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Am J Physiol Lung Cell Mol Physiol 297: L1082-L1090, 2009. First published October 2, 2009; doi:10.1152/ajplung.00199.2009
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Tie2-mediated loss of peroxisome proliferator-activated receptor-{gamma} in mice causes PDGF receptor-β-dependent pulmonary arterial muscularization

C. Guignabert,1,2 C. M. Alvira,1,2 T.-P. Alastalo,1,2 H. Sawada,1,2 G. Hansmann,1,2,3 M. Zhao,2 L. Wang,1,2 N. El-Bizri,1,2 and M. Rabinovitch1,2

1Cardiopulmonary 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)-{gamma} is reduced in pulmonary arteries (PAs) of patients with PA hypertension (PAH), and we reported that deletion of PPAR{gamma} in smooth muscle cells (SMCs) of transgenic mice results in PAH. However, the sequelae of loss of PPAR{gamma} in PA endothelial cells (ECs) are unknown. Therefore, we bred Tie2-Cre mice with PPAR{gamma}flox/flox mice to induce EC loss of PPAR{gamma} (Tie2 PPAR{gamma}–/–), 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{gamma}–/– 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{gamma}–/– mice had more residual PAH compared with WT mice after Rec-RA. The Tie2 PPAR{gamma}–/– vs. WT mice in RA had increased platelet-derived growth factor receptor-β (PDGF-Rβ) expression and signaling, despite an elevation in the PPAR{gamma} 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{gamma}–/– mice. Thus the disruption of PPAR{gamma} 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



Address for reprint requests and other correspondence: M. Rabinovitch, Vera Moulton Wall Center for Pulmonary Vascular Disease, Stanford Univ. School of Medicine, CCSR Bldg., Rm. 2245B, 269 Campus Drive, Stanford, CA 94305-5162 (e-mail: marlener{at}stanford.edu).




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