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UK Slot Sites 2026 Best Online Slots & Biggest Jackpots

An older summary listed $820 without enough context, so the larger figure has been removed rather than repeated. High-percentage deposit bonuses can give you more playing time on high payout slots. Everyone wants to win more when playing the best online slots, and that's why we have picked the top 10 high-payout slots for 2026. While it looks dated graphically, it holds the record for awarding the most 7 and 8-figure progressive jackpots. Always confirm the specific jackpot rules for the title you’re playing before starting your session. This also applies while playing mobile slots.

Always remember to play responsibly – set deposit limits, take regular breaks and choose UKGC-licensed for safe, secure and fair gameplay. Our expert reviews – supported by real player feedback – highlight the top-rated slot sites offering the most exciting games, highest RTPs and consistently reliable payouts. The UK Gambling Commission (UKGC) has significantly reshaped the rules for online slots in recent years, with the biggest changes taking effect across 2025 and 2026. Our UK online slots team especially enjoys the random daily prize drops, which give everyone who plays a chance to trustly online casino win – not just those who make it onto the weekly leaderboard. In these scheduled tournaments, players compete against each other for cash prizes or other exciting rewards. Slots tournaments add a competitive edge to spinning the reels, offering additional rewards beyond regular gameplay. The base game is usually straightforward – you simply choose your bet size and start spinning.

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UK slot sites offer a huge variety of slots, including classic fruit machines, video slots, progressive jackpots, 3D slots and Slingo. Yes, all online slots at UK slot sites recommended on this page are fully accessible on mobile. This includes games from popular progressive jackpots like Jackpot King, Mega Moolah and WowPot, where a huge jackpot win could be just a spin away. It’s also impossible to determine at which point in the game journey this payout will drop – but if it ever does, you’re going to want to make sure you’re playing the best progressive jackpot slots at the best UK payout casinos of course. Whether you’re known to seek out traditional fruit slots, modern video slots, or the latest progressive jackpots, this game collection is rich and diverse – and of course, available on all devices including your mobile phone. The RTP for most progressives typically includes the jackpot contribution, meaning the theoretical return remains fair despite long odds.

Slot Sites with the Most Jackpot Slots

From classic fruit machines to modern video slots, Slingo titles and huge progressive jackpots, UK players have more slot options than ever before. The first online slots available in the UK were simple, typically played across five reels and three rows. Find top-rated slot sites and the best online slots, expertly reviewed and ranked by our specialists. While playing progressive slots could result in unimaginable win potential, the odds of winning a fixed jackpot are infinitely larger despite their jackpots being substantially smaller in size. Each spin contributes a small percentage to the jackpot prize pool, which continues to increase until one unsuspecting (and very lucky!) player lands the winning spin. In this case, Book of Atem includes an ancient Egyptian theme, huge win potential, as well as stunning visuals and a highly engaging bonus game feature.

Las 10 Mejores Tragamonedas Que Más Pagan En México 2026

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Si estos números no son suficientes para ti, la slot de Blueprint Gaming cuenta con 117,649 líneas de pago, un RTP del 96.6 % y una volatilidad media-alta. En esta tragamonedas acompañarás a Rick y a Morty en un viajo que podría proporcionarte un premio de hasta 50,000 veces tu apuesta. Las tragamonedas te pueden sorprender con sus temáticas, Christmas Carol Megaways es una de ellas. Esta aztec7 casino tragamonedas con una temática africana, te da la oportunidad de reclamar un premio que puede ser multiplicado 20,000 veces. Esta tragamonedas de NetEnt te permitirá jugar con los lujos que puedes obtener si obtienes la ganancia máxima. Ha llegado el momento de conocer cuáles son las tragamonedas que más pagan y aprender a conocerlas, desde sus características principales, proveedores y más.

Anacaona apuesta a la excelencia a través de la inteligencia, innovación y responsabilidad, es por ello que su experiencia y crecimiento constante, impulsan y promueven a nuestros lectores a mejorar sus habilidades en juegos online. Entra a esta página podrás encontrar las mejores 10 tragamonedas que más pagan en México. Adicionalmente, hacer uso de un bono sin depósito en un casino en línea puede garantizar más oportunidades de jugar. Recomendamos que consigas tragamonedas que más pagan con una tasa de aciertos decente para que juegues por un tiempo más prolongado y tengas más chance de obtener una ganancia mayor.

