The Aryl-hydrocarbon Receptor Expression in Patients of Pulmonary Arterial Hypertension Associated With Congenital Heart Disease and its Relationship to Pulmonary Vascular Remodeling
10.3969/j.issn.1000-3614.2015.10.011
- VernacularTitle:先天性心脏病相关性肺动脉高压肺组织芳香烃受体的表达及其与肺血管重构的相关性研究
- Author:
Peng LUO
;
Lingpin PANG
;
Yuancong WU
;
Puwen CHEN
;
Xiulong ZHU
;
Qiang CHEN
;
Shian HUANG
;
Jianguo HE
- Publication Type:Journal Article
- Keywords:
Pulmonary arterial hypertension associated with congenital heart disease;
Aryl-hydrocarbon receptor
- From:
Chinese Circulation Journal
2015;(10):971-975
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To study if there is an aryl-hydrocarbon receptor (AHR) expression in patients of pulmonary arterial hypertension associated with congenital heart disease (CHD-PAH) and to explore if the amount of AHR expression related to pulmonary vascular remodeling.
Methods:A total of 32 CHD-PAH patients diagnosed by echocardiography and right heart catheterization for surgical repair were enrolled, and the lung tissue biopsy was performed during the operation. The pulmonaryAHR was detected by immunolfuorescence assay, the ratios of vessel wall area/total area (WA/TA) and vessel wall thickness/vessel external diameter (WD/TD) of small pulmonary arteries were calculated with the imaging software, the mRNA expression of AHR, hypoxia-inducible factor-1α (HIF-1α), aryl-hydrocarbon receptor nuclear translocator (ARNT) and vascular endothelial growth factor (VEGF) were examined by RT-PCR. In addition, blood level of AHR was measured by ELISA.
Results: There was AHR expression in pulmonary tissue in all 32 patients. And AHR mRNA expressions were positively related to mPAP (r=0.809,P<0.001), WA/TA (r=0.723,P<0.001), WD/TD (r=0.746,P<0.001); and positively related to mRNA expressions of HIF-1α (r=0.889,P<0.001), ARNT (r=0.738,P<0.001), VEGF (r=0.822,P<0.001). Pulmonary tissue VEGF mRNA expressions were positively related to mPAP (r=0.739,P<0.001), WD/TD (r=0.702,P<0.001) and WA/TA (r=0.657,P<0.001). Blood levels of AHR were positively related to mPAP (r=0.754,P<0.001), WD/TD (r=0.754, P<0.001) and WA/TA (r=0.739,P<0.001).
Conclusion: AHR might be involved in pulmonary vascular remodeling in CHD-PAHpatients.
