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Publication : Inhibition of overactive transforming growth factor-β signaling by prostacyclin analogs in pulmonary arterial hypertension.

First Author  Ogo T Year  2013
Journal  Am J Respir Cell Mol Biol Volume  48
Issue  6 Pages  733-41
PubMed ID  23418342 Mgi Jnum  J:211753
Mgi Id  MGI:5576119 Doi  10.1165/rcmb.2012-0049OC
Citation  Ogo T, et al. (2013) Inhibition of overactive transforming growth factor-beta signaling by prostacyclin analogs in pulmonary arterial hypertension. Am J Respir Cell Mol Biol 48(6):733-41
abstractText  The heterozygous loss of function mutations in the Type II bone morphogenetic protein receptor (BMPR-II), a member of the transforming growth factor (TGF-beta) receptor family, underlies the majority of familial cases of pulmonary arterial hypertension (PAH). The TGF-beta1 pathway is activated in PAH, and inhibitors of TGF-beta1 signaling prevent the development and progression of PAH in experimental models. However, the effects of currently used therapies on the TGF-beta pathway remain unknown. Prostacyclin analogs comprise the first line of treatment for clinical PAH. We hypothesized that these agents effectively decrease the activity of the TGF-beta1 pathway. Beraprost sodium (BPS), a prostacyclin analog, selectively inhibits proliferation in a dose-dependent manner in murine primary pulmonary arterial smooth muscle cells (PASMCs) harboring a pathogenic BMPR2 nonsense mutation in both the presence and absence of TGF-beta1 stimulation. Our study demonstrates that this agent inhibits TGF-beta1-induced SMAD-dependent and SMAD-independent signaling via a protein kinase A-dependent pathway by reducing the phosphorylation of SMADs 2 and 3 and p38 mitogen-activated protein kinase proteins. Finally, in a monocrotaline-induced rat model of PAH, which is associated with increased TGF-beta signaling, this study confirms that treprostinil, a stable prostacyclin analog, inhibits the TGF-beta pathway by reducing SMAD3 phosphorylation. Taken together, these data suggest that prostacyclin analogs inhibit dysregulated TGF-beta signaling in vitro and in vivo, and reduce BMPR-II-mediated proliferation defects in mutant mice PASMCs.
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