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Characterization of the bone morphogenetic protein (BMP) system in human pulmonary arterial smooth muscle cells isolated from a sporadic case of primary pulmonary hypertension: roles of BMP type IB receptor (activin receptor-like kinase-6) in the mitotic action.

Abstract
The functional involvement of bone morphogenetic protein (BMP) system in primary pulmonary hypertension (PPH) remains unclear. Here we demonstrate a crucial role of the BMP type IB receptor, activin receptor-like kinase (ALK)-6 for pulmonary arterial smooth muscle cell (pphPASMC) mitosis isolated from a sporadic PPH patient bearing no mutations in BMPR2 gene. A striking increase in the levels of ALK-6 mRNA was revealed in pphPASMC compared with control PASMCs, in which ALK-6 transcripts were hardly detectable. BMP-2 and -7 stimulated the mitosis of pphPASMCs, which was opposite to their suppressive effects on the mitosis of the control PASMCs. BMP-4 and -6 and activin inhibited pphPASMC mitosis, whereas these did not affect control PASMCs. The presence of BMP signaling machinery in pphPASMCs was elucidated based on the analysis on Id-1 transcription and Smad-reporter genes. Overexpression of a dominant-negative ALK-6 construct revealed that ALK-6 plays a key role in the mitosis as well as intracellular BMP signaling of pphPASMCs. Gene silencing of ALK-6 using small interfering RNA also reduced DNA synthesis as well as Id-1 transcription in pphPASMCs regardless of BMP-2 stimulation. Although Id-1 response was not stimulated by BMP-2 in control PASMCs, the gene delivery of wild-type ALK-6 caused significant increase in the Id-1 transcripts in response to BMP-2. Additionally, inhibitors of ERK and p38 MAPK pathways suppressed pphPASMC mitosis induced by BMP-2, implying that the mitotic action is in part MAPK dependent. Thus, the BMP system is strongly involved in pphPASMC mitosis through ALK-6, which possibly leads to activation of Smad and MAPK, resulting in the progression of vascular remodeling of pulmonary arteries in PPH.
AuthorsMasaya Takeda, Fumio Otsuka, Kazufumi Nakamura, Kenichi Inagaki, Jiro Suzuki, Daiji Miura, Hideki Fujio, Hiromi Matsubara, Hiroshi Date, Tohru Ohe, Hirofumi Makino
JournalEndocrinology (Endocrinology) Vol. 145 Issue 9 Pg. 4344-54 (Sep 2004) ISSN: 0013-7227 [Print] United States
PMID15192043 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Bone Morphogenetic Proteins
  • Butadienes
  • Enzyme Inhibitors
  • Imidazoles
  • Ligands
  • Nitriles
  • Pyridines
  • RNA, Messenger
  • Receptors, Growth Factor
  • U 0126
  • Protein Serine-Threonine Kinases
  • BMPR1B protein, human
  • Bone Morphogenetic Protein Receptors, Type I
  • SB 203580
Topics
  • Adolescent
  • Adult
  • Aged
  • Bone Morphogenetic Protein Receptors, Type I
  • Bone Morphogenetic Proteins (pharmacology)
  • Butadienes (pharmacology)
  • Cells, Cultured
  • Enzyme Inhibitors (pharmacology)
  • Female
  • Humans
  • Hypertension, Pulmonary (physiopathology)
  • Imidazoles (pharmacology)
  • Ligands
  • MAP Kinase Signaling System (drug effects, physiology)
  • Mitosis (drug effects, physiology)
  • Muscle, Smooth, Vascular (cytology, physiology)
  • Nitriles (pharmacology)
  • Protein Serine-Threonine Kinases (genetics, metabolism)
  • Pulmonary Artery (cytology, physiology)
  • Pyridines (pharmacology)
  • RNA, Messenger (analysis)
  • Receptors, Growth Factor (genetics, metabolism)

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