Molecular Basis for Dysregulated Activation of NKX2-5 in the Vascular Remodeling of Systemic Sclerosis.
Athina DritsoulaIoannis PapaioannouSandra G GuerraCarmen FonsecaJavier MartinAriane L HerrickDavid J AbrahamChristopher P DentonMarkella PonticosPublished in: Arthritis & rheumatology (Hoboken, N.J.) (2018)
NKX2-5 is genetically associated with scleroderma, pulmonary hypertension, and fibrosis. Functional evidence revealed a regulatory mechanism that results in NKX2-5 transcriptional activation in PASMCs through the interaction of an upstream promoter and a novel downstream enhancer. This mechanism can act as a model for NKX2-5 activation in cardiovascular disease characterized by vascular remodeling.