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Molecular Medicine |
in Vascular Smooth Muscle Cells by a Phosphatidylinositol 3-Kinase/Akt Signaling Pathway
From the Cardiovascular Research Institute (M.F., X.Z., Q.W., J.Z., Q.S., H.Z., Y.E.C.), Morehouse School of Medicine, Atlanta, Ga; Second Department of Internal Medicine (W.O.), Kobe University School of Medicine, Japan; and Renal Division (J.D.), Emory University School of Medicine, Atlanta, Ga.
Correspondence to Dr Yuqing E. Chen, Cardiovascular Research Institute, Morehouse School of Medicine, 720 Westview Dr SW, Atlanta, GA 30310. E-mail echen{at}msm.edu
| Abstract |
|---|
|
|
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(PPAR
), and the administration of pharmacological PPAR
agonists attenuates vascular lesion formation. The factors that regulate PPAR
expression in the vasculature are poorly defined. Here we report that platelet-derived growth factor (PDGF) upregulates PPAR
by the phosphatidylinositol 3-kinase (PI3-kinase)/Akt signaling pathway. Using Northern-blotting and Western-blotting analyses, we observed that the levels of PPAR
mRNA and protein were increased by 2- to 3.5-fold in human aortic smooth muscle cells (HASMCs) treated with PDGF (20 ng/mL). This was abolished by preincubation of HASMCs with a PI3-kinase inhibitor (LY294002, 50 µmol/L), and partially inhibited by a MEK1 inhibitor (U0126, 10 µmol/L), but not affected by a p38 kinase inhibitor (SB202190, 10 µmol/L). In addition, overexpression of the dominant-negative p85 subunit of PI3-kinase or Akt proteins blocked the PDGF-induced PPAR
expression. Taken together, our results suggest that PDGF induces PPAR
expression in VSMCs by a PI3-kinase/Akt signaling pathway. The characterization of factors and signaling pathways that modulate PPAR
expression in VSMCs may have important implications for understanding the pathogenesis of vascular diseases.
Key Words: platelet-derived growth factor peroxisome proliferator-activated receptor
phosphatidylinositol 3-kinase signaling pathway vascular smooth muscle cells
| Introduction |
|---|
|
|
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,
, and ß/
, are a family of ligand-activated nuclear transcriptional factors1,2 that form heterodimers with retinoid X receptors (RXR
), bind to the PPAR responsive element (PPRE), and thereby regulate target gene expression. PPAR
is found predominantly in adipose tissue, where it plays a crucial role in adipocyte differentiation, fat storage, and glucose homeostasis.3 Recent studies have documented that PPAR
is also present in all of the following critical vascular cells: endothelial cells, vascular smooth muscle cells (VSMCs), and monocytes/macrophages.4,5 This finding suggested that PPAR
may play a critical role in vascular biology. Indeed, it has been reported that PPAR
is highly expressed in cells within the atherosclerotic plaque and the neointima after balloon injury.6 Thiazolidinediones, a class of antidiabetic drugs that are specific ligands of PPAR
, inhibit neointima formation after balloon injury7 and the development of atherosclerosis in LDL receptor-deficient mice.8 Studies in vitro also demonstrate that PPAR
agonists inhibit VSMC proliferation and migration.9,10 It is postulated that the increase in PPAR
expression noted in vascular lesion may function as an endogenous inhibitor of vascular disease. However, the factors that regulate PPAR
expression in vascular cells remain poorly defined. Platelet-derived growth factor (PDGF) is a potent mitogen and chemoattractant that functions as an important mediator in the pathogenesis of vascular disease.11,12 In many pathological conditions, PDGF expression within vasculature is increased by a local production from endothelial cells and VSMCs and local secretion by platelets. Stimulation of the PDGF receptors on VSMCs can activate several signaling pathways, including those mediated by p38, MEK1/MAPK, and phosphatidylinositol 3-kinase (PI3-kinase), which transduce the signal into the nucleus and stimulate the proliferation and migration of VSMCs.13,14
In the present study, we tested the hypothesis that PDGF regulates PPAR
expression in human and rat VSMCs. Indeed, our findings indicate that PDGF upregulates PPAR
expression in VSMCs by a PI3-kinase/Akt signaling pathway.
| Materials and Methods |
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|
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Northern Blot Analysis
Total RNA (20 µg) isolated from each condition using acid-guanidinium thiocyanate was subjected to electrophoresis through 1% formaldehyde-agarose gels. After transferring to nylon membranes (Bio-Rad), the RNA was cross-linked to the membrane by an UV cross-linker (Stratagene). 32P-labeled cDNA probes were generated by using a random primer labeling system (Gibco-BRL). Blots were prehybridized, hybridized, and washed once with 1x SSC at 65°C, and once with 0.1x SSC, 1.0% SDS (wt/vol), at 65°C for 20 minutes. The lane-loading differences were normalized using the GAPDH cDNA probe.
