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Endothelial Heterogeneity in the Response to Autophagy Drives Small Vessel Muscularization in Pulmonary Hypertension.

Qi ZhangNobuhiro YaoitaArata TabuchiShao-Fei LiuShiau-Haln ChenQiuhua LiNiklas HegemannCaihong LiJulie RodorSara TimmHebatullah LabanToren FinkelTroy StevensDiego F AlvarezLasti ErfinandaMarc de PerrotMariya M KucherenkoChristoph KnosallaMatthias OchsStefanie DimmelerThomas KorffSubodh VermaAndrew H BakerWolfgang M Kuebler
Published in: Circulation (2024)
Autophagic activation by hypoxia induces in parallel PAEC proliferation and MVEC apoptosis. These differential responses cause a progressive replacement of MVECs by PAECs in precapillary pulmonary arterioles, thus providing a macrovascular context that in turn promotes pulmonary artery smooth muscle cell proliferation and migration, ultimately driving distal vessel muscularization and the development of PH.
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