RT Journal Article SR Electronic T1 Pulmonary hypertension in smoking mice over-expressing protease-activated receptor-2 JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP erj00602-2010 DO 10.1183/09031936.00060210 A1 G. De Cunto A1 S. Cardini A1 G. Cirino A1 P. Geppetti A1 G. Lungarella A1 M. Lucattelli YR 2010 UL http://erj.ersjournals.com/content/early/2010/08/06/09031936.00060210.abstract AB The mechanism(s) involved in the development of pulmonary hypertension (PH) in COPD is still object of investigation. Cigarette smoke (CS) may lead to remodelling of intrapulmonary vessels and dynamic changes in vascular function, at least in some smokers. A role for proteases in PH has been recently put forward.We investigated in smoking mice the role of protease-activated receptor-2 (PAR-2) in the pathogenesis of PH associated with emphysema.We demonstrate that CS exposure can modulate PAR-2 expression in mouse lung.Acute CS exposure induces in WT and in transgenic mice over-expressing PAR-2 (FVBPAR−2−TgN) a similar degree of neutrophil influx in bronchoalveolar lavage fluids.After chronic CS exposure WT and FVBPAR−2−TgN mice show emphysema, but only transgenic mice develop muscularization of small intrapulmonary vessels that precedes the development of PH (∼45% increase) and right ventricular hypertrophy. Smoking in FVBPAR−2−TgN mice results in an imbalance between vasoconstrictors (especially ET-1) and vasodilators (i.e. VEGF, eNOS and iNOS) and enhanced production of growth factors involved both in fibroblast-smooth muscle cell transaction (PDGF and TGFβ) and vascular cell proliferation (PDGF).PAR-2 signalling can influence the production and release of many factors, which may play a role in the development of PH in smokers.