Berrebeh Nihel, Mbouamboua Yvon, Thuillet Raphaël, Ottaviani Mina, Robert Fabien, Kamel Chelgham Mustapha, Magnone Virginie, Desroches-Castan Agnès, Ricard Nicolas, Anegon Ignacio, Remy Séverine, Schermuly Ralph Theo, Lebrigand Kevin, Kojonazarov Baktybek, Savale Laurent, Humbert Marc, Bailly Sabine, Barbry Pascal, Tu Ly, Guignabert Christophe
INSERM, UMR_S 999, Pulmonary Hypertension: Pathophysiology and Novel Therapies (HPPIT), Le Kremlin-Bicêtre 94276, France.
Université Paris-Saclay, Faculté de Médecine, HPPIT, Le Kremlin-Bicêtre 94276, France.
Proc Natl Acad Sci U S A. 2025 Jul;122(26):e2410229122. doi: 10.1073/pnas.2410229122. Epub 2025 Jun 23.
Pulmonary arterial hypertension (PAH) and hereditary hemorrhagic telangiectasia (HHT) are two distinct vascular diseases linked to impaired signaling through bone morphogenetic protein (BMP) receptor complexes in endothelial cells. Although BMP-9 plays a central role in activating this pathway by binding to ALK1 and BMPR-II, its precise function in the pulmonary microvasculature has remained unclear. In this study, we demonstrate a role for BMP-9 in regulating pulmonary vascular architecture and homeostasis. Our findings reveal that BMP-9 signaling intersects with VEGF pathways and contributes to the delicate balance between vascular growth and remodeling in the lungs. We also show that disruption of this pathway can shift vascular responses toward an HHT-like state, potentially altering disease susceptibility. These insights offer a unique perspective on how BMP-9 and ALK1 shape pulmonary vascular biology and suggest that targeting this axis could inform future strategies for treating complex vascular diseases such as PAH.
肺动脉高压(PAH)和遗传性出血性毛细血管扩张症(HHT)是两种不同的血管疾病,它们与内皮细胞中骨形态发生蛋白(BMP)受体复合物信号传导受损有关。尽管BMP-9通过与ALK1和BMPR-II结合在激活该信号通路中起核心作用,但其在肺微血管中的精确功能仍不清楚。在本研究中,我们证明了BMP-9在调节肺血管结构和稳态中的作用。我们的研究结果表明,BMP-9信号与VEGF信号通路相互作用,并有助于肺血管生长和重塑之间的微妙平衡。我们还表明,该信号通路的破坏可使血管反应向类似HHT的状态转变,可能改变疾病易感性。这些见解为BMP-9和ALK1如何塑造肺血管生物学提供了独特的视角,并表明靶向该轴可能为治疗PAH等复杂血管疾病的未来策略提供依据。