To study the involvement of the low-density lipoprotein (LDL) receptor
in the growth of vascular smooth muscle cells (VSMC), we compared the
proliferation of cultured VSMC from Watanabe heritable hyperlipidemic
(WHHL) rabbits, which lack the LDL receptor, and VSMC from normal Jap
anese white rabbits in response to platelet derived growth factor (PDG
F), The increase in the number of VSMC from WHHL rabbits in response t
o PDGF (10(-8) M) was significantly lower than that of VSMC from norma
l rabbits. PDGF stimulated the synthesis of DNA in VSMC from both norm
al rabbits and WHHL rabbits, but the response was significantly lower
in the latter. To determine the involvement of the LDL receptor in the
decreased mitogenic response of WHHL rabbit VSMC, we used an anti-LDL
receptor monoclonal antibody (MAb) to normal rabbit VSMC; DNA synthes
is of VSMC was stimulated by PDGF, but the effect was significantly bl
ocked by the anti-LDL receptor MAb. Mitogen-activated protein (MAP) ki
nase activity in normal rabbit VSMC was increased by exposure to PDGF,
but the effect was significantly suppressed in the presence of the MA
b. The anti-LDL receptor MAb markedly inhibited LDL binding to the sur
face of normal rabbit VSMC. These results suggest that the LDL recepto
r influences the proliferation of VSMC and thus might be involved in t
he pathogenesis of atherosclerosis.