Darmowe Automaty 777 Graj W Gry Demo Online Na Slotsup

To płonąca gra owocowa z dodatkiem znanych symboli szczęścia – sztabek BAR, siódemek i dzwonków. Dzięki funkcji buy feature i darmowym spinom w regularnej ofercie. Automat jest popularny wśród graczy dzięki mobilnej dostępności na dowolnym telefonie bez instalacji. Naszym celem jest stworzenie dynamicznej społeczności, gdzie nasi czytelnicy będą mogli odkrywać i cieszyć się pełnym spektrum możliwości slotów online. Wybraliśmy i wyselekconowaliśmy wysoce cenione tytuły od renomowanych twórców gier slot z całego świata. Na naszej stronie gracze znajdą imponującą kolekcję propozycji i analiz slotów online.

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Valódi Pénzes Kaszinók 2026 Legjobb Oldalai Magyarországon

A rövid válasz az, hogy nem minden online valódi pénzes kaszinó tisztességes. Valószínűleg minden alkalommal, amikor egy új valódi pénzes kaszinót talál, azon tűnődik, hogy mennyire legális, és hogy tisztességes játékot kínál-e. Igen, ezeknek a játékoknak a házi előnye 1%-nál kezdődik, ami nem olyan alacsony, mint a blackjacké, de magasabb, mint a nyerőgépeké. A otp casino másik ok, amiért a crash játékok őrülten népszerűek, az alacsony házi előnyük. Ahogy a szorzógörbe növekszik, lehetőséged van arra, hogy beválts, mielőtt a játék „összeomlik”. Mindössze annyit kell tenned, hogy megteszel egy tétet, mielőtt a következő kör elkezdődik. Minél kevesebb pakli van a játékban, annál alacsonyabb a házi előny.

Vegye figyelembe, hogy a Szerencsekerék játék show, a kaparós játék és a Kenó a legrosszabb nyerési esélyekkel rendelkezik. Az oldalakon elérhető bónuszok és promóciók is hozzájárulnak a népszerűségükhöz, hiszen az online kaszinóban játszó felhasználók számára ezek további előnyöket és kényelmi lehetőségeket biztosítanak. A 98% és 100,05% közötti Return-to-Player-Ratios (RTP) értékkel a Video Póker az egyik legjobb nyerési esélyekkel rendelkező játék a szerencsejátékok világában.Mivel a Video Póker a szerencsejátékok világában a legjobb nyerési esélyekkel rendelkezik. Az online kaszinók a videópóker számos változatát kínálják, köztük olyan élő pókerjátékokat, mint a Texas Hold’em, a Short Deck Poker, a Triple Draw Poker, az Omaha Poker és a Three Card Poker, hogy csak néhányat említsünk. A rulett játék gyökerei Olaszországból származnak, de a név a francia nyelvből származik, és azt jelenti, hogy „kis kerék”. A rulettnél a piros vagy a fekete számra fogadhatsz, arra, hogy a szám páratlan vagy páros, hogy magas vagy alacsony, egy számra vagy különböző számcsoportokra. A magas volatilitású legjobb online nyerőgépek általában nagyobb kifizetéseket kínálnak, de nem olyan gyakran, mint az alacsony volatilitású nyerőgépek, amelyek általában kisebb kifizetéseket kínálnak, de rendszeresen. A több mint valódi pénzes játékot, Evolution és Pragmatic élő asztalokat, heti cashbacket és több szintű VIP programot kínáló Dudespin azoknak ideális, akik erős bónuszt és gyors cashoutot keresnek forintban.

Ide tartoznak a jackpot, a kriptó, a nyerőgép és a bónuszvásárlási címek. A 3,6/5 csillagos értékeléssel rendelkezik, ami jónak mondható. Egy jó hírű szerencsejáték vállalat, amely több mint 100 online kaszinóval rendelkezik. Így kiváló minőségű, tisztességes és biztonságos valódi pénzes játékokra számíthat. A regisztráció után koppints a főoldalon a „befizetés” opcióra. 2020-as indulása óta a Boomerang több mint 150 nemzet játékosainak kínál valódi pénzes kaszinójátékokat.

