|Endothelial cells and pulmonary arterial hypertension: apoptosis, proliferation, interaction and transdifferentiation.|
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|PMID: 19825167 Owner: NLM Status: MEDLINE|
|Severe pulmonary arterial hypertension, whether idiopathic or secondary, is characterized by structural alterations of microscopically small pulmonary arterioles. The vascular lesions in this group of pulmonary hypertensive diseases show actively proliferating endothelial cells without evidence of apoptosis. In this article, we review pathogenetic concepts of severe pulmonary arterial hypertension and explain the term "complex vascular lesion ", commonly named "plexiform lesion", with endothelial cell dysfunction, i.e., apoptosis, proliferation, interaction with smooth muscle cells and transdifferentiation.|
|Seiichiro Sakao; Koichiro Tatsumi; Norbert F Voelkel|
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|Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Review Date: 2009-10-13|
|Title: Respiratory research Volume: 10 ISSN: 1465-993X ISO Abbreviation: Respir. Res. Publication Date: 2009|
|Created Date: 2009-10-28 Completed Date: 2010-01-07 Revised Date: 2013-05-31|
Medline Journal Info:
|Nlm Unique ID: 101090633 Medline TA: Respir Res Country: England|
|Languages: eng Pagination: 95 Citation Subset: IM|
|Department of Respirology (B2), Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan. firstname.lastname@example.org|
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Apoptosis* / genetics
Cell Communication* / genetics
Cell Transdifferentiation* / genetics
Endothelial Cells / metabolism, pathology*
Hypertension, Pulmonary / genetics, metabolism, pathology*, physiopathology
Muscle, Smooth, Vascular / metabolism, pathology
Pulmonary Artery / metabolism, pathology*, physiopathology
Severity of Illness Index
|5P01 HL66254-03/HL/NHLBI NIH HHS|
Journal ID (nlm-ta): Respir Res
Publisher: BioMed Central
Copyright ? 2009 Sakao et al; licensee BioMed Central Ltd.
open-access: This is an Open Access article distributed under the terms of the Creative Commons Attribution License (), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received Day: 22 Month: 4 Year: 2009
Accepted Day: 13 Month: 10 Year: 2009
Print publication date: Year: 2009
Electronic publication date: Day: 13 Month: 10 Year: 2009
Volume: 10 Issue: 1
First Page: 95 Last Page: 95
Publisher Id: 1465-9921-10-95
PubMed Id: 19825167
|Endothelial cells and pulmonary arterial hypertension: apoptosis, proliferation, interaction and transdifferentiation|
|Seiichiro Sakao1||Email: email@example.com|
|Koichiro Tatsumi1||Email: firstname.lastname@example.org|
|Norbert F Voelkel2||Email: email@example.com|
1Department of Respirology (B2), Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan
2Victoria Johnson Center for Obstructive Lung Diseases and Pulmonary and Critical Care Medicine Division, Virginia Commonwealth University, 1101 East Marshall Street, Sanger Hall, Richmond, Virginia 23298-0565, USA
Severe pulmonary arterial hypertension (PAH), whether idiopathic or associated with known causes (secondary forms), may have a reversible component in a minority of the patients [1,2], but most patients with severe PAH at the time of their diagnosis have persistent structural alterations of their microscopically small pulmonary arterioles, i.e., pulmonary vascular remodeling believed to be caused by angiogenic proliferation of endothelial cells (EC) [3-6]. Complex pulmonary vascular lesions at sites of bifurcations that are often glomeruloid appearing and lumen obliterating, including the so-called plexiform lesions, are frequently found in the lungs of patients with severe PAH, including the lungs from patients with Eisenmenger physiology where the lung vessels are subjected to increased (shunt) blood flow . Whether these complex vascular lesions can fully explain the PAH remains controversial.
In this article, we review pathogenetic concepts of severe PAH and explain the term "complex vascular lesion," commonly named "plexiform lesion," with EC dysfunction, i.e., apoptosis, proliferation, interaction with smooth muscle cells (SMC) and transdifferentiation.
Discordant stimulation of EC or an uncontrolled EC response are common events in many pathologic processes including atherosclerosis, allograft vasculopathy, hypertension, congestive heart failure, sepsis and inflammatory syndromes, and PAH . These diseases have in common endothelial injury, which can result in EC apoptosis, dysfunction and activation .
A recent study showed that bone morphogenic proteins (BMP) signaling reduced apoptosis of cultured pulmonary artery EC under conditions of serum deprivation and maintained the survival of cultured circulating endothelial progenitors from normal individuals but not from IPAH patients. These results support the hypothesis that loss-of-function mutations in the bone morphogenic protein receptor II (BMPRII) could lead to increased pulmonary EC apoptosis, representing a possible initiating mechanism in the pathogenesis of PAH .
Taraseviciene-Stewart et al recently described that blockade of EC growth factor receptors resulted in the potentiation of PAH and marked worsening of the pathological vascular remodeling, even reproducing some of the "angioproliferative" features typical of advanced PAH and this effect was reversed by inhibitors of apoptosis, suggesting that increased apoptosis of EC in response to loss of survival signaling created conditions favoring the emergence of apoptosis-resistant cells with increased growth potential . Moreover, Campbell et al and Zhao et al have shown that overexpression of EC growth and survival factors, such as vascular endothelial growth factor (VEGF) and angiopoietin-1, prevented the development of monocrotaline-induced PAH [16,17], an effect that was associated with reduced EC apoptosis. Together, the findings suggest that EC growth and the emergence of phenotypically altered vascular cells in severe PAH is the consequence of initial apoptosis and subsequent selection of apoptosis-resistant, proliferative vascular cells. This concept is consistent with recent finding describing the absence of apoptotic cells in the plexiform lesions in the lungs from patients with severe PAH  as well as reduction of severe PAH in the rat model  by treatment with simvastatin, which induced apoptosis of the EC that had obliterated the pulmonary arterioles .
