Abstract
Aortic aneurysm and dissection (AAD) are high-risk cardiovascular diseases with limited preventive pharmacotherapies based on angiotensin II receptor blockade. However, the underlying pathomechanisms of AAD are still unknown. Here, we find that glutamine transporters, particularly solute carrier family 1 member 5 (SLC1A5), in vascular smooth muscle cells (VSMCs) from both patients and mice with AAD are significantly downregulated. VSMC-specific Slc1a5 deficiency exacerbates experimental AAD formation, with a marked increase in VSMC phenotypic switch and inflammation. Mechanistically, SLC1A5 preserves contractile phenotype by facilitating glutamine metabolite acetyl-CoA production and subsequent histone H3 lysine 9 and 27 acetylation, and ameliorates inflammation by promoting acetylated STAT3 mitochondrial translocation, hence inhibiting its nuclear translocation. Intriguingly, enforced SLC1A5 expression in VSMCs in vivo largely alleviates experimental AAD. These findings reveal a metabolic link between SLC1A5-driven glutamine transport and vascular homeostasis, suggesting SLC1A5 may be a promising therapeutic target for AAD.
Data availability
The raw data of bulk RNA-seq data and CUT&Tag generated in this study has been deposited in the NCBI Gene Expression Omnibus (GEO) database under accession codes GSE309259 and GSE325132, respectively. The public expression profiling of aortic specimens from patients with aortic aneurysm is available in the NCBI GEO database under accession code GSE57691, and the Ang II-induced mouse aortic aneurysm and dissected aneurysm dataset is available in the NCBI GEO database under accession code GSE17901. The public single-cell RNA sequencing dataset used in this study is available in the NCBI GEO database under accession code GSE239620. All other relevant information about the data in this study is available from the corresponding author. Source data are provided in this paper.
References
Bossone, E. & Eagle, K. A. Epidemiology and management of aortic disease: aortic aneurysms and acute aortic syndromes. Nat. Rev. Cardiol. 18, 331–348 (2021).
Rylski, B., Schilling, O. & Czerny, M. Acute aortic dissection: evidence, uncertainties, and future therapies. Eur. Heart J. 44, 813–821 (2023).
Zhang, T. T. et al. Bestrophin3 deficiency in vascular smooth muscle cells activates MEKK2/3-MAPK signaling to trigger spontaneous aortic dissection. Circulation 148, 589–606 (2023).
Liberale, L., Montecucco, F., Tardif, J. C., Libby, P. & Camici, G. G. Inflamm-ageing: the role of inflammation in age-dependent cardiovascular disease. Eur. Heart J. 41, 2974–2982 (2020).
Yang, K. et al. Prevention of aortic dissection and aneurysm via an ALDH2-mediated switch in vascular smooth muscle cell phenotype. Eur. Heart J. 41, 2442–2453 (2020).
Chakraborty, A. et al. Epigenetic induction of smooth muscle cell phenotypic alterations in aortic aneurysms and dissections. Circulation 148, 959–977 (2023).
Petsophonsakul, P. et al. Role of vascular smooth muscle cell phenotypic switching and calcification in aortic aneurysm formation. Arterioscler Thromb. Vasc. Biol. 39, 1351–1368 (2019).
Ailawadi, G. et al. Smooth muscle phenotypic modulation is an early event in aortic aneurysms. J. Thorac. Cardiovasc. Surg. 138, 1392–1399 (2009).
Hou, Y. et al. Advanced research of abdominal aortic aneurysms on metabolism. Front. Cardiovasc. Med. 8, 630269 (2021).
Wang, Q. et al. Targeting metabolism in aortic aneurysm and dissection: from basic research to clinical applications. Int. J. Biol. Sci. 19, 3869–3891 (2023).
Yang, C. et al. Glutamine oxidation maintains the TCA cycle and cell survival during impaired mitochondrial pyruvate transport. Mol. Cell 56, 414–424 (2014).
Murcy, F. et al. GLS2 links glutamine metabolism and atherosclerosis by remodeling artery walls. Nat. Cardiovasc. Res. 3, 1454–1467 (2024).
Durante, W. The emerging role of l-glutamine in cardiovascular health and disease. Nutrients 11, 2092 (2019).
Kennel, P. J. et al. Impairment of myocardial glutamine homeostasis induced by suppression of the amino acid carrier SLC1A5 in failing myocardium. Circ. Heart Fail 12, e006336 (2019).
Mansour, A. et al. Effect of glutamine supplementation on cardiovascular risk factors in patients with type 2 diabetes. Nutrition 31, 119–126 (2015).
Sun, L. Y. et al. Nuclear receptor NR1D1 regulates abdominal aortic aneurysm development by targeting the mitochondrial tricarboxylic acid cycle enzyme aconitase-2. Circulation 146, 1591–1609 (2022).
