HMGB1-induced activation of ER stress contributes to pulmonary artery hypertension in vitro and in vivo

Abstract Background HMGB1 and ER stress have been considered to participate in the progression of pulmonary artery hypertension (PAH). However, the molecular mechanism underlying HMGB1 and ER stress in PAH remains unclear. This study aims to explore whether HMGB1 induces pulmonary artery smooth musc...

Full description

Bibliographic Details
Main Authors: Qianqian Zhang, Yuqian Chen, Qingting Wang, Yan Wang, Wei Feng, Limin Chai, Jin Liu, Danyang Li, Huan Chen, Yuanjie Qiu, Nirui Shen, Xiangyu Shi, Xinming Xie, Manxiang Li
Format: Article
Language:English
Published: BMC 2023-06-01
Series:Respiratory Research
Subjects:
Online Access:https://doi.org/10.1186/s12931-023-02454-x
_version_ 1797811350619029504
author Qianqian Zhang
Yuqian Chen
Qingting Wang
Yan Wang
Wei Feng
Limin Chai
Jin Liu
Danyang Li
Huan Chen
Yuanjie Qiu
Nirui Shen
Xiangyu Shi
Xinming Xie
Manxiang Li
author_facet Qianqian Zhang
Yuqian Chen
Qingting Wang
Yan Wang
Wei Feng
Limin Chai
Jin Liu
Danyang Li
Huan Chen
Yuanjie Qiu
Nirui Shen
Xiangyu Shi
Xinming Xie
Manxiang Li
author_sort Qianqian Zhang
collection DOAJ
description Abstract Background HMGB1 and ER stress have been considered to participate in the progression of pulmonary artery hypertension (PAH). However, the molecular mechanism underlying HMGB1 and ER stress in PAH remains unclear. This study aims to explore whether HMGB1 induces pulmonary artery smooth muscle cells (PASMCs) functions and pulmonary artery remodeling through ER stress activation. Methods Primary cultured PASMCs and monocrotaline (MCT)-induced PAH rats were applied in this study. Cell proliferation and migration were determined by CCK-8, EdU and transwell assay. Western blotting was conducted to detect the protein levels of protein kinase RNA-like endoplasmic reticulum kinase (PERK), activating transcription factor-4 (ATF4), seven in absentia homolog 2 (SIAH2) and homeodomain interacting protein kinase 2 (HIPK2). Hemodynamic measurements, immunohistochemistry staining, hematoxylin and eosin staining were used to evaluate the development of PAH. The ultrastructure of ER was observed by transmission electron microscopy. Results In primary cultured PASMCs, HMGB1 reduced HIPK2 expression through upregulation of ER stress-related proteins (PERK and ATF4) and subsequently increased SIAH2 expression, which ultimately led to PASMC proliferation and migration. In MCT-induced PAH rats, interfering with HMGB1 by glycyrrhizin, suppression of ER stress by 4-phenylbutyric acid or targeting SIAH2 by vitamin K3 attenuated the development of PAH. Additionally, tetramethylpyrazine (TMP), as a component of traditional Chinese herbal medicine, reversed hemodynamic deterioration and vascular remodeling by targeting PERK/ATF4/SIAH2/HIPK2 axis. Conclusions The present study provides a novel insight to understand the pathogenesis of PAH and suggests that targeting HMGB1/PERK/ATF4/SIAH2/HIPK2 cascade might have potential therapeutic value for the prevention and treatment of PAH.
first_indexed 2024-03-13T07:21:21Z
format Article
id doaj.art-8e58efba898f40489383f13bc067a990
institution Directory Open Access Journal
issn 1465-993X
language English
last_indexed 2024-03-13T07:21:21Z
publishDate 2023-06-01
publisher BMC
record_format Article
series Respiratory Research
spelling doaj.art-8e58efba898f40489383f13bc067a9902023-06-04T11:36:43ZengBMCRespiratory Research1465-993X2023-06-0124111210.1186/s12931-023-02454-xHMGB1-induced activation of ER stress contributes to pulmonary artery hypertension in vitro and in vivoQianqian Zhang0Yuqian Chen1Qingting Wang2Yan Wang3Wei Feng4Limin Chai5Jin Liu6Danyang Li7Huan Chen8Yuanjie Qiu9Nirui Shen10Xiangyu Shi11Xinming Xie12Manxiang Li13Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Xi’an Jiaotong UniversityAbstract Background HMGB1 and ER stress have been considered to participate in the progression of pulmonary artery hypertension (PAH). However, the molecular mechanism underlying HMGB1 and ER stress in PAH remains unclear. This study aims to explore whether HMGB1 induces pulmonary artery smooth muscle cells (PASMCs) functions and pulmonary artery remodeling through ER