To study the dependence of exuberant EC proliferation on initial apoptosis, we adapted the CELLMAX artificial capillary system to analyze the effects of the VEGF receptor (VEGFR) I and VEGFR II antagonist (SU5416) on human pulmonary microvascular EC (HPMVEC) under conditions of pulsatile shear stress .
The experiments with human pulmonary microvascular EC (HPMVEC) seeded in the artificial capillary system demonstrated that a combined VEGF I and II receptor blocker (SU5416) induces EC apoptosis . When this VEGF receptor blockade-induced apoptosis was followed by high fluid shear stress a hyperproliferative state was generated, and within 7 days phenotypically altered EC emerged . These altered EC expressed the tumor marker survivin and the antiapoptotic protein Bcl-XL and were resistant to induction of apoptosis after challenge with TNF-? plus cycloheximide or hydrogen peroxide; in addition, the cells demonstrated survival in serum-free culture medium (Figure 1) .
Taken together our data reflect the paradox that growth factor-inhibition fosters the emergence of apoptosis-resistant and hyperproliferative cells . This paradox has recently been described by Golpon et al  in experiments which resulted in the conclusion that there is "life after corpse engulfment". In these experiments it was shown that cells with apoptosis induced by UV irradiation, after they had been phagocytosed by other cells, released growth factors into the culture medium and that this conditioned medium made na?ve epithelial- or endothelial cells apoptosis-resistant .
Whether in our shear stress experiments the SU5416 treated apoptotic cells were phagocytosed by neighboring cells of the CELLMAX system was not examined. In principle most cell types (not only professional phagocytes like macrophages) have the ability to phagocytose apoptosed cells [21-24] and we consider this possibility. It is unclear why the VEGF receptor blockade does not induce apoptosis in all of the EC and whether the surviving cells do so because they respond to survival signals which may be released by the dying cells. Alternatively or additionally it is conceivable that the EC contain some apoptosis-resistant precursor cells which expand under the conditions of our experiments . Because VEGF receptor inhibition allows apoptosis-resistant EC growth and because Partovian et al showed that adenovirus-mediated VEGF over-expression reduced pulmonary hypertension  it is not clear that VEGF causes the angiogenic growth of the lumen-obliterating EC. It is possible that over-expression of the VEGF and VEGFR II proteins in the human pulmonary vascular lesions is a reflection of a vascular repair attempt. Again, the presence of VEGF and VEGFR II in the vascular lesions does not necessarily mean that VEGF actually causes the growth of the phenotypically altered and apoptosis-resistant cells.
Consistent with the result in this in vitro experiment, Masri and colleagues have reported ex vivo that pulmonary artery EC (PAECs) isolated from patients with idiopathic PAH (IPAH) exhibit an unusual hyperproliferative potential, with decreased susceptibility to apoptosis . Together with accumulating evidence from previous studies [15,19,27], this study again provides support for the concept of an apoptosis-resistant and hyperproliferative EC in IPAH.
The above described in vitro experimental model appears to support the concept that apoptosis-resistant hyperproliferative EC can emerge at shear stress sensitive sites in the lung circulation in severe PAH. Although we do not address experimentally the factor or factors which confer apoptosis-resistance and phenotypical alterations of a subpopulation of endothelial stem-like cells, we suggest that blockade of the signal transduction of the obligatory EC survival factor, VEGF, in combination with high shear provide a selection pressure. The nature of the surviving and proliferating cells remains unclear. It is possible, as stated above, that the surviving and proliferating cells are precursor cells [28,29].
The interactions of EC and SMC, which exist in the close contact of a functional syncytium, are involved in a process of new vessels formation that occurs during development, as part of wound repair, and during the reproductive cycle. One basic component of this interaction is the endothelial-induced recruitment, proliferation and subsequent differentiation of SMC [30-32].
Moreover, it was shown in in vitro studies that several growth factors or cytokines, such as activated transforming growth factor-?1 (TGF-?1) and IL-1?, had been produced by the EC and SMC in coculture and they might be involved in some of the effects exerted by the coculture on these cells [31,33,34]. TGF-?1 is a growth factor which is a potent stimulant of extracellular matrix synthesis and inhibits matrix degradation . TGF-?1 has been shown to potentiate the development of intimal hyperplasia in animal models following arterial injury . Thus, TGF-?1 appears to be an important mediator of the increased extracellular matrix deposition which occurs during vascular wall remodeling. IL-1? is one of inflammatory cytokines and its elevated serum levels in PAH have been reported .
Theories concerning the detailed pathobiology of PAH have focused on factors produced by EC and SMC and their response to different mediators. Prostacyclin (PGI2), a protein produced by EC and whose known target is SMC, could be one of the vasodilators. In patients with PAH, the levels of PGI2 are reduced . Prostacyclin modulates the vasodilator response of SMC in the case of acute hypoxia .
We have previously hypothesized that the development of severe angioproliferative PAH is associated with initial EC apoptosis followed by the emergence of apoptosis-resistant proliferating EC . However, the precise control of the balance between pulmonary arterial SMC (PASMC) proliferation and apoptosis is important in maintaining the structural and functional integrity of the pulmonary vasculature. In severe angioproliferative PAH, this balance seems to be disturbed such that there is increased PASMC proliferation and decreased apoptosis, leading to vessel wall thickening and vascular remodeling, i.e., hyperplasia of PASMC [40-43]. Indeed, severe angioproliferative PAH is characterized by complex precapillary arteriolar lesions [7,44-46], which contain phenotypically altered endothelial and smooth muscle cells . Interestingly acquisition of resistance to apoptosis and increased rates of proliferation of PASMC appear to be necessary for neointima formation [47-52]. This phenotype plasticity, the dedifferentiation of mature, nonproliferative PASMC into proliferative PASMC, is a process central to vascular remodeling [53,54].
