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(Circulation Research. 1995;76:209-214.)
© 1995 American Heart Association, Inc.


Articles

Integrin-Mediated Collagen Matrix Reorganization by Cultured Human Vascular Smooth Muscle Cells

Richard T. Lee, Fedor Berditchevski, George C. Cheng, Martin E. Hemler

From the Cardiovascular Division (R.T.L., G.C.C.), Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, and the Dana-Farber Cancer Institute (F.B., M.E.H.), Boston, Mass.

Correspondence to Richard T. Lee, MD, Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115.


*    Abstract
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*Abstract
down arrowIntroduction
down arrowMaterials and Methods
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down arrowDiscussion
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Abstract Vascular smooth muscle cells perform the important function of modulation of vascular extracellular matrix. Because integrins mediate many cell-matrix interactions, the role of integrins in reorganization of collagen by cultured human vascular smooth muscle cells was studied. Immunoprecipitation demonstrated that human vascular smooth muscle cells express multiple ß1 integrins. Monoclonal antibody A2-IIE10 (a blocking anti-{alpha}2 antibody) inhibited adhesion of smooth muscle cells to collagen by 31%. The blocking anti-{alpha}1 antibody 1B3.1 inhibited adhesion by 40%, whereas a blocking anti-{alpha}3 antibody had no effect on adhesion. When 1B3.1 and A2-IIE10 were both used, a 79% reduction in adhesion was observed, indicating that active {alpha}1 and {alpha}2 integrins cooperatively mediate adhesion. The blocking anti-ß1 antibody Mab13 abolished smooth muscle cell–mediated gel contraction, and the {alpha}2-blocking antibody A2-IIE10 had a dose-dependent partial inhibitory effect (37%). In contrast, blocking antibodies to {alpha}1 and {alpha}3 had no effect. When anti-{alpha}1 (1B3.1) and anti-{alpha}2 (A2-IIE10) monoclonal antibodies were combined, no synergistic effect on inhibition of gel contraction was observed. Surprisingly, collagen gel contraction was inhibited by 46% by an anti-ß1 antibody (TS2/16) known for its stimulatory effect on cell adhesion. Thus, whereas {alpha}1ß1 and {alpha}2ß1 integrins both participate in adhesion of vascular smooth muscle cells to collagen, only {alpha}2ß1 integrins mediate collagen reorganization. In addition, collagen reorganization appears to be a dynamic process, adversely affected by excessive adhesion strengthening.


Key Words: integrins • atherosclerosis • collagen • vascular smooth muscle • adhesion


*    Introduction
up arrowTop
up arrowAbstract
*Introduction
down arrowMaterials and Methods
down arrowResults
down arrowDiscussion
down arrowReferences
 
Vascular smooth muscle cells perform many functions that are critical for determining vascular structure during development, normal homeostasis, and disease states. In response to mechanical stimuli, smooth muscle cells change orientation, growth state, and extracellular matrix synthesis, permitting homeostatic adaptations to the pulsatile stresses of blood pressure.1 2 In addition, vascular smooth muscle cells migrate into the intima, proliferate, and secrete the extracellular matrix of atherosclerotic lesions.3 4 These lesions typically contain a collagen matrix that is relatively dense compared with the normal vessel. This collagenous matrix is, in part, responsible for changes in the biomechanical behavior of the vessel that can lead to instability and, ultimately, fracture of the lesion with thrombosis and occlusion.5 6

Studies of fibroblasts, melanocytes, and other cells cultured in hydrated collagen lattices have demonstrated that mammalian cells will contract and reorganize collagen fibrils.7 8 9 This process of physically contracting collagen is analogous to the organization of collagen matrix that occurs in dermal wound healing and development of normal connective tissues and is mediated by integrins.7 9 Integrins are heterodimeric cell-surface receptors for extracellular matrix molecules that can transduce mechanical signals from the extracellular environment into the cell.10 11 12 The integrin family includes at least 15 {alpha} subunits and 8 ß subunits that can form 21 different heterodimers, and three different {alpha} subunits ({alpha}1, {alpha}2, and {alpha}3) can form complexes with the ß1 subunit and function as collagen receptors. In addition to ligand specificity, integrins may have cell type–specific differences in function. For example, the {alpha}2ß1 integrin may function as a collagen receptor on fibroblasts or a collagen and laminin receptor on other cells.13 14 The {alpha}2ß1 integrin appears to mediate collagen gel contraction, and this process has been implicated in the pathophysiology of vitreoretinal contraction and retinal detachment.15 16 Collagen gel contraction by {alpha}2ß1 integrins can be abolished by exchange of the cytoplasmic domain of the {alpha}2 subunit with that of the {alpha}4 subunit with no effect on adhesion to collagen.17 Thus, integrins function as more than adhesion receptors for extracellular matrix.

