Evidence map›Paper›PMID 34314650›Full record

ArticleJournal of the Royal Society, Interface2021

Excessive adventitial stress drives inflammation-mediated fibrosis in hypertensive aortic remodelling in mice.

Bart Spronck, Marcos Latorre, Mo Wang, Sameet Mehta, Alexander W Caulk, Pengwei Ren, Abhay B Ramachandra, Sae-Il Murtada, Alexia Rojas, Chang-Shun He and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the Royal Society, Interface, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
  2. Review
  3. Hypertension drives thoracic aortic aneurysm and dissection in male, but not female, Marfan mice.Journal of the mechanical behavior of biomedical materials · 2026
    Article
  4. Growth arrest of thoracic aortic aneurysms in aging Marfan mice.American journal of physiology. Heart and circulatory physiology · 2026
    Article
  5. Mechanics and mechanobiology of arterial development.Biomechanics and modeling in mechanobiology · 2026
    Review
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  20. Effects of nitroglycerin-induced vasodilation on elastic and muscular artery stiffness in older Veterans.Hypertension research : official journal of the Japanese Society of Hypertension · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 2 countries.

Bart SpronckDepartment of Biomedical Engineering, Yale University, New Haven, CT, USA.
Marcos LatorreDepartment of Biomedical Engineering, Yale University, New Haven, CT, USA.
Mo WangDepartment of Surgery, Yale School of Medicine, New Haven, CT, USA.
Sameet MehtaDepartment of Genetics, Yale School of Medicine, New Haven, CT, USA.
Alexander W CaulkDepartment of Biomedical Engineering, Yale University, New Haven, CT, USA.
Pengwei RenDepartment of Surgery, Yale School of Medicine, New Haven, CT, USA.
Abhay B RamachandraDepartment of Biomedical Engineering, Yale University, New Haven, CT, USA.
Sae-Il MurtadaDepartment of Biomedical Engineering, Yale University, New Haven, CT, USA.
Alexia RojasDepartment of Biomedical Engineering, Yale University, New Haven, CT, USA.
Chang-Shun HeDepartment of Surgery, Yale School of Medicine, New Haven, CT, USA.
Bo JiangDepartment of Surgery, Yale School of Medicine, New Haven, CT, USA.
Matthew R BersiDepartment of Mechanical Engineering and Materials Science, Washington University in St Louis, St Louis, MO, USA.
George TellidesDepartment of Surgery, Yale School of Medicine, New Haven, CT, USA.
Jay D HumphreyDepartment of Biomedical Engineering, Yale University, New Haven, CT, USA.
Yale University · USWashington University in St. Louis · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
TGFB-Dependent Mechanoresponses by Aortic Smooth Muscle Cells Govern AneurysmsP01HL134605 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI RIFKIN, DANIEL B · 2018 to 2022
$12.1M
Mechanisms Underlying The Progression of Large Artery Stiffness in HypertensionR01HL105297 · NHLBI · YALE UNIVERSITY · PI FIGUEROA, CARLOS ALBERTO, HUMPHREY, JAY D. · 2010 to 2019
$3.0M
Smooth Muscle Cell Proliferation and Degradative Phenotype in Thoracic Aorta Aneurysm and DissectionR01HL146723 · NHLBI · YALE UNIVERSITY · PI HUMPHREY, JAY D., TELLIDES, GEORGE · 2019 to 2022
$2.9M
Multimodality imaging-driven multifidelity modeling of aortic dissectionU01HL142518 · NHLBI · YALE UNIVERSITY · PI HUMPHREY, JAY D., KARNIADAKIS, GEORGE · 2018 to 2022
$2.8M
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS P01 HL134605NHLBI NIH HHS R01 HL105297NHLBI NIH HHS R01 HL146723NHLBI NIH HHS U01 HL142518ZonMw 452172006
6 · The paper itself

Abstract

Hypertension induces significant aortic remodelling, often adaptive but sometimes not. To identify immuno-mechanical mechanisms responsible for differential remodelling, we studied thoracic aortas from 129S6/SvEvTac and C57BL/6 J mice before and after continuous 14-day angiotensin II infusion, which elevated blood pressure similarly in both strains. Histological and biomechanical assessments of excised vessels were similar at baseline, suggesting a common homeostatic set-point for mean wall stress. Histology further revealed near mechano-adaptive remodelling of the hypertensive 129S6/SvEvTac aortas, but a grossly maladaptive remodelling of C57BL/6 J aortas. Bulk RNA sequencing suggested that increased smooth muscle contractile processes promoted mechano-adaptation of 129S6/SvEvTac aortas while immune processes prevented adaptation of C57BL/6 J aortas. Functional studies confirmed an increased vasoconstrictive capacity of the former while immunohistochemistry demonstrated marked increases in inflammatory cells in the latter. We then used multiple computational biomechanical models to test the hypothesis that excessive adventitial wall stress correlates with inflammatory cell infiltration. These models consistently predicted that increased vasoconstriction against an increased pressure coupled with modest deposition of new matrix thickens the wall appropriately, restoring wall stress towards homeostatic consistent with adaptive remodelling. By contrast, insufficient vasoconstriction permits high wall stresses and exuberant inflammation-driven matrix deposition, especially in the adventitia, reflecting compromised homeostasis and gross maladaptation.

Indexed as

AdventitiaHypertensionAnimalsAortaAorta, ThoracicDisease Models, AnimalFibrosisInflammationMiceMice, Inbred C57BLMuscle, Smooth, Vascular129S6/SvEvTacaortaC57BL/6 Jcontractilityfibrosisinflammationsmooth muscle phenotypestiffness

Identifiers

PMID34314650
PMCPMC8315831
OpenAlexW3184794683

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.