We have previously demonstrated that EC death results in the selection of an apoptosis-resistant, proliferating and phenotypically altered EC phenotype . Therefore we postulated that the initial apoptosis of EC induced the release of mediators which caused VSMC proliferation. To study this hypothesis, apoptosis of microvascular EC was induced by VEGF receptor blockade using the combined VEGFR-I and II blocker SU5416 and it was shown that serum-free medium conditioned by apoptosed EC caused proliferation of vascular SMC compared with serum-free medium conditioned by non-apoptosed EC . It was also shown that serum-free medium conditioned by apoptosed EC is characterized by increased concentrations of TGF-?1 and VEGF compared with serum-free medium conditioned by non-apoptosed EC, and that TGF-?1 blockade prevented the proliferation of cultured vascular SMC . In conclusion, EC death induced by VEGF receptor blockade leads to the production of factors, in particular TGF-?1, which activates vascular SMC proliferation, i.e., that EC apoptosis may stimulate vascular SMC growth (Figure 2) .
Moreover, several recent studies showed that EC seeding of injured arterial wall segments appears to limit the SMC response to injury. It was shown that EC seeding of endarterectomized canine arteries decreased the intimal hyperplastic response  and that EC seeding of injured hypercholesterolemic rabbit femoral arteries also limits the intimal hyperplastic response . It is, therefore, reasonable to hypothesize that apoptosed EC may lose their control over SMC allowing SMC growth.
Recent studies suggest that, in response to intimal injury, synthetic/proliferative SMC migrated to the intima can generate proinflammatory molecules to promote WBC infiltration of the artery wall [53,58,59]. EC injury caused by proinflammatory molecules may lead to EC apoptosis and SMC growth and thus a EC apoptosis-SMC growth loop could result in the progression of PAH.
It is likely that dysregulated growth factors or cytokines produced by EC and SMC exert autocrine or paracrine effects which contribute to the progression of remodeling in pulmonary artery that results in PAH.
Transdifferentiation is a form of metaplasia and the conversion of one differentiated cell type into another, with or without intervening cell division, so this mechanism challenges the preconceived ideas that the terminal differentiated state is fixed. Indeed, it is now generally accepted that "differentiation" can sometimes be reversed or altered .
In the neointima formation and vascular remodeling fibroblasts in the pulmonary vascular wall play specific roles in the response to injury, including rapid migration, proliferation, synthesis of connective tissue, contraction, cytokine production, and, most importantly, transdifferentiation into other types of cells (e.g., PASMC) .
Hypoxia-induced changes in fibroblasts' proliferative and matrix-producing phenotypes are accompanied by the appearance of smooth muscle ?-actin in tissues from pulmonary hypertensive subjects, suggesting that some of the fibroblasts transdifferentiate into myofibroblasts . This transdifferentiation involves a complex network of microenvironmental factors and pathways in which extracellular matrix components as well as growth factors, cytokines, and adhesion molecules may play a role .
The intriguing possibility that intimal SMC may arise from the endothelium has received some attention [64,65]. In the systemic circulation, Arciniegas et al showed that mesenchymal cells that contribute to the intimal thickening may arise from the endothelium by using in vivo and in vitro methods .
Severe angioproliferative PAH is characterized by complex pulmonary precapillary arteriolar lesions [7,44-46], which contain phenotypically altered SMC and EC . In addition to lumen-obliterating cell aggregates, which form the so-called plexiform lesions, muscularized arteries are also frequently present. Vasoconstriction as well as peptide (endothelin and angiotensin II) and nonpeptide (serotonin) growth factors have been postulated to be responsible for the muscularization of the pulmonary arteries in severe PAH [67-69]. Indeed "transitional cells" demonstrating features of both EC and vascular SMC have been identified in the plexiform lesions in the lungs from patients with severe angioproliferative PAH . We hypothesize that an additional or alternative mechanism contributing to the muscularization of the pulmonary arteries may be transdifferentiation of pulmonary EC to mesenchymal cells.
To examine this hypothesis, we incubated HPMVEC with SU5416 and analyzed these cells utilizing quantitative-PCR, immunofluorescent staining and flow cytometry analysis . In vitro studies of HPMVEC demonstrated that SU5416 suppressed PGI2S gene expression while potently inducing COX-2, VEGF and TGF-?1 expression, causing transdifferentiation of mature vascular EC (defined by Dil-ac-LDL, Lectin and Factor VIII) into SM-like (as defined by expression of ?-SM actin) "transitional" cells, which coexpressed both endothelial and SM markers . In this experiment, the SU5416-induced transdifferentiation was independent of TGF-?1 . Although TGF-?1 was shown to be involved in inducing endothelial-mesenchymal transdifferentiation  and is known to promote SM-actin expression in nonmuscle cells (EC and fibroblasts derived from various tissues) [73,74], TGF-?1 is currently thought to be insufficient to induce expression of late SM differentiation marker SM myosin heavy chain (SM-MHC) in non-SMC lineage cells . SU5416 expanded the number of CD34 and/or c-kit positive cells and caused transdifferentiation of CD34+ cells, but not CD34-cells. In conclusion, this data showed that SU5416 generated a selection pressure that killed some EC and expanded resident progenitor-like cells to transdifferentiate into SM like cells (Figure 3) . Further, we fully realize the limitation of our data interpretation which is based on in vitro studies of cultured cells. However, we believe that our data may be consistent with the concept that transdifferentiation of pulmonary EC to mesenchymal cells may contribute to the muscularization of the pulmonary arteries.
