Abstract:
:Notch receptor signaling is implicated in controlling smooth muscle cell proliferation and in maintaining smooth muscle cells in an undifferentiated state. Pulmonary arterial hypertension is characterized by excessive vascular resistance, smooth muscle cell proliferation in small pulmonary arteries, leading to elevation of pulmonary vascular resistance, right ventricular failure and death. Here we show that human pulmonary hypertension is characterized by overexpression of NOTCH3 in small pulmonary artery smooth muscle cells and that the severity of disease in humans and rodents correlates with the amount of NOTCH3 protein in the lung. We further show that mice with homozygous deletion of Notch3 do not develop pulmonary hypertension in response to hypoxic stimulation and that pulmonary hypertension can be successfully treated in mice by administration of N-[N-(3,5-difluorophenacetyl)-L-alanyl]-S-phenylglycine t-butyl ester (DAPT), a gamma-secretase inhibitor that blocks activation of Notch3 in smooth muscle cells. We show a mechanistic link from NOTCH3 receptor signaling through the Hairy and enhancer of Split-5 (HES-5) protein to smooth muscle cell proliferation and a shift to an undifferentiated smooth muscle cell phenotype. These results suggest that the NOTCH3-HES-5 signaling pathway is crucial for the development of pulmonary arterial hypertension and provide a target pathway for therapeutic intervention.
journal_name
Nat Medjournal_title
Nature medicineauthors
Li X,Zhang X,Leathers R,Makino A,Huang C,Parsa P,Macias J,Yuan JX,Jamieson SW,Thistlethwaite PAdoi
10.1038/nm.2021subject
Has Abstractpub_date
2009-11-01 00:00:00pages
1289-97issue
11eissn
1078-8956issn
1546-170Xpii
nm.2021journal_volume
15pub_type
杂志文章相关文献
NATURE MEDICINE文献大全abstract::Physical function declines in old age, portending disability, increased health expenditures, and mortality. Cellular senescence, leading to tissue dysfunction, may contribute to these consequences of aging, but whether senescence can directly drive age-related pathology and be therapeutically targeted is still unclear...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/s41591-018-0092-9
更新日期:2018-08-01 00:00:00
abstract::It has long been assumed that p53 suppresses tumor development through induction of apoptosis, possibly with contributions by cell cycle arrest and cell senescence1,2. However, combined deficiency in these three processes does not result in spontaneous tumor formation as observed upon loss of p53, suggesting the exist...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/s41591-018-0043-5
更新日期:2018-07-01 00:00:00
abstract::CD23 is a low-affinity receptor for immunoglobulin E (IgE) expressed by a variety of haematopoietic cells. Proteolytic cleavage of the transmembrane receptor generates soluble forms, which can be detected in biological fluids. CD23 regulates many functional aspects of immune cells, both in its cell-associated and solu...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm0895-781
更新日期:1995-08-01 00:00:00
abstract::Deep brain stimulation (DBS) is a widely used neurosurgical approach to treating tremor and other movement disorders. In addition, the use of DBS in a number of psychiatric diseases, including obsessive-compulsive disorders and depression, is currently being tested. Despite the rapid increase in the number of individu...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm1693
更新日期:2008-01-01 00:00:00
abstract::Migration inhibitory factor (MIF) is known to exert significant pro-inflammatory effects and has the potential to override the anti-inflammatory action of glucocorticoids. In this study we have identified significant quantities of MIF in the alveolar airspaces of patients with acute respiratory distress syndrome (ARDS...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm0397-320
更新日期:1997-03-01 00:00:00
abstract::An amendment to this paper has been published and can be accessed via a link at the top of the paper. ...
