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Circulation. 1998;97:1071-1078

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(Circulation. 1998;97:1071-1078.)
© 1998 American Heart Association, Inc.


Basic Science Reports

Induction of Rat Aortic Smooth Muscle Cell Growth by the Lipid Peroxidation Product 4-Hydroxy-2-Nonenal

Johannes Ruef, MD; Gadiparthi N. Rao, PhD; Fengzhi Li, PhD; Christoph Bode, MD; Cam Patterson, MD; Aruni Bhatnagar, PhD; ; Marschall S. Runge, MD, PhD

From the Division of Cardiology and Sealy Center for Molecular Cardiology, the Department of Human Biological Chemistry and Genetics, University of Texas Medical Branch at Galveston; and the Division of Cardiology (C.B.), University of Heidelberg (Germany).

Correspondence to Marschall S. Runge, MD, PhD, University of Texas Medical Branch, Division of Cardiology, 5.106 John Sealy Hospital, 301 University Blvd, Galveston, TX 77555-0553. E-mail mrunge{at}utmb.edu

Background—Atherosclerotic lesion formation is a complex process, in part mediated by inflammatory and oxidative mechanisms including lipid peroxidation. To further characterize the potential role of lipid peroxidation products in atherogenesis, we studied the effects of 4-hydroxy-2-nonenal (HNE) on rat aortic smooth muscle cell growth.

Methods and Results—HNE, at concentrations of 1.0 and 2.5 µmol/L, significantly stimulated rat aortic smooth muscle cell growth as determined by cell counts, [3H]-thymidine uptake, and incorporation of bromo-deoxyuridine. To characterize the mechanism of HNE-induced mitogenesis, its effect on activation of intracellular growth signaling pathways was examined. Treatment with HNE resulted in activation of extracellular signal-regulated protein kinases ERK1 and ERK2, induction of c-fos and c-jun protein expression, and an increase in transcription factor AP-1 DNA binding activity. In addition, HNE induced expression of platelet-derived growth factor-AA (PDGF-AA) protein, and an anti–PDGF-AA antibody specifically inhibited HNE-mediated DNA synthesis, suggesting that growth factor induction may play a role in HNE-induced vascular smooth muscle cell growth. The role of redox-sensitive mechanisms in this process was further supported by the observation that HNE-induced DNA synthesis and AP-1 activation were inhibited by the antioxidants N-acetylcysteine and pyrrolidine dithiocarbamate.

Conclusions—These data demonstrate that HNE, one of several important lipid peroxidation products, induces rat aortic smooth muscle cell growth through redox-sensitive mechanisms and growth factor expression. These observations are consistent with a role for lipid peroxidation products in vascular smooth muscle cell growth in atherogenesis.


Key Words: atherosclerosis • oxidation • lipids • signal transduction • mitogens




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