Key result
HLQ2g reduces RVSP and RV hypertrophy in hypoxia-induced PH rats via cGKI and BMP signaling.
Why the study?
HLQ2g was nominated as a new candidate for treating pulmonary hypertension, but the specific mechanism remained unclear.
Does HLQ2g attenuate hypoxic pulmonary hypertension in rat models and HPASMCs?
Does HLQ2g attenuate hypoxic pulmonary hypertension in rat models and HPASMCs?
The novel sGC stimulator HLQ2g attenuates hypoxic pulmonary hypertension progression in preclinical models by up-regulating cGKI and the BMP signaling pathway.
Answers are grounded in this paper and cite their sources.
Hypothesis-generating for HLQ2g in hypoxic PH; prospective human trials needed before any clinical consideration.
Pulmonary hypertension (PH) is an extremely serious cardiopulmonary disease, finally leading to progressive right ventricular failure and death. Our previous studies have nominated HLQ2g, a pyrazolo[3,4-b] pyridine derivative stimulating soluble guanylate cyclase (sGC), as a new candidate for the treatment of PH, but the specific mechanism is still not clear. The PH model induced by hypoxia was established in rats. Right ventricular systolic pressure (RVSP) was assessed by jugular vein catheterization. RV weight was the index to evaluate RV hypertrophy. The protein levels of cGMP-dependent protein kinase type I (cGKI), bone morphogenetic protein receptor 2 (BMPR2), phosphorylated Smad1/5/8 (p-Smad1/5/8), and inhibitor of differention 1 (Id1) in pulmonary artery and human pulmonary artery smooth muscle cells (HPASMCs) were determined by western blotting. Cell proliferation and migration were evaluated. In the whole experiment, the first clinically available sGC stimulator Riociguat was used as the reference. In hypoxic PH rat model, elevated RVSP and RV hypertrophy were significantly reduced by HLQ2g treatment. Both Riociguat and HLQ2g attenuated vascular remodeling accompanied with up-regulated cGKI expression and BMP signaling pathway, which was characterized by elevated expression of BMPR2, p-Smad1/5/8, and Id1 in HPH rats. In addition, HLQ2g inhibited proliferation and migration of HPASMCs induced by hypoxia and platelet-derived growth factor (PDGF), restored BMPR2 signaling, which was recalled by Rp-8-Br-PET-cGMPS, the inhibitor of cGKI. In summary, the novel pyrazolo[3,4-b] pyridine derivative HLQ2g can alleviate HPH progression by up-regulating cGKI protein and BMP signaling pathway.
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Li et al. (2021) studied Pulmonary Hypertension (n=40). HLQ2g vs. Hypoxia (vehicle) and Riociguat was evaluated on Right ventricular systolic pressure (RVSP) (p=<0.001). HLQ2g significantly reduced right ventricular systolic pressure and right ventricular hypertrophy in a hypoxia-induced pulmonary hypertension rat model by up-regulating cGKI and BMP signaling.
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