机构地区:[1]Division of Cardiovascular Molecular Laboratory,Third Clinical College,Nanjing Medical University,Nanjing,Jiangsu 210006,China [2]Division of Cardiovascular Laboratory,Nanjing First Hospital,Nanjing Medical University,Nanjing,Jiangsu 210006,China [3]Division of Cardiology,Shanghai General Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai 200080,China [4]Division of Pulmonary Surgery,Wuxi People’s Hospital,Nanjing Medical University,Wuxi,Jiangsu 300247,China [5]Institute of Vascular Medicine,The Chinese University of Hong Kong,Hongkong 999077,China [6]Health Science Center,East China Normal University,Shanghai 200241,China [7]School of Pharmacy,Nanjing Medical University,Nanjing,Jiangsu 210004,China [8]Division of Cardiology,Nanjing First Hospital,Nanjing Medical University,Nanjing,Jiangsu 210006,China
出 处:《Chinese Medical Journal》2024年第7期846-858,共13页中华医学杂志(英文版)
基 金:National Natural Scientific Foundation of China(Nos.NSFC 91639303 and NSFC 81770441)
摘 要:Background:Pulmonary arterial hypertension(PAH)is characterized by excessive proliferation of small pulmonary arterial vascular smooth muscle cells(PASMCs),endothelial dysfunction,and extracellular matrix remodeling.G protein-coupled receptor kinase 2(GRK2)plays an important role in the maintenance of vascular tone and blood flow.However,the role of GRK2 in the pathogenesis of PAH is unknown.Methods:GRK2 levels were detected in lung tissues from healthy people and PAH patients.C57BL/6 mice,vascular smooth muscle cell-specific Grk2-knockout mice(Grk2^(∆SM22)),and littermate controls(Grk2^(flox/flox))were grouped into control and hypoxia mice(n=8).Pulmonary hypertension(PH)was induced by exposure to chronic hypoxia(10%)combined with injection of the SU5416(cHx/SU).The expression levels of GRK2 and Yes-associated protein(YAP)in pulmonary arteries and PASMCs were detected by Western blotting and immunofluorescence staining.The mRNA expression levels of Grk2 and Yes-associated protein(YAP)in PASMCs were quantified with real-time polymerase chain reaction(RT-PCR).Wound-healing assay,3-(4,5)-dimethylthiahiazo(-z-y1)-3,5-di-phenytetrazoliumromide(MTT)assay,and 5-Ethynyl-2′-deoxyuridine(EdU)staining were performed to evaluate the proliferation and migration of PASMCs.Meanwhile,the interaction among proteins was detected by immunoprecipitation assays.Results:The expression levels of GRK2 were upregulated in the pulmonary arteries of patients with PAH and the lungs of PH mice.Moreover,cHx/SU-induced PH was attenuated in Grk2^(∆SM22) mice compared with littermate controls.The amelioration of PH in Grk2^(∆SM22) mice was accompanied by reduced pulmonary vascular remodeling.In vitro study further confirmed that GRK2 knock-down significantly altered hypoxia-induced PASMCs proliferation and migration,whereas this effect was severely intensified by overexpression of GRK2.We also identified that GRK2 promoted YAP expression and nuclear translocation in PASMCs,resulting in excessive PASMCs proliferation and migration.Further
关 键 词:Pulmonary arterial hypertension GRK2 YAP Pulmonary artery smooth muscle cell HYPOXIA
分 类 号:R544.1[医药卫生—心血管疾病]
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