American Journal of Respiratory Cell and Molecular Biology,
Journal Year:
2020,
Volume and Issue:
62(6), P. 747 - 759
Published: Feb. 21, 2020
Pulmonary
artery
smooth
muscle
cells
(PASMCs)
and
pericytes
are
NG2+
mural
that
provide
structural
support
to
pulmonary
arteries
capillaries.
In
arterial
hypertension
(PAH),
both
cell
types
contribute
PA
muscularization,
but
whether
similar
mechanisms
responsible
for
their
behavior
is
unknown.
RNA-seq
was
used
compare
the
gene
profile
of
PASMCs
from
PAH
healthy
lungs.
NG2-Cre-ER
mice
were
generate
NG2-selective
reporter
(NG2tdT)
lineage
identification
tamoxifen-inducible
SDF1
knockout
(SDF1NG2-KO).
Hierarchical
clustering
data
demonstrated
genetic
highly
similar.
Cellular
staining
studies
on
NG2tdT
in
chronic
hypoxia
showed
that,
PAH,
tdT+
accumulate
muscularized
microvessels
demonstrate
significant
upregulation
SDF1,
a
chemokine
involved
chemotaxis
angiogenesis.
Compared
with
control
mice,
SDF1NG2-KO
had
reduced
muscularization
lower
abundance
around
microvessels.
stimulation
induced
greater
contractility
impaired
capacity
establish
endothelial-pericyte
communications.
contrast,
knockdown
pericyte
improved
associate
vascular
tubes
coculture.
upregulated
associated
muscularization.
Targeting
could
help
prevent
and/or
reverse
PAH.
Molecules,
Journal Year:
2022,
Volume and Issue:
27(12), P. 3724 - 3724
Published: June 9, 2022
Pulmonary
arterial
hypertension
(PAH)
is
clinically
characterized
by
a
progressive
increase
in
pulmonary
artery
pressure,
followed
right
ventricular
hypertrophy
and
subsequently
heart
failure.
The
underlying
mechanism
of
PAH
includes
endothelial
dysfunction
intimal
smooth
muscle
proliferation.
Numerous
studies
have
shown
that
oxidative
stress
critical
the
pathophysiology
involves
changes
reactive
oxygen
species
(ROS),
nitrogen
(RNS),
nitric
oxide
(NO)
signaling
pathways.
Disrupted
ROS
NO
pathways
cause
proliferation
cells
(PAECs)
vascular
(PASMCs),
resulting
DNA
damage,
metabolic
abnormalities,
remodeling.
Antioxidant
treatment
has
become
main
area
research
for
PAH.
This
review
mainly
introduces
pathogenesis
antioxidative
therapies
explains
why
targeting
valid
strategy
treatment.
International Journal of Molecular Sciences,
Journal Year:
2023,
Volume and Issue:
24(6), P. 5850 - 5850
Published: March 19, 2023
Pulmonary
arterial
hypertension
is
a
chronic,
progressive
disorder
of
the
pulmonary
vasculature
with
associated
and
cardiac
remodeling.
PAH
was
uniformly
fatal
disease
until
late
1970s,
but
advent
targeted
therapies,
life
expectancy
patients
has
now
considerably
improved.
Despite
these
advances,
inevitably
remains
significant
morbidity
mortality.
Thus,
there
still
an
unmet
need
for
development
new
drugs
other
interventional
therapies
treatment
PAH.
One
shortcoming
currently
approved
vasodilator
that
they
do
not
target
or
reverse
underlying
pathogenesis
process
itself.
A
large
body
evidence
evolved
in
past
two
decades
clarifying
role
genetics,
dysregulation
growth
factors,
inflammatory
pathways,
mitochondrial
dysfunction,
DNA
damage,
sex
hormones,
neurohormonal
iron
deficiency
This
review
focuses
on
newer
targets
modify
pathways
as
well
novel
Cardiovascular Research,
Journal Year:
2024,
Volume and Issue:
120(7), P. 756 - 768
Published: April 16, 2024
Potential
loss-of-function
variants
of
ATP13A3,
the
gene
encoding
a
P5B-type
transport
ATPase
undefined
function,
were
recently
identified
in
patients
with
pulmonary
arterial
hypertension
(PAH).
ATP13A3
is
implicated
polyamine
but
its
function
has
not
been
fully
elucidated.
In
this
study,
we
sought
to
determine
biological
vascular
endothelial
cells
(ECs)
and
how
PAH-associated
may
contribute
disease
pathogenesis.
Scientific Reports,
Journal Year:
2017,
Volume and Issue:
7(1)
Published: June 27, 2017
Pulmonary
arterial
hypertension
(PAH)
is
a
vascular
remodeling
disease
with
limited
therapeutic
options.
Although
exposed
to
stressful
conditions,
pulmonary
artery
(PA)
smooth
muscle
cells
(PASMCs)
exhibit
"cancer-like"
pro-proliferative
and
anti-apoptotic
phenotype.
HDAC6
cytoplasmic
histone
deacetylase
regulating
multiple
pro-survival
mechanisms
overexpressed
in
response
stress
cancer
cells.
Due
the
similarities
between
PAH,
we
hypothesized
that
expression
increased
PAH-PASMCs
face
allowing
them
survive
proliferate,
thus
contributing
PAH.
