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ORIGINAL RESEARCH article

Front. Physiol.

Sec. Vascular Physiology

Volume 16 - 2025 | doi: 10.3389/fphys.2025.1561867

This article is part of the Research Topic Insights in Vascular Physiology: 2024 View all 8 articles

Coronary Cytoskeletal Modulation of Coronary Blood Flow in the Presence and Absence of Type 2 Diabetes: The Role of Cofilin

Provisionally accepted
  • 1 Nationwide Children's Hospital, Columbus, Ohio, United States
  • 2 Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Georgia, United States
  • 3 University of Texas Tyler School of Medicine, Tyler, United States
  • 4 Department of Pediatrics, College of Medicine, The Ohio State University, Columbus, Ohio, United States

The final, formatted version of the article will be published soon.

    Background: Coronary resistance microvessels (CRMs) from type 2 diabetic (T2DM) mice and pigs are less stiff compared to normal, a finding that is dictated by less stiff coronary vascular smooth muscle cells (VSMCs). Cofilin is an endogenous actin regulatory protein that depolymerizes filamentous (F)-actin, and portions of F-actin bound to cofilin are less stiff compared to their unbound F-actin counterparts. In this study, we hypothesized that altering the actin cytoskeleton modifies VSMC stiffness, which contributes to changes in coronary blood flow in normal and T2DM conditions.Utilizing phalloidin staining, we found that F-actin was significantly reduced in T2DM CRM VSMCs, and we showed cofilin expression was increased in T2DM by proteomics and Western blot analysis. Cofilin knockdown in both human and mouse coronary VSMCs using siRNA significantly increased F/G actin ratio.Cofilin knockdown also caused a significant increase in elastic modulus by atomic force microscopy of coronary VSMCs. Treatment with Latrunculin B, an actin disruptor, significantly decreased VSMC elastic modulus. Acute Latrunculin B infusion into the coronary circulation of ex vivo isolated Langendorff mouse hearts increased peak coronary blood flow.Conclusions: Together, we demonstrated that the CRM VSMC actin cytoskeleton is altered in T2DM to favor less stiff cells, and pharmacological manipulation of the actin cytoskeleton alters VSMC biomechanics. This study is also the first to demonstrate that coronary cellular modulation of mechanics can acutely modulate coronary blood flow.

    Keywords: coronary microcirculation, vascular smooth muscle cells, diabetes, cofilin, Actin remodeling, coronary blood flow

    Received: 16 Jan 2025; Accepted: 19 Feb 2025.

    Copyright: © 2025 McCallinhart, Stone, Lucchesi and Trask. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Aaron J. Trask, Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, 43215, Georgia, United States

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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