Evidence map›Paper›PMID 42897467›Full record

ArticleBMC neuroscience2026

A single-cell atlas of intracranial aneurysm progression identifies a dysfunctional VSMC subpopulation associated with rupture risk.

Xiangrong Chen, Bikun Liu, Xiaofeng Zhou, Zongtao Wu, Dongze Xu, Jingcheng Zhan, Jinliang Liu, Mao Ling, Fan Liu

Abstract read
In one paragraph

Article in BMC neuroscience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Xiangrong Chen *Department of Neurosurgery, Ankang Hospital of Traditional Chinese Medicine, Ankang, Shaanxi Province, China. 18091531515@163.com.ORCID 0000-0003-0396-3622
Bikun Liu *Department of Neurosurgery, Ankang Hospital of Traditional Chinese Medicine, Ankang, Shaanxi Province, China.
Xiaofeng ZhouDepartment of Neurosurgery, Ankang Hospital of Traditional Chinese Medicine, Ankang, Shaanxi Province, China.
Zongtao WuDepartment of Neurosurgery, Ankang Hospital of Traditional Chinese Medicine, Ankang, Shaanxi Province, China.
Dongze XuDepartment of Neurosurgery, Ankang Hospital of Traditional Chinese Medicine, Ankang, Shaanxi Province, China.
Jingcheng ZhanDepartment of Neurosurgery, Ankang Hospital of Traditional Chinese Medicine, Ankang, Shaanxi Province, China.
Jinliang LiuDepartment of Neurosurgery, Ankang Hospital of Traditional Chinese Medicine, Ankang, Shaanxi Province, China.
Mao LingDepartment of Neurosurgery, Ankang Hospital of Traditional Chinese Medicine, Ankang, Shaanxi Province, China.
Fan LiuDepartment of Neurosurgery, Ankang Hospital of Traditional Chinese Medicine, Ankang, Shaanxi Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntracranial aneurysm (IA) rupture is a life-threatening event. While inflammation is implicated, the cellular mechanisms associated with progression from stable lesion to rupture remain poorly defined at single-cell resolution.

methodsWe performed single-cell RNA sequencing (scRNA-seq) on a mouse model spanning sham, formed, and ruptured IA stages. Computational analyses included trajectory inference, cell-cell communication analysis, and metabolic scoring. Key findings were validated using human IA bulk RNA-seq data and protein-level assays on matched clinical tissues.

resultsOur single-cell atlas revealed a progressive "inflammatory-lytic" microenvironment marked by immune cell infiltration and vascular smooth muscle cell (VSMC) depletion. We identified a metabolically specialized VSMC subpopulation (VSMC_0) that was selectively lost in formed and ruptured aneurysms. Pseudotime analysis indicated VSMC differentiation blockade, associated with downregulation of the structural genes actin alpha2, smooth muscle (ACTA2) and prolyl 4-hydroxylase subunit alpha2 (P4HA2), which correlated with irregular aneurysm shape a strong clinical predictor of rupture risk. Cell communication analysis positioned VSMC_0 as a signaling hub to macrophages, suggesting a feed-forward inflammatory loop. These findings were validated in human IAs tissues.

conclusionOur study identifies VSMC phenotypic dysregulation as a key correlate of IA instability, linking molecular deficits to clinical rupture predictors. This reframes IA as a disorder of vascular cellular identity and communication, revealing potential therapeutic targets for aneurysm stabilization.

Indexed as

Aneurysm, RupturedIntracranial AneurysmMuscle, Smooth, VascularMyocytes, Smooth MuscleAnimalsCell CommunicationDisease Models, AnimalDisease ProgressionHumansMaleMiceSingle-Cell AnalysisSingle-Cell Gene Expression AnalysisCell-cell communicationIntracranial aneurysmRuptureSingle-cell RNA sequencingVascular smooth muscle cells

Identifiers

PMID42897467
PMCPMC13681789

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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.