2019
DOI: 10.3390/ijms20112706
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Proliferative Pathways of Vascular Smooth Muscle Cells in Response to Intermittent Hypoxia

Abstract: Obstructive sleep apnea (OSA) is characterized by intermittent hypoxia (IH) and is a risk factor for cardiovascular diseases (e.g., atherosclerosis) and chronic inflammatory diseases (CID). The excessive proliferation of vascular smooth muscle cells (VSMCs) plays a pivotal role in the progression of atherosclerosis. Hypoxia-inducible factor-1 and nuclear factor-κB are thought to be the main factors involved in responses to IH and in regulating adaptations or inflammation pathways, however, further evidence is … Show more

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Cited by 20 publications
(12 citation statements)
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“…Besides being produced by macrophages ( 35 ), IL-6 is also produced by a variety of different resident cells including keratinocytes, enterocytes, hepatocytes ( 33 ), pneumocytes, and bronchial epithelial cell ( 36 ), smooth muscle cells ( 37 ), skeletal muscle cells ( 38 ), osteoblasts ( 39 ), adipocytes ( 40 ), neurons ( 35 , 41 ). Interestingly IL-6 was also shown to be produced by lung epithelial cells in response to a variety of different stimuli including allergens, respiratory virus and exercise ( 42 44 ).…”
Section: The Il-6-cxcl10-macrophages Networkmentioning
confidence: 99%
“…Besides being produced by macrophages ( 35 ), IL-6 is also produced by a variety of different resident cells including keratinocytes, enterocytes, hepatocytes ( 33 ), pneumocytes, and bronchial epithelial cell ( 36 ), smooth muscle cells ( 37 ), skeletal muscle cells ( 38 ), osteoblasts ( 39 ), adipocytes ( 40 ), neurons ( 35 , 41 ). Interestingly IL-6 was also shown to be produced by lung epithelial cells in response to a variety of different stimuli including allergens, respiratory virus and exercise ( 42 44 ).…”
Section: The Il-6-cxcl10-macrophages Networkmentioning
confidence: 99%
“…IH could cause not only pulmonary vascular disease but also systemic vascular diseases. In fact, Kyotani and his colleagues recently demonstrated that the epidermal growth factor family, such as epiregulin, amphiregulin, and neuregulin-1, and their receptor erbB2 were upregulated in vascular smooth muscle cells by IH [72], and these upregulations were mediated by the increase of IL-6 [73,74]. These findings indicate that IH seen in OSA patients modulates not only pulmonary but also systemic vascular pathophysiology.…”
Section: Effects Of Intermittent Hypoxia On Systemic Diseasesmentioning
confidence: 99%
“…The involvement of these pathologies can lead to chronic diseases of multiple organs. A number of conditions may occur including atherosclerosis, cardiovascular disease, cerebrovascular disease, immunodeficiency, and metabolic abnormalities (pancreatic β cell dysfunction, insulin resistance, and increased free-fatty acid [FFA]) may occur [ 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 ].…”
Section: Introductionmentioning
confidence: 99%