cardiovascular system
• at E18.5, five of 14 (35.7%) of hearts exhibit ventricular septal defects
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• semilunar valves (SLs) show upregulation of known retinoic acid (RA) target genes (Pbx1, Hnf3a, and Ret), indicating dysfunction in RA metabolism
• at E15.5, Pbx1 immunoreactivity is broadly increased in the SL valve endothelium and mesenchyme, as well as in the surrounding aortic root
• at E15.5, Ret is expressed in endothelial and mesenchymal cells of SL valves, but not detected in wild-type SL valves
• at E15.5, Hnf3a shows an increase specifically in the SL valve endothelium; by E18.5, increased Hnf3a is seen in both endothelial and mesenchymal cells of SL valves
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• at E18.5, aortic valve leaflets show a 55% increase in overall cellularity relative to wild-type leaflets
• at E18.5, aortic valve leaflets show a significant decrease in overall cell density, suggesting an increase in extracellular matrix (ECM) production; however, no change in apoptosis is detected by cleaved caspase 3 staining
• enlarged aortic valve leaflets are likely a result of excess outflow tract mesenchymal cell proliferation
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• at E18.5, aortic valve leaflets show a ~2.5-fold increase in aortic valve leaflet width relative to wild-type aortic valve leaflets
• by E18.5, the proportion of proliferating pHH3+ cells is significantly higher than that in wild-type aortic valve leaflets (8.9% vs 5.7%, respectively)
• thickened aortic valve leaflets are due in part to increased endothelial and mesenchymal cell proliferation in the remodeling valves
• however, valve leaflet width is normal in both atrioventricular and semilunar valves at E15.5, and no differences in proliferation are detected at E16.5 in any of the valves
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• aortic valve enlargement is due, at least in part, to increased cell proliferation
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• at E18.5, increase in overall cellularity is specific to the aortic valve; pulmonary, mitral, and tricuspid valve sizes are less affected
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homeostasis/metabolism
• semilunar valves show upregulation of known retinoic acid (RA) target genes (Pbx1, Hnf3a, and Ret), indicating dysfunction in RA metabolism
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