Loss of Type 2 Bone Morphogenetic Protein Receptor Activates NOD‐Like Receptor Family Protein 3/Gasdermin E‐Mediated Pyroptosis in Pulmonary Arterial Hypertension

BACKGROUND Pulmonary arterial hypertension (PAH) is an incurable disease initiated by endothelial dysfunction, secondary to vascular inflammation and occlusive pulmonary arterial vascular remodeling, resulting in elevated pulmonary arterial pressure and right heart failure. Previous research has rep...

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Main Authors: Xiao‐ting Tian, Zhou‐yang‐fan Peng, Yu‐si Wu, Yuan‐yuan Cao, Xue‐chun Li, Ying Li, Si‐Yuan Tang, Alex F. Chen, Xiao‐hui Li
Format: Article
Language:English
Published: Wiley 2025-02-01
Series:Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
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Online Access:https://www.ahajournals.org/doi/10.1161/JAHA.124.034726
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author Xiao‐ting Tian
Zhou‐yang‐fan Peng
Yu‐si Wu
Yuan‐yuan Cao
Xue‐chun Li
Ying Li
Si‐Yuan Tang
Alex F. Chen
Xiao‐hui Li
author_facet Xiao‐ting Tian
Zhou‐yang‐fan Peng
Yu‐si Wu
Yuan‐yuan Cao
Xue‐chun Li
Ying Li
Si‐Yuan Tang
Alex F. Chen
Xiao‐hui Li
author_sort Xiao‐ting Tian
collection DOAJ
description BACKGROUND Pulmonary arterial hypertension (PAH) is an incurable disease initiated by endothelial dysfunction, secondary to vascular inflammation and occlusive pulmonary arterial vascular remodeling, resulting in elevated pulmonary arterial pressure and right heart failure. Previous research has reported that dysfunction of type 2 bone morphogenetic protein receptor (BMPR2) signaling pathway in endothelium is inclined to prompt inflammation in PAH models, but the underlying mechanism of BMPR2 deficiency‐mediated inflammation needs further investigation. This study was designed to investigate whether BMPR2 deficiency contributes to pulmonary arterial hypertension via the NLRP3 (NOD‐like receptor family protein 3)/GSDME (gasdermin E)‐mediated pyroptosis pathway. METHODS AND RESULTS NLRP3 knockout or short hairpin RNA interference of GSDME was performed in PAH animal models to investigate its effect on PAH progression. In addition, the effects of BMPR2 deficiency and restoration of BMPR2 by BMP9 (bone morphogenetic protein 9) or FK506 on pyroptosis were explored both in animal and cell models. Knockout of NLRP3 or short hairpin RNA interference of GSDME in animal models can alleviate the development of pyroptosis, accompanied with improved endothelial integrity, vascular remodeling, and right ventricular systolic pressure. Blocking BMPR2 is sufficient to induce NLRP3 upregulation and release of inflammatory factor IL‐1β (interleukin‐1β) in pulmonary arterial endothelial cells. Moreover, BMPR2 deficiency can induce GSDME‐mediated pyroptosis through NLRP3 activation in 2 animal models, whereas activation of BMPR2 signaling by FK506 or BMP9 can reverse these phenotypes. CONCLUSIONS These findings provide evidence that loss of BMPR2 signaling promotes endothelial cell pyroptosis by enhancing NLRP3/GSDME signaling in PAH. Our findings may provide new insights to explore the inflammatory mechanism of PAH treatment.
