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The right ventricle under pressure;
Cellular and molecular mechanisms of right heart failure in pulmonary hypertension
Harm J. Bogaard MD, PhD1,2 HYPERLINK "mailto:hjbogaard@vcu.edu"hjbogaard@vcu.edu
Kohtaro Abe MD, PhD2,3 HYPERLINK "mailto:kabe@vcu.edu"kabe@vcu.edu2
Anton Vonk Noordegraaf, MD PhD1 HYPERLINK "mailto:a.vonk@vumc.nl"a.vonk@vumc.nl
Norbert F. Voelkel, MD2
1Dept of Pulmonary Medicine, VU University Medical Center, Amsterdam, The Netherlands; 2Dept of Pulmonary Medicine and Critical Care, Virginia Commonwealth University, Richmond, Virginia; 3Dept of Cardiovascular Medicine, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan
First Author: Harm J Bogaard
Contact Address: 1101 E Marshall Street
Sanger Hall room 7-020
Richmond VA 23298
Fax: 001-804-628-0325
Tel: 001-804-628-9618
Correspondence to: Norbert Voelkel HYPERLINK "mailto:nvoelkel@mcvh-vcu.edu"nvoelkel@mcvh-vcu.edu
Conflict of interest statement: There are no conflicts of interest for any of the authors
Abbreviations
AC adenylate cyclase
ACE angiotensin converting enzyme
ADAM-12 a disintegrin and metalloprotease 12
AM adrenomedullin
ANP atrial natriuretic peptide
ATII angiotensin II
AT1R angiotensin type 1 receptor
- A R - a d r e n e r g i c r e c e p t o r
- A R K - A R k i n a s e
B N P b r a i n n a t r i u r e t i c p e p t i d e
C a M K I I C a 2 + - c a l m o d u l i n d e p e n d e n t p r o t e i n k i n a s e I I
c A M P c y c l i c a d e n o s i n e m o n o p h o s p h a t e
c G M P c y c l i c g u a n o s i n e m o n o p h o s p h a t e
C R E B c A M P - r e s p o n s e e l e m e n t b i n d i n g p r o t e i n
C S C c a r d i a c s tem cell
CT-1 cardiotropin-1
Cu copper
DAG diacylglycerol
Dvl disheveled protein
E-C excitation-contraction
ECM extracellular matrix
EGF epidermal growth factor
eNOS endothelial NO synthase (also NOS3)
EPO erythropoietin
ET-1 endothelin-1
ETA,B ET-1 receptor A and B
Fz Frizzled
GEF guanine nucleotide exchange factor
GH growth hormone
G protein guanine nucleotide binding protein
GPCR G protein coupled receptor
GSK-3 glycogen synthase kinase-3
HAT histone acetyltransferase
HDAC histone deacetyla s e
H I F - 1 h y p o x i a i n d u c i b l e f a c t o r 1
H O - 1 h e m e o x y g e n a s e 1
I G F - 1 i n s u l i n - l i k e g r o w t h h o r m o n e 1
I L i n t e r l e u k i n
I P 3 i n o s i t o l - 1 , 4 , 5 - t r i p h o s p h a t e
J A K J a n u s k i n a s e
J N K c - J u n - N - t e r m i n a l k i n a s e
L I F L e u k e m i a i n h i b i t o r y f a c t o r
L I M P - 2 l y s o s o m a l i n t e g r a l m e m b r ane protein 2
LRP LDL receptorrelated protein
LV left ventricle
LTCC L-type Ca2+ channel
MAPK mitogen activated protein kinase
MCIP myocyte-enriched calcineurin-interacting protein
MCP-1 monocyte chemoattractant protein-1
MCT monocrotaline
2-ME methoxyestradiol
MHC myosin heavy chain
miRNA microRNA
MKK MAPK kinase
MKKK MKK kinase
MMP matrix metalloproteinase
MOMP mitochondrial outer membrane permeabilization
MR mineralocorticoid receptor
mTOR mammalian target of rapamycin
NCX Na/Ca2+ exchanger
NEP neutral endopeptidase
NFAT nuclear factor of activated T cells
NGF neuronal growth factor
NO nitric oxide
NPR-A, B, C natriuretic peptide receptors A, B and C
PAB pulmonary artery banding
PAH pulmonary arterial hypertension
PDE-5 phosphodiesterase type 5
PDGF platelet-derived growth factor
PG prostaglandin
pGC particulate guanylate cyclase
PGI2 prostacyclin
PI3K phosphatidylinositol-3 kinase
PIP2 phosphatidylinositol-4,5-biphosphate
PIP3 phosphatylinositol-3,4,5-triphosphate
PKA protein kinase A
P K C p r o t e i n k i n a s e C
P K G p r o t e i n k i n a s e G
P L C p h o s p h o l i p a s e C
P P A R p e r o x i s o m e p r o l i f e r a t o r - a c t i v a t e d r e c e p t o r
P T E N p h o s p h a t a s e a n d t e n s i n h o m o l o g o n c h r o m o s o m e 1 0
R A S r e n i n - a n g i o t e n s i n s y s t e m
