Genomic approaches to research in pulmonary hypertension
© BioMed Central Ltd 2001
Received: 16 February 2001
Accepted: 3 April 2001
Published: 1 May 2001
Genomics, or the study of genes and their function, is a burgeoning field with many new technologies. In the present review, we explore the application of genomic approaches to the study of pulmonary hypertension (PH). Candidate genes, important to the pathobiology of the disease, have been investigated. Rodent models enable the manipulation of selected genes, either by transgenesis or targeted disruption. Mutational analysis of genes in the transforming growth factor-β family have proven pivotal in both familial and sporadic forms of primary PH. Finally, microarray gene expression analysis is a robust molecular tool to aid in delineating the pathobiology of this disease.
Keywordsgenetic mutation knockout mouse microarray pulmonary hypertension transgenic mouse
Pulmonary hypertension (PH) refers to a spectrum of diseases where the pulmonary artery pressure is elevated. A new classification of PH has recently been proposed . No cause can be elucidated in primary (or sporadic, idiopathic) pulmonary hypertension (PPH). Secondary forms of PH can occur in association with congenital heart disease, thromboembolic disease, HIV, anorexigen usage, and a variety of connective tissue disorders. Familial primary pulmonary hypertension (FPPH) has been associated with heterozygous germline mutations in the bone morphogenetic protein type II receptor gene (BMPR2) [2,3]. While this recent discovery has generated extreme interest, the pathobiology of severe PH remains enigmatic. Recent genomic approaches to investigate PH are reviewed. Early studies investigated the alterations of vasoactive and growth factor related genes. Animal models, using either pharmaceutical approaches, transgenics, or targeted disruption of genes, have allowed for whole animal modeling of specific pathways in the development of PH. Progress in medical genetic investigations has lead to the discovery of a gene (BMPR2) associated with FPPH. Finally, microarray expression analysis has been utilized to investigate animal models, and has shown to be a useful tool providing novel information and better characterization of the molecular pathobiology of distinct clinical phenotypes of PH.
Genes involved in the pathobiology of PH
Most investigations of the role of specific genes in the pathobiology of PH have focused either on the balance of vasoconstriction and vasodilation or on specific growth factors, inflammatory mediators, or ion channels. Another approach has been to compartmentalize the vasculature, and focus the investigations on the endothelium, smooth muscle cells, and the adventitia/extracellular matrix. Christman et al initially reported an imbalance of prostacyclin (PGI2) and thromboxane metabolites in the urine of patients with both primary and secondary forms of PH, with more vasoconstrictor thromboxane metabolites in patients with PH . Giaid et al similarly studied the expression of endothelin-1 in the lungs of patients with PH, and showed increased expression by both in situ hybridization and immunohistochemistry . Overexpression of 5-lipoxygenase and 5-lipoxygenase activating protein was shown in endothelial cells of plexiform lesions and inflammatory cells in patients with PPH, suggesting that overexpression of enzymes involved in generation of inflammatory mediators may play a role in the pathogenesis of PPH . As there is an imbalance of PGI2 and thromboxane, we wondered whether PPH patients had diminished synthetic enzyme for PGI2. We demonstrated, by in situ hybridization, western analysis and immunohistochemistry, that patients with PPH have decreased lung tissue prostacyclin synthase (PGIS) . A comprehensive histochemical analysis of plexiform lesions was performed by Cool et al . This analysis showed that the endothelial cells of plexiform lesions express, intensely and uniformly, the vascular endothelial growth factor receptor KDR. The analysis by Cool et al also showed that the cells segregate phenotypically into cyclin-kinase inhibitor p27/kip1-negative cells in the central core of the plexiform lesion and p27/kip1-positive cells in peripheral areas adjacent to incipient blood vessel formation. Using immunohistochemistry and three-dimensional reconstruction techniques, the plexiform lesions were shown to be dynamic vascular structures characterized by at least two endothelial cell phenotypes. Despite these powerful investigations, a unifying pathobiological scheme has remained elusive.
Animal models of PH
Commonly utilized models of PH in animals are the chronic hypoxic model and the monocrotaline model. Interestingly, monocrotaline causes PH in the rat, but not the mouse. Exactly how closely the animal models recapitulate human disease remains a source of debate. These two models have, however, been useful for hypothesis testing and determining the response of genetically altered animals. Several specific genes have been targeted for investigation in rodent models.
Mice with targeted disruption of 5-lipoxygenase were subjected to chronic hypoxia . These mice developed less right ventricular hypertrophy than matched controls, supporting the hypothesis that 5-lipoxygenase is involved in pulmonary vascular tone in rodent hypoxia models.
Nitric oxide synthase
Targeted disruption of the endothelial nitric oxide synthase (eNOS) gene results in mice with increased susceptibility to hypoxic-induced PH . These studies conclude that eNOS-derived nitric oxide is an important modulator of the pulmonary vascular response to chronic hypoxia, and more than 50% of eNOS expression is required to maintain normal pulmonary vascular tone .