A variety of integrins on cultured vascular smooth muscle cells have been described. Clyman and colleagues18 19 described several {alpha} subunits associated with ß1 subunits that mediated adhesion of rat vascular smooth muscle cells to fibronectin, laminin, and collagen. Lamb ductus arteriosus smooth muscle cells have ß1 integrins that appear to mediate adhesion to fibronectin, laminin, and collagen types I and IV, whereas migration of these cells on these substrates is heavily dependent on {alpha}vß3 integrins.20 Because integrins may play an important role in smooth muscle cell regulation of vascular structure, we studied integrin-mediated extracellular matrix reorganization by cultured human vascular smooth muscle cells. We found that {alpha}1ß1 and {alpha}2ß1 integrins both participated in mediating adhesion to collagen, whereas {alpha}2ß1 integrins mediated collagen gel contraction, demonstrating specificity of {alpha} subunit functions in human vascular smooth muscle cells. In addition, we report that collagen gel contraction can be inhibited by an anti–ß1 integrin antibody that usually stimulates adhesion, suggesting that dynamic conformational changes in ß1 integrins are necessary for collagen reorganization.


*    Materials and Methods
up arrowTop
up arrowAbstract
up arrowIntroduction
*Materials and Methods
down arrowResults
down arrowDiscussion
down arrowReferences
 
Monoclonal Antibodies
Monoclonal antibodies used included Mab13 (anti-ß1) and Mab16 (anti-{alpha}5),21 1B3.1 (anti-{alpha}1),22 12F1 (anti-{alpha}2),23 P3 (nonspecific control),24 TS2/7 (anti-{alpha}1),25 B5G10 (anti-{alpha}4),26 TS2/16 (anti-ß1),27 28 29 and P1H5 (anti-{alpha}2)9 (see TableDown). Additional monoclonal antibodies used that were developed and characterized in the laboratory of M. Hemler include A2-IIE10 and A2-3E9 (both anti-{alpha}2), A5-PUJ2 (anti-{alpha}5), and A6-ELE (anti-{alpha}6). A6-ELE was raised by injection of human mammary epithelial cells into RBF/DnJ mice. Monoclonal antibody IA3 (anti-{alpha}3) was developed and characterized by F. Berditchevski and J. Taylor-Papadimitriou.


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Table 1. Monoclonal Antibodies Against Integrins

Cell Preparation and Culture
Smooth muscle cells were cultured by explant outgrowth from unused portions of human saphenous veins from coronary bypass surgery by a protocol approved by the Human Research Committee of Brigham and Women's Hospital. The cell cultures were grown in Dulbecco's modified Eagle's medium (M.A. Bioproducts) with 10% fetal calf serum. These conditions are selective for growth of smooth muscle cells over endothelial cells.30 The explant and culture technique was identical to the protocol used in previous studies of cultured vascular smooth muscle cells.31 32 33 All tissue culture constituents were selected for low endotoxin levels (<40 pg/mL) by Limulus amebocyte lysate assay (QCL 1000, M.A. Bioproducts). Experiments were performed at passage 4 or 5 after harvesting.