We
found
significantly
up-regulated
lungs,
distal
PAs,
isolated
PASMCs
from
PAH
patients
animal
models.
Inhibition
of
reduced
PAH-PASMC
proliferation
resistance
apoptosis
vitro
sparing
control
Mechanistically,
demonstrated
maintains
Ku70
hypoacetylated
state,
blocking
translocation
Bax
mitochondria
preventing
apoptosis.
In
vivo,
pharmacological
inhibition
improved
established
two
experimental
models
can
be
safely
given
combination
currently
approved
therapies.
Moreover,
Hdac6
deficient
mice
were
partially
protected
against
chronic
hypoxia-induced
hypertension.
Our
study
shows
for
first
time
implicated
development
represents
new
promising
target
improve
Arteriosclerosis Thrombosis and Vascular Biology,
Journal Year:
2017,
Volume and Issue:
37(8), P. 1513 - 1523
Published: May 5, 2017
Pulmonary
arterial
hypertension
(PAH)
is
a
vascular
disease
not
restricted
to
the
lungs.
Many
signaling
pathways
described
in
PAH
are
also
of
importance
other
remodeling
diseases,
such
as
coronary
artery
(CAD).
Intriguingly,
CAD
4×
more
prevalent
compared
with
global
population,
suggesting
link
between
these
2
diseases.
Both
and
associated
sustained
inflammation
smooth
muscle
cell
proliferation/apoptosis
imbalance
we
demonstrated
that
this
phenotype
is,
part,
because
miR-223/DNA
damage/Poly[ADP-ribose]
polymerase
1/miR-204
axis
activation
subsequent
bromodomain
protein
4
(BRD4)
overexpression.
Interestingly,
BRD4
trigger
for
calcification
processes,
both
which
important
CAD.
Thus,
hypothesize
influences
development
CAD.PAH
was
significant
arteries
human
experimental
models
disease.
As
observed
distal
pulmonary
arteries,
patients
exhibited
increased
DNA
damage,
inflammation,
In
vitro,
using
cells
from
PAH,
non-PAH-non-CAD
patients,
showed
proliferation
suppressed
apoptosis
BRD4-dependent
manner.
vivo,
improvement
by
inhibitor
reduction
interleukin-6
expression.Overall,
study
demonstrates
expression
patient
contributes
comorbidity
development.
Annual Review of Medicine,
Journal Year:
2018,
Volume and Issue:
70(1), P. 45 - 59
Published: Sept. 16, 2018
Pulmonary
arterial
hypertension
(PAH)
is
a
pulmonary
vasculopathy
that
causes
right
ventricular
dysfunction
and
exercise
limitation
progresses
to
death.
New
findings
from
translational
studies
have
suggested
alternative
pathways
for
treatment.
These
avenues
include
sex
hormones,
genetic
abnormalities
DNA
damage,
elastase
inhibition,
metabolic
dysfunction,
cellular
therapies,
anti-inflammatory
approaches.
Both
novel
repurposed
compounds
with
rationale
preclinical
experimental
models
human
cells
are
now
in
clinical
trials
patients
PAH.
Findings
these
will
elucidate
the
pathobiology
of
PAH
may
result
clinically
important
improvements
outcome.
InTech eBooks,
Journal Year:
2016,
Volume and Issue:
unknown
Published: Dec. 21, 2016
Typically
in
aerobic
metabolism,
organic
compounds
such
as
nucleic
acids,
proteins
and
lipids
can
undergo
structural
damage
by
oxidative
reactions.
This
caused
reactive
oxygen/nitrogen
species
has
been
recognized
“oxidative
stress”.
Despite
the
biological
systems
present
efficient
enzymatic
nonenzymatic
antioxidant
systems,
stress
indicates
a
pro-oxidant/antioxidant
imbalance
favor
of
excessive
generation
free
radicals
or
decrease
removal
rate.
Various
diseases
cancer,
diabetes,
cardiovascular
neurodegenerative
clearly
exemplify
chronic
stress.
Therefore,
it
is
important
to
consider
that
at
low
moderate
ROS
levels,
can,
for
example,
act
signaling
molecules
support
cell
proliferation
differentiation
activate
survival
pathways
response
Correlations
between
disease
should
be
carefully
investigated
order
understand
whether
actually
increases
susceptibility
particular
opposite.
British Journal of Pharmacology,
Journal Year:
2019,
Volume and Issue:
178(1), P. 72 - 89
Published: Aug. 10, 2019
Pulmonary
arterial
hypertension
(PAH)
is
characterized
by
progressive
pulmonary
artery
remodelling
leading
to
increased
right
ventricular
pressure
overload,
which
results
in
heart
failure
and
premature
death.
Inflammation
plays
a
central
role
the
development
of
PAH,
recruitment
function
immune
cells
are
tightly
regulated
chemotactic
cytokines
called
chemokines.
A
number
studies
have
shown
that
progression
PAH
associated
with
dysregulated
expression
several
chemokines
chemokine
receptors
vasculature.
Moreover,
some
differentially
pressure‐overloaded
ventricle.
Recent
tested
efficacy
pharmacological
agents
targeting
for
their
effects
on
suggesting
these
could
serve
as
useful
therapeutic
targets.
In
this
review,
we
provide
recent
insights
into
RV
opportunities
roadblocks
them.
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