RT Journal Article T1 Different patterns of pulmonary vascular disease induced by type 1 diabetes and moderate hypoxia in rats A1 Moral Sanz, Javier A1 Lopez Lopez, José G. A1 Menendez, Carmen A1 Moreno González, Enrique A1 Barreira, Bianca A1 Morales Cano, Daniel A1 Escolano, Lucia A1 Fernandez Segoviano, Pilar A1 Villamor, Eduardo A1 Cogolludo Torralba, Ángel Luis A1 Pérez Vizcaíno, Francisco A1 Moreno Gutiérrez, Laura AB Although type 1 and type 2 diabetes are strongly associated with systemic cardiovascular morbidity, the relationship with pulmonary vascular disease had been almost disregarded until recent epidemiological data revealed that diabetes might be a risk factor for pulmonary hypertension. Recent experimental studies suggest that diabetes induces changes in lung function insufficient to elevate pulmonary pressure. The aim of this study was to assess the effects of diabetes on the sensitivity to other risk factors for pulmonary hypertension. We therefore analysed the effects of the combination of diabetes with exposure to moderate hypoxia on classical markers of pulmonary hypertension. Control (saline-treated) and diabetic (70 mg kg-1 streptozotocin-treated) male Wistar-Kyoto rats were followed for 4 weeks and exposed to normoxia or moderate normobaric hypoxia (14%) for another 2 weeks. Hypoxia, but not diabetes, strongly reduced voltage-gated potassium currents, whereas diabetes, but not hypoxia, induced pulmonary artery endothelial dysfunction. Both factors independently induced pulmonary vascular remodelling and downregulated the lung bone morphogenetic protein receptor type 2. However, diabetes, but not hypoxia, induced pulmonary infiltration of macrophages, which was markedly increased when both factors were combined. Diabetes plus hypoxia induced a modest increase in diastolic and mean pulmonary artery pressure and right ventricular weight, while each of the two factors alone had no significant effect. The pattern of changes in markers of pulmonary hypertension was different for moderate hypoxia and diabetes, with no synergic effect except for macrophage recruitment, and the combination of both factors was required to induce a moderate elevation in pulmonary arterial pressure. SN 0958-0670 SN 1469-445X YR 2012 FD 2012-03-21 LK https://hdl.handle.net/20.500.14352/96905 UL https://hdl.handle.net/20.500.14352/96905 LA eng DS Docta Complutense RD 6 oct 2024