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Arteriosclerosis, Thrombosis, and Vascular Biology. 2005;25:519-525
Published online before print December 23, 2004, doi: 10.1161/01.ATV.0000154279.98244.eb
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(Arteriosclerosis, Thrombosis, and Vascular Biology. 2005;25:519.)
© 2005 American Heart Association, Inc.


Vascular Biology

Human Urotensin II Is a Novel Activator of NADPH Oxidase in Human Pulmonary Artery Smooth Muscle Cells

Talija Djordjevic; Rachida S. BelAiba; Steve Bonello; Josef Pfeilschifter; John Hess; Agnes Görlach

From Experimental Pediatric Cardiology (T.D., R.S.B.A., S.B., J.H., A.G.), Clinic for Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich at the Technical University of Munich, Germany, and Pharmazentrum Frankfurt (J.P.), University of Frankfurt, Frankfurt, Germany.

Correspondence to Agnes Görlach, MD, Experimental Pediatric Cardiology, Clinic for Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich at TU Munich, Lazarettstr 36, D-80636 Munich, Germany. E-mail goerlach{at}dhm.mhn.de

Background— Human urotensin II (hU-II) is a potent vasoactive peptide possibly involved in pulmonary hypertension. Because the signaling mechanisms activated by this peptide in the pulmonary vasculature are largely unknown, we investigated the role of hU-II in the activation of NADPH oxidase and the control of redox-sensitive kinase pathways, expression of plasminogen activator inhibitor-1 (PAI-1), and proliferation in pulmonary artery smooth muscle cells (PASMCs).

Methods and Results— hU-II upregulated expression of the NADPH oxidase subunits p22phox and NOX4 and increased the levels of reactive oxygen species (ROS), which were abrogated by transfecting p22phox or NOX4 antisense vectors. p22phox and NOX4 also contributed to hU-II–induced activation of extracellular signal–regulated kinase 1/2, p38 mitogen-activated protein kinase, c-Jun N-terminal kinase, and protein kinase B (Akt). Furthermore, hU-II increased the expression of PAI-1 and enhanced PASMC proliferation in an NADPH oxidase– and kinase-dependent manner.

Conclusions— hU-II is a potent activator of ROS generation by NADPH oxidase in PASMCs, leading to redox-sensitive activation of mitogen-activated protein kinases and Akt and subsequently to enhanced PAI-1 expression and increased proliferation. These findings suggest that hU-II may play a novel role in pulmonary hypertension by promoting remodeling processes via activation of NADPH oxidases.

Human urotensin-II (hU-II) is a potent vasoactive peptide with largely unknown effects on pulmonary artery smooth muscle cells. hU-II activated NADPH oxidase and elevated the levels of p22phox and NOX4, leading to enhanced phosphorylation of MAP kinases and protein kinase B and subsequently increased PAI-1 expression and cell proliferation.


Key Words: reactive oxygen species • p22phox • NOX4 • urotensin II • plasminogen activator inhibitor-1




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