Dysregulation of BMP9/BMPR2/SMAD signalling pathway contributes to pulmonary fibrosis and pulmonary hypertension induced by bleomycin in rats

Background and Purpose Pulmonary hypertension related to pulmonary fibrosis is classed as WHO Group III, one of the most common groups which lacks effective treatment options. In this study, we aimed to uncover the underlying mechanisms, particularly the involvement of the BMP9/BMPR2/SMAD signalling...

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Veröffentlicht in:British journal of pharmacology 2021-01, Vol.178 (1), p.203-216
Hauptverfasser: Jiang, Qian, Liu, Chunli, Liu, Shiyun, Lu, Wenju, Li, Yi, Luo, Xiaoyun, Ma, Ran, Zhang, Chenting, Chen, Haixia, Chen, Yuqin, Zhang, Zizhou, Hong, Cheng, Guo, Wenliang, Wang, Tao, Yang, Kai, Wang, Jian
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container_issue 1
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container_title British journal of pharmacology
container_volume 178
creator Jiang, Qian
Liu, Chunli
Liu, Shiyun
Lu, Wenju
Li, Yi
Luo, Xiaoyun
Ma, Ran
Zhang, Chenting
Chen, Haixia
Chen, Yuqin
Zhang, Zizhou
Hong, Cheng
Guo, Wenliang
Wang, Tao
Yang, Kai
Wang, Jian
description Background and Purpose Pulmonary hypertension related to pulmonary fibrosis is classed as WHO Group III, one of the most common groups which lacks effective treatment options. In this study, we aimed to uncover the underlying mechanisms, particularly the involvement of the BMP9/BMPR2/SMAD signalling pathway, in this subtype of pulmonary hypertension. Experimental Approach Male Sprague Dawley rats were used to establish a model of pulmonary hypertension with pulmonary fibrosis, induced by bleomycin. Haemodynamic and lung functions were measured, along with histological and immunohistochemical examinations. Primary cultures of rat pulmonary microvascular endothelial cells (PMVECs) were analysed with western blots, apoptosis assays and immunohistochemistry. Key Results Early (7 days) after bleomycin treatment of rats, pulmonary arterial thickening and severe loss of pulmonary arterial endothelium were observed, followed (14 days) by increased right ventricular systolic pressure and right ventricular hypertrophy. Marked down‐regulation of the BMP9/BMPR2/SMAD signalling pathway was markedly down‐regulated in lung tissues from bleomycin‐treated rats (throughout the 7‐ to 35‐day treatment period) and bleomycin‐treated rat PMVECs, along with excessive cell apoptosis and loss of pulmonary arterial endothelium. Treatment with recombinant human bone morphogenetic protein 9 (rhBMP9) attenuated these aspects of bleomycin‐induced pulmonary hypertension, by restoring disrupted BMP9/BMPR2/SMAD signalling. Conclusion and Implications In bleomycin‐treated rats, early and persisting suppression of the BMP9/BMPR2/SMAD signalling pathway triggered severe loss of pulmonary arterial endothelium and subsequent pulmonary arterial vascular remodelling, contributing to the development of pulmonary hypertension. Therapeutic approaches reinforcing BMP9/BMPR2/SMAD signalling might be ideal strategies for this subtype of pulmonary hypertension. LINKED ARTICLES This article is part of a themed issue on Risk factors, comorbidities, and comedications in cardioprotection. To view the other articles in this section visit http://onlinelibrary.wiley.com/doi/10.1111/bph.v178.1/issuetoc
doi_str_mv 10.1111/bph.15285
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In this study, we aimed to uncover the underlying mechanisms, particularly the involvement of the BMP9/BMPR2/SMAD signalling pathway, in this subtype of pulmonary hypertension. Experimental Approach Male Sprague Dawley rats were used to establish a model of pulmonary hypertension with pulmonary fibrosis, induced by bleomycin. Haemodynamic and lung functions were measured, along with histological and immunohistochemical examinations. Primary cultures of rat pulmonary microvascular endothelial cells (PMVECs) were analysed with western blots, apoptosis assays and immunohistochemistry. Key Results Early (7 days) after bleomycin treatment of rats, pulmonary arterial thickening and severe loss of pulmonary arterial endothelium were observed, followed (14 days) by increased right ventricular systolic pressure and right ventricular hypertrophy. Marked down‐regulation of the BMP9/BMPR2/SMAD signalling pathway was markedly down‐regulated in lung tissues from bleomycin‐treated rats (throughout the 7‐ to 35‐day treatment period) and bleomycin‐treated rat PMVECs, along with excessive cell apoptosis and loss of pulmonary arterial endothelium. Treatment with recombinant human bone