RUNX2 is stabilised by TAZ and drives pulmonary artery calcification and lung vascular remodelling in pulmonary hypertension due to left heart disease

  • 0Institute for Physiology, Charité - Universitätsmedizin Berlin, corporate member of the Free University Berlin and the Humboldt University Berlin, Berlin, Germany.

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Summary

This summary is machine-generated.

Pulmonary hypertension due to left heart disease involves vascular calcification driven by TAZ-dependent stabilization of RUNX2. Inhibiting this TAZ-RUNX2 pathway may offer a new therapeutic strategy for this condition.

Area Of Science

  • Cardiovascular Biology
  • Molecular Biology
  • Pulmonary Hypertension Research

Background

  • Vascular calcification is common in chronic disease but its role in pulmonary hypertension due to left heart disease (PH-LHD) is unclear.
  • Investigated the role of runt-related transcription factor-2 (RUNX2) and the HIPPO pathway coactivator TAZ in PH-LHD.
  • Utilized a rat model of PH-LHD induced by supracoronary aortic banding.

Purpose Of The Study

  • To elucidate the role of RUNX2 and TAZ in the osteogenic reprogramming of pulmonary artery smooth muscle cells.
  • To determine the mechanisms underlying vascular calcification in PH-LHD.
  • To evaluate the therapeutic potential of targeting the TAZ-RUNX2 axis in PH-LHD.

Main Methods

  • Collected pulmonary artery samples from patients and rats with PH-LHD.
  • Performed genome-wide RNA sequencing and assessed pulmonary artery calcification.
  • Utilized protein biochemistry to delineate TAZ and RUNX2 signaling, and tested TAZ/RUNX2 inhibitors in a rat model.

Main Results

  • Significant enrichment of ossification and osteoblast differentiation genes, including RUNX2, in PH-LHD pulmonary arteries.
  • Pulmonary artery calcification was observed in both patients and rats.
  • TAZ and RUNX2 were upregulated and activated, interacting directly in pulmonary artery smooth muscle cells; TAZ inhibition reduced RUNX2 levels via degradation. Inhibition of TAZ or RUNX2 attenuated calcification, vascular remodeling, and PH development in rats.

Conclusions

  • PH-LHD is linked to pulmonary artery calcification driven by TAZ-mediated RUNX2 stabilization, promoting osteogenic reprogramming.
  • The TAZ-RUNX2 pathway represents a potential therapeutic target for PH-LHD.

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