Santos Castaeda, Juan M. Serrador, Bianca Barreira, Carlos Gamallo, Mara De la Fuente-Fernndez, Antonio Muoz-Callejas, Daniel Morales-Cano, Ana Urzainqui, Francisco Prez-Vizcano, Javier Silvn, Rafael Gonzlez-Tajuelo, Esther Vicente, and Angel Cogolludo
Background Pulmonary arterial hypertension (PAH) is a rare disease with unknown etiopathogenesis and no curative treatment [1]. PAH is one of the major complications of connective tissue diseases, and 7-15% of patients with systemic sclerosis (SSc) develop PAH [2]. Mice deficient for the leukocytic receptor P-selectin glycoprotein ligand-1 (PSGL-1-/-) spontaneously develop a SSc-like autoimmune syndrome with ageing [3]. Objectives To check whether PSGL1-/- mice may develop PAH and the molecular mechanisms that might be implicated in the initiation and establishment of the disease. Methods Doppler pulse echochardiography was used to evaluate pulmonary artery flow acceleration time/ejection time (PAAT/ET) ratio in WT and PSGL-1-/- C57BL/6 mice. Isolated pulmonary artery rings were incubated with acetylcholine and responses were registered with a wire myograph coupled to an isometric force transducer. Expression levels of the NO-sensing probe DAR-4M AM by fluorescence microscopy and flow cytometry. Angiotensin II lung concentration was quantified by ELISA. eNOS, p-ENOS, AT1R and AT2R expression was evaluated by western blot. In all cases, data are expressed as the meanSD. Results Aged PSGL-1-/- females showed reduced flow PAAT/ET ratio indicating PAH. Moreover, pulmonary arterial rings from aged PSGL-1-/- females presented ROS-independent reduced vasodilation response to acetylcholine. Importantly, eNOS phosphorylation was impaired and NO production by lung EC was reduced in aged PSGL-1-/- females. Vascular remodeling and reduced expression of AT2R were observed in lungs of PSGL-1-/- females from a younger age. With ageing, the levels of angiotensin II and the percentages of IFN?-producing interstitial macrophages, T and B lymphocytes were increased in PSGL-1-/- females. The differences in the gender-biased genotype could be explained by the reduced expression of ERa in the lungs of aged PSGL-1-/- females while WT and PSGL-1-/- males showed similar expression. Conclusion PSGL-1 deficiency leads to pulmonary hypertension in >18-months-old female mice, involving various mechanisms: Lung vessel wall remodeling and reduced AT2R expression. Reduced eNOS phosphorylation and reduced NO production with the subsequent specific lung endothelial dysfunction in PSGL-1-/- females. Importantly, ROS production is not increased nor help to NO reduction. Increased pulmonary AngII levels with ageing in PSGL-1-/- females. Increased Th1 polarization, reduced Treg population and increased IFN-? production by interstitial macrophages. Impaired ageing up-regulation of ERa expression in the lungs of PSGL-1-/- females. References [1] Montani et al. Orphanet Journal of Rare Diseases. 2013, 8 (97). [2] Tedford et al. Circ Heart Fail. 2013, 6 (5): 953-63. [3] Prez-Fras et al. Arthritis Rheumatol. 2014, 66 (11): 3178-89. Disclosure of Interests Rafael Gonzlez-Tajuelo: None declared, Mara De la Fuente-Fernndez: None declared, Daniel Morales-Cano: None declared, Antonio Muoz-Callejas: None declared, Juan Manuel Serrador: None declared, Bianca Barreira: None declared, Javier Silvn: None declared, Carlos Gamallo: None declared, Esther Vicente: None declared, Santos Castaeda Consultant for: Amgen, BMS, Pfizer, Lilly, MSD, Roche, Sanofi, UCB, Francisco Prez-Vizcano: None declared, Angel Cogolludo: None declared, Ana Urzainqui: None declared