The prevailing theory of the vascular SMC contribution to vascular lesions is that in pathological states, like atherosclerosis, SMCs migrate to the intima from the media of the vessel . This concept, however, has been challenged by results derived from models of vascular injury, transplant arteriosclerosis, and human allograft studies, which all indicate that a portion of the cells bearing SMC differentiation markers in intimal lesions may have originated from the hematopoietic system and/or circulating progenitor cells [76-78]. Furthermore, a recent study demonstrated that smooth muscle progenitors were present in circulating blood , although the origin of these cells remains unknown. Concomitantly, it was shown that ~ 60% of SMC in atherosclerotic lesions of vein grafts were derived from the donor vessel wall and 40% from the recipient, possibly from circulating blood cells [80,81]. In the aggregate these reports strongly suggest the possibility of stem or progenitor cells as a source of SMC accumulation in atherosclerotic lesions. However, not all of the SMC within intimal lesions may be derived from bone marrow cells. Recently it was shown that, in addition to circulating progenitor cells, Sca-1+ progenitor cells that reside in the adventitia can transdifferentiate into SMC-like neointimal cells , suggesting that not only bone marrow cells but also resident vessel wall precursor cells could exist and serve as a source of SMC to form neointimal lesions.
Ingram and colleagues  have resolved progenitor cells within a population of EC isolated from conduit vessels in the systemic circulation. These findings suggest that EC isolated from the vessel wall are enriched with progenitor cells that rapidly proliferate and can renew the entire population. This report confirms the unexpected finding in our study  that there is the presence of a small number of bone marrow-derived c-kit+, CD34+ endothelial precursor cells among various batches of commercially available lung microvascular EC, suggesting the presence of such precursor cells in the adult lung.
The greater context of these findings, i.e., residential endothelial precursor cells and their transdifferentiation, may be a general mechanism for muscularization of vessels and, in the nondeveloping adult lung, a mechanism which participates in lung tissue homeostasis and repair of injured lung cells via utilization of resident lung tissue precursor cells.
Genetic mutations, like BMPRII mutations that have been found in patients with familial and nonfamilial forms of IPAH , may contribute to cell growth control. Indeed, there is a growing literature that associates BMP and their receptors with cell growth control, even in cancers [84-86].
Not only somatic cell mutations may contribute to the hyperproliferative, apoptosis-resistant endothelium phenotype, but the unusual EC phenotype could also arise from a normal resident or itinerant lung cell population as a result of genomic events [71,87].
Not only "genetic", but also "epigenetic factors", should be considered as factors or conditions which induce the hyperproliferative, apoptosis-resistant endothelium phenotype. Epigenetics, here understood as a bridge between genotype and phenotype, can influence gene expression without changing the underlying DNA sequence, i.e., epigenetic modifications can express themselves via DNA methylation and histone modifications [88-91]. Dietary and hormonal influence can be envisioned to affect the pulmonary vessels in patients with IPAH, initiating or amplifying changes in the EC residing along the pulmonary vessels [92,93].
It is hypothesized that apoptosis-resistant, phenotypically altered and transdifferentiated EC may arise by genetic and epigenetic mechanisms.
It is tempting to speculate in the context of PAH that following EC apoptosis a selection of cells characterized by a high proliferative potential, including resident progenitor cells, results in a prevalence of hyperproliferative, apoptosis-resistant pulmonary vascular lesion cells that contribute to the irreversible and progressive nature which characterizes many forms of severe PAH (Figure 4).
The authors declare that they have no competing interests.
SS conceived of the report, contributed to its design and conception and drafted the manuscript. KT drafted the manuscript and contributed to its design and conception. NV contributed to its design and drafted the manuscript. All authors read and approved the final manuscript.
This work is dedicated to the memory of Dr. J. T. Reeves.
Funding: This study was supported by NIH 5P01 HL66254-03 PI, a NIH Program Project Grant (NFV), the Research Grants for the Respiratory Failure Research Group from the Ministry of Health, Labor and Welfare, Japan.
