Cyclosporin A Inhibits Hypoxia-induced Pulmonary Hypertension and Right Ventricle Hypertrophy

Autor: Rachel Chapot, Renée Ventura-Clapier, André Peinnequin, Bernard Serrurier, Hélène Richard, Valérie Novel-Chaté, Xavier Bigard, Nathalie Koulmann, Nadine Simler
Přispěvatelé: Centre de Recherches du Service de Santé des Armées (CRSSA), Service de Santé des Armées, Signalisation et physiopathologie cardiaque, Université Paris-Sud - Paris 11 (UP11)-IFR141-Institut National de la Santé et de la Recherche Médicale (INSERM), Sinniger, Valérie
Rok vydání: 2006
Předmět:
MESH: Signal Transduction
MESH: Anoxia
030204 cardiovascular system & hematology
Hematocrit
Critical Care and Intensive Care Medicine
MESH: Cyclosporine
Muscle hypertrophy
0302 clinical medicine
MESH: Reverse Transcriptase Polymerase Chain Reaction
Cyclosporin a
MESH: Animals
Enzyme Inhibitors
MESH: Serotonin Plasma Membrane Transport Proteins
Hypoxia
Lung
Serotonin Plasma Membrane Transport Proteins
0303 health sciences
medicine.diagnostic_test
Reverse Transcriptase Polymerase Chain Reaction
Calcineurin
Intracellular Signaling Peptides and Proteins
MESH: Hypertrophy
Right Ventricular

MESH: Transcription Factors
MESH: Follow-Up Studies
[SDV.MHEP.CSC] Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system
3. Good health
medicine.anatomical_structure
MESH: Enzyme Inhibitors
Cyclosporine
MESH: Calcineurin
medicine.symptom
Signal Transduction
Transcriptional Activation
Pulmonary and Respiratory Medicine
medicine.medical_specialty
MESH: Myocardium
MESH: Rats
Hypertension
Pulmonary

Calcineurin Inhibitors
MESH: Hypoxia-Inducible Factor 1
alpha Subunit

03 medical and health sciences
[SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system
Intensive care
Internal medicine
medicine
Animals
MESH: Lung
RNA
Messenger

MESH: RNA
Messenger

030304 developmental biology
Hypertrophy
Right Ventricular

MESH: Hypertension
Pulmonary

business.industry
Myocardium
Hypoxia (medical)
Hypoxia-Inducible Factor 1
alpha Subunit

medicine.disease
Pulmonary hypertension
Rats
Disease Models
Animal

Endocrinology
Ventricle
MESH: Transcriptional Activation
MESH: Disease Models
Animal

business
Follow-Up Studies
Transcription Factors
Zdroj: American Journal of Respiratory and Critical Care Medicine
American Journal of Respiratory and Critical Care Medicine, American Thoracic Society, 2006, 174 (6), pp.699-705. ⟨10.1164/rccm.200512-1976OC⟩
ISSN: 1535-4970
1073-449X
DOI: 10.1164/rccm.200512-1976oc
Popis: International audience; RATIONALE: Hypoxia-induced pulmonary hypertension involves hypoxia-inducible factor-1alpha (HIF-1alpha) activation as well as elevated resting calcium levels. Cyclosporin A (CsA) inhibits calcium-induced calcineurin activation and blocks the stabilization of HIF-1alpha in cultured cells. OBJECTIVES: We hypothesized that treatment of rats with CsA would prevent HIF-1-dependent gene transcription, lower specific responses to acute hypoxia, and prevent pulmonary hypertension and right ventricle hypertrophy resulting from prolonged exposure to hypoxia. METHODS: Acute and chronic responses to hypoxia were studied in rats treated or not treated with CsA (25 mg x kg(-1) x d(-1)). MEASUREMENTS: Transcript levels of genes encoding the serotonin transporter or four HIF-1 target genes, in rats exposed for 6 h to ambient hypoxia, treated or not by CsA, were measured. In vivo hemodynamics, hematocrit, and heart morphologic characteristics were assessed in rats subjected to hypoxia for 3 wk, treated or not treated with CsA. Changes in mRNA levels of the modulatory calcineurin-interacting protein-1 (MCIP-1) were used as a sensitive indicator of calcineurin activity in lung and heart. MAIN RESULTS: Acute exposure to hypoxia led to a marked increase in mRNA levels of serotonin transporter, modulatory calcineurin-interacting protein-1, and HIF-1 target genes, which was blunted by CsA treatment. Prolonged exposure to hypoxia raised right ventricle pressure, induced right ventricle hypertrophy, and activated cardiac calcineurin, effects that were fully prevented by CsA treatment. CONCLUSIONS: These results suggest that CsA prevents hypoxia-induced pulmonary hypertension and right ventricle hypertrophy, either by inhibiting HIF-1 transcriptional activity in lung, by decreasing calcineurin activity in lung and heart, by direct effects of CsA, or by a combination of these factors.
Databáze: OpenAIRE