R N S r e a c t i v e n i t r o g e n s p e c i e s
R O C K R h o k i n a s e
R O S r e a c t i v e o x y g e n s p e c i e s
R T K r e c e p t o r t y r o s i n e k i n a s e
R V r i g h t v e n t r i c l e
R y R R y a n o d i n e r e c e p t o r
S E R C A s a r c o p l a s m i c C a 2 + A T P a s e
s G C s o l u b l e g u a n y l a t e c y c l a s e
S i r 2 s i l e n t i n f o r m a t i o n r e g u l a t o r 2
S N O N O - m o d i f i e d c y s t e i n e t h i o l s
S O D s u p e r o x i d e d i s m u t a s e
S R s a r c o p l a s m i c r e t i c u l u m
S R F s e r u m r e s p o n s e f a c t o r
S T A R S s t r i a t e d m u s c l e a c t i v a t o r o f r h o s i g n a l i n g
S T A T - 3 s i g n a l t r a n s d u c e r a n d a c t i v a t o r o f t r a n s c r i p t i o n 3
T A C t r a n s v e r s e a o r t i c c o n s t r i c t i o n
T A K 1 T G F - - a c t i v a t e d k i n a s e 1
T c f / L e f T - c e l l f a c t o r / L y m p h o c y t e e n h a n c e r f a c t o r
T G F - 1 t r a n s f o r m i n g g r o w t h f a c t o r 1
T N F t u m o r n e c r o s i s f a c t o r
T R F - 1 , 2 t e l o m e r i c b i n d i n g p r o t e i n s 1 a n d 2
T r x t h i o r e d o x i n
V E G F v a s c u l a r e n d o t h e l i a l g r o w t h f a c t o r
V H L v o n H i p p e l - L i n d a u p r o t e i n
X O x a n t h i n e o x i d a s e
1 . A n i m a l m o d e l s for the study of pulmonary hypertension and right heart failure
The degree of RV adaptation and failure varies substantially in current PAH animal models (see table e1). Presently used animal models to study the vascular changes in pulmonary hypertension all have their limitations in the study of PAH associated right heart failure. Chronic hypoxia is associated with increased RV afterload due to hypoxic pulmonary vasoconstriction and pulmonary vascular smooth muscle cell hyperplasia ADDIN REFMGR.CITE Rabinovitch1981544Age and sex influence on pulmonary hypertension of chronic hypoxia and on recoveryJournal544Age and sex influence on pulmonary hypertension of chronic hypoxia and on recoveryRabinovitch,M.Gamble,W.J.Miettinen,O.S.Reid,L.1981/1AdultAge FactorsAnimalsAnoxiabloodBlood PressureCardiomegalyChronic DiseaseFemaleHemodynamic ProcessesHypertensionHypertension,PulmonaryhypoxiaMalemuscleMuscle,Smooth,VascularOxygenphysiopathologyPulmonary ArteryPulmonary Circulationpulmonary hypertensionRatsSex FactorsNot in FileH62H72Am.J.Physiol.2401Am.J.Physiol.1Partovian1998526Heart and lung VEGF mRNA expression in rats with monocrotaline- or hypoxia-induced pulmonary hypertensionJournal526Heart and lung VEGF mRNA expression in rats with monocrotaline- or hypoxia-induced pulmonary hypertensionPartovian,C.Adnot,S.Eddahibi,S.Teiger,E.Levame,M.Dreyfus,P.Raffestin,B.Frelin,C.1998/12analysisAnimalsAnoxiaCapillarieschemically inducedChronic DiseasecomplicationsEndothelial Growth FactorsetiologygeneticsheartHemodynamic ProcessesHypertensionHypertension,PulmonaryhypertrophyhypoxiaLungLymphokinesMalemetabolismmodelmonocrotalineMyocardiumOrgan SizepathologyPerfusionphysiologyphysiopathologypulmonary hypertensionRatsRats,Wistarremodelingright ventricleRNA,MessengerVascular Endothelial Growth Factor AVascular Endothelial Growth FactorsVEGFNot in FileH1948H1956Am.J.Physiol.2756 Pt 2Am.J.Physiol.1Fagan2004251Attenuation of acute hypoxic pulmonary vasoconstriction and hypoxic pulmonary hypertension in mice by inhibition of Rho-kinaseJournal251Attenuation of acute hypoxic pulmonary vasoconstriction and hypoxic pulmonary hypertension in mice by inhibition of Rho-kinaseFagan,Karen A.Oka,MasahikoBauer,Natalie R.Gebb,Sarah A.Ivy,D.DunbarMorris,Kenneth G.McMurtry,Ivan F.2004/10/1hypoxiahypoxic pulmonary vasoconstrictionnitric oxidepulmonary hypertensionRhoNot in FileL656L664Am J Physiol Lung Cell Mol Physiol2874http://ajplung.physiology.org/cgi/content/abstract/287/4/L656AJP - Lung Cellular and Molecular PhysiologyAm J Physiol Lung Cell Mol Physiol1Abe2006730Long-term inhibition of