Evidence map›Paper›PMID 40747548›Full record

ArticleCirculation research2025

Paracrine Smooth Muscle-to-Endothelial Signaling via TNF Elevates Blood Pressure in Obesity.

Maniselvan Kuppusamy, Matteo Ottolini, Yen-Lin Chen, Zdravka Daneva, Jie Li, Caroline Heng-Mae Cheung, Natalia Rios, Rafael Radi, Gracie Garcia, Divine Nwafor and 3 more

Erratum issuedAbstract read
In one paragraph

Article in Circulation research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Maniselvan KuppusamyRobert M. Berne Cardiovascular Research Center (M.K., M.O., Y.-L.C., Z.D., J.L., C.H.-M.C., S.K.S.), University of Virginia, Charlottesville, VA.ORCID 0000-0003-4579-584X
Matteo OttoliniRobert M. Berne Cardiovascular Research Center (M.K., M.O., Y.-L.C., Z.D., J.L., C.H.-M.C., S.K.S.), University of Virginia, Charlottesville, VA.
Yen-Lin ChenRobert M. Berne Cardiovascular Research Center (M.K., M.O., Y.-L.C., Z.D., J.L., C.H.-M.C., S.K.S.), University of Virginia, Charlottesville, VA.ORCID 0000-0003-1149-394X
Zdravka DanevaRobert M. Berne Cardiovascular Research Center (M.K., M.O., Y.-L.C., Z.D., J.L., C.H.-M.C., S.K.S.), University of Virginia, Charlottesville, VA.ORCID 0009-0008-6837-6211
Jie LiRobert M. Berne Cardiovascular Research Center (M.K., M.O., Y.-L.C., Z.D., J.L., C.H.-M.C., S.K.S.), University of Virginia, Charlottesville, VA.ORCID 0000-0003-1581-4835
Caroline Heng-Mae CheungRobert M. Berne Cardiovascular Research Center (M.K., M.O., Y.-L.C., Z.D., J.L., C.H.-M.C., S.K.S.), University of Virginia, Charlottesville, VA.ORCID 0009-0005-8069-4050
Natalia RiosDepartamento de Bioquímica, Facultad de Medicina (N.R., R.R.), Universidad de la República, Montevideo, Uruguay.ORCID 0000-0001-5114-3130
Rafael RadiDepartamento de Bioquímica, Facultad de Medicina (N.R., R.R.), Universidad de la República, Montevideo, Uruguay.ORCID 0000-0002-1114-1875
Gracie GarciaDepartment of Neurosurgery (G.G., D.N., M.S.P.), University of Virginia, Charlottesville, VA.
Divine NwaforDepartment of Neurosurgery (G.G., D.N., M.S.P.), University of Virginia, Charlottesville, VA.ORCID 0000-0001-7347-9524
Min S ParkDepartment of Neurosurgery (G.G., D.N., M.S.P.), University of Virginia, Charlottesville, VA.ORCID 0000-0003-1966-8863
Alexei V TumanovDepartment of Microbiology, Immunology and Molecular Genetics, The Long School of Medicine, University of Texas Health San Antonio, San Antonio, TX (A.V.T.).ORCID 0000-0001-6042-0152
Swapnil K SonkusareRobert M. Berne Cardiovascular Research Center (M.K., M.O., Y.-L.C., Z.D., J.L., C.H.-M.C., S.K.S.), University of Virginia, Charlottesville, VA.ORCID 0000-0001-9587-9342

Funding

Paracrine TNF signaling impairs endothelial TRPV4 microdomains in obesityR01HL142808 · NHLBI · UNIVERSITY OF VIRGINIA · PI Swapnil K. Sonkusare · 2019 to 2026
$4.4M
Flow-Activated Calcium Signaling Microdomains in Small Pulmonary ArteriesR01HL146914 · NHLBI · UNIVERSITY OF VIRGINIA · PI Swapnil K. Sonkusare · 2019 to 2026
$3.8M
Novel Calcium Signaling Nanodomains in Vascular Smooth Muscle CellsR01HL167208 · NHLBI · UNIVERSITY OF VIRGINIA · PI Swapnil K. Sonkusare · 2023 to 2026
$2.1M
Small-Animal 9.4T MRI for Biomedical ResearchS10OD025024 · OD · UNIVERSITY OF VIRGINIA · PI BERR, STUART S. · 2019 to 2019
$2.0M
NHLBI NIH HHS R01 HL142808NHLBI NIH HHS R01 HL146914NHLBI NIH HHS R01 HL167208NIH HHS S10 OD025024
6 · The paper itself

Abstract

backgroundLoss of endothelial function is a key contributor to obesity-induced hypertension. Obesity can cause chronic, low-grade inflammation, leading to abnormal blood vessel function. The release of inflammatory cytokines is commonly attributed to immune cells, but recent studies suggest that vascular cells can also release these cytokines. We tested the hypothesis that vascular wall-derived inflammatory cytokines act locally to impair endothelial function and elevate blood pressure in obesity.

methodsThe levels of inflammatory cytokines were analyzed in endothelial cells (ECs) and smooth muscle cells (SMCs) from small arteries of high-fat diet-fed mice and individuals with obesity. We utilized inducible, EC- or SMC-specific deletion and receptor inhibition studies to determine whether inflammatory signaling between SMCs and ECs can be targeted to improve endothelial function and lower blood pressure in obesity.

resultsTNF (tumor necrosis factor) was selectively upregulated in SMCs from small arteries of obese mice and human subjects with obesity. TNF colocalized with TNFRI (TNF receptor I) at endothelial projections to SMCs or myoendothelial projections in obesity. SMC-specific deletion of TNF or EC-specific deletion of TNFRI improved endothelial function and lowered blood pressure in obese mice. Notably, deleting TNF from ECs or TNFRI from SMCs had no impact on endothelial function or blood pressure in obesity. Furthermore, the deletion of TNF from SMCs or TNFRI from ECs decreased the levels of inducible nitric oxide (NO) synthase and peroxynitrite, leading to enhanced activity of TRPV4 (transient receptor potential vanilloid 4) ion channels and improved endothelial function. In addition, specific inhibition of TNFRI also rescued endothelial function and lowered blood pressure in obesity.

conclusionsOverall, these findings show that paracrine signaling from SMCs to ECs via TNF elevates blood pressure in obesity. Consequently, targeting smooth muscle TNF or endothelial TNFRI offers a potential approach for lowering blood pressure in obesity.

Indexed as

Blood PressureEndothelial CellsEndothelium, VascularHypertensionMuscle, Smooth, VascularMyocytes, Smooth MuscleObesityParacrine CommunicationTumor Necrosis Factor-alphaAnimalsCells, CulturedDiet, High-FatFemaleHumansMaleMiceReceptors, Tumor Necrosis Factor, Type ITnfrsf1a protein, mouseTrpv4 protein, mouseTRPV Cation ChannelsTumor Necrosis Factor-alphablood pressureendotheliuminflammationmuscle, smoothobesitytumor necrosis factor-alpha

Identifiers

PMID40747548
PMCPMC12321226

What Socratic holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.