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Unraveling the Impact of miR-146a in Pulmonary Arterial Hypertension Pathophysiology and Right Ventricular Function

Title
Unraveling the Impact of miR-146a in Pulmonary Arterial Hypertension Pathophysiology and Right Ventricular Function
Type
Article in International Scientific Journal
Year
2024
Authors
Santos Gomes, J
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Mendes Ferreira, P
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Adão, R
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Maia Rocha, C
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Rego, B
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Poels, M
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Saint Martin Willer, A
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Masson, B
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Provencher, S
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Bonnet, S
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Montani, D
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Perros, F
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Antigny, F
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Leite Moreira, F
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Brás-Silva C
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Journal
Vol. 25
Final page: 8054
ISSN: 1661-6596
Publisher: MDPI
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Publicação em Scopus Scopus - 0 Citations
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Authenticus ID: P-012-PSN
Abstract (EN): Pulmonary arterial hypertension (PAH) is a chronic disorder characterized by excessive pulmonary vascular remodeling, leading to elevated pulmonary vascular resistance and right ventricle (RV) overload and failure. MicroRNA-146a (miR-146a) promotes vascular smooth muscle cell proliferation and vascular neointimal hyperplasia, both hallmarks of PAH. This study aimed to investigate the effects of miR-146a through pharmacological or genetic inhibition on experimental PAH and RV pressure overload animal models. Additionally, we examined the overexpression of miR-146a on human pulmonary artery smooth muscle cells (hPASMCs). Here, we showed that miR-146a genic expression was increased in the lungs of patients with PAH and the plasma of monocrotaline (MCT) rats. Interestingly, genetic ablation of miR-146a improved RV hypertrophy and systolic pressures in Sugen 5415/hypoxia (SuHx) and pulmonary arterial banding (PAB) mice. Pharmacological inhibition of miR-146a improved RV remodeling in PAB-wild type mice and MCT rats, and enhanced exercise capacity in MCT rats. However, overexpression of miR-146a did not affect proliferation, migration, and apoptosis in control-hPASMCs. Our findings show that miR-146a may play a significant role in RV function and remodeling, representing a promising therapeutic target for RV hypertrophy and, consequently, PAH. © 2024 by the authors.
Language: English
Type (Professor's evaluation): Scientific
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