PMID- 33090046 OWN - NLM STAT- MEDLINE DCOM- 20210512 LR - 20211204 IS - 1557-8682 (Electronic) IS - 1527-0297 (Linking) VI - 21 IP - 4 DP - 2020 Dec TI - Oxidative and Endoplasmic Reticulum Stress Responses to Chronic High-Altitude Exposure During the Development of High-Altitude Pulmonary Hypertension. PG - 378-387 LID - 10.1089/ham.2019.0143 [doi] AB - Pu, Xiaoyan, Xue Lin, Xianglan Duan, Junjie Wang, Jun Shang, Haixia Yun, and Zhi Chen. Oxidative and endoplasmic reticulum stress responses to chronic high-altitude exposure during the development of high-altitude pulmonary hypertension. High Alt Med Biol. 21:378-387, 2020. Objectives: To investigate the effect of endoplasmic reticulum (ER) stress during the development of high-altitude pulmonary hypertension (HAPH) after chronic high-altitude exposure, as well as the association between oxidative stress and ER stress. Methods: Forty male Sprague-Dawley rats were placed in a low-pressure chamber with a simulated altitude of 4,200 m for 0-28 days. Rats were chosen at random on days 0, 7, 14, and 28 of chronic high-altitude exposure and were examined for pulmonary arterial pressure, oxidative stress, apoptosis, and ER stress. Results: Chronic high-altitude exposure caused a continuous deterioration of pulmonary hypertension, which was accompanied by obvious apoptosis of alveolar epithelial cells and remodeling of pulmonary vessels. From day 7 of high-altitude exposure, although the activities of glutathione peroxidase and superoxide dismutase were gradually decreased, the generation of both malondialdehyde and reactive oxygen species was increased in a time-dependent manner. The protein expression of ER stress-related GRP78, PERK, IRE1alpha, ATF6, ATF4, CHOP, and caspase-12 in lung tissue was significantly upregulated from day 14 of high-altitude exposure. Further, the expression of caspase-12 in alveolar epithelial cells and vascular smooth muscle cells was also increased from day 14 of high-altitude exposure. Conclusions: Early high-altitude exposure first activates oxidative stress; then, it gradually activates ER stress. The activation of ER stress might promote the apoptosis of alveolar epithelial cells and the remodeling of pulmonary vessels by exacerbating the oxidative stress response during the development of HAPH after chronic high-altitude exposure. FAU - Pu, Xiaoyan AU - Pu X AD - School of Life Science, Qinghai Normal University, Xining, China. AD - Medical College, Qinghai University, Xining, China. FAU - Lin, Xue AU - Lin X AD - Medical College, Qinghai University, Xining, China. FAU - Duan, Xianglan AU - Duan X AD - School of Life Science, Qinghai Normal University, Xining, China. FAU - Wang, Junjie AU - Wang J AD - School of Life Science, Qinghai Normal University, Xining, China. FAU - Shang, Jun AU - Shang J AD - School of Life Science, Qinghai Normal University, Xining, China. FAU - Yun, Haixia AU - Yun H AD - School of Life Science, Qinghai Normal University, Xining, China. FAU - Chen, Zhi AU - Chen Z AD - School of Life Science, Qinghai Normal University, Xining, China. LA - eng PT - Journal Article DEP - 20201021 PL - United States TA - High Alt Med Biol JT - High altitude medicine & biology JID - 100901183 RN - EC 2.7.11.1 (Protein Serine-Threonine Kinases) RN - EC 3.1.- (Endoribonucleases) SB - IM MH - Altitude MH - Animals MH - Apoptosis MH - *Endoplasmic Reticulum Stress MH - Endoribonucleases MH - *Hypertension, Pulmonary/etiology MH - Male MH - Oxidative Stress MH - Protein Serine-Threonine Kinases MH - Rats MH - Rats, Sprague-Dawley OTO - NOTNLM OT - apoptosis OT - chronic high-altitude exposure OT - endoplasmic reticulum OT - high-altitude pulmonary hypertension OT - oxidative stress OT - pulmonary vessels remodeling EDAT- 2020/10/23 06:00 MHDA- 2021/05/13 06:00 CRDT- 2020/10/22 12:15 PHST- 2020/10/23 06:00 [pubmed] PHST- 2021/05/13 06:00 [medline] PHST- 2020/10/22 12:15 [entrez] AID - 10.1089/ham.2019.0143 [doi] PST - ppublish SO - High Alt Med Biol. 2020 Dec;21(4):378-387. doi: 10.1089/ham.2019.0143. Epub 2020 Oct 21.