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(Circulation Research. 1996;79:748-756.)
© 1996 American Heart Association, Inc.


Articles

Vasoactive Substances Regulate Vascular Smooth Muscle Cell Apoptosis

Countervailing Influences of Nitric Oxide and Angiotensin II

Matthew J. Pollman, Takehiko Yamada, Masatsugu Horiuchi, Gary H. Gibbons

the Falk Cardiovascular Research Center, Stanford (Calif) University.

Correspondence to Gary H. Gibbons, MD, Falk CVRC, Division of Cardiovascular Medicine, Stanford University, Stanford, CA 94305. E-mail mL.ghg@forsythe.stanford.edu.

This study tests the hypothesis that the control of vascular smooth muscle cell (VSMC) apoptosis is regulated by the antagonistic balance between vasoactive substances such as NO and angiotensin II (Ang II). Moreover, it is postulated that the cellular signaling pathways involved in regulating vessel tone are also coupled to the regulation of programmed cell death. Using an in vitro model system, we documented that the addition of NO donor molecules S-nitroso-N-acetylpenicillamine or sodium nitroprusside to VSMC dose-dependently induced apoptosis as documented by DNA laddering and quantified by analysis of cellular chromatin morphology. The mediator role of the guanylate cyclase signaling pathway in NO-induced apoptosis was evidenced by (1) induction of apoptosis by the 8-bromo-cGMP analogue, (2) potentiation of NO-induced apoptosis by cGMP-specific phosphodiesterase inhibition, and (3) the prevention of NO-induced apoptosis by the inhibition of the cGMP-dependent protein kinase I{alpha}. In contrast, Ang II directly antagonized NO donor– and cGMP analogue–induced apoptosis via activation of the type I Ang II receptor. These findings suggest that the countervailing balance between NO and Ang II may determine the overall cell population within the vessel wall by regulating genetic programs determining cell death as well as cell growth.


Key Words: programmed cell death • vascular remodeling • vasoactive substances • cGMP • guanylate cyclase




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M. Ushio-Fukai, R. W. Alexander, M. Akers, Q. Yin, Y. Fujio, K. Walsh, and K. K. Griendling
Reactive Oxygen Species Mediate the Activation of Akt/Protein Kinase B by Angiotensin II in Vascular Smooth Muscle Cells
J. Biol. Chem., August 6, 1999; 274(32): 22699 - 22704.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
H.-z. Bai, M. J. Pollman, Y. Inishi, and G. H. Gibbons
Regulation of Vascular Smooth Muscle Cell Apoptosis : Modulation of Bad by a Phosphatidylinositol 3-Kinase–Dependent Pathway
Circ. Res., August 6, 1999; 85(3): 229 - 237.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
M. Aoki, R. Morishita, H. Matsushita, S.-i. Hayashi, H. Nakagami, K. Yamamoto, A. Moriguchi, Y. Kaneda, J. Higaki, and T. Ogihara
Inhibition of the p53 Tumor Suppressor Gene Results in Growth of Human Aortic Vascular Smooth Muscle Cells : Potential Role of p53 in Regulation of Vascular Smooth Muscle Cell Growth
Hypertension, August 1, 1999; 34(2): 192 - 200.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
J.-A. Haefliger, P. Meda, A. Formenton, P. Wiesel, A. Zanchi, H. R. Brunner, P. Nicod, and D. Hayoz
Aortic Connexin43 Is Decreased During Hypertension Induced by Inhibition of Nitric Oxide Synthase
Arterioscler Thromb Vasc Biol, July 1, 1999; 19(7): 1615 - 1622.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
T. Takahashi, T. Taniguchi, H. Konishi, U. Kikkawa, Y. Ishikawa, and M. Yokoyama
Activation of Akt/protein kinase B after stimulation with angiotensin II in vascular smooth muscle cells
Am J Physiol Heart Circ Physiol, June 1, 1999; 276(6): H1927 - H1934.
[Abstract] [Full Text] [PDF]


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CirculationHome page
M. J. Pollman, L. Naumovski, and G. H. Gibbons
Vascular Cell Apoptosis : Cell Type–Specific Modulation by Transforming Growth Factor-ß1 in Endothelial Cells Versus Smooth Muscle Cells
Circulation, April 20, 1999; 99(15): 2019 - 2026.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
W. Erl, G. K. Hansson, R. de Martin, G. Draude, K. S. C. Weber, and C. Weber
Nuclear Factor-{kappa}B Regulates Induction of Apoptosis and Inhibitor of Apoptosis Protein-1 Expression in Vascular Smooth Muscle Cells
Circ. Res., April 2, 1999; 84(6): 668 - 677.
[Abstract] [Full Text] [PDF]