Analysis of PPAR
mRNA Half-Life
PPAR
mRNA half-life experiments were carried out using HASMCs. The cells were exposed to vehicle or PDGF (20 ng/mL) for the indicated periods before mRNA stability measurements. Transcription was inhibited by the addition of actinomycin D (5 µg/mL). Northern blotting analysis was performed as described above.
Western Blot Analysis
Total cell lysates (50 µg) were subjected to SDS-PAGE and electrotransferred to nitrocellulose membrane (Bio-Rad). After blocking in 20 mmol/L Tris-HCl (pH 7.6) containing 150 mmol/L NaCl, 0.1% Tween 20, and 5% (wt/vol) nonfat dry milk, blots were incubated with specific antibodies against PPAR
(Santa Cruz Biotechnology), PPAR
2 (Affinity Biotech), or p85 subunit of PI3-kinase (Upstate Biotechnology) for 1 hour at room temperature. The specificity of each antibody has been well documented by the manufacturers and confirmed by other published reports.6,15 The blots were incubated with horseradish peroxidase-conjugated secondary antibody (Santa Cruz Biotechnology), and immunoactivity was visualized using the enhanced chemiluminescence detection system (Amersham Pharmacia Biotech) per the manufacturers instructions.
Adenovirus Preparation and Infection
Adenovirus was prepared as previously described.16 For generation of recombinant adenovirus encoding dominant-negative p85 of PI3-kinase (named Ad-p85DN), a mutated form of p85 subunit I in which the inner SH2 domain is deleted17 was cloned into pCMVTrack (an adenovirus shuttle vector) and cotransformed with AdEasy (an adenovirus backbone) into Escherichia coli. The virus DNA from in vivo recombination was isolated, digested, and used for transfection of packing cell HEK293. A transfection mix was prepared by adding 4 µg of PacI linearized plasmid DNA and 20 µL of LipofectAMINE (Life Technologies) to 500 µL of OptiMEM (Life Technologies) according to the manufacturers instructions. The resulting virus was amplified for three to four cycles, and at this point, viral titers were high enough to use for gene-transfer experiments. The viruses were purified by CsCl gradient and final yields were generally 1011 to 1012 plaque-forming units (pfu)/mL. In this study, the VSMCs were infected with adenovirus vectors at
5 pfu/cell. The cells were subjected to experiments from 24 to 48 hours after infection.
PI3-Kinase Assay
To determine whether PI3-kinase is an essential signaling molecule mediating PDGF-induced PPAR
expression, we generated an adenovirus (Ad-p85DN) of the dominant-negative mutant 85-kDa subunit of PI3-kinase. To test the function of Ad-p85DN, we measured the PI3-kinase activity of this mutated p85 as previously described.15
Transient Transfection and Luciferase Assays
Transient transfection was performed with 1 µg of total DNA per well of six-well plates and LipofectAMINE (Gibco-BRL) according to the manufacturers instructions (DNA:LipofectAMINE ratio, 1:3). Pilot studies have documented a transfection efficiency of 15% to 25% in rat VSMCs (A7r5, ATCC) using this approach. Briefly, A7r5 cells achieving 70% confluence in six-well plates were cotransfected with 800 ng of an expression vector containing the reporter gene luciferase driven by a
3.0-kb PPAR
1 promoter18 (a gift from Dr J. Auwerx, IGBMC, C.U. de Strasbourg, France), and 200 ng of the expression vector containing the reporter ß-gal driven by the cytomegalovirus promoter (Clontech) was used as the control for transfection efficiency. Twenty-four hours after transfection, the cells were washed twice with PBS and subsequently cultured for 24 hours in serum-free medium. After incubating with PDGF at 20 ng/mL for 6 hours, the cells were prepared for luciferase activity measurement using the reporter luciferase assay kit (Promega Co). The luciferase activity was measured by a luminometer (Victor II, Perkin Elmer) and normalized by ß-gal activity.
