BKCa Channel Activation Attenuates the Pathophysiological Progression of Monocrotaline-Induced Pulmonary Arterial

Ana Paula Ferraz1, Fernando A C Seara1,2, Emanuelle F Baptista1

  • 1Carlos Chagas Filho Institute of Biophysics, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.

Abstract

Insights

Compound X, a selective BKCa channel opener, effectively treated pulmonary arterial hypertension (PAH) in rats. It improved hemodynamics and prevented right ventricle remodeling in monocrotaline-induced PAH.

Area of Science:

  • Cardiovascular Research
  • Pharmacology
  • Pulmonary Medicine

Background:

  • Pulmonary arterial hypertension (PAH) is a severe condition characterized by high blood pressure in the pulmonary arteries.
  • Monocrotaline (MCT) injection is a common method to induce PAH in animal models for research purposes.
  • Endothelial dysfunction and right ventricle (RV) remodeling are key pathological features of PAH.

Purpose of the Study:

  • To investigate the therapeutic potential of a selective BKCa channel opener, designated as compound X, for treating MCT-induced PAH.
  • To evaluate the effects of compound X on hemodynamic parameters, vascular reactivity, and RV function in a rat model of PAH.

Main Methods:

  • PAH was induced in Wistar rats using a single MCT injection.
  • MCT-treated rats received daily administration of compound X (28 mg/kg) or vehicle.
  • Evaluations included electrocardiography, echocardiography, hemodynamic analysis, ex vivo pulmonary artery reactivity, RV and lung histology, and molecular markers.

Main Results:

  • MCT-induced PAH rats exhibited endothelial dysfunction, RV hypertrophy, fibrosis, increased pulmonary vascular resistance, and autonomic imbalance.
  • Compound X demonstrated potent vasodilation in pulmonary artery rings.
  • Treatment with compound X significantly reduced pulmonary vascular remodeling, RV hypertrophy, and afterload, improving hemodynamic parameters.

Conclusions:

  • Selective activation of BKCa channels with compound X offers a promising therapeutic strategy for PAH.
  • Compound X effectively improved hemodynamic function and prevented maladaptive RV remodeling in a preclinical model of PAH.