iScience (Feb 2023)

A p53-TLR3 axis ameliorates pulmonary hypertension by inducing BMPR2 via IRF3

  • Aneel R. Bhagwani,
  • Mehboob Ali,
  • Bryce Piper,
  • Mingjun Liu,
  • Jaylen Hudson,
  • Neil Kelly,
  • Srimathi Bogamuwa,
  • Hu Yang,
  • James D. Londino,
  • Joseph S. Bednash,
  • Daniela Farkas,
  • Rama K. Mallampalli,
  • Mark R. Nicolls,
  • John J. Ryan,
  • A.A. Roger Thompson,
  • Stephen Y. Chan,
  • Delphine Gomez,
  • Elena A. Goncharova,
  • Laszlo Farkas

Journal volume & issue
Vol. 26, no. 2
p. 105935

Abstract

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Summary: Pulmonary arterial hypertension (PAH) features pathogenic and abnormal endothelial cells (ECs), and one potential origin is clonal selection. We studied the role of p53 and toll-like receptor 3 (TLR3) in clonal expansion and pulmonary hypertension (PH) via regulation of bone morphogenetic protein (BMPR2) signaling. ECs of PAH patients had reduced p53 expression. EC-specific p53 knockout exaggerated PH, and clonal expansion reduced p53 and TLR3 expression in rat lung CD117+ ECs. Reduced p53 degradation (Nutlin 3a) abolished clonal EC expansion, induced TLR3 and BMPR2, and ameliorated PH. Polyinosinic/polycytidylic acid [Poly(I:C)] increased BMPR2 signaling in ECs via enhanced binding of interferon regulatory factor-3 (IRF3) to the BMPR2 promoter and reduced PH in p53−/− mice but not in mice with impaired TLR3 downstream signaling. Our data show that a p53/TLR3/IRF3 axis regulates BMPR2 expression and signaling in ECs. This link can be exploited for therapy of PH.

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