Kcnk3 dysfunction exaggerates the development of pulmonary hypertension induced by left ventricular pressure overload

Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2021. For permissions, please email: journals.permissionsoup.com..

AIMS: Pulmonary hypertension (PH) is a common complication of left heart disease (LHD, Group 2 PH) leading to right ventricular (RV) failure and death. Several loss-of-function (LOF) mutations in KCNK3 were identified in pulmonary arterial hypertension (PAH, Group 1 PH). Additionally, we found that KCNK3 dysfunction is a hallmark of PAH at pulmonary vascular and RV levels. However, the role of KCNK3 in the pathobiology of PH due to LHD is unknown.

METHODS AND RESULTS: We evaluated the role of KCNK3 on PH induced by ascending aortic constriction (AAC), in WT and Kcnk3-LOF-mutated rats, by echocardiography, RV catheterization, histology analyses, and molecular biology experiments. We found that Kcnk3-LOF-mutation had no consequence on the development of left ventricular (LV) compensated concentric hypertrophy in AAC, while left atrial emptying fraction was impaired in AAC-Kcnk3-mutated rats. AAC-animals (WT and Kcnk3-mutated rats) developed PH secondary to AAC and Kcnk3-mutated rats developed more severe PH than WT. AAC-Kcnk3-mutated rats developed RV and LV fibrosis in association with an increase of Col1a1 mRNA in right ventricle and left ventricle. AAC-Kcnk3-mutated rats developed severe pulmonary vascular (pulmonary artery as well as pulmonary veins) remodelling with intense peri-vascular and peri-bronchial inflammation, perivascular oedema, alveolar wall thickening, and exaggerated lung vascular cell proliferation compared to AAC-WT-rats. Finally, in lung, right ventricle, left ventricle, and left atrium of AAC-Kcnk3-mutated rats, we found a strong increased expression of Il-6 and periostin expression and a reduction of lung Ctnnd1 mRNA (coding for p120 catenin), contributing to the exaggerated pulmonary and heart remodelling and pulmonary vascular oedema in AAC-Kcnk3-mutated rats.

CONCLUSIONS: Our results indicate that Kcnk3-LOF is a key event in the pathobiology of PH due to AAC, suggesting that Kcnk3 channel dysfunction could play a potential key role in the development of PH due to LHD.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:117

Enthalten in:

Cardiovascular research - 117(2021), 12 vom: 01. Nov., Seite 2474-2488

Sprache:

Englisch

Beteiligte Personen:

Lambert, Mélanie [VerfasserIn]
Mendes-Ferreira, Pedro [VerfasserIn]
Ghigna, Maria-Rosa [VerfasserIn]
LeRibeuz, Hélène [VerfasserIn]
Adão, Rui [VerfasserIn]
Boet, Angèle [VerfasserIn]
Capuano, Véronique [VerfasserIn]
Rucker-Martin, Catherine [VerfasserIn]
Brás-Silva, Carmen [VerfasserIn]
Quarck, Rozenn [VerfasserIn]
Domergue, Valérie [VerfasserIn]
Vachiéry, Jean-Luc [VerfasserIn]
Humbert, Marc [VerfasserIn]
Perros, Frédéric [VerfasserIn]
Montani, David [VerfasserIn]
Antigny, Fabrice [VerfasserIn]

Links:

Volltext

Themen:

1HQ3YCN4GS
Ascending-aortic constriction
Journal Article
K2P3.1
Nerve Tissue Proteins
PH due to left heart diseases
Potassium Channels, Tandem Pore Domain
Potassium channel subfamily K member 3
Proliferation
Research Support, Non-U.S. Gov't
Task-1

Anmerkungen:

Date Completed 01.02.2022

Date Revised 26.02.2024

published: Print

Citation Status MEDLINE

doi:

10.1093/cvr/cvab016

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM320459063