Sildenafil inhibits calcineurin/NFATc2-mediated cyclin A expression in pulmonary artery smooth muscle cells
Related Experiment Video
Updated: May 30, 2026

Utilizing the Precision-Cut Lung Slice to Study the Contractile Regulation of Airway and Intrapulmonary Arterial Smooth Muscle
Published on: May 5, 2022
Manxiang Li1, Yuan Liu, Xiuzhen Sun
1Respiratory Diseases Research Center, The Second Affiliated Hospital of Medical College, Xi'an Jiaotong University, Xi'an, Shaanxi, 710004, PR China. manxiangli@hootmail.com
Aims:
To examine whether calcineurin/NFAT signaling pathway leads to proliferation of pulmonary artery smooth muscle cells (PASMCs) by regulating cell cycle proteins and whether the phosphodiesterase-5 (PDE5) inhibitor sildenafil affects calcineurin/NFAT-induced cell proliferation.
Main Methods:
A [(3)H]thymidine incorporation assay was used to examine DNA synthesis (cell proliferation); cyclin A and NFATc2 expressions were determined by Western blot. Cyclin-dependent kinase 2 (CDK2) activity was measured with an in vitro kinase activity assay, and calcineurin and NFAT activity were evaluated using a calcineurin assay kit and a luciferase activity assay, respectively. A chemical inhibitor or siRNA transfection was used to inhibit calcineurin/NFAT signaling pathway.
Key Findings:
Serotonin dose-dependently stimulated cyclin A expression in PASMCs. This effect was accompanied by dose-dependent increases in CDK2 activity and the rate of DNA synthesis. At the same time, PASMCs treated with serotonin showed dose-dependent activation of calcineurin/NFAT signaling pathway. Inhibition of calcineurin activity by cyclosporine A or loss of NFATc2 protein by siRNA transfection abolished serotonin-induced cyclin A expression and consequent CDK2 activation and DNA synthesis. We further found that pretreatment of cells with sildenafil suppressed serotonin-triggered activation of calcineurin/NFATc2 signaling pathway and resultant cyclin A expression, CDK2 activation and cell proliferation, while the presence of DT-3 [a specific protein kinase G (PKG) peptide inhibitor] reversed the effects of sildenafil on PASMCs.
Significance:
Our study suggests that enhanced PKG activity suppresses calcineurin/NFATc2 cascade-mediated cyclin A expression, CDK2 activation and PASMC proliferation to contribute to the overall effects of sildenafil in the treatment of pulmonary hypertension.
Insights
The calcineurin/NFAT pathway drives pulmonary artery smooth muscle cell proliferation. Sildenafil inhibits this pathway, reducing cell proliferation and offering potential for pulmonary hypertension treatment.
Area of Science:
- Cardiovascular Biology
- Molecular Medicine
- Cellular Signaling
Background:
- Pulmonary artery smooth muscle cell (PASMC) proliferation is a key factor in pulmonary hypertension.
- The calcineurin/nuclear factor of activated T-cells (NFAT) signaling pathway is implicated in cell growth and proliferation.
Purpose of the Study:
- To investigate the role of the calcineurin/NFAT pathway in PASMC proliferation.
- To determine if the phosphodiesterase-5 (PDE5) inhibitor sildenafil impacts this pathway and subsequent cell proliferation.
Main Methods:
- Assessed cell proliferation using [(3)H]thymidine incorporation.
- Measured cyclin A, NFATc2, cyclin-dependent kinase 2 (CDK2) activity, calcineurin, and NFAT activity via Western blot and specific assay kits.
- Utilized chemical inhibitors and siRNA to modulate calcineurin/NFAT signaling.
Main Results:
- Serotonin increased PASMC proliferation, cyclin A expression, and CDK2 activity, correlating with calcineurin/NFAT activation.
- Inhibiting calcineurin or NFATc2 blocked serotonin-induced proliferation.
- Sildenafil suppressed serotonin-induced calcineurin/NFAT activation and PASMC proliferation, an effect reversed by a protein kinase G (PKG) inhibitor.
Conclusions:
- The calcineurin/NFAT pathway mediates PASMC proliferation through cyclin A and CDK2.
- Sildenafil's beneficial effects in pulmonary hypertension may involve suppressing this pathway via enhanced PKG activity.
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