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Impairment of hypoxic pulmonary vasoconstriction in acute respiratory distress syndrome

Mareike Gierhardt, Oleg Pak, Dieter Walmrath, Werner Seeger, Friedrich Grimminger, Hossein A. Ghofrani, Norbert Weissmann, Matthias Hecker, Natascha Sommer
European Respiratory Review 2021 30: 210059; DOI: 10.1183/16000617.0059-2021
Mareike Gierhardt
1Dept of Internal Medicine, Universities of Giessen and Marburg Lung Center (UGMLC), Member of the German Center for Lung Research (DZL), Justus-Liebig University, Giessen, Germany
2Excellence Cluster Cardio-Pulmonary Institute (CPI), Giessen, Germany
3Instituto de Investigación en Biomedicina de Buenos Aires (IBioBA) – CONICET – Partner Institute of the Max Planck Society, Buenos Aires, Argentina
4Department of Lung Development and Remodeling, Max Planck Institute for Heart and Lung Research, Member of the German Center for Lung Research (DZL), Member of the Cardio-Pulmonary Institute (CPI) Bad Nauheim, Germany
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Oleg Pak
1Dept of Internal Medicine, Universities of Giessen and Marburg Lung Center (UGMLC), Member of the German Center for Lung Research (DZL), Justus-Liebig University, Giessen, Germany
2Excellence Cluster Cardio-Pulmonary Institute (CPI), Giessen, Germany
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Dieter Walmrath
1Dept of Internal Medicine, Universities of Giessen and Marburg Lung Center (UGMLC), Member of the German Center for Lung Research (DZL), Justus-Liebig University, Giessen, Germany
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Werner Seeger
1Dept of Internal Medicine, Universities of Giessen and Marburg Lung Center (UGMLC), Member of the German Center for Lung Research (DZL), Justus-Liebig University, Giessen, Germany
2Excellence Cluster Cardio-Pulmonary Institute (CPI), Giessen, Germany
3Instituto de Investigación en Biomedicina de Buenos Aires (IBioBA) – CONICET – Partner Institute of the Max Planck Society, Buenos Aires, Argentina
5Institute for Lung Health (ILH), Giessen, Germany
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  • ORCID record for Werner Seeger
Friedrich Grimminger
1Dept of Internal Medicine, Universities of Giessen and Marburg Lung Center (UGMLC), Member of the German Center for Lung Research (DZL), Justus-Liebig University, Giessen, Germany
2Excellence Cluster Cardio-Pulmonary Institute (CPI), Giessen, Germany
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Hossein A. Ghofrani
1Dept of Internal Medicine, Universities of Giessen and Marburg Lung Center (UGMLC), Member of the German Center for Lung Research (DZL), Justus-Liebig University, Giessen, Germany
2Excellence Cluster Cardio-Pulmonary Institute (CPI), Giessen, Germany
6Dept of Medicine, Imperial College London, London, UK
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Norbert Weissmann
1Dept of Internal Medicine, Universities of Giessen and Marburg Lung Center (UGMLC), Member of the German Center for Lung Research (DZL), Justus-Liebig University, Giessen, Germany
2Excellence Cluster Cardio-Pulmonary Institute (CPI), Giessen, Germany
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Matthias Hecker
1Dept of Internal Medicine, Universities of Giessen and Marburg Lung Center (UGMLC), Member of the German Center for Lung Research (DZL), Justus-Liebig University, Giessen, Germany
7Both authors contributed equally
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Natascha Sommer
1Dept of Internal Medicine, Universities of Giessen and Marburg Lung Center (UGMLC), Member of the German Center for Lung Research (DZL), Justus-Liebig University, Giessen, Germany
2Excellence Cluster Cardio-Pulmonary Institute (CPI), Giessen, Germany
7Both authors contributed equally
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Article Information

vol. 30 no. 161
DOI 
https://doi.org/10.1183/16000617.0059-2021
PubMed 
34526314

Published By 
European Respiratory Society
Print ISSN 
0905-9180
Online ISSN 
1600-0617
History 
  • Received March 19, 2021
  • Accepted June 5, 2021
  • Published online September 15, 2021.

Copyright & Usage 
Copyright ©The authors 2021 This version is distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0. For commercial reproduction rights and permissions contact permissions@ersnet.org

Author Information

  1. Mareike Gierhardt1,2,3,4,
  2. Oleg Pak1,2,
  3. Dieter Walmrath1,
  4. Werner Seeger1,2,3,5,
  5. Friedrich Grimminger1,2,
  6. Hossein A. Ghofrani1,2,6,
  7. Norbert Weissmann1,2,
  8. Matthias Hecker1,7 and
  9. Natascha Sommer1,2,7
  1. 1Dept of Internal Medicine, Universities of Giessen and Marburg Lung Center (UGMLC), Member of the German Center for Lung Research (DZL), Justus-Liebig University, Giessen, Germany
  2. 2Excellence Cluster Cardio-Pulmonary Institute (CPI), Giessen, Germany
  3. 3Instituto de Investigación en Biomedicina de Buenos Aires (IBioBA) – CONICET – Partner Institute of the Max Planck Society, Buenos Aires, Argentina
  4. 4Department of Lung Development and Remodeling, Max Planck Institute for Heart and Lung Research, Member of the German Center for Lung Research (DZL), Member of the Cardio-Pulmonary Institute (CPI) Bad Nauheim, Germany
  5. 5Institute for Lung Health (ILH), Giessen, Germany
  6. 6Dept of Medicine, Imperial College London, London, UK
  7. 7Both authors contributed equally
  1. Corresponding author: Natascha Sommer (natascha.sommer{at}innere.med.uni-giessen.de)
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Impairment of hypoxic pulmonary vasoconstriction in acute respiratory distress syndrome
Mareike Gierhardt, Oleg Pak, Dieter Walmrath, Werner Seeger, Friedrich Grimminger, Hossein A. Ghofrani, Norbert Weissmann, Matthias Hecker, Natascha Sommer
European Respiratory Review Sep 2021, 30 (161) 210059; DOI: 10.1183/16000617.0059-2021

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Impairment of hypoxic pulmonary vasoconstriction in acute respiratory distress syndrome
Mareike Gierhardt, Oleg Pak, Dieter Walmrath, Werner Seeger, Friedrich Grimminger, Hossein A. Ghofrani, Norbert Weissmann, Matthias Hecker, Natascha Sommer
European Respiratory Review Sep 2021, 30 (161) 210059; DOI: 10.1183/16000617.0059-2021
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  • Article
    • Abstract
    • Abstract
    • Clinical definition and current therapeutic options for ARDS
    • General pathomechanisms underlying ARDS
    • V/Q mismatch in ARDS
    • Primary sensing and signalling mechanism underlying HPV and alterations in ARDS
    • Endothelial modulators of HPV and pulmonary vascular pressure in ARDS
    • Systemic, humoral and pharmacological factors affecting HPV
    • Dysregulation of HPV in SARS-CoV-2 infection
    • The role of PH in ARDS
    • Non-pharmacological approach for treatment of V/Q mismatch
    • Pharmacological approach for treatment of V/Q mismatch and PH
    • Conclusion: treatment of V/Q mismatch in ARDS – rebalancing vascular function
    • Footnotes
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  • Acute lung injury and critical care
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