Immunoprecipitation
Cultured human smooth muscle cells were detached from tissue culture plastic with 2 mmol/L EDTA and surface-labeled with sodium 125I by using lactoperoxidase and glucose oxidase as previously described.34 Cellular proteins were solubilized in the immunoprecipitation buffer (1% of Nonidet P-40, 50 mmol/L Tris HCl, pH 7.5, 150 mmol/L NaCl, 5 mmol/L MgCl2, 2 mmol/L phenylmethylsulfonyl fluoride, 20 µg/mL aprotinin, and 20 µg/mL leupeptin) for 1 hour at 4°C, and the protein extract was incubated with appropriate monoclonal antibodies for 1 hour at 4°C. Immune complexes were recovered on protein A–Sepharose beads preabsorbed with rabbit anti-mouse polyclonal antisera and washed five times with immunoprecipitation buffer. Immunoprecipitated proteins were eluted from the protein A–Sepharose beads in Laemmli loading buffer and resolved in 8.5% sodium dodecyl sulfate–polyacrylamide gels. The dried gels were exposed for 24 hours at -70°C with X-OMAT film (Kodak).

Cell Adhesion Assays
Ninety-six–well plates were coated overnight with a solution of collagen type I (5 µg/mL), blocked with 0.1% heat-denatured bovine serum albumin (hdBSA) for 45 minutes at 37°C, and washed twice with phosphate-buffered saline. Cells were detached from the tissue culture plastic with 2 mmol/L EDTA, washed with phosphate-buffered saline, and labeled with the fluorescent dye BCECF-AM (Molecular Probes, Inc) for 30 minutes at 37°C. After labeling, the cells were washed twice with phosphate-buffered saline, resuspended in 0.1% hdBSA/RPMI, and preincubated with appropriate antibodies for 30 minutes at 4°C before addition to the matrix-coated plate (50 000 cells per well). After incubation for 25 to 30 minutes at 37°C, the plates were washed three times with RPMI to remove nonadherent cells. The fluorescence before and after washes was evaluated with a CytoFluor 2300 fluorescent analyzer machine (Millipore Co). Every measurement point was performed in triplicate, and adhesion was estimated as the number of attached cells per square millimeter.

Collagen Gel Contraction
Cell culture in hydrated collagen gels was performed with Vitrogen 100 collagen (Collagen Corp) as previously described.7 Vascular smooth muscle cells were preincubated with monoclonal antibodies at various concentrations for 30 minutes and then diluted 10-fold to yield final gel concentrations. The preincubated cells were then added to neutralized collagen (2.5 mg/mL) at a concentration of 2x105 cells per milliliter. The collagen-cell suspensions (1.5 mL each) were then incubated in 24-well plates (Costar) at 37°C for 1 hour to polymerize the collagen, and the gel was then gently cut away from the sides of the well and lifted off the bottom. At selected time points, the diameter of the hydrated gels was measured by use of an inverted microscope.


*    Results
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up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
*Results
down arrowDiscussion
down arrowReferences
 
Immunoprecipitation and Adhesion to Collagen
To study the role of integrins in reorganization of collagenous matrix by human vascular smooth muscle cells, we first analyzed their integrin profile by immunoprecipitation using specific monoclonal antibodies (Fig 1Down). Vascular smooth muscle cells express abundant levels of several integrins of the ß1 family (lanes 1 through 6), including {alpha}1ß1, {alpha}2ß1, {alpha}3ß1, and {alpha}5ß1, whereas the cell surface expression of {alpha}4ß1 was low, and {alpha}6ß1 was almost undetectable. An anti-ß1 antibody precipitated all of the ß1-containing integrins at once (lane 7).



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Figure 1. Integrin expression in cultured human vascular smooth muscle cells. Cells were surface-labeled with sodium 125I, lysed in 1% Brij 96 extraction buffer, and immunoprecipitated with specific monoclonal antibodies against different integrin subunits. Immunoprecipitates were resolved by sodium dodecyl sulfate–polyacrylamide gel electrophoresis and autoradiography. The anti-integrin antibodies were as follows: lane 1, TS2/7 (anti-{alpha}1); lane 2, A2-IIE10 (anti-{alpha}2); lane 3, IA3 (anti-{alpha}3); lane 4, B5G10 (anti-{alpha}4); lane 5, Mab16 (anti-{alpha}5); lane 6, A6-ELE (anti-{alpha}6); lane 7, Mab13 (anti-ß1); and lane 8, P3 (nonspecific control).

