The presence or Immature smooth muscle cells and ectopic tissues such as fu
lly-formed bone in artherosclerotic lesions, mat result from recapitulation
or embryonic mechanisms In the artery wail. We hypothesized that expressio
n of homeobox genes Is triggered in atherogenesis and that these regulate p
roliferation and differentiation iii multipotential progenitor cells along
one or more specific lineages. We Identified expression of the homeobox gen
e HOXB7 in clones or bovine aortic medial cells previously shown to be mult
ipotent. HOXB7; was subsequently detected In human atherosclerotic plaques
by RT-PCR and in situ hybridization. Expression was localized to areas adja
cent to calcification and scattered in media and neointima, which may be re
flective or a role in either osteoblastic or smooth muscle cell differentia
tion. To differentiate between these possibilities, we overexpressed HOXB7
in C3H10T1/2 cells, a multipotent cell line able to differentiate into vasc
ular smooth muscle cells (SMC), as well as osteogenic and chondrogenic line
ages. Results showed that overexpression or HOXB7 increased proliferation 3
.5-fold, and induced an SMC-like cell morphology, in addition, expression o
f the early SMC markers calponin and SM22 alpha increased 4-fold and;3-fold
respectively by semi-quantitative KP-PCR. Expression of the intermediate S
MC marker smooth muscle myosin heavy chain (SM-MHC) did not change. No Incr
ease in osteogenic or chondrogenic differentiation was detected, neither in
the C3H10T1/2 cells nor in ML cells, a bone marrow stromal cell line used
to confirm this result. These findings suggest that HOXB7; plays a role in
expansion of Immature cell populations or dedifferentiation of mature cells
.