Evidence map›Paper›PMID 39196173›Full record

ArticleNature cardiovascular research2024

Reversal of pulmonary veno-occlusive disease phenotypes by inhibition of the integrated stress response.

Amit Prabhakar, Rahul Kumar, Meetu Wadhwa, Prajakta Ghatpande, Jingkun Zhang, Ziwen Zhao, Carlos O Lizama, Bhushan N Kharbikar, Stefan Gräf, Carmen M Treacy and 4 more

Abstract read
In one paragraph

Article in Nature cardiovascular research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Article
  2. Interleukin-6 is critical in the development of pulmonary vascular disease inProceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Amit PrabhakarCardiovascular Research Institute, University of California, San Francisco, San Francisco, CA, USA.
Rahul Kumar *Lung Biology Center, Pulmonary and Critical Care Medicine, Zuckerberg San Francisco General Hospital, San Francisco, CA, USA.
Meetu Wadhwa *Department of Anesthesia and Perioperative Care, University of California, San Francisco, San Francisco, CA, USA.
Prajakta GhatpandeCardiovascular Research Institute, University of California, San Francisco, San Francisco, CA, USA.
Jingkun ZhangCardiovascular Research Institute, University of California, San Francisco, San Francisco, CA, USA.
Ziwen ZhaoCardiovascular Research Institute, University of California, San Francisco, San Francisco, CA, USA.
Carlos O LizamaCardiovascular Research Institute, University of California, San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0002-0471-8525
Bhushan N KharbikarDepartment of Bioengineering and Therapeutic Sciences, University of California, San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0003-0394-0308
Stefan GräfDepartment of Medicine, University of Cambridge, Cambridge, UK.
Carmen M TreacyDepartment of Medicine, University of Cambridge, Cambridge, UK.
Nicholas W MorrellDepartment of Medicine, University of Cambridge, Cambridge, UK.
Brian B GrahamLung Biology Center, Pulmonary and Critical Care Medicine, Zuckerberg San Francisco General Hospital, San Francisco, CA, USA.ORCID http://orcid.org/0000-0001-7541-2585
Giorgio LagnaCardiovascular Research Institute, University of California, San Francisco, San Francisco, CA, USA.
Akiko HataCardiovascular Research Institute, University of California, San Francisco, San Francisco, CA, USA. akiko.hata@ucsf.edu.ORCID http://orcid.org/0000-0003-3784-1738

Funding

Role of Complement-Driven Pulmonary Vascular Inflammation in PHP01HL152961 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI DELANEY, CASSIDY A · 2020 to 2024
$14.1M
Pulmonary Hypertension Breakthrough InitiativeR24HL123767 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI ALDRED, MICHEALA A, ERZURUM, SERPIL C. · 2014 to 2017
$10.1M
Investigating paclitaxel treatment in a pre-clinical model of Schistosoma-pulmonary hypertensionR01HL135872 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI Brian Barkley Graham · 2017 to 2026
$5.1M
Elucidating the structural insights into the BMP receptor mutations in PAHR01HL164581 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Akiko Hata, Natalia Jura · 2023 to 2026
$3.1M
Molecular pathogenesis of pulmonary arterial hypertensionR01HL153915 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HATA, AKIKO · 2021 to 2024
$3.1M
Identification of a novel modulator of Pulmonary Artery HypertensionR01HL132058 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HATA, AKIKO · 2016 to 2019
$2.5M
American Heart Association (American Heart Association, Inc.) 19CDA34730030British Heart Foundation SP/12/12/29836British Heart Foundation (BHF) RG/19/3/34265Medical Research Council MR/K020919/1NHLBI NIH HHS P01 HL152961NHLBI NIH HHS R01 HL132058NHLBI NIH HHS R01 HL135872NHLBI NIH HHS R01 HL153915NHLBI NIH HHS R01 HL164581NHLBI NIH HHS R24 HL123767Tobacco-Related Disease Research Program (TRDRP) 28IR-0047U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) P01HL152961U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) R01HL132058U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) R01HL135872U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) R01HL153915U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) R01HL164581
6 · The paper itself

Abstract

Pulmonary veno-occlusive disease (PVOD) is a rare form of pulmonary hypertension arising from EIF2AK4 gene mutations or mitomycin C (MMC) administration. The lack of effective PVOD therapies is compounded by a limited understanding of the mechanisms driving vascular remodeling in PVOD. Here we show that administration of MMC in rats mediates activation of protein kinase R (PKR) and the integrated stress response (ISR), which leads to the release of the endothelial adhesion molecule vascular endothelial (VE) cadherin (VE-Cad) in complex with RAD51 to the circulation, disruption of endothelial barrier and vascular remodeling. Pharmacological inhibition of PKR or ISR attenuates VE-Cad depletion, elevation of vascular permeability and vascular remodeling instigated by MMC, suggesting potential clinical intervention for PVOD. Finally, the severity of PVOD phenotypes was increased by a heterozygous BMPR2 mutation that truncates the carboxyl tail of the receptor BMPR2, underscoring the role of deregulated bone morphogenetic protein signaling in the development of PVOD.

Indexed as

Bone Morphogenetic Protein Receptors, Type IIDisease Models, AnimalPhenotypePulmonary Veno-Occlusive DiseaseAnimalsAntigens, CDCadherin 5CadherinsCapillary PermeabilityHumansMaleMutationProtein Kinase InhibitorsRatsRats, Sprague-DawleySignal TransductionAntigens, CDBMPR2 protein, humanBone Morphogenetic Protein Receptors, Type IICadherin 5CadherinsProtein Kinase Inhibitors

Identifiers

PMID39196173
PMCPMC11409862

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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.