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Publication : p53 Gene deficiency promotes hypoxia-induced pulmonary hypertension and vascular remodeling in mice.

First Author  Mizuno S Year  2011
Journal  Am J Physiol Lung Cell Mol Physiol Volume  300
Issue  5 Pages  L753-61
PubMed ID  21335523 Mgi Jnum  J:174253
Mgi Id  MGI:5052249 Doi  10.1152/ajplung.00286.2010
Citation  Mizuno S, et al. (2011) p53 Gene deficiency promotes hypoxia-induced pulmonary hypertension and vascular remodeling in mice. Am J Physiol Lung Cell Mol Physiol 300(5):L753-61
abstractText  Chronic hypoxia induces pulmonary arterial remodeling, resulting in pulmonary hypertension and right ventricular hypertrophy. Hypoxia has been implicated as a physiological stimulus for p53 induction and hypoxia-inducible factor-1alpha (HIF-1alpha). However, the subcellular interactions between hypoxic exposure and expression of p53 and HIF-1alpha remain unclear. To examine the role of p53 and HIF-1alpha expression on hypoxia-induced pulmonary arterial remodeling, wild-type (WT) and p53 knockout (p53KO) mice were exposed to either normoxia or hypoxia for 8 wk. Following chronic hypoxia, both genotypes demonstrated elevated right ventricular pressures, right ventricular hypertrophy as measured by the ratio of the right ventricle to the left ventricle plus septum weights, and vascular remodeling. However, the right ventricular systolic pressures, the ratio of the right ventricle to the left ventricle plus septum weights, and the medial wall thickness of small vessels were significantly greater in the p53KO mice than in the WT mice. The p53KO mice had lower levels of p21 and miR34a expression, and higher levels of HIF-1alpha, VEGF, and PDGF expression than WT mice following chronic hypoxic exposure. This was associated with a higher proliferating cell nuclear antigen expression of pulmonary artery in p53KO mice. We conclude that p53 plays a critical role in the mitigation of hypoxia-induced small pulmonary arterial remodeling. By interacting with p21 and HIF-1alpha, p53 may suppress hypoxic pulmonary arterial remodeling and pulmonary arterial smooth muscle cell proliferation under hypoxia.
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