Abstract

Chronic hypoxia induces pulmonary arterial hypertension (PAH). Smooth muscle cell (SMC) proliferation and hypertrophy are important contributors to the remodeling that occursin chronic hypoxic pulmonary vasculature. The NF-κB transcription factors modulate the expression of tissue factor (TF), E-selectin (CD62E) and vascular cell adhesion molecule-1 (VCAM-1), which are essential for the arterial remodeling. andrographolide (Andro) covalently modifies the reduced cysteine62 of p50-am ajor subunit of NF-κB transcription factors, thus blocking the binding of NF-κB transcription factors to the promoters of their target genes, preventing NF-κB activation and inhibiting inflammation in vitro and in vivo. Here we report that Andro,but not its inactive structural analog 4H-Andro, significantly suppressed hypoxia-induced pulmonary hypertension in a murine model. Consistently, p50-/- mice manifested attenuated the same results. Our data thus indicate that, by the inhibition of the NF-κB that are important in thrombosis and inflammation,specific inhibitors of p50, such as Andro, may be therapeutically valuable for preventing and treating hypoxia-induced pulmonary hypertension. Key words: NF-κB transcription factors; andrographolide; Hypoxia-induced pulmonary hypertension; Tissue factor

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