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10.1172/jci.insight.200684
1Department of Physiology, University of Alberta, Edmonton, Canada
2Department of Medicine, University of Alberta, Edmonton, Canada
3Department of Genetics, Harvard Medical School, Boston, United States of America
4Department of Dentistry & Dental Hygiene, University of Alberta, Edmonton, Canada
5Department of Chemistry, University of Alberta, Edmonton, Canada
6Institute for Research in Immunology and Cancer, Université de Montréal, Montréal, Canada
7Department of Surgery/Hypertension and Vascular Research, Wake Forest University School of Medicine, Winston Salem, United States of America
8Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, United States of America
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1Department of Physiology, University of Alberta, Edmonton, Canada
2Department of Medicine, University of Alberta, Edmonton, Canada
3Department of Genetics, Harvard Medical School, Boston, United States of America
4Department of Dentistry & Dental Hygiene, University of Alberta, Edmonton, Canada
5Department of Chemistry, University of Alberta, Edmonton, Canada
6Institute for Research in Immunology and Cancer, Université de Montréal, Montréal, Canada
7Department of Surgery/Hypertension and Vascular Research, Wake Forest University School of Medicine, Winston Salem, United States of America
8Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, United States of America
Find articles by Zhabyeyev, P. in: PubMed | Google Scholar
1Department of Physiology, University of Alberta, Edmonton, Canada
2Department of Medicine, University of Alberta, Edmonton, Canada
3Department of Genetics, Harvard Medical School, Boston, United States of America
4Department of Dentistry & Dental Hygiene, University of Alberta, Edmonton, Canada
5Department of Chemistry, University of Alberta, Edmonton, Canada
6Institute for Research in Immunology and Cancer, Université de Montréal, Montréal, Canada
7Department of Surgery/Hypertension and Vascular Research, Wake Forest University School of Medicine, Winston Salem, United States of America
8Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, United States of America
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Brown, K.
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1Department of Physiology, University of Alberta, Edmonton, Canada
2Department of Medicine, University of Alberta, Edmonton, Canada
3Department of Genetics, Harvard Medical School, Boston, United States of America
4Department of Dentistry & Dental Hygiene, University of Alberta, Edmonton, Canada
5Department of Chemistry, University of Alberta, Edmonton, Canada
6Institute for Research in Immunology and Cancer, Université de Montréal, Montréal, Canada
7Department of Surgery/Hypertension and Vascular Research, Wake Forest University School of Medicine, Winston Salem, United States of America
8Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, United States of America
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Gorham, J.
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1Department of Physiology, University of Alberta, Edmonton, Canada
2Department of Medicine, University of Alberta, Edmonton, Canada
3Department of Genetics, Harvard Medical School, Boston, United States of America
4Department of Dentistry & Dental Hygiene, University of Alberta, Edmonton, Canada
5Department of Chemistry, University of Alberta, Edmonton, Canada
6Institute for Research in Immunology and Cancer, Université de Montréal, Montréal, Canada
7Department of Surgery/Hypertension and Vascular Research, Wake Forest University School of Medicine, Winston Salem, United States of America
8Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, United States of America
Find articles by DeLaughter, D. in: PubMed | Google Scholar
1Department of Physiology, University of Alberta, Edmonton, Canada
2Department of Medicine, University of Alberta, Edmonton, Canada
3Department of Genetics, Harvard Medical School, Boston, United States of America
4Department of Dentistry & Dental Hygiene, University of Alberta, Edmonton, Canada
5Department of Chemistry, University of Alberta, Edmonton, Canada
6Institute for Research in Immunology and Cancer, Université de Montréal, Montréal, Canada
7Department of Surgery/Hypertension and Vascular Research, Wake Forest University School of Medicine, Winston Salem, United States of America
8Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, United States of America
Find articles by Chen, H. in: PubMed | Google Scholar
1Department of Physiology, University of Alberta, Edmonton, Canada
2Department of Medicine, University of Alberta, Edmonton, Canada
3Department of Genetics, Harvard Medical School, Boston, United States of America
4Department of Dentistry & Dental Hygiene, University of Alberta, Edmonton, Canada
5Department of Chemistry, University of Alberta, Edmonton, Canada
6Institute for Research in Immunology and Cancer, Université de Montréal, Montréal, Canada
7Department of Surgery/Hypertension and Vascular Research, Wake Forest University School of Medicine, Winston Salem, United States of America
8Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, United States of America
Find articles by Jayawardena, T. in: PubMed | Google Scholar
1Department of Physiology, University of Alberta, Edmonton, Canada
2Department of Medicine, University of Alberta, Edmonton, Canada
3Department of Genetics, Harvard Medical School, Boston, United States of America
4Department of Dentistry & Dental Hygiene, University of Alberta, Edmonton, Canada
5Department of Chemistry, University of Alberta, Edmonton, Canada
6Institute for Research in Immunology and Cancer, Université de Montréal, Montréal, Canada
7Department of Surgery/Hypertension and Vascular Research, Wake Forest University School of Medicine, Winston Salem, United States of America
8Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, United States of America
Find articles by Vergara, A. in: PubMed | Google Scholar
1Department of Physiology, University of Alberta, Edmonton, Canada
2Department of Medicine, University of Alberta, Edmonton, Canada
3Department of Genetics, Harvard Medical School, Boston, United States of America
4Department of Dentistry & Dental Hygiene, University of Alberta, Edmonton, Canada
5Department of Chemistry, University of Alberta, Edmonton, Canada
6Institute for Research in Immunology and Cancer, Université de Montréal, Montréal, Canada
7Department of Surgery/Hypertension and Vascular Research, Wake Forest University School of Medicine, Winston Salem, United States of America
8Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, United States of America
Find articles by Alexiou, M. in: PubMed | Google Scholar
1Department of Physiology, University of Alberta, Edmonton, Canada
2Department of Medicine, University of Alberta, Edmonton, Canada
3Department of Genetics, Harvard Medical School, Boston, United States of America
4Department of Dentistry & Dental Hygiene, University of Alberta, Edmonton, Canada
5Department of Chemistry, University of Alberta, Edmonton, Canada
6Institute for Research in Immunology and Cancer, Université de Montréal, Montréal, Canada
7Department of Surgery/Hypertension and Vascular Research, Wake Forest University School of Medicine, Winston Salem, United States of America
8Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, United States of America
Find articles by Wijewardane, A. in: PubMed | Google Scholar
1Department of Physiology, University of Alberta, Edmonton, Canada
2Department of Medicine, University of Alberta, Edmonton, Canada
3Department of Genetics, Harvard Medical School, Boston, United States of America
4Department of Dentistry & Dental Hygiene, University of Alberta, Edmonton, Canada
5Department of Chemistry, University of Alberta, Edmonton, Canada
6Institute for Research in Immunology and Cancer, Université de Montréal, Montréal, Canada
7Department of Surgery/Hypertension and Vascular Research, Wake Forest University School of Medicine, Winston Salem, United States of America
8Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, United States of America
Find articles by Fischer, C. in: PubMed | Google Scholar
1Department of Physiology, University of Alberta, Edmonton, Canada
2Department of Medicine, University of Alberta, Edmonton, Canada
3Department of Genetics, Harvard Medical School, Boston, United States of America
4Department of Dentistry & Dental Hygiene, University of Alberta, Edmonton, Canada
5Department of Chemistry, University of Alberta, Edmonton, Canada
6Institute for Research in Immunology and Cancer, Université de Montréal, Montréal, Canada
7Department of Surgery/Hypertension and Vascular Research, Wake Forest University School of Medicine, Winston Salem, United States of America
8Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, United States of America
Find articles by Avet, C. in: PubMed | Google Scholar
1Department of Physiology, University of Alberta, Edmonton, Canada
2Department of Medicine, University of Alberta, Edmonton, Canada
3Department of Genetics, Harvard Medical School, Boston, United States of America
4Department of Dentistry & Dental Hygiene, University of Alberta, Edmonton, Canada
5Department of Chemistry, University of Alberta, Edmonton, Canada
6Institute for Research in Immunology and Cancer, Université de Montréal, Montréal, Canada
7Department of Surgery/Hypertension and Vascular Research, Wake Forest University School of Medicine, Winston Salem, United States of America
8Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, United States of America
Find articles by Ewasiuk, A. in: PubMed | Google Scholar
1Department of Physiology, University of Alberta, Edmonton, Canada
2Department of Medicine, University of Alberta, Edmonton, Canada
3Department of Genetics, Harvard Medical School, Boston, United States of America
4Department of Dentistry & Dental Hygiene, University of Alberta, Edmonton, Canada
5Department of Chemistry, University of Alberta, Edmonton, Canada
6Institute for Research in Immunology and Cancer, Université de Montréal, Montréal, Canada
7Department of Surgery/Hypertension and Vascular Research, Wake Forest University School of Medicine, Winston Salem, United States of America
8Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, United States of America
Find articles by Wang, F. in: PubMed | Google Scholar
1Department of Physiology, University of Alberta, Edmonton, Canada
2Department of Medicine, University of Alberta, Edmonton, Canada
3Department of Genetics, Harvard Medical School, Boston, United States of America
4Department of Dentistry & Dental Hygiene, University of Alberta, Edmonton, Canada
5Department of Chemistry, University of Alberta, Edmonton, Canada
6Institute for Research in Immunology and Cancer, Université de Montréal, Montréal, Canada
7Department of Surgery/Hypertension and Vascular Research, Wake Forest University School of Medicine, Winston Salem, United States of America
8Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, United States of America
Find articles by Chappell, M. in: PubMed | Google Scholar
1Department of Physiology, University of Alberta, Edmonton, Canada
2Department of Medicine, University of Alberta, Edmonton, Canada
3Department of Genetics, Harvard Medical School, Boston, United States of America
4Department of Dentistry & Dental Hygiene, University of Alberta, Edmonton, Canada
5Department of Chemistry, University of Alberta, Edmonton, Canada
6Institute for Research in Immunology and Cancer, Université de Montréal, Montréal, Canada
7Department of Surgery/Hypertension and Vascular Research, Wake Forest University School of Medicine, Winston Salem, United States of America
8Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, United States of America
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Kim, Y.
