Abstract
Ionic signaling in smooth muscle cells (SMCs) is critical for vascular homeostasis. In this study, we untangled the role of the bifunctional TRPM7 channel kinase (chanzyme) in abdominal aortic aneurysm (AAA) pathogenesis. Comparing SMC-specific, macrophage-specific and endothelial cell–specific Trpm7 knockout, we revealed that SMC-specific Trpm7 deficiency protected mice from AAA in two distinct preclinical models of the disease. We showed that the TRPM7 channel activity increased the Ca2+ and Zn2+ influx and the Ca2+/calcineurin/CRTC2/CREB-dependent and Zn2+/MTF1-dependent Mmp2 transcription. Repurposing the clinical drug FTY720 to prevent and treat AAA resulted in improved aortic phenotypes through inhibition of TRPM7 channel activity. This study highlights the ionic mechanisms underlying AAA, identifies TRPM7 as a potential therapeutic target and suggests that blocking TRPM7 channels could be a viable strategy for treating AAA.
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Data availability
All data supporting the findings in this study are included in the main article and its associated files. Source data are provided with this paper.
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No code was used for data analysis in this study.
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Acknowledgements
We thank Y.-M. Hong (Guangdong Provincial People’s Hospital, Guangdong, China) for providing human samples. We thank Y.-N. Hu (Xiangya School of Pharmaceutical Sciences, Central South University, China) for assistance with the graphical abstract and X. Wang (Xiangya Hospital, Central South University, China) for sharing reagents. We thank other laboratory members for insightful discussion, comments on the draft manuscript and proofreading. The illustrative figures (Fig. 3m and Extended Data Fig. 6a) were created with BioRender. This study was supported by grants from the National Natural Science Foundation of China (82173816, 81973323, 91639114 and 81570429, to Z.Z.; 81500226, to M.W.) and the Provincial Natural Science Foundation of Hunan (2023JJ30739, to Z.Z.; 2019JJ30037, to M.W.).
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Contributions
Z.Z., X.W. and M.W. conceptualized and designed the experiments. Z.Z. and M.W. supervised, funded and coordinated the project. X.W. conducted animal breeding. X.W., T.-T.Z., Z.-J.Z., S.L. and Z.-Y.S. conducted animal experiments. M.W. conducted primary SMC extraction. M.W. and X.G. conducted cell transfection experiments. Y.-B.T. conducted immunohistochemistry experiments and analysis. N.-N.Z. and Z.-Y.Y. performed compound synthesis. X.W. and S.W. conducted ultrasonic scanning. M.W., Q.W. and C.-P.H. analyzed ultrasonic data. M.W. and Z.Z. conducted cellular electrophysiology experiments and analysis. All authors wrote and revised the manuscript.
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Nature Cardiovascular Research thanks Vladimir Chubanov and the other, anonymous, reviewer(s) for their contribution to the peer review of this work.
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Extended data
Extended Data Fig. 1 Mouse strains in this study and the design of AAA experiments.
(a) Inducible knockout (iKO) of SMC Trpm7 with tamoxifen (Tam.) treatment. Please note the serendipitous insertion of the Myh11 promoter-driven Cre transgene into the Y chromosome. (b) The protocol for saline or PPE perfusion in SMC-selective Trpm7 null mice (Trpm7sm-iKO). Detailed information on data collection can be found in the Methods section. (c) Inducible knockout of Trpm7 with tamoxifen treatment on Apoe-/- background. (d) The protocol for saline or Ang II infusion in Apoe-/-; Trpm7sm-iKO mice. Please see the Methods section for information on data acquisition.
Extended Data Fig. 2 Validation of cell-selective Trpm7 null mice.