Rho-kinase ameliorates hypoxia-induced pulmonary hypertension in miceJournal730Long-term inhibition of Rho-kinase ameliorates hypoxia-induced pulmonary hypertension in miceAbe,K.Tawara,S.Oi,K.Hizume,T.Uwatoku,T.Fukumoto,Y.Kaibuchi,K.Shimokawa,H.2006/12ArteriosclerosiseNOSetiologyfasudilHypertensionhypertrophyMicemodelmuscleMuscle Cellsnitric oxideNitric Oxide SynthaseNOPhosphorylationpulmonary hypertensionRatsResearchRhoNot in File280285J Cardiovasc Pharmacol486Department of Cardiovascular Medicine, Kyushu University Graduate School of Medical Sciences, Fukuoka, JapanPM:17204906J Cardiovasc Pharmacol11-4. However, the impossibility to differentiate between the effects of pressure overload and the direct effects of hypoxia limits extrapolation from this model to right heart failure in PAH. The toxic effects of monocrotaline (MCT), a pyrrolizidine alkaloid that causes pulmonary vasculitis and subsequently vascular remodeling, are generally assumed to be pulmonary specific ADDIN REFMGR.CITE Partovian1998526Heart and lung VEGF mRNA expression in rats with monocrotaline- or hypoxia-induced pulmonary hypertensionJournal526Heart and lung VEGF mRNA expression in rats with monocrotaline- or hypoxia-induced pulmonary hypertensionPartovian,C.Adnot,S.Eddahibi,S.Teiger,E.Levame,M.Dreyfus,P.Raffestin,B.Frelin,C.1998/12analysisAnimalsAnoxiaCapillarieschemically inducedChronic DiseasecomplicationsEndothelial Growth FactorsetiologygeneticsheartHemodynamic ProcessesHypertensionHypertension,PulmonaryhypertrophyhypoxiaLungLymphokinesMalemetabolismmodelmonocrotalineMyocardiumOrgan SizepathologyPerfusionphysiologyphysiopathologypulmonary hypertensionRatsRats,Wistarremodelingright ventricleRNA,MessengerVascular Endothelial Growth Factor AVascular Endothelial Growth FactorsVEGFNot in FileH1948H1956Am.J.Physiol.2756 Pt 2Am.J.Physiol.1Werchan1989642Right ventricular performance after monocrotaline-induced pulmonary hypertensionJournal642Right ventricular performance after monocrotaline-induced pulmonary hypertensionWerchan,P.M.Summer,W.R.Gerdes,A.M.McDonough,K.H.1989/5AnimalsBlood Pressurecardiac outputCardiomegalychemically inducedetiologyheartHeart VentriclesHypertensionHypertension,PulmonaryhypertrophyMalemonocrotalineMyocardiumNOOrgan SizepathologyphysiologyphysiopathologyPressurepulmonary hypertensionPyrrolizidine AlkaloidsRatsRats,Inbred Strainsright ventricleVentricular FunctionNot in FileH1328H1336Am.J Physiol.2565 Pt 2Am.J Physiol.1Farhat1993543Protection by oestradiol against the development of cardiovascular changes associated with monocrotaline pulmonary hypertension in ratsJournal543Protection by oestradiol against the development of cardiovascular changes associated with monocrotaline pulmonary hypertension in ratsFarhat,M.Y.Chen,M.F.Bhatti,T.Iqbal,A.Cathapermal,S.Ramwell,P.W.1993/10AnimalsBehavior,AnimalBody Weightchemically induceddrug effectsDrug ImplantsEstradiolHemodynamic ProcessesHypertensionHypertension,PulmonaryhypertrophyHypertrophy,Right VentricularLungMacrophagesMalemonocrotalineMyocardiumNOOrgan SizepathologypharmacologyphysiologyphysiopathologyPulmonary ArteryPulmonary Circulationpulmonary edemapulmonary hypertensionRatsRats,Sprague-Dawleyright ventricleNot in File719723Br.J.Pharmacol.1102Br.J.Pharmacol.1Abe2004244Long-Term Treatment With a Rho-Kinase Inhibitor Improves Monocrotaline-Induced Fatal Pulmonary Hypertension in RatsJournal244Long-Term Treatment With a Rho-Kinase Inhibitor Improves Monocrotaline-Induced Fatal Pulmonary Hypertension in RatsAbe,KohtaroShimokawa,HiroakiMorikawa,KeikoUwatoku,ToyokazuOi,KeijiMatsumoto,YasuharuHattori,TsuyoshiNakashima,YutakaKaibuchi,KozoSueishi,KatsuoTakeshit,Akira2004/2/20apoptosispulmonary hypertensionRhomonocrotalineNot in File385393Circ Res943http://circres.ahajournals.org/cgi/content/abstract/94/3/385Circ Res1Monnet2005643Animal models of heart failure: what is new?Journal643Animal models of heart failure: what is new?Monnet,E.Chachques,J.C.2005/4AnimalsBlood