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TGF-? activation by bone marrow-derived thrombospondin-1 causes Schistosoma- and hypoxia-induced pulmonary hypertension.


ABSTRACT: Pulmonary arterial hypertension (PAH) is an obstructive disease of the precapillary pulmonary arteries. Schistosomiasis-associated PAH shares altered vascular TGF-? signalling with idiopathic, heritable and autoimmune-associated etiologies; moreover, TGF-? blockade can prevent experimental pulmonary hypertension (PH) in pre-clinical models. TGF-? is regulated at the level of activation, but how TGF-? is activated in this disease is unknown. Here we show TGF-? activation by thrombospondin-1 (TSP-1) is both required and sufficient for the development of PH in Schistosoma-exposed mice. Following Schistosoma exposure, TSP-1 levels in the lung increase, via recruitment of circulating monocytes, while TSP-1 inhibition or knockout bone marrow prevents TGF-? activation and protects against PH development. TSP-1 blockade also prevents the PH in a second model, chronic hypoxia. Lastly, the plasma concentration of TSP-1 is significantly increased in subjects with scleroderma following PAH development. Targeting TSP-1-dependent activation of TGF-? could thus be a therapeutic approach in TGF-?-dependent vascular diseases.

SUBMITTER: Kumar R 

PROVIDER: S-EPMC5459967 | biostudies-literature | 2017 May

REPOSITORIES: biostudies-literature

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Pulmonary arterial hypertension (PAH) is an obstructive disease of the precapillary pulmonary arteries. Schistosomiasis-associated PAH shares altered vascular TGF-β signalling with idiopathic, heritable and autoimmune-associated etiologies; moreover, TGF-β blockade can prevent experimental pulmonary hypertension (PH) in pre-clinical models. TGF-β is regulated at the level of activation, but how TGF-β is activated in this disease is unknown. Here we show TGF-β activation by thrombospondin-1 (TSP-  ...[more]

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