(a) Mouse tail genotyping of SMC-selective Trpm7 KO mice. n = 6. (b) PCR of aortic medial genomic DNA with primers flanking exon 17. The Trpm7sm-WT mice were treated with the vehicle (corn oil) or tamoxifen (Tam.). n = 3. (c) RT-qPCR of aortic media-derived mRNA with primers flanking exon 17. Residual band in the KO mice denotes undecayed truncated TRPM7 mutant transcript. n = 3. (d) Immunostaining of TRPM7 protein in abdominal aorta. Colocalization of TRPM7 with SMC as labeled by anti-SM22α was observed in wild type but absent in KO mice. Scale bar = 100μm. n = 3. (e-f) Immunoblots of TRPM7 protein in abdominal aorta from wild type or KO mice. Both full length TRPM7 (TRPM7-FL, ~220 kDa) or cleaved kinase (M7CK, ~65 kDa) were detected in wild type mice but abolished in KO mice. TRPM7-FL and M7CK were immunoblotted separately with anti-TRPM7 antibody commercially from Cayman Chemical and Sigma, respectively. n = 3. (g-h) Whole-cell patch clamping of TRPM7 currents in isolated aortic smooth muscle cells. Current density collected at 100 mV and the representative current traces are shown. n = 8 ~ 10. (i) Mouse tail genotyping of macrophage-selective Trpm7 KO mice. n = 6. (j) Immunofluorescent detection of TRPM7 protein in peritoneal macrophages. Scale bar = 200μm. n = 3. (k) Mouse tail genotyping of endothelial cell-selective KO mice. n = 6. (l) Immunofluorescent staining of TRPM7 in aortic endothelium. Colocalization of TRPM7 with endothelial marker (CD31) was seen in wild type mice but undetectable in KO mice. Scale bar = 100μm. n = 3. Unpaired 2-tailed Student’s t test was performed to compare two groups (Extended Data Figs. 2f, h).
Extended Data Fig. 3 TRPM7 is upregulated in human and mouse AAA.
(a) Immunofluorescence of TRPM7 in infrarenal aorta (InfraAo) collected from brain-dead organ donors (Ctrl) or AAA patients undergoing open surgical repair. EVG staining was simultaneously performed to indicate the identity of human aorta. n = 3. (b) Typical time course of recorded TRPM7 currents in suprarenal aorta (SupraAo) SMC isolated from saline- or Ang II-infused (14 days) Apoe-/- mice. FTY720 (3 μM) was perfused after the currents level off. The two traces are intentionally aligned by the start point of FTY720 application for back-to-back comparison. (c-d) Typical TRPM7 current traces as indicated. (e) Statistics of TRPM7 current density as indicated. n = 8. (f) SupraAo elastic fiber disruption scoring based on EVG staining in saline or Ang II-infused mice (Related to Fig. 1h). n = 6. (g) SupraAo media SM22α-positive cell proportion (Related to Fig. 1h). n = 6. (h) SupraAo CD45-positive cell proportion (Related to Fig. 1h). n = 6. (i) SupraAo DHE-positive cell count (Related to Fig. 1h). n = 6. (j) InfraAo elastic fiber disruption scoring based on EVG staining in saline or PPE-perfused mice (Related to Fig. 1m). n = 6. (k) InfraAo media SM22α-positive cell proportion (Related to Fig. 1m). n = 6. (l) InfraAo CD45-positive cell proportion (Related to Fig. 1m). n = 6. (m) InfraAo DHE-positive cell count (Related to Fig. 1m). n = 6. The differences were analyzed using two-way ANOVA, followed by Tukey’s post-hoc test (Extended Data Figs. 3e–m).
Extended Data Fig. 4 SMC-selective Trpm7 deficiency improves ascending aortopathies.
(a) Echocardiographic images, H&E staining, EVG staining, in situ gelatin zymography of the ascending aorta (AscAo). n = 5. Scale bar=1 mm for Echo. 100μm for staining and 400μm for low-power H&E field. (b) Internal diameter determined with echocardiography at longitudinal image scans. n = 7-13. (c) Medial thickness analyzed from EVG staining. The region between internal and external elastic lamina defines tunica media. n = 5. (d) Elastin breakdowns analyzed from EVG staining. n = 6. (e) Analysis of MMP activity determined with in situ gelatin zymography. n = 3. The differences were analyzed using two-way ANOVA, followed by Tukey’s post-hoc test (Extended Data Figs. 4b–e).
Extended Data Fig. 5 TRPM7 channel function regulates Mmp2 transcription in SMC.
