Publications by authors named "K Wiesmeijer"

Hereditary hemorrhagic telangiectasia type 1 (HHT1) is a severe vascular disorder caused by mutations in the TGFβ/BMP co-receptor . Endoglin haploinsufficiency results in vascular malformations and impaired neoangiogenesis. Furthermore, HHT1 patients display an impaired immune response.

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Article Synopsis
  • Mutations in the BMPR2 gene lead to hereditary pulmonary arterial hypertension (PAH), while non-hereditary PAH involves disruptions in the TGF-β/BMP signaling pathway affecting BMPR2 activity.
  • Current research using animal models (like monocrotaline and Sugen-Hypoxia) aims to understand BMPR2 signaling's role and potential for reversing PAH, but these models may not accurately reflect the disease progression seen in humans.
  • A study analyzing BMPR2 expression in lung tissues of PAH patients compared to rats with induced PAH found that expression levels of BMPR2 and its active form (pSmad1/5/8) were unchanged in lung tissue from hereditary PAH patients.
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Pulmonary arterial hypertension (PAH) is a progressive fatal disease characterised by abnormal remodelling of pulmonary vessels, leading to increased vascular resistance and right ventricle failure. This abnormal vascular remodelling is associated with endothelial cell dysfunction, increased proliferation of smooth muscle cells, inflammation and impaired bone morphogenetic protein (BMP) signalling. Orphan nuclear receptor Nur77 is a key regulator of proliferation and inflammation in vascular cells, but its role in impaired BMP signalling and vascular remodelling in PAH is unknown.

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Cell transplantation studies have shown that injection of progenitor cells can improve cardiac function after myocardial infarction (MI). Transplantation of human cardiac progenitor cells (hCPCs) results in an increased ejection fraction, but survival and integration are low. Therefore, paracrine factors including extracellular vesicles (EVs) are likely to contribute to the beneficial effects.

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Aims: Hereditary Hemorrhagic Telangiectasia type-1 (HHT1) is a genetic vascular disorder caused by haploinsufficiency of the TGFβ co-receptor endoglin. Dysfunctional homing of HHT1 mononuclear cells (MNCs) towards the infarcted myocardium hampers cardiac recovery. HHT1-MNCs have elevated expression of dipeptidyl peptidase-4 (DPP4/CD26), which inhibits recruitment of CXCR4-expressing MNCs by inactivation of stromal cell-derived factor 1 (SDF1).

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