morphogenetic protein 9 (rhBMP9) attenuated these aspects of bleomycin‐induced pulmonary hypertension, by restoring disrupted BMP9/BMPR2/SMAD signalling. Conclusion and Implications In bleomycin‐treated rats, early and persisting suppression of the BMP9/BMPR2/SMAD signalling pathway triggered severe loss of pulmonary arterial endothelium and subsequent pulmonary arterial vascular remodelling, contributing to the development of pulmonary hypertension. Therapeutic approaches reinforcing BMP9/BMPR2/SMAD signalling might be ideal strategies for this subtype of pulmonary hypertension. LINKED ARTICLES This article is part of a themed issue on Risk factors, comorbidities, and comedications in cardioprotection. To view the other articles in this section visit http://onlinelibrary.wiley.com/doi/10.1111/bph.v178.1/issuetoc</description><identifier>ISSN: 0007-1188</identifier><identifier>EISSN: 1476-5381</identifier><identifier>DOI: 10.1111/bph.15285</identifier><identifier>PMID: 33080042</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Apoptosis ; Bleomycin ; Blood pressure ; BMP9 ; BMPR2 ; Bone morphogenetic protein 9 ; Bone morphogenetic protein receptor type II ; endothelial cell ; Endothelial cells ; Endothelium ; Fibrosis ; Heart ; Hypertension ; Hypertrophy ; Immunohistochemistry ; Lung diseases ; Microvasculature ; Pulmonary fibrosis ; Pulmonary hypertension ; Risk factors ; Signal transduction ; Smad protein ; Smad1/5/9 ; Ventricle ; Western blotting</subject><ispartof>British journal of pharmacology, 2021-01, Vol.178 (1), p.203-216</ispartof><rights>2020. The British Pharmacological Society</rights><rights>2020. The British Pharmacological Society.</rights><rights>2021 The British Pharmacological Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3885-9c560e6aac0e79ed67ce03f9a2b63f5ca90722da827399f8d08bb17bcc7d25953</citedby><cites>FETCH-LOGICAL-c3885-9c560e6aac0e79ed67ce03f9a2b63f5ca90722da827399f8d08bb17bcc7d25953</cites><orcidid>0000-0003-3044-2240 ; 0000-0002-1278-256X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fbph.15285$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fbph.15285$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33080042$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jiang, Qian</creatorcontrib><creatorcontrib>Liu, Chunli</creatorcontrib><creatorcontrib>Liu, Shiyun</creatorcontrib><creatorcontrib>Lu, Wenju</creatorcontrib><creatorcontrib>Li, Yi</creatorcontrib><creatorcontrib>Luo, Xiaoyun</creatorcontrib><creatorcontrib>Ma, Ran</creatorcontrib><creatorcontrib>Zhang, Chenting</creatorcontrib><creatorcontrib>Chen, Haixia</creatorcontrib><creatorcontrib>Chen, Yuqin</creatorcontrib><creatorcontrib>Zhang, Zizhou</creatorcontrib><creatorcontrib>Hong, Cheng</creatorcontrib><creatorcontrib>Guo, Wenliang</creatorcontrib><creatorcontrib>Wang, Tao</creatorcontrib><creatorcontrib>Yang, Kai</creatorcontrib><creatorcontrib>Wang, Jian</creatorcontrib><title>Dysregulation of BMP9/BMPR2/SMAD signalling pathway contributes to pulmonary fibrosis and pulmonary hypertension induced by bleomycin in rats</title><title>British journal of pharmacology</title><addtitle>Br J Pharmacol</addtitle><description>Background and Purpose Pulmonary hypertension related to pulmonary fibrosis is classed as WHO Group III, one of the most common groups which lacks effective treatment options. In this study, we aimed to uncover the underlying mechanisms, particularly the involvement of the BMP9/BMPR2/SMAD signalling pathway, in this subtype of pulmonary hypertension. Experimental Approach Male Sprague Dawley rats were used to establish a model of pulmonary hypertension with pulmonary fibrosis, induced by bleomycin. Haemodynamic and lung functions were measured, along with histological and immunohistochemical examinations. Primary cultures of rat pulmonary microvascular endothelial cells (PMVECs) were analysed with western blots, apoptosis assays and immunohistochemistry. Key Results Early (7 days) after bleomycin treatment of rats, pulmonary arterial thickening and severe loss of pulmonary arterial endothelium were observed, followed (14 days) by increased right ventricular systolic pressure and right ventricular hypertrophy. Marked down‐regulation of the BMP9/BMPR2/SMAD signalling pathway was markedly down‐regulated in lung tissues from bleomycin‐treated rats (throughout the 7‐ to 35‐day treatment period) and bleomycin‐treated rat PMVECs, along with excessive cell apoptosis and loss of pulmonary arterial endothelium. Treatment with recombinant human bone morphogenetic protein 9 (rhBMP9) attenuated these aspects of bleomycin‐induced pulmonary hypertension, by restoring disrupted BMP9/BMPR2/SMAD signalling. Conclusion and Implications In bleomycin‐treated rats, early and persisting suppression of the BMP9/BMPR2/SMAD signalling pathway triggered severe loss of pulmonary arterial endothelium and subsequent pulmonary arterial vascular remodelling, contributing to the development of pulmonary hypertension. Therapeutic approaches reinforcing BMP9/BMPR2/SMAD signalling might be ideal strategies for this subtype of pulmonary hypertension. LINKED ARTICLES This article is part of a themed issue on Risk factors, comorbidities, and comedications in cardioprotection. 