|Sitbon O,Humbert M,Nunes H,Parent F,Garcia G,Herve P,Rainisio M,Simonneau G. Long-term intravenous epoprostenol infusion in primary pulmonary hypertension: prognostic factors and survivalJ Am Coll Cardiol 2002;40:780–788. [pmid: 12204511]|
|Rimensberger PC,Spahr-Schopfer I,Berner M,Jaeggi E,Kalangos A,Friedli B,Beghetti M. Inhaled nitric oxide versus aerosolized iloprost in secondary pulmonary hypertension in children with congenital heart disease: vasodilator capacity and cellular mechanismsCirculation 2001;103:544–548. [pmid: 11157720]|
|Tuder RM,Groves B,Badesch DB,Voelkel NF. Exuberant endothelial cell growth and elements of inflammation are present in plexiform lesions of pulmonary hypertensionAm J Pathol 1994;144:275–285. [pmid: 7508683]|
|Hirose S,Hosoda Y,Furuya S,Otsuki T,Ikeda E. Expression of vascular endothelial growth factor and its receptors correlates closely with formation of the plexiform lesion in human pulmonary hypertensionPathol Int 2000;50:472–479. [pmid: 10886723]|
|Nicolls MR,Taraseviciene-Stewart L,Rai PR,Badesch DB,Voelkel NF. Autoimmunity and pulmonary hypertension: a perspectiveEur Respir J 2005;26:1110–1118. [pmid: 16319344]|
|Tuder RM,Cool CD,Yeager ME,Taraseviciene-Stewart L,Bull TM,Voelkel NF. The pathobiology of pulmonary hypertensionClin Chest Med 2001;22:405–418. [pmid: 11590837]|
|Cool CD,Stewart JS,Werahera P,Miller GJ,Williams RL,Voelkel NF,Tuder RM. Three-dimensional reconstruction of pulmonary arteries in plexiform pulmonary hypertension using cell-specific markers. Evidence for a dynamic and heterogeneous process of pulmonary endothelial cell growthAm J Pathol 1999;155:411–419. [pmid: 10433934]|
|Sumpio BE,Riley JT,Dardik A. Cells in focus: endothelial cellInt J Biochem Cell Biol 2002;34:1508–1512. [pmid: 12379270]|
|Fishman AP,Fishman MC,Freeman BA,Gimbrone MA,Rabinovitch M,Robinson D,Gail DB. Mechanisms of proliferative and obliterative vascular diseases: insights from the pulmonary and systemic circulations. NHLBI Workshop summaryAm J Respir Crit Care Med 1998;158:670–674. [pmid: 9700149]|
|Ward JP. Hypoxic pulmonary vasoconstriction is mediated by increased production of reactive oxygen speciesJ Appl Physiol 2006;101:993–995. [pmid: 16675614]|
|Weir EK,Archer SL. Counterpoint: Hypoxic pulmonary vasoconstriction is not mediated by increased production of reactive oxygen speciesJ Appl Physiol 2006;101:995–998. [pmid: 16902070]|
|Ameshima S,Golpon H,Cool CD,Chan D,Vandivier RW,Gardai SJ,Wick M,Nemenoff RA,Geraci MW,Voelkel NF. Peroxisome proliferatoractivated receptor gamma (PPARgamma) expression is decreased in pulmonary hypertension and affects endothelial cell growthCirc Res 2003;92:1162–1169. [pmid: 12714563]|
|Pi X,Yan C,Berk BC. Big mitogen-activated protein kinase (BMK1)/ERK5 protects endothelial cells from apoptosisCirc Res 2004;94:362–369. [pmid: 14670836]|
|Teichert-Kuliszewska K,Kutryk MJ,Kuliszewski MA,Karoubi G,Courtman DW,Zucco L,Granton J,Stewart DJ. Bone morphogenetic protein receptor-2 signaling promotes pulmonary arterial endothelial cell survival: implications for loss-of-function mutations in the pathogenesis of pulmonary hypertensionCirc Res 2006;98:209–217. [pmid: 16357305]|
|Taraseviciene-Stewart L,Kasahara Y,Alger L,Hirth P,Mc Mahon G,Waltenberger J,Voelkel NF,Tuder RM. Inhibition of the VEGF receptor 2 combined with chronic hypoxia causes cell death-dependent pulmonary endothelial cell proliferation and severe pulmonary hypertensionFASEB J 2001;15:427–438. [pmid: 11156958]|
|Campbell AI,Zhao Y,Sandhu R,Stewart DJ. Cell-based gene transfer of vascular endothelial growth factor attenuates monocrotaline-induced pulmonary hypertensionCirculation 2001;104:2242–2248. [pmid: 11684638]|
|Zhao YD,Campbell AI,Robb M,Ng D,Stewart DJ. Protective role of angiopoietin-1 in experimental pulmonary hypertensionCirc Res 2003;92:984–991. [pmid: 12690034]|
|Taraseviciene-Stewart L,Scerbavicius R,Choe KH,Cool C,Wood K,Tuder RM,Burns N,Kasper M,Voelkel NF. Simvastatin causes endothelial cell apoptosis and attenuates severe pulmonary hypertensionAm J Physiol Lung Cell Mol Physiol 2006;291:L668–L676. [pmid: 16698853]|
|Sakao S,Taraseviciene-Stewart L,Lee JD,Wood K,Cool CD,Voelkel NF. Initial apoptosis is followed by increased proliferation of apoptosis-resistant endothelial cellsFASEB J 2005;19:1178–1180. [pmid: 15897232]|
|Golpon H,Fadok V,Taraseviciens-Stewart L,Scerbavicius R,Sauer C,Welte T,Henson PM,Voelkel FN. Life after corpse engulfment: Phagocytosis of apoptotic cells leads to VEGF secretion and cell growthFASEB J 2004;18:1716–1718. [pmid: 15345697]|
|Thompson CB. Apoptosis in the pathogenesis and treatment of diseaseScience 1995;267:1456. [pmid: 7878464]|
|Henson PM,Bratton DL,Fadok VA. Apoptotic cell removalCurr Biol 2001;11:R795–R805. [pmid: 11591341]|
