Activation of Lung p53 by Nutlin-3a Prevents and Reverses Experimental Pulmonary Hypertension.

Abstract : BACKGROUND: Induction of cellular senescence through activation of the p53 tumor suppressor protein is a new option for treating proliferative disorders. Nutlins prevent the ubiquitin ligase MDM2 (murine double minute 2), a negative p53 regulator, from interacting with p53. We hypothesized that cell senescence induced by Nutlin-3a exerted therapeutic effects in pulmonary hypertension (PH) by limiting the proliferation of pulmonary artery smooth muscle cells (PA-SMCs). METHODS AND RESULTS: Nutlin-3a treatment of cultured human PA-SMCs resulted in cell growth arrest with the induction of senescence but not apoptosis; increased phosphorylated p53 protein levels; and expression of p53 target genes including p21, Bax, BTG2, and MDM2. Daily intraperitoneal Nutlin-3a treatment for 3 weeks dose-dependently reduced PH, right ventricular hypertrophy, and distal pulmonary artery muscularization in mice exposed to chronic hypoxia or SU5416/hypoxia. Nutlin-3a treatment also partially reversed PH in chronically hypoxic or transgenic mice overexpressing the serotonin-transporter in SMCs (SM22-5HTT+ mice). In these mouse models of PH, Nutlin-3a markedly increased senescent p21-stained PA-SMCs; lung p53, p21, and MDM2 protein levels; and p21, Bax, PUMA, BTG2, and MDM2 mRNA levels; but induced only minor changes in control mice without PH. Marked MDM2 immunostaining was seen in both mouse and human remodeled pulmonary vessels, supporting the use of Nutlins as a PH-targeted therapy. PH prevention or reversal by Nutlin-3a required lung p53 stabilization and increased p21 expression, as indicated by the absence of Nutlin-3a effects in hypoxia-exposed p53(-/-) and p21(-/-) mice. CONCLUSIONS: Nutlin-3a may hold promise as a prosenescence treatment targeting PA-SMCs in PH.
Type de document :
Article dans une revue
Circulation, American Heart Association, 2013, 127 (16), pp.1664-76. 〈10.1161/CIRCULATIONAHA.113.002434〉
Liste complète des métadonnées
Contributeur : Georges Guellaen <>
Soumis le : dimanche 1 septembre 2013 - 07:00:16
Dernière modification le : mardi 17 juillet 2018 - 15:49:39
Document(s) archivé(s) le : lundi 2 décembre 2013 - 08:55:16


Fichiers produits par l'(les) auteur(s)




Nathalie Mouraret, Elisabeth Marcos, Shariq Abid, Guillaume Gary-Bobo, Mirna Saker, et al.. Activation of Lung p53 by Nutlin-3a Prevents and Reverses Experimental Pulmonary Hypertension.. Circulation, American Heart Association, 2013, 127 (16), pp.1664-76. 〈10.1161/CIRCULATIONAHA.113.002434〉. 〈inserm-00829264〉



Consultations de la notice


Téléchargements de fichiers