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Editorial
. 2023 Nov 10;133(11):899-901.
doi: 10.1161/CIRCRESAHA.123.323753. Epub 2023 Nov 9.

New Way to Study Pulmonary Hypertension in HFpEF

Affiliations
Editorial

New Way to Study Pulmonary Hypertension in HFpEF

Zhiyu Dai et al. Circ Res. .
No abstract available

Keywords: Editorial; heart failure; hyperlipidemia; mice; phenotypes.

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Conflict of interest statement

Disclosures None

Figures

Figure 1.
Figure 1.
Cellular and molecular mechanisms of PH-HFpEF development. Elevated left ventricular pressures in HFpEF patients expose the pulmonary vasculature to passive pressure elevation, leading to pulmonary venous, arterial remodeling and impairment of the capillary junction. Endothelial injury activates inflammatory and reparative responses, increasing endothelin 1 and adrenomedullin neurohormonal pathways, reducing NO and natriuretic peptide activity, promoting macrophage (Mac) accumulation and upregulation of inflammatory cytokines such as IL-6 and IL-1β, resulting in pulmonary smooth muscle cell (SMC) and fibroblast (Fib) proliferation, global pulmonary vascular remodeling, and right heart dysfunction.

Comment on

  • Myeloid Cell Derived IL1β Contributes to Pulmonary Hypertension in HFpEF.
    Agrawal V, Kropski JA, Gokey JJ, Kobeck E, Murphy MB, Murray KT, Fortune NL, Moore CS, Meoli DF, Monahan K, Ru Su Y, Blackwell T, Gupta DK, Talati MH, Gladson S, Carrier EJ, West JD, Hemnes AR. Agrawal V, et al. Circ Res. 2023 Nov 10;133(11):885-898. doi: 10.1161/CIRCRESAHA.123.323119. Epub 2023 Nov 6. Circ Res. 2023. PMID: 37929582 Free PMC article.

References

    1. Brittain EL, Thenappan T, Huston JH, Agrawal V, Lai Y-C, Dixon D, Ryan JJ, Lewis EF, Redfield MM, Shah SJ, et al. Elucidating the Clinical Implications and Pathophysiology of Pulmonary Hypertension in Heart Failure With Preserved Ejection Fraction: A Call to Action: A Science Advisory From the American Heart Association. Circulation. 2022;146:e73–e88. - PMC - PubMed
    1. Inampudi C, Silverman D, Simon MA, Leary PJ, Sharma K, Houston BA, Vachiéry J-L, Haddad F, Tedford RJ. Pulmonary Hypertension in the Context of Heart Failure With Preserved Ejection Fraction. Chest. 2021;160:2232–2246. - PMC - PubMed
    1. Lai Y-C, Tabima DM, Dube JJ, Hughan KS, Vanderpool RR, Goncharov DA, CM St. Croix,Garcia-Ocaña A, Goncharova EA, Tofovic SP, et al. SIRT3–AMP-Activated Protein Kinase Activation by Nitrite and Metformin Improves Hyperglycemia and Normalizes Pulmonary Hypertension Associated With Heart Failure With Preserved Ejection Fraction. Circulation. 2016;133:717–731. - PMC - PubMed
    1. Meng Q, Lai Y-C, Kelly NJ, Bueno M, Baust JJ, Bachman TN, Goncharov D, Vanderpool RR, Radder JE, Hu J, et al. Development of a Mouse Model of Metabolic Syndrome, Pulmonary Hypertension, and Heart Failure with Preserved Ejection Fraction. Am J Respir Cell Mol Biol. 2017;56:497–505. - PMC - PubMed
    1. Ranchoux B, Nadeau V, Bourgeois A, Provencher S, Tremblay É, Omura J, Coté N, Abu-Alhayja’a R, Dumais V, Nachbar RT, et al. Metabolic Syndrome Exacerbates Pulmonary Hypertension due to Left Heart Disease. Circ Res. 2019;125:449–466. - PubMed