|Fadok VA,Bratton DL,Henson PM. Phagocyte receptors for apoptotic cells: recognition, uptake, and consequencesJ Clin Invest 2001;108:957–962. [pmid: 11581295]|
|Savill J,Fadok V. Corpse clearance defines the meaning of cell deathNature 2000;407:784–788. [pmid: 11048729]|
|Partovian C,Adnot S,Raffestin B,Louzier V,Levame M,Mavier IM,Lemarchand P,Eddahibi S. Adenovirus-mediated lung vascular endothelial growth factor overexpression protects against hypoxic pulmonary hypertension in ratsAm J Respir Cell Mol Biol 2000;23:762–771. [pmid: 11104729]|
|Masri FA,Xu W,Comhair SA,Asosingh K,Koo M,Vasanji A,Drazba J,Anand-Apte B,Erzurum SC. Hyperproliferative apoptosis-resistant endothelial cells in idiopathic pulmonary arterial hypertensionAm J Physiol Lung Cell Mol Physiol 2007;293:L548–L554. [pmid: 17526595]|
|Rai PR,Cool CD,King JAC,Stevens T,Burns N,Winn RA,Kasper M,Voelkel NF. The cancer paradigm of severe pulmonary arterial hypertensionAm J Respir Crit Care Med 2008;178:558–564. [pmid: 18556624]|
|Ingram DA,Mead LE,Tanaka H,Meade V,Fenoglio A,Mortell K,Pollok K,Ferkowicz MJ,Gilley D,Yoder MC. Identification of a novel hierarchy of endothelial progenitor cells using human peripheral and umbilical cord bloodBlood 2004;104:2752–2760. [pmid: 15226175]|
|Ingram DA,Mead LE,Moore DB,Woodard W,Fenoglio A,Yoder MC. Vessel wall derived endothelial cells rapidly proliferate because they contain a complete hierarchy of endothelial progenitor cellsBlood 2005;105:2783–2786. [pmid: 15585655]|
|Lindahl P,Johansson BR,Lev?en P,Betsholtz C. Pericyte loss and microaneurysm formation in PDGF-B-deficient miceScience 1997;277:242–245. [pmid: 9211853]|
|Hirschi K,Rohovsky SA,D'Amore PA. PDGF, TGF-? and heterotypic cell-cell interactions mediate the recruitment and differentiation of 10T1/2 cells to a smooth muscle cell fateJ Cell Biol 1998;141:805–814. [pmid: 9566978]|
|Hellstr?m M,Kal?n M,Lindahl P,Abramsson A,Betsholtz C. Role of PDGF-B and PDGFR-? in recruitment of vascular smooth muscle cells and pericytes during embryonic blood vessel formation in the mouseDevelopment 1999;126:3047–3055. [pmid: 10375497]|
|Antonelli-Orlidge A,Saunders KB,Smith SR,D'Amore PA. An activated form of transforming growth factor beta is produced by co-cultures of endothelial cells and pericytesProc Natl Acad Sci USA 1989;86:4544–4548. [pmid: 2734305]|
|Asakawa H,Kobayashi T. The effect of co-culture with human smooth muscle cells on the proliferation, the IL-1 beta secretion, the PDGF production and tube formation of human aortic endothelial cellsCell Biochem Funct 1999;17:123–130. [pmid: 10377958]|
|Penttinen RP,Kobayashi S,Bornstein P. Transforming growth factor-? increases mRNA for matrix proteins both in the presence and in the absence of changes in mRNA stabilityProc Natl Acad Sci USA 1988;85:1105–1108. [pmid: 3422482]|
|Majesky MW,Lindner V,Twardzik DR. Production of transforming growth factor ?1J Clin Invest 1991;88:904–910. [pmid: 1832175]|
|Humbert M,Monti G,Brenot F,Sitbon O,Portier A,Grangeot-Keros L,Duroux P,Galanaud P,Simonneau G,Emilie D. Increased interleukin-1 and interleukin-6 serum concentrations in severe primary pulmonary hypertensionAm J Respir Crit Care Med 1995;151:1628–1631. [pmid: 7735624]|
|Christman BW,McPherson CD,Newman JH,King GA,Bernard GR,Groves BM,Loyd JE. An imbalance between the excretion of thromboxane and prostacyclin metabolites in pulmonary hypertensionN Engl J Med 1992;327:70–75. [pmid: 1603138]|
|Mikhail G,Chester AH,Gibbs SR,Borland JAA,Banner NR,Yacoub MH. Role of vasoactive mediators in primary and secondary pulmonary hypertensionAm J Cardiol 1998;82:254–255. [pmid: 9678304]|
|Rabinovitch M. Elastase and the pathobiology of unexplained pulmonary hypertensionChest 1998;114:213–224.|
|Rubin LJ. Cellular and molecular mechanisms responsible for the pathogenesis of primary pulmonary hypertensionPediatr Pulmonol Suppl 1999;18:194–197. [pmid: 10093141]|
|Wagenvoort CA,Wagenvoort N. Primary pulmonary hypertension. A pathologic study of the lung vessels in 156 clinically diagnosed casesCirculation 1970;42:1163–1171.|
|Wohrley JD,Frid MG,Moiseeva EP,Orton EC,Belknap JK,Stenmark KR. Hypoxia selectively induces proliferation in a specific subpopulation of smooth muscle cells in the bovine neonatal pulmonary arterial mediaJ Clin Invest 1995;96:273–281. [pmid: 7615796]|
|Golpon HA,Geraci MW,Moore MD,Miller HL,Miller GJ,Tuder RM,Voelkel NF. HOX genes in human lung: altered expression in primary pulmonary hypertension and emphysemaAm J Pathol 2001;158:955–966. [pmid: 11238043]|
|Tuder RM,Chacon M,Alger L,Wang J,Taraseviciene-Stewart L,Kasahara Y,Cool CD,Bishop AE,Geraci M,Semenza GL,Yacoub M,Polak JM,Voelkel NF. Expression of angiogenesis-related molecules in plexiform lesions in severe pulmonary hypertension: evidence for a process of disordered angiogenesisJ Pathol 2001;195:367–374. [pmid: 11673836]|
