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Selective enhancement of endothelial BMPR-II with BMP9 reverses pulmonary arterial hypertension.

Accepted version
Peer-reviewed

Type

Article

Change log

Authors

Long, Lu 
Ormiston, Mark L 
Yang, Xudong 
Southwood, Mark 
Gräf, Stefan 

Abstract

Genetic evidence implicates the loss of bone morphogenetic protein type II receptor (BMPR-II) signaling in the endothelium as an initiating factor in pulmonary arterial hypertension (PAH). However, selective targeting of this signaling pathway using BMP ligands has not yet been explored as a therapeutic strategy. Here, we identify BMP9 as the preferred ligand for preventing apoptosis and enhancing monolayer integrity in both pulmonary arterial endothelial cells and blood outgrowth endothelial cells from subjects with PAH who bear mutations in the gene encoding BMPR-II, BMPR2. Mice bearing a heterozygous knock-in allele of a human BMPR2 mutation, R899X, which we generated as an animal model of PAH caused by BMPR-II deficiency, spontaneously developed PAH. Administration of BMP9 reversed established PAH in these mice, as well as in two other experimental PAH models, in which PAH develops in response to either monocrotaline or VEGF receptor inhibition combined with chronic hypoxia. These results demonstrate the promise of direct enhancement of endothelial BMP signaling as a new therapeutic strategy for PAH.

Description

Keywords

Aging, Animals, Apoptosis, Bone Morphogenetic Protein Receptors, Type II, Cell Membrane Permeability, Densitometry, Endothelial Cells, Gene Expression Profiling, Gene Knock-In Techniques, Growth Differentiation Factor 2, Heart Ventricles, Humans, Hypertension, Pulmonary, Immunoblotting, JNK Mitogen-Activated Protein Kinases, Male, Mice, Inbred C57BL, Monocrotaline, Phosphorylation, Pulmonary Artery, Rats, Rats, Sprague-Dawley, Systole, Transcription, Genetic

Journal Title

Nat Med

Conference Name

Journal ISSN

1078-8956
1546-170X

Volume Title

21

Publisher

Nature Publishing Group
Sponsorship
British Heart Foundation (None)
British Heart Foundation (None)
British Heart Foundation (None)
British Heart Foundation (None)
Medical Research Council (MR/K020919/1)
Medical Research Council (G1000847)
British Heart Foundation (None)
Medical Research Council (G0800784)