To explore the role of these integrins in adhesion of vascular smooth muscle cells to collagen type I, adhesion experiments were performed in the presence of specific blocking monoclonal antibodies (Fig 2Down). Monoclonal antibodies P1H5 and A2-IIE10 (which block {alpha}2-mediated adhesion) reduced adhesion by 34% and 31%, respectively, and the anti-{alpha}1–blocking antibody 1B3.1 reduced adhesion by 40%. However, when 1B3.1 and A2-IIE10 were both used, adhesion was reduced by 79%, indicating that these cells use both {alpha}1ß1 and {alpha}2ß1 integrins to interact with collagen. Accordingly, monoclonal antibody Mab13 (which blocks the function of all ß1 integrins) reduced adhesion to collagen by 95%. In parallel experiments, blocking anti-{alpha}3ß1 or nonblocking anti-{alpha}1ß1 and anti-{alpha}2ß1 monoclonal antibodies did not block adhesion (data not shown). Notably, adhesion to collagen was not increased by TS2/16, presumably because adhesion is already at a near maximal level.



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Figure 2. Bar graph showing the effect of specific anti-integrin monoclonal antibodies on the adhesion of the human smooth muscle cells to collagen type 1. The plastic surface was coated with collagen type I (5 µg/mL) and blocked with heat-denaturated bovine serum albumin. Cells labeled with fluorescent dye were preincubated with antibodies for 30 minutes at 4°C and allowed to attach to the adhesion surface for 30 minutes at 37°C. Nonadherent cells were removed in three consecutive washes, and the attachment was analyzed by use of CytoFluor 2300. P3 is a control nonintegrin antibody; 1B3.1, an inhibitory anti-{alpha}1ß1 antibody; P1H5 and A2-IIE10 (IIE10), inhibitory anti-{alpha}2ß1 antibodies; Mab13, an inhibitory anti-ß1 antibody; and TS2/16, an anti-ß1 antibody known to stimulate adhesion. Error bars denote one standard deviation.

Collagen Gel Contraction
When human vascular smooth muscle cells were cultured in floating hydrated collagen gels, the gels contracted in a highly reproducible and symmetrical manner. Significant reduction in gel diameter occurred within the first 24 hours, and contraction was essentially complete after 72 hours. To evaluate the role of collagen-binding integrins in this process, collagen gel contraction experiments were performed in the presence of blocking anti-integrin monoclonal antibodies. The anti-{alpha}2–blocking antibody A2-IIE10 had a dose-dependent partial inhibitory effect on gel contraction (37% at 72 hours, Fig 3ADown), whereas the nonblocking anti-{alpha}2 A2-3E9 antibody had no inhibitory effect (Fig 3BDown). The anti-{alpha}2–blocking antibody P1H5 also inhibited gel contraction by 40% at 72 hours (data not shown). In contrast, the presence of blocking antibodies to {alpha}1 (Fig 4ADown) and {alpha}3 (Fig 4BDown) had no effect on collagen gel contraction. Moreover, in contrast with the results of the adhesion experiments, when anti-{alpha}1 (1B3.1) and anti-{alpha}2 (A2-IIE10) antibodies were combined, no synergistic effect on inhibition of gel contraction was observed (Fig 5Down).



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Figure 3. Graphs showing the effect of inhibition of {alpha}2ß1 function on contraction of collagen matrices by vascular smooth muscle cells. A, Effect of antibody A2-IIE10. B, Effect of antibody A2-3E9. {circ} indicates presence of Mab13 (1 µg/mL); {blacktriangleup}, absence of antibody; {bullet}, antibody diluted 1:500; {triangleup}, antibody diluted 1:100; {triangledown}, antibody diluted 1:20; and {square}, antibody diluted 1:10. Points are average of duplicate matrices.



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Figure 4. Graphs showing the effect of inhibition of {alpha}1ß1 or {alpha}3ß1 function on contraction of collagen matrices by vascular smooth muscle cells. {circ} indicates presence of Mab13 (1 µg/mL); {blacktriangleup}, absence of antibody. A, Effect of antibody 1B3.1 in concentrations of 1:2500 ({bullet}), 1:500 ({triangleup}), and 1:250 ({square}) as dilutions of ascites fluid. B, Effect of antibody IA3 in concentrations of 0.2 ({bullet}), 2.0 ({triangleup}), and 20 ({square}) µg/mL. Points are average of duplicate matrices.