PressureCardiac VolumeCardiomyopathy,DilatedclinicalcomplicationsDisease Models,AnimalDoxorubicinetiologyheartheart failureHeart Failure,CongestiveHeart TransplantationHumansImipramineLigationmodelmonocrotalinemortalityMyocardial IschemiapathologysurgerysurvivaltherapytoxicitytransplantationNot in File14451453Ann.Thorac.Surg.794Ann.Thorac.Surg.1Schermuly2005242Reversal of experimental pulmonary hypertension by PDGF inhibitionJournal242Reversal of experimental pulmonary hypertension by PDGF inhibitionSchermuly,Ralph TheoDony,EvaGhofrani,Hossein ArdeschirPullamsetti,SoniSavai,RajkumarRoth,MarkusSydykov,AkylbekLai,Ying JuWeissmann,NorbertSeeger,WernerGrimminger,Friedrich2005/10/1imatinibPDGFpulmonary hypertensionNot in File28112821J.Clin.Invest.11510http://www.jci.org/cgi/content/abstract/115/10/2811Journal of Clinical InvestigationJ.Clin.Invest.1Merklinger2005628Epidermal growth factor receptor blockade mediates smooth muscle cell apoptosis and improves survival in rats with pulmonary hypertensionJournal628Epidermal growth factor receptor blockade mediates smooth muscle cell apoptosis and improves survival in rats with pulmonary hypertensionMerklinger,S.L.Jones,P.L.Martinez,E.C.Rabinovitch,M.2005/7Animalsantagonists & inhibitorsapoptosisclinicalcytologydrug effectsdrug therapyEnzyme InhibitorsHypertensionHypertension,PulmonaryhypertrophyIntegrin alphaVbeta3MaleMetalloproteasesmethodsmonocrotalinemortalitymuscleMuscle,Smooth,VascularMyocytes,Smooth MuscleNOOrgan Culture TechniquesPAHpharmacologyphysiologyPressureProtease InhibitorsPulmonary Arterypulmonary hypertensionRatsRats,Sprague-DawleyReceptor,Epidermal Growth Factorsurvivaltherapeutic usetherapyTyrosineTyrphostinsNot in File423431Circulation.1123Circulation.1Kajiya2007580Impaired NO-mediated vasodilation with increased superoxide but robust EDHF function in right ventricular arterial microvessels of pulmonary hypertensive ratsJournal580Impaired NO-mediated vasodilation with increased superoxide but robust EDHF function in right ventricular arterial microvessels of pulmonary hypertensive ratsKajiya,M.Hirota,M.Inai,Y.Kiyooka,T.Morimoto,T.Iwasaki,T.Endo,K.Mohri,S.Shimizu,J.Yada,T.Ogasawara,Y.Naruse,K.Ohe,T.Kajiya,F.2007/1/12Cardiovascular Physiologyheartheart failureHomeostasisHypertensionhypertrophyMalemonocrotalinenitric oxideNOphysiologypulmonary hypertensionRatsStressVasodilationNot in File2737-2744Am.J.Physiol Heart Circ.Physiol.2926Am.J.Physiol Heart Circ.Physiol.1Kimura2007742Cardiac Sympathetic Rejuvenation: A Link Between Nerve Function and Cardiac HypertrophyJournal742Cardiac Sympathetic Rejuvenation: A Link Between Nerve Function and Cardiac HypertrophyKimura,KensukeIeda,MasakiKanazawa,HideakiYagi,TakashiTsunoda,MakotoNinomiya,Shin ichiKurosawa,HiroyukiYoshimi,KenjiMochizuki,HidekiYamazaki,KazutoOgawa,SatoshiFukuda,Keiichi2007/6/22Angiotensin IIendothelin-1hearthypertrophyinnervationmonocrotalineNorepinephrinepulmonary hypertensionRatsright ventricleNot in File17551764Circ Res10012http://circres.ahajournals.org/cgi/content/abstract/100/12/1755Circ Res12;5-12. However, MCT is also used to generate liver damage and hepatic veno-occlusive disease ADDIN REFMGR.CITE Shah2005723Monocrotaline pyrrole-induced endothelial cell megalocytosis involves a Golgi blockade mechanismJournal723Monocrotaline pyrrole-induced endothelial cell megalocytosis involves a Golgi blockade mechanismShah,MehulPatel,KiritSehgal,Pravin B.2005/4/1AlkaloidsEndothelial CellsEpithelial CellsHypertensionKidneyLiverLungMitosismonocrotalinemuscleMuscle CellsPASMCPhenotypePhosphorylationpulmonary hypertensionPyrrolizidine AlkaloidsNot in FileC850C862Am J Physiol Cell Physiol2884http://ajpcell.physiology.org/cgi/content/abstract/288/4/C850AJP - Cell PhysiologyAm J Physiol Cell Physiol113. It is possible that the pro-inflammatory and pro-coagulant responses elicited by MCT-induced pulmonary vaculitis have systemic effects and contribute to heart failure. In fact, Akhavein