Niclosamide attenuates lung vascular remodeling in experimental pulmonary arterial hypertension

Copyright © 2020 Elsevier B.V. All rights reserved..

Despite advances in medical therapy, pulmonary arterial hypertension (PAH) remains an inexorably progressive and highly lethal disease. Signal transducer and activator of transcription (STAT)-3 is one of the main intracellular transcription factors implicated in PAH vascular remodeling. We hypothesized that niclosamide, a STAT3 inhibitor, would reduce vascular remodeling in an established pulmonary arterial hypertension model, thus enhancing cardiac function. Male Wistar rats were treated either with monocrotaline (60 mg/kg), to induce PAH, or saline (C group) by intraperitoneal injection. On day 14, PAH animals were randomly assigned to receive oral (1) saline (PAH-SAL); (2) niclosamide (75 mg/kg/day) (PAH-NICLO); (3) sildenafil (20 mg/kg/day) (PAH-SIL); or (4) niclosamide + sildenafil (PAH-NICLO + SIL), once daily for 14 days. On day 28, right ventricular systolic pressure was lower in all treated groups compared to PAH-SAL. Pulmonary vascular collagen content was lower in PAH-NICLO (37 ± 3%) and PAH-NICLO + SIL (37 ± 6%) compared to PAH-SAL (68 ± 4%), but not in PAH-SIL (52 ± 1%). CD-34, an endothelial cell marker, was higher, while vimentin, a mesenchymal cell marker, was lower in PAH-NICLO and PAH-NICLO + SIL compared to PAH-SAL, suggesting attenuation of endothelial-mesenchymal transition. Expression of STAT3 downstream targets such as transforming growth factor (TGF)-β, hypoxia-inducible factor (HIF)-1, and provirus integration site for Moloney murine leukemia virus (PIM-1) in lung tissue was reduced in PAH-NICLO and PAH-NICLO + SIL compared to PAH-SAL. In conclusion, niclosamide, with or without sildenafil, mitigated vascular remodeling and improved right ventricle systolic pressure. This new role for a well-established drug may represent a promising therapy for PAH.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:887

Enthalten in:

European journal of pharmacology - 887(2020) vom: 15. Nov., Seite 173438

Sprache:

Englisch

Beteiligte Personen:

Braga, Cássia Lisboa [VerfasserIn]
Felix, Nathane Santanna [VerfasserIn]
Teixeira, Douglas Esteves [VerfasserIn]
Vieira, Juliana Borges [VerfasserIn]
Silva-Aguiar, Rodrigo Pacheco [VerfasserIn]
Bose, Rebecca Madureira [VerfasserIn]
Antunes, Mariana Alves [VerfasserIn]
Rocha, Nazareth de Novaes [VerfasserIn]
Caruso-Neves, Celso [VerfasserIn]
Cruz, Fernanda Ferreira [VerfasserIn]
Rocco, Patricia Rieken Macedo [VerfasserIn]
Silva, Pedro Leme [VerfasserIn]

Links:

Volltext

Themen:

73077K8HYV
8KK8CQ2K8G
Journal Article
Monocrotaline
Niclosamide
Pulmonary arterial hypertension
Signal transducer and activator of transcription
Vascular remodeling

Anmerkungen:

Date Completed 17.05.2021

Date Revised 17.05.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.ejphar.2020.173438

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM313701741