Evidence map›Paper›PMID 25930027›Full record

ReviewJournal of applied physiology (Bethesda, Md. : 1985)2015

Metabolic reprogramming and inflammation act in concert to control vascular remodeling in hypoxic pulmonary hypertension.

Kurt R Stenmark, Rubin M Tuder, Karim C El Kasmi

Abstract readReview
In one paragraph

Review in Journal of applied physiology (Bethesda, Md. : 1985), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed
9.8field-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

75 citing papers in PubMed, 96 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. CSF-1 receptor blockade in pulmonary arterial hypertension-keeping macrophages in check?American journal of respiratory cell and molecular biology · 2026
    Article
  6. Article
  7. Review
  8. Roles of the Altitude-Adapted Immune Microenvironment in Pulmonary Vascular Remodeling in High-Altitude Pulmonary Hypertension: A Review.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Journal of the American Heart Association · 2024
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. SIRT3 Is a Critical Regulator of Mitochondrial Function of Fibroblasts in Pulmonary Hypertension.American journal of respiratory cell and molecular biology · 2023
    Article
  19. Mitochondria in health, disease, and aging.Physiological reviews · 2023
    Review
  20. Article

15 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

3 authors at 1 institution in 1 country.

Kurt R StenmarkDivision of Critical Care Medicine, Department of Pediatrics, University of Colorado, Anschutz Medical Campus, Denver, Colorado; Cardiovascular Pulmonary Research Laboratories, Department of Medicine, University of Colorado, Anschutz Medical Campus, Denver, Colorado; and kurt.stenmark@ucdenver.edu.
Rubin M TuderProgram in Translational Lung Research, Department of Medicine, Division of Pulmonary Sciences, University of Colorado, Anschutz Medical Campus, Denver, Colorado.
Karim C El KasmiDivision of Gastroenterology, Department of Pediatrics, University of Colorado, Anschutz Medical Campus, Denver, Colorado;
University of Colorado Anschutz Medical Campus · US

Funding

VRAC and Rho in pulmonary EC proliferationP01HL014985 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI STENMARK, KURT R. · 1985 to 2019
$35.1M
Fibroblasts and Mononuclear Fibrogenic Cells Drive Right Ventricular Pulmonary ArR01HL114887 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI BULL, TODD M, BUTTRICK, PETER N. · 2012 to 2016
$3.4M
Crosstalk Between Metabolism and Inflammation in Pulmonary HypertensionR01HL125827 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI STENMARK, KURT R., ZHANG, QINGHONG · 2015 to 2015
$492k
NHLBI NIH HHS HL014985NHLBI NIH HHS HL114887NHLBI NIH HHS HL125827NHLBI NIH HHS P01 HL014985NHLBI NIH HHS R01 HL114887NHLBI NIH HHS R01 HL125827
6 · The paper itself

Abstract

Pulmonary hypertension (PH) is a complex, multifactorial syndrome that remains poorly understood despite decades of research. PH is characterized by profound pulmonary artery (PA) remodeling that includes significant fibro-proliferative and inflammatory changes of the PA adventitia. In line with the emerging concept that PH shares key features with cancer, recent work centers on the idea that PH results from a multistep process driven by reprogramming of gene-expression patterns that govern changes in cell metabolism, inflammation, and proliferation. Data demonstrate that in addition to PA endothelial cells and smooth muscle cells, adventitial fibroblasts from animals with experimental hypoxic PH and from humans with PH (hereafter, termed PH-Fibs) exhibit proinflammatory activation, increased proliferation, and apoptosis resistance, all in the context of metabolic reprogramming to aerobic glycolysis. PH-Fibs can also recruit, retain, and activate naïve macrophages (Mϕ) toward a proinflammatory/proremodeling phenotype through secretion of chemokines, cytokines, and glycolytic metabolites, among which IL-6 and lactate play key roles. Furthermore, these fibroblast-activated Mϕ (hereafter, termed FAMϕ) exhibit aerobic glycolysis together with high expression of arginase 1, Vegfa, and I1lb, all of which require hypoxia-inducible factor 1α and STAT3 signaling. Strikingly, in situ, the adventitial Mϕ phenotype in the remodeled PA closely resembles the Mϕ phenotype induced by fibroblasts in vitro (FAMϕ), suggesting that FAMϕ crosstalk involving metabolic and inflammatory signals is a critical, pathogenetic component of vascular remodeling. This review discusses metabolic and inflammatory changes in fibroblasts and Mϕ in PH with the goal of raising ideas about new interventions to abrogate remodeling in hypoxic forms of PH.

Indexed as

Activation, MetabolicAnimalsHumansHypertension, PulmonaryHypoxiaInflammationInflammation MediatorsVascular RemodelingInflammation MediatorsfibroblastglycolysisHIFIL-6macrophage

Identifiers

PMID25930027
PMCPMC4816410
OpenAlexW2015935774

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.