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Advance in Molecular Pathology of Pulmonary Hypertension

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Pathology, Diagnostics, and Therapeutics".

Deadline for manuscript submissions: closed (20 June 2023) | Viewed by 2512

Special Issue Editor


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Guest Editor
Section of Pediatric Cardiology, Departments of Pediatrics and Physiology, New York Medical College, Valhalla, NY 10595, USA
Interests: pulmonary hypertension; vasculature; endothelial cells; smooth muscle cells; mechanism of neointima formation; congenital heart defect

Special Issue Information

Dear Colleagues,

Pulmonary hypertension (PH) is a serious sequele of several systemic and genetic diseases, lung developmental and heart defects, and drug toxicity. A mean pulmonary artery pressure of >20 mmHg is diagnostic of PH. PH is associated with inflammation, altered vascular relaxation responses, cellular phenotype changes, and cell proliferation and migration, resulting in vascular remodeling and obstruction leading to PH, right ventricular hypertrophy, neointima formation, and metabolic alteration, which eventually result in heart failure and premature death. The sustained cell proliferation and apoptosis resistance, abnormal angiogenesis, and dysregulated cellular metabolism observed in PH are reminiscent of cancer. The molecular mechanism/s involved in the development and progression of PH is not yet fully understood. However, recent advances in the field have described several important aspects such as the deregulation of multiple genes and protein expressions, mitochondrial dysfunction, altered molecular pathways, autophagic dysregulation in pulmonary endothelial and smooth muscle cells, and the endothelial–mesenchymal transition in PH. Mitochondrial dysfunction is thought to contribute to the metabolic alterations observed in PH. These responses promote the survival of proliferating cells. A number of these molecules function as a double-edged sword. They maintain homeostasis under normal conditions but facilitate cell proliferation and migration in the disease state.

Dr. Rajamma Mathew
Guest Editor

Manuscript Submission Information

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Keywords

  • angiogenesis
  • autophagy
  • cell proliferation and migartion
  • cell survival
  • endothelial mesenchymal transition
  • inflammation
  • metabolic deregulation
  • oxidant injury and stress
  • pulmonary hypertension

Published Papers (2 papers)

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Research

16 pages, 4519 KiB  
Article
Dysregulated VEGF/VEGFR-2 Signaling and Plexogenic Lesions in the Embryonic Lungs of Chickens Predisposed to Pulmonary Arterial Hypertension
by Lujie Ye, Rui Liu, Qinghao Li, Chunzhen Zhou and Xun Tan
Int. J. Mol. Sci. 2024, 25(8), 4489; https://doi.org/10.3390/ijms25084489 - 19 Apr 2024
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Abstract
Plexiform lesions are a hallmark of pulmonary arterial hypertension (PAH) in humans and are proposed to stem from dysfunctional angioblasts. Broiler chickens (Gallus gallus) are highly susceptible to PAH, with plexiform-like lesions observed in newly hatched individuals. Here, we reported the [...] Read more.
Plexiform lesions are a hallmark of pulmonary arterial hypertension (PAH) in humans and are proposed to stem from dysfunctional angioblasts. Broiler chickens (Gallus gallus) are highly susceptible to PAH, with plexiform-like lesions observed in newly hatched individuals. Here, we reported the emergence of plexiform-like lesions in the embryonic lungs of broiler chickens. Lung samples were collected from broiler chickens at embryonic day 20 (E20), hatch, and one-day-old, with PAH-resistant layer chickens as controls. Plexiform lesions consisting of CD133+/vascular endothelial growth factor receptor type-2 (VEGFR-2)+ angioblasts were exclusively observed in broiler embryos and sporadically in layer embryos. Distinct gene profiles of angiogenic factors were observed between the two strains, with impaired VEGF-A/VEGFR-2 signaling correlating with lesion development and reduced arteriogenesis. Pharmaceutical inhibition of VEGFR-2 resulted in enhanced lesion development in layer embryos. Moreover, broiler embryonic lungs displayed increased activation of HIF-1α and nuclear factor erythroid 2-related factor 2 (Nrf2), indicating a hypoxic state. Remarkably, we found a negative correlation between lung Nrf2 activation and VEGF-A and VEGFR-2 expression. In vitro studies indicated that Nrf2 overactivation restricted VEGF signaling in endothelial progenitor cells. The findings from broiler embryos suggest an association between plexiform lesion development and impaired VEGF system due to aberrant activation of Nrf2. Full article
(This article belongs to the Special Issue Advance in Molecular Pathology of Pulmonary Hypertension)
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14 pages, 4761 KiB  
Article
NCAPG Promotes Pulmonary Artery Smooth Muscle Cell Proliferation as a Promising Therapeutic Target of Idiopathic Pulmonary Hypertension: Bioinformatics Analysis and Experiment Verification
by Bowen Fu, You Li, Xiaobo Shi, Peng Liu, Yiman Zhang and Hongyan Tian
Int. J. Mol. Sci. 2022, 23(19), 11762; https://doi.org/10.3390/ijms231911762 - 4 Oct 2022
Cited by 4 | Viewed by 1684
Abstract
Idiopathic pulmonary arterial hypertension (IPAH) is a disease with complex etiology. Currently, IPAH treatment is limited, and patients’ prognosis is poor. This study aimed to explore new therapeutic targets in IPAH through bioinformatics. Two data sets (GSE113439 and GSE130391) meeting the requirements were [...] Read more.
Idiopathic pulmonary arterial hypertension (IPAH) is a disease with complex etiology. Currently, IPAH treatment is limited, and patients’ prognosis is poor. This study aimed to explore new therapeutic targets in IPAH through bioinformatics. Two data sets (GSE113439 and GSE130391) meeting the requirements were obtained from the Gene Expression Omnibus (GEO) database. Then, differentially expressed genes (DEGs) were identified and analyzed by NetworkAnalyst platform. By enriching Gene Ontology (GO) and the Kyoto Encyclopedia of Genes and Genomes (KEGG), we examined the function of DEGs. A protein–protein interaction (PPI) network was constructed to identify central genes using the CytoNCA plug-in. Finally, four central genes, ASPM, CENPE, NCAPG, and TOP2A, were screened out. We selected NCAPG for protein-level verification. We established an animal model of PAH and found that the expression of NCAPG was significantly increased in the lung tissue of PAH rats. In vitro experiments showed that the expression of NCAPG was significantly increased in proliferative pulmonary arterial smooth muscle cells (PASMCs). When NCAPG of PASMCs was knocked down, the cell proliferation was inhibited, which suggested that NCAPG was related to the proliferation of PASMCs. Therefore, these results may provide new therapeutic targets for IPAH. Full article
(This article belongs to the Special Issue Advance in Molecular Pathology of Pulmonary Hypertension)
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