中国病理生理杂志2025，Vol.41Issue(10)：1900-1909,10.DOI:10.3969/j.issn.1000-4718.2025.10.004
细胞分裂周期蛋白42通过钙池操纵钙通道调控肺动脉高压内皮-间充质转化的机制研究
Cell division cycle protein 42 participates in endothelial-mesenchymal transition in pulmonary arterial hypertension through store-operated calcium channels
摘要
Abstract
AIM:To investigate the potential mechanisms by which cell division cycle protein 42(Cdc42)regulates endothelial-mesenchymal transition(EndMT)in pulmonary hypertension(PH).METHODS:The pulmonary hypertension(PH)model was established using Sugen-5416 combined with hypoxia.Twenty-four C57BL/6 mice were ran-domly divided into four groups:normoxia control(CON)group,normoxia+ML141(CON+ML141)group,Sugen-5416+hypoxia(SuHx)group,and SuHx+ML141 group,with 6 mice in each group.After 4 weeks,right ventricular systolic pressure(RVSP)and cardiac ultrasound parameters were measured,and lung tissues were collected for immunofluores-cence staining.Pulmonary microvascular endothelial cells(PMVECs)were isolated using magnetic bead sorting.Calcium imaging was performed to assess Ca2+signaling,and Western blot was used to detect EndMT-related proteins as well as stromal interaction molecule 1(STIM1)and Orai1 expression.RESULTS:In the SuHx group,mice exhibited signifi-cantly increased RVSP,Fulton index(right ventricle/left ventricle+septum),end-diastolic right ventricular free wall thick-ness(RVEDWT),and end-systolic right ventricular free wall thickness(RVESWT)(P<0.01).Conversely,pulmonary artery acceleration time/pulmonary artery ejection time(PAT/PET)and tricuspid annulus plane systolic excursion(TAPSE)were significantly reduced(P<0.01).The Cdc42 inhibitor ML141 ameliorated these changes.The SuHx group exhibited a significant decrease in CD31 fluorescence intensity in pulmonary vascular endothelial cells(P<0.01),a marked increase in α-smooth muscle actin(α-SMA)fluorescence intensity in smooth muscle cells(P<0.01),and the emergence of CD31/α-SMA co-localization.These alterations were reversed by ML141.Hypoxia induced EndMT in PM-VECs,characterized by decreased CD31 and vascular endothelial cadherin(VE-cadherin)along with increased α-SMA and vimentin(P<0.01),which was suppressed by ML141(P<0.01).Hypoxia activated store-operated calcium entry(SOCE),enhancing intracellular Ca2⁺ release,extracellular Ca2⁺ influx,and basal Ca2⁺ levels(P<0.01),while upregulat-ing STIM1 and Orai1 expression(P<0.01).These changes were reversed by ML141.Furthermore,both ML141 and STIM1 knockdown inhibited the upregulation of EndMT-related transcription factors Snail and Twist(P<0.05).CON-CLUSION:Cdc42 may participate in EndMT in PH by regulating store-operated calcium channels in pulmonary microvas-cular endothelial cells.关键词
肺动脉高压/细胞分裂周期蛋白42/内皮-间充质转化/钙池操纵钙通道/基质相互作用分子1Key words
pulmonary hypertension/cell divisim cycle protein 42/endothelial-mesenchymal transition/store-operated calcium entry/stromal interaction molecule 1分类
临床医学引用本文复制引用
秦立龙,王晓彤,汪丽静,臧蕾蕾,程玉生..细胞分裂周期蛋白42通过钙池操纵钙通道调控肺动脉高压内皮-间充质转化的机制研究[J].中国病理生理杂志,2025,41(10):1900-1909,10.基金项目
安徽省卫健委科研重大项目(No.2023A10132) （No.2023A10132）