(a) The statistics of Fig. 3a for MMP activity. n = 6. (b) The statistics of Fig. 3b for MMP activity. n = 6. (c) The statistics of Fig. 3e for MMP2 protein. n = 10. (d-e) The statistics of Fig. 3g for MMP2 protein and activity. n = 6-8 for d, n = 10-11 for e. (f-g) The statistics of Fig. 3i for MMP2 protein and activity. n = 6 for f, n = 6-8 for g. (h) The statistics of Fig. 3o for MMP2 protein levels in M7KO cells. n = 6-8. (i-k) MMP2 mRNA and protein levels in M7KO cells rescued with wild type cleaved kinase (M7CK-WT) or kinase-dead cleaved kinase (M7CK-KD). Expression of M7CK was validated by anti-HA tag. n = 6 for i, n = 4 for j. The differences were analyzed using two-way ANOVA, followed by Tukey’s post-hoc test (Extended Data Fig. 5a–j).
Extended Data Fig. 6 TRPM7-mediated Ca2 + /Zn2+ signaling regulates Mmp2 transcription.
(a) Pharmacology of TRPM7 chanzyme. (b) Gelatin zymography of WT cells pretreated for 1-hour with NS8593 (10 μM), BAPTA-AM (10 μM) or TPEN (10 μM), followed by Ang II stimulation (1 μM, 24 h). n = 3. Scale bar=200μm. (c) MMP14 transcripts in WT cells treated as in Fig. 4d. n = 5-6. (d) MMP14 transcripts in WT cells treated as in Fig. 4g. n = 4-6. (e) MMP2 mRNA in WT cells adenovirally transduced as indicated. Unpaired 2-tailed Student’s t test was performed (n = 9). (f) MMP2 mRNA in WT cells pretreated with PF431396 (10 μM), followed by naltriben (20 μM, 24 h) or Ang II stimulation. n = 6. (g) MMP14 mRNA in WT cells treated as in Fig. 4j. n = 6. (h) Adenoviral transduction of WT cells with WT or CA mutant of CnA. n = 6. (i) Nfatc2 (NFAT1), Nfatc1 (NFAT2), Nfatc4 (NFAT3), Nfatc3 (NFAT4) and Nfat5 (NFAT5) mRNA in aortic media from Trpm7sm-WT mice. n = 3. (j-k) MMP2 mRNA in WT cells. Adenovirus carrying target gene was transduced (MOI: 50) for 48-hours to measure MMP2 mRNA. n = 4-6. (l) Gelatin zymography of WT cells pretreated with NS8593 (10 μM), CsA (1 μM), CREB inhibitor 666-15 (1 μM) or MTF1 inhibitor APTO-253 (0.5 μM), followed by Ang II treatment. n = 3. Scale bar=200μm. (m) The schematic diagram depicting the predicted Mmp2 promoter and the truncated mutants. The 2010 base pairs upstream of Mmp2 start codon were predicted as the promoter. CREB or MTF1 binding sites were predicted using JASPAR (https://jaspar.genereg.net/) & PROMO(https://alggen.lsi.upc.es/cgi-bin/promo_v3/promo/promoinit.cgi?dirDB=TF_8.3) tools. 9 CREB binding sites (the consensus binding sequence is TGACGT(CA)) were retrieved, including #1 (-1905 ~ -1898), #2 (-1795 ~ -1788), #3 (-1471 ~ -1464), #4 (-1351 ~ -1344), #5 (-959 ~ -952), #6 (-635 ~ -628), #7 (-351 ~ -345), #8 (-280 ~ -274), #9 (-37 ~ -30 or -28 ~ -21). No predicted MTF1 binding sites were retrieved. 3 truncated Mmp2 promoter mutants were generated: Δ523bp (-2010 ~ -1488) in mutant-1 to remove #1, 2 binding sites, Δ1025bp (-2010 ~ -986) in mutant-2 to remove #1, 2, 3, 4, or Δ1654bp (-2010 ~ -357) in mutant-3 to remove #1, 2, 3, 4, 5, 6 binding sites. The differences were determined by two-way ANOVA (Figs. 6c,d) or one-way ANOVA (Figs. 6f–h, j), followed by Tukey’s post-hoc test.
Extended Data Fig. 7 SMC-specific Trpm7 deletion suppresses CRTC2/CREB signaling.