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CirculationHome page
B.-Y. Wang, H.-K. V. Ho, P. S. Lin, S. P. Schwarzacher, M. J. Pollman, G. H. Gibbons, P. S. Tsao, and J. P. Cooke
Regression of Atherosclerosis : Role of Nitric Oxide and Apoptosis
Circulation, March 9, 1999; 99(9): 1236 - 1241.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
D. Li, B. Yang, M. I. Philips, and J. L. Mehta
Proapoptotic effects of ANG II in human coronary artery endothelial cells: role of AT1 receptor and PKC activation
Am J Physiol Heart Circ Physiol, March 1, 1999; 276(3): H786 - H792.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
M.-J. Champagne, P. Dumas, S. N. Orlov, M. R. Bennett, P. Hamet, and J. Tremblay
Protection Against Necrosis but Not Apoptosis by Heat-Stress Proteins in Vascular Smooth Muscle Cells : Evidence for Distinct Modes of Cell Death
Hypertension, March 1, 1999; 33(3): 906 - 913.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
M. Horiuchi, M. Akishita, and V. J. Dzau
Recent Progress in Angiotensin II Type 2 Receptor Research in the Cardiovascular System
Hypertension, February 1, 1999; 33(2): 613 - 621.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
M. R Bennett
Apoptosis of vascular smooth muscle cells in vascular remodelling and atherosclerotic plaque rupture
Cardiovasc Res, February 1, 1999; 41(2): 361 - 368.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
D. J. Ing, J. Zang, V. J. Dzau, K. A. Webster, and N. H. Bishopric
Modulation of Cytokine-Induced Cardiac Myocyte Apoptosis by Nitric Oxide, Bak, and Bcl-x
Circ. Res., January 22, 1999; 84(1): 21 - 33.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
M. J. Pollman, J. L. Hall, and G. H. Gibbons
Determinants of Vascular Smooth Muscle Cell Apoptosis After Balloon Angioplasty Injury : Influence of Redox State and Cell Phenotype
Circ. Res., January 22, 1999; 84(1): 113 - 121.
[Abstract] [Full Text] [PDF]


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J CARDIOVASC PHARMACOL THERHome page
S. K. Sharma, D. Chapman, R. Temsah, T. Netticadan, D. P. Brasil, and N. S. Dhalla
Prevention of Vascular Apoptosis in Myocardial Infarction by Losartan
Journal of Cardiovascular Pharmacology and Therapeutics, January 1, 1999; 4(2): 77 - 84.
[Abstract] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
P. J. M. Best, D. Hasdai, G. Sangiorgi, R. S. Schwartz, D. R. Holmes Jr, R. D. Simari, and A. Lerman
Apoptosis : Basic Concepts and Implications in Coronary Artery Disease
Arterioscler Thromb Vasc Biol, January 1, 1999; 19(1): 14 - 22.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
N. Suenobu, M. Shichiri, M. Iwashina, F. Marumo, and Y. Hirata
Natriuretic Peptides and Nitric Oxide Induce Endothelial Apoptosis via a cGMP–Dependent Mechanism
Arterioscler Thromb Vasc Biol, January 1, 1999; 19(1): 140 - 146.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
M. Horiuchi, H. Yamada, M. Akishita, M. Ito, K. Tamura, and V. J. Dzau
Interferon Regulatory Factors Regulate Interleukin-1ß–Converting Enzyme Expression and Apoptosis in Vascular Smooth Muscle Cells
Hypertension, January 1, 1999; 33(1): 162 - 166.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
D. Li, K. Tomson, B. Yang, P. Mehta, B. P. Croker, and J. L. Mehta
Modulation of constitutive nitric oxide synthase, bcl-2 and Fas expression in cultured human coronary endothelial cells exposed to anoxia-reoxygenation and angiotensin II: role of AT1 receptor activation
Cardiovasc Res, January 1, 1999; 41(1): 109 - 115.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
J.-D. Chiche, S. M. Schlutsmeyer, D. B. Bloch, S. M. de la Monte, J. D. Roberts Jr., G. Filippov, S. P. Janssens, A. Rosenzweig, and K. D. Bloch
Adenovirus-mediated Gene Transfer of cGMP-dependent Protein Kinase Increases the Sensitivity of Cultured Vascular Smooth Muscle Cells to the Antiproliferative and Pro-apoptotic Effects of Nitric Oxide/cGMP
J. Biol. Chem., December 18, 1998; 273(51): 34263 - 34271.
[Abstract] [Full Text] [PDF]


