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Autophagy contributes to BMP type 2 receptor degradation and development of pulmonary arterial hypertension

Identifieur interne : 000682 ( Pmc/Curation ); précédent : 000681; suivant : 000683

Autophagy contributes to BMP type 2 receptor degradation and development of pulmonary arterial hypertension

Auteurs : Maria Catalina Gomez-Puerto ; Iris Van Zuijen ; Christopher Jz Huang ; Robert Szulcek ; Xiaoke Pan ; Maarten Ah Van Dinther ; Kondababu Kurakula ; Catharina C. Wiesmeijer ; Marie-Jose Goumans ; Harm-Jan Bogaard ; Nicholas W. Morrell ; Amer Ahmed Rana ; Peter Ten Dijke

Source :

RBID : PMC:6852495

Abstract

Abstract

Pulmonary arterial hypertension (PAH) is characterised by an increase in mean pulmonary arterial pressure which almost invariably leads to right heart failure and premature death. More than 70% of familial PAH and 20% of idiopathic PAH patients carry heterozygous mutations in the bone morphogenetic protein (BMP) type 2 receptor (BMPR2). However, the incomplete penetrance of BMPR2 mutations suggests that other genetic and environmental factors contribute to the disease. In the current study, we investigate the contribution of autophagy in the degradation of BMPR2 in pulmonary vascular cells. We demonstrate that endogenous BMPR2 is degraded through the lysosome in primary human pulmonary artery endothelial (PAECs) and smooth muscle cells (PASMCs): two cell types that play a key role in the pathology of the disease. By means of an elegant HaloTag system, we show that a block in lysosomal degradation leads to increased levels of BMPR2 at the plasma membrane. In addition, pharmacological or genetic manipulations of autophagy allow us to conclude that autophagy activation contributes to BMPR2 degradation. It has to be further investigated whether the role of autophagy in the degradation of BMPR2 is direct or through the modulation of the endocytic pathway. Interestingly, using an iPSC‐derived endothelial cell model, our findings indicate that BMPR2 heterozygosity alone is sufficient to cause an increased autophagic flux. Besides BMPR2 heterozygosity, pro‐inflammatory cytokines also contribute to an augmented autophagy in lung vascular cells. Furthermore, we demonstrate an increase in microtubule‐associated protein 1 light chain 3 beta (MAP1LC3B) levels in lung sections from PAH induced in rats. Accordingly, pulmonary microvascular endothelial cells (MVECs) from end‐stage idiopathic PAH patients present an elevated autophagic flux. Our findings support a model in which an increased autophagic flux in PAH patients contributes to a greater decrease in BMPR2 levels. Altogether, this study sheds light on the basic mechanisms of BMPR2 degradation and highlights a crucial role for autophagy in PAH. © 2019 The Authors. The Journal of Pathology published by John Wiley & Sons Ltd on behalf of Pathological Society of Great Britain and Ireland.