|Tuder RM,Cool CD,Geraci MW,Wang J,Abman SH,Wright L,Badesch D,Voelkel NF. Prostacyclin synthase expression is decreased in lungs from patients with severe pulmonary hypertensionAm J Respir Crit Care Med 1999;159:1925–1932. [pmid: 10351941]|
|Diez J,Fortuno M,Zalba G,Etayo J,Fortuno A,Ravassa S,Beaumont J. Altered regulation of smooth muscle cell proliferation and apoptosis in small arteries of spontaneously hypertensive ratsEur Heart J 1998;19:G29–G33. [pmid: 9717053]|
|Guevara N,Kim H,Antonova E,Chan L. The absence of p53 accelerates atherosclerosis by increasing cell proliferation in vivoNat Med 1999;5:335–339. [pmid: 10086392]|
|Malik N,Francis S,Holt C,Gunn J,Thomas G,Shepherd L,Chamberlain J,Newman C,Cumberland D,Crossman D. Apoptosis and cell proliferation after porcine coronary angioplastyCirculation 1998;98:1657–1665. [pmid: 9778332]|
|Pollman M,Hall J,Mann M,Zhang L,Gibbons G. Inhibition of neointimal cell bcl-x expression induces apoptosis and regression of vascular diseaseNat Med 1998;4:222–227. [pmid: 9461197]|
|Sata M,Perlman H,Muruve D,Silver M,Ikebe M,Libermann T,Oettgen P,Walsh K. Fas ligand gene transfer to the vessel wall inhibits neointima formation and overrides the adenovirus-mediated T cell responseProc Natl Acad Sci USA 1998;95:1213–1217. [pmid: 9448311]|
|Zhang S,Fantozzi I,Tigno DD,Yi ES,Platoshyn O,Thistlethwaite PA,Kriett JM,Yung G,Rubin LJ,Yuan JX-J. Bone morphogenetic proteins induce apoptosis in human pulmonary vascular smooth muscle cellsAm J Physiol Lung Cell Mol Physiol 2003;285:L740–L754. [pmid: 12740218]|
|Owens GK,Kumar MS,Wamhoff BR. Molecular regulation of vascular smooth muscle cell differentiation in development and diseasePhysiol Rev 2004;84:767–801. [pmid: 15269336]|
|Li S,Sims S,Jiao Y,Chow LH,Pickering JG. Evidence from a novel human cell clone that adult vascular smooth muscle cells can convert reversibly between noncontractile and contractile phenotypesCirc Res 1999;85:338–348. [pmid: 10455062]|
|Sakao S,Taraseviciene-Stewart L,Wood K,Cool CD,Voelkel NF. Apoptosis of pulmonary microvascular endothelial cells stimulates vascular smooth muscle cell growthAm J Physiol Lung Cell Mol Physiol 2006;291:L362–L368. [pmid: 16617095]|
|Bush HJ,Jakubowski JA,Sentissi JM. Neointimal hyperplasia occurring after carotid endarterectomy in a canine model: Effect of endothelial cell seeding vs perioperative aspirinJ Vasc Surg 1987;5:118–125. [pmid: 3795378]|
|Conte MS. Endothelial cell resurfacing improves remodeling of balloon-injured arteries in the hypercholesterolemic rabbitSurg Forum 1996;47:333–336.|
|Rainger GE,Nash GB. Cellular pathology of atherosclerosis: smooth muscle cells prime cocultured endothelial cells for enhanced leukocyte adhesionCirc Res 2001;88:615–622. [pmid: 11282896]|
|Zeiffer U,Schober A,Lietz M,Liehn EA,Erl W,Emans N,Yan ZQ,Weber C. Neointimal smooth muscle cells display a proinflammatory phenotype resulting in increased leukocyte recruitment mediated by P-selectin and chemokinesCirc Res 2004;94:776–784. [pmid: 14963004]|
|Tosh D,Slack JM. How cells change their phenotypeNature Reviews Molecular Cell Biology 2002;3:187–194. [pmid: 11994739]|
|Sartore S,Chiavegato A,Faggin E,Franch R,Puato M,Ausoni S,Pauletto P. Contribution of adventitial fibroblasts to neointima formation and vascular remodelingCirc Res 2001;89:1111–1121. [pmid: 11739275]|
|Stenmark KR,Durmowicz AG,Dempsey EC. Bishop JE, Reeves JJ, Laurent GJModulation of vascular wall cell phenotype in pulmonary hypertensionPulmonary Vascular Remodeling. 1995Portland Press, London, UK;|
|Sisbarro L,Ihida-Stansbury K,Stevens T,Bauer N,McMurtry I,Jones PL. The extracellular matrix microenvironment specifies pulmonary endothelial cell identity: roles of tenascin-C and RhoAChest 2005;128 [pmid: 16373827]|
|Majesky MW,Schwartz SM. An origin for smooth muscle cells from endothelium?Circ Res 1997;80:601–603. [pmid: 9118492]|
|Schwartz SM. Perspectives series: cell adhesion in vascular biology. Smooth muscle migration in atherosclerosis and restenosisJ Clin Invest 1997;99:2814–2817. [pmid: 9185501]|
|Arciniegas E,Ponce L,Hartt Y,Graterol A,Carlini RG. Intimal thickening involves transdifferentiation of embryonic endothelial cellsAnat Rec 2000;258:47–57. [pmid: 10603448]|
|Zamora MR,Stelzner TJ,Webb S,Panos RJ,Ruff LJ,Dempsey EC. Overexpression of endothelin-1 and enhanced growth of pulmonary artery smooth muscle cells from fawn-hooded ratsAm J Physiol Lung Cell Mol Physiol 1996;270:L101–L109.|
|Okada K,Bernstein M,Zhang W,Schuster D,Botney M. Angiotensin-converting enzyme inhibition delays pulmonary vascular neointimal formationAm J Respir Crit Care Med 1998;158:939–950. [pmid: 9731029]|
