PMID- 32142369 OWN - NLM STAT- MEDLINE DCOM- 20201013 LR - 20230704 IS - 1535-4989 (Electronic) IS - 1044-1549 (Print) IS - 1044-1549 (Linking) VI - 63 IP - 1 DP - 2020 Jul TI - Direct Extracellular NAMPT Involvement in Pulmonary Hypertension and Vascular Remodeling. Transcriptional Regulation by SOX and HIF-2alpha. PG - 92-103 LID - 10.1165/rcmb.2019-0164OC [doi] AB - We previously demonstrated involvement of NAMPT (nicotinamide phosphoribosyltransferase) in pulmonary arterial hypertension (PAH) and now examine NAMPT regulation and extracellular NAMPT's (eNAMPT's) role in PAH vascular remodeling. NAMPT transcription and protein expression in human lung endothelial cells were assessed in response to PAH-relevant stimuli (PDGF [platelet-derived growth factor], VEGF [vascular endothelial growth factor], TGF-beta1 [transforming growth factor-beta1], and hypoxia). Endothelial-to-mesenchymal transition was detected by SNAI1 (snail family transcriptional repressor 1) and PECAM1 (platelet endothelial cell adhesion molecule 1) immunofluorescence. An eNAMPT-neutralizing polyclonal antibody was tested in a PAH model of monocrotaline challenge in rats. Plasma eNAMPT concentrations, significantly increased in patients with idiopathic pulmonary arterial hypertension, were highly correlated with indices of PAH severity. eNAMPT increased endothelial-to-mesenchymal transition, and each PAH stimulus significantly increased endothelial cell NAMPT promoter activity involving transcription factors STAT5 (signal transducer and activator of transcription 5), SOX18 (SRY-box transcription factor 18), and SOX17 (SRY-box transcription factor 17), a PAH candidate gene newly defined by genome-wide association study. The hypoxia-induced transcription factor HIF-2alpha (hypoxia-inducible factor-2alpha) also potently regulated NAMPT promoter activity, and HIF-2alpha binding sites were identified between -628 bp and -328 bp. The PHD2 (prolyl hydroxylase domain-containing protein 2) inhibitor FG-4592 significantly increased NAMPT promoter activity and protein expression in an HIF-2alpha-dependent manner. Finally, the eNAMPT-neutralizing polyclonal antibody significantly reduced monocrotaline-induced vascular remodeling, PAH hemodynamic alterations, and NF-kappaB activation. eNAMPT is a novel and attractive therapeutic target essential to PAH vascular remodeling. FAU - Sun, Xiaoguang AU - Sun X AUID- ORCID: 0000-0003-4226-8294 AD - Department of Medicine. FAU - Sun, Belinda L AU - Sun BL AD - Department of Pathology, and. FAU - Babicheva, Aleksandra AU - Babicheva A AD - Department of Medicine. FAU - Vanderpool, Rebecca AU - Vanderpool R AD - Department of Medicine. FAU - Oita, Radu C AU - Oita RC AUID- ORCID: 0000-0003-1378-8936 AD - Department of Medicine. FAU - Casanova, Nancy AU - Casanova N AD - Department of Medicine. FAU - Tang, Haiyang AU - Tang H AD - Department of Medicine. FAU - Gupta, Akash AU - Gupta A AD - Department of Medicine. FAU - Lynn, Heather AU - Lynn H AUID- ORCID: 0000-0001-8259-2326 AD - Department of Medicine. FAU - Gupta, Geetanjali AU - Gupta G AD - Department of Medicine. FAU - Rischard, Franz AU - Rischard F AD - Department of Medicine. FAU - Sammani, Saad AU - Sammani S AD - Department of Medicine. FAU - Kempf, Carrie L AU - Kempf CL AD - Department of Medicine. FAU - Moreno-Vinasco, Liliana AU - Moreno-Vinasco L AD - Department of Medicine. FAU - Ahmed, Mohamed AU - Ahmed M AD - Department of Pediatrics, University of Arizona Health Sciences, Tucson, Arizona. FAU - Camp, Sara M AU - Camp SM AD - Department of Medicine. FAU - Wang, Jian AU - Wang J AD - Department of Medicine. FAU - Desai, Ankit A AU - Desai AA AD - Department of Medicine. FAU - Yuan, Jason X-J AU - Yuan JX AD - Department of Medicine. FAU - Garcia, Joe G N AU - Garcia JGN AUID- ORCID: 0000-0002-6934-0420 AD - Department of Medicine. LA - eng GR - R01 HL141387/HL/NHLBI NIH HHS/United States GR - P30 CA023074/CA/NCI NIH HHS/United States GR - P01 HL134610/HL/NHLBI NIH HHS/United States GR - P30 ES006694/ES/NIEHS NIH HHS/United States GR - P50 HL073994/HL/NHLBI NIH HHS/United States GR - R01 HL136603/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PL - United States TA - Am J Respir Cell Mol Biol JT - American journal of respiratory cell and molecular biology JID - 8917225 RN - 0 (Basic Helix-Loop-Helix Transcription Factors) RN - 0 (Cytokines) RN - 0 (SOX Transcription Factors) RN - 1B37H0967P (endothelial PAS domain-containing protein 1) RN - EC 2.4.2.12 (Nicotinamide Phosphoribosyltransferase) RN - EC 2.4.2.12 (nicotinamide phosphoribosyltransferase, human) SB - IM MH - Animals MH - Basic Helix-Loop-Helix Transcription Factors/*genetics MH - Cells, Cultured MH - Cytokines/*genetics MH - Disease Models, Animal MH - Endothelial Cells/pathology MH - Female MH - Gene Expression Regulation/genetics MH - Humans MH - Hypertension, Pulmonary/*genetics MH - Male MH - Nicotinamide Phosphoribosyltransferase/*genetics MH - Rats MH - SOX Transcription Factors/*genetics MH - Transcription, Genetic/*genetics MH - Vascular Remodeling/*genetics PMC - PMC7328254 OTO - NOTNLM OT - endothelial-to-mesenchymal transition OT - hypoxia-inducible factor-2alpha OT - nicotinamide phosphoribosyltransferase OT - promoter activity OT - pulmonary arterial hypertension EDAT- 2020/03/07 06:00 MHDA- 2020/10/21 06:00 PMCR- 2021/07/01 CRDT- 2020/03/07 06:00 PHST- 2020/03/07 06:00 [pubmed] PHST- 2020/10/21 06:00 [medline] PHST- 2020/03/07 06:00 [entrez] PHST- 2021/07/01 00:00 [pmc-release] AID - 10.1165/rcmb.2019-0164OC [doi] PST - ppublish SO - Am J Respir Cell Mol Biol. 2020 Jul;63(1):92-103. doi: 10.1165/rcmb.2019-0164OC.