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Qin Y, Hochkogler K, Lehmann L, Klop M, Mayer Z, Holdenrieder S, Wolf C, Lahm H, Dressen M, Lange R, Petry A, Goerlach A. A miRNA derived from the 17/92 cluster is a novel player in programming pulmonary hypertension in response to gestational hypoxia via NADPH oxidases and the mTOR pathway. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.3065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Gestational hypoxia can lead to intrauterine growth restriction (IUGR) and programming of cardiovascular diseases in adulthood via different, although not completely understood, epigenetic mechanisms. We have previously shown that reactive oxygen species (ROS) derived from NADPH oxidases contribute to hypoxia induced pulmonary hypertension (PH). However, their role in disease programming by gestational hypoxia is not resolved.
Purpose
We aimed to elucidate the role of NADPH oxidases and redox sensitive miRNAs in the cardiovascular response of adult offspring to transient gestational hypoxia.
Methods
Wildtype (WT) and nmf333 mice, lacking a functional p22phox dependent NADPH oxidase, were exposed to gestational hypoxia from E10.5 to E11.5. Embryos and adult offspring were analyzed by functional, immunohistochemical and molecular methods including mRNA and miRNA profiling. miRNA mimics or inhibitors were applied in vivo and in vitro using embryoid bodies (EBs). Heart samples from patients with right heart disease associated with congenital heart disease (CHD) were used to validate target miRNA expression.
Results
Transient gestational hypoxia was sufficient to induce IUGR in embryos and pulmonary hypertension (PH) characterized by right ventricular hypertrophy, increased right ventricular pressure and pulmonary vascular remodeling in adult offspring from WT mice while p22phox-deficient nmf333 mice were protected. Cardiac mRNA and miRNA profiling followed by qPCR validation identified several single miRNAs derived from the 17/92 miRNA cluster as downregulated by gestational hypoxia and NADPH oxidases in embryos and adult offspring hearts. In vitro analyses using EBs validated a single miRNA from this cluster to be sufficient to induce cardiac differentiation in response to hypoxia and p22phox, and target analyses identified the mTOR pathway as dysregulated. Treatment with an inhibitor targeting this miRNA was sufficient to induce PH in adult mice, while treating offspring derived from gestational hypoxia pregnancies with an miRNA mimic prevented the development of PH in the adult and dysregulation of the mTOR pathway. Importantly, expression of this single miRNA from the miRNA 17/92 cluster was negatively correlated to right ventricular pressure in CHD patients.
Conclusions
In this study, we demonstrate that gestational hypoxia programs PH in adulthood by upregulating NADPH oxidases and downregulating miRNAs derived from the 17/92 cluster subsequently affecting the mTOR pathway. Since dysregulation of a single miRNA from this cluster induced not only PH but was also associated with right ventricular pressure in CHD patients, these findings might open novel options for diagnosis, prevention and treatment of right heart disease.
