Sympathetic nerves are purported to stimulate blood vessel growth. The mech
anism(s) underlying this stimulation has not been determined. With use of a
n in vitro coculture model, the present study tests the hypothesis that sym
pathetic neurons stimulate the growth of vascular smooth muscle (VSM) and e
valuates potential mechanisms mediating this stimulation. Sympathetic neuro
ns isolated from superior cervical ganglia (SCG) stimulated the growth of V
SM. Growth of VSM in the presence of SCG (856 +/- 81%) was significantly gr
eater than that in the absence of SCG (626 +/- 66%, P < 0.05). SCG did not
stimulate VSM growth in transwell cocultures. An antibody that neutralized
the activity of transforming growth factor-beta 2 (TGF-beta 2) inhibited SC
G stimulation of VSM growth in coculture. SCG stimulation of VSM growth was
also inhibited by an endothelin A receptor antagonist. These data suggest
novel mechanisms for sympathetic modulation of vascular growth that may pla
y a role in the physiological and/or pathological growth of the vasculature
.