Evidence map›Paper›PMID 15927975›Full record

ArticleCirculation2005

Development of occlusive neointimal lesions in distal pulmonary arteries of endothelin B receptor-deficient rats: a new model of severe pulmonary arterial hypertension.

D Dunbar Ivy, Ivan F McMurtry, Kelley Colvin, Masatoshi Imamura, Masahiko Oka, Dong-Seok Lee, Sarah Gebb, Peter Lloyd Jones

Open access · bronzeAbstract read
In one paragraph

Article in Circulation, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.5field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 65 citations in OpenAlex.

  1. Review
  2. Characteristics of Pulmonary Vascular Remodeling in a Novel Model of Shunt-Associated Pulmonary Arterial Hypertension.Medical science monitor : international medical journal of experimental and clinical research · 2018
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  19. The cancer paradigm of severe pulmonary arterial hypertension.American journal of respiratory and critical care medicine · 2008
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

D Dunbar IvySection of Pediatric Cardiology, University of Colorado School of Medicine and Children's Hospital, Denver 80218, USA. ivy.dunbar@tchden.org
Ivan F McMurtry
Kelley Colvin
Masatoshi Imamura
Masahiko Oka
Dong-Seok Lee
Sarah Gebb
Peter Lloyd Jones
Children's Hospital Colorado · US

Funding

VRAC and Rho in pulmonary EC proliferationP01HL014985 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI STENMARK, KURT R. · 1985 to 2019
$35.1M
TISSUE INTERACTIONS IN PULMONARY VASCULAR DEVELOPMENTP50HL057144 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI STENMARK, KURT R. · 1997 to 2006
$10.0M
Prx homebox genes in pulmonary vascular homeostasisR01HL068798 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI JONES, PETER LLOYD · 2002 to 2006
$383k
NHLBI NIH HHS 2 P50 HL57144NHLBI NIH HHS HL-03823NHLBI NIH HHS HL-14985NHLBI NIH HHS HL-68798NHLBI NIH HHS P01 HL014985NHLBI NIH HHS P50 HL057144NHLBI NIH HHS R01 HL068798
6 · The paper itself

Abstract

backgroundHuman pulmonary arterial hypertension (PAH) is characterized by proliferation of vascular smooth muscle and, in its more severe form, by the development of occlusive neointimal lesions. However, few animal models of pulmonary neointimal proliferation exist, thereby limiting a complete understanding of the pathobiology of PAH. Recent studies of the endothelin (ET) system demonstrate that deficiency of the ET(B) receptor predisposes adult rats to acute and chronic hypoxic PAH, yet these animals fail to develop neointimal lesions. Herein, we determined and thereafter showed that exposure of ET(B) receptor-deficient rats to the endothelial toxin monocrotaline (MCT) leads to the development of neointimal lesions that share hallmarks of human PAH. METHODS AND

resultsThe pulmonary hemodynamic and morphometric effects of 60 mg/kg MCT in control (MCT(+/+)) and ET(B) receptor-deficient (MCT(sl/sl)) rats at 6 weeks of age were assessed. MCT(sl/sl) rats developed more severe PAH, characterized by elevated pulmonary artery pressure, diminished cardiac output, and right ventricular hypertrophy. In MCT(sl/sl) rats, morphometric evaluation revealed the presence of neointimal lesions within small distal pulmonary arteries, increased medial wall thickness, and decreased arterial-to-alveolar ratio. In keeping with this, barium angiography revealed diminished distal pulmonary vasculature of MCT(sl/sl) rat lungs. Cells within neointimal lesions expressed smooth muscle and endothelial cell markers. Moreover, cells within neointimal lesions exhibited increased levels of proliferation and were located in a tissue microenvironment enriched with vascular endothelial growth factor, tenascin-C, and activated matrix metalloproteinase-9, factors already implicated in human PAH. Finally, assessment of steady state mRNA showed that whereas expression of ET(B) receptors was decreased in MCT(sl/sl) rat lungs, ET(A) receptor expression increased.

conclusionsDeficiency of the ET(B) receptor markedly accelerates the progression of PAH in rats treated with MCT and enhances the appearance of cellular and molecular markers associated with the pathobiology of PAH. Collectively, these results suggest an overall antiproliferative effect of the ET(B) receptor in pulmonary vascular homeostasis.

Indexed as

Disease Models, AnimalAnimalsAnimals, Genetically ModifiedArterial Occlusive DiseasesCell ProliferationHypertensionHypertrophy, Right VentricularMonocrotalineMuscle, Smooth, VascularPulmonary ArteryRatsReceptor, Endothelin BTunica IntimaMonocrotalineReceptor, Endothelin B

Identifiers

PMID15927975
PMCPMC1934986
OpenAlexW2038093397

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.