Funding Acknowledgement
Type of funding sources: Public Institution(s). Main funding source(s): DZHK (German Centre for Cardiovascular Research)
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Affiliation(s)
- Y Qin
- German Heart Center Muenchen Technical University of Munich, Experimental and Molecular Pediatric Cardiology , Munich , Germany
| | - K Hochkogler
- German Heart Center Muenchen Technical University of Munich, Experimental and Molecular Pediatric Cardiology , Munich , Germany
| | - L Lehmann
- German Heart Center Muenchen Technical University of Munich, Experimental and Molecular Pediatric Cardiology , Munich , Germany
| | - M Klop
- German Heart Center Muenchen Technical University of Munich, Experimental and Molecular Pediatric Cardiology , Munich , Germany
| | - Z Mayer
- German Heart Center Muenchen Technical University of Munich, Institute of Laboratory Medicine , Munich , Germany
| | - S Holdenrieder
- German Heart Center Muenchen Technical University of Munich, Institute of Laboratory Medicine , Munich , Germany
| | - C Wolf
- German Heart Center Muenchen Technical University of Munich, Department of Congenital Heart Defects and Pediatric Cardiology , Munich , Germany
| | - H Lahm
- German Heart Center Muenchen Technical University of Munich, Department of Cardiovascular Surgery , Munich , Germany
| | - M Dressen
- German Heart Center Muenchen Technical University of Munich, Department of Cardiovascular Surgery , Munich , Germany
| | - R Lange
- German Heart Center Muenchen Technical University of Munich, Department of Cardiovascular Surgery , Munich , Germany
| | - A Petry
- German Heart Center Muenchen Technical University of Munich, Experimental and Molecular Pediatric Cardiology , Munich , Germany
| | - A Goerlach
- German Heart Center Muenchen Technical University of Munich, Experimental and Molecular Pediatric Cardiology , Munich , Germany
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My I, Laue S, Dressen M, Schmidt F, Brade T, Dorn T, Goedel A, Lahm H, Lickert H, Krane M, Moretti A, Laugwitz KL. P1848Primary cilium-autophagy-cell cycle axis defects impair cardiac progenitor specification in hypoplastic left heart syndrome. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p1848] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- I My
- Hospital Rechts der Isar, Molecular Cardiology, first department of medicine, TU, Munich, Germany
| | - S Laue
- Hospital Rechts der Isar, Molecular Cardiology, first department of medicine, TU, Munich, Germany
| | - M Dressen
- Deutsches Herzzentrum Technische Universitat, Department of cardiovascular surgery, division of experimental surgery, Munich, Germany
| | - F Schmidt
- Helmholtz Center Munich - German Research Center for Environment and Health, Institute of diabetes and regeneration research, Munich, Germany
| | - T Brade
- Hospital Rechts der Isar, Molecular Cardiology, first department of medicine, TU, Munich, Germany
| | - T Dorn
- Hospital Rechts der Isar, Molecular Cardiology, first department of medicine, TU, Munich, Germany
| | - A Goedel
- Hospital Rechts der Isar, Molecular Cardiology, first department of medicine, TU, Munich, Germany
| | - H Lahm
- Deutsches Herzzentrum Technische Universitat, Department of cardiovascular surgery, division of experimental surgery, Munich, Germany
| | - H Lickert
- Helmholtz Center Munich - German Research Center for Environment and Health, Institute of diabetes and regeneration research, Munich, Germany
| | - M Krane
- Deutsches Herzzentrum Technische Universitat, Department of cardiovascular surgery, division of experimental surgery, Munich, Germany
| | - A Moretti
- Hospital Rechts der Isar, Molecular Cardiology, first department of medicine, TU, Munich, Germany
| | - K.-L Laugwitz
- Hospital Rechts der Isar, Molecular Cardiology, first department of medicine, TU, Munich, Germany
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Zhang Z, Mannhardt I, Dressen M, Neb I, Doppler S, Deutsch MA, Lahm H, Lange R, Hansen A, Krane M. 5331Functional analysis of induced pluripotent stem cell-derived cardiomyocytes from patients with hypoplastic left heart syndrome in engineered heart tissues. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy566.5331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Z Zhang
- German Heart Center of Munich, Adult and Paediatric Cardiovascular Surgery, Munich, Germany
