title: Classical transient receptor potential channel 6 (TRPC6) is essential for hypoxic pulmonary vasoconstriction and alveolar gas exchange.
abstract: Regional alveolar hypoxia causes local vasoconstriction in the lung, shifting blood flow from hypoxic to normoxic areas, thereby maintaining gas exchange. This mechanism is known as hypoxic pulmonary vasoconstriction (HPV). Disturbances in HPV can cause life-threatening hypoxemia whereas chronic hypoxia triggers lung vascular remodeling and pulmonary hypertension. The signaling cascade of this vitally important mechanism is still unresolved. Using transient receptor potential channel 6 (TRPC6)-deficient mice, we show that this channel is a key regulator of acute HPV as this regulatory mechanism was absent in TRPC6(-/-) mice whereas the pulmonary vasoconstrictor response to the thromboxane mimetic U46619 was unchanged. Accordingly, induction of regional hypoventilation resulted in severe arterial hypoxemia in TRPC6(-/-) but not in WT mice. This effect was mirrored by a lack of hypoxia-induced cation influx and currents in smooth-muscle cells from precapillary pulmonary arteries (PASMC) of TRPC6(-/-) mice. In both WT and TRPC6(-/-) PASMC hypoxia caused diacylglycerol (DAG) accumulation. DAG seems to exert its action via TRPC6, as DAG kinase inhibition provoked a cation influx only in WT but not in TRPC6(-/-) PASMC. Notably, chronic hypoxia-induced pulmonary hypertension was independent of TRPC6 activity. We conclude that TRPC6 plays a unique and indispensable role in acute hypoxic pulmonary vasoconstriction. Manipulation of TRPC6 function may thus offer a therapeutic strategy for the control of pulmonary hemodynamics and gas exchange.
authors.affiliation: University of Giessen Lung Center (UGLC), Department of Internal Medicine II/V, Klinikstrasse 36, 35392 Giessen, Germany. Norbert.Weissmann@innere.med.uni-giessen.de
authors.forename: Norbert
authors.initials: N
authors.lastname: Weissmann
authors.forename: Alexander
authors.initials: A
authors.lastname: Dietrich
authors.forename: Beate
authors.initials: B
authors.lastname: Fuchs
authors.forename: Hermann
authors.initials: H
authors.lastname: Kalwa
authors.forename: Mahmut
authors.initials: M
authors.lastname: Ay
authors.forename: Rio
authors.initials: R
authors.lastname: Dumitrascu
authors.forename: Andrea
authors.initials: A
authors.lastname: Olschewski
authors.forename: Ursula
authors.initials: U
authors.lastname: Storch
authors.forename: Michael
authors.initials: M
authors.lastname: Mederos y Schnitzler
authors.forename: Hossein Ardeschir
authors.initials: HA
authors.lastname: Ghofrani
authors.forename: Ralph Theo
authors.initials: RT
authors.lastname: Schermuly
authors.forename: Olaf
authors.initials: O
authors.lastname: Pinkenburg
authors.forename: Werner
authors.initials: W
authors.lastname: Seeger
authors.forename: Friedrich
authors.initials: F
authors.lastname: Grimminger
authors.forename: Thomas
authors.initials: T
authors.lastname: Gudermann
mesh_terms: D000208:Acute Disease; D000818:Animals; D001011:Aorta / Q000378:metabolism*; D002412:Cations / Q000737:chemistry / Q000378:metabolism; D004075:Diglycerides / Q000378:metabolism; D015870:Gene Expression; D000860:Hypoxia / Q000235:genetics / Q000378:metabolism*; D008171:Lung Diseases / Q000235:genetics / Q000378:metabolism*; D008564:Membrane Potentials; D051379:Mice; D018345:Mice, Knockout; D011659:Pulmonary Gas Exchange; D050052:TRPC Cation Channels / Q000172:deficiency / Q000235:genetics / Q000378:metabolism*; D000074287:TRPC6 Cation Channel; D014661:Vasoconstriction
chemical_list: D002412:Cations; D004075:Diglycerides; D050052:TRPC Cation Channels; D000074287:TRPC6 Cation Channel; C492146:Trpc6 protein, mouse