PGIS and prostacyclin receptor
We hypothesized that selective pulmonary overexpression of PGIS may prevent the development of PH. Transgenic mice were created with selective pulmonary PGIS overexpression using a construct of the 3.7 kb human surfactant protein-C promoter and the rat PGIS cDNA. Transgenic mice (Tg+) and nontransgenic littermates (Tg–) were subjected to a simulated altitude of 17,000 feet for 5 weeks. After exposure to chronic hypobaric hypoxia, Tg+ mice have lower right ventricular systolic pressure than do Tg– mice. Histologic examination of the lungs revealed nearly normal arteriolar vessels in the Tg+ mice in comparison with vessel wall hypertrophy in the Tg– mice. The Tg+ mice were thus protected from the development of PH after exposure to chronic hypobaric hypoxia. We conclude that PGIS plays a major role in modifying the pulmonary vascular response to chronic hypoxia. Additional data investigating the prostacyclin receptor knockout mice support the important modulating role of PGI2 since chronic hypoxic PH is more severe in these prostacyclin receptor knockout mice when compared with the wild-type animals . This has important implications for the pathogenesis and treatment of severe PH .
Matrix metalloproteinase and serine elastase
Important changes occur in PH in the vascular adventitia, with increased production of the extracellular matrix. Matrix metalloproteinases can stimulate the production of mitogenic co-factors, such as tenascin. Cowan et al recently showed that direct inhibition of serine elastases led to complete regression of pathological changes in experimental PH caused by monocrotaline .
Vascular endothelial growth factor
In contrast to the human disease, classical rodent models of hypoxia and monocrotaline lack the clustered proliferation of endothelial cells. Taraseviciene-Stewart et al recently showed that chronic administration of a vascular endothelial growth factor-2 inhibitor in chronically hypoxic rats lead, first, to endothelial cell death, then to obliteration of the vessel lumen by proliferating endothelial cells and, finally, to PH . A broad spectrum caspase inhibitor blocked this proliferation. This model more accurately depicts the cellular events seen in the human condition.
The promise of gene transfer therapy remains the 'Holy Grail' for many genetic diseases as well as diseases that exhibit a specific enzyme deficiency. PH is no exception. Adenoviral gene transfer has been used in rats to show diminished response to acute hypoxia. This has been accomplished by transfer of eNOS  and by gene therapy with PGIS . Long-term benefit in chronic hypoxia has not been reported. Repeated adenoviral PGIS transfection has shown some effectiveness in decreasing PH in rats using the monocrotaline model .
Microarray expression analysis of animal models
Genes demonstrating the most significant changes in expression
Genes with significantly
Genes with significantly
Focal adhesion kinase
Multidrug resistance protein
Keratinocyte growth factor receptor
Epidermal growth factor
TGF-β and TGF-β receptor
IL-7 and IL-17 receptors
Wilm's tumor gene
Cathepsins C, D, and E
Array analysis importantly demonstrated changes in both peroxisome proliferator-activated receptor (PPAR) λ and PPAR δ, and we have followed up these studies with work demonstrating that prostacyclin activates PPAR δ in colorectal cancer . Histochemical analysis in human colorectal tumors demonstrated colocalization of PPAR δ and cyclooxygenase-2. An experimental condition was created in which PGI2 production could be correlated with PPAR δ transcriptional activity. Transient transfection assays established that endogenously synthesized PGI2 could serve as a ligand for PPAR δ. A stable PGI2 analog also induces transactivation of PPAR δ in human colon cancer cells, demonstrating that endogenous PPAR δ is transcriptionally responsive to PGI2 .
Human medical genetics
FPPH is an autosomal dominant disorder that is indistinguishable from sporadic PPH. The disease has reduced penetrance, and over 90% of patients have no known family history of the disease . Linkage analysis in affected families enabled the locus to be defined within a 3 cM region of chromosome 2q33. Using a positional candidate-gene strategy, two groups were subsequently able to independently confirm that heterozygous germline mutations in BMPR2 cause FPPH [2,3]. Using a high-throughput denaturing high-performance liquid chromatography approach  has enabled the rapid identification of numerous mutations responsible for haploinsufficiency of BMPR2 . Furthermore, germline mutations of BMPR2 have also been identified in ~26% of sporadic cases of PPH . 'Sporadic' cases sometimes actually represented occult familial cases of PPH . The molecular spectrum of BMPR2 mutations is more fully elucidated in an analysis of 47 European families . The majority of mutations (58%) are predicted to lead to premature termination codons. However, mutations in BMPR2 have not been found in 45% of families with PPH . A number of possible explanations for this fact are possible, including mutations in intronic and 3'-untranslated regions that are heretofore not examined, rearrangements in the transcribed gene that may occur, or genetic heterogeneity perhaps playing a role.