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CirculationHome page
M. Iwashina, M. Shichiri, F. Marumo, and Y. Hirata
Transfection of Inducible Nitric Oxide Synthase Gene Causes Apoptosis in Vascular Smooth Muscle Cells
Circulation, September 22, 1998; 98(12): 1212 - 1218.
[Abstract] [Full Text] [PDF]


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CirculationHome page
C. J. McKenna, S. E. Burke, T. J. Opgenorth, R. J. Padley, L. J. Camrud, A. R. Camrud, J. Johnson, P. J. Carlson, A. Lerman, D. R. Holmes Jr, et al.
Selective ETA Receptor Antagonism Reduces Neointimal Hyperplasia in a Porcine Coronary Stent Model
Circulation, June 30, 1998; 97(25): 2551 - 2556.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
U. Schmitz, T. Ishida, M. Ishida, J. Surapisitchat, M. I. Hasham, S. Pelech, and B. C. Berk
Angiotensin II Stimulates p21-Activated Kinase in Vascular Smooth Muscle Cells : Role in Activation of JNK
Circ. Res., June 29, 1998; 82(12): 1272 - 1278.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
L. Chen, G. Daum, R. Forough, M. Clowes, U. Walter, and A. W. Clowes
Overexpression of Human Endothelial Nitric Oxide Synthase in Rat Vascular Smooth Muscle Cells and in Balloon-Injured Carotid Artery
Circ. Res., May 4, 1998; 82(8): 862 - 870.
[Abstract] [Full Text] [PDF]


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Vasc MedHome page
B. Yang, D. Li, M I. Phillips, P. Mehta, and J. L Mehta
Myocardial angiotensin II receptor expression and ischemia-reperfusion injury
Vascular Medicine, May 1, 1998; 3(2): 121 - 130.
[Abstract] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
H. Wang and J. A. Keiser
Molecular characterization of rabbit CPP32 and its function in vascular smooth muscle cell apoptosis
Am J Physiol Heart Circ Physiol, April 1, 1998; 274(4): H1132 - H1140.
[Abstract] [Full Text] [PDF]


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J. Pharmacol. Exp. Ther.Home page
B. L. Tepperman, T. D. Abrahamson, and B. D. Soper
The Role of Cyclic Guanylate Monophosphate in Nitric Oxide-Induced Injury to Rat Small Intestinal Epithelial Cells
J. Pharmacol. Exp. Ther., March 1, 1998; 284(3): 929 - 933.
[Abstract] [Full Text]


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Am. J. Physiol. Heart Circ. Physiol.Home page
A. M. Devlin, M. J. Brosnan, D. Graham, J. J. Morton, A. R. McPhaden, M. McIntyre, C. A. Hamilton, J. L. Reid, and A. F. Dominiczak
Vascular smooth muscle cell polyploidy and cardiomyocyte hypertrophy due to chronic NOS inhibition in vivo
Am J Physiol Heart Circ Physiol, January 1, 1998; 274(1): H52 - H59.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
H. Matsushita, R. Morishita, I. Kida, M. Aoki, S.-i. Hayashi, N. Tomita, K. Yamamoto, A. Moriguchi, A. Noda, Y. Kaneda, et al.
Inhibition of Growth of Human Vascular Smooth Muscle Cells by Overexpression of p21 Gene Through Induction of Apoptosis
Hypertension, January 1, 1998; 31(1): 493 - 498.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
S. Dimmeler, V. Rippmann, U. Weiland, J. Haendeler, and A. M. Zeiher
Angiotensin II Induces Apoptosis of Human Endothelial Cells : Protective Effect of Nitric Oxide
Circ. Res., December 19, 1997; 81(6): 970 - 976.
[Abstract] [Full Text]


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CirculationHome page
M. Weis and W. von Scheidt
Cardiac Allograft Vasculopathy : A Review
Circulation, September 16, 1997; 96(6): 2069 - 2077.
[Abstract] [Full Text]


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J. Biol. Chem.Home page
C.-F. Wu, N. H. Bishopric, and R. E. Pratt
Atrial Natriuretic Peptide Induces Apoptosis in Neonatal Rat Cardiac Myocytes
J. Biol. Chem., June 6, 1997; 272(23): 14860 - 14866.
[Abstract] [Full Text] [PDF]