et al recently demonstrated that shortly after MCT administration (even before pulmonary hypertension develops), extensive inflammatory changes can be seen in both ventricles and that these changes are associated with depressed contractile function, especially in the LV ADDIN REFMGR.CITE Akhavein2007748Decreased left ventricular function, myocarditis, and coronary arteriolar medial thickening following monocrotaline administration in adult ratsJournal748Decreased left ventricular function, myocarditis, and coronary arteriolar medial thickening following monocrotaline administration in adult ratsAkhavein,F.-Michel,E.JeanSeifert,E.Rohlicek,C.V.2007/7/1monocrotalineMyocarditispulmonary hypertensionRatsVentricular FunctionNot in File287295J Appl Physiol1031http://jap.physiology.org/cgi/content/abstract/103/1/287Journal of Applied PhysiologyJ Appl Physiol114. When MCT is combined with aortocaval shunting, the developing pulmonary vascular changes more closely resemble those of human severe PAH ADDIN REFMGR.CITE van Albada2006649Prostacyclin therapy increases right ventricular capillarisation in a model for flow-associated pulmonary hypertensionJournal649Prostacyclin therapy increases right ventricular capillarisation in a model for flow-associated pulmonary hypertensionvan Albada,M.E.Berger,R.M.Niggebrugge,M.van,Veghel R.Cromme-Dijkhuis,A.H.Schoemaker,R.G.2006/11/7AnimalsArachidonic AcidAspirinBlood Pressureblood supplyCapillariesCardiologycongenitalcontractilityDisease Models,Animaldrug effectsdrug therapyechocardiographyGene ExpressiongeneticsheartHeart VentriclesHypertensionHypertension,PulmonaryhypertrophyiloprostLungMalemetabolismmodelmonocrotalinemortalityMyocardiumOrgan SizepathologyphysiopathologyPlatelet Aggregation InhibitorsPressureprostacyclinPulmonary ArteryPulmonary Circulationpulmonary hypertensionRatsRats,WistarReceptors,Vascular Endothelial Growth FactorremodelingshuntSurvival Ratetherapeutic usetherapyVascular Endothelial Growth Factor AVentricular RemodelingNot in File107116Eur.J Pharmacol.5491-3Eur.J Pharmacol.115. Since right heart failure in this model of flow-associated PAH comes about by a combination of pressure and volume overload, this model may reflect failure in congenital heart disease, but not RV failure in most types of human PAH. More recently a model of severe angioproliferative pulmonary hypertension has been developed based on a single administration of the vascular endothelial growth factor (VEGF) receptor blocker SU5416 ADDIN REFMGR.CITE Taraseviciene-Stewart2001264Inhibition of the VEGF receptor 2 combined with chronic hypoxia causes cell death-dependent pulmonary endothelial cell proliferation and severe pulmonary hypertensionJournal264Inhibition of the VEGF receptor 2 combined with chronic hypoxia causes cell death-dependent pulmonary endothelial cell proliferation and severe pulmonary hypertensionTaraseviciene-Stewart,L.kasahara,YasunoriAlger,LoriHirth,PeterMcMahon,GeraldWaltenberger,JohannesVoelkel,Norbert F.Tuder,Rubin M.2001/2/1hypoxiapulmonary hypertensionVEGFapoptosisNot in File427438FASEB J.152http://www.fasebj.org/cgi/content/abstract/15/2/427The FASEB JournalFASEB J.1Taraseviciene-Stewart2006209Simvastatin Causes Endothelial Cell Apoptosis and Attenuates Severe Pulmonary HypertensionJournal209Simvastatin Causes Endothelial Cell Apoptosis and Attenuates Severe Pulmonary HypertensionTaraseviciene-Stewart,LaimuteScerbavicius,RobertasChoe,Kang HyeonCool,CarlyneWood,KathyTuder,Rubin M.Burns,NanaKasper,MichaelVoelkel,Norbert F.2006/5/12apoptosisendotheliumpulmonary hypertensionstatinNot in File00491Am J Physiol Lung Cell Mol Physiolhttp://ajplung.physiology.org/cgi/content/abstract/00491.2005v1AJP - Lung Cellular and Molecular PhysiologyAm J Physiol Lung Cell Mol Physiol1Oka2007735Rho kinase-mediated vasoconstriction is important in severe occlusive pulmonary arterial hypertension in ratsJournal735Rho kinase-mediated vasoconstriction is important in severe