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Figure 5. Graph showing the effect of inhibition of {alpha}1ß1 and {alpha}2ß1 function on contraction of collagen matrices by vascular smooth muscle cells. {triangleup} indicates absence of antibody; {blacksquare}, 1:100 dilution of antibody 1B3.1 ascites fluid; {bullet}, 1:20 dilution of antibody A2-IIE10 culture supernatant; and {triangledown}, presence of both 1B3.1 and A2-IIE10. Mean±SD values of triplicates are shown.

The ß1-blocking antibody Mab13 abolished smooth muscle cell–mediated gel contraction (Fig 3AUp and 3BUp), but in all experiments, A2-IIE10 and P1H5 failed to inhibit gel contraction as effectively as Mab13. Although the anti-ß1 antibody TS2/16 had no inhibitory effect on cell adhesion, it strongly inhibited collagen gel contraction in a dose-dependent manner, with 46% inhibition (at 72 hours) for the highest dose (Fig 6Down). The maximal inhibitory effect of TS2/16 was less than that observed with Mab13 (86%) but similar to the inhibitory effects of blocking anti-{alpha}2 antibodies (37% to 40%).



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Figure 6. Graph showing the effect of stimulating anti-ß1 antibody TS2/16 on contraction of collagen matrices by vascular smooth muscle cells. {circ} indicates presence of Mab13 (1 µg/mL); {square}, absence of antibody; {diamond}, 1:5000 dilution of ascites fluid; {triangleup}, 1:2000 dilutions of ascites fluid; and {triangledown}, 1:500 dilution of ascites fluid. Points are average of triplicate matrices.


*    Discussion
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up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
up arrowResults
*Discussion
down arrowReferences
 
In the present study, we found that function-blocking antibodies to individual {alpha} subunits of collagen-binding integrins partially blocked vascular smooth muscle cell adhesion, whereas the combination of antibodies to both {alpha}1 and {alpha}2 subunits markedly inhibited adhesion. It is not surprising that a cell responsible for regulating structure in a collagenous matrix both acutely through active contraction and chronically through organization of matrix should have a redundant system for adhering to collagen. On the other hand, the addition of antibodies blocking {alpha}1 function did not lead to additional inhibition of collagen gel contraction over the {alpha}2-blocking antibody, indicating that in the collagen reorganization process, integrins function as more than simply collagen adhesion receptors. At this time, there are few other clear examples of multiple integrins adhering to the same ligand and translating adhesive information into diverse subsequent post–ligand binding events. In this regard, it was previously shown that replacement of the {alpha}2 cytoplasmic domain with that of {alpha}4 did not alter adhesion to collagen but did abolish gel contraction.17

The complexity of the collagen reorganization process was further demonstrated by the effects of the stimulatory monoclonal antibody TS2/16. The TS2/16 antibody can increase adhesion in cells with ß1 integrins that are not fully active, presumably by inducing a conformational change that causes increased ligand binding. The results of the present study indicate that ß1 integrins of cultured vascular smooth muscle cells are already in a highly active state, since adhesion was not increased by TS2/16. Although the stimulatory antibody had minimal effect on adhesion, collagen gel contraction was markedly inhibited. One potential explanation for this finding is a dynamic mechanism of collagen reorganization that requires (1) integrin-mediated adhesion to collagen, (2) contraction through cytoskeletal force generation, and (3) subsequent release of collagen from the integrin. The integrin could then bind to new collagen ligands, and the contraction process would begin again. This dynamic adhesion and release mechanism may be similar to proposed mechanisms of integrin-mediated cell migration.35 Indeed, it was recently demonstrated that the stimulatory antibody 8A2 inhibited migration, presumably by freezing eosinophil ß1 integrins in the high-avidity adhesion state.36

Previous studies have identified {alpha}2ß1 integrin as the primary mediator of the gel contraction phenomenon.7 9 However, as seen in previous studies,9 antibodies blocking {alpha}2 function failed to achieve the magnitude of inhibition of collagen gel contraction of Mab13 in the present study. Although we observed this incomplete inhibition with two different {alpha}2 function–blocking antibodies (A2-IIE10 and P1H5), it is possible that Mab13 has a much higher potency for blocking integrin function than the other antibodies.

