Editorials |
From the Division of Cardiovascular Medicine (T.D.L., M.R.B.), Addenbrookes Hospital, Cambridge, UK.
Correspondence to Trevor D. Littlewood, the Division of Cardiovascular Medicine, Box 110, ACCI, Addenbrookes Hospital Cambridge, CB2 2QQ. E-mail +dl2@mole.bio.cam.ac.uk
See related article, pages 372380
Key Words: FOXO3a CYR61 neointimal hyperplasia vascular smooth muscle cell
An extract of the first 250 words of the full text is provided, because this article has no abstract. |
Vascular smooth muscle cells (VSMCs) are essential for the structural integrity and contractile responses of the arterial vessel wall. VSMC proliferation and survival are also implicated in vascular disease including restenosis following angioplasty or stenting, and VSMC apoptosis is an important regulator of plaque stability. Thus, unraveling the molecular mechanisms that govern the survival, proliferation and migration of VSMCs is of great clinical importance. In this issue of Circulation Research Lee et al1 have added another piece to this jigsaw puzzle. They show that the rapid increase in expression of the secreted cysteine-rich angiogenic protein CYR61 following stimulation of VSMCs with either serum growth factors or angiotensin II in vitro, or after mechanical arterial injury in vivo, can be attenuated by FOXO3a.
Previous studies have shown that CYR61 is highly expressed in human atherosclerotic plaques, correlating with the degree of stenosis and plaque histopathology.2 Lee et al1 investigated how expression of CYR61 is regulated. The CYR61 promoter contains multiple binding sites for different transcriptional regulators. In particular, Lee et al1 identified a site for Forkhead/winged helix box gene, group O (FOXO) family of transcription factors. Because previous studies had indicated that FOXO3a inhibits neointimal hyperplasia by promoting cell cycle arrest and apoptosis,3,4 Lee et al1 investigated whether FOXO3a influenced the expression of CYR61. They demonstrate that FOXO3a functions as a transcriptional repressor of CYR61. Because the serine/threonine kinase Akt/PKB phosphorylates and inhibits FOXO3a activity, Lee et al1 used a modified allele that contains mutated Akt phosphorylation
Related Article:
Circ. Res. 2007 100: 372-380.
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