journal_title:Nature medicine
pub_type: 杂志文章,已发布勘误
doi:10.1038/s41591-020-0816-5
更新日期:2020-03-01 00:00:00
abstract::The role of nitric oxide (NO) in the genesis of cerebral malaria is controversial. Most investigators propose that the unfortunate consequence of the high concentrations of NO produced to kill the parasite is the development of cerebral malaria. Here we have tested this high NO bioavailability hypothesis in the settin...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm1499
更新日期:2006-12-01 00:00:00
abstract::Platelet-activating factor (PAF) induces pulmonary edema and has a key role in acute lung injury (ALI). Here we show that PAF induces pulmonary edema through two mechanisms: acid sphingomyelinase (ASM)-dependent production of ceramide, and activation of the cyclooxygenase pathway. Agents that interfere with PAF-induce...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm977
更新日期:2004-02-01 00:00:00
abstract::Huntington's disease (HD) is a fatal dominantly inherited neurodegenerative disorder caused by a CAG repeat expansion leading to an elongated polyglutamine stretch in huntingtin. Mutant huntingtin (mHTT) is ubiquitously expressed in all cells but elicits selective cortical and striatal neurodegeneration in HD. The mec...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm.3514
更新日期:2014-05-01 00:00:00
abstract::Overexpression of the normally imprinted fetal insulin-like growth factor II (IGF2) has been implicated in the pathogenesis of the cancer-predisposing Beckwith-Wiedemann syndrome (BWS). We have detected constitutional relaxation of imprinting of IGF2 in four children with somatic overgrowth who do not show diagnostic ...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm0396-311
更新日期:1996-03-01 00:00:00
abstract::Sepsis remains a global clinical problem. By using the mouse cecal ligation and puncture model of sepsis, here we identify an important aspect of mast cell (MC)-dependent, innate immune defenses against Gram-negative bacteria by demonstrating that MC protease activity is regulated by interleukin-15 (IL-15). Mouse MCs ...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm1615
更新日期:2007-08-01 00:00:00
abstract::Epigenetic reprogramming is a critical process of pathological gene induction during cardiac hypertrophy and remodeling, but the underlying regulatory mechanisms remain to be elucidated. Here we identified a heart-enriched long noncoding (lnc)RNA, named cardiac-hypertrophy-associated epigenetic regulator (Chaer), whic...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm.4179
更新日期:2016-10-01 00:00:00
abstract::Activating mutations in genes encoding G protein α (Gα) subunits occur in 4-5% of all human cancers, but oncogenic alterations in Gβ subunits have not been defined. Here we demonstrate that recurrent mutations in the Gβ proteins GNB1 and GNB2 confer cytokine-independent growth and activate canonical G protein signalin...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm.3751
更新日期:2015-01-01 00:00:00
abstract::Both the risk and the rate of development of atherosclerosis are increased in diabetics, but the mechanisms involved are unknown. Here we report a glucose-mediated increase in CD36 mRNA translation efficiency that results in increased expression of the macrophage scavenger receptor CD36. Expression of CD36 was increas...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/89969
更新日期:2001-07-01 00:00:00
abstract::The cardioprotective effects of estrogen are mediated by receptors expressed in vascular cells. Here we show that 27-hydroxycholesterol (27HC), an abundant cholesterol metabolite that is elevated with hypercholesterolemia and found in atherosclerotic lesions, is a competitive antagonist of estrogen receptor action in ...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm1641
更新日期:2007-10-01 00:00:00
abstract::Activation of the zinc-finger transcription factor early growth response (Egr)-1, initially linked to developmental processes, is shown here to function as a master switch activated by ischemia to trigger expression of pivotal regulators of inflammation, coagulation and vascular hyperpermeability. Chemokine, adhesion ...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/82168
更新日期:2000-12-01 00:00:00
abstract::Phase 3 trials are the mainstay of drug development across medicine but have often not met expectations set by preceding phase 2 studies. A systematic meta-analysis evaluated all randomized controlled, double-blind trials investigating targeted disease-modifying anti-rheumatic drugs in rheumatoid and psoriatic arthrit...
