Abstract | OBJECTIVES: BACKGROUND: Previous studies have suggested an independent role of ET-1 and PDGF in the development of cardiac allograft arteriosclerosis (i.e., chronic rejection). METHODS: Heterotopic heart transplantations were performed from Dark Agouti to Wistar Furth rats. Grafts were harvested after five days in an acute rejection model and after 60 days in a chronic rejection model. In the in vitro part of the study, SMC proliferation and migration were quantitated, as well as messenger ribonucleic acid ( mRNA) levels of ET-1 and PDGF ligands and receptors after growth factor stimulation. RESULTS: Acute rejection induced both ET-1 receptors in the arterial wall. On linear regression analysis of chronically rejecting cardiac allografts, a strong correlation between intimal thickening and immunoreactivity of ET-1 and ET receptors A and B (ET(A) and ET(B)) in the arterial walls was observed. Treatment with Bosentan, a mixed ET-1 receptor antagonist, significantly reduced the incidence and intensity of arteriosclerotic lesions in rat cardiac allografts, as well as total intragraft ET(A) and ET(B) mRNA expression and intimal cell ET-1 and receptor immunoreactivity. This was associated with significantly reduced intragraft PDGF beta-receptor (PDGF-Rbeta) mRNA expression. In contrast, CGP 53716, a protein tyrosine kinase inhibitor selective for the PDGF receptor, did not reduce intragraft ET-1, ET(A) or ET(B) mRNA expression. In rat coronary artery SMC cultures, ET-1 stimulation significantly upregulated PDGF-Ralpha and -Rbeta mRNA expression and augmented PDGF-BB-mediated SMC proliferation as well as PDGF-AB- and PDGF-BB-mediated SMC migration. CONCLUSIONS: Our results suggest that the ET-1/PDGF-Rbeta/ PDGF-BB axis may operate in SMC migration and proliferation in cardiac allograft arteriosclerosis, thus explaining the marked beneficial effects of blocking the signaling downstream of ET-1 receptors.
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Authors | Roope K Sihvola, Ville P Pulkkinen, Petri K Koskinen, Karl B Lemström |
Journal | Journal of the American College of Cardiology
(J Am Coll Cardiol)
Vol. 39
Issue 4
Pg. 710-7
(Feb 20 2002)
ISSN: 0735-1097 [Print] United States |
PMID | 11849873
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Endothelin-1
- Platelet-Derived Growth Factor
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Topics |
- Animals
- Cell Culture Techniques
- Coronary Artery Disease
(pathology, physiopathology)
- Coronary Vessels
(pathology, physiopathology)
- Disease Models, Animal
- Endothelin-1
(physiology)
- Graft Rejection
(pathology, physiopathology)
- Heart Transplantation
(pathology, physiology)
- Muscle, Smooth, Vascular
(pathology, physiopathology)
- Platelet-Derived Growth Factor
(physiology)
- Rats
- Rats, Inbred Strains
- Rats, Inbred WF
- Receptor Cross-Talk
(physiology)
- Transplantation, Homologous
(pathology, physiology)
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