Liu, Z., Ajam, A., Huang, J., Yeh, Y.-S. & Razani, B. Glutamine–glutamate imbalance in the pathogenesis of cardiovascular disease. Nat. Cardiovasc. Res. 3, 1377–1379 (2024).
Koyama, S. et al. Intracellular glutamine level determines vascular smooth muscle cell-derived thrombogenicity. Atherosclerosis 328, 62–73 (2021).
Salabei, J. K. et al. Glutamine regulates cardiac progenitor cell metabolism and proliferation. Stem Cells 33, 2613–2627 (2015).
Osman, I. et al. TEAD1 (TEA domain transcription factor 1) promotes smooth muscle cell proliferation through upregulating SLC1A5 (solute carrier family 1 member 5)-mediated glutamine uptake. Circ. Res. 124, 1309–1322 (2019).
Ma, W. et al. Dietary glutamine, glutamate and mortality: two large prospective studies in US men and women. Int. J. Epidemiol. 47, 311–320 (2018).
Westerman, K. et al. DNA methylation modules associate with incident cardiovascular disease and cumulative risk factor exposure. Clin. Epigenet. 11, 142 (2019).
Lieberg, J. et al. Metabolomic profile of abdominal aortic aneurysm. Metabolites 11, 555 (2021).
Shen, Y. H. et al. Aortic aneurysms and dissections series: part II: dynamic signaling responses in aortic aneurysms and dissections. Arterioscler. Thromb. Vasc. Biol. 40, e78–e86 (2020).
Pochini, L., Scalise, M., Galluccio, M. & Indiveri, C. Membrane transporters for the special amino acid glutamine: structure/function relationships and relevance to human health. Front. Chem. 2, 61 (2014).
Yoo, H. C., Yu, Y. C., Sung, Y. & Han, J. M. Glutamine reliance in cell metabolism. Exp. Mol. Med. 52, 1496–1516 (2020).
Johnston, W. F. et al. Genetic and pharmacologic disruption of interleukin-1beta signaling inhibits experimental aortic aneurysm formation. Arterioscler. Thromb. Vasc. Biol. 33, 294–304 (2013).
Isoda, K. et al. Inhibition of interleukin-1 suppresses angiotensin II-induced aortic inflammation and aneurysm formation. Int. J. Cardiol. 270, 221–227 (2018).
Alexander, M. R., Murgai, M., Moehle, C. W. & Owens, G. K. Interleukin-1beta modulates smooth muscle cell phenotype to a distinct inflammatory state relative to PDGF-DD via NF-kappaB-dependent mechanisms. Physiol. Genomics 44, 417–429 (2012).
Guo, L. L. et al. Blocking interleukin-1 beta reduces the evolution of thoracic aortic dissection in a rodent model. Eur. J. Vasc. Endovasc. Surg. 60, 916–924 (2020).
Luo, W. et al. Critical role of cytosolic DNA and its sensing adaptor STING in aortic degeneration, dissection, and rupture. Circulation 141, 42–66 (2020).
Lu, H. et al. Cyclodextrin prevents abdominal aortic aneurysm via activation of vascular smooth muscle cell transcription factor EB. Circulation 142, 483–498 (2020).
Hirakata, S. et al. Genetic deletion of Socs3 in smooth muscle cells ameliorates aortic dissection in mice. JACC Basic Transl. Sci. 5, 126–144 (2020).
Shen, Y. H. et al. Aorticaneurysms and dissections series. Arterioscler. Thromb. Vasc. Biol. 40, e37–e46 (2020).
Zhao, G. et al. BAF60c prevents abdominal aortic aneurysm formation through epigenetic control of vascular smooth muscle cell homeostasis. J. Clin. Invest. 132, e158309 (2022).
Chakraborty, R. et al. Histone acetyltransferases p300 and CBP coordinate distinct chromatin remodeling programs in vascular smooth muscle plasticity. Circulation 145, 1720–1737 (2022).
Zhong, L. et al. SM22alpha (Smooth Muscle 22alpha) prevents aortic aneurysm formation by inhibiting smooth muscle cell phenotypic switching through suppressing reactive oxygen species/NF-kappaB (Nuclear Factor-kappaB). Arterioscler. Thromb. Vasc. Biol. 39, e10–e25 (2019).
Shu, Y. N. et al. SM22alpha inhibits vascular inflammation via stabilization of IkappaBalpha in vascular smooth muscle cells. J. Mol. Cell Cardiol. 84, 191–199 (2015).
Shu, Y. N. et al. CKII-SIRT1-SM22alpha loop evokes a self-limited inflammatory response in vascular smooth muscle cells. Cardiovasc. Res. 113, 1198–1207 (2017).
