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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]