Transcriptomic Analysis of Right Ventricular Remodeling in Two Rat Models of Pulmonary Hypertension: Identification and Validation of Epithelial-to-Mesenchymal Transition in Human Right Ventricular Failure

Autor: Somanshu Banerjee, John F. Park, Jason S. Hong, Asif Razee, Varina R. Clark, Soban Umar, Tiffany M. Williams, Lou Saddic, Gregory A. Fishbein
Rok vydání: 2021
Předmět:
Male
Indoles
Medical Physiology
Angiogenesis Inhibitors
030204 cardiovascular system & hematology
Cardiorespiratory Medicine and Haematology
Cardiovascular
Transcriptome
0302 clinical medicine
Fibrosis
pulmonary hypertension
Ventricular Dysfunction
80 and over
2.1 Biological and endogenous factors
RNA-Seq
Aetiology
Hypoxia
Lung
0303 health sciences
Pulmonary Arterial Hypertension
Monocrotaline
Ventricular Remodeling
Middle Aged
Right
Rv function
Cardiology
Right ventricular failure
Female
Cardiology and Cardiovascular Medicine
Biotechnology
medicine.medical_specialty
Epithelial-Mesenchymal Transition
Heart Ventricles
Rat model
Real-Time Polymerase Chain Reaction
03 medical and health sciences
Rare Diseases
Internal medicine
medicine
Genetics
Animals
Humans
Pyrroles
Epithelial–mesenchymal transition
Ventricular remodeling
030304 developmental biology
Aged
Heart Failure
business.industry
Animal
Gene Expression Profiling
fibrosis
right ventricular failure
medicine.disease
Pulmonary hypertension
Rats
Good Health and Well Being
Cardiovascular System & Hematology
Disease Models
Biochemistry and Cell Biology
business
Zdroj: Circulation. Heart failure, vol 14, iss 2
Popis: Background: Right ventricular (RV) dysfunction is a significant prognostic determinant of morbidity and mortality in pulmonary arterial hypertension (PAH). Despite the importance of RV function in PAH, the underlying molecular mechanisms of RV dysfunction secondary to PAH remain unclear. We aim to identify and compare molecular determinants of RV failure using RNA sequencing of RV tissue from 2 clinically relevant animal models of PAH. Methods: We performed RNA sequencing on RV from rats treated with monocrotaline or Sugen with hypoxia/normoxia. PAH and RV failure were confirmed by catheterization and echocardiography. We validated the RV transcriptome results using quantitative real-time polymerase chain reaction, immunofluorescence, and Western blot. Immunohistochemistry and immunofluorescence were performed on human RV tissue from control (n=3) and PAH-induced RV failure patients (n=5). Results: We identified similar transcriptomic profiles of RV from monocrotaline- and Sugen with hypoxia-induced RV failure. Pathway analysis showed genes enriched in epithelial-to-mesenchymal transition, inflammation, and metabolism. Histological staining of human RV tissue from patients with RV failure secondary to PAH revealed significant RV fibrosis and endothelial-to-mesenchymal transition, as well as elevated cellular communication network factor 2 (top gene implicated in epithelial-to-mesenchymal transition/endothelial-to-mesenchymal transition) expression in perivascular areas compared with normal RV. Conclusions: Transcriptomic signature of RV failure in monocrotaline and Sugen with hypoxia models showed similar gene expressions and biological pathways. We provide translational relevance of this transcriptomic signature using RV from patients with PAH to demonstrate evidence of epithelial-to-mesenchymal transition/endothelial-to-mesenchymal transition and protein expression of cellular communication network factor 2 (CTGF [connective tissue growth factor]). Targeting specific molecular mechanisms responsible for RV failure in monocrotaline and Sugen with hypoxia models may identify novel therapeutic strategies for PAH-associated RV failure.
Databáze: OpenAIRE