PDE9A deficiency does not prevent chronic-hypoxic pulmonary hypertension in mice
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Updated: Oct 19, 2025

Induction and Characterization of Pulmonary Hypertension in Mice using the Hypoxia/SU5416 Model
Published on: June 3, 2020
Todd M Kolb1, Laura Johnston1, Mahendra Damarla1
1Division of Pulmonary and Critical Care Medicine Pulmonary, Johns Hopkins University, Baltimore, Maryland, USA.
Insights
PDE9A deficiency does not protect against right ventricular remodeling in a mouse model of pulmonary hypertension. This suggests PDE9A is not a key therapeutic target for this condition.
Area of Science:
- Cardiovascular Research
- Pulmonary Hypertension
- Molecular Pharmacology
Background:
- Pulmonary arterial hypertension (PAH) treatments target cyclic guanosine monophosphate (cGMP)-specific phosphodiesterases (PDEs).
- PDE9A has the highest affinity for cGMP among known PDEs and is expressed in cardiac and lung tissues.
- PDE9A deficiency previously showed protection against left ventricular pressure overload in mice.
Purpose of the Study:
- To investigate the role of PDE9A in right ventricular (RV) remodeling in a chronic-hypoxic pulmonary hypertension (CH-PH) mouse model.
- To determine if PDE9A deficiency enhances natriuretic peptide (NP)-dependent cGMP signaling and prevents RV changes in CH-PH.
Main Methods:
- Wild-type and PDE9A-deficient mice were exposed to CH-PH for 3 weeks.
- Measurements included RV pressure, hypertrophy, and levels of cGMP, PDE9A, PDE5A, and VASP phosphorylation in lung and RV tissues.
- Circulating ANP levels were also assessed.
Main Results:
- CH-PH increased RV pressure and hypertrophy in both wild-type and PDE9A-deficient mice.
- No significant increase in cGMP or VASP phosphorylation was observed in either group.
- Downstream cGMP effectors were not elevated in knockout mice, and RV remodeling was not attenuated.
Conclusions:
- PDE9A deficiency did not provide protection against RV pressure overload and remodeling in the CH-PH mouse model.
- These findings do not support a significant role for PDE9A in the pathophysiology of murine CH-PH.
- PDE9A may not be a primary therapeutic target for this specific model of pulmonary hypertension.
Abstract:
Inhibition of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterases (PDEs) is a cornerstone of pulmonary arterial hypertension (PAH)-specific therapy. PDE9A, expressed in the heart and lung tissue, has the highest affinity for cGMP of all known PDEs. PDE9A deficiency protects mice against chronic left ventricular (LV) pressure overload via increased natriuretic peptide (NP)-dependent cGMP signaling. Chronic-hypoxic pulmonary hypertension (CH-PH) is a model of chronic right ventricular (RV) pressure overload, and previous studies have demonstrated a protective role for NPs in the murine model. Therefore, we hypothesized that PDE9A deficiency would promote NP-dependent cGMP signaling and prevent RV remodeling in the CH-PH model, analogous to findings in the LV. We exposed wild-type and PDE9A-deficient (Pde9a-/- ) C57BL/6 mice to CH-PH for 3 weeks. We measured RV pressure, hypertrophy, and levels of lung and RV cGMP, PDE9A, PDE5A, and phosphorylation of the protein kinase G substrate VASP (vasodilatory-stimulated phosphoprotein) after CH-PH. In wild-type mice, CH-PH was associated with increased circulating ANP and lung PDE5A, but no increase in cGMP, PDE9A, or VASP phosphorylation. Downstream effectors of cGMP were not increased in Pde9a-/- mice exposed to CH-PH compared with Pde9a+/+ littermates, and CH-PH induced increases in RV pressure and hypertrophy were not attenuated in knockout mice. Taken together, these findings argue against a prominent role for PDE9A in the murine CH-PH model.
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