Abstract 719: PFKFB3 Mediated Glycolysis in Vascular Smooth Muscle Cells Is Essential for Arterial Neointima Formation

Abstract

Background: Mature vascular smooth muscle cells (VSMCs) exhibit limited proliferation and migration ability. However, in response to stresses, VSMCs undergo phenotypic modulation characterized by increased proliferation and motility. This phenotypic modulation is associated with several vascular diseases, including atherosclerosis, arterial neointima formation. Elevated glycolysis has been described in proliferative VSMCs. The isoform 3 of 6-phosphofructo-2-kinase/fructose-2, 6-bisphosphatase (PFKFB3) is a regulatory factor for VSMC glycolysis. PFKFB3 catalyze the synthesis of fructose 2, 6-bishosphate (F2, 6 BP). The latter is a powerful activator of 6-phosphofructo-1-kinase, the rate-limiting enzyme in glycolytic flux. It is unclear whether PFKFB3 mediated glycolysis play a role in VSMC phenotypic modulation andarterial neointima formation. Methods and results: PDGF treatment increased PFKFB3 expression in human aortic smooth muscle cells (HASMCs). This was accompanied with enhanced proliferation and migration of HASMCs. Knockdown of PFKFB3 with adenovirus carrying PFKFB3 short hairpin RNA suppressed PDGF-induced HASMC proliferation and migration. Examination of intracellular signaling indicated PI3K/Akt participated into PFKFB3-mediated glycolysis, and further cooperated with PFKFB3 to modulate phenotype of HASMCs. In a model of the left common carotid artery ligation, both PFKFB3 heterozygotes and mice with deficiency of PFKFB3 in VSMCs showed the decreased arterial neointima compared with controls mice. Conclusions: PFKFB3 mediates glycolysis and cooperates with PI3K/AKT, thereafter promoting proliferation and migration of VSMCs and leading to the formation of an increased arterial neointima. Thus, PFKFB3 is a promising therapeutic target for the treatment of atherosclerosis, arterial neointima and other peripheral arterial diseases.