Table 1.
Clinical and preclinical evidence for inflammation in pulmonary hypertension
Target | Preclinical | Clinical |
---|---|---|
NF‐κB | Inhibition improves PH (Kumar et al., 2012; Hosokawa et al., 2013; Wang et al., 2013; Farkas et al., 2014; Li et al., 2014) | – |
IL‐1 | Inhibition improves PH (Voelkel et al., 1994; Parpaleix et al., 2016) | Increased levels in patients (Humbert et al., 1995; Soon et al., 2010) |
IL‐18 | Inhibition improves PH (Morisawa et al., 2016) | Increased levels in patients (Ross et al., 2012) |
IL‐6 | Inhibition improves PH (Golembeski et al., 2005; Savale et al., 2009; Steiner et al., 2009; Hashimoto‐Kataoka et al., 2015; Parpaleix et al., 2016) | Increased levels in patients (Humbert et al., 1995; Selimovic et al., 2009; Soon et al., 2010; Gitto et al., 2012; Matura et al., 2015) |
Other cytokines/chemokines/growth factors | – | Increased levels of MCP‐1 (Itoh et al., 2006); VEGF, PDGF, TGF‐β1 (Selimovic et al., 2009); IL‐2, ‐4, ‐8, ‐10, ‐12p70, TNF‐α (Soon et al., 2010) IL‐8, TNF‐α in PPHN (Gitto et al., 2012); CXCL10 (Ross et al., 2012); TNF‐α (Matura et al., 2015) |
Inflammatory cells | Depletion of T‐cells worsens PH (Tamosiuniene et al., 2011; Chu et al., 2015); macrophages improves PH (Zaloudikova et al., 2016) | Infiltrates comprised of macrophages, T and B lymphocytes, dendritic and mast cells (Tuder et al., 1994; Savai et al., 2012; Stacher et al., 2012) |
P2X7/ATP | Inhibition improves PH (Yin et al., 2017) | – |
Inflammasomes | Inhibition improves PH (Villegas et al., 2013; Cero et al., 2015; Tang et al., 2015) | – |
Survival | – | Elevated cytokines predict (Soon et al., 2010) |
Remodelling | – | Inflammatory infiltrates correlate with vessel wall thickness (Stacher et al., 2012) |