Atherosclerosis is clearly one of the most life-threatening diseases a
nd a major cause of morbidity and mortality in industrialized countrie
s. Typical arterial lesions contain both cells originating from the bl
ood (monocytes/macrophages) and locally-recruited smooth muscle cells.
The structure of the artery is profoundly disrupted. Degradation of a
rterial elastin fibers results in loss of elasticity, and several elas
tin peptides are released that can interact with various cells via an
increasingly well-characterized elastin receptor. Elastin receptor-med
iated reactions that are of obvious physiologic importance include vas
odilating effects and induction of mesenchymal cell adhesion to elasti
n fibers. Other effects are potentially harmful, such as increased ela
stase production, free radical release, induction of LDL oxidation, an
d stimulation of endogenous cholesterol production. These deleterious
effects become predominant during aging as a result of chronic exposur
e of the elastin receptor to circulating elastin peptides. This review
describes the results of recent investigations into the biological ef
fects of elastin peptides.