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Updated: Jun 4, 2026

Isolation of Pulmonary Artery Smooth Muscle Cells from Neonatal Mice
Published on: October 19, 2013
mTOR is required for pulmonary arterial vascular smooth muscle cell proliferation under chronic hypoxia
Vera P Krymskaya1, Jennifer Snow, Gregory Cesarone
1Pulmonary, Allergy, and Critical Care Division, Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Abstract:
Pulmonary arterial vascular smooth muscle (PAVSM) cell proliferation is a key pathophysiological component of vascular remodeling in pulmonary arterial hypertension (PAH) for which cellular and molecular mechanisms are poorly understood. The goal of our study was to determine the role of mammalian target of rapamycin (mTOR) in PAVSM cell proliferation, a major pathological manifestation of vascular remodeling in PAH. Our data demonstrate that chronic hypoxia promoted mTOR(Ser-2481) phosphorylation, an indicator of mTOR intrinsic catalytic activity, mTORC1-specific S6 and mTORC2-specific Akt (Ser-473) phosphorylation, and proliferation of human and rat PAVSM cells that was inhibited by siRNA mTOR. PAVSM cells derived from rats exposed to chronic hypoxia (VSM-H cells) retained increased mTOR(Ser-2481), S6, Akt (Ser-473) phosphorylation, and DNA synthesis compared to cells from normoxia-exposed rats. Suppression of mTORC2 signaling with siRNA rictor, or inhibition of mTORC1 signaling with rapamycin and metformin, while having little effect on other complex activities, inhibited VSM-H and chronic hypoxia-induced human and rat PAVSM cell proliferation. Collectively, our data demonstrate that up-regulation of mTOR activity and activation of both mTORC1 and mTORC2 are required for PAVSM cell proliferation induced by in vitro and in vivo chronic hypoxia and suggest that mTOR may serve as a potential therapeutic target to inhibit vascular remodeling in PAH.
Insights
Chronic hypoxia drives pulmonary arterial hypertension (PAH) through mammalian target of rapamycin (mTOR) pathway activation. Inhibiting mTORC1 and mTORC2 signaling reduces pulmonary arterial vascular smooth muscle cell proliferation, offering a potential PAH therapeutic target.
Area of Science:
- Cardiovascular Biology
- Cellular Signaling
- Molecular Medicine
Background:
- Pulmonary arterial hypertension (PAH) involves vascular remodeling driven by pulmonary arterial vascular smooth muscle (PAVSM) cell proliferation.
- The precise cellular and molecular mechanisms underlying PAVSM cell proliferation in PAH remain incompletely understood.
Purpose of the Study:
- To investigate the role of the mammalian target of rapamycin (mTOR) signaling pathway in PAVSM cell proliferation.
- To determine if mTOR activation is a key factor in the vascular remodeling observed in PAH.
Main Methods:
- Utilized siRNA to inhibit mTOR signaling in human and rat PAVSM cells.
- Exposed PAVSM cells to chronic hypoxia in vitro and in vivo.
- Assessed mTOR phosphorylation (Ser-2481), mTORC1 (S6), and mTORC2 (Akt Ser-473) activity.
- Measured PAVSM cell proliferation and DNA synthesis.
- Investigated the effects of rapamycin and metformin on cell proliferation.
Main Results:
- Chronic hypoxia increased mTOR activity, S6, and Akt phosphorylation, promoting PAVSM cell proliferation.
- PAVSM cells from chronically hypoxic rats (VSM-H cells) exhibited sustained increases in mTOR activity and proliferation.
- Inhibition of mTORC1 or mTORC2 signaling significantly reduced VSM-H and hypoxia-induced PAVSM cell proliferation.
Conclusions:
- Up-regulation of mTOR activity, involving both mTORC1 and mTORC2, is essential for PAVSM cell proliferation induced by chronic hypoxia.
- mTOR signaling represents a promising therapeutic target for mitigating vascular remodeling in PAH.
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