Statistical Analysis
Each experimental condition was tested in triplicate, and each experiment was repeated a minimum of three times. Statistical analyses were performed by ANOVA or unpaired two-tailed Student test. Data are presented as mean±SEM.
| Results |
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Expression in HASMCs
expression is upregulated in the neointima,6 little is known about the mechanism. To test whether PDGF regulates PPAR
gene expression in HASMCs, we examined the effect of PDGF on PPAR
gene expression in HASMCs using Northern blotting analysis for mRNA expression and Western blotting analysis for the protein level. In response to 20 ng/mL PDGF stimulation, the level of PPAR
mRNA was increased by
2.8-fold, and the PPAR
protein was increased
2.2-fold (Figures 1A and 1B).
|
To determine whether PDGF-induced PPAR
gene expression in VSMCs is at the transcriptional level, we transfected an expression vector containing the luciferase reporter gene driven by a
3.0-kb PPAR
1 promoter into rat VSMCs (A7r5, ATCC). PDGF stimulation for 24 hours increased the luciferase activity by
2.2-fold (Figure 1C). These results indicated that PDGF stimulates PPAR
gene transcription in VSMCs.
PPAR
has two isoforms, PPAR
1 and PPAR
2, generated by alternative promoters and differential splicing.18 PPAR
2 has 30 additional amino acids at the N-terminus and is reportedly expressed primarily in adipocytes. To date, whether PPAR
2 is expressed in VSMCs is controversal.6,9 To identify which PPAR
isoform was regulated by PDGF, we performed Western blotting analyses using an anti-PPAR
antibody (Santa Cruz) that cross-reacts with both PPAR
1 and PPAR
2 and an anti-PPAR
2 antibody (Affinity Biotech) that only reacts with PPAR
2. The protein from rat white fatty tissue was used as positive control. As shown in Figure 1D, there was only one band around 52 kDa detected by the anti-PPAR
antibody in PDGF-induced cell lysates, and no band was detected by the anti-PPAR
2 antibody in these samples. With the positive control, two bands (around 52 to 55 kDa) were detected in fat tissue by the anti-PPAR
antibody, whereas only one band (
55 kDa) was detected by the anti-PPAR
2-selective antibody. In addition, PPAR
2 mRNA was not detected in HASMCs by reverse transcriptase-polymerase chain reaction assay using the human PPAR
2-specific primers as previously described19 (data not shown). These data suggested that only PPAR
1 was regulated by PDGF in VSMCs, and that PPAR
2 was undetectable in PDGF-treated or -untreated VSMCs.
Time Course and Dose-Dependent Effect of PDGF on PPAR
Gene Expression in VSMCs
HASMCs were treated with 20 ng/mL of PDGF for 0, 0.5, 2, 6, 12, 24, 48, and 72 hours, and then the levels of PPAR
mRNA in the cells were determined by Northern blotting analyses. As shown in Figure 2A, the levels of PPAR
mRNAs induced by PDGF were dramatically increased at 2 hours, but declined to some extent at 6 hours. At 12 hours, the mRNA levels rose again to achieve the second peak at 24 hours and a sustained level for at least 72 hours.
|
The dose-response effect of PDGF-induced PPAR
expression was documented at 2 hours of PDGF stimulation. The expression of PPAR
mRNA was upregulated in a dose-dependent manner, with significant increases observed at a concentration as low as 5 ng/mL. Maximal increases were obtained at a PDGF concentration of 10 ng/mL (Figure 2B). These results revealed that PDGF activates PPAR
gene expression in VSMCs.