Url:
DOI: 10.1002/path.5322
PubMed: 31257577
PubMed Central: 6852495

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Le document en format XML

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<p>Pulmonary arterial hypertension (PAH) is characterised by an increase in mean pulmonary arterial pressure which almost invariably leads to right heart failure and premature death. More than 70% of familial PAH and 20% of idiopathic PAH patients carry heterozygous mutations in the bone morphogenetic protein (BMP) type 2 receptor (BMPR2). However, the incomplete penetrance of
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<italic>BMPR2</italic>
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<italic>BMPR2</italic>
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<alt-title alt-title-type="right-running-head">Autophagy as a hallmark in pulmonary arterial hypertension</alt-title>
<alt-title alt-title-type="left-running-head">MC Gomez‐Puerto
<italic>et al</italic>
</alt-title>
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<contrib id="path5322-cr-0001" contrib-type="author" corresp="yes">
<name>
<surname>Gomez‐Puerto</surname>
<given-names>Maria Catalina</given-names>
</name>
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<xref ref-type="aff" rid="path5322-aff-0001">
<sup>1</sup>
</xref>
<address>
<email>m.c.gomez_puerto@lumc.nl</email>
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<surname>van Zuijen</surname>
<given-names>Iris</given-names>
</name>
<xref ref-type="aff" rid="path5322-aff-0001">
<sup>1</sup>
</xref>
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</name>
<xref ref-type="aff" rid="path5322-aff-0002">
<sup>2</sup>
</xref>
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<name>
<surname>Szulcek</surname>
<given-names>Robert</given-names>
</name>
<xref ref-type="aff" rid="path5322-aff-0001">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="path5322-aff-0003">
<sup>3</sup>
</xref>
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<surname>Pan</surname>
<given-names>Xiaoke</given-names>
</name>
<xref ref-type="aff" rid="path5322-aff-0003">
<sup>3</sup>
</xref>
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<given-names>Maarten AH</given-names>
</name>
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<sup>1</sup>
</xref>
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<given-names>Kondababu</given-names>
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<xref ref-type="aff" rid="path5322-aff-0001">
<sup>1</sup>
</xref>
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<name>
<surname>Wiesmeijer</surname>
<given-names>Catharina C</given-names>
</name>
<xref ref-type="aff" rid="path5322-aff-0001">
<sup>1</sup>
</xref>
</contrib>
<contrib id="path5322-cr-0009" contrib-type="author">
<name>
<surname>Goumans</surname>
<given-names>Marie‐Jose</given-names>
</name>
<contrib-id contrib-id-type="orcid" authenticated="false">https://orcid.org/0000-0001-9344-6746</contrib-id>
<xref ref-type="aff" rid="path5322-aff-0001">
<sup>1</sup>
</xref>
</contrib>
<contrib id="path5322-cr-0010" contrib-type="author">
<name>
<surname>Bogaard</surname>
<given-names>Harm‐Jan</given-names>
</name>
<xref ref-type="aff" rid="path5322-aff-0003">
<sup>3</sup>
</xref>
</contrib>
<contrib id="path5322-cr-0011" contrib-type="author">
<name>
<surname>Morrell</surname>
<given-names>Nicholas W</given-names>
</name>
<xref ref-type="aff" rid="path5322-aff-0002">
<sup>2</sup>
</xref>
</contrib>
<contrib id="path5322-cr-0012" contrib-type="author">
<name>
<surname>Rana</surname>
<given-names>Amer Ahmed</given-names>
</name>
<xref ref-type="aff" rid="path5322-aff-0002">
<sup>2</sup>
</xref>
</contrib>
<contrib id="path5322-cr-0013" contrib-type="author">
<name>
<surname>ten Dijke</surname>
<given-names>Peter</given-names>
</name>
<contrib-id contrib-id-type="orcid" authenticated="false">https://orcid.org/0000-0002-7234-342X</contrib-id>
<xref ref-type="aff" rid="path5322-aff-0001">
<sup>1</sup>
</xref>
</contrib>
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<aff id="path5322-aff-0001">
<label>
<sup>1</sup>
</label>
<named-content content-type="organisation-division">Department of Cell and Chemical Biology and Oncode Institute</named-content>
<institution>Leiden University Medical Center</institution>
<city>Leiden</city>
<country country="NL">The Netherlands</country>
</aff>
<aff id="path5322-aff-0002">
<label>
<sup>2</sup>
</label>
<named-content content-type="organisation-division">Department of Medicine</named-content>
<institution>University of Cambridge</institution>
<city>Cambridge</city>
<country country="GB">UK</country>
</aff>
<aff id="path5322-aff-0003">
<label>
<sup>3</sup>
</label>
<named-content content-type="organisation-division">Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Pulmonary Medicine</named-content>
<institution>Amsterdam Cardiovascular Sciences</institution>
<city>Amsterdam</city>
<country country="NL">The Netherlands</country>
</aff>
<author-notes>
<corresp id="correspondenceTo">
<label>*</label>
Correspondence to: MC Gomez‐Puerto, Department of Cell and Chemical Biology, Leiden University Medical Center and Oncode Institute, 2333 ZC Leiden, The Netherlands. E‐mail:
