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Originally published In Press as doi:10.1074/jbc.M202126200 on June 12, 2002

J. Biol. Chem., Vol. 277, Issue 35, 32063-32070, August 30, 2002
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Aldose Reductase Mediates Mitogenic Signaling in Vascular Smooth Muscle Cells*

Kota V. RamanaDagger , Deepak ChandraDagger , Sanjay Srivastava§, Aruni Bhatnagar§, Bharat B. Aggarwal, and Satish K. SrivastavaDagger ||

From the Dagger  Department of Human Biological Chemistry and Genetics, University of Texas Medical Branch, Galveston, Texas 77555, the § Division of Cardiology, Department of Medicine, University of Louisville, Louisville, Kentucky 40402, and the  Cytokine Research Laboratory, the Department of Bioimmunotherapy, University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030

Abnormal vascular smooth muscle cell (VSMC) proliferation is a key feature of atherosclerosis and restenosis; however, the mechanisms regulating growth remain unclear. Herein we show that inhibition of the aldehyde-metabolizing enzyme aldose reductase (AR) inhibits NF-kappa B activation during restenosis of balloon-injured rat carotid arteries as well as VSMC proliferation due to tumor necrosis factor alpha  (TNF-alpha ) stimulation. Inhibition of VSMC growth by AR inhibitors was not accompanied by increase in cell death or apoptosis. Inhibition of AR led to a decrease in the activity of the transcription factor NF-kappa B in culture and in the neointima of rat carotid arteries after balloon injury. Inhibition of AR in VSMC also prevented the activation of NF-kappa B by basic fibroblast growth factor (bFGF), angiotensin-II (Ang-II), and platelet-derived growth factor (PDGF-AB). The VSMC treated with AR inhibitors showed decreased nuclear translocation of NF-kappa B and diminished phosphorylation and proteolytic degradation of Ikappa B-alpha . Under identical conditions, treatment with AR inhibitors also prevented the activation of protein kinase C (PKC) by TNF-alpha , bFGF, Ang-II, and PDGF-AB but not phorbol esters, indicating that AR inhibitors prevent PKC stimulation or the availability of its activator but not PKC itself. Treatment with antisense AR, which decreased the AR activity by >80%, attenuated PKC activation in TNF-alpha , bFGF, Ang-II, and PDGF-AB-stimulated VSMC and prevented TNF-alpha -induced proliferation. Collectively, these data suggest that inhibition of NF-kappa B may be a significant cause of the antimitogenic effects of AR inhibition and that this may be related to disruption of PKC-associated signaling in the AR-inhibited cells.


* This work was supported in part by National Institutes of Health Grants DK 36118, HL55477, and HL59378.The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

|| To whom correspondence should be addressed: Dept. of Human Biological Chemistry and Genetics, Rm. 6.644, Basic Science Bldg., University of Texas Medical Branch, Galveston, TX 77555-0647. Tel.: 409-772-3926; Fax: 409-772-9679; E-mail: ssrivast@utmb.edu.


Copyright © 2002 by The American Society for Biochemistry and Molecular Biology, Inc.
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