stress activation. Methods Primary cultured PASMCs and monocrotaline (MCT)-induced PAH rats were applied in this study. Cell proliferation and migration were determined by CCK-8, EdU and transwell assay. Western blotting was conducted to detect the protein levels of protein kinase RNA-like endoplasmic reticulum kinase (PERK), activating transcription factor-4 (ATF4), seven in absentia homolog 2 (SIAH2) and homeodomain interacting protein kinase 2 (HIPK2). Hemodynamic measurements, immunohistochemistry staining, hematoxylin and eosin staining were used to evaluate the development of PAH. The ultrastructure of ER was observed by transmission electron microscopy. Results In primary cultured PASMCs, HMGB1 reduced HIPK2 expression through upregulation of ER stress-related proteins (PERK and ATF4) and subsequently increased SIAH2 expression, which ultimately led to PASMC proliferation and migration. In MCT-induced PAH rats, interfering with HMGB1 by glycyrrhizin, suppression of ER stress by 4-phenylbutyric acid or targeting SIAH2 by vitamin K3 attenuated the development of PAH. Additionally, tetramethylpyrazine (TMP), as a component of traditional Chinese herbal medicine, reversed hemodynamic deterioration and vascular remodeling by targeting PERK/ATF4/SIAH2/HIPK2 axis. Conclusions The present study provides a novel insight to understand the pathogenesis of PAH and suggests that targeting HMGB1/PERK/ATF4/SIAH2/HIPK2 cascade might have potential therapeutic value for the prevention and treatment of PAH.https://doi.org/10.1186/s12931-023-02454-xPulmonary artery hypertensionHMGB1ER stressTetramethylpyrazine
spellingShingle Qianqian Zhang
Yuqian Chen
Qingting Wang
Yan Wang
Wei Feng
Limin Chai
Jin Liu
Danyang Li
Huan Chen
Yuanjie Qiu
Nirui Shen
Xiangyu Shi
Xinming Xie
Manxiang Li
HMGB1-induced activation of ER stress contributes to pulmonary artery hypertension in vitro and in vivo
Respiratory Research
Pulmonary artery hypertension
HMGB1
ER stress
Tetramethylpyrazine
title HMGB1-induced activation of ER stress contributes to pulmonary artery hypertension in vitro and in vivo
title_full HMGB1-induced activation of ER stress contributes to pulmonary artery hypertension in vitro and in vivo
title_fullStr HMGB1-induced activation of ER stress contributes to pulmonary artery hypertension in vitro and in vivo
title_full_unstemmed HMGB1-induced activation of ER stress contributes to pulmonary artery hypertension in vitro and in vivo
title_short HMGB1-induced activation of ER stress contributes to pulmonary artery hypertension in vitro and in vivo
title_sort hmgb1 induced activation of er stress contributes to pulmonary artery hypertension in vitro and in vivo
topic Pulmonary artery hypertension
HMGB1
ER stress
Tetramethylpyrazine
url https://doi.org/10.1186/s12931-023-02454-x
work_keys_str_mv AT qianqianzhang hmgb1inducedactivationoferstresscontributestopulmonaryarteryhypertensioninvitroandinvivo
AT yuqianchen hmgb1inducedactivationoferstresscontributestopulmonaryarteryhypertensioninvitroandinvivo
AT qingtingwang hmgb1inducedactivationoferstresscontributestopulmonaryarteryhypertensioninvitroandinvivo
AT yanwang hmgb1inducedactivationoferstresscontributestopulmonaryarteryhypertensioninvitroandinvivo
AT weifeng hmgb1inducedactivationoferstresscontributestopulmonaryarteryhypertensioninvitroandinvivo
AT liminchai hmgb1inducedactivationoferstresscontributestopulmonaryarteryhypertensioninvitroandinvivo
AT jinliu hmgb1inducedactivationoferstresscontributestopulmonaryarteryhypertensioninvitroandinvivo
AT danyangli hmgb1inducedactivationoferstresscontributestopulmonaryarteryhypertensioninvitroandinvivo
AT huanchen hmgb1inducedactivationoferstresscontributestopulmonaryarteryhypertensioninvitroandinvivo
AT yuanjieqiu hmgb1inducedactivationoferstresscontributestopulmonaryarteryhypertensioninvitroandinvivo
AT niruishen hmgb1inducedactivationoferstresscontributestopulmonaryarteryhypertensioninvitroandinvivo
AT xiangyushi hmgb1inducedactivationoferstresscontributestopulmonaryarteryhypertensioninvitroandinvivo
AT xinmingxie hmgb1inducedactivationoferstresscontributestopulmonaryarteryhypertensioninvitroandinvivo
AT manxiangli hmgb1inducedactivationoferstresscontributestopulmonaryarteryhypertensioninvitroandinvivo