PMID- 34805208 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20211123 IS - 2296-858X (Print) IS - 2296-858X (Electronic) IS - 2296-858X (Linking) VI - 8 DP - 2021 TI - Novel Targets in a High-Altitude Pulmonary Hypertension Rat Model Based on RNA-seq and Proteomics. PG - 742436 LID - 10.3389/fmed.2021.742436 [doi] LID - 742436 AB - High-altitude pulmonary hypertension (HAPH) is a complication arising from an inability to acclimatize to high altitude and is associated with high morbidity and mortality. We aimed to analyze the effects of macitentan, selexipag, riociguat, and reoxygenation on HAPH, and to screen possible targets of these treatments for future drug screening. Rats were subjected to hypobaric hypoxia for 35 days to induce HAPH, and treated with vehicle or selexipag, macitentan, riociguat, or with reoxygenation, from days 21 to 35. Selexipag, macitentan, and reoxygenation prevented an increase in mean pulmonary artery pressure and hypoxia-induced right ventricular hypertrophy, compared to the vehicle. Riociguat had little effect. RNA-seq and proteomics revealed strong correlations between responses to the three drugs, which had almost identical effects. GO-enrichment revealed that the differentially expressed genes included those involved in metabolic regulation, transcription, and translation. Various molecular pathways were annotated. Selexipag, macitentan, and reoxygenation ameliorated HAPH. Serpina1, Cryz, and Cmc1 were identified, via multi-omics screening, as key genes involved in HAPH. These findings provide new insights into the targeted drug mechanisms in HAPH. CI - Copyright (c) 2021 Xu, Li, Wei, Li, Shen, Guo, Chen, He and Liu. FAU - Xu, Xiang AU - Xu X AD - Laboratory of Translational Medicine, Medical Innovation Research Division of Chinese PLA General Hospital, Beijing, China. FAU - Li, Hanlu AU - Li H AD - Laboratory of Translational Medicine, Medical Innovation Research Division of Chinese PLA General Hospital, Beijing, China. FAU - Wei, Qingxia AU - Wei Q AD - Laboratory of Translational Medicine, Medical Innovation Research Division of Chinese PLA General Hospital, Beijing, China. FAU - Li, Xin AU - Li X AD - Laboratory of Translational Medicine, Medical Innovation Research Division of Chinese PLA General Hospital, Beijing, China. AD - Beijing Key Laboratory of Chronic Heart Failure Precision Medicine, Chinese PLA General Hospital, Beijing, China. FAU - Shen, Yanying AU - Shen Y AD - Laboratory of Translational Medicine, Medical Innovation Research Division of Chinese PLA General Hospital, Beijing, China. FAU - Guo, Ge AU - Guo G AD - Laboratory of Translational Medicine, Medical Innovation Research Division of Chinese PLA General Hospital, Beijing, China. FAU - Chen, Yibing AU - Chen Y AD - Laboratory of Translational Medicine, Medical Innovation Research Division of Chinese PLA General Hospital, Beijing, China. FAU - He, Kunlun AU - He K AD - Laboratory of Translational Medicine, Medical Innovation Research Division of Chinese PLA General Hospital, Beijing, China. AD - Beijing Key Laboratory of Chronic Heart Failure Precision Medicine, Chinese PLA General Hospital, Beijing, China. FAU - Liu, Chunlei AU - Liu C AD - Laboratory of Translational Medicine, Medical Innovation Research Division of Chinese PLA General Hospital, Beijing, China. AD - Beijing Key Laboratory of Chronic Heart Failure Precision Medicine, Chinese PLA General Hospital, Beijing, China. LA - eng PT - Journal Article DEP - 20211103 PL - Switzerland TA - Front Med (Lausanne) JT - Frontiers in medicine JID - 101648047 PMC - PMC8595261 OTO - NOTNLM OT - RNA-seq OT - high-altitude pulmonary hypertension OT - macitentan OT - proteomics OT - reoxygenation OT - selexipag COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2021/11/23 06:00 MHDA- 2021/11/23 06:01 PMCR- 2021/11/03 CRDT- 2021/11/22 06:53 PHST- 2021/07/16 00:00 [received] PHST- 2021/10/11 00:00 [accepted] PHST- 2021/11/22 06:53 [entrez] PHST- 2021/11/23 06:00 [pubmed] PHST- 2021/11/23 06:01 [medline] PHST- 2021/11/03 00:00 [pmc-release] AID - 10.3389/fmed.2021.742436 [doi] PST - epublish SO - Front Med (Lausanne). 2021 Nov 3;8:742436. doi: 10.3389/fmed.2021.742436. eCollection 2021.