occlusive pulmonary arterial hypertension in ratsOka,M.Homma,N.Taraseviciene-Stewart,L.Morris,K.G.Kraskauskas,D.Burns,N.Voelkel,N.F.McMurtry,I.F.2007/3/301-(5-Isoquinolinesulfonyl)-2-MethylpiperazineAdultanalogs & derivativesAnimalsAnoxiaantagonists & inhibitorschemically inducedDisease Models,AnimalDisease Progressiondrug effectsenzymologyfasudilHypertensionHypertension,PulmonaryhypoxiailoprostIndolesIntracellular Signaling Peptides and ProteinsLungMalemetabolismmodelMyosin-Light-Chain PhosphataseNOOrgan Culture TechniquesPAHPeptides,CyclicpharmacologyPhosphorylationphysiopathologyPressureProtein-Serine-Threonine KinasesPulmonary Arterypulmonary hypertensionPyrrolesRatsRats,Sprague-DawleyReceptor,Endothelin AremodelingResearchRhoVascular Endothelial Growth Factor Receptor-2Vascular ResistanceVasoconstrictionVasodilator AgentsNot in File923929Circ.Res.1006Circ.Res.116-18. This drug induces pulmonary endothelial cell apoptosis and secondary vascular remodeling, but the specificity of SU5416 for the pulmonary endothelium has not been determined. Both SU5416 and MCT may affect the myocardial microcirculation directly.
Pulmonary artery banding (PAB) has no other direct effects than increasing afterload, but RV adaptation in this model is very dose and species dependent. Cat and dog PAB models have been used incidentally to study the RV response to acute and chronic increases in afterload ADDIN REFMGR.CITE Thompson1998639Upregulation of the cardiac homeobox gene Nkx2-5 (CSX) in feline right ventricular pressure overloadJournal639Upregulation of the cardiac homeobox gene Nkx2-5 (CSX) in feline right ventricular pressure overloadThompson,J.T.Rackley,M.S.O'Brien,T.X.1998/5AdultAnimalsAtrial Natriuretic FactorBlood PressureCatsDnageneticsheartHomeodomain ProteinshypertrophyHypertrophy,Right VentricularmodelpathologyphysiopathologyPressurePulmonary ArteryResearchRnaTranscription FactorsUp-RegulationVentricular PressureNot in FileH1569H1573Am.J Physiol.2745 Pt 2Am.J Physiol.1Orito2004640Time course sequences of angiotensin converting enzyme and chymase-like activities during development of right ventricular hypertrophy induced by pulmonary artery constriction in dogsJournal640Time course sequences of angiotensin converting enzyme and chymase-like activities during development of right ventricular hypertrophy induced by pulmonary artery constriction in dogsOrito,K.Yamane,T.Kanai,T.Fujii,Y.Wakao,Y.Matsuda,H.2004/7/16AnimalsbloodBlood Flow VelocityChymasesConstrictionConstriction,PathologicDisease Models,AnimalDogsechocardiographyenzymologyfibrosisheartHeart VentriclesHistological TechniqueshypertrophyHypertrophy,Right VentricularmetabolismpathologyPeptidyl-Dipeptidase ApharmacologyphysiologyphysiopathologyPressurePulmonary ArteryradiographyReninright ventricleSerine EndopeptidasesTime FactorsVentricular PressureNot in File11351145Life Sci.759Life Sci.1Kerbaul2007561How prostacyclin improves cardiac output in right heart failure in conjunction with pulmonary hypertensionJournal561How prostacyclin improves cardiac output in right heart failure in conjunction with pulmonary hypertensionKerbaul,F.Brimioulle,S.Rondelet,B.Dewachter,C.Hubloue,I.Naeije,R.2007/4/15cardiac outputcontractilityDogsepoprostenolheartheart failureHypertensionmethodsmodelphysiologyprostacyclinpulmonary hypertensionright ventricletherapyVascular ResistanceNot in File846850Am.J.Respir.Crit Care Med.1758Am.J.Respir.Crit Care Med.1Saito1991578Oxygen metabolism of the hypertrophic right ventricle in open chest dogsJournal578Oxygen metabolism of the hypertrophic right ventricle in open chest dogsSaito,D.Tani,H.Kusachi,S.Uchida,S.Ohbayashi,N.Marutani,M.Maekawa,K.Tsuji,T.Haraoka,S.1991/9AnimalsbloodCardiomegalyCoronary VesselsDisease Models,AnimalDogsdrug effectsFemalehypertrophyIsoproterenolMalemetabolismMyocardiumNOOxygenOxygen Consumptionoxygen extractionpharmacologyphysiologyPulmonary ArteryRegional Blood Flowright ventricleSodiumVentricular PressureNot