Original Contributions |
From the Houston VA Medical Center (W.D., L.L., K.J.P., A.I.S.) and the Departments of Medicine (W.D., L.L., A.I.S.) and Pharmacology (W.D.), Baylor College of Medicine, Houston, Tex.
Correspondence to William Durante, PhD, Houston VA Medical Center, Building 109, Room 128, 2002 Holcombe Blvd, Houston, TX 77030.
AbstractThrombin, a serine
protease, is a potent mitogen for vascular smooth muscle cells (SMCs),
but its mechanism of action is not known. Since L-ornithine
is metabolized to growth-stimulatory polyamines, we examined whether
thrombin regulates the transcellular transport and
metabolism of L-ornithine by vascular SMCs.
Treatment of SMCs with thrombin initially (0 to 2 hours) decreased
L-ornithine uptake, whereas longer exposures (6 to 24
hours) progressively increased transport. Kinetic studies indicated
that thrombin-induced inhibition was associated with a decrease in
affinity for L-ornithine, whereas stimulation was mediated
by an increase in transport capacity. Thrombin induced the expression
of both cationic amino acid transporter (CAT)-1 and CAT-2 mRNA.
Furthermore, thrombin stimulated L-ornithine
metabolism by inducing ornithine decarboxylase (ODC) mRNA
expression and activity. The stimulatory effect of thrombin on both
L-ornithine transport and ODC activity was reversed by
hirudin, a thrombin inhibitor, and was mimicked by a
14amino acid thrombin receptoractivating peptide. Thrombin also
markedly increased the capacity of SMCs to generate putrescine, a
polyamine, from extracellular L-ornithine. The
thrombin-mediated increase in putrescine production was
reversed by
NG-methyl-L-arginine, a
competitive inhibitor of cationic amino acid transport, or
by
-difluoromethylornithine (DFMO), an ODC inhibitor.
DFMO also inhibited thrombin-induced SMC proliferation. These results
demonstrate that thrombin stimulates polyamine synthesis by inducing
CAT and ODC gene expression and that thrombin-stimulated SMC
proliferation is dependent on polyamine formation. The ability of
thrombin to upregulate L-ornithine transport and direct its
metabolism to growth-stimulatory polyamines may contribute
to postangioplasty restenosis and atherosclerotic lesion
formation.
Key Words: thrombin L-ornithine polyamine proliferation
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