Abstract

Induction of the antioxidant enzyme heme oxygenase-1 (HO-1) affords cellular protection and suppresses proliferation of vascular smooth muscle cells (VSMCs) associated with a variety of pathological cardiovascular conditions including myocardial infarction and vascular injury. However, the underlying mechanisms are not fully understood. Over-expression of Cav3.2 T-type Ca2+ channels in HEK293 cells raised basal [Ca2+]i and increased proliferation as compared with non-transfected cells. Proliferation and [Ca2+]i levels were reduced to levels seen in non-transfected cells either by induction of HO-1 or exposure of cells to the HO-1 product, carbon monoxide (CO) (applied as the CO releasing molecule, CORM-3). In the aortic VSMC line A7r5, proliferation was also inhibited by induction of HO-1 or by exposure of cells to CO, and patch-clamp recordings indicated that CO inhibited T-type (as well as L-type) Ca2+ currents in these cells. Finally, in human saphenous vein smooth muscle cells, proliferation was reduced by T-type channel inhibition or by HO-1 induction or CO exposure. The effects of T-type channel blockade and HO-1 induction were non-additive. Collectively, these data indicate that HO-1 regulates proliferation via CO-mediated inhibition of T-type Ca2+ channels. This signalling pathway provides a novel means by which proliferation of VSMCs (and other cells) may be regulated therapeutically.

Highlights

  • Vascular smooth muscle cells (VSMCs) control vascular tone through regulated contraction which is highly dependent on Ca2+ influx, primarily via voltage-dependent L-type Ca2+ channels [4, 21, 33, 48, 50, 54]

  • The known role of T-type Ca2+ channels in proliferation, together with our recent study indicating that carbon monoxide (CO) can directly modulate T-type Ca2+ channels [5], indicates that heme oxygenase-1 (HO-1)-derived CO can limit proliferation via inhibition of T-type Ca2+ channels

  • To examine whether the Heme oxygenase (HO)-1/CO pathway was able to modify proliferation in human VSMCs, we studied cells cultured from human saphenous vein

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Summary

Introduction

Vascular smooth muscle cells (VSMCs) control vascular tone (and blood flow and distribution) through regulated contraction which is highly dependent on Ca2+ influx, primarily via voltage-dependent L-type Ca2+ channels [4, 21, 33, 48, 50, 54]. VSMCs are not terminally differentiated and can undergo adaptive phenotypic changes: their ability to become non-contractile, proliferative cells is an important factor in both developmental vasculogenesis and vascular repair [35, 36, 52]. This switch to a proliferative state is important in pathological situations such as atherosclerosis, restenosis, neointimal hyperplasia and hypertension [19, 36]. T-type Ca2+ channels are expressed in VSMCs, their role in vasoconstriction is unclear (see [10]).

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