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Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of pharmacology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jiang, Qian</au><au>Liu, Chunli</au><au>Liu, Shiyun</au><au>Lu, Wenju</au><au>Li, Yi</au><au>Luo, Xiaoyun</au><au>Ma, Ran</au><au>Zhang, Chenting</au><au>Chen, Haixia</au><au>Chen, Yuqin</au><au>Zhang, Zizhou</au><au>Hong, Cheng</au><au>Guo, Wenliang</au><au>Wang, Tao</au><au>Yang, Kai</au><au>Wang, Jian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dysregulation of BMP9/BMPR2/SMAD signalling pathway contributes to pulmonary fibrosis and pulmonary hypertension induced by bleomycin in rats</atitle><jtitle>British journal of pharmacology</jtitle><addtitle>Br J Pharmacol</addtitle><date>2021-01</date><risdate>2021</risdate><volume>178</volume><issue>1</issue><spage>203</spage><epage>216</epage><pages>203-216</pages><issn>0007-1188</issn><eissn>1476-5381</eissn><abstract>Background and Purpose Pulmonary hypertension related to pulmonary fibrosis is classed as WHO Group III, one of the most common groups which lacks effective treatment options. In this study, we aimed to uncover the underlying mechanisms, particularly the involvement of the BMP9/BMPR2/SMAD signalling pathway, in this subtype of pulmonary hypertension. Experimental Approach Male Sprague Dawley rats were used to establish a model of pulmonary hypertension with pulmonary fibrosis, induced by bleomycin. Haemodynamic and lung functions were measured, along with histological and immunohistochemical examinations. Primary cultures of rat pulmonary microvascular endothelial cells (PMVECs) were analysed with western blots, apoptosis assays and immunohistochemistry. Key Results Early (7 days) after bleomycin treatment of rats, pulmonary arterial thickening and severe loss of pulmonary arterial endothelium were observed, followed (14 days) by increased right ventricular systolic pressure and right ventricular hypertrophy. Marked down‐regulation of the BMP9/BMPR2/SMAD signalling pathway was markedly down‐regulated in lung tissues from bleomycin‐treated rats (throughout the 7‐ to 35‐day treatment period) and bleomycin‐treated rat PMVECs, along with excessive cell apoptosis and loss of pulmonary arterial endothelium. Treatment with recombinant human bone morphogenetic protein 9 (rhBMP9) attenuated these aspects of bleomycin‐induced pulmonary hypertension, by restoring disrupted BMP9/BMPR2/SMAD signalling. Conclusion and Implications In bleomycin‐treated rats, early and persisting suppression of the BMP9/BMPR2/SMAD signalling pathway triggered severe loss of pulmonary arterial endothelium and subsequent pulmonary arterial vascular remodelling, contributing to the development of pulmonary hypertension. Therapeutic approaches reinforcing BMP9/BMPR2/SMAD signalling might be ideal strategies for this subtype of pulmonary hypertension. LINKED ARTICLES This article is part of a themed issue on Risk factors, comorbidities, and comedications in cardioprotection. To view the other articles in this section visit http://onlinelibrary.wiley.com/doi/10.1111/bph.v178.1/issuetoc</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>33080042</pmid><doi>10.1111/bph.15285</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0003-3044-2240</orcidid><orcidid>https://orcid.org/0000-0002-1278-256X</orcidid><oa>free_for_read</oa></addata></record>
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subjects Apoptosis
Bleomycin
Blood pressure
BMP9
BMPR2
Bone morphogenetic protein 9
Bone morphogenetic protein receptor type II
endothelial cell
Endothelial cells
Endothelium
Fibrosis
Heart
Hypertension
Hypertrophy
Immunohistochemistry
Lung diseases
Microvasculature
Pulmonary fibrosis
Pulmonary hypertension
Risk factors
Signal transduction
Smad protein
Smad1/5/9
Ventricle
Western blotting
title Dysregulation of BMP9/BMPR2/SMAD signalling pathway contributes to pulmonary fibrosis and pulmonary hypertension induced by bleomycin in rats
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