“…PASMCs in pulmonary hypertension have also been shown to also lose vascular tone balance through the inhibition of potassium ion channels, Kv1.5 and Kv2.1 [3], [4]. Endothelin-1 and platelet derived growth factor β (PDGF) receptor blockers are used to treat PAH but do not reduce death rates [5], [6]. MicroRNAs (miRs) are single-stranded RNA molecules, about twenty-two nucleotides, which regulates gene expression.…”
Pulmonary Arterial Hypertension (PAH) is a progressive devastating disease characterized by excessive proliferation of the Pulmonary Arterial Smooth Muscle Cells (PASMCs). Studies suggest that PAH and cancers share an apoptosis-resistant state featuring excessive cell proliferation. MicroRNA-206 (miR-206) is known to regulate proliferation and is implicated in various types of cancers. However, the role of miR-206 in PAH has not been studied. In this study, it is hypothesized that miR-206 could play a role in the proliferation of PASMCs. In the present study, the expression patterns of miR-206 were investigated in normal and hypertensive mouse PASMCs. The effects of miR-206 in modulating cell proliferation, apoptosis and smooth muscle cell markers in human pulmonary artery smooth muscle cells (hPASMCs) were investigated in vitro. miR-206 expression in mouse PASMCs was correlated with an increase in right ventricular systolic pressure. Reduction of miR-206 levels in hPASMCs causes increased proliferation and reduced apoptosis and these effects were reversed by the overexpression of miR-206. miR-206 over expression also increased the levels of smooth muscle cell differentiation markers α-smooth muscle actin and calponin implicating its importance in the differentiation of SMCs. miR-206 overexpression down regulated Notch-3 expression, which is key a factor in PAH development. These results suggest that miR-206 is a potential regulator of proliferation, apoptosis and differentiation of PASMCs, and that it could be used as a novel treatment strategy in PAH.
“…PASMCs in pulmonary hypertension have also been shown to also lose vascular tone balance through the inhibition of potassium ion channels, Kv1.5 and Kv2.1 [3], [4]. Endothelin-1 and platelet derived growth factor β (PDGF) receptor blockers are used to treat PAH but do not reduce death rates [5], [6]. MicroRNAs (miRs) are single-stranded RNA molecules, about twenty-two nucleotides, which regulates gene expression.…”
Pulmonary Arterial Hypertension (PAH) is a progressive devastating disease characterized by excessive proliferation of the Pulmonary Arterial Smooth Muscle Cells (PASMCs). Studies suggest that PAH and cancers share an apoptosis-resistant state featuring excessive cell proliferation. MicroRNA-206 (miR-206) is known to regulate proliferation and is implicated in various types of cancers. However, the role of miR-206 in PAH has not been studied. In this study, it is hypothesized that miR-206 could play a role in the proliferation of PASMCs. In the present study, the expression patterns of miR-206 were investigated in normal and hypertensive mouse PASMCs. The effects of miR-206 in modulating cell proliferation, apoptosis and smooth muscle cell markers in human pulmonary artery smooth muscle cells (hPASMCs) were investigated in vitro. miR-206 expression in mouse PASMCs was correlated with an increase in right ventricular systolic pressure. Reduction of miR-206 levels in hPASMCs causes increased proliferation and reduced apoptosis and these effects were reversed by the overexpression of miR-206. miR-206 over expression also increased the levels of smooth muscle cell differentiation markers α-smooth muscle actin and calponin implicating its importance in the differentiation of SMCs. miR-206 overexpression down regulated Notch-3 expression, which is key a factor in PAH development. These results suggest that miR-206 is a potential regulator of proliferation, apoptosis and differentiation of PASMCs, and that it could be used as a novel treatment strategy in PAH.
“…ERAs are a class of orally active agents that modulate the deleterious activity of ET-1 in the pulmonary vasculature [13,[35][36][37][38]. Treatment with approved ERAs has been shown to confer improvements in a number of important clinical endpoints, including exercise capacity, modified New York Heart Association functional class, and pulmonary hemodynamics [13,[35][36][37][38].…”
Section: The Et System In Pahmentioning
confidence: 99%
“…Treatment with approved ERAs has been shown to confer improvements in a number of important clinical endpoints, including exercise capacity, modified New York Heart Association functional class, and pulmonary hemodynamics [13,[35][36][37][38]. Currently licensed ERAs can be sub-classified into dual ET A / ET B receptor antagonists and selective ET A receptor antagonists [39,40].…”
Up to date, macitentan is the only registered treatment for PAH that significantly reduced morbidity and mortality as a combined endpoint in a long-term event-driven study. The safety profile of macitentan is favorable with respect to hepatic safety and edema/fluid retention and may be better than that of other ET receptor antagonists such as bosentan and ambrisentan. The PK profile supports a once-a-day dosing regimen. Macitentan has limited interactions with other drugs. Based on these characteristics macitentan is an important new addition to the treatment of PAH.
“…It is
intended to inhibit vasoconstriction, hypertrophic and fibrotic
effects by blocking the actions of receptors (ET A and ET B ) which
leads to reduction of blood pressure in lungs. Bosentan interact
with the binding of ET-1 and other ET peptides to both ET A and
ET B receptors [7]. The objective of this work is to identify the
role the mechanism of Bosentan on ET B receptor and to model
the protein, and to identify the interactions with Bosentan and
their derivatives.…”
In cardiovascular system, activation of Endothelin receptors causes vasoconstriction which leads to Pulmonary Arterial
Hypertension (PAH). Endothelin receptor antagonism has emerged as an important therapeutic strategy in pulmonary arterial
hypertension. Bosentan is intended to affect vasoconstriction, hypertrophic and fibrotic effects by blocking the actions of receptors
ETA and ETB. In this study we identified the action of Bosentan on endothelin B receptor using docking studies with homology
modeled endothelin B receptor. Through the modeled protein, the flexible Docking study was performed with Bosentan and its
derivatives with theoretically predicted active sites. The results indicated that amino acid ARG82, ARG84 and HIS197 present in
endothelin B receptor are core important for binding activities and these residues are having strong hydrogen bond interactions
with Bosentan. We have investigated the Bosentan and its derivatives interactions and scoring parameters using gold docking
package. Among the docked compounds, one of the Bosentan derivatives BD6 shows better interaction than Bosentan with
endothelin B receptor. Our results may be helpful for further investigations in both in vivo and in vitro conditions.
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