in File731739Cardiovasc.Res.259Cardiovasc.Res.119-22. Although rabbit and rodent PAB models are useful to study acute increases in RV afterload, the high short-term mortality rates in some of these models (e.g. 50% after one week of PAB in rabbits) questions their suitability to study the development of right heart failure in PAH ADDIN REFMGR.CITE Adachi1995648Distribution of mRNAs for natriuretic peptides in RV hypertrophy after pulmonary arterial bandingJournal648Distribution of mRNAs for natriuretic peptides in RV hypertrophy after pulmonary arterial bandingAdachi,S.Ito,H.Ohta,Y.Tanaka,M.Ishiyama,S.Nagata,M.Toyozaki,T.Hirata,Y.Marumo,F.Hiroe,M.1995/1ActinsanalysisAnimalsAtrial Natriuretic Factorbiosynthesisbrain natriuretic peptideGene ExpressionHeart VentricleshypertrophyHypertrophy,Right VentricularIn Situ HybridizationMalemetabolismmodelMyocardiumNatriuretic Peptide,BrainNatriuretic PeptidesNerve Tissue ProteinsOrgan SpecificityPeptidesphysiologyphysiopathologyPressureProbabilityPulmonary ArteryRatsRats,Wistarright ventricleRNA,MessengerStressSystoleVentricular PressureNot in FileH162H169Am.J Physiol.2681 Pt 2Am.J Physiol.1Bishop1994645Increased collagen synthesis and decreased collagen degradation in right ventricular hypertrophy induced by pressure overloadJournal645Increased collagen synthesis and decreased collagen degradation in right ventricular hypertrophy induced by pressure overloadBishop,J.E.Rhodes,S.Laurent,G.J.Low,R.B.Stirewalt,W.S.1994/10analysisAnimalsbiosynthesisBlotting,NorthernCollagenGene ExpressiongeneticsheartHeart VentricleshypertrophyHypertrophy,Right VentricularLungMalemetabolismmethodsPressureProcollagenPulmonary ArteryRabbitsright ventricleRNA,MessengerNot in File15811585Cardiovasc.Res.2810Cardiovasc.Res.1Matsui1995637Sarcoplasmic reticulum gene expression in pressure overload-induced cardiac hypertrophy in rabbitJournal637Sarcoplasmic reticulum gene expression in pressure overload-induced cardiac hypertrophy in rabbitMatsui,H.MacLennan,D.H.Alpert,N.R.Periasamy,M.1995/1ActinsAnimalsCalcium ChannelsCalcium-Binding ProteinsCalcium-Transporting ATPasesCalsequestrinCardiomegalycomplicationsdiastolic functionetiologyGene ExpressiongeneticsheartHypertensionhypertrophyMalemetabolismmuscleMuscle ProteinsMyocardiumphysiologyPressureProteinsPulmonary ArteryRabbitsRNA,MessengerRyanodine Receptor Calcium Release ChannelSarcoplasmic ReticulumNot in FileC252C258Am.J Physiol.2681 Pt 1Am.J Physiol.1LekanneDeprez1998641Changing patterns of gene expression in the pulmonary trunk-banded rat heartJournal641Changing patterns of gene expression in the pulmonary trunk-banded rat heartLekanneDeprez,R.H.van den Hoff,M.J.de Boer,P.A.Ruijter,P.M.Maas,A.A.Chamuleau,R.A.Lamers,W.H.Moorman,A.F.1998/9AmmoniaAnimalsAtrial Natriuretic FactorBiological MarkersbiosynthesisbloodBlotting,NortherncalciumCalcium-Binding ProteinsCalcium-Transporting ATPasesCalsequestrinCollagenConstrictionCoronary CirculationdiagnosisfibrosisGene Expressiongeneticsheartheart failureHeart Failure,CongestivehypertrophyIn Situ HybridizationLiverMalemetabolismmodelMyocardiumPulmonary ArteryPulmonary CirculationRatsRats,Wistarright ventricleRNA,MessengerStresssurgeryNot in File18771888J Mol.Cell Cardiol.309J Mol.Cell Cardiol.1Ikeda1999647Cardiomyocyte apoptosis with enhanced expression of P53 and Bax in right ventricle after pulmonary arterial bandingJournal647Cardiomyocyte apoptosis with enhanced expression of P53 and Bax in right ventricle after pulmonary arterial bandingIkeda,S.Hamada,M.Hiwada,K.1999analysisAnimalsapoptosisbcl-2-Associated X ProteinBody WeightConstrictioncytologyDNA FragmentationGenes,p53geneticsHeart VentriclesHypertrophy,Right VentricularImmunohistochemistryIn Situ Nick-End LabelingMalemetabolismMyocardiumphysiologyPressureProto-Oncogene ProteinsProto-Oncogene Proteins c-bcl-2Pulmonary ArteryRatsRats,Sprague-Dawleyright ventricleRNA,MessengersurgeryTime FactorsTumor Suppressor Protein p53Up-RegulationVentricular