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Single-cell analysis identifies the CNP/GC-B/cGMP axis as marker and regulator of modulated VSMCs in atherosclerosis

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Listed:
  • Moritz Lehners

    (University of Tübingen)

  • Hannes Schmidt

    (University of Tübingen)

  • Maria T. K. Zaldivia

    (University of Tübingen)

  • Daniel Stehle

    (University of Tübingen)

  • Michael Krämer

    (University of Tübingen)

  • Andreas Peter

    (University Hospital Tübingen)

  • Julia Adler

    (University of Tübingen)

  • Robert Lukowski

    (University of Tübingen)

  • Susanne Feil

    (University of Tübingen)

  • Robert Feil

    (University of Tübingen)

Abstract

A balanced activity of cGMP signaling contributes to the maintenance of cardiovascular homeostasis. Vascular smooth muscle cells (VSMCs) can generate cGMP via three ligand-activated guanylyl cyclases, the NO-sensitive guanylyl cyclase, the atrial natriuretic peptide (ANP)-activated GC-A, and the C-type natriuretic peptide (CNP)-stimulated GC-B. Here, we study natriuretic peptide signaling in murine VSMCs and atherosclerotic lesions. Correlative profiling of pathway activity and VSMC phenotype at the single-cell level shows that phenotypic modulation of contractile VSMCs to chondrocyte-like plaque cells during atherogenesis is associated with a switch from ANP/GC‑A to CNP/GC‑B signaling. Silencing of the CNP/GC-B axis in VSMCs results in an increase of chondrocyte-like plaque cells. These findings indicate that the CNP/GC-B/cGMP pathway is a marker and atheroprotective regulator of modulated VSMCs, limiting their transition to chondrocyte-like cells. Overall, this study highlights the plasticity of cGMP signaling in VSMCs and suggests analogies between CNP-dependent remodeling of bone and blood vessels.

Suggested Citation

  • Moritz Lehners & Hannes Schmidt & Maria T. K. Zaldivia & Daniel Stehle & Michael Krämer & Andreas Peter & Julia Adler & Robert Lukowski & Susanne Feil & Robert Feil, 2025. "Single-cell analysis identifies the CNP/GC-B/cGMP axis as marker and regulator of modulated VSMCs in atherosclerosis," Nature Communications, Nature, vol. 16(1), pages 1-21, December.
  • Handle: RePEc:nat:natcom:v:16:y:2025:i:1:d:10.1038_s41467-024-55687-9
    DOI: 10.1038/s41467-024-55687-9
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    References listed on IDEAS

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    1. Lai Wen & Susanne Feil & Markus Wolters & Martin Thunemann & Frank Regler & Kjestine Schmidt & Andreas Friebe & Marcus Olbrich & Harald Langer & Meinrad Gawaz & Cor Wit & Robert Feil, 2018. "A shear-dependent NO-cGMP-cGKI cascade in platelets acts as an auto-regulatory brake of thrombosis," Nature Communications, Nature, vol. 9(1), pages 1-11, December.
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