In primary pulmonary hypeension basic abnormality in gene lies in:
Correct Answer: Bone morphogenetic protein receptor II
Description: Answer is A (Bone morphogenic Receptor Protein II) Gene coding the type II bone morhphogenetic protein receptor II (BMPR II) is associated with familial cases of primary pulmonary hypeension and designated as the PPH I gene. Bone morphogenic protein receptor II (BMPRII) and pulmonary Hypeension BMPRII is a cell surface protein receptor belonging to the TGF-13 receptor superfamily (located on chromosome 2q31) BMP-BMPRII signaling plays an impoant role in embryogenesis, apoptosis, cell proliferation and differentiation. In vascular smooth muscles normal BMPR2 signalling causes inhibition of proliferation and our apoptosis, thereby protecting the vessels from narrowing and development of hypeension Primary pulmonary hypeension is believed to be caused by a mutation in the gene coding for the BMPR II signaling pathway (PPH-1 gene/BMPRII gene) Mutation in the BMPR II gene (PPH-Igene) predisposes the cells to undergo proliferation rather than apoptosis and results in development of pulmonary hypeension.
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