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Parathyroid Hormone Contributes to Pulmonary Hypertension in Hypoxic Conditions - PubMed

3 hours ago
  • #Parathyroid Hormone
  • #Hypoxia
  • #Pulmonary Hypertension
  • Pulmonary hypertension (PH) is characterized by increased pulmonary artery pressure and can lead to right heart failure.
  • Parathyroid hormone (PTH) plays a crucial role in calcium homeostasis and affects cardiovascular prognosis.
  • Serum PTH levels were measured in PH patients, showing association with mean pulmonary artery pressure and pulmonary vascular resistance.
  • PTH treatment worsened right ventricular hypertrophy and pressure in hypoxia-induced PH animal models.
  • Parathyroidectomy reduced PTH levels, attenuating right ventricular hypertrophy and pulmonary vascular remodeling in rats.
  • Hypoxia-inducible factor-1 alpha (HIF1α) promoted the PTH receptor (PTH1R) in pulmonary artery smooth muscle cells.
  • Knockdown of PTH1R in lungs improved PH in animal models.
  • PTH increased proliferation and migration of pulmonary artery smooth muscle cells via PTH1R-β-arrestin-ERK signaling.
  • PTH/PTH1R signaling is implicated in PH development, suggesting PTH1R as a potential therapeutic target.