Evidence map›Paper›PMID 26024891›Full record

ArticleAmerican journal of physiology. Lung cellular and molecular physiology2015

The reversal of pulmonary vascular remodeling through inhibition of p38 MAPK-alpha: a potential novel anti-inflammatory strategy in pulmonary hypertension.

Alistair C Church, Damien H Martin, Roger Wadsworth, Gareth Bryson, Andrew J Fisher, David J Welsh, Andrew J Peacock

Open access · hybridAbstract read
In one paragraph

Article in American journal of physiology. Lung cellular and molecular physiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
5.3field-weighted citation impact, top 4% 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

37 citing papers in PubMed, 66 citations in OpenAlex.

  1. Article
  2. Signaling pathways and targeted therapy for pulmonary hypertension.Signal transduction and targeted therapy · 2025
    Review
  3. Review
  4. Article
  5. Review
  6. Comprehensive analysis of mEpigenetics · 2023
    Article
  7. Carbon dioxide and MAPK signalling: towards therapy for inflammation.Cell communication and signaling : CCS · 2023
    Review
  8. S100 proteins in cardiovascular diseases.Molecular medicine (Cambridge, Mass.) · 2023
    Review
  9. Pulmonary Vascular Remodeling in Pulmonary Hypertension.Journal of personalized medicine · 2023
    Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Review
  20. p38 MAPK inhibition: A promising therapeutic approach for COVID-19.Journal of molecular and cellular cardiology · 2020
    Article
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

7 authors at 5 institutions in 1 country.

Alistair C ChurchScottish Pulmonary Vascular Unit, University of Glasgow, Glasgow, United Kingdom; colinchurch@nhs.net.
Damien H MartinScottish Pulmonary Vascular Unit, University of Glasgow, Glasgow, United Kingdom;
Roger WadsworthDepartment of Cardiovascular Biology, University of Strathclyde, Glasgow, United Kingdom;
Gareth BrysonDepartment of Pathology, Southern General Hospital, Glasgow, United Kingdom; and.
Andrew J FisherInstitute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
David J WelshScottish Pulmonary Vascular Unit, University of Glasgow, Glasgow, United Kingdom;
Andrew J PeacockScottish Pulmonary Vascular Unit, University of Glasgow, Glasgow, United Kingdom;
University of Glasgow · GBNewcastle University · GBPulmonary Vascular Research Institute · GBSouthern General Hospital · GBUniversity of Strathclyde · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The p38 mitogen-activated protein kinase (MAPK) system is increasingly recognized as an important inflammatory pathway in systemic vascular disease but its role in pulmonary vascular disease is unclear. Previous in vitro studies suggest p38 MAPKα is critical in the proliferation of pulmonary artery fibroblasts, an important step in the pathogenesis of pulmonary vascular remodeling (PVremod). In this study the role of the p38 MAPK pathway was investigated in both in vitro and in vivo models of pulmonary hypertension and human disease. Pharmacological inhibition of p38 MAPKα in both chronic hypoxic and monocrotaline rodent models of pulmonary hypertension prevented and reversed the pulmonary hypertensive phenotype. Furthermore, with the use of a novel and clinically available p38 MAPKα antagonist, reversal of pulmonary hypertension was obtained in both experimental models. Increased expression of phosphorylated p38 MAPK and p38 MAPKα was observed in the pulmonary vasculature from patients with idiopathic pulmonary arterial hypertension, suggesting a role for activation of this pathway in the PVremod A reduction of IL-6 levels in serum and lung tissue was found in the drug-treated animals, suggesting a potential mechanism for this reversal in PVremod. This study suggests that the p38 MAPK and the α-isoform plays a pathogenic role in both human disease and rodent models of pulmonary hypertension potentially mediated through IL-6. Selective inhibition of this pathway may provide a novel therapeutic approach that targets both remodeling and inflammatory pathways in pulmonary vascular disease.

Indexed as

AnimalsAnti-Inflammatory AgentsCell HypoxiaCell ProliferationFemaleFibroblastsHumansHypertension, PulmonaryImidazolesInterleukin-6MaleMitogen-Activated Protein Kinase 14Pulmonary ArteryPyridinesRats, Sprague-DawleyVascular RemodelingAnti-Inflammatory AgentsImidazolesInterleukin-6Mitogen-Activated Protein Kinase 14PyridinesSB 203580p38 MAPKpulmonary hypertension

Identifiers

PMID26024891
PMCPMC4538235
OpenAlexW2262667854

What OpenQuestion holds

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LicenceCC BY
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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.