
  • University of California at San Francisco
  • Massachusetts General Hospital
  • Queen Mary University of London
  • MRC Mitochondrial Biology Unit
  • University of Milan

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Aortic aneurysms, which may dissect or rupture acutely and be lethal, can be a part of multisystem disorders that have a heritable basis. We report four patients with deficiency of selenocysteine-containing proteins due to selenocysteine Insertion Sequence Binding Protein 2 (SECISBP2) mutations who show early-onset, progressive, aneurysmal dilatation of the ascending aorta due to cystic medial necrosis. Zebrafish and male mice with global or vascular smooth muscle cell (VSMC)-targeted disruption of Secisbp2 respectively show similar aortopathy. Aortas from patients and animal models exhibit raised cellular reactive oxygen species, oxidative DNA damage and VSMC apoptosis. Antioxidant exposure or chelation of iron prevents oxidative damage in patient’s cells and aortopathy in the zebrafish model. Our observations suggest a key role for oxidative stress and cell death, including via ferroptosis, in mediating aortic degeneration.
Original languageEnglish
Article number7994
JournalNature communications
Volume14
Issue number1
DOIs
Publication statusPublished - 1 Dec 2023

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