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Title: Transdifferentiation of endothelial cells to smooth muscle cells play an important role in vascular remodelling
Author: Coll-Bonfill, Núria
Musri, Melina Mara
Peinado, Víctor Ivo
Barberà i Mir, Joan Albert
Tura-Ceide, Olga
Keywords: Hipertensió pulmonar
Pulmonary hypertension
Issue Date: 15-Mar-2015
Publisher: e-Century Publishing
Abstract: Pulmonary artery remodelling it is a major feature of pulmonary hypertension (PH). It is characterised by cellular and structural changes of the pulmonary arteries causing higher pulmonar vascular resistance and right ventricular failure. Abnormal deposition of smooth muscle-like (SM-like) cells in normally non-muscular, small diameter vessels and a deregulated control of endothelial cells are considered pathological features of PH. The origin of the SM-like cells and the mechanisms underlying the development and progression of this remodelling process are not understood. Endothelial cells within the intima may migrate from their organised layer of cells and transition to mesenchymal or SM-like phenotype in a process called endothelial-mesenchymal transition (EnMT). Traditionally, Waddington's epigenetic landscape illustrates that fates of somatic cells are progressively determined to compulsorily follow a downhill differentiation pathway. EnMT induces the transformation of cells with stem cell traits, therefore contrasting Waddington's theory and confirming that cell fate seems to be far more flexible than previously thought. The prospect of therapeutic inhibition of EnMT to delay or prevent PH may represent a promising new treatment modality.
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It is part of: American Journal of Stem Cells, 2015, vol. 4, num. 1, p. 13-21
ISSN: 2160-4150
Appears in Collections:Articles publicats en revistes (Medicina)

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