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10.15252/emmm.201404511

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C4459813!4459813!25825391
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pmid25825391      EMBO+Mol+Med 2015 ; 7 (6): 695-713
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  • Genetic and hypoxic alterations of the microRNA-210-ISCU1/2 axis promote iron?sulfur deficiency and pulmonary hypertension #MMPMID25825391
  • White K; Lu Y; Annis S; Hale AE; Chau BN; Dahlman JE; Hemann C; Opotowsky AR; Vargas SO; Rosas I; Perrella MA; Osorio JC; Haley KJ; Graham BB; Kumar R; Saggar R; Saggar R; Wallace WD; Ross DJ; Khan OF; Bader A; Gochuico BR; Matar M; Polach K; Johannessen NM; Prosser HM; Anderson DG; Langer R; Zweier JL; Bindoff LA; Systrom D; Waxman AB; Jin RC; Chan SY
  • EMBO Mol Med 2015[Jun]; 7 (6): 695-713 PMID25825391show ga
  • Iron?sulfur (Fe-S) clusters are essential for mitochondrial metabolism, but their regulation in pulmonary hypertension (PH) remains enigmatic. We demonstrate that alterations of the miR-210-ISCU1/2 axis cause Fe-S deficiencies in vivo and promote PH. In pulmonary vascular cells and particularly endothelium, hypoxic induction of miR-210 and repression of the miR-210 targets ISCU1/2 down-regulated Fe-S levels. In mouse and human vascular and endothelial tissue affected by PH, miR-210 was elevated accompanied by decreased ISCU1/2 and Fe-S integrity. In mice, miR-210 repressed ISCU1/2 and promoted PH. Mice deficient in miR-210, via genetic/pharmacologic means or via an endothelial-specific manner, displayed increased ISCU1/2 and were resistant to Fe-S-dependent pathophenotypes and PH. Similar to hypoxia or miR-210 overexpression, ISCU1/2 knockdown also promoted PH. Finally, cardiopulmonary exercise testing of a woman with homozygous ISCU mutations revealed exercise-induced pulmonary vascular dysfunction. Thus, driven by acquired (hypoxia) or genetic causes, the miR-210-ISCU1/2 regulatory axis is a pathogenic lynchpin causing Fe-S deficiency and PH. These findings carry broad translational implications for defining the metabolic origins of PH and potentially other metabolic diseases sharing similar underpinnings.
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