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Updated: Sep 13, 2026

The Left Pneumonectomy Combined with Monocrotaline or Sugen as a Model of Pulmonary Hypertension in Rats
Published on: March 8, 2019
Activin pathway inhibition and rapid progression of malignancy in pulmonary arterial hypertension: A case series and
Adriano R Tonelli1, Kulwant S Aulak2, Jana Berro3
1Department of Pulmonary and Critical Care Medicine, Integrated Hospital Care Institute, Cleveland Clinic, Cleveland, OH, USA.
Abstract:
The increased risk of malignancy in PAH and the immunologic duality of activin raise important questions about the long-term implications of activin signal inhibitors, particularly in patients with preexisting or latent malignancies. Emerging real-world observations raise questions regarding potential associations between sotatercept exposure and malignancy development or progression. We describe a series of malignancies that occurred in patients treated with sotatercept. While these cases do not establish causality, they highlight the need for vigilance and further study.
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