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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Circulation
2011 ; 124
(23
): 2533-42
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A critical role for the protein apoptosis repressor with caspase recruitment
domain in hypoxia-induced pulmonary hypertension
#MMPMID22082675
Zaiman AL
; Damico R
; Thoms-Chesley A
; Files DC
; Kesari P
; Johnston L
; Swaim M
; Mozammel S
; Myers AC
; Halushka M
; El-Haddad H
; Shimoda LA
; Peng CF
; Hassoun PM
; Champion HC
; Kitsis RN
; Crow MT
Circulation
2011[Dec]; 124
(23
): 2533-42
PMID22082675
show ga
BACKGROUND: Pulmonary hypertension (PH) is a lethal syndrome associated with the
pathogenic remodeling of the pulmonary vasculature and the emergence of
apoptosis-resistant cells. Apoptosis repressor with caspase recruitment domain
(ARC) is an inhibitor of multiple forms of cell death known to be abundantly
expressed in striated muscle. We show for the first time that ARC is expressed in
arterial smooth muscle cells of the pulmonary vasculature and is markedly
upregulated in several experimental models of PH. In this study, we test the
hypothesis that ARC expression is essential for the development of chronic
hypoxia-induced PH. METHODS AND RESULTS: Experiments in which cells or mice were
rendered ARC-deficient revealed that ARC not only protected pulmonary arterial
smooth muscle cells from hypoxia-induced death, but also facilitated growth
factor-induced proliferation and hypertrophy and hypoxia-induced downregulation
of selective voltage-gated potassium channels, the latter a hallmark of the
syndrome in humans. Moreover, ARC-deficient mice exhibited diminished vascular
remodeling, increased apoptosis, and decreased proliferation in response to
chronic hypoxia, resulting in marked protection from PH in vivo. Patients with PH
have significantly increased ARC expression not only in remodeled vessels but
also in the lumen-occluding lesions associated with severe disease. CONCLUSIONS:
These data show that ARC, previously unlinked to pulmonary hypertension, is a
critical determinant of vascular remodeling in this syndrome.