Evidence map›Paper›PMID 23684777›Full record

ArticleFree radical biology & medicine2013

Hypoxia downregulates PPARγ via an ERK1/2-NF-κB-Nox4-dependent mechanism in human pulmonary artery smooth muscle cells.

Xianghuai Lu, Kaiser M Bijli, Allan Ramirez, Tamara C Murphy, Jennifer Kleinhenz, C M Hart

Abstract read
In one paragraph

Article in Free radical biology & medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

42 citing papers in PubMed, 68 citations in OpenAlex.

  1. Review
  2. Signaling pathways and targeted therapy for pulmonary hypertension.Signal transduction and targeted therapy · 2025
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  12. Observational
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  18. Oxidation of PKGIα mediates an endogenous adaptation to pulmonary hypertension.Proceedings of the National Academy of Sciences of the United States of America · 2019
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  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

6 authors at 1 institution in 1 country.

Xianghuai LuDepartment of Medicine, Atlanta Veterans Affairs and Emory University Medical Centers, Atlanta, GA 30033, USA.
Kaiser M Bijli
Allan Ramirez
Tamara C Murphy
Jennifer Kleinhenz
C M Hart
Emory University · US

Funding

PPAR gamma and Nox4 in pulmonary hypertensionR01HL102167 · NHLBI · EMORY UNIVERSITY · PI HART, C MICHAEL, SUTLIFF, ROY L · 2011 to 2018
$2.5M
PPAR gamma regulates vascular endothelial reactive species production in diabetesR01DK074518 · NIDDK · EMORY UNIVERSITY · PI HART, C MICHAEL · 2008 to 2012
$1.6M
Mechanisms and Consequences of Reduced PPAR gamma in Pulmonary HypertensionI01BX001910 · VA · VETERANS HEALTH ADMINISTRATION · PI HART, C MICHAEL · 2013 to 2016
–
BLRD VA I01 BX001910NHLBI NIH HHS HL102167NHLBI NIH HHS R01 HL102167NIDDK NIH HHS DK074518NIDDK NIH HHS R01 DK074518
6 · The paper itself

Abstract

The ligand-activated transcription factor peroxisome proliferator-activated receptor γ (PPARγ) regulates metabolism, cell proliferation, and inflammation. Pulmonary hypertension (PH) is associated with reduced PPARγ expression, and hypoxia exposure regimens that cause PH reduce PPARγ expression. This study examines mechanisms of hypoxia-induced PPARγ downregulation in vitro and in vivo. Hypoxia reduced PPARγ mRNA and protein levels, PPARγ activity, and the expression of PPARγ-regulated genes in human pulmonary artery smooth muscle cells (HPASMCs) exposed to 1% oxygen for 72 h. Similarly, exposure of mice to hypoxia (10% O₂) for 3 weeks reduced PPARγ mRNA and protein in mouse lung. Inhibiting ERK1/2 with PD98059 or treatment with siRNA directed against either NF-κB p65 or Nox4 attenuated hypoxic reductions in PPARγ expression and activity. Furthermore, degradation of H₂O₂ using PEG-catalase prevented hypoxia-induced ERK1/2 phosphorylation and Nox4 expression, suggesting sustained ERK1/2-mediated signaling and Nox4 expression in this response. Mammalian two-hybrid assays demonstrated that PPARγ and p65 bind directly to each other in a mutually repressive fashion. We conclude from these results that hypoxic regimens that promote PH pathogenesis and HPASMC proliferation reduce PPARγ expression and activity through ERK1/2-, p65-, and Nox4-dependent pathways. These findings provide novel insights into mechanisms by which pathophysiological stimuli such as hypoxia cause loss of PPARγ activity and pulmonary vascular cell proliferation, pulmonary vascular remodeling, and PH. These results also indicate that restoration of PPARγ activity with pharmacological ligands may provide a novel therapeutic approach in selected forms of PH.

Indexed as

AnimalsCatalaseCell LineCell ProliferationHumansHydrogen PeroxideHypertension, PulmonaryHypoxiaMAP Kinase Signaling SystemMiceMyocytes, Smooth MuscleNADPH Oxidase 4NADPH OxidasesNF-kappa BPolyethylene GlycolsPPAR gammaCatalasecatalase-polyethylene glycolHydrogen PeroxideNADPH Oxidase 4NADPH OxidasesNF-kappa BNOX4 protein, humanPolyethylene GlycolsPPAR gammaRNA, Small Interfering3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromideadipocyte protein-2aP2CCAAT/enhancer binding protein-αCDK4C/EBPαcyclin-dependent kinase 4ELISAenzyme-linked immunosorbent assayERK1/2extracellular signal-regulated kinase 1/2Free radicalsGAL4GAPDHglyceraldehyde phosphate dehydrogenaseHEK 293HPAECHPASMChuman embryonic kidney 293 cellhuman pulmonary artery endothelial cellhuman pulmonary artery smooth muscle cellHypoxiamammalian expression vector containing CMV promoterMAPKmitogen-activated protein kinaseMTTNADPH oxidase 4NF-κBNox4nuclear factor-κBpCMVperoxisome proliferator-activated receptor-γperoxisome proliferator response elementPHPPARγPPREPPREx3-Tk-lucpRL-TKpulmonary hypertensionPulmonary hypertensionRenilla luciferase reporter-containing plasmidSDS–PAGESignaling mechanismsiRNAsmall interfering RNAsodium dodecyl sulfate–polyacrylamide gel electrophoresisthymidine kinase luciferase containing reporter plasmid with a PPARγ response elementtranscription factor for galactose-inducible genes in yeastTranscription factorsVascular wall cells

Identifiers

PMID23684777
PMCPMC3729594
OpenAlexW2056102430

What OpenQuestion holds

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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.