Function of the serotonin 5-hydroxytryptamine 2B receptor in pulmonary hypertension

Primary pulmonary hypertension is a progressive and often fatal disorder in humans that results from an increase in pulmonary blood pressure associated with abnormal vascular proliferation. Dexfenfluramine increases the risk of pulmonary hypertension in humans, and its active metabolite is a selecti...

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Veröffentlicht in:Nature Medicine 2002-10, Vol.8 (10), p.1129-1135
Hauptverfasser: Launay, J.-M., Hervé, P., Peoc'h, K., Tournois, C., Callebert, J., Nebigil, C.G., Etienne, N., Drouet, L., Humbert, M., Simonneau, G., Maroteaux, L.
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container_issue 10
container_start_page 1129
container_title Nature Medicine
container_volume 8
creator Launay, J.-M.
Hervé, P.
Peoc'h, K.
Tournois, C.
Callebert, J.
Nebigil, C.G.
Etienne, N.
Drouet, L.
Humbert, M.
Simonneau, G.
Maroteaux, L.
description Primary pulmonary hypertension is a progressive and often fatal disorder in humans that results from an increase in pulmonary blood pressure associated with abnormal vascular proliferation. Dexfenfluramine increases the risk of pulmonary hypertension in humans, and its active metabolite is a selective serotonin 5-hydroxytryptamine 2B (5-HT 2B ) receptor agonist. Thus, we investigated the contribution of the 5-HT 2B receptor to the pathogenesis of pulmonary hypertension. Using the chronic-hypoxic-mouse model of pulmonary hypertension, we found that the hypoxia-dependent increase in pulmonary blood pressure and lung remodeling are associated with an increase in vascular proliferation, elastase activity and transforming growth factor-β levels, and that these parameters are potentiated by dexfenfluramine treatment. In contrast, hypoxic mice with genetically or pharmacologically inactive 5-HT 2B receptors manifested no change in any of these parameters. In both humans and mice, pulmonary hypertension is associated with a substantial increase in 5-HT 2B receptor expression in pulmonary arteries. These data show that activation of 5-HT 2B receptors is a limiting step in the development of pulmonary hypertension.
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Dexfenfluramine increases the risk of pulmonary hypertension in humans, and its active metabolite is a selective serotonin 5-hydroxytryptamine 2B (5-HT 2B ) receptor agonist. Thus, we investigated the contribution of the 5-HT 2B receptor to the pathogenesis of pulmonary hypertension. Using the chronic-hypoxic-mouse model of pulmonary hypertension, we found that the hypoxia-dependent increase in pulmonary blood pressure and lung remodeling are associated with an increase in vascular proliferation, elastase activity and transforming growth factor-β levels, and that these parameters are potentiated by dexfenfluramine treatment. In contrast, hypoxic mice with genetically or pharmacologically inactive 5-HT 2B receptors manifested no change in any of these parameters. In both humans and mice, pulmonary hypertension is associated with a substantial increase in 5-HT 2B receptor expression in pulmonary arteries. 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Dexfenfluramine increases the risk of pulmonary hypertension in humans, and its active metabolite is a selective serotonin 5-hydroxytryptamine 2B (5-HT 2B ) receptor agonist. Thus, we investigated the contribution of the 5-HT 2B receptor to the pathogenesis of pulmonary hypertension. Using the chronic-hypoxic-mouse model of pulmonary hypertension, we found that the hypoxia-dependent increase in pulmonary blood pressure and lung remodeling are associated with an increase in vascular proliferation, elastase activity and transforming growth factor-β levels, and that these parameters are potentiated by dexfenfluramine treatment. In contrast, hypoxic mice with genetically or pharmacologically inactive 5-HT 2B receptors manifested no change in any of these parameters. In both humans and mice, pulmonary hypertension is associated with a substantial increase in 5-HT 2B receptor expression in pulmonary arteries. 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subjects Animals
Biochemistry, Molecular Biology
Biomedical and Life Sciences
Biomedicine
Blood Pressure
Cancer Research
Cell Division
Dexfenfluramine
Dexfenfluramine - metabolism
Dexfenfluramine - pharmacology
Disease Models, Animal
DNA
DNA - biosynthesis
Female
Human health and pathology
Humans
Hypertension
Hypertension, Pulmonary
Hypertension, Pulmonary - metabolism
Hypertension, Pulmonary - pathology
Hypoxia
Hypoxia - physiopathology
Infectious Diseases
Kinases
Life Sciences
Ligands
Lung
Lung - blood supply
Lung - metabolism
Lung - pathology
Male
Metabolic Diseases
Metabolites
Mice
Molecular Medicine
Neurosciences
Organ Culture Techniques
Pulmonary arteries
Pulmonary Artery
Pulmonary Artery - metabolism
Pulmonary Artery - pathology
Pulmonary hypertension
Pulmonology and respiratory tract
Pyrimidines
Pyrimidines - pharmacology
Receptor, Serotonin, 5-HT2B
Receptors, Serotonin
Receptors, Serotonin - genetics
Receptors, Serotonin - metabolism
Serotonin
Serotonin - metabolism
Serotonin Antagonists
Serotonin Antagonists - metabolism
Serotonin Receptor Agonists
Serotonin Receptor Agonists - pharmacology
Vasoconstriction
Veins & arteries
title Function of the serotonin 5-hydroxytryptamine 2B receptor in pulmonary hypertension
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