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1Department of Physiology, University of Alberta, Edmonton, Canada
2Department of Medicine, University of Alberta, Edmonton, Canada
3Department of Genetics, Harvard Medical School, Boston, United States of America
4Department of Dentistry & Dental Hygiene, University of Alberta, Edmonton, Canada
5Department of Chemistry, University of Alberta, Edmonton, Canada
6Institute for Research in Immunology and Cancer, Université de Montréal, Montréal, Canada
7Department of Surgery/Hypertension and Vascular Research, Wake Forest University School of Medicine, Winston Salem, United States of America
8Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, United States of America
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Bouvier, M.
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1Department of Physiology, University of Alberta, Edmonton, Canada
2Department of Medicine, University of Alberta, Edmonton, Canada
3Department of Genetics, Harvard Medical School, Boston, United States of America
4Department of Dentistry & Dental Hygiene, University of Alberta, Edmonton, Canada
5Department of Chemistry, University of Alberta, Edmonton, Canada
6Institute for Research in Immunology and Cancer, Université de Montréal, Montréal, Canada
7Department of Surgery/Hypertension and Vascular Research, Wake Forest University School of Medicine, Winston Salem, United States of America
8Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, United States of America
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Vederas, J.
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1Department of Physiology, University of Alberta, Edmonton, Canada
2Department of Medicine, University of Alberta, Edmonton, Canada
3Department of Genetics, Harvard Medical School, Boston, United States of America
4Department of Dentistry & Dental Hygiene, University of Alberta, Edmonton, Canada
5Department of Chemistry, University of Alberta, Edmonton, Canada
6Institute for Research in Immunology and Cancer, Université de Montréal, Montréal, Canada
7Department of Surgery/Hypertension and Vascular Research, Wake Forest University School of Medicine, Winston Salem, United States of America
8Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, United States of America
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Seidman, C.
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1Department of Physiology, University of Alberta, Edmonton, Canada
2Department of Medicine, University of Alberta, Edmonton, Canada
3Department of Genetics, Harvard Medical School, Boston, United States of America
4Department of Dentistry & Dental Hygiene, University of Alberta, Edmonton, Canada
5Department of Chemistry, University of Alberta, Edmonton, Canada
6Institute for Research in Immunology and Cancer, Université de Montréal, Montréal, Canada
7Department of Surgery/Hypertension and Vascular Research, Wake Forest University School of Medicine, Winston Salem, United States of America
8Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, United States of America
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Seidman, J.
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1Department of Physiology, University of Alberta, Edmonton, Canada
2Department of Medicine, University of Alberta, Edmonton, Canada
3Department of Genetics, Harvard Medical School, Boston, United States of America
4Department of Dentistry & Dental Hygiene, University of Alberta, Edmonton, Canada
5Department of Chemistry, University of Alberta, Edmonton, Canada
6Institute for Research in Immunology and Cancer, Université de Montréal, Montréal, Canada
7Department of Surgery/Hypertension and Vascular Research, Wake Forest University School of Medicine, Winston Salem, United States of America
8Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, United States of America
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Oudit, G.
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Published June 18, 2026 - More info
Pulmonary arterial hypertension (PAH) is a progressive vascular syndrome characterized by aberrant signaling, severe pulmonary artery remodeling, and right ventricular (RV) failure, a major driver of morbidity and mortality. Dysregulation of the apelinergic pathway has been implicated in pulmonary vascular remodeling in PAH. Using a sugen-hypoxia rat model of PAH, we assessed the ability of a novel apelin analog, resistant to native peptidase degradation, to reverse the pathological hallmarks of PAH and RV dysfunction. Apelin analog therapy corrected the vascular lesions in the lungs and nearly normalized pulmonary arterial pressures. Early cardiorenal syndrome, RV dilation and dysfunction as well as RV cardiomyocyte and fibroblast activation induced by pressure overload, were also reversed by apelin analog treatment. Single-nucleus RNA sequencing of the lungs and RV revealed apelin-analog treatment activated several protective pathways, including rebalancing protective BMPR2 (bone morphogenetic protein receptor type 2) signaling to counteract excessive pathogenic TGFBR2 (transforming growth factor β receptor 2) activity in PAH. These findings highlight the therapeutic potential of exogenous apelin in reversing pulmonary vascular and cardiac pathologies in PAH and support further investigation to evaluate the clinical benefits of apelin analog treatment in patients with PAH and RV failure.