Lu, H. & Aikawa, M. Many faces of matrix metalloproteinases in aortic aneurysms. Arterioscler. Thromb. Vasc. Biol. 35, 752–754 (2015).
Hadi, T. et al. Macrophage-derived netrin-1 promotes abdominal aortic aneurysm formation by activating MMP3 in vascular smooth muscle cells. Nat. Commun. 9, 5022 (2018).
Ganizada, B. H. et al. Unveiling cellular and molecular aspects of ascending thoracic aortic aneurysms and dissections. Basic Res. Cardiol. 119, 371–395 (2024).
Lee, H. S. & Kim, W. J. The role of matrix metalloproteinase in inflammation with a focus on infectious diseases. Int. J. Mol. Sci. 23, 10546 (2022).
Wu, Q. Y. et al. A novel STAT3 inhibitor attenuates angiotensin II-induced abdominal aortic aneurysm progression in mice through modulating vascular inflammation and autophagy. Cell Death Dis. 11, 131 (2020).
Zhang, H. et al. Asiatic acid alleviates vascular remodeling in BAPN-induced aortic dissection through inhibiting NF-kappaB p65/CX3CL1 signaling. FASEB J. 38, e23645 (2024).
Xu, Y. S. et al. STAT3 Undergoes acetylation-dependent mitochondrial translocation to regulate pyruvate metabolism. Sci. Rep. 6, 39517 (2016).
Yoo, H. C. et al. A variant of SLC1A5 is a mitochondrial glutamine transporter for metabolic reprogramming in cancer cells. Cell Metab. 31, 267–283 (2020).
Guo, Y. et al. Plasma metabolomics analysis identifies abnormal energy, lipid, and amino acid metabolism in abdominal aortic aneurysms. Med. Sci. Monit. 26, e926766 (2020).
Golledge, J., Thanigaimani, S., Powell, J. T. & Tsao, P. S. Pathogenesis and management of abdominal aortic aneurysm. Eur. Heart J. 44, 2682–2697 (2023).
Golledge, J. Abdominal aortic aneurysm: update on pathogenesis and medical treatments. Nat. Rev. Cardiol. 16, 225–242 (2019).
Boukouris, A. E., Zervopoulos, S. D. & Michelakis, E. D. Metabolic enzymes moonlighting in the nucleus: metabolic regulation of gene transcription. Trends Biochem. Sci. 41, 712–730 (2016).
Liu, Z. et al. Glycolysis links reciprocal activation of myeloid cells and endothelial cells in the retinal angiogenic niche. Sci. Transl. Med. 12, eaay1371 (2020).
Stegen, S. et al. Glutamine metabolism controls chondrocyte identity and function. Dev. Cell 53, 530–544.e8 (2020).
Zhu, N. et al. Epigenetic regulation of vascular smooth muscle cell phenotypic switch and neointimal formation by PRMT5. Cardiovasc. Res. 119, 2244–2255 (2023).
Scalise, M. et al. Transport mechanism and regulatory properties of the human amino acid transporter ASCT2 (SLC1A5). Amino Acids 46, 2463–2475 (2014).
Ohno, T. et al. Cytokine profile of human abdominal aortic aneurysm: involvement of JAK/STAT pathway. Ann. Vasc. Dis. 11, 84–90 (2018).
Qin, Z. et al. Angiotensin II-induced TLR4 mediated abdominal aortic aneurysm in apolipoprotein E knockout mice is dependent on STAT3. J. Mol. Cell Cardiol. 87, 160–170 (2015).
Bernal, S. et al. Protective effect of suppressor of cytokine signalling 1-based therapy in experimental abdominal aortic aneurysm. Br. J. Pharm. 178, 564–581 (2021).
Pyo, R. et al. Targeted gene disruption of matrix metalloproteinase-9 (gelatinase B) suppresses development of experimental abdominal aortic aneurysms. J. Clin. Invest. 105, 1641–1649 (2000).
Fang, L. et al. Omentin attenuates angiotensin II-induced abdominal aortic aneurysm formation in apolipoprotein E-knockout mice. Cardiovasc. Res. 118, 1597–1610 (2022).
Zhang, Y. et al. S-Nitrosylation of septin2 exacerbates aortic aneurysm and dissection by coupling the TIAM1-RAC1 axis in macrophages. Circulation 149, 1903–1920 (2024).
Shen, M. et al. Divergent roles of matrix metalloproteinase 2 in pathogenesis of thoracic aortic aneurysm. Arterioscler. Thromb. Vasc. Biol. 35, 888–898 (2015).
Howatt DA et al. Relaxin and matrix metalloproteinase-9 in angiotensin II-induced abdominal aortic aneurysms. Circ. J. 81, 888–890 (2017).
