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in mice causes PDGF receptor-β-dependent pulmonary arterial muscularization1Cardiopulmonary Research Program, Vera Moulton Wall Center for Pulmonary Vascular Disease, and ; Departments of 2Pediatrics (Cardiology) and ; 3Medicine, Stanford University School of Medicine, Stanford, California
Submitted 15 June 2009 ; accepted in final form 29 September 2009
Peroxisome proliferator-activated receptor (PPAR)-
is reduced in pulmonary arteries (PAs) of patients with PA hypertension (PAH), and we reported that deletion of PPAR
in smooth muscle cells (SMCs) of transgenic mice results in PAH. However, the sequelae of loss of PPAR
in PA endothelial cells (ECs) are unknown. Therefore, we bred Tie2-Cre mice with PPAR
flox/flox mice to induce EC loss of PPAR
(Tie2 PPAR
–/–), and we assessed PAH by right ventricular systolic pressure (RVSP), RV hypertrophy (RVH), and muscularized distal PAs in room air (RA), after chronic hypoxia (CH), and after 4 wk of recovery in RA (Rec-RA). The Tie2 PPAR
–/– mice developed spontaneous PAH in RA with increased RVSP, RVH, and muscularized PAs vs. wild type (WT); both genotypes exhibited a similar degree of PAH following chronic hypoxia, but Tie2 PPAR
–/– mice had more residual PAH compared with WT mice after Rec-RA. The Tie2 PPAR
–/– vs. WT mice in RA had increased platelet-derived growth factor receptor-β (PDGF-Rβ) expression and signaling, despite an elevation in the PPAR
target apolipoprotein E, an inhibitor of PDGF signaling. Inhibition of PDGF-Rβ signaling with imatinib, however, was sufficient to reverse the PAH observed in the Tie2 PPAR
–/– mice. Thus the disruption of PPAR
signaling in EC is sufficient to cause mild PAH and to impair recovery from CH-induced PAH. Inhibition of heightened PDGF-Rβ signaling is sufficient to reverse PAH in this genetic model.
endothelial cells; platelet-derived growth factor receptor-β; pulmonary remodeling; smooth muscle cell; platelet-derived growth factor
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