BMPR2 encodes a type II receptor member of the transforming growth factor-β (TGF-β) superfamily. Type II receptors, which have serine/threonine kinase activity, act as cell-signaling molecules. Following ligand binding, type II receptors form heteromeric complexes with membrane-bound type I receptors. This initiates phosphorylation of the type I receptor and downstream intracellular Smads . This pathway is diverse and the specificity in cell growth and differentiation appears to be mediated through transcriptional control. The importance of the TGF-β pathway in vascular disorders is evidenced by the fact that two other components of this pathway, endoglin and the activin receptor-like kinase-1 gene, are mutated in hereditary hemorrhagic telangectasia [24,25].
Lee et al  recently demonstrated that the endothelial cells within plexiform lesions of patients with PPH expand in a monoclonal fashion, whereas secondary PH lesions develop via polyclonal expansion of endothelial cells [26,27]. The finding of monoclonal growth implies that, as in neoplasia, genetic mutations may occur which provide a selective growth advantage for a single endothelial cell. The TGF-β family of signaling molecules inhibits the proliferation of endothelial cells by modulating proteins involved in cell cycle control and angiogenesis . Mutations in TGF-β signaling molecules have been implicated in initiation and progression of cancers and atherosclerotic plaques, because insertions or deletions within a 10-adenine microsatellite region in exon 3 of the TGF-βRII gene have been demonstrated [28,29]. An 8-guanine region within exon 3 of Bax, a proapoptotic member of the Bcl-2 gene family, is similarly prone to instability .
To investigate whether cells within plexiform lesions exhibit microsatellite instability and mutations in TGF-microsatellite instability signaling genes, Yeager et al performed microdissection of plexiform lesions from patients with sporadic PPH and those with secondary forms of PH . The results showed that: first, the endothelial cells within PPH lesions are genetically unstable, with 50% of lesions demonstrating microsatellite instability; second, one-third of the lesions from PPH show mutation of at least one allele of TGF-βRII, but none of the secondary PH or normal lungs display mutations; and, finally, 21% percent of lesions in PPH show Bax mutations, whereas none of the secondary PH or normals show this mutation. Furthermore, we have performed mutational analysis of the microdissected plexiform lesions from five patients with FPPH. In total, 22 lesions from 5 patients were analyzed for mutations of TGF-βRII and Bax. We report here that none of the 22 lesions examined showed mutations of TGF-βRII or Bax, in contrast to the lesions of patients with spontaneous PPH. In summary, the monoclonal expansion of endothelial cells seen in sporadic PPH may result from mutations in regulatory genes such as TGF-βRII and Bax.
Expression analysis of human PPH
Gene microarray technology  now permits the analysis of the gene expression profile of lung tissue obtained from patients with primary PH to compare with that found in normal lung tissue. Because the vascular lesions are homogeneously distributed throughout the entire lung, a tissue fragment of the lung is probably representative of the whole lung. RNA extracted from such fragments is likely to provide meaningful information regarding the changes in gene expression pattern in PPH when compared with structurally normal lung tissue. We can model the range of normality by examining a sufficient number of lung tissue samples. Methods exist for determining coordination in expression data using cluster expression profiles. Cluster analysis can give clues to the pathogenesis by displaying genes whose expression is altered in a coordinate manner. Finally, an important goal is to discern sets of genes that differentiate between normal and disease states — or discrimination analysis. Building discrimination models has a long history in statistical pattern recognition and machine learning, and has been applied to cancer paradigms using gene expression data . For our study, we used Affymetrix oligonucleotide microarrays (human FL) to characterize the expression pattern in the lung tissue obtained from six patients with PPH, including two patients with FPPH, and from six patients with histologically normal lungs .
Genomic approaches to the investigation of PH in animals or relevant tissues have vastly expanded our knowledge about the pathobiology of pulmonary hypertensive diseases. Human genetic analysis will undoubtedly expand and discover further gene mutations involved in the pathogenesis of PH. Gene expression profiling of different animal models of PH, and comparison of these profiles with human PH, will assist in determining the complex pathways that comprise the response that we term 'pulmonary hypertensive tissue remodeling'.
bone morphogenetic protein type II receptor gene
endothelial nitric oxide synthase
familial primary pulmonary hypertension
peroxisome proliferator-activated receptor
primary pulmonary hypertension
Tg– = transgenic, nontransgenic littermate
transforming growth factor-β.
This work was supported by the NHLBI Grant HL60913-01 and by a grant from the Kinner-Wisham Family Foundation. The authors wish to thank James Campbell for supporting the establishment of the UCHSC Microarray Facility. The gene expression analysis was performed at the University of Colorado Comprehensive Cancer Center Gene Expression Core Facility.
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