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Cellular mechanisms in pulmonary arterial hypertension: focused on prostacyclin and endothelin pathway Rijan Gurung standing in for Dr Jigisha Patel Research associate for Prof. Lucie Clapp Pulmonary Arterial Hypertension • Progressive fatal condition – – Elevated mean pulmonary arterial pressure ≥ 25mm Hg at rest or ≥ 30mm Hg with exercise. Reduction in gas exchange, In situ thrombosis, Plexiform lesion formation Right ventricular (RV) hypertrophy Followed by heart failure eventually DEATH anti/platelet Humbert M, et al. NEJM. 2004. Lab Expertise Isolation of different cell types - SMC, ECs, fibroblasts, microparticles etc… Smooth muscle microparticles Functional assays - Proliferation, myography, organ-bath etc… Molecular biology and pharmacology Animal models of PAH 0.75 105 104 10 3 10 2 101 10 3 10 2 101 101 102 103 104 Forward Scatter 10% FBS General lab techniques - WB, ELISA, PCR, qPCR, FACs 8.21 104 FITC - Annexin V Biochemistry 105 FITC- Annexin V Immunostaining - IHC, IF 105 101 102 103 104 105 Forward Scatter 10% FBS + 20ng/ml PDGF-BB Isolation & Characterization of PAECs and PASMCs from human lungs A HPASMCs α-SMA SM-22 B HPAECs VWF CD-31 NORMAL PAH Combination therapy and drug targets PASMC PROLIFERATION Prostanoid receptor expression in PAH vs Normal 120 Normal 0.04 100 PAH Relative gene expression 80 60 T r e p r o s t in il + T a d a la f il + R io c ig u a t 0.0030 lo g [ T r e p r o s t in il] M -5 Prostaniod receptor subtype P1 -6 D -7 4 -8 EP -9 3 -1 0 EP -1 1 2 0.0000 -1 2 EP 0 -1 3 + B o s e n ta n 0.0060 1 20 0.02 EP 40 0.03 IP % C e ll p r o lif e r a t io n ***