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Am J Physiol Lung Cell Mol Physiol 287: L656-L664, 2004. First published February 20, 2004; doi:10.1152/ajplung.00090.2003
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Rho GTPases in Lung Physiology and Disease

Attenuation of acute hypoxic pulmonary vasoconstriction and hypoxic pulmonary hypertension in mice by inhibition of Rho-kinase

Karen A. Fagan,1 Masahiko Oka,1 Natalie R. Bauer,1 Sarah A. Gebb,1 D. Dunbar Ivy,2 Kenneth G. Morris,1 and Ivan F. McMurtry1

1Cardiovascular Pulmonary Research Laboratory and 2Department of Pediatrics, University of Colorado Health Sciences Center, Denver, Colorado 80262

Submitted 1 April 2003 ; accepted in final form 13 February 2004

RhoA GTPase mediates a variety of cellular responses, including activation of the contractile apparatus, growth, and gene expression. Acute hypoxia activates RhoA and, in turn, its downstream effector, Rho-kinase, and previous studies in rats have suggested a role for Rho/Rho-kinase signaling in both acute and chronically hypoxic pulmonary vasoconstriction. We therefore hypothesized that activation of Rho/Rho-kinase in the pulmonary circulation of mice contributes to acute hypoxic pulmonary vasoconstriction and chronic hypoxia-induced pulmonary hypertension and vascular remodeling. In isolated, salt solution-perfused mouse lungs, acute administration of the Rho-kinase inhibitor Y-27632 (1 x 10–5 M) attenuated hypoxic vasoconstriction as well as that due to angiotensin II and KCl. Chronic treatment with Y-27632 (30 mg·kg–1·day–1) via subcutaneous osmotic pump decreased right ventricular systolic pressure, right ventricular hypertrophy, and neomuscularization of the distal pulmonary vasculature in mice exposed to hypobaric hypoxia for 14 days. Analysis of a small number of proximal pulmonary arteries suggested that Y-27632 treatment reduced the level of phospho-CPI-17, a Rho-kinase target, in hypoxic lungs. We also found that endothelial nitric oxide synthase protein in hypoxic lungs was augmented by Y-27632, suggesting that enhanced nitric oxide production might have played a role in the Y-27632-induced attenuation of chronically hypoxic pulmonary hypertension. In conclusion, Rho/Rho-kinase activation is important in the effects of both acute and chronic hypoxia on the pulmonary circulation of mice, possibly by contributing to both vasoconstriction and vascular remodeling.

RhoA; Y-27632



Address for reprint requests and other correspondence: K. A. Fagan, Cardiovascular Pulmonary Research Laboratory, Univ. of Colorado Health Sciences Center, 4200 E. Ninth Ave., B-133, Denver, CO 80262 (E-mail: karen.fagan{at}uchsc.edu)




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