Salarian, M. et al. Homeostatic, non-canonical role of macrophage elastase in vascular integrity. Circ. Res. 132, 432–448 (2023).
Lau, W. W., Ng, J. K., Lee, M. M., Chan, A. S. & Wong, Y. H. Interleukin-6 autocrine signaling mediates melatonin MT(1/2) receptor-induced STAT3 Tyr(705) phosphorylation. J. Pineal Res. 52, 477–489 (2012).
Wilkins, M. R. et al. High-throughput mass spectrometric discovery of protein post-translational modifications. J. Mol. Biol. 289, 645–657 (1999).
Nan, J. et al. TNFR2 Stimulation promotes mitochondrial fusion via Stat3- and NF-kB-dependent activation of OPA1 expression. Circ. Res. 121, 392–410 (2017).
Harhous, Z. et al. Critical appraisal of STAT3 pattern in adult cardiomyocytes. J. Mol. Cell Cardiol. 131, 91–100 (2019).
Wu, L., Tan, J. L., Chen, Z. Y. & Huang, G. Cardioprotection of post-ischemic moderate ROS against ischemia/reperfusion via STAT3-induced the inhibition of MCU opening. Basic Res. Cardiol. 114, 39 (2019).
Lyu, Q. et al. CRISPR-Cas9-Mediated epitope tagging provides accurate and versatile assessment of myocardin-brief report. Arterioscler. Thromb. Vasc. Biol. 38, 2184–2190 (2018).
Ma, Q. et al. ATIC-Associated de novo purine synthesis Is critically involved in proliferative arterial disease. Circulation 146, 1444–1460 (2022).
Xu, J. et al. Adenosine kinase inhibition protects mice from abdominal aortic aneurysm via epigenetic modulation of VSMC inflammation. Cardiovasc. Res. 120, 1202–1217 (2024).
Hess, D. L. et al. Perivascular cell-specific knockout of the stem cell pluripotency gene Oct4 inhibits angiogenesis. Nat. Commun. 10, 967 (2019).
Xu, W., Chao, Y., Liang, M., Huang, K. & Wang, C. CTRP13 Mitigates abdominal aortic aneurysm formation via NAMPT1. Mol. Ther. 29, 324–337 (2021).
Kanematsu, Y. et al. Pharmacologically induced thoracic and abdominal aortic aneurysms in mice. Hypertension 55, 1267–1274 (2010).
Liu, H. et al. Ncf1 knockout in smooth muscle cells exacerbates angiotensin II-induced aortic aneurysm and dissection by activating the STING pathway. Cardiovasc. Res. 120, 1081–1096 (2024).
He, Y. et al. Palmitic acid accelerates endothelial cell injury and cardiovascular dysfunction via palmitoylation of PKM2. Adv. Sci. 12, e2412895 (2025).
Warthi, G. et al. Generation and comparative analysis of an Itga8-CreER (T2) mouse with preferential activity in vascular smooth muscle cells. Nat. Cardiovasc. Res. 1, 1084–1100 (2022).
Zhang, X. et al. Alkaline ceramidase 1-mediated platelet ceramide catabolism mitigates vascular inflammation and abdominal aortic aneurysm formation. Nat. Cardiovasc. Res. 2, 1173–1189 (2023).
Zou, J. et al. Targeting the smooth muscle cell KEAP1-Nrf2-STING axis with pterostilbene attenuates abdominal aortic aneurysm. Phytomedicine 130, 155696 (2024).
Acknowledgements
This work is supported by the National Natural Science Foundation of China (82270500 Z.L., 82574399 Z.L. and 82370444 S.X.) and the Guangdong Basic and Applied Basic Research Foundation (2026A1515012987 J.W. and 2024B1515020113 Z.L.).
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K.H., S.X., J.W., and Z.L. designed the study. P.Y. and Z.L. wrote the manuscript. P.Y. performed most of the in vitro and in vivo experiments. Z.G. and W.Y. performed the isolation and culture of MASMCs and replicated the molecular and histological experiments. C.Z. and Z.Z. participated in generating the murine models. Y.H. assessed the contractility of vascular smooth muscles using a wire myograph. Z.G. performed the bioinformatic analysis. P.Y. and Z.L. analyzed the data. M.S., Z.L., J.P., K.H., S.X., J.W., and Z.L. provided the reagents or materials, and critically reviewed and revised the manuscript. S.X., J.W., and Z.L. supervised the study and provided the funding. All the authors reviewed and approved the manuscript.
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Yang, P., Gao, Z., Ye, W. et al. SLC1A5 prevents aortic aneurysm and dissection by glutaminolytic-epigenetic orchestration of vascular smooth muscle cell homeostasis. Nat Commun (2026). https://doi.org/10.1038/s41467-026-71856-4
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DOI: https://doi.org/10.1038/s41467-026-71856-4