Pulmonary vascular disease & thromboembolism

Breast Cancer Reveals Latent BMPR2 -Related Susceptibility to Pulmonary Hypertension

CirculationPublished Mechanistic study

An erratum to this article was published (Circulation, 26 May 2026 ↗)

Authors' conclusion

These findings identify a reciprocal association between breast cancer and PAH mediated by defective BMPR2 signaling and tumor-associated inflammation.

Study context

Population
Female Bmpr2+/Δ71 rats, pulmonary arterial smooth muscle cells, public cancer datasets and patients with pulmonary arterial hypertension (PAH) in the French National Healthcare Databasepatients with PAH
Participants
9,964 rats
Outcome
BMPR2 alterations in breast tumors, mammary tumors and PH in Bmpr2+/Δ71 rats, IL-1β-driven PASMC proliferation, and breast cancer–PAH association
Methodological detailsbioinformatic, epidemiologic and experimental approaches
  • Bioinformatic, epidemiologic and experimental approaches

Main finding

As reported in the abstract

  • BMPR2 expression markedly reduced in human breast tumors, with recurrent somatic variants and deep deletions
  • Bmpr2+/Δ71 rats: spontaneous mammary tumors; after DMBA (carcinogen) exposure, exacerbated PH with increased vascular remodeling and inflammation
  • Tumor-bearing Bmpr2+/Δ71 rats: elevated lung IL-1β and NF-κB activation
  • Conditioned media from Bmpr2+/Δ71 tumors induced Bmpr2+/Δ71 PASMC proliferation via IL-1β-dependent signaling; IL-1β neutralization attenuated it
  • Human PASMCs with BMPR2 mutations: heightened IL-1β-induced proliferation
  • Breast cancer incidence more than doubled in PAH vs general population
  • PAH incidence increased nearly 9-fold among patients with breast cancer (bidirectional relationship)

Original publication

Breast Cancer Reveals Latent BMPR2 -Related Susceptibility to Pulmonary Hypertension. Circulation. Published 28 January 2026. doi:10.1161/circulationaha.125.079067

Summarised from the published abstract; every number is checked against it

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