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10.1074/jbc.M113.458729

http://scihub22266oqcxt.onion/10.1074/jbc.M113.458729
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suck abstract from ncbi


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pmid23612967
      J+Biol+Chem 2013 ; 288 (23 ): 16557-16566
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  • A molecular mechanism for therapeutic effects of cGMP-elevating agents in pulmonary arterial hypertension #MMPMID23612967
  • Schwappacher R ; Kilic A ; Kojonazarov B ; Lang M ; Diep T ; Zhuang S ; Gawlowski T ; Schermuly RT ; Pfeifer A ; Boss GR ; Pilz RB
  • J Biol Chem 2013[Jun]; 288 (23 ): 16557-16566 PMID23612967 show ga
  • Pulmonary arterial hypertension (PAH) is a progressive, usually fatal disease with abnormal vascular remodeling. Pulmonary artery smooth muscle cells (PASMCs) from PAH patients are hyperproliferative and apoptosis-resistant and demonstrate decreased signaling in response to bone morphogenetic proteins (BMPs). Cyclic GMP-elevating agents are beneficial in PAH, but their mechanism(s) of action are incompletely understood. Here we show that BMP signaling via Smad1/5/8 requires cGMP-dependent protein kinase isotype I (PKGI) to maintain PASMCs in a differentiated, low proliferative state. BMP cooperation with cGMP/PKGI was crucial for transcription of contractile genes and suppression of pro-proliferative and anti-apoptotic genes. Lungs from mice with low or absent PKGI (Prkg1(+/-) and Prkg1(-/-) mice) exhibited impaired BMP signaling, decreased contractile gene expression, and abnormal vascular remodeling. Conversely, cGMP stimulation of PKGI restored defective BMP signaling in rats with hypoxia-induced PAH, consistent with cGMP-elevating agents reversing vascular remodeling in this PAH model. Our results provide a mechanism for the therapeutic effects of cGMP-elevating agents in PAH and suggest that combining them with BMP mimetics may provide a novel, disease-modifying approach to PAH therapy.
  • |Animals [MESH]
  • |Cell Line, Transformed [MESH]
  • |Cyclic GMP-Dependent Protein Kinase Type I/genetics/metabolism [MESH]
  • |Cyclic GMP/genetics/*metabolism [MESH]
  • |Humans [MESH]
  • |Hypertension, Pulmonary/drug therapy/genetics/*metabolism/pathology [MESH]
  • |Matrix Metalloproteinases, Secreted/genetics/metabolism [MESH]
  • |Mice [MESH]
  • |Mice, Knockout [MESH]
  • |Muscle, Smooth, Vascular/*metabolism/pathology [MESH]
  • |Myocytes, Smooth Muscle/*metabolism/pathology [MESH]
  • |Rats [MESH]
  • |Signal Transduction/genetics [MESH]


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