Evidence map›Paper›PMID 28680578›Full record

ArticlePulmonary circulation2017

Dysfunctional BMPR2 signaling drives an abnormal endothelial requirement for glutamine in pulmonary arterial hypertension.

Robert A Egnatchik, Evan L Brittain, Amy T Shah, Wassim H Fares, H James Ford, Ken Monahan, Christie J Kang, Emily G Kocurek, Shijun Zhu, Thong Luong and 9 more

Open access · hybridAbstract read
In one paragraph

Article in Pulmonary circulation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed
4.9field-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

56 citing papers in PubMed, 98 citations in OpenAlex.

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  5. Bioenergetics and metabolism of the pulmonary endothelium. Scientific session I: ReSPIRE 2025.American journal of physiology. Lung cellular and molecular physiology · 2025
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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

19 authors at 6 institutions in 1 country.

Robert A EgnatchikChildren's Medical Center Research Institute, University of Texas Southwestern, Dallas, TX, USA.
Evan L BrittainDivision of Cardiovascular Medicine and the Vanderbilt Translational and Clinical Cardiovascular Center, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Amy T ShahDepartment of Biomedical Engineering, Vanderbilt University, Nashville, TN, USA.
Wassim H FaresSection of Pulmonary, Critical Care & Sleep Medicine, Department of Medicine, Yale University, New Haven, CT, USA.
H James FordDivision of Pulmonary Diseases and Critical Care Medicine, Department of Medicine, University of North Carolina Chapel Hill, Chapel Hill, NC, USA.
Ken MonahanDivision of Cardiovascular Medicine and the Vanderbilt Translational and Clinical Cardiovascular Center, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Christie J KangDivision of Allergy, Pulmonary and Critical Care Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Emily G KocurekDivision of Allergy, Pulmonary and Critical Care Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Shijun ZhuDivision of Allergy, Pulmonary and Critical Care Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Thong LuongDivision of Allergy, Pulmonary and Critical Care Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Thuy T NguyenDepartment of Pharmacology, Vanderbilt University, Nashville, TN, USA.
Erik HysingerDivision of Pulmonary Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Eric D AustinDivision of Pulmonary Medicine, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA.
Melissa C SkalaDepartment of Biomedical Engineering, Vanderbilt University, Nashville, TN, USA.
Jamey D YoungDepartment of Chemical and Biomolecular Engineering, Vanderbilt University, Nashville, TN, USA.
L Jackson RobertsDepartment of Pharmacology, Vanderbilt University, Nashville, TN, USA.
Anna R HemnesDivision of Allergy, Pulmonary and Critical Care Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
James WestDepartment of Biomedical Engineering, Vanderbilt University, Nashville, TN, USA.
Joshua P FesselDivision of Allergy, Pulmonary and Critical Care Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Vanderbilt University Medical Center · USVanderbilt University · USChildren's Hospital of Philadelphia · USThe University of Texas Southwestern Medical Center · USUniversity of North Carolina at Chapel Hill · USYale University · US

Funding

Interventions Against the Molecular Etiology of BMPR2-induced PAHR01HL095797 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WEST, JAMES D · 2010 to 2022
$6.7M
Cellular-level Optical Metabolic Imaging to Predict Drug Response in CancerR01CA185747 · NCI · VANDERBILT UNIVERSITY · PI SKALA, MELISSA CAROLINE · 2014 to 2019
$1.6M
Metabolic Reprogramming in Pulmonary Arterial HypertensionK08HL121174 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI FESSEL, JOSHUA PATRICK · 2014 to 2018
$723k
XFe96 AnalyzerS10OD018015 · OD · VANDERBILT UNIVERSITY · PI LANNIGAN, DEBORAH · 2014 to 2014
$200k
NCI NIH HHS R01 CA185747NHLBI NIH HHS K08 HL121174NHLBI NIH HHS R01 HL095797NIH HHS S10 OD018015
6 · The paper itself

Abstract

Pulmonary arterial hypertension (PAH) is increasingly recognized as a systemic disease driven by alteration in the normal functioning of multiple metabolic pathways affecting all of the major carbon substrates, including amino acids. We found that human pulmonary hypertension patients (WHO Group I, PAH) exhibit systemic and pulmonary-specific alterations in glutamine metabolism, with the diseased pulmonary vasculature taking up significantly more glutamine than that of controls. Using cell culture models and transgenic mice expressing PAH-causing BMPR2 mutations, we found that the pulmonary endothelium in PAH shunts significantly more glutamine carbon into the tricarboxylic acid (TCA) cycle than wild-type endothelium. Increased glutamine metabolism through the TCA cycle is required by the endothelium in PAH to survive, to sustain normal energetics, and to manifest the hyperproliferative phenotype characteristic of disease. The strict requirement for glutamine is driven by loss of sirtuin-3 (SIRT3) activity through covalent modification by reactive products of lipid peroxidation. Using 2-hydroxybenzylamine, a scavenger of reactive lipid peroxidation products, we were able to preserve SIRT3 function, to normalize glutamine metabolism, and to prevent the development of PAH in BMPR2 mutant mice. In PAH, targeting glutamine metabolism and the mechanisms that underlie glutamine-driven metabolic reprogramming represent a viable novel avenue for the development of potentially disease-modifying therapeutics that could be rapidly translated to human studies.

Indexed as

bone morphogenic protein receptor type 2 (BMPR2)glutaminolysismetabolic reprogrammingmitochondriatricarboxylic acid (TCA) cycle

Identifiers

PMID28680578
PMCPMC5448547
OpenAlexW2555492566

What OpenQuestion holds

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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.