Oxidation of PKGI alpha mediates an endogenous adaptation to pulmonary hypertension
File(s)
Author(s)
Type
Journal Article
Abstract
Chronic hypoxia causes pulmonary hypertension (PH), vascular remodeling, right ventricular (RV) hypertrophy, and cardiac failure. Protein kinase G Iα (PKGIα) is susceptible to oxidation, forming an interprotein disulfide homodimer associated with kinase targeting involved in vasodilation. Here we report increased disulfide PKGIα in pulmonary arteries from mice with hypoxic PH or lungs from patients with pulmonary arterial hypertension. This oxidation is likely caused by oxidants derived from NADPH oxidase-4, superoxide dismutase 3, and cystathionine γ-lyase, enzymes that were concomitantly increased in these samples. Indeed, products that may arise from these enzymes, including hydrogen peroxide, glutathione disulfide, and protein-bound persulfides, were increased in the plasma of hypoxic mice. Furthermore, low-molecular-weight hydropersulfides, which can serve as “superreductants” were attenuated in hypoxic tissues, consistent with systemic oxidative stress and the oxidation of PKGIα observed. Inhibiting cystathionine γ-lyase resulted in decreased hypoxia-induced disulfide PKGIα and more severe PH phenotype in wild-type mice, but not in Cys42Ser PKGIα knock-in (KI) mice that are resistant to oxidation. In addition, KI mice also developed potentiated PH during hypoxia alone. Thus, oxidation of PKGIα is an adaptive mechanism that limits PH, a concept further supported by polysulfide treatment abrogating hypoxia-induced RV hypertrophy in wild-type, but not in the KI, mice. Unbiased transcriptomic analysis of hypoxic lungs before structural remodeling identified up-regulation of endothelial-to-mesenchymal transition pathways in the KI compared with wild-type mice. Thus, disulfide PKGIα is an intrinsic adaptive mechanism that attenuates PH progression not only by promoting vasodilation but also by limiting maladaptive growth and fibrosis signaling.
Date Issued
2019-06-25
Date Acceptance
2019-05-01
Citation
Proceedings of the National Academy of Sciences of the United States of America, 2019, 116 (26), pp.13016-13025
ISSN
0027-8424
Publisher
National Academy of Sciences
Start Page
13016
End Page
13025
Journal / Book Title
Proceedings of the National Academy of Sciences of the United States of America
Volume
116
Issue
26
Copyright Statement
© 2019 the Author(s). Published by PNAS.
This open access article is distributed under Creative Commons Attribution License 4.0 (CC BY).
This open access article is distributed under Creative Commons Attribution License 4.0 (CC BY).
Sponsor
British Heart Foundation
British Heart Foundation
British Heart Foundation
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000472719100073&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Grant Number
PG/12/61/29818
PG/14/88/31183
PG/18/2/33446
Subjects
Science & Technology
Multidisciplinary Sciences
Science & Technology - Other Topics
pulmonary hypertension
protein kinase G
hypoxia
redox
oxidative stress
PROTEIN-KINASE-G
SUPEROXIDE-DISMUTASE 2
OXIDASE SUBUNIT NOX4
MYOSIN LIGHT-CHAIN
REACTIVE OXYGEN
ARTERIAL-HYPERTENSION
HYDROGEN-SULFIDE
BLOOD-PRESSURE
HYPOXIA
CGMP
Publication Status
Published
Date Publish Online
2019-06-11