PDGF Stimulation Does Not Affect the PPAR
mRNA Stability in VSMCs
To evaluate whether PPAR
mRNA stability contributes to PDGF-induced PPAR
gene expression, we examined the half-life of PPAR
mRNA in HASMCs. Northern blotting analyses were performed with addition of actinomycin D (5 µg/mL) after 2 hours of PDGF (20 ng/mL) stimulation. In HASMCs, the half-life of PPAR
mRNA was
4 hours. There was no significant difference between PDGF-treated and -untreated cells (Figure 3).
|
PDGF Induces PPAR
Expression by PI3-Kinase/Akt Signaling Pathway in VSMCs
To investigate the signaling pathways mediating PDGF-induced PPAR
expression, we initially focused on defining the roles of PI3-kinase, MEK/ERK, and p38 MAPK. HASMCs were treated with 20 ng/mL PDGF for 2 hours after pretreatment with LY294002 (50 µmol/L, a PI3-kinase inhibitor), SB202190 (25 µmol/L, a p38 kinase inhibitor), or U0126 (10 µmol/L, a MEK inhibitor). As shown in Figure 4, inhibition of PI3-kinase completely blocked the effect of PDGF (P<0.01), whereas inhibition of MEK partially reduced the effect of PDGF by 65±8.5% (P<0.05). However, inhibition of p38 MAPK had no significant effects on PDGF-induced PPAR
mRNA expression.
|
To further define whether the PI3-kinase signaling pathway mediates PDGF-induced PPAR
gene expression in VSMCs, we generated an adenoviral vector containing a dominant-negative mutant p85 (Ad-p85DN) in which the inner SH2 domain of p85 subunit is deleted. It has been documented that this mutant of p85 subunit cannot activate the p110 subunit of PI3-kinase. Using Western blotting analyses, we confirmed that this p85 dominant-negative protein was overexpressed in HASMCs that were infected with Ad-p85DN (Figure 5D). Additionally, Ad-p85DN blocked the PI3-kinase activity induced by insulin-like growth factor-1 (IGF-1) in HASMCs using thin-layer chromatography (Figure 5E). In contrast, Ad-GFP did not affect PI3-kinase activity induced by IGF-1. These results indicated that Ad-p85DN could function as a dominant-negative inhibitor of the PI3-kinase pathway.
|
To test the hypothesis that the stimulatory effect of PDGF is mediated by the PI3-kinase/Akt pathway, we selectively blocked this signaling pathway by using Ad-p85DN or ad-AktDN (a dominant-negative adenovirus of Akt from W.O.20). Blockade of the PI3-kinase/Akt pathway using this approach effectively prevented PDGF-induced PPAR
gene expression in HASMCs (Figure 5). However, PPAR
expression was not affected by the control adenovirus (Ad-GFP) infection in HASMCs (data not shown). Taken together, these results provided the first evidence that PPAR
gene expression is regulated by a PI3-kinase/Akt-dependent pathway.
To further confirm the involvement of Akt in PDGF-induced PPAR
expression in VSMCs, we examined the PPAR
protein levels in the rat VSMC lines (A7r5) that were stably transfected with a constitutively active Akt versus control cells stably transfected with a GFP construct. The level of the PPAR
in Akt/A7r5 is
2.3-fold higher than that in the control GFP/A7r5 VSMCs (Figure 6). These results further confirmed that Akt is involved in the regulation of PPAR
expression in VSMCs.
|
| Discussion |
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, PPAR
, and PPAR
(also termed PPARß, FAAR, or NUC-1) with different tissue distributions.16 PPAR
has been documented in the regulation of adipocyte differentiation, lipid metabolism, and insulin action.3 Several groups have reported that PPAR
is present in rat and human VSMCs,9,10 and is highly expressed within the atherosclerotic plaque and the neointima after balloon injury.6 However, little is known about the regulation of PPAR
expression in VSMCs. In this study, we demonstrated that PDGF induced PPAR
expression in VSMCs by a PI3-kinase/Akt-dependent signaling pathway.
PDGF-induced PPAR
mRNA expression is most likely due to an induction of transcription rather than altering the stability of PPAR
mRNA, given that the addition of PDGF failed to change the degradation rates of PPAR
mRNA in HASMCs. It is noteworthy that there are two peaks (at 2 and 24 hours) of PDGF-induced PPAR
gene expression. What is the mechanism of this biphasic induction? Recently, it was reported that angiotensin II induced cytoplasmic-to-nuclear translocation of the nuclear factor (NF)-
B subunits with parallel changes in DNA binding activity in a biphasic manner, which was comparable with the biphasic induction of interleukin-6 stimulated by angiotensin II.21 Because the PPAR
1 promoter contains NF-
B sites (data not shown), we hypothesize that NF-
B may be involved in mediating the PDGF-induced PPAR
expression in VSMCs. Although systematic deletion mapping of PDGF response elements in the PPAR
promoter is necessary to understand this mechanism, that is beyond the scope of the present study.
