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Transcriptomics and proteomics revealed sex differences in human pulmonary microvascular endothelial cells
Daria S Kostyunina1,2, Nikolai V Pakhomov1,2, Amina Jouida1,2
1School of Medicine, University College Dublin, Dublin, Ireland.
Physiological Genomics
|December 4, 2023
Summary
Sex differences exist in pulmonary microvascular endothelial cells, independent of hormones. These findings in human pulmonary microvascular endothelial cells (HPMECs) reveal pathways contributing to pulmonary hypertension sex disparities.
Area of Science:
- Cardiovascular Biology
- Endothelial Cell Biology
- Pulmonary Hypertension Research
Background:
- Pulmonary hypertension (PH) exhibits significant sexual dimorphism in onset, progression, and survival.
- Pulmonary microvascular endothelial cells are critical in PH pathogenesis, influencing vascular remodeling and resistance.
- Existing research suggests sex differences in PH, but the underlying endothelial mechanisms independent of sex hormones remain unclear.
Purpose of the Study:
- To investigate sex differences in human pulmonary microvascular endothelial cells (HPMECs) basally and under hypoxia, independent of sex hormones.
- To identify molecular pathways and cellular behaviors that differ between male and female HPMECs.
- To explore potential mechanisms contributing to the sexual dimorphism observed in pulmonary hypertension.
Main Methods:
- Human pulmonary microvascular endothelial cells (HPMECs) from healthy male and female donors were cultured under physiological shear stress.
- RNA sequencing and label-free quantitative proteomics were employed to analyze molecular differences.
- Gene set enrichment analysis was used to identify differentially regulated pathways.
Main Results:
- Significant sex-based differences in RNA and protein expression were identified in HPMECs under both normoxia and hypoxia.
- Pathways regulating cell proliferation showed sex-specific regulation.
- Female HPMECs exhibited a lower proliferation rate compared to male HPMECs, with higher thrombospondin-1 expression in female cells.
Conclusions:
- This study reveals intrinsic sex differences in HPMECs, persisting even without hormonal influence.
- Identified sex-different pathways provide novel insights into the sexual dimorphism of pulmonary hypertension.
- These findings may offer potential targets for developing sex-specific therapies for pulmonary hypertension.