| | - I Mannhardt
- University Medical Center Hamburg Eppendorf, Institut für Experimentelle Pharmakologie und Toxikologie, Hamburg, Germany
| | - M Dressen
- German Heart Center of Munich, Adult and Paediatric Cardiovascular Surgery, Munich, Germany
| | - I Neb
- German Heart Center of Munich, Adult and Paediatric Cardiovascular Surgery, Munich, Germany
| | - S Doppler
- German Heart Center of Munich, Adult and Paediatric Cardiovascular Surgery, Munich, Germany
| | - M.-A Deutsch
- German Heart Center of Munich, Adult and Paediatric Cardiovascular Surgery, Munich, Germany
| | - H Lahm
- German Heart Center of Munich, Adult and Paediatric Cardiovascular Surgery, Munich, Germany
| | - R Lange
- German Heart Center of Munich, Adult and Paediatric Cardiovascular Surgery, Munich, Germany
| | - A Hansen
- University Medical Center Hamburg Eppendorf, Institut für Experimentelle Pharmakologie und Toxikologie, Hamburg, Germany
| | - M Krane
- German Heart Center of Munich, Adult and Paediatric Cardiovascular Surgery, Munich, Germany
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Dzilic E, Chirikian O, Shieh A, Ribeiro A, Goodyer RG, Serpooshan V, Li G, Kumar A, Dressen M, Lahm H, Doppler S, Lange R, Krane M, Wu S. P6220MYL2 reporter line allows purification of ventricular human iPSC induced cardiomyocytes. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy566.p6220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- E Dzilic
- INSURE (Institute for Translational Cardiac Surgery), Department of Cardiovascular Surgery, German Heart Centre, TUM, Munich, Germany
| | - O Chirikian
- School of Medicine, Stanford Cardiovascular Institute, Stanford, United States of America
| | - A Shieh
- School of Medicine, Stanford Cardiovascular Institute, Stanford, United States of America
| | - A Ribeiro
- Stanford University, Department of Mechanical Engineering, Stanford, United States of America
| | - R G Goodyer
- School of Medicine, Stanford Cardiovascular Institute, Stanford, United States of America
| | - V Serpooshan
- School of Medicine, Stanford Cardiovascular Institute, Stanford, United States of America
| | - G Li
- School of Medicine, Stanford Cardiovascular Institute, Stanford, United States of America
| | - A Kumar
- School of Medicine, Stanford Cardiovascular Institute, Stanford, United States of America
| | - M Dressen
- INSURE (Institute for Translational Cardiac Surgery), Department of Cardiovascular Surgery, German Heart Centre, TUM, Munich, Germany
| | - H Lahm
- INSURE (Institute for Translational Cardiac Surgery), Department of Cardiovascular Surgery, German Heart Centre, TUM, Munich, Germany
| | - S Doppler
- INSURE (Institute for Translational Cardiac Surgery), Department of Cardiovascular Surgery, German Heart Centre, TUM, Munich, Germany
| | - R Lange
- INSURE (Institute for Translational Cardiac Surgery), Department of Cardiovascular Surgery, German Heart Centre, TUM, Munich, Germany
| | - M Krane
- INSURE (Institute for Translational Cardiac Surgery), Department of Cardiovascular Surgery, German Heart Centre, TUM, Munich, Germany
| | - S Wu
- School of Medicine, Stanford Cardiovascular Institute, Stanford, United States of America
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Van Gossum A, Pironi L, Dressen M, Joly F. WITHDRAWN: Home parenteral nutrition (HPN) in patients with post-bariatric surgery complications. NUTR CLIN METAB 2017. [DOI: 10.1016/j.nupar.2017.03.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Deutsch MA, Doppler S, Lahm H, Dressen M, Lange R, Krane M. Endogene myokardiale Regeneration. Z Herz- Thorax- Gefäßchir 2015. [DOI: 10.1007/s00398-014-1119-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Gillanders L, McLeod B, Parry B, Plank L, McIlroy K, O'Callaghan M, Dressen M. PP121-MON: Quality of Care for HPN Patients in Belgium, New Zealand and Australia: “What’s Important for me”. Clin Nutr 2014. [DOI: 10.1016/s0261-5614(14)50456-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Dummler SK, Dressen M, Krane M, Voss B, Lange R, Bauernschmitt R. Global gene expression analysis reveals specific patterns of an anti-apoptotic pathway in the atherosclerotic resistant internal thoracic artery. Thorac Cardiovasc Surg 2009. [DOI: 10.1055/s-0029-1191636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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