PDGF is an important regulator that mediates the aberrant behavior of VSMCs in the pathogenesis of vascular diseases.12 PDGF binding to its receptor on VSMC can activate several signal pathways including p38-, MEK1/ERK-, and PI3-kinase-mediated signal pathways, which transduce the signals into the nucleus and stimulate the proliferation and migration of VSMCs.13,14 Our experiments have shown that the inhibition of PI3-kinase completely blocked the effect of PDGF-induced PPAR
expression in VSMCs. The MEK1 inhibitor partially reduced the effect of PDGF on PPAR
mRNA, whereas p38 kinase inhibitors had no effect on this action. Although those pharmacological probes are relatively selective, we also verified these results by using adenoviral vectors with dominant-negative mutant constructs. The concordance between the data using pharmacological probes and the dominant-negative constructs provides the first definitive evidence that PPAR
gene expression is regulated by a PI3-kinase-dependent pathway.
It was well known that Akt is a proximal downstream effector of the PI3-kinase pathway.22 Therefore, we examined the involvement of Akt in PDGF-induced PPAR
expression. Our results showed that infection with adenovirus containing dominant-negative mutant of Akt also completely inhibited the increase of PPAR
expression induced by PDGF in HASMCs. Furthermore, as an additional test of our hypothesis, we confirmed that Akt activation is a sufficient condition for the upregulation of PPAR
gene expression. In stably transfected VSMCs with a constitutive upregulation of Akt activity, we observed that the level of PPAR
in Akt/A7r5 was
2.3-fold higher than the control VSMC line, GFP/A7r5. Taken together, these results demonstrated that Akt is a key mediator of PDGF-induced PPAR
expression in VSMCs.
Although we demonstrated that PDGF-induced PPAR
gene expression is mediated by PI3-kinase-dependent pathway, it would be quite interesting to determine whether the PPAR
target genes are activated after PDGF stimulation in VSMCs. We examined two well-characterized PPAR
target genes, CD36 identified in macrophages23 and uncoupling protein-2 (UCP-2)24 identified in adipocytes, because the PPAR
target genes are not well characterized in VSMCs. Using Western blotting analyses, we found that the level of UCP-2 was increased
2.6-fold after 48 hours of PDGF stimulation in HASMCs (data not shown). However, CD36 was undetectable by both reverse transcriptase-polymerase chain reaction and Western blotting analyses in HASMCs. These results suggested that PPAR
might be the mediator of PDGF-induced UCP-2 expression. To further understand the role of PPAR
in vasculature, it is necessary to globally define the PPAR
target genes in VSMCs. We are currently using a DNA microarray analysis to approach this challenge.
To date, several putative targets of PI3-kinase/Akt pathway have been proposed, among them Bad,25 caspase-9,26 and the transcription factor Forkhead.27 Interestingly, a recent report demonstrated that NF-
B is also the target of Akt,28 suggesting that NF-
B may be the downstream mediator of Akt in PDGF-induced PPAR
expression. To further study the mechanism of PDGF-induced PPAR
gene expression in VSMCs, we recently cloned the
5.4-kb human PPAR
1 gene promoter (data not shown). Computer sequence analysis revealed that there were several consensus-binding motifs, including the NF-
B, GATA1, C/EBP, and AP1 sites in this 5.4-kb PPAR
1 gene promoter. To our knowledge, there are no published studies that have analyzed these functional elements in the PPAR
1 gene promoter. Therefore, cloning this 5.4-kb PPAR
gene promoter will provide a unique resource for us to study the molecular mechanisms that govern the upregulation of PPAR
in VSMC during neointima formation.
PPAR
exists in at least two isoforms, PPAR
1 and PPAR
2, and PPAR
2 has an NH2-terminal extension of 30 amino acids. PPAR
2 is expressed selectively in adipose tissue, whereas PPAR
1 is present in many tissues. Previous reports have identified that PPAR
mRNA and protein exist in rat and human aortic VSMCs. However, the expression pattern of PPAR
isoforms was not described. In accord with a recent report,6 our findings indicate that only PPAR
1 is expressed in cultured human aortic VSMCs. Furthermore, we found that PDGF activates the PPAR
1 promoter activity as shown in Figure 1C, but not PPAR
2 promoter (data not shown).
