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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 Am+J+Physiol+Lung+Cell+Mol+Physiol
2017 ; 312
(5
): L760-L771
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Inflammation-induced caveolin-1 and BMPRII depletion promotes endothelial
dysfunction and TGF-?-driven pulmonary vascular remodeling
#MMPMID28188225
Am J Physiol Lung Cell Mol Physiol
2017[May]; 312
(5
): L760-L771
PMID28188225
show ga
Endothelial cell (EC) activation and vascular injury are hallmark features of
acute lung injury (ALI) and acute respiratory distress syndrome (ARDS).
Caveolin-1 (Cav-1) is highly expressed in pulmonary microvascular ECs and plays a
key role in maintaining vascular homeostasis. The aim of this study was to
determine if the lung inflammatory response to Escherichia coli
lipopolysaccharide (LPS) promotes priming of ECs via Cav-1 depletion and if this
contributes to the onset of pulmonary vascular remodeling. To test the hypothesis
that depletion of Cav-1 primes ECs to respond to profibrotic signals, C57BL6
wild-type (WT) mice (Tie2.Cre(-);Cav1(fl/fl) ) were exposed to nebulized LPS (10
mg; 1 h daily for 4 days) and compared with EC-specific Cav1(-/-)
(Tie2.Cre(+);Cav1(fl/fl) ). After 96 h of LPS exposure, total lung Cav-1 and bone
morphogenetic protein receptor type II (BMPRII) expression were reduced in WT
mice. Moreover, plasma albumin leakage, infiltration of immune cells, and levels
of IL-6/IL-6R and transforming growth factor-? (TGF-?) were elevated in both
LPS-treated WT and EC-Cav1(-/-) mice. Finally, EC-Cav1(-/-) mice exhibited a
modest increase in microvascular thickness basally and even more so on exposure
to LPS (96 h). EC-Cav1(-/-) mice and LPS-treated WT mice exhibited reduced BMPRII
expression and endothelial nitric oxide synthase uncoupling, which along with
increased TGF-? promoted TGF?RI-dependent SMAD-2/3 phosphorylation. Finally,
human lung sections from patients with ARDS displayed reduced EC Cav-1
expression, elevated TGF-? levels, and severe pulmonary vascular remodeling. Thus
EC Cav-1 depletion, oxidative stress-mediated reduction in BMPRII expression, and
enhanced TGF-?-driven SMAD-2/3 signaling promote pulmonary vascular remodeling in
inflamed lungs.