journal_title:Nature medicine
pub_type: 杂志文章,meta分析
doi:10.1038/s41591-020-0833-4
更新日期:2020-06-01 00:00:00
abstract::Alzheimer's disease is a progressive and incurable disease whose prevalence increases dramatically with age. A biochemical marker for monitoring the onset and progression of the disease would be a valuable tool for disease management. In addition, such a marker might be used as an end point in clinical intervention pr...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm1196-1230
更新日期:1996-11-01 00:00:00
abstract::The inwardly rectifying K(+) channel Kir6.1 forms K(+) channels by coupling with a sulfonylurea receptor in reconstituted systems, but the physiological roles of Kir6.1-containing K(+) channels have not been determined. We report here that mice lacking the gene encoding Kir6.1 (known as Kcnj8) have a high rate of sudd...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm0502-466
更新日期:2002-05-01 00:00:00
abstract::The acceleration of atherosclerosis by polygenic (essential) hypertension is well-characterized in humans; however, the lack of an animal model that simulates human disease hinders the elucidation of pathogenic mechanisms. We report here a transgenic atherosclerosis-polygenic hypertension model in Dahl salt-sensitive ...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/70956
更新日期:1999-12-01 00:00:00
abstract::T-cell acute lymphoblastic leukemia (T-ALL), unlike other ALL types, is only infrequently associated with chromosomal aberrations, but it was recently shown that most individuals with T-ALL carry activating mutations in the NOTCH1 gene. However, the signaling pathways and target genes responsible for Notch1-induced ne...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm1524
更新日期:2007-01-01 00:00:00
abstract::Monogenic deficiency diseases provide unique opportunities to define the contributions of individual molecules to human physiology and to identify pathologies arising from their dysfunction. Here we describe a deficiency disease in two human siblings that presented with severe bleeding, frequent infections and osteope...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm.1917
更新日期:2009-03-01 00:00:00
abstract::In the version of this article originally published, there was an error in Fig. 2b. RECIST ORR and pCR were both listed as 25%. RECIST ORR was actually 73%, and pCR was 45%. Also, an author's name was incorrect in the author list. Danny K. Wells should have been listed as Daniel K. Wells. The errors have been correcte...
journal_title:Nature medicine
pub_type: 已发布勘误
doi:10.1038/s41591-018-0251-z
更新日期:2018-12-01 00:00:00
abstract::Gamma-aminobutyric acid (GABA) is an important neurotransmitter that, through the subtype A GABA receptor (GABAAR), induces inhibition in the adult brain. Here we show that an excitatory, rather than inhibitory, GABAergic system exists in airway epithelial cells. Both GABAARs and the GABA synthetic enzyme glutamic aci...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm1604
更新日期:2007-07-01 00:00:00
abstract::Two papers suggest that apoptosis of alloreactive T cells is required for induction of peripheral transplantation tolerance. These findings raise new questions about how lymphocytes reach from beyond the grave to influence the immune response (pages 1298-1302 and 1303-1307). ...
journal_title:Nature medicine
pub_type: 新闻
doi:10.1038/15180
更新日期:1999-11-01 00:00:00
abstract::Here we show that ischemia induces sustained contraction of pericytes on microvessels in the intact mouse brain. Pericytes remain contracted despite successful reopening of the middle cerebral artery after 2 h of ischemia. Pericyte contraction causes capillary constriction and obstructs erythrocyte flow. Suppression o...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm.2022
更新日期:2009-09-01 00:00:00
abstract::Retinal ischemia can cause vision-threatening pathological neovascularization. The mechanisms of retinal ischemia are not fully understood, however. Here we have shown that leukocytes prune the retinal vasculature during normal development and obliterate it in disease. Beginning at postnatal day 5 (P5) in the normal r...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm877
更新日期:2003-06-01 00:00:00
abstract::Hepatic injury is associated with a defective intestinal barrier and increased hepatic exposure to bacterial products. Here we report that the intestinal bacterial microflora and a functional Toll-like receptor 4 (TLR4), but not TLR2, are required for hepatic fibrogenesis. Using Tlr4-chimeric mice and in vivo lipopoly...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm1663
更新日期:2007-11-01 00:00:00
abstract::Hutchinson-Gilford progeria syndrome (HGPS) is a rare lethal genetic disorder characterized by symptoms reminiscent of accelerated aging. The major underlying genetic cause is a substitution mutation in the gene coding for lamin A, causing the production of a toxic isoform called progerin. Here we show that reduction ...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/s41591-019-0343-4
更新日期:2019-03-01 00:00:00
abstract::We report the development of a new combinatorial approach that allows for peptide-mediated selective tissue targeting of nuclear hormone pharmacology while eliminating adverse effects in other tissues. Specifically, we report the development of a glucagon-like peptide-1 (GLP-1)-estrogen conjugate that has superior sex...
journal_title:Nature medicine
pub_type: 杂志文章
doi:10.1038/nm.3009
更新日期:2012-12-01 00:00:00