Evidence map›Paper›PMID 40839386›Full record

ArticleJCI insight2025

Essential role of protein kinase R in the pathogenesis of pulmonary veno-occlusive disease.

Amit Prabhakar, Rahul Kumar, Meetu Wadhwa, Abhilash Barpanda, Joseph Lyons, Asavari Gowda, Simren Gupta, Ananyaa Arvind, Prajakta Ghatpande, Arun P Wiita and 3 more

Abstract read
In one paragraph

Article in JCI insight, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

13 authors.

Amit PrabhakarCardiovascular Research Institute, UCSF, San Francisco, California, USA.
Rahul KumarLung Biology Center, Pulmonary and Critical Care Medicine, Zuckerberg San Francisco General Hospital, California, USA.
Meetu WadhwaDepartment of Radiology.
Abhilash BarpandaDepartment of Laboratory Medicine, and.
Joseph LyonsCardiovascular Research Institute, UCSF, San Francisco, California, USA.
Asavari GowdaCardiovascular Research Institute, UCSF, San Francisco, California, USA.
Simren GuptaCardiovascular Research Institute, UCSF, San Francisco, California, USA.
Ananyaa ArvindCardiovascular Research Institute, UCSF, San Francisco, California, USA.
Prajakta GhatpandeCardiovascular Research Institute, UCSF, San Francisco, California, USA.
Arun P WiitaDepartment of Laboratory Medicine, and.
Brian B GrahamLung Biology Center, Pulmonary and Critical Care Medicine, Zuckerberg San Francisco General Hospital, California, USA.
Giorgio LagnaCardiovascular Research Institute, UCSF, San Francisco, California, USA.
Akiko HataCardiovascular Research Institute, UCSF, San Francisco, California, USA.

Funding

Role of Complement-Driven Pulmonary Vascular Inflammation in PHP01HL152961 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI DELANEY, CASSIDY A · 2020 to 2024
$14.1M
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
Structural surfaceomics to probe conformation-selective immunotherapy targetsR01CA290875 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Lan Huang, Arun P. Wiita · 2024 to 2026
$2.7M
NCI NIH HHS R01 CA290875NHLBI NIH HHS P01 HL152961NHLBI NIH HHS R01 HL135872NHLBI NIH HHS R01 HL153915NHLBI NIH HHS R01 HL164581
6 · The paper itself

Abstract

Pulmonary veno-occlusive disease (PVOD) is a rare and severe subtype of pulmonary arterial hypertension, characterized by progressive remodeling of small pulmonary arteries and veins with no therapies. Using a mitomycin C-induced (MMC-induced) rat model, we previously demonstrated that protein kinase R-mediated (PKR-mediated) integrated stress response (ISR) drives endothelial dysfunction and vascular remodeling. To determine whether PKR is the primary mediator of ISR and the pathogenesis, we treated control (Ctrl) and PKR-knockout (KO) mice with the same dose of MMC. Consistent with rat data, Ctrl mice displayed ISR activation, vascular remodeling, and pulmonary hypertension after MMC treatment, while KO mice showed none of these phenotypes. Proteomic analysis revealed that MMC-mediated ISR activation attenuated protein synthesis in Ctrl but not in KO mice. These findings underscore the critical role of PKR-dependent ISR activation and subsequent perturbation of proteostasis as central mechanisms driving PVOD pathogenesis and identify PKR as a promising therapeutic target.

Indexed as

eIF-2 KinasePulmonary Veno-Occlusive DiseaseAnimalsDisease Models, AnimalMaleMiceMice, KnockoutProteomicsRatsVascular RemodelingeIF-2 KinaseCell biologyCell stressVascular biology

Identifiers

PMID40839386
PMCPMC12513476

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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.