Platelet-derived growth factor type BB (PDGF-BB) has been reported to induce vascular smooth muscle cell (VSMC) proliferation and migration, which are major events that are highly linked to vascular diseases such as atherosclerosis and restenosis. Although p90RSK has been shown to regulate multiple cellular processes including cell growth, proliferation, survival and motility through various downstream substrates in different cell types, the role of p90RSK on PDGF-BB-induced VSMC proliferation and migration, and vascular neointima formation remains unknown. In this study, we determine whether inhibition of p90RSK protects from PDGF-BB-induced cellular phenotypic change and investigate the molecular mechanisms underlying the effect of p90RSK inhibition. In cultured primary rat VSMCs, we found that pretreatment with FMK or BI-D1870, specific inhibitors of p90RSK, suppressed PDGF-BB-induced VSMC phenotypic alteration, ECM accumulation, proliferation, and migration. In addition, FMK and BI-D1870 repressed cell cycle regulatory genes cyclin D1 and Cdk4 induced by PDGF-BB, whereas inhibition of p90RSK augmented cyclin-dependent kinase inhibitor p27 downregulated by PDGF-BB in VSMCs, suggesting that p90RSK induces VSMC proliferation via cell cycle regulation of G0/G1 phase. Notably, using the mouse model of partial carotid ligation model, FMK was found to attenuate the neointimal hyperplasia of carotid arteries. These results suggest that p90RSK impedes PDGF-BB induced VSMC phenotypic switching, proliferation, migration, and neointima formation.
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