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. 2026 Sep 28;40(5):480–495. doi: 10.7555/JBR.39.20250415

Table 3. Experimental evidence relevant to PVAT inflammation in AAA and the models used.

Conclusions Models References

Abbreviations: ANGPTL2, angiopoietin-like protein 2; AT1a, angiotensin Ⅱ type 1a receptor; ATDC, adipose tissue dendritic cell; CCL2, C-C motif chemokine ligand 2; COMP, cartilage oligomeric matrix protein; EGR1, early growth response 1; ET-1, endothelin-1; FABP4, fatty acid-binding protein 4; FSP27, fat-specific protein 27; ICAM-1, intercellular adhesion molecule-1; JNK, c-Jun N-terminal kinase; MC, mast cell; MMP, matrix metalloproteinase; NCC, Na-Cl co-transporter; NE, neutrophil elastase; NF-κB, nuclear factor kappa-B; PDGF-D, platelet-derived growth factor-D; PCNA, proliferating cell nuclear antigen; TGF-β, transforming growth factor-β; Th17, T helper 17; TLR4, Toll-like receptor 4; VSMC, vascular smooth muscle cell.

Neutrophils are attracted by IL-8 and interact directly with adipocytes through the CD11b-ICAM-1 complex. Indirect evidence from an obesity model [38]
Neutrophils secrete NE to activate TLR4, thus promoting macrophage recruitment and amplifying inflammation. Indirect evidence from an obesity model [39]
EGR1 is differentially expressed between AAA and controls and may be associated with MC activation. Elastase infusion [41]
Obesity promotes the release of CCL2 from PVAT and the accumulation of macrophages. HFD + Ang Ⅱ [4]
FSP27 facilitates macrophage recruitment via the JNK-CCL2 axis and increases MMP-12. HFD + Ang Ⅱ [45]
Specific overexpression of SAA in PVAT elevates macrophage infiltration and MMP activity. HFD + Ang Ⅱ [48]
Leptin and FABP4 upregulate IL-18, the canonical IL-18 receptor (IL-18R), and NCC, an additional IL-18 receptor identified in AAA lesions, thereby promoting IL-18-mediated inflammatory responses. Ang Ⅱ + Apoe−/− [50]
ATDCs release IL-6, TGF-β, and IL-23, promoting the differentiation of Th17 cells. Indirect evidence from an obesity model [51]
Ceramides recruit T cells, and leukocytes likely migrate to aneurysms from the post-capillary venules in PVAT. Ang Ⅱ + Apoe−/− [33]
Overexpression of ET-1 promotes the infiltration of macrophages and secretion of MMP-2. HFD + Apoe−/− [61]
AT1a receptor activation promotes M1 polarization and enhances MMP-2 and MMP-9 through OPN. Ang Ⅱ + Apoe−/− [62]
ANGPTL2 from macrophages could activate the NF-κB cascade and upregulate MMP-9 expression. CaCl2 [63]
Adventitial mast cells can enhance macrophage-derived MMP-9 production through direct contact or IFN-γ signaling. CaCl2 [64]
PDGF-D spurs adventitial fibroblast activation via the TGF-β/Smad pathway and exacerbates CD68+ macrophage infiltration. HFD + Ang Ⅱ [65]
Leptin activates p38 MAPK signaling, downregulating the differentiation markers and upregulating the PCNA in VSMCs. Indirect evidence from an obesity model [68]
COMP could significantly increase survivin protein in VSMCs and reduce VSMC apoptosis. CaCl2 [74]
CCL2 mediated the chemoattractant effect of apoptotic VSMCs and triggered macrophage infiltration during SMC death. Ang Ⅱ + Apoe−/− [75]