The ability of cells to contract and organize collagen is fundamental in the wound-healing process. For example, this generation of physical forces allows myofibroblasts of the dermis to close a skin wound and increase the strength of the loose granulation tissue, ultimately forming a strong scar. Atherosclerosis resembles the wound-healing process in many ways.37 In response to a variety of stimuli, smooth muscle cells migrate into the intima and secrete extracellular matrix rich in collagen and proteoglycans.6 It is likely that smooth muscle cells participate in organizing the collagen in this newly synthesized matrix to form the dense network of collagen that is often seen in the advanced atheroma. The organized collagen network is one reason that atherosclerotic tissue is several times stiffer than the normal vessel wall.38 Studies of vascular mechanics suggest that this difference in stiffness may predispose the vessel to plaque rupture and thrombosis by establishing regions of high stress near the junction of the stiffer plaque with the more normal vessel.39

It is important to recognize that cultured human vascular smooth muscle cells are phenotypically different from smooth muscle cells in vivo.40 41 Previous reports have suggested that the profile of integrins on vascular smooth muscle cells changes in cell culture. Koteliansky et al42 found that expression of {alpha}1 integrins by human aortic smooth muscle cells decreased during subculturing; in addition, smooth muscle cells from thickened intima of human adult aorta express five times less {alpha}1 than cells from adult aortic media.43 Our studies focused on cultured smooth muscle cells from human saphenous veins, although contraction of human aortic smooth muscle cells was also inhibited by anti–ß1 integrin antibodies. Because the distribution and activity of integrins throughout the circulatory system has not been fully characterized, these data should not be directly extrapolated to the pathophysiology of human arterial disease. In one experiment with cultured human aortic smooth muscle cells, aortic smooth muscle cells contracted collagen gels by 30% at 2 days in culture (data not shown). Similar to the experiments with saphenous vein smooth muscle cells, the ß1-blocking antibody Mab13 inhibited aortic smooth muscle cell–mediated gel contraction by 92% at 2 days, and the anti-ß1 antibody TS2/16 inhibited gel contraction by 60%. Vascular smooth muscle cells in vivo may have different morphologies, and the "synthetic" phenotype is associated with enhanced migration and proliferation in experimental studies.41 It will be interesting to determine if changes in integrin expression and activity are associated with changes in smooth muscle cell phenotype.

Vascular smooth muscle cells cultured in collagen gels have some differences compared with cells grown on plastic; eg, smooth muscle cells reduce collagen synthesis and are less responsive to growth factors.44 45 Although we have not observed changes in integrin profile between smooth muscle cells grown on plastic or grown in collagen gels (preliminary studies not shown), Klein et al7 have found that {alpha}2ß1 integrins in some cells are upregulated by growth in collagen gels. It is also possible that the integrin activation state could be changed by culture in the collagen lattice.

In conclusion, the present study serves to identify a potential mechanism used by vascular smooth muscle cells in vivo to organize extracellular matrix and opens the way for further studies to determine how modulating {alpha}2ß1 function might change vessel wall structure. In addition, these experiments indicate that the process of collagen reorganization by cells has stringent requirements; it does not occur if adhesion to collagen is mediated by the "wrong" integrin (ie, {alpha}1ß1) or if adhesion is excessively strong (ie, in the presence of TS2/16).


*    Acknowledgments
 
This study was supported in part by a Grant-in-Aid from the American Heart Association, Massachusetts Affiliate, Inc (Dr Lee) and National Institutes of Health grant GM-38903 (Dr Hemler). The authors thank Dr Maria Muszynski and Smruti Parikh for their expert assistance in preparing the vascular smooth muscle cells and Dr Peter Libby for his advice and review of the manuscript.


*    Footnotes
 
This manuscript was sent to Leslie A. Leinwand, Consulting Editor, for review by expert referees, editorial decision, and final disposition.

Received May 25, 1994; accepted October 3, 1994.


*    References
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
up arrowResults
up arrowDiscussion
*References
 

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