Abstract

We have previously reported that nuclear factor of activated T cells (NFATs) play an important role in the regulation of vascular smooth muscle cell migration and proliferation by receptor tyrosine kinase and G protein-coupled receptor agonists, platelet-derived growth factor-BB and thrombin, respectively. To understand the role of NFATs in vascular disease, we have now studied the involvement of these transcription factors in neointima formation in a rat carotid artery balloon injury model. The levels of NFATc1 in injured right common carotid arteries were increased at 72 h, 1 week, and 2 weeks after balloon injury compared with its levels in uninjured left common carotid arteries. Intraperitoneal injection of cyclosporine A (CsA), a pharmacological inhibitor of the calcineurin-NFAT activation pathway, suppressed balloon injury-induced neointima formation by 40%. Similarly, adenoviral-mediated expression of GFPVIVIT, a competent peptide inhibitor of the calcineurin-NFAT activation pathway, in injured arteries also reduced neointima formation by about 40%. Furthermore, CsA and GFPVIVIT attenuated balloon injury-induced neointimal smooth muscle cell proliferation as determined by bromodeoxyuridine staining. Platelet-derived growth factor-BB induced the expression of COX-2 in cultured VSMC in a time- and NFAT-dependent manner. COX-2 expression was also increased in the right common carotid artery in a time-dependent manner after balloon injury as compared with its levels in uninjured left common carotid artery and both CsA and GFPVIVIT negated this response. Together these results for the first time demonstrate that NFATs play a critical role in neointima formation via induction of expression of COX-2.

Highlights

  • It is believed that sustained inflammation following vascular injury is a triggering event in the pathogenesis of vessel wall diseases [1, 2]

  • We have previously reported that nuclear factor of activated T cells (NFATs) play an important role in the regulation of vascular smooth muscle cell migration and proliferation by receptor tyrosine kinase and G proteincoupled receptor agonists, platelet-derived growth factor-BB and thrombin, respectively

  • Nuclear extracts containing an equal amount of protein from control and PDGF-BB-treated vascular smooth muscle cells (VSMC) were incubated with 100,000 cpm of 32P-labeled consensus double-stranded NFAT binding oligonucleotide probe and the protein-DNA complexes were separated by electrophoresis on a polyacrylamide gel

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Summary

Introduction

It is believed that sustained inflammation following vascular injury is a triggering event in the pathogenesis of vessel wall diseases [1, 2]. Nuclear factor of activated T cells (NFATs) are members of a multigene family of transcription factors that belong to the Rel group [13]. Toward understanding the functional role of NFATs in non-immune cells, we have previously reported that their activation is required for RTK and GPCR agonist-induced VSMC migration and proliferation [29, 30]. We tested their role in neointima formation in a rat carotid artery balloon injury model. The present data show for the first time that NFATs play an essential role in neointima formation via their involvement in balloon injury-induced expression of COX-2

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