PMID- 29527168 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1663-9812 (Print) IS - 1663-9812 (Electronic) IS - 1663-9812 (Linking) VI - 9 DP - 2018 TI - Cefminox, a Dual Agonist of Prostacyclin Receptor and Peroxisome Proliferator-Activated Receptor-Gamma Identified by Virtual Screening, Has Therapeutic Efficacy against Hypoxia-Induced Pulmonary Hypertension in Rats. PG - 134 LID - 10.3389/fphar.2018.00134 [doi] LID - 134 AB - Prostacyclin receptor (IP) and peroxisome proliferator-activated receptor-gamma (PPARgamma) are both potential targets for treatment of pulmonary arterial hypertension (PAH). Expression of IP and PPARgamma decreases in PAH, suggesting that screening of dual agonists of IP and PPARgamma might be an efficient method for drug discovery. Virtual screening (VS) of potential IP-PPARgamma dual-targeting agonists was performed in the ZINC database. Ten of the identified compounds were further screened, and cefminox was found to dramatically inhibit growth of PASMCs with no obvious cytotoxicity. Growth inhibition by cefminox was partially reversed by both the IP antagonist RO113842 and the PPARgamma antagonist GW9662. Investigation of the underlying mechanisms of action demonstrated that cefminox inhibits the protein kinase B (Akt)/mammalian target of rapamycin (mTOR) signaling pathway through up-regulation of the expression of phosphatase and tensin homolog (PTEN, which is inhibited by GW9662), and enhances cyclic adenosine monophosphate (cAMP) production in PASMCs (which is inhibited by RO113842). In a rat model of hypoxia-induced pulmonary hypertension, cefminox displayed therapeutic efficacy not inferior to that of the prostacyclin analog iloprost or the PPARgamma agonist rosiglitazone. Our results identified cefminox as a dual agonist of IP and PPARgamma that significantly inhibits PASMC proliferation by up-regulation of PTEN and cAMP, suggesting that it has potential for treatment of PAH. FAU - Xia, Jingwen AU - Xia J AD - Department of Pulmonary and Critical Care Medicine, Huashan Hospital, Fudan University, Shanghai, China. FAU - Yang, Li AU - Yang L AD - Department of Anesthesiology, Chongqing Medical University, Chongqing, China. FAU - Dong, Liang AU - Dong L AD - Department of Pulmonary and Critical Care Medicine, Huashan Hospital, Fudan University, Shanghai, China. FAU - Niu, Mengjie AU - Niu M AD - Department of Gastroenterology Medicine, Xi'an Third Hospital, Xi'an, China. FAU - Zhang, Shengli AU - Zhang S AD - Department of Applied Physics, Xi'an Jiaotong University, Xi'an, China. FAU - Yang, Zhiwei AU - Yang Z AD - Department of Applied Physics, Xi'an Jiaotong University, Xi'an, China. FAU - Wumaier, Gulinuer AU - Wumaier G AD - Department of Pulmonary and Critical Care Medicine, Huashan Hospital, Fudan University, Shanghai, China. FAU - Li, Ying AU - Li Y AD - Department of Respiratory Medicine, Shaanxi Provincial Second People's Hospital, Xi'an, China. FAU - Wei, Xiaomin AU - Wei X AD - Department of Pulmonary and Critical Care Medicine, Huashan Hospital, Fudan University, Shanghai, China. FAU - Gong, Yi AU - Gong Y AD - Department of Pulmonary and Critical Care Medicine, Huashan Hospital, Fudan University, Shanghai, China. FAU - Zhu, Ning AU - Zhu N AD - Department of Pulmonary and Critical Care Medicine, Huashan Hospital, Fudan University, Shanghai, China. FAU - Li, Shengqing AU - Li S AD - Department of Pulmonary and Critical Care Medicine, Huashan Hospital, Fudan University, Shanghai, China. LA - eng PT - Journal Article DEP - 20180223 PL - Switzerland TA - Front Pharmacol JT - Frontiers in pharmacology JID - 101548923 PMC - PMC5829529 OTO - NOTNLM OT - cyclic adenosine monophosphate OT - hypoxia-induced pulmonary hypertension OT - peroxisome proliferator-activated receptor-gamma OT - phosphatase and tensin homolog OT - prostacyclin receptor EDAT- 2018/03/13 06:00 MHDA- 2018/03/13 06:01 PMCR- 2018/02/23 CRDT- 2018/03/13 06:00 PHST- 2017/11/24 00:00 [received] PHST- 2018/02/07 00:00 [accepted] PHST- 2018/03/13 06:00 [entrez] PHST- 2018/03/13 06:00 [pubmed] PHST- 2018/03/13 06:01 [medline] PHST- 2018/02/23 00:00 [pmc-release] AID - 10.3389/fphar.2018.00134 [doi] PST - epublish SO - Front Pharmacol. 2018 Feb 23;9:134. doi: 10.3389/fphar.2018.00134. eCollection 2018.