2058PENG G et al.
Circulation JournalOfficial Journal of the Japanese Circulation Society http://www. j-circ.or.jp arterial remodeling, less attention has been paid to the PV side in searching for the cellular and molecular mechanism of chronically hypoxic pulmonary venous remodeling.
Editorial p 1910In pulmonary vascular smooth muscle cells, the increase in intracellular Ca 2+ concentration ([Ca 2+ ]i) is an essential signal for vasoconstriction and myocyte proliferation. The elevation of [Ca 2+ ]i could result from Ca 2+ influx from an extracellular source through Ca 2+ channels, such as L-type voltage-dependent Ca 2+ channels (VDCC), store-operated Ca 2+ channels (SOCC) and receptor-operated Ca 2+ channels (ROCC), or Ca 2+ release from internal storage sites, such as the sarcoplasmic ulmonary veins (PV) not only serve as conduits through which oxygenated capillary blood drains into the left atrium of the heart in pulmonary circulation, but they also play important roles in regulating both distention and recruitment of blood flow from alveolar wall capillaries and thus ventilation-perfusion matching in the lung. Studies reveal that PV exhibit vasoconstriction in response to various vasoconstrictor stimuli, such as endothelin, thromboxane, plateletactivating factor, leukotrienes and hypoxia. Exposure to chronic hypoxia (CH) causes vascular remodeling not only in pulmonary arteries (PA) but also in PV in a number of species including rat, sheep and humans, 1-4 and leads to hypoxic pulmonary hypertension (HPH). Despite the numerous progresses in elucidating the underlying mechanisms of CH-induced pulmonary