Bone morphogenetic protein receptor II regulates pulmonary artery endothelial cell barrier function

Blood. 2011 Jan 6;117(1):333-41. doi: 10.1182/blood-2010-05-285973. Epub 2010 Aug 19.

Abstract

Mutations in bone morphogenetic protein receptor II (BMPR-II) underlie most heritable cases of pulmonary arterial hypertension (PAH). However, less than half the individuals who harbor mutations develop the disease. Interestingly, heterozygous null BMPR-II mice fail to develop PAH unless an additional inflammatory insult is applied, suggesting that BMPR-II plays a fundamental role in dampening inflammatory signals in the pulmonary vasculature. Using static- and flow-based in vitro systems, we demonstrate that BMPR-II maintains the barrier function of the pulmonary artery endothelial monolayer suppressing leukocyte transmigration. Similar findings were also observed in vivo using a murine model with loss of endothelial BMPR-II expression. In vitro, the enhanced transmigration of leukocytes after tumor necrosis factor α or transforming growth factor β1 stimulation was CXCR2 dependent. Our data define how loss of BMPR-II in the endothelial layer of the pulmonary vasculature could lead to a heightened susceptibility to inflammation by promoting the extravasation of leukocytes into the pulmonary artery wall. We speculate that this may be a key mechanism involved in the initiation of the disease in heritable PAH that results from defects in BMPR-II expression.

MeSH terms

  • Animals
  • Blotting, Western
  • Bone Morphogenetic Protein Receptors, Type II / antagonists & inhibitors
  • Bone Morphogenetic Protein Receptors, Type II / physiology*
  • Cell Movement
  • Cells, Cultured
  • Cytokines / metabolism
  • Endothelium, Vascular / drug effects
  • Endothelium, Vascular / metabolism*
  • Enzyme-Linked Immunosorbent Assay
  • Humans
  • Integrases / metabolism
  • Leukocytes / drug effects
  • Leukocytes / metabolism
  • Lung / blood supply
  • Lung / metabolism*
  • Mice
  • Mice, Knockout
  • Peroxidase / metabolism
  • Pulmonary Artery / drug effects
  • Pulmonary Artery / metabolism*
  • RNA, Messenger / genetics
  • RNA, Small Interfering / genetics
  • Reverse Transcriptase Polymerase Chain Reaction
  • Transforming Growth Factor beta1 / pharmacology
  • Tumor Necrosis Factor-alpha / pharmacology

Substances

  • Cytokines
  • RNA, Messenger
  • RNA, Small Interfering
  • Transforming Growth Factor beta1
  • Tumor Necrosis Factor-alpha
  • Peroxidase
  • Bone Morphogenetic Protein Receptors, Type II
  • Cre recombinase
  • Integrases