We have investigated the hypothesis that responses associated with prolifer
ation are regulated by extracellular nucleotides such as ATP and UTP in cul
tured human vascular smooth muscle cells (VSMC) derived from internal mamma
ry artery (IMA) and saphenous vein (SV). Platelet-derived growth factor (PD
GF), ATP, and UTP each generated an increase in cytosolic free Ca2+ concent
ration ([Ca2+](i)) in both IMA- and SV-derived cells in the absence of dete
ctable inositol 1,4,5-trisphosphate production. ATP alone had no effect on
[H-3] thymidine incorporation into DNA, but with a submaximal concentration
of PDGF it raised [H-3] thymidine incorporation in SV- but not IMA- derive
d cells. UTP alone also was without effect on [H-