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 PMID:26076038  

Selective enhancement of endothelial BMPR-II with BMP9 reverses pulmonary arterial hypertension.

Lu Long | Mark L Ormiston | Xudong Yang | Mark Southwood | Stefan Gräf | Rajiv D Machado | Matthias Mueller | Bernd Kinzel | Lai Ming Yung | Janine M Wilkinson | Stephen D Moore | Kylie M Drake | Micheala A Aldred | Paul B Yu | Paul D Upton | Nicholas W Morrell
Nature medicine | 2015

Genetic evidence implicates the loss of bone morphogenetic protein type II receptor (BMPR-II) signaling in the endothelium as an initiating factor in pulmonary arterial hypertension (PAH). However, selective targeting of this signaling pathway using BMP ligands has not yet been explored as a therapeutic strategy. Here, we identify BMP9 as the preferred ligand for preventing apoptosis and enhancing monolayer integrity in both pulmonary arterial endothelial cells and blood outgrowth endothelial cells from subjects with PAH who bear mutations in the gene encoding BMPR-II, BMPR2. Mice bearing a heterozygous knock-in allele of a human BMPR2 mutation, R899X, which we generated as an animal model of PAH caused by BMPR-II deficiency, spontaneously developed PAH. Administration of BMP9 reversed established PAH in these mice, as well as in two other experimental PAH models, in which PAH develops in response to either monocrotaline or VEGF receptor inhibition combined with chronic hypoxia. These results demonstrate the promise of direct enhancement of endothelial BMP signaling as a new therapeutic strategy for PAH.

Pubmed ID: 26076038

Research resources used in this publication

None found

Antibodies used in this publication

None found

Associated grants

  • Agency: NHLBI NIH HHS, United States
    Id: 5K08-HL079943
  • Agency: British Heart Foundation, United Kingdom
    Id: RG/13/4/30107
  • Agency: British Heart Foundation, United Kingdom
    Id: PG/11/10/28724
  • Agency: NIAMS NIH HHS, United States
    Id: R01 AR057374
  • Agency: British Heart Foundation, United Kingdom
    Id: PG/12/54/29734
  • Agency: NHLBI NIH HHS, United States
    Id: K08 HL079943
  • Agency: Howard Hughes Medical Institute, United States
  • Agency: Medical Research Council, United Kingdom
    Id: G1000847
  • Agency: Medical Research Council, United Kingdom
    Id: G0800784
  • Agency: Medical Research Council, United Kingdom
    Id: MR/K020919/1
  • Agency: British Heart Foundation, United Kingdom
    Id: CH/09/001/25945
  • Agency: NIAMS NIH HHS, United States
    Id: 5R01-AR057374
  • Agency: British Heart Foundation, United Kingdom
    Id: PG/10/35/28339
  • Agency: NHLBI NIH HHS, United States
    Id: R01 HL098199
  • Agency: British Heart Foundation, United Kingdom
    Id: FS/12/39/29653
  • Agency: NHLBI NIH HHS, United States
    Id: R01-HL098199

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