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| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Zhang, Shoude Zhao, Yuan Dong, Zhanwei Jin, Mao Lu, Ying Xu, Mina Pan, Hong Zhou, Guojin Xiao, Mang |
| Abstract | Background Sleep apnea syndrome (SAS) is associated with hypertension and vascular remodeling. Hypoxia-inducible factor-1α (HIF-1α) and the Hippo–YAP pathway are implicated in these processes, but their specific roles remain unclear. This study investigated the HIF-1α/Hippo-YAP pathway in SAS-related hypertension. Methods We established a rat model of SAS-induced hypertension via chronic intermittent hypoxia (CIH). Rats were treated with siRNA targeting HIF-1α. Blood pressure, inflammation, oxidative stress, vascular remodeling, and VSMC function were assessed. In vitro experiments with A7r5 cells and human aortic smooth muscle cells (HAoSMCs) explored the effects of HIF-1α silencing and YAP1 overexpression. Results Compared with the control group, the CIH group presented significant increases in both HIF-1α and YAP1 expression, which correlated with increased blood pressure and vascular changes. HIF-1α silencing reduced hypertension, oxidative stress, inflammation, and the severity of vascular remodeling. Specifically, siRNA treatment for HIF-1α normalized blood pressure, decreased the levels of oxidative damage markers (increased SOD and decreased MDA), and reversed the changes in the levels of inflammatory markers (decreased high-sensitivity C-reactive protein (hs-CRP), interleukin-6 (IL-6) and soluble E-selectin (sE-s)). Structural analyses revealed reduced vascular smooth muscle cell proliferation and collagen deposition, along with normalization of cellular markers, such as α-SMA and TGF-β1. Furthermore, the Hippo–YAP pathway appeared to mediate these effects, as evidenced by altered YAP1 expression and activity upon HIF-1α modulation. Conclusions Our findings demonstrate the significance of the HIF-1α/Hippo-YAP pathway in CIH-induced hypertension and vascular remodeling. HIF-1α contributes to these pathophysiological processes by promoting oxidative stress, inflammation, and aberrant VSMC behavior. Targeting this pathway could offer new therapeutic strategies for CIH-related cardiovascular complications in SAS patients. |
| Related Links | https://molmed.biomedcentral.com/counter/pdf/10.1186/s10020-024-00987-5.pdf |
| Ending Page | 10 |
| Page Count | 10 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| ISSN | 15283658 |
| DOI | 10.1186/s10020-024-00987-5 |
| Journal | Molecular Medicine |
| Issue Number | 1 |
| Volume Number | 30 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2024-12-28 |
| Access Restriction | Open |
| Subject Keyword | Molecular Medicine Sleep apnea syndrome HIF-1α Hippo YAP Vascular remodeling Inflammation |
| Content Type | Text |
| Resource Type | Article |
| Subject | Molecular Medicine Molecular Biology Genetics Genetics (clinical) |
| Journal Impact Factor | 6/2023 |
| 5-Year Journal Impact Factor | 6/2023 |
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