CD248 deficiency promotes angiotensin II-induced aortic lesion by attenuating receptor stability in smooth muscle cells

Tai-Tzu Hsieh , Ya-Chu Ku , Chu-Jen Chen , Cheng-Hsiang Kuo , Bi-Ing Chang , Chien-Hung Yu , Yi-Heng Li , Pei-Jane Tsai , Shu-Wha Lin , Hua-Lin Wu , Chwan-Yau Luo , Yau-Sheng Tsai

Clinical and Translational Medicine ›› 2025, Vol. 15 ›› Issue (5) : e70352

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Clinical and Translational Medicine ›› 2025, Vol. 15 ›› Issue (5) : e70352 DOI: 10.1002/ctm2.70352
RESEARCH ARTICLE

CD248 deficiency promotes angiotensin II-induced aortic lesion by attenuating receptor stability in smooth muscle cells

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Abstract

Background: Abdominal aortic aneurysm (AAA) is characterized by progressive dilation of the abdominal aorta that has a high prevalence of death due to aortic rupture. The hallmark of AAA is severe degeneration of the aortic media with the loss of vascular smooth muscle cells (VSMCs), the main source of extracellular matrix (ECM) proteins. CD248 was originally implicated in angiogenesis and tumourigenesis, but its role in the development of AAA remains unclear.

Methods: Mice lacking CD248 (Cd248−/−) were generated and evaluated for angiotensin II (Ang II) and high-cholesterol diet feeding induced AAA. Loss-of-function approaches in A7r5 and C3H10T1/2 cells were used to study the involvement of CD248 in the Ang II signalling.

Results: CD248 expression was upregulated in the media and adventitia of patients and mice with aortic aneurysm. CD248 deficiency in mice exacerbates Ang II-induced aortic lesion along with severe disruption of elastic fibres and the VSMC layer. Interestingly, while compensatory ECM deposition was found in the aortic lesion of Cd248−/− mice, collagen I content and p38 activation were significantly attenuated. Silencing of CD248 in VSMCs downregulated mitogen-activated protein kinase activation and ECM production. Loss of CD248 in VSMCs destabilized the membrane receptors for Ang II and platelet-derived growth factor (PDGF), and the C-terminal cytoplasmic domain of CD248 is apparently involved in this interaction.

Conclusions: The findings reveal that CD248 regulates the stability of the membrane receptors for Ang II and PDGF in VSMCs to transduce signals for collagen production in combating the loss of aortic wall strength during vascular remodelling.

Keywords

aortic aneurysm / vascular smooth muscle cells / collagen / angiotensin II receptors / PDGF receptors / CD248

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Tai-Tzu Hsieh, Ya-Chu Ku, Chu-Jen Chen, Cheng-Hsiang Kuo, Bi-Ing Chang, Chien-Hung Yu, Yi-Heng Li, Pei-Jane Tsai, Shu-Wha Lin, Hua-Lin Wu, Chwan-Yau Luo, Yau-Sheng Tsai. CD248 deficiency promotes angiotensin II-induced aortic lesion by attenuating receptor stability in smooth muscle cells. Clinical and Translational Medicine, 2025, 15(5): e70352 DOI:10.1002/ctm2.70352

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2025 The Author(s). Clinical and Translational Medicine published by John Wiley & Sons Australia, Ltd on behalf of Shanghai Institute of Clinical Bioinformatics.

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