During the atherogenic process in vivo, arterial smooth muscle cells (
SMC) undergo changes in their phenotype. In the present study, rat SMC
from primary cultures and from subcultures before 10 and after 200 pa
ssages, showing contractile-like, synthetic and transformed phenotypes
, respectively, were compared in regard to their lipid content and bio
synthesis. The rationale for comparing these phenotypes rests in the s
imilar changes in phenotype of SMC that occur in the formation and pro
gression of atherosclerotic lesions. Phenotype changes were shown to b
e associated with changes in the phospholipid content of SMC. Phosphol
ipid levels increased, but not as significantly as did cholesterol lev
els when passing from contractile to synthetic and transformed cells (
1.23 +/- 0.18, 2.28 +/- 0.26 and 3.25 +/- 0.23 mug/10(6) cells, respec
tively). Cholesterol normalized in respect to cell protein was increas
ed to the same extent. Lipid synthesis as judged by [C-14]acetate inco
rporation was increased 3- to 12-fold in the synthetic and transformed
cells, respectively, compared to contractile cells. After thin-layer
chromatography, radioactivity was shown to be markedly increased in mo
st of the lipid fractions, but label in the cholesterol fraction of sy
nthetic and transformed cells was increased by 7- and 21-fold, respect
ively. Thus, SMC in vitro were shown to drastically increase cholester
ol biosynthesis associated with phenotype changes. Such changes are kn
own to occur in vivo and might represent a critical step in the deposi
tion of excess cholesterol within foam cells.