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American Heart Association

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Final ID: Sa4175

Tipping Point Analysis Identifies C-terminal src kinase-Collagen 22 Regulation by Inflammation in the Pathogenesis of Early-Stage Pulmonary Arterial Hypertension

Abstract Body (Do not enter title and authors here): Inflammatory injury to pulmonary artery endothelial cells (PAECs) is a key pathogenetic event that drives fibrotic vascular remodeling in pulmonary arterial hypertension (PAH), a progressive disease that lacks early stage-specific therapeutic targets. In an inflammatory rodent model of PAH, we established early-stage disease based on abnormalities in right ventricular (RV) afterload, pulmonary vascular resistance, and RV cardiomyocyte phenotype that were evident without substantial elevation in pulmonary artery pressure. We performed RNA-Seq on PAEC mRNA isolated ex vivo from control, early-stage, and advanced-stage PAH rats and deployed a ‘tipping point’ methodology to identify key pulmonary endothelial protein-protein interactions (PPIs) that regulate the transition from control to early-stage PAH in silico. Building on prior data on the intersection between glucose and proline signaling in fibrosis, we interrogated our early-stage PAH network for convergent PPIs involving metabolism and fibrosis endotypes. C-terminal src kinase (Csk), a conserved inhibitor of Src, was predicted to regulate PAEC fibrosis and was increased in early-stage PAH. In human PAECs, inflammatory stimuli affected markers of Src activation as well as collagen 22 (Col22A1). We observed that pulmonary arterial Col22A1 expression increased progressively across all PAH stages in vivo and that arterial Col22A1 expression is upregulated in human PAH. Further, although inflammation upregulated total Csk mRNA and protein expression in HPAECs, it decreased phosphorylation of Src at tyrosine 527 (pTyr527Src), a Csk-dependent brake on Src kinase activity. Targeting Src through small molecule inhibition or adenovirus overexpression of Csk to increase pTyr527Src, in turn, attenuated inflammation-induced Col22A1 in vitro. Taken together, these data suggest that acquired inhibition of Csk is a novel molecular mechanism by which inflammation induces pulmonary endothelial dysfunction, Src activation, and fibrosis. In early-stage PAH, disrupted Csk inhibition of Src may induce transcriptional upregulation of Csk as a negative feedback response to Src activation. These data suggest that the Csk-Src-Col22A1 axis is a novel target for advancing early-stage therapeutics in patients with PAH subtypes characterized by inflammatory vascular injury.
  • Wertheim, Bradley  ( Brigham and Women's Hospital , Boston , Massachusetts , United States )
  • Padera, Robert  ( Brigham and Women's Hospital , Boston , Massachusetts , United States )
  • Loscalzo, Joseph  ( Brigham and Women's Hospital , Boston , Massachusetts , United States )
  • Maron, Brad  ( University of Maryland , Sharon , Massachusetts , United States )
  • Wang, Ruisheng  ( Brigham and Women's Hospital , Boston , Massachusetts , United States )
  • Arons, Elena  ( Brigham and Women's Hospital , Boston , Massachusetts , United States )
  • Oldham, William  ( Brigham and Women's Hospital , Boston , Massachusetts , United States )
  • Alba, George  ( Massachusetts General Hospital , Jamaica Plain , Massachusetts , United States )
  • Bowman, Frederick  ( Brigham and Women's Hospital , Boston , Massachusetts , United States )
  • Sharma, Nirmal  ( Brigham and Women's Hospital , Boston , Massachusetts , United States )
  • Haley, Kathleen  ( Brigham and Women's Hospital , Boston , Massachusetts , United States )
  • Samokhin, Andriy  ( University of Maryland, Baltimore , Salem , Massachusetts , United States )
  • Author Disclosures:
    Bradley Wertheim: DO have relevant financial relationships ; Other (please indicate in the box next to the company name):Expert Witness, Goodwin Procter LLP/United Therapeutics:Active (exists now) ; Speaker:Piper Sandler:Past (completed) | Robert Padera: DO NOT have relevant financial relationships | Joseph Loscalzo: No Answer | Brad Maron: DO have relevant financial relationships ; Consultant:Actelion:Active (exists now) ; Research Funding (PI or named investigator):Deerfield Company:Active (exists now) | Ruisheng Wang: DO NOT have relevant financial relationships | Elena Arons: DO NOT have relevant financial relationships | William Oldham: DO NOT have relevant financial relationships | George Alba: No Answer | Frederick Bowman: DO NOT have relevant financial relationships | Nirmal Sharma: No Answer | Kathleen Haley: No Answer | Andriy Samokhin: DO NOT have relevant financial relationships
Meeting Info:

Scientific Sessions 2024

2024

Chicago, Illinois

Session Info:

Looking Ahead: New Targets and Therapeutics for Pulmonary Hypertension

Saturday, 11/16/2024 , 02:00PM - 03:00PM

Abstract Poster Session

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