Inflammation-induced caveolin-1 and BMPRII depletion promotes endothelial dysfunction and TGF{beta}-driven pulmonary vascular remodeling
AJP Lung Cellular and Molecular Physiology
Published online on February 10, 2017
Abstract
Endothelial cell (EC) activation and vascular injury are hallmark features of Acute Lung Injury and Acute Respiratory Distress Syndrome (ALI/ARDS). Caveolin-1 (Cav-1) is highly expressed in pulmonary microvascular ECs and plays a key role in maintaining vascular homeostasis. The aim of this study was to determine whether the lung inflammatory response to Escherichia coli lipopolysaccharide (LPS) promotes priming of ECs via Cav-1 depletion and whether this contributes to the onset of pulmonary vascular remodeling. To test the hypothesis that depletion of Cav-1 primes ECs to respond to profibrotic signals, C57BL6 WT mice (Tie2.Cre-;Cav1lox/lox) were exposed to nebulized LPS (10 mg; 1 hr daily for 4 days) and compared to EC-specific Cav1-/- (Tie2.Cre+;Cav1lox/lox) After 96 hrs of LPS exposure, total lung Cav-1 and BMPRII expression were reduced in WT mice. Moreover, plasma albumin leakage, infiltration of immune cells, and levels of IL-6/IL-6R and TGF-β were elevated in both LPS-treated WT and EC-Cav1-/- mice. Finally, EC-Cav1-/- mice exhibited a modest increase in microvascular thickness basally and moreso upon exposure to LPS (96 hr). EC-Cav1-/- mice and LPS treated WT mice exhibited reduced BMPRII expression and eNOS uncoupling, which along with increased TGF-β promoted TGFβRI-dependent SMAD-2/3 phosphorylation. Finally, human lung sections from patients with ARDS displayed reduced EC Cav-1 expression, elevated TGF-β levels, and severe pulmonary vascular remodeling. Thus, EC Cav-1 depletion, oxidative stress-mediated reduction in BMPRII expression, and enhanced TGFβ-driven SMAD-2/3 signaling promote pulmonary vascular remodeling in inflamed lungs.