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publisher Wiley
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series Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
spelling doaj-art-50686ce0c8cb480caf5bfd6ca98ff9ce2025-02-04T11:00:01ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802025-02-0114310.1161/JAHA.124.034726Loss of Type 2 Bone Morphogenetic Protein Receptor Activates NOD‐Like Receptor Family Protein 3/Gasdermin E‐Mediated Pyroptosis in Pulmonary Arterial HypertensionXiao‐ting Tian0Zhou‐yang‐fan Peng1Yu‐si Wu2Yuan‐yuan Cao3Xue‐chun Li4Ying Li5Si‐Yuan Tang6Alex F. Chen7Xiao‐hui Li8The Center for Vascular Disease and Translational Medicine, The Third Xiangya Hospital Central South University Changsha Hunan ChinaThe Center for Vascular Disease and Translational Medicine, The Third Xiangya Hospital Central South University Changsha Hunan ChinaThe Center for Vascular Disease and Translational Medicine, The Third Xiangya Hospital Central South University Changsha Hunan ChinaDepartment of Pharmacology, Xiangya School of Pharmaceutical Science Central South University Changsha ChinaInstitute for Developmental and Regenerative Cardiovascular Medicine, Xinhua Hospital Shanghai Jiao Tong University School of Medicine Shanghai ChinaHunan Key Laboratory for Bioanalysis of Complex Matrix Samples Changsha ChinaXiangya Nursing School Central South University Changsha ChinaThe Center for Vascular Disease and Translational Medicine, The Third Xiangya Hospital Central South University Changsha Hunan ChinaThe Center for Vascular Disease and Translational Medicine, The Third Xiangya Hospital Central South University Changsha Hunan ChinaBACKGROUND Pulmonary arterial hypertension (PAH) is an incurable disease initiated by endothelial dysfunction, secondary to vascular inflammation and occlusive pulmonary arterial vascular remodeling, resulting in elevated pulmonary arterial pressure and right heart failure. Previous research has reported that dysfunction of type 2 bone morphogenetic protein receptor (BMPR2) signaling pathway in endothelium is inclined to prompt inflammation in PAH models, but the underlying mechanism of BMPR2 deficiency‐mediated inflammation needs further investigation. This study was designed to investigate whether BMPR2 deficiency contributes to pulmonary arterial hypertension via the NLRP3 (NOD‐like receptor family protein 3)/GSDME (gasdermin E)‐mediated pyroptosis pathway. METHODS AND RESULTS NLRP3 knockout or short hairpin RNA interference of GSDME was performed in PAH animal models to investigate its effect on PAH progression. In addition, the effects of BMPR2 deficiency and restoration of BMPR2 by BMP9 (bone morphogenetic protein 9) or FK506 on pyroptosis were explored both in animal and cell models. Knockout of NLRP3 or short hairpin RNA interference of GSDME in animal models can alleviate the development of pyroptosis, accompanied with improved endothelial integrity, vascular remodeling, and right ventricular systolic pressure. Blocking BMPR2 is sufficient to induce NLRP3 upregulation and release of inflammatory factor IL‐1β (interleukin‐1β) in pulmonary arterial endothelial cells. Moreover, BMPR2 deficiency can induce GSDME‐mediated pyroptosis through NLRP3 activation in 2 animal models, whereas activation of BMPR2 signaling by FK506 or BMP9 can reverse these phenotypes. CONCLUSIONS These findings provide evidence that loss of BMPR2 signaling promotes endothelial cell pyroptosis by enhancing NLRP3/GSDME signaling in PAH. Our findings may provide new insights to explore the inflammatory mechanism of PAH treatment.https://www.ahajournals.org/doi/10.1161/JAHA.124.034726BMPR2GSDMENLRP3pulmonary arterial hypertensionpyroptosis
spellingShingle Xiao‐ting Tian
Zhou‐yang‐fan Peng
Yu‐si Wu
Yuan‐yuan Cao
Xue‐chun Li
Ying Li
Si‐Yuan Tang
Alex F. Chen
Xiao‐hui Li
Loss of Type 2 Bone Morphogenetic Protein Receptor Activates NOD‐Like Receptor Family Protein 3/Gasdermin E‐Mediated Pyroptosis in Pulmonary Arterial Hypertension
Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
BMPR2
GSDME
NLRP3
pulmonary arterial hypertension
pyroptosis
title Loss of Type 2 Bone Morphogenetic Protein Receptor Activates NOD‐Like Receptor Family Protein 3/Gasdermin E‐Mediated Pyroptosis in Pulmonary Arterial Hypertension
title_full Loss of Type 2 Bone Morphogenetic Protein Receptor Activates NOD‐Like Receptor Family Protein 3/Gasdermin E‐Mediated Pyroptosis in Pulmonary Arterial Hypertension
title_fullStr Loss of Type 2 Bone Morphogenetic Protein Receptor Activates NOD‐Like Receptor Family Protein 3/Gasdermin E‐Mediated Pyroptosis in Pulmonary Arterial Hypertension
title_full_unstemmed Loss of Type 2 Bone Morphogenetic Protein Receptor Activates NOD‐Like Receptor Family Protein 3/Gasdermin E‐Mediated Pyroptosis in Pulmonary Arterial Hypertension
title_short Loss of Type 2 Bone Morphogenetic Protein Receptor Activates NOD‐Like Receptor Family Protein 3/Gasdermin E‐Mediated Pyroptosis in Pulmonary Arterial Hypertension
title_sort loss of type 2 bone morphogenetic protein receptor activates nod like receptor family protein 3 gasdermin e mediated pyroptosis in pulmonary arterial hypertension
topic BMPR2
GSDME
NLRP3
pulmonary arterial hypertension
pyroptosis
url https://www.ahajournals.org/doi/10.1161/JAHA.124.034726
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