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The FGL2 prothrombinase contributes to the pathological process of experimental pulmonary hypertension

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单位: [1]Huazhong Univ Sci & Technol, Union Hosp, Tongji Med Coll, Inst Geriatr,Dept Geriatr, 1277 JieFang Ave, Wuhan 430022, Hubei, Peoples R China [2]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Hematol, Wuhan, Hubei, Peoples R China [3]Huazhong Univ Sci & Technol, Union Hosp, Tongji Med Coll, Dept Rehabil, Wuhan, Hubei, Peoples R China [4]Harvard Med Sch, Cardiovasc Res Ctr, Massachusetts Gen Hosp, Boston, MA 02115 USA [5]Huazhong Univ Sci & Technol, Union Hosp, Tongji Med Coll, Inst Cardiovasc Dis,Dept Cardiol, Wuhan, Hubei, Peoples R China
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关键词: fibrinogen-like protein 2 in situ thrombosis platelet proteinase-activated receptor 1 pulmonary hypertension

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In situ thrombus formation is one of the major pathological features of pulmonary hypertension (PH). The mechanism of in situ thrombosis has not been clearly identified. Fibrinogen-like protein 2 (FGL2) prothrombinase is an immune coagulant that can cleave prothrombin to thrombin, which then converts fibrinogen into fibrin. This mechanism triggers in situ thrombus formation directly, bypassing both the intrinsic and extrinsic coagulation pathways. FGL2 prothrombinase is mainly expressed in endothelial cells and mediates multiple pathological processes. This implies that it may also play a role in PH. In this study, we examined the expression of FGL2 in idiopathic pulmonary arterial hypertension (IPAH) patients, and in monocrotaline-induced rat and hypoxia-induced mouse PH models. Fgl2(-/-) mice were used to evaluate the development of PH and explore associated pathological changes. These included in situ thrombosis, vascular remodeling, and endothelial apoptosis. Following these analyses, we examined possible signaling pathways downstream of FGL2 in PH. We show FGL2 is upregulated in pulmonary vascular endothelium in human IPAH and in two animal PH models. Genetic knockout of Fgl2 limited the development of PH, indicated by decreased in situ thrombus formation, less vascular remodeling, and reduced endothelial dysfunction. In addition, loss of FGL2 downregulated PAR1 (proteinase-activated receptor 1) expression and decreased the overactivation and consumption of platelets in hypoxiainduced PH. These results indicate FGL2 participate in the development of PH and loss of FGL2 could attenuate PH by reducing in situ thrombosis and suppressing PAR1 signaling. Thus we provide evidence that suggests FGL2 prothrombinase presents a potential therapeutic target for clinical treatment of PH. NEW & NOTEWORTHY This is the first study to demonstrate that fibrinogen-like protein 2 (FGL2) participates in the pathological progression of pulmonary hypertension (PH) in human idiopathic pulmonary arterial hypertension, a monocrotaline rat PH model, and a hypoxia mouse PH model. Genetic knockout of Fgl2 significantly limited the development of PH indicated by reduced in situ thrombosis, vascular remodeling, and endothelial dysfunction, and suppressed PAR1 (proteinase-activated receptor 1) signaling and overactivation of platelets on PH. These results suggest FGL2 presents a potential therapeutic target for clinical treatment of PH.

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出版当年[2018]版:
大类 | 3 区 医学
小类 | 2 区 生理学 2 区 运动科学
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 生理学 2 区 运动科学
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出版当年[2017]版:
Q1 SPORT SCIENCES Q2 PHYSIOLOGY
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Q1 SPORT SCIENCES Q2 PHYSIOLOGY

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第一作者单位: [1]Huazhong Univ Sci & Technol, Union Hosp, Tongji Med Coll, Inst Geriatr,Dept Geriatr, 1277 JieFang Ave, Wuhan 430022, Hubei, Peoples R China
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