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Kosanovic D, Platzek SM, Petrovic A, Sydykov A, Maripov A, Mamazhakypov A, Sartmyrzaeva M, Muratali Uulu K, Cholponbaeva M, Toktosunova A, Omurzakova N, Duishobaev M, Vroom C, Pak O, Weissmann N, Ghofrani HA, Sarybaev A, Schermuly RT. Circulating Apoptotic Signals During Acute and Chronic Exposure to High Altitude in Kyrgyz Population. Front Physiol 2019; 10:54. [PMID: 30804801 PMCID: PMC6370645 DOI: 10.3389/fphys.2019.00054] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2018] [Accepted: 01/17/2019] [Indexed: 12/21/2022] Open
Abstract
Background: Circulating apoptotic signals (CASs) have been described in the pathologies associated with dysregulated apoptosis, such as cancer, heart diseases, and pulmonary hypertension (PH). However, nothing is known about the expression profiles of these markers in the circulation of humans exposed to acute and chronic effects of high altitude (HA). Methods: Gene expression levels of different apoptotic signals (ASs) were analyzed in human pulmonary artery smooth muscle cells (PASMCs) upon hypoxia incubation. In addition, we measured the plasma values of relevant CAS in Kyrgyz volunteers during acute and chronic exposure to HA. Finally, we analyzed the effects of pro-apoptotic mediator Fas ligand (FasL) on apoptosis and proliferation of human PASMCs. Results: Several cellular AS were increased in PASMCs exposed to hypoxia, in comparison to normoxia condition. Among analyzed CAS, there was a prominent reduction of FasL in lowlanders exposed to HA environment. Furthermore, decreased circulatory levels of FasL were found in highlanders with HA-induced PH (HAPH), as compared to the lowland controls. Furthermore, FasL concentration in plasma negatively correlated with tricuspid regurgitant gradient values. Finally, FasL exerted pro-apoptotic and anti-proliferative effects on PASMCs. Conclusion: Our data demonstrated that circulating levels of FasL are reduced during acute and chronic exposure to HA environment. In addition, dysregulated FasL may play a role in the context of HAPH due to its relevant functions on apoptosis and proliferation of PASMCs.
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Affiliation(s)
- Djuro Kosanovic
- Chair for Pulmonary Pharmacotherapy, Member of the German Center for Lung Research, Universities of Giessen and Marburg Lung Center, Giessen, Germany.,Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
| | - Simon Maximilian Platzek
- Chair for Pulmonary Pharmacotherapy, Member of the German Center for Lung Research, Universities of Giessen and Marburg Lung Center, Giessen, Germany
| | - Aleksandar Petrovic
- Chair for Pulmonary Pharmacotherapy, Member of the German Center for Lung Research, Universities of Giessen and Marburg Lung Center, Giessen, Germany
| | - Akylbek Sydykov
- Chair for Pulmonary Pharmacotherapy, Member of the German Center for Lung Research, Universities of Giessen and Marburg Lung Center, Giessen, Germany
| | - Abdirashit Maripov
- Kyrgyz National Centre for Cardiology and Internal Medicine, named after Academician Mirsaid Mirrakhimov, Bishkek, Kyrgyzstan
| | - Argen Mamazhakypov
- Chair for Pulmonary Pharmacotherapy, Member of the German Center for Lung Research, Universities of Giessen and Marburg Lung Center, Giessen, Germany
| | - Meerim Sartmyrzaeva
- Kyrgyz National Centre for Cardiology and Internal Medicine, named after Academician Mirsaid Mirrakhimov, Bishkek, Kyrgyzstan
| | - Kubatbek Muratali Uulu
- Kyrgyz National Centre for Cardiology and Internal Medicine, named after Academician Mirsaid Mirrakhimov, Bishkek, Kyrgyzstan
| | - Meerim Cholponbaeva
- Kyrgyz National Centre for Cardiology and Internal Medicine, named after Academician Mirsaid Mirrakhimov, Bishkek, Kyrgyzstan
| | - Aidana Toktosunova
- Kyrgyz National Centre for Cardiology and Internal Medicine, named after Academician Mirsaid Mirrakhimov, Bishkek, Kyrgyzstan
| | - Nazgul Omurzakova
- Kyrgyz National Centre for Cardiology and Internal Medicine, named after Academician Mirsaid Mirrakhimov, Bishkek, Kyrgyzstan
| | - Melis Duishobaev
- Kyrgyz National Centre for Cardiology and Internal Medicine, named after Academician Mirsaid Mirrakhimov, Bishkek, Kyrgyzstan
| | - Christina Vroom
- Chair for Pulmonary Pharmacotherapy, Member of the German Center for Lung Research, Universities of Giessen and Marburg Lung Center, Giessen, Germany
| | - Oleg Pak
- Chair for Pulmonary Pharmacotherapy, Member of the German Center for Lung Research, Universities of Giessen and Marburg Lung Center, Giessen, Germany
| | - Norbert Weissmann
- Chair for Pulmonary Pharmacotherapy, Member of the German Center for Lung Research, Universities of Giessen and Marburg Lung Center, Giessen, Germany
| | - Hossein Ardeschir Ghofrani
- Chair for Pulmonary Pharmacotherapy, Member of the German Center for Lung Research, Universities of Giessen and Marburg Lung Center, Giessen, Germany
| | - Akpay Sarybaev
- Kyrgyz National Centre for Cardiology and Internal Medicine, named after Academician Mirsaid Mirrakhimov, Bishkek, Kyrgyzstan
| | - Ralph Theo Schermuly
- Chair for Pulmonary Pharmacotherapy, Member of the German Center for Lung Research, Universities of Giessen and Marburg Lung Center, Giessen, Germany
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