|Lee SL,Wang WW,Moore BJ,Fanburg BL. Dual effect of serotonin on growth of bovine pulmonary artery smooth muscle cells in cultureCirc Res 1991;68:1362–1368. [pmid: 1850332]|
|Cool CD,Wood K,Voelkel NF. Transdifferentiation of endothelial cells in primary pulmonary hypertensionAm J Resp Crit Care Med 2004;167:A844.|
|Sakao S,Taraseviciene-Stewart L,Cool CD,Tada Y,Kasahara Y,Kurosu K,Tanabe N,Takiguchi Y,Tatsumi K,Kuriyama T,Voelkel NF. VEGF-R blockade causes endothelial cell apoptosis, expansion of surviving CD34+ precursor cells and transdifferentiation to smooth muscle-like and neuronal-like cellsFASEB J 2007;21:3640–3652. [pmid: 17567571]|
|Frid MG,Kale VA,Stenmark KR. Mature vascular endothelium can give rise to smooth muscle cells via endothelial-mesenchymal transdifferentiation: in vitro analysisCirc Res 2002;14:1189–1196. [pmid: 12065322]|
|Arciniegas E,Sutton AB,Allen TD,Schor AM. Transforming growth factor beta 1 promotes the differentiation of endothelial cells into smooth muscle-like cells in vitroJ Cell Sci 1992;103:521–529. [pmid: 1478952]|
|Hautmann MB,Adam PJ,Owens GK. Similarities and differences in smooth muscle -actin induction by TGF-s in smooth muscle versus non-smooth muscle cellsArterioscler Thromb Vasc Biol 1999;19:2049–2058. [pmid: 10479645]|
|Ross R,Glomset JA. Atherosclerosis and the arterial smooth muscle cell: proliferation of smooth muscle is a key event in the genesis of the lesions of atherosclerosisScience 1973;180:1332–1339. [pmid: 4350926]|
|Sata M,Saiura A,Kunisato A,Tojo A,Okada S,Tokuhisa T,Hirai H,Makuuchi M,Hirata Y,Nagai R. Hematopoietic stem cells differentiate into vascular cells that participate in the pathogenesis of atherosclerosisNat Med 2002;8:403–409. [pmid: 11927948]|
|Shimizu K,Sugiyama S,Aikawa M,Fukumoto Y,Rabkin E,Libby P,Mitchell RN. Host bone-marrow cells are a source of donor intimal smooth-muscle-like cells in murine aortic transplant arteriopathyNat Med 2001;7:738–741. [pmid: 11385513]|
|Glaser R,Lu MM,Narula N,Epstein JA. Smooth muscle cells, but not myocytes, of host origin in transplanted human heartsCirculation 2002;106:17–19. [pmid: 12093763]|
|Simper D,Stalboerger PG,Panetta CJ,Wang S,Caplice NM. Smooth muscle progenitor cells in human bloodCirculation 2002;106:1199–1204. [pmid: 12208793]|
|Hu Y,Davison F,Ludewig B,Erdel M,Mayr M,Url M,Dietrich H,Xu Q. mooth muscle cells in transplant atherosclerotic lesions are originated from recipients, but not bone marrow progenitor cellsCirculation 2002;106:S1834–1839.|
|Hu Y,Mayr M,Metzler B,Erdel M,Davison F,Xu Q. Both donor and recipient origins of smooth muscle cells in vein graft atherosclerotic lesionsCirc Res 2002;91:e13–e20. [pmid: 12364395]|
|Hu Y,Zhang Z,Torsney E,Afzal AR,Davison F,Metzler B,Xu Q. Abundant progenitor cells in the adventitia contribute to atherosclerosis of vein grafts in ApoE-deficient miceJ Clin Invest 2004;113:1258–1265. [pmid: 15124016]|
|Aldred MA,Vijayakrishnan J,James V,Soubrier F,Gomez-Sanchez MA,Martensson G,Galie N,Manes A,Corris P,Simonneau G,Humbert M,Morrell NW,Trembath RC. BMPR2 gene rearrangements account for a significant proportion of mutations in familial and idiopathic pulmonary arterial hypertensionHum Mutat 2006;27:212–213. [pmid: 16429403]|
|Beck SE,Jung BH,Del Rosario E,Gomez J,Carethers JM. BMP induced growth suppression in colon cancer cells is mediated by p21WAF1 stabilization and modulated by RAS/ERKCell Signal 2007;19:1465–1472. [pmid: 17317101]|
|Katoh M. Networking of WNT, FGF, Notch, BMP, and Hedgehog signaling pathways during carcinogenesisStem Cell Rev 2007;3:30–38. [pmid: 17873379]|
|Ye L,Lewis-Russell JM,Kyanaston HG,Jiang WG. Bone morphogenetic proteins and their receptor signaling in prostate cancerHistol Histopathol 2007;22:1129–1147. [pmid: 17616940]|
|Stevens T,Gillespie MN. The hyperproliferative endothelial cell phenotype in idiopathic pulmonary arterial hypertensionAm J Physiol Lung Cell Mol Physiol 2007;293:L546–L547. [pmid: 17601794]|
|Bernstein BE,Meissner A,Lander ES. The mammalian epigenomeCell 2007;128:669–861. [pmid: 17320505]|
|Goldberg AD,Allis CD,Bernstein E. Epigenetics: a landscape takes shapeCell 2007;128:635–638. [pmid: 17320500]|
|Grewal SI,Moazed D. Heterochromatin and epigenetic control of gene expressionScience 2003;301:798–802. [pmid: 12907790]|
|Groth A,Rocha W,Verreault A,Almouzni G. Chromatin challenges during DNA replication and repairCell 2007;128:721–733. [pmid: 17320509]|
|Taraseviciute A,Voelkel NF. Severe pulmonary hypertension in postmenopausal obese womenEur J Med Res 2006;11:198–202. [pmid: 16723293]|
|Morse JH,Horn EM,Barst RJ. Hormone replacement therapy: a possible risk factor in carriers of familial primary pulmonary hypertensionChest 1999;116:847. [pmid: 10492306]|
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