Evidence map›Paper›PMID 24446489›Full record

ArticleThe Journal of experimental medicine2014

Reduced BMPR2 expression induces GM-CSF translation and macrophage recruitment in humans and mice to exacerbate pulmonary hypertension.

Hirofumi Sawada, Toshie Saito, Nils P Nickel, Tero-Pekka Alastalo, Jason P Glotzbach, Roshelle Chan, Leila Haghighat, Gabriele Fuchs, Michael Januszyk, Aiqin Cao and 10 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of experimental medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 1 pooled it
10.9field-weighted citation impact, top 1% 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

88 citing papers in PubMed, 1 synthesis or guideline pooled it, 146 citations in OpenAlex.

  1. Meta-analysis of blood genome-wide expression profiling studies in pulmonary arterial hypertension.American journal of physiology. Lung cellular and molecular physiology · 2020
    Pooled it
  2. Review
  3. Article
  4. Circular RNA Profiling IdentifiesArteriosclerosis, thrombosis, and vascular biology · 2025
    Article
  5. Signaling pathways and targeted therapy for pulmonary hypertension.Signal transduction and targeted therapy · 2025
    Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Single-Cell Imaging Maps Inflammatory Cell Subsets to Pulmonary Arterial Hypertension Vasculopathy.American journal of respiratory and critical care medicine · 2024
    Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Review

28 more citing papers are in PubMed but not listed here.

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

20 authors at 4 institutions in 2 countries.

Hirofumi SawadaThe Vera Moulton Wall Center for Pulmonary Vascular Disease, 2 Department of Pediatrics, 3 Department of Surgery, 4 Department of Microbiology and Immunology, 5 Department of Medicine, and 6 Cardiovascular Institute, Stanford University School of Medicine, Stanford, CA 94305.
Toshie Saito
Nils P Nickel
Tero-Pekka Alastalo
Jason P Glotzbach
Roshelle Chan
Leila Haghighat
Gabriele Fuchs
Michael Januszyk
Aiqin Cao
Ying-Ju Lai
Vinicio de Jesus Perez
Yu-Mee Kim
Lingli Wang
Pin-I Chen
Edda Spiekerkoetter
Yoshihide Mitani
Geoffrey C Gurtner
Peter Sarnow
Marlene Rabinovitch
Stanford University · USCardiovascular Institute of the South · USPediatrics and Genetics · USMie University · JP

Funding

POSTDOCTORAL TRAINING IN MEDICAL INFORMATION SCIENCEST15LM007033 · NLM · STANFORD UNIVERSITY · PI SYLVIA KATINA PLEVRITIS · 1985 to 2026
$25.5M
The Cellular Response to Elafin in PAHP01HL108797 · NHLBI · STANFORD UNIVERSITY · PI NOLAN, GARRY P · 2011 to 2021
$19.7M
Pulmonary Hypertension in Genetically Modified MiceR01HL074186 · NHLBI · STANFORD UNIVERSITY · PI RABINOVITCH, MARLENE · 2004 to 2022
$10.4M
The BMP-PPARy Axis and Pulmonary HypertensionR01HL087118 · NHLBI · STANFORD UNIVERSITY · PI RABINOVITCH, MARLENE · 2008 to 2022
$7.2M
NHLBI NIH HHS HHSN268201000034CNHLBI NIH HHS N01-HV-00242NHLBI NIH HHS P01 HL108797NHLBI NIH HHS R01 HL074186NHLBI NIH HHS R01 HL087118NLM NIH HHS T15 LM007033
6 · The paper itself

Abstract

Idiopathic pulmonary arterial hypertension (PAH [IPAH]) is an insidious and potentially fatal disease linked to a mutation or reduced expression of bone morphogenetic protein receptor 2 (BMPR2). Because intravascular inflammatory cells are recruited in IPAH pathogenesis, we hypothesized that reduced BMPR2 enhances production of the potent chemokine granulocyte macrophage colony-stimulating factor (GM-CSF) in response to an inflammatory perturbation. When human pulmonary artery (PA) endothelial cells deficient in BMPR2 were stimulated with tumor necrosis factor (TNF), a twofold increase in GM-CSF was observed and related to enhanced messenger RNA (mRNA) translation. The mechanism was associated with disruption of stress granule formation. Specifically, loss of BMPR2 induced prolonged phospho-p38 mitogen-activated protein kinase (MAPK) in response to TNF, and this increased GADD34-PP1 phosphatase activity, dephosphorylating eukaryotic translation initiation factor (eIF2α), and derepressing GM-CSF mRNA translation. Lungs from IPAH patients versus unused donor controls revealed heightened PA expression of GM-CSF co-distributing with increased TNF and expanded populations of hematopoietic and endothelial GM-CSF receptor α (GM-CSFRα)-positive cells. Moreover, a 3-wk infusion of GM-CSF in mice increased hypoxia-induced PAH, in association with increased perivascular macrophages and muscularized distal arteries, whereas blockade of GM-CSF repressed these features. Thus, reduced BMPR2 can subvert a stress granule response, heighten GM-CSF mRNA translation, increase inflammatory cell recruitment, and exacerbate PAH.

Indexed as

AdolescentAdultAnimalsBone Morphogenetic Protein Receptors, Type IICase-Control StudiesChildEndothelial CellsEukaryotic Initiation Factor-2Familial Primary Pulmonary HypertensionFemaleGranulocyte-Macrophage Colony-Stimulating FactorHumansHypertension, PulmonaryMacrophagesMaleMAP Kinase Signaling SystemBMPR2 protein, humanBmpr2 protein, mouseBone Morphogenetic Protein Receptors, Type IIEukaryotic Initiation Factor-2Granulocyte-Macrophage Colony-Stimulating FactorPPP1R15A protein, humanProtein Phosphatase 1Receptors, Granulocyte-Macrophage Colony-Stimulating FactorRNA, MessengerRNA, Small Interfering

Identifiers

PMID24446489
PMCPMC3920564
OpenAlexW2110051509

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.