Pulmonary vascular disease & thromboembolism

ErbB3 Governs Endothelial Dysfunction in Hypoxia-Induced Pulmonary Hypertension

CirculationPublished Mechanistic study

Authors' conclusion

Our study reveals, for the first time, that ErbB3 serves as a novel biomarker and a promising target for the treatment of PH.

Study context

Population
Patients with hypoxic PH vs healthy donors; rodents with chronic hypoxia- and Sugen-induced PH; primary human pulmonary artery endothelial and smooth muscle cells

Main finding

As reported in the abstract

  • ErbB3 significantly upregulated in serum, lungs, distal pulmonary arteries and pulmonary artery endothelial cells of patients with PH vs healthy donors
  • ErbB3 overexpression stimulated hypoxia-induced endothelial cell proliferation, exacerbated pulmonary artery remodeling, elevated RV systolic pressure and promoted RV hypertrophy in murine PH models
  • Systemic deletion or endothelial cell-specific knockout of ErbB3 yielded opposite effects
  • YB-1 identified as downstream target of ErbB3; ErbB3 induced YB-1 nuclear translocation and promoted hypoxia-inducible factor 1/2α transcription
  • Positive ErbB3-periostin-hypoxia-inducible factor 1/2α loop mediates progressive disease development
  • MM-121 (anti-ErbB3 monoclonal antibody) had preventive and therapeutic effects against hypoxia-induced PH

Original publication

ErbB3 Governs Endothelial Dysfunction in Hypoxia-Induced Pulmonary Hypertension. Circulation. Published 12 January 2024. doi:10.1161/circulationaha.123.067005

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