PressureNot in File925933Life Sci.659Life Sci.1Rouleau2001636Cardioprotective effects of ramipril and losartan in right ventricular pressure overload in the rabbit: importance of kinins and influence on angiotensin II type 1 receptor signaling pathwayJournal636Cardioprotective effects of ramipril and losartan in right ventricular pressure overload in the rabbit: importance of kinins and influence on angiotensin II type 1 receptor signaling pathwayRouleau,J.L.Kapuku,G.Pelletier,S.Gosselin,H.Adam,A.Gagnon,C.Lambert,C.Meloche,S.2001/8/21Angiotensin IIAngiotensin-Converting Enzyme InhibitorsAnimalsantagonists & inhibitorscontractilityDisease Models,AnimalDose-Response Relationship,Drugdrug effectsdrug therapyElectric StimulationGTP-Binding ProteinsheartHemodynamic ProcesseshypertrophyKininsLosartanMalemetabolismmethodsmodelmuscleMyocardial ContractionMyocardiumNOOrgan SizePapillary MusclespathologypharmacologyPhenylephrinephysiopathologyPressureProtein SubunitsPulmonary ArteryRabbitsRamiprilReceptor,Angiotensin,Type 1Receptor,Angiotensin,Type 2Receptors,BradykininReceptors,Angiotensinright ventricleSignal TransductionVentricular Dysfunction,RightVentricular PressureNot in File939944Circulation.1048Circulation.1Emani2001638Right ventricular gene therapy with a beta-adrenergic receptor kinase inhibitor improves survival after pulmonary artery bandingJournal638Right ventricular gene therapy with a beta-adrenergic receptor kinase inhibitor improves survival after pulmonary artery bandingEmani,S.M.Shah,A.S.White,D.C.Glower,D.D.Koch,W.J.2001/11Animalsbeta-Adrenergic Receptor Kinasebeta-GalactosidaseCarrier ProteinsclinicalGene Therapygene transferHeart VentricleshypertrophymethodsmortalitypathologyPeptidesPressurePulmonary ArteryRabbitsRecombinant ProteinssurgerysurvivalSurvival Ratetherapeutic usetherapyTransgenesVentricular Dysfunction,RightVentricular PressureNot in File16571661Ann.Thorac.Surg.725Ann.Thorac.Surg.1Bar2003644Upregulation of embryonic transcription factors in right ventricular hypertrophyJournal644Upregulation of embryonic transcription factors in right ventricular hypertrophyBar,H.Kreuzer,J.Cojoc,A.Jahn,L.2003/9AdultAnimalsAtrial Natriuretic FactorBasic Helix-Loop-Helix Transcription FactorsBinding SitesBiological MarkersBlotting,WesternCardiologyDisease Models,AnimalDNA-Binding ProteinsGATA4 Transcription FactorGene ExpressionheartHumanshypertrophyHypertrophy,Right VentricularImmunohistochemistryLigationMalemetabolismMicroscopy,FluorescencemodelMyocardiumMyogenic Regulatory FactorsPressureProteinsPulmonary ArteryRatsRats,Sprague-Dawleyright ventricleTranscription FactorsUp-RegulationZebrafish ProteinsNot in File285294Basic Res.Cardiol.985Basic Res.Cardiol.1Braun2003646Right ventricular hypertrophy and apoptosis after pulmonary artery banding: regulation of PKC isozymesJournal646Right ventricular hypertrophy and apoptosis after pulmonary artery banding: regulation of PKC isozymesBraun,M.U.Szalai,P.Strasser,R.H.Borst,M.M.2003/9/1analogs & derivativesanalysisAngiotensin-Converting Enzyme InhibitorsAnimalsapoptosisbcl-2-Associated X ProteinCalcineurinCardiologyCaspase 3chemistryConstriction,PathologicCytosoldrug therapyenzymologyhypertrophyHypertrophy,Right VentricularImmunoblottingIsoenzymesMalemetabolismmethodsMyocardiumNOpathologypharmacologyPressureProtein Kinase CProto-Oncogene ProteinsProto-Oncogene Proteins c-bcl-2Pulmonary ArteryRamiprilRatsRats,WistarremodelingRenin-Angiotensin SystemNot in File658667Cardiovasc.Res.593Cardiovasc.Res.123-31. The rodent RV subjected to PAB displays many changes that have been originally described in the pressure overloaded LV: fetal gene re-expressi o n , - a d r e n e r g i c r e c e p t o r ( - A R ) d y s r e g u l a t i o n , a l t e r e d e x p r e s s i o n o f s a r c o p l a s m i c r e t i c u l u m ( S R ) p r o t e i n s , m y o c a r d i a l f i b r o s i s a n d i n c r e a s e d a p o p t o s i s A D D I N R E F M G R . C I T E <