Altered smooth muscle cell states were more abundant in Marfan tissue.
Endothelial cells showed signs of endothelial-to-mesenchymal transition.
Proteomic and transcriptomic data agreed well for broad cell classes but less so for smooth muscle subtypes.
Interpretation:
The study reveals significant heterogeneity in vascular cell states in Marfan syndrome, suggesting that specific markers may indicate either pathogenic remodeling or compensatory responses during aneurysm progression.
Limitations:
The study primarily focuses on mouse models, which may not fully replicate human Marfan syndrome.
Some phenotypic differences may not be fully resolved by RNA data alone.
Conclusion:
The newly defined smooth muscle populations warrant further functional studies to clarify their roles in Marfan aneurysm progression.
Population-based cohort shows higher rates of cardiac arrhythmias and coronary artery disease following nonhospitalized infections, with sex-specific differences.