Evidence map›Paper›PMID 25992275›Full record

ArticlePulmonary circulation2015

Vascular endothelial growth factor receptor 3 signaling contributes to angioobliterative pulmonary hypertension.

Ayser Al-Husseini, Donatas Kraskauskas, Eleanora Mezzaroma, Andrea Nordio, Daniela Farkas, Jennifer I Drake, Antonio Abbate, Quentin Felty, Norbert F Voelkel

Open access · greenAbstract read
In one paragraph

Article in Pulmonary circulation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Review
  4. Article
  5. VEGFR3 tyrosine kinase inhibition aggravates cisplatin nephrotoxicity.American journal of physiology. Renal physiology · 2021
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Vascular Adaptation of the Right Ventricle in Experimental Pulmonary Hypertension.American journal of respiratory cell and molecular biology · 2018
    Article
  16. Review
  17. Review
  18. Drug-induced pulmonary arterial hypertension: a primer for clinicians and scientists.American journal of physiology. Lung cellular and molecular physiology · 2018
    Article
  19. Endothelial HIF-2α contributes to severe pulmonary hypertension due to endothelial-to-mesenchymal transition.American journal of physiology. Lung cellular and molecular physiology · 2018
    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

9 authors at 2 institutions in 1 country.

Ayser Al-HusseiniVictoria Johnson Laboratory for Lung Research, Virginia Commonwealth University, Richmond, Virginia, USA.
Donatas KraskauskasVictoria Johnson Laboratory for Lung Research, Virginia Commonwealth University, Richmond, Virginia, USA.
Eleanora MezzaromaVCU Pauley Heart Center, Virginia Commonwealth University, Richmond, Virginia, USA.
Andrea NordioVCU Pauley Heart Center, Virginia Commonwealth University, Richmond, Virginia, USA.
Daniela FarkasVictoria Johnson Laboratory for Lung Research, Virginia Commonwealth University, Richmond, Virginia, USA.
Jennifer I DrakeVictoria Johnson Laboratory for Lung Research, Virginia Commonwealth University, Richmond, Virginia, USA.
Antonio AbbateVCU Pauley Heart Center, Virginia Commonwealth University, Richmond, Virginia, USA.
Quentin FeltyDepartment of Environmental and Occupational Health, Florida International University, Miami, Florida, USA.
Norbert F VoelkelVictoria Johnson Laboratory for Lung Research, Virginia Commonwealth University, Richmond, Virginia, USA.
Virginia Commonwealth University · USFlorida International University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The mechanisms involved in the development of severe angioobliterative pulmonary arterial hypertension (PAH) are multicellular and complex. Many of the features of human severe PAH, including angioobliteration, lung perivascular inflammation, and right heart failure, are reproduced in the Sugen 5416/chronic hypoxia (SuHx) rat model. Here we address, at first glance, the confusing and paradoxical aspect of the model, namely, that treatment of rats with the antiangiogenic vascular endothelial growth factor (VEGF) receptor 1 and 2 kinase inhibitor, Sugen 5416, when combined with chronic hypoxia, causes angioproliferative pulmonary vascular disease. We postulated that signaling through the unblocked VEGF receptor VEGFR3 (or flt4) could account for some of the pulmonary arteriolar lumen-occluding cell growth. We also considered that Sugen 5416-induced VEGFR1 and VEGFR2 blockade could alter the expression pattern of VEGF isoform proteins. Indeed, in the lungs of SuHx rats we found increased expression of the ligand proteins VEGF-C and VEGF-D as well as enhanced expression of the VEGFR3 protein. In contrast, in the failing right ventricle of SuHx rats there was a profound decrease in the expression of VEGF-B and VEGF-D in addition to the previously described reduction in VEGF-A expression. MAZ51, an inhibitor of VEGFR3 phosphorylation and VEGFR3 signaling, largely prevented the development of angioobliteration in the SuHx model; however, obliterated vessels did not reopen when animals with established PAH were treated with the VEGFR3 inhibitor. Part of the mechanism of vasoobliteration in the SuHx model occurs via VEGFR3. VEGFR1/VEGFR2 inhibition can be initially antiangiogenic by inducing lung vessel endothelial cell apoptosis; however, it can be subsequently angiogenic via VEGF-C and VEGF-D signaling through VEGFR3.

Indexed as

capillary rarefactionchronic hypoxiaMAZ51right heart failuresFlt-1Sugen 5416VEGF isoformsVEGF receptor 3

Identifiers

PMID25992275
PMCPMC4405722
OpenAlexW2026940720

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.