At the X-Roads of Sex and Genetics in Pulmonary Arterial Hypertension

Group 1 pulmonary hypertension (pulmonary arterial hypertension; PAH) is a rare disease characterized by remodeling of the small pulmonary arteries leading to progressive elevation of pulmonary vascular resistance, ultimately leading to right ventricular failure and death. Deleterious mutations in t...

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Main Authors: Meghan M. Cirulis, Mark W. Dodson, Lynn M. Brown, Samuel M. Brown, Tim Lahm, Greg Elliott
Format: Article
Language:English
Published: MDPI AG 2020-11-01
Series:Genes
Subjects:
Online Access:https://www.mdpi.com/2073-4425/11/11/1371
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author Meghan M. Cirulis
Mark W. Dodson
Lynn M. Brown
Samuel M. Brown
Tim Lahm
Greg Elliott
author_facet Meghan M. Cirulis
Mark W. Dodson
Lynn M. Brown
Samuel M. Brown
Tim Lahm
Greg Elliott
author_sort Meghan M. Cirulis
collection DOAJ
description Group 1 pulmonary hypertension (pulmonary arterial hypertension; PAH) is a rare disease characterized by remodeling of the small pulmonary arteries leading to progressive elevation of pulmonary vascular resistance, ultimately leading to right ventricular failure and death. Deleterious mutations in the serine-threonine receptor bone morphogenetic protein receptor 2 (<i>BMPR2</i>; a central mediator of bone morphogenetic protein (BMP) signaling) and female sex are known risk factors for the development of PAH in humans. In this narrative review, we explore the complex interplay between the BMP and estrogen signaling pathways, and the potentially synergistic mechanisms by which these signaling cascades increase the risk of developing PAH. A comprehensive understanding of these tangled pathways may reveal therapeutic targets to prevent or slow the progression of PAH.
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spelling doaj.art-a6f1476fc1e944e18867e15ae5a1f38a2023-11-20T21:39:12ZengMDPI AGGenes2073-44252020-11-011111137110.3390/genes11111371At the X-Roads of Sex and Genetics in Pulmonary Arterial HypertensionMeghan M. Cirulis0Mark W. Dodson1Lynn M. Brown2Samuel M. Brown3Tim Lahm4Greg Elliott5Division of Pulmonary, Critical Care and Occupational Medicine, University of Utah, Salt Lake City, UT 84132, USADivision of Pulmonary, Critical Care and Occupational Medicine, University of Utah, Salt Lake City, UT 84132, USADivision of Pulmonary, Critical Care and Occupational Medicine, University of Utah, Salt Lake City, UT 84132, USADivision of Pulmonary, Critical Care and Occupational Medicine, University of Utah, Salt Lake City, UT 84132, USADivision of Pulmonary, Critical Care, Sleep and Occupational Medicine, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USADivision of Pulmonary, Critical Care and Occupational Medicine, University of Utah, Salt Lake City, UT 84132, USAGroup 1 pulmonary hypertension (pulmonary arterial hypertension; PAH) is a rare disease characterized by remodeling of the small pulmonary arteries leading to progressive elevation of pulmonary vascular resistance, ultimately leading to right ventricular failure and death. Deleterious mutations in the serine-threonine receptor bone morphogenetic protein receptor 2 (<i>BMPR2</i>; a central mediator of bone morphogenetic protein (BMP) signaling) and female sex are known risk factors for the development of PAH in humans. In this narrative review, we explore the complex interplay between the BMP and estrogen signaling pathways, and the potentially synergistic mechanisms by which these signaling cascades increase the risk of developing PAH. A comprehensive understanding of these tangled pathways may reveal therapeutic targets to prevent or slow the progression of PAH.https://www.mdpi.com/2073-4425/11/11/1371bone morphogenetic protein receptor type 2heritablefamilialestrogenestradiolpenetrance
spellingShingle Meghan M. Cirulis
Mark W. Dodson
Lynn M. Brown
Samuel M. Brown
Tim Lahm
Greg Elliott
At the X-Roads of Sex and Genetics in Pulmonary Arterial Hypertension
Genes
bone morphogenetic protein receptor type 2
heritable
familial
estrogen
estradiol
penetrance
title At the X-Roads of Sex and Genetics in Pulmonary Arterial Hypertension
title_full At the X-Roads of Sex and Genetics in Pulmonary Arterial Hypertension
title_fullStr At the X-Roads of Sex and Genetics in Pulmonary Arterial Hypertension
title_full_unstemmed At the X-Roads of Sex and Genetics in Pulmonary Arterial Hypertension
title_short At the X-Roads of Sex and Genetics in Pulmonary Arterial Hypertension
title_sort at the x roads of sex and genetics in pulmonary arterial hypertension
topic bone morphogenetic protein receptor type 2
heritable
familial
estrogen
estradiol
penetrance
url https://www.mdpi.com/2073-4425/11/11/1371
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