Valódi pénzes kaszinók 2026-ben: gyors áttekintés

Ha pénzt akarsz keresni egy online kaszinóban, azt javasoljuk, hogy olyan játékokat játssz, amelyeknek alacsony a ház előnye. A valódi pénzes kaszinók működéséhez tényleges pénzre van szükség. Ezen kívül kitértünk azokra az alapvető tényezőkre is, amelyeket szem előtt kell tartanod, amikor a valódi pénzes kaszinók világába csöppensz. Sok minden jár a valódi pénzes online kaszinójátékok élvezetével. Az ingyenes és a valódi pénzes kaszinók közötti választás kihívást jelenthet. Az eddig ismertetett rövid ismertetőkből már tudod, hogy milyen játékokra számíthatsz a valódi pénzes kaszinókban. Nincs jobb érzés egy online kaszinórajongó számára, mint egy valódi pénzes kaszinóban játszani és rekordidőn belül kifizetést kapni.

Tegyen befizetést és játsszon

A megforgatási követelmény mellett ide tartoznak a minimum befizetési limitek, illetve bizonyos bónuszok csak előre meghatározott játékokra érvényesek. Az értékelés során fontos megvizsgálni azt, hogy az ügyfélszolgálat milyen gyorsan áll rendelkezésre. A minőségi platformok közé azok a kaszinók tartoznak, amelynek a használata mobiltelefonról is egyszerű. A fizetési rendszerek biztonságos működését a szolgáltató (bank, e-pénztárca vállalat, stb.), illetve a kaszinó garantálja. Legnépszerűbb ajánlat az ingyenes pörgetés, amely által a játékos akkor sem veszti kedvét, ha épp nem áll nyerésre, hiszen extra lehetőséget kap. Fontos, hogy a kaszinókban hasznos bónuszokat lehessen felhasználni, ugyanis ezek adnak előnyöket a játékosoknak. Ezenkívül érdemes a tapasztalatait összevetnie a kaszinó hírnevével és más, régebbi játékosok visszajelzéseivel.

Best Online Casinos In India October 2026 – Play And Win

Switching between games and payment sections felt quick, even on mobile browsers. Crypto-based payments allow for very fast deposits and withdrawals, which were processed instantly during testing. Their games’ library includes live Blackjack, crash games, and Stake Originals, with limited Indian card games. Rather than traditional casino bonuses, Stake offers ongoing rewards, leaderboards, and regular promotions tied to gameplay volume. The platform focuses heavily on speed, with near-instant game loading and navigation. Stake.com is best suited to online casino players who are comfortable using cryptocurrency and prefer a stripped-back casino experience.

Anyone who has ever experienced the frustration of trying to fix a problem on a website will appreciate why good customer support is such an important consideration. Live games and arcade-style titles vary widely, but for pure RTP and real cash wins, stick with the top-tier slots and blackjack. These are solid picks if you’re after a mix of entertainment and value—especially anything over 96% RTP. Scroll to the footer – if you don’t see licensing details there (or if it looks sketchy), walk away.

You get dealt a hand and choose which cards to keep before drawing replacements. Reputable online casinos offer slot game titles from top developers like NetEnt, Play’n GO, and Pragmatic ashok bansal casino Play, ensuring smooth gameplay and fair outcomes. Features like bonus rounds, free spins, and “Buy Bonus” options keep things exciting. Live casino games like live blackjack, live roulette, and live baccarat come with various betting options, side bets, and multipliers that spice up traditional formats.

Best casino bonus and welcome offers for UK players August 2026

There are several factors that users should consider before claiming casino sign up offers. This requirement dictates the number of times bonus funds must be played through before they can be withdrawn. No deposit free spins are rarely offered by online casinos, especially for casino sign up offers. There are several types of casino bonus that users are likely to come across, either as part of casino welcome bonuses or as existing promotions. Casino bonuses are one of the most popular features on gambling sites with UK operators offering bonuses for both new and existing customers in 2026. That said, being strategic with your game selection and bankroll is always a good idea, so don’t be tempted to spend more than you can afford just to get a chance at earning more from the promotion. Some casinos choose to focus on regular promotions, cashback deals, or loyalty incentives instead of upfront bonuses. If you try to withdraw funds early or without meeting all requirements, you’ll almost certainly forfeit the bonus entirely.