<email>m.c.gomez_puerto@lumc.nl</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>27</day>
<month>8</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="ppub">
<month>11</month>
<year>2019</year>
</pub-date>
<volume>249</volume>
<issue>3</issue>
<issue-id pub-id-type="doi">10.1002/path.v249.3</issue-id>
<fpage>356</fpage>
<lpage>367</lpage>
<history>
<date date-type="received">
<day>25</day>
<month>11</month>
<year>2018</year>
</date>
<date date-type="rev-recd">
<day>05</day>
<month>6</month>
<year>2019</year>
</date>
<date date-type="accepted">
<day>24</day>
<month>6</month>
<year>2019</year>
</date>
</history>
<permissions>
<pmc-comment> Copyright © 2019 Pathological Society of Great Britain and Ireland </pmc-comment>
<copyright-statement content-type="article-copyright">© 2019 The Authors.
<italic>The Journal of Pathology</italic>
published by John Wiley & Sons Ltd on behalf of Pathological Society of Great Britain and Ireland.</copyright-statement>
<license license-type="creativeCommonsBy">
<license-p>This is an open access article under the terms of the
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
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<abstract>
<title>Abstract</title>
<p>Pulmonary arterial hypertension (PAH) is characterised by an increase in mean pulmonary arterial pressure which almost invariably leads to right heart failure and premature death. More than 70% of familial PAH and 20% of idiopathic PAH patients carry heterozygous mutations in the bone morphogenetic protein (BMP) type 2 receptor (BMPR2). However, the incomplete penetrance of
<italic>BMPR2</italic>
mutations suggests that other genetic and environmental factors contribute to the disease. In the current study, we investigate the contribution of autophagy in the degradation of BMPR2 in pulmonary vascular cells. We demonstrate that endogenous BMPR2 is degraded through the lysosome in primary human pulmonary artery endothelial (PAECs) and smooth muscle cells (PASMCs): two cell types that play a key role in the pathology of the disease. By means of an elegant HaloTag system, we show that a block in lysosomal degradation leads to increased levels of BMPR2 at the plasma membrane. In addition, pharmacological or genetic manipulations of autophagy allow us to conclude that autophagy activation contributes to BMPR2 degradation. It has to be further investigated whether the role of autophagy in the degradation of BMPR2 is direct or through the modulation of the endocytic pathway. Interestingly, using an iPSC‐derived endothelial cell model, our findings indicate that
<italic>BMPR2</italic>
heterozygosity alone is sufficient to cause an increased autophagic flux. Besides
<italic>BMPR2</italic>
heterozygosity, pro‐inflammatory cytokines also contribute to an augmented autophagy in lung vascular cells. Furthermore, we demonstrate an increase in microtubule‐associated protein 1 light chain 3 beta (MAP1LC3B) levels in lung sections from PAH induced in rats. Accordingly, pulmonary microvascular endothelial cells (MVECs) from end‐stage idiopathic PAH patients present an elevated autophagic flux. Our findings support a model in which an increased autophagic flux in PAH patients contributes to a greater decrease in BMPR2 levels. Altogether, this study sheds light on the basic mechanisms of BMPR2 degradation and highlights a crucial role for autophagy in PAH. © 2019 The Authors.
<italic>The Journal of Pathology</italic>
published by John Wiley & Sons Ltd on behalf of Pathological Society of Great Britain and Ireland.</p>
</abstract>
<kwd-group kwd-group-type="author-generated">
<kwd id="path5322-kwd-0001">autophagy</kwd>
<kwd id="path5322-kwd-0002">BMPR2</kwd>
<kwd id="path5322-kwd-0003">
<italic>BMPR2</italic>
<sup>
<italic>+/−</italic>
</sup>
iPSC‐ECs</kwd>
<kwd id="path5322-kwd-0004">human pulmonary artery endothelial cells (PAECs)</kwd>
<kwd id="path5322-kwd-0005">human pulmonary artery smooth muscle cells (PASMCs)</kwd>
<kwd id="path5322-kwd-0006">inflammation</kwd>
<kwd id="path5322-kwd-0007">pulmonary arterial hypertension (PAH)</kwd>
</kwd-group>
<funding-group>
<award-group id="funding-0001">
<funding-source>CVON‐PHAEDRA</funding-source>
</award-group>
<award-group id="funding-0002">
<funding-source>Dutch Lung Foundation (Longfonds)</funding-source>
<award-id>5.2.17.198J0</award-id>
</award-group>
</funding-group>
<counts>
<fig-count count="5"></fig-count>
<table-count count="1"></table-count>
<page-count count="12"></page-count>
<word-count count="7398"></word-count>
</counts>
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<custom-meta>
<meta-name>source-schema-version-number</meta-name>
<meta-value>2.0</meta-value>
</custom-meta>
<custom-meta>
<meta-name>cover-date</meta-name>
<meta-value>November 2019</meta-value>
</custom-meta>
<custom-meta>
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<meta-value>Converter:WILEY_ML3GV2_TO_JATSPMC version:5.7.1 mode:remove_FC converted:13.11.2019</meta-value>
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<notes>
<fn-group id="path5322-ntgp-0001">
<fn id="path5322-note-0001">
<p>No conflicts of interest were declared.</p>
</fn>
</fn-group>
</notes>
</front>
</pmc>
</record>

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