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Discovery links blood cell defect to common lung disorder, leads to novel treatment

DURHAM, N.C. A persistent scarcity of oxygen in body tissues a widespread problem in patients with heart or lung disease can create a defect of red blood cells that further exacerbates the condition by constricting blood vessels in the lung, Howard Hughes Medical Institute researchers at Duke University Medical Center have found. What's more, the team demonstrated through studies in people and animals that inhalation of a 'souped up' form of nitric oxide, which targets red blood cells, reverses the blood abnormality to restore normal lung pressure.

The team's findings will appear in the online Early Edition of Proceedings of the National Academy of Sciences next week (October 3-7, 2005). The work was supported by the National Heart, Lung, and Blood Institute and the National Science Foundation. Stamler is a paid consultant for Nitrox LLC, a biotechnology company developing NO-based drugs for disorders of the heart, lung and blood.

The potentially fatal lung condition, pulmonary hypertension, is characterized by high blood pressure in the lungs. The disorder is a common complication of chronic diseases such as emphysema, arthritis, sickle cell disease and heart failure. However, pulmonary hypertension can also arise in otherwise healthy people for unknown reasons. Symptoms include shortness of breath under minimal exertion, fatigue, chest pain, dizzy spells and fainting.

"Many people suffer pulmonary hypertension as a complicating factor of other chronic disease," said study senior author Jonathan Stamler, M.D. "In such cases, the lung condition is often predictive of poorer outcomes. For others, pulmonary hypertension is the primary disease."

"We have now established a molecular defect of the red blood cells as an important contributing cause of hypertension in the lung," added Timothy McMahon, lead author of the study. Physicians had previously considered an abnormality within the lung itself as the primary source of the condition
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Contact: Kendall Morgan
kendall.morgan@duke.edu
919-660-1306
Duke University Medical Center
3-Oct-2005


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