(a-b) Immunoblots of phosphorylated CREB in WT or MKO cells pretreated for 30 mins with TRPM7 blocker (NS8593, 10 μM), Zn2+ chelator (TPEN, 10 μM), Ca2+ chelator (BAPTA-AM, 10 μM), adenylyl cyclase inhibitor (SQ22536, 10 μM), PKA inhibitor (H89, 10 μM), CaMKKβ blocker (STO-609, 1 μM), CaMKII blocker (KN93, 5 μM), Pyk2 blocker (PF431396, 10 μM) or calcineurin inhibitor (CsA, 1 μM), followed by 30-min naltriben stimulation (20 μM). n = 3. (c-d) Statistics of Fig. 5c. n = 6-9 for c, n = 3-5 for d. (e-f) Statistics of Fig. 5d. n = 6-8 for e, n = 3-4 for f. (g-h) Statistics of Fig. 5e. n = 4 for g, n = 6-7 for h. (i) Immunoblots of the denoted protein in M7KO cells rescued with empty vector, M7Ch-WT or M7Ch-PD upon saline or Ang II stimulation. n = 6-8. (j-k) Statistics of Extended Data Fig. 7i. n = 6-8 for j, n = 8 for k. (l) Immunofluorescence of CRTC2 in InfraAo from saline or PPE-perfused Ai9sm-tdT/0 mice. Ai9sm-tdT/0 mice were generated by breeding Ai9(RCL-tdT) mice (JAX 007909) with another SMC Cre driver (Tagln-Cre, JAX 017491). SMC in these mice is labeled by tdTomato for fluorescent visualization. CRTC2 was shown in green, tdTomato autofluorescence in red and DAPI in blue. CRTC2 nuclear localization (white arrows) in SMC was analyzed based on nuclear staining (cyan) in tdTomato-positive cell (red). Scale bar=50μm. n = 3. (m) Immunofluorescence of CRTC2 in InfraAo from saline or PPE-perfused mice. Analysis is identical to Fig. 5f. n = 3. Scale bar=50μm. (n-o) Detection of CRTC2 in extracted cytosolic or nuclear protein from WT or M7KO cells treated with saline or Ang II. n = 3. (p) Immunoblots of CRTC2 in extracted cytosolic or nuclear protein from HEK293 cells transfected with empty vector, M7Ch-WT or M7Ch-PD upon naltriben stimulation. n = 3. (q-r) Statistics of Extended Data Fig. 7p. The differences were determined by two-way ANOVA (Figs. 7c–h,j,kn,o) or one-way ANOVA (Figs. 7b,q,r), followed by Tukey’s post-hoc test.
Extended Data Fig. 8 SMC-specific Trpm7 deletion suppresses MTF1 and KLF4 signaling.
(a) Immunofluorescence of MTF1 in InfraAo from PPE-perfused Ai9sm-tdT/0 mice. MTF1 was shown in green, tdTomato autofluorescence in red and DAPI in blue. MTF1 nuclear localization (white arrows) in SMC was analyzed based on nuclear staining (cyan) in tdTomato positive cell (red). Scale bar=50μm. n = 3. (b) Immunofluorescence of MTF1 in InfraAo from saline or PPE-perfused mice. Analysis is identical to Fig. 5f. n = 3. Scale bar=50μm. (c-d) Detection of MTF1 in extracted cytosolic or nuclear protein from WT or M7KO cells treated with saline or Ang II. n = 3. (e) Immunoblots of MTF1 in extracted cytosolic or nuclear protein from HEK293 cells transfected with empty vector, M7Ch-WT or M7Ch-PD upon naltriben stimulation. (f-g) Statistics of Extended Data Fig. 8e. n = 3. (h) Immunofluorescence of KLF4 in SupraAo from saline or Ang II-infused mice. Scale bar=50μm. n = 3. The differences were determined by two-way ANOVA (Fig. 8c, 8d) or one-way ANOVA (Fig. 8f, 8g), followed by Tukey’s post-hoc test.
Extended Data Fig. 9 FTY720, rather than its metabolites, suppresses Mmp2 transcription.
