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Publication
Hyperoxia synergizes with mutant bone morphogenic protein receptor 2 to cause
metabolic stress, oxidant injury, and pulmonary hypertension.
Authors Fessel JP, Flynn CR, Robinson LJ, Penner NL, Gladson S, Kang CJ, Wasserman DH,
Hemnes AR, West JD
Submitted By Niki Penner on 1/24/2014
Status Published
Journal American journal of respiratory cell and molecular biology
Year 2013
Date Published
Volume : Pages 49 : 778 - 787
PubMed Reference 23742019
Abstract Pulmonary arterial hypertension (PAH) has been associated with a number of
different but interrelated pathogenic mechanisms. Metabolic and oxidative
stresses have been shown to play important pathogenic roles in a variety of
model systems. However, many of these relationships remain at the level of
association. We sought to establish a direct role for metabolic stress and
oxidant injury in the pathogenesis of PAH. Mice that universally express a
disease-causing mutation in bone morphogenic protein receptor 2 (Bmpr2) were
exposed to room air or to brief daily hyperoxia (95% oxygen for 3 h) for 6
weeks, and were compared with wild-type animals undergoing identical exposures.
In both murine tissues and cultured endothelial cells, the expression of mutant
Bmpr2 was sufficient to cause oxidant injury that was particularly pronounced in
mitochondrial membranes. With the enhancement of mitochondrial generation of
reactive oxygen species by hyperoxia, oxidant injury was substantially enhanced
in mitochondrial membranes, even in tissues distant from the lung. Hyperoxia,
despite its vasodilatory actions in the pulmonary circulation, significantly
worsened the PAH phenotype (elevated right ventricular systolic pressure,
decreased cardiac output, and increased pulmonary vascular occlusion) in Bmpr2
mutant animals. These experiments demonstrate that oxidant injury and metabolic
stress contribute directly to disease development, and provide further evidence
for PAH as a systemic disease with life-limiting cardiopulmonary manifestations.






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