Constitutively active form of natriuretic peptide receptor 2 ameliorates experimental pulmonary arterial hypertension

We recently found a constitutively active mutant of natriuretic peptide receptor 2 (caNPR2; V883M), which synthesizes larger amounts of cyclic guanosine monophosphate (cGMP) intracellularly without any ligand stimulation than existing drugs. The aim of this study was to investigate the therapeutic e...

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Main Authors: Nobutoshi Nawa, Hidekazu Ishida, Shinichi Katsuragi, Hiroki Baden, Kunihiko Takahashi, Ryota Higeno, Fumiko Torigoe, Seiko Mihara, Jun Narita, Kohji Miura, Kazufumi Nakamura, Shigetoyo Kogaki, Keiichi Ozono
Format: Article
Language:English
Published: Elsevier 2016-01-01
Series:Molecular Therapy: Methods & Clinical Development
Online Access:http://www.sciencedirect.com/science/article/pii/S2329050117300165
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author Nobutoshi Nawa
Hidekazu Ishida
Shinichi Katsuragi
Hiroki Baden
Kunihiko Takahashi
Ryota Higeno
Fumiko Torigoe
Seiko Mihara
Jun Narita
Kohji Miura
Kazufumi Nakamura
Shigetoyo Kogaki
Keiichi Ozono
author_facet Nobutoshi Nawa
Hidekazu Ishida
Shinichi Katsuragi
Hiroki Baden
Kunihiko Takahashi
Ryota Higeno
Fumiko Torigoe
Seiko Mihara
Jun Narita
Kohji Miura
Kazufumi Nakamura
Shigetoyo Kogaki
Keiichi Ozono
author_sort Nobutoshi Nawa
collection DOAJ
description We recently found a constitutively active mutant of natriuretic peptide receptor 2 (caNPR2; V883M), which synthesizes larger amounts of cyclic guanosine monophosphate (cGMP) intracellularly without any ligand stimulation than existing drugs. The aim of this study was to investigate the therapeutic effects of gene transduction using caNPR2 for pulmonary arterial hypertension (PAH). In vitro gene transduction into human pulmonary arterial smooth muscle cells using Sendai virus (SeV) vectors carrying caNPR2 induced 10,000-fold increases in the synthesis of cGMP without ligand stimulation, and the proliferation of caNPR2-expressing cells was significantly attenuated. The PAH model rats generated by hypoxia and the administration of SU5416 were then treated with SeV vectors through a direct injection into the left pulmonary artery. Right ventricular systolic pressure was significantly decreased 2 weeks after the treatment, while systemic blood pressure remained unchanged. Histological analyses revealed that the medial wall thickness and occlusion rate of pulmonary arterioles were significantly improved in caNPR2-treated lungs. Neither the systemic integration of virus vectors nor side effects were observed. The massive stimulation of cGMP synthesis by gene therapy with caNPR2 was safe and effective in a PAH rat model and, thus, has potential as a novel therapy for patients with severe progressive PAH.
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spelling doaj.art-7cff992d35cd444d82737c4f100fd6ae2022-12-22T01:10:24ZengElsevierMolecular Therapy: Methods & Clinical Development2329-05012016-01-013C10.1038/mtm.2016.44Constitutively active form of natriuretic peptide receptor 2 ameliorates experimental pulmonary arterial hypertensionNobutoshi Nawa0Hidekazu Ishida1Shinichi Katsuragi2Hiroki Baden3Kunihiko Takahashi4Ryota Higeno5Fumiko Torigoe6Seiko Mihara7Jun Narita8Kohji Miura9Kazufumi Nakamura10Shigetoyo Kogaki11Keiichi Ozono12Department of Pediatrics, Graduate School of Medicine, Osaka University, Osaka, JapanDepartment of Pediatrics, Graduate School of Medicine, Osaka University, Osaka, JapanDepartment of Pediatrics, Graduate School of Medicine, Osaka University, Osaka, JapanDepartment of Pediatrics, Graduate School of Medicine, Osaka University, Osaka, JapanDepartment of Pediatrics, Graduate School of Medicine, Osaka University, Osaka, JapanDepartment of Pediatrics, Graduate School of Medicine, Osaka University, Osaka, JapanDepartment of Pediatrics, Graduate School of Medicine, Osaka University, Osaka, JapanDepartment of Pediatrics, Graduate School of Medicine, Osaka University, Osaka, JapanDepartment of Pediatrics, Graduate School of Medicine, Osaka University, Osaka, JapanDepartment of Pediatrics, Graduate School of Medicine, Osaka University, Osaka, JapanDepartment of Cardiovascular Medicine, Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University, Okayama, JapanDepartment of Pediatrics, Graduate School of Medicine, Osaka University, Osaka, JapanDepartment of Pediatrics, Graduate School of Medicine, Osaka University, Osaka, JapanWe recently found a constitutively active mutant of natriuretic peptide receptor 2 (caNPR2; V883M), which synthesizes larger amounts of cyclic guanosine monophosphate (cGMP) intracellularly without any ligand stimulation than existing drugs. The aim of this study was to investigate the therapeutic effects of gene transduction using caNPR2 for pulmonary arterial hypertension (PAH). In vitro gene transduction into human pulmonary arterial smooth muscle cells using Sendai virus (SeV) vectors carrying caNPR2 induced 10,000-fold increases in the synthesis of cGMP without ligand stimulation, and the proliferation of caNPR2-expressing cells was significantly attenuated. The PAH model rats generated by hypoxia and the administration of SU5416 were then treated with SeV vectors through a direct injection into the left pulmonary artery. Right ventricular systolic pressure was significantly decreased 2 weeks after the treatment, while systemic blood pressure remained unchanged. Histological analyses revealed that the medial wall thickness and occlusion rate of pulmonary arterioles were significantly improved in caNPR2-treated lungs. Neither the systemic integration of virus vectors nor side effects were observed. The massive stimulation of cGMP synthesis by gene therapy with caNPR2 was safe and effective in a PAH rat model and, thus, has potential as a novel therapy for patients with severe progressive PAH.http://www.sciencedirect.com/science/article/pii/S2329050117300165
spellingShingle Nobutoshi Nawa
Hidekazu Ishida
Shinichi Katsuragi
Hiroki Baden
Kunihiko Takahashi
Ryota Higeno
Fumiko Torigoe
Seiko Mihara
Jun Narita
Kohji Miura
Kazufumi Nakamura
Shigetoyo Kogaki
Keiichi Ozono
Constitutively active form of natriuretic peptide receptor 2 ameliorates experimental pulmonary arterial hypertension
Molecular Therapy: Methods & Clinical Development
title Constitutively active form of natriuretic peptide receptor 2 ameliorates experimental pulmonary arterial hypertension
title_full Constitutively active form of natriuretic peptide receptor 2 ameliorates experimental pulmonary arterial hypertension
title_fullStr Constitutively active form of natriuretic peptide receptor 2 ameliorates experimental pulmonary arterial hypertension
title_full_unstemmed Constitutively active form of natriuretic peptide receptor 2 ameliorates experimental pulmonary arterial hypertension
title_short Constitutively active form of natriuretic peptide receptor 2 ameliorates experimental pulmonary arterial hypertension
title_sort constitutively active form of natriuretic peptide receptor 2 ameliorates experimental pulmonary arterial hypertension
url http://www.sciencedirect.com/science/article/pii/S2329050117300165
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