(a) MMP2 transcripts in Ang II-stimulated SMC pretreated for 1 h with vehicle, FTY720 (3 μM) and its metabolites FTY720 (S)-P (3 μM) or FTY720 (R)-P (3 μM). n = 4-6. (b-c) Immunoblots of MMP2 in cells treated as indicated. n = 6-9. (d) MMP2 transcripts in saline or Ang II-infused mice treated with FTY720 (6 mg/kg/day) or FTY720 (S)-P (6 mg/kg/day). n = 6. (e-f) Immunoblots of MMP2 in mice treated as indicated. n = 5-6. (g) MMP2 transcripts in saline or PPE-perfused mice treated with FTY720 (6 mg/kg/day) or FTY720 (S)-P (6 mg/kg/day). n = 6. (h-i) Immunoblots of MMP2 in saline or PPE mice treated as indicated. n = 5-7. The differences were analyzed using two-way ANOVA, followed by Tukey’s post-hoc test (Extended Data Fig. 9a,b,d,e,g,h).
Extended Data Fig. 10 FTY720 mitigates AAA through TRPM7 block in PPE mice.
(a) SupraAo elastic fiber disruption scoring in mice prophylactically treated with vehicle, FTY720 or FTY720 (S)-P (Related to Fig. 6f). n = 6. (b) SupraAo media active MMP proportion in mice prophylactically treated (Related to Fig. 6f). n = 6. (c) SupraAo elastic fiber disruption scoring in mice therapeutically treated with vehicle or FTY720 (Related to Fig. 6o). n = 6. (d) SupraAo medial active MMP proportion in mice therapeutically treated with vehicle or FTY720 (Related to Fig. 6o). n = 6. (e) The protocol for FTY720 prophylactic dosing in C57BL/6 J or Trpm7sm-iKO mice perfused with saline or PPE. (f) Micrograph of the InfraAo from saline or PPE-perfused mice prophylactically treated with vehicle, FTY720 (6 mg/kg/day) or FTY720 (S)-P (6 mg/kg/day). Scale bar=1 mm. (g) Growth of InfraAo external diameter within 14 days. The diameter measured in situ on day 14 prior to circulatory arrest was compared with the baseline diameter of individual mouse. n = 6 ~ 12. (h) Growth of InfraAo internal diameter on day 3, 7, 14 after saline or PPE perfusion. * P = 0.0080 (PPE-perfused FTY720-treated vs Veh.-treated mice on day 7). † P < 0.0001 (PPE-perfused FTY720-treated vs Veh.-treated mice on day 14). n = 6-15. (i) H&E, EVG staining and in situ gelatin zymography of InfraAo in saline or PPE-perfused mice treated as indicated. n = 6. Scale bar=100μm except for scale bar=400μm for low-power H&E field. (j) InfraAo elastic fiber disruption scoring in saline or PPE-perfused mice prophylactically treated with vehicle, FTY720 or FTY720 (S)-P. n = 6. (k) InfraAo media active MMP proportion in mice prophylactically treated with vehicle, FTY720 or FTY720 (S)-P. n = 6. (l) Immunofluorescence of CRTC2 or MTF1 in InfraAo from saline or PPE-perfused mice with the indicated treatments. Analysis is identical to Fig. 5f. n = 3. Scale bar=50μm. (m) CREB ChIP in InfraAo. n = 6-7. (n) MTF1 ChIP in InfraAo. n = 5-7. (o-p) SupraAo external diameter or growth of internal diameter in mice with 50 ~ 70% dilatation at randomization. The differences were determined by two-way ANOVA (Fig. 10a, 10b, 10g, 10h, 10j, 10k, 10m, 10n) or one-way ANOVA (Fig. 10c, 10d), followed by Tukey’s post-hoc test.
Source data
Source Data Figs. 1–6 and Source Data Extended Data Figs. 2–10
Statistical source data.
Source Data Fig. 7
Unprocessed western blots.
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Wang, X., Wang, M., Zhu, TT. et al. The TRPM7 chanzyme in smooth muscle cells drives abdominal aortic aneurysm in mice. Nat Cardiovasc Res 4, 216–234 (2025). https://doi.org/10.1038/s44161-025-00613-5
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DOI: https://doi.org/10.1038/s44161-025-00613-5