The comparison below shows how these deposit bonuses typically differ in practice. While both bonuses are part of standard slot welcome offers, the difference in minimum deposit changes how much value you unlock from the promotion. While the upfront cost is higher, the additional balance gives more room to meet wagering requirements and explore a wider range of games under the same bonus terms. A deposit £10 and play with £60 bonus follows the same basic structure but is typically positioned for players looking to unlock more bonus value from the start. An online slots bonus can significantly boost your gameplay, offering additional funds and opportunities to explore a wide range of games. Slot promotions usually come as match deposit bonuses, where the casino will match a percentage of your first deposit and award you bonus funds to use on slot gameplay.

Just remember that you have 7 days to meet the wagering requirements once the bonus is credited! While many know talkSPORT for the latest sports news, their talkSPORT BET casino platform has become a powerhouse in 2026. Betway is a massive name in the UK, and they have claimed our top spot with an offer that is refreshingly simple. Using The Sun Factor our data-driven testing process, we’ve filtered out complex ‘mixed-product’ traps and focused on transparency. After testing dozens of operators and navigating more wagering terms than we’d care to admit, we’ve finalized our top 10 casino welcome offers for UK players in 2026. In this guide, we’ve used The Sun Factor, our rigorous in-house ranking system, to cut through the jargon. With two years of experience in the iGaming industry, Hannah has developed a strong focus on the US, UK, and New Zealand markets. Most new casino sites support a mix of debit cards, PayPal, Apple Pay, Visa, Mastercard and e-wallets like Skrill.

Bally Casino

This cap is designed to control how quickly you can clear a bonus and keep wagering consistent across your play. This means it takes longer to clear the bonus and withdraw your funds, so choose your games wisely. Before claiming any UK bonus casino offers, it’s important to understand how terms affect what you can actually withdraw. Before depositing, check the promotion terms carefully and make sure you meet every qualifying condition. This type of bonus is applied ksi lucky wheel after play, giving you a safety net if results don’t go your way. They follow a similar structure to welcome offers but are built for regular play, helping you extend sessions over time.

No Wagering Free Spins

If you lose £100 in a session and the casino offers 10% cashback, you get £10 back. You receive a set number of spins on specified online slots, with winnings credited as either cash (no-wagering free spins) or bonus funds subject to a play through requirement. The same applies whether you’re playing on new casinos, high payout casinos, bingo sites, poker sites or any other gambling platform. Not all online casinos have casino apps available for users across both iOS and Android. Most casino sites have restrictions where UK casino bonuses can be used on their platform. To get the most out of your sign-up bonus, deposit the maximum qualifying amount you can afford and choose games that contribute fully to wagering, which is typically slots. Just remember that the bonus funds are “sticky” (for wagering purposes only), but once you meet that 10x target, any winnings generated are yours to keep as real cash. The casino offers a unique “adventure” experience, and the Duelz welcome bonus is designed to keep you coming back for a full week.

Sniper Elite: Resistance Wikipedia

PDGF-BB, a key member of the PDGF family, is a peptide growth factor with diverse biological functions. In vitro studies have demonstrated that venous VSMCs are smaller, spindle-shaped, and exhibit enhanced proliferative and migratory potential. Commonly used vascular grafts in CABG include the left internal mammary artery (LIMA), radial artery (RA), and great saphenous vein (GSV). Check if you have access through your login credentials or your institution to get full access on this article. If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Authors of the article cited in the comment will be invited to reply, as appropriate. ELetters should relate to an article recently published in the journal and are not a forum for providing unpublished data. Expression and promoter analysis of a highly restricted integrin alpha gene in vascular smooth muscle.

For the very first time, agent of the Special Operations Executive (SOE), Harry Hawker steps out of the shadows as the lead protagonist While Sniper Elite 5 included updates set in Vichy France, the team decided to make a standalone game set in this location because the team "felt that there was much more to explore". The game retained the same gameplay systems, though the team added some new features, such as a new grenade type and a new timed-based mode. Once in Amiens, Hawker finds out that when he finishes his mission by trapping the Zugwerfers for an RAF bombing, he will not be able to escape in time. The dam from the first mission is being repaired, however, one of the crashed RAF bombers had a bouncing bomb, which the Germans are studying.

Changes in retardation with time when the chemical reagent was applied to the cell to alter the cellular contraction state. Under the assumption that the refractive index stays constant, retardation measurements provide information on the mechanical state. In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript. 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. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice.

Virgin And Photo-degraded Microplastics Induce The Activation Of Human Vascular Smooth Muscle Cells

This value is larger than the cell retardation measured in the current study, approximately 0.3 nm (Fig. 4h), implying that changes in cell retardation would not be detected in aortic tissue. According to our previous study31, the retardation of aortic tissue with a thickness of 100 µm is approximately 30 nm. This study demonstrates that retardation measurement is useful for evaluating the cell phenotype in VSMCs. Generally, SFs in cells dynamically change their position and structure on this time scale. Figure 2b of the present study shows that retardation increased mainly in the central region upon calyculin A application, implying that retardation is increased by SF contraction. (d–f) Changes in (d) cell retardation, RetCell; (e) cell area, ACell; and (f) total cell retardation, RetCellTotal, with time. (a–c) Typical time-lapse images of retardation of single cells after application of (a) DMEM (control), (b) calyculin A, and (c) Y solution.

Buffer solutions—such as the University of Wisconsin solution, TiProtec, and He solution—can better maintain ion homeostasis and physiological pH. These solutions provide superior protection of endothelial structure and function compared to AWB and normal saline (93). The proposed protective mechanisms include the preservation of eNOS activity, which is abundantly expressed in the adventitia, and the retention of perivascular adipose tissue markers such as leptin and adiponectin (85, 86). These approaches provide a diversified portfolio for improving vein graft patency. Further elucidation of their roles may not only deepen our understanding of IH but also provide theoretical foundations and therapeutic targets for developing effective intervention strategies. To facilitate comparison and provide an integrated overview of the evidence discussed above, representative studies describing non-coding RNAs-mediated regulation of VSMCs phenotypic switching, including molecular targets and functional consequences, are summarized in Table 2. These molecules participate in the regulation of VSMCs phenotypic switching through intricate molecular mechanisms and play essential roles in the onset and progression of cardiovascular diseases (Figure 2).

Another significant structural change of vascular aging is the calcification of tunica intima and tunica media. All of them significantly reduced VSMCs stiffness in vivo and in vitro, confirming the possibility of targeting cytoskeletal protein junctions for the treatment of vascular sclerosis . At the same time, ECM degradation also facilitated VSMCs migration and neointimal formation. Contractile VSMCs spontaneously modify their phenotype instantaneously to synthetic phenotype when vascular damage occurs. The interaction between VSMCs and other cell types (such as endothelial cells, macrophages, and lymphocytes) in the complex environment of vascular diseases may involve Notch pathway to regulate VSMCs phenotype, which needs to be further investigated. Given the diversity of miRNAs involved in VSMCs phenotype regulation, we believe that manifold miRNAs that potentially regulate VSMCs phenotype switching remain undiscovered. In general, miRNAs that inhibit VSMCs ossification include miR-542-3p , miR-133a , miR-135a miR-204 , and miR-223-3p , all of which regulate osteogenic switching of VSMCs by directly binding to osteogenic genes or related transcription factors. Early studies have established the importance of miRNAs in vascular calcification, and miRNAs can serve as vascular calcification markers .

Editor & Reviewers

In the PKG-independent pathway, 6-aminonicotinamide can directly stimulate the expression of MYOCD/miR-143 and downregulate the synthetic phenotype-responsive SRF-ELK1 complex to maintain the contractile phenotype. HnRNPA1 is a key regulator of PKM2 mRNA splicing, which can promote PKM2 expression and glycolysis. PKM2 is a key enzyme in the last step of glycolysis, converting phosphoenolpyruvate to pyruvate and supplying ATP . Acetyl CoA and citrate produced by glycolysis provide fuel for de novo fatty acid synthesis . At the same time, upregulation of PFKFB3 builds a carbon atom-sharing bridge between glycolysis and fatty acid synthesis. Metabolic reprogramming of plaques provide clues to changes in the metabolic pattern of cells within the plaque. In high-risk plaques, glycolysis and pentose phosphate pathway (PPP) are enhanced, fatty acid oxidation (FAO) is reduced, and amino acid anaplerosis is increased 5,6,7. Vascular smooth muscle cell metabolic reprogramming and phenotypic remodeling in atherosclerosis

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). 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. All claims expressed in this article are solely those ooosch casino login of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. This approach offers the potential for sustained inhibition and even regression of IH. This shift provides a scientific basis for the advancement of cardiovascular disease therapies. Currently, the primary pharmacological agents include microtubule stabilizers (e.g., paclitaxel-based drugs) and mTOR signaling inhibitors (e.g., rapamycin-based drugs). EDIs, which are buffer solutions developed based on the GALA formula (containing reduced glutathione, L-ascorbic acid, and L-arginine), exhibit antioxidant properties, scavenge free radicals, and support eNOS activity (95, 96).

2 Intimal Hyperplasia

Several mouse lines for cell lineage tracing have been developed and used for studying VSMC phenotypic switching. In vitro studies have shown that VSMCs can be de‐differentiated to a myofibroblast‐like VSMC state by stimulating VSMCs with platelet‐derived growth factor and transforming growth factor‐β.21, 54 In vivo studies have suggested that myofibroblast‐like VSMCs are derived from a subset of tenascin C VSMCs recruited from the tunica media.55 Hao et al found a subpopulation of VSMCs in the intima of human atherosclerotic lesions that had reduced or completely lost expression of MYH11 and SMTN, and displayed characteristics of myofibroblasts.50 The myofibroblast cell is phenotypically intermediate between fibroblasts and VSMCs.51 Mechanistically, the study of Pan et al14 suggests that cellular retinoic acid binding protein 2, a transducer of retinoic acid signaling, is a master regulator of vascular cell adhesion molecule 1 and lymphocyte antigen 6 family member C1. Mechanistically, studies have suggested that during atherogenesis, KLF4 mediates VSMC transition from the contractile phenotype to mesenchymal‐like phenotype cells.8, 13, 44 KLF4 inhibits the expression of sex‐determining region Y‐box 9, transient receptor potential cation channel subfamily V member 4, and S100 calcium‐binding protein B. Markers of the contractile phenotype include MYH11 (also known as smooth muscle myosin heavy chain 11), calponin, transgelin (also known as SM22α), myocardin, and α‐smooth muscle actin.11

Cholesterol‐induced phenotypic modulation of smooth muscle cells to macrophage/fibroblast‐like cells is driven by an unfolded protein response. Transdifferentiation of mouse aortic smooth muscle cells to a macrophage‐like state after cholesterol loading. Low LAL (lysosomal acid lipase) expression by smooth muscle cells relative to macrophages as a mechanism for arterial foam cell formation. Contribution of intimal smooth muscle cells to cholesterol accumulation and macrophage‐like cells in human atherosclerosis. BMAL1 modulates smooth muscle cells phenotypic switch towards fibroblast‐like cells and stabilizes atherosclerotic plaques by upregulating YAP1.

Sorry, a shareable link is not currently available for this article. Changes in the retardation of cells treated with contraction and relaxation chemicals against controls were evaluated at each time point using Steel’s test. At each time point, the cell area, ACell, was measured by manually outlining the shape of the VSMCs in the phase contrast images. Because the retardation in background areas changed with time, a background image was taken just before imaging a cell. Retardations of passage 2 and 12 cells were compared because lower passage VSMCs have a contractile phenotype, while higher passage VSMCs dedifferentiate towards the synthetic phenotype39. VSMCs with the contractile phenotype show a higher retardation than those with the synthetic phenotype, suggesting that retardation can be used to evaluate VSMC phenotype.

In recent years, the rapid advancement of single-cell and spatial transcriptomics technologies has provided unprecedented spatiotemporal resolution for deciphering the dedifferentiation trajectories of VSMCs. These findings highlight the potential of folic acid and β‑aminoisobutyric acid to regulate VSMC phenotype by balancing amino acid metabolism and inflammation. Folic acid is a key regulator of nucleotide synthesis and methylation reactions. As atherosclerotic plaque formation and lipid deposition intensify, lipid abnormalities progressively emerge as key regulators of mid-to-late-stage phenotypic remodeling. Concurrently, glycolytic byproduct lactate promotes VSMC dedifferentiation by stabilizing HIF-1α, reinforcing the synthetic phenotype. Enhanced glucose metabolism promotes lipid synthesis and activates amino acid metabolism; disrupted lipid metabolism, in turn, negatively regulates glycolysis and amino acid utilization via ROS and ER stress, while amino acid metabolism provides compensatory substrates for impaired glucose and lipid metabolism during energy deficiency.

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