Key role of the endothelial TGF-β/ALK1/endoglin signaling pathway in humans and rodents pulmonary hypertension

Autor: Saadia Eddahibi, Franck Lebrin, Olaf Mercier, Robert Naeije, Mohamed Izikki, Philippe Dartevelle, Benoit Gore, Elie Fadel, Marc Humbert, Gérald Simonneau, Laurence Dewachter
Rok vydání: 2013
Předmět:
Male
Physiology
medicine.medical_treatment
Activin Receptors
Type II

Respiratory System
lcsh:Medicine
Pathogenesis
Immunoenzyme Techniques
Mice
Physiologie générale
Transforming Growth Factor beta
Molecular Cell Biology
Familial Primary Pulmonary Hypertension
Phosphorylation
lcsh:Science
Cells
Cultured

Mice
Knockout

Multidisciplinary
biology
Chemistry
Reverse Transcriptase Polymerase Chain Reaction
Endoglin
Intracellular Signaling Peptides and Proteins
Prognosis
medicine.anatomical_structure
Cell Processes
Female
Anatomy
Signal Transduction
Research Article
medicine.medical_specialty
Cell Physiology
Endothelium
Hypertension
Pulmonary

Blotting
Western

Enzyme-Linked Immunosorbent Assay
Pulmonary Artery
Real-Time Polymerase Chain Reaction
Cell Growth
Proinflammatory cytokine
Internal medicine
medicine
Animals
Humans
RNA
Messenger

Cell Proliferation
Growth factor
lcsh:R
Biology and Life Sciences
Transforming growth factor beta
Cell Biology
medicine.disease
Pulmonary hypertension
Mice
Inbred C57BL

Endocrinology
Case-Control Studies
biology.protein
Cardiovascular Anatomy
lcsh:Q
Endothelium
Vascular

Physiological Processes
Receptors
Transforming Growth Factor beta

Transforming growth factor
Follow-Up Studies
Zdroj: PLoS ONE
PloS one, 9 (6
PLoS ONE, Vol 9, Iss 6, p e100310 (2014)
ISSN: 1932-6203
Popis: Mutations affecting transforming growth factor-beta (TGF-β) superfamily receptors, activin receptor-like kinase (ALK)-1, and endoglin (ENG) occur in patients with pulmonary arterial hypertension (PAH). To determine whether the TGF-β/ALK1/ENG pathway was involved in PAH, we investigated pulmonary TGF-β, ALK1, ALK5, and ENG expressions in human lung tissue and cultured pulmonary-artery smooth-muscle-cells (PA-SMCs) and pulmonary endothelial cells (PECs) from 14 patients with idiopathic PAH (iPAH) and 15 controls. Seeing that ENG was highly expressed in PEC, we assessed the effects of TGF-β on Smad1/5/8 and Smad2/3 activation and on growth factor production by the cells. Finally, we studied the consequence of ENG deficiency on the chronic hypoxic-PH development by measuring right ventricular (RV) systolic pressure (RVSP), RV hypertrophy, and pulmonary arteriolar remodeling in ENG-deficient (Eng+/-) and wild-type (Eng+/+) mice. We also evaluated the pulmonary blood vessel density, macrophage infiltration, and cytokine expression in the lungs of the animals. Compared to controls, iPAH patients had higher serum and pulmonary TGF-β levels and increased ALK1 and ENG expressions in lung tissue, predominantly in PECs. Incubation of the cells with TGF-β led to Smad1/5/8 phosphorylation and to a production of FGF2, PDGFb and endothelin-inducing PA-SMC growth. Endoglin deficiency protected mice from hypoxic PH. As compared to wild-type, Eng+/- mice had a lower pulmonary vessel density, and no change in macrophage infiltration after exposure to chronic hypoxia despite the higher pulmonary expressions of interleukin-6 and monocyte chemoattractant protein-1. The TGF-β/ALK1/ENG signaling pathway plays a key role in iPAH and experimental hypoxic PH via a direct effect on PECs leading to production of growth factors and inflammatory cytokines involved in the pathogenesis of PAH.
Journal Article
Research Support, Non-U.S. Gov't
SCOPUS: ar.j
info:eu-repo/semantics/published
Databáze: OpenAIRE