It is well documented that PDGF is one of the key pathological factors in vascular diseases. Several recent reports suggest that PPAR
may function as a protective factor in vascular diseases such as atherosclerosis.29,30 Therefore, PDGF-induced PPAR
expression might provide a feedback mechanism by which PPAR
inhibits PDGF-induced VSMC proliferation and migration. The characterization of factors and signaling pathways that modulate PPAR
expression in vasculature may have important implications for the pathogenesis of vascular diseases.
Although the regulation of PPAR
gene expression was the focus in this study, we realized that the phosphorylation of PPAR
by mitogen-activated protein kinase at the N-terminal domain of PPAR
inhibits the transcriptional activity in adipocytes.31,32 In the present study, we have not detected the phosphorylated band of PPAR
in HASMCs. However, it will provide a better understanding of the role of PPAR
in vasculature to define whether other growth factors or cytokines can induce PPAR
expression, and whether phosphorylation of PPAR
is involved in its transcriptional activation in VSMCs.
| Acknowledgments |
|---|
Received May 7, 2001; revision received August 30, 2001; accepted September 21, 2001.
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J. Zhang, M. Fu, T. Cui, C. Xiong, K. Xu, W. Zhong, Y. Xiao, D. Floyd, J. Liang, E. Li, et al. Selective disruption of PPAR{gamma}2 impairs the development of adipose tissue and insulin sensitivity PNAS, July 20, 2004; 101(29): 10703 - 10708. [Abstract] [Full Text] [PDF] |
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C. K. Sung, H. She, S. Xiong, and H. Tsukamoto Tumor necrosis factor-{alpha} inhibits peroxisome proliferator-activated receptor {gamma} activity at a posttranslational level in hepatic stellate cells Am J Physiol Gastrointest Liver Physiol, May 1, 2004; 286(5): G722 - G729. [Abstract] [Full Text] [PDF] |
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W. Wolfsgruber, S. Feil, S. Brummer, O. Kuppinger, F. Hofmann, and R. Feil A proatherogenic role for cGMP-dependent protein kinase in vascular smooth muscle cells PNAS, November 11, 2003; 100(23): 13519 - 13524. [Abstract] [Full Text] [PDF] |
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J. Xu, Y. Fu, and A. Chen Activation of peroxisome proliferator-activated receptor-{gamma} contributes to the inhibitory effects of curcumin on rat hepatic stellate cell growth Am J Physiol Gastrointest Liver Physiol, June 9, 2003; 285(1): G20 - G30. [Abstract] [Full Text] [PDF] |
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M.-H. Oak, M. Chataigneau, T. Keravis, T. Chataigneau, A. Beretz, R. Andriantsitohaina, J.-C. Stoclet, S.-J. Chang, and V. B. Schini-Kerth Red Wine Polyphenolic Compounds Inhibit Vascular Endothelial Growth Factor Expression in Vascular Smooth Muscle Cells by Preventing the Activation of the p38 Mitogen-Activated Protein Kinase Pathway Arterioscler Thromb Vasc Biol, June 1, 2003; 23(6): 1001 - 1007. [Abstract] [Full Text] [PDF] |
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M. Fu, J. Zhang, Y. Lin, X. Zhu, M. U. Ehrengruber, and Y. E. Chen Early Growth Response Factor-1 Is a Critical Transcriptional Mediator of Peroxisome Proliferator-activated Receptor-gamma 1 Gene Expression in Human Aortic Smooth Muscle Cells J. Biol. Chem., July 19, 2002; 277(30): 26808 - 26814. [Abstract] [Full Text] [PDF] |
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J. Zhang, M. Fu, X. Zhu, Y. Xiao, Y. Mou, H. Zheng, M. A. Akinbami, Q. Wang, and Y. E. Chen Peroxisome Proliferator-activated Receptor delta Is Up-regulated during Vascular Lesion Formation and Promotes Post-confluent Cell Proliferation in Vascular Smooth Muscle Cells J. Biol. Chem., March 22, 2002; 277(13): 11505 - 11512. [Abstract] [Full Text] [PDF] |
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D. P. Kelly The Pleiotropic Nature of the Vascular PPAR Gene Regulatory Pathway Circ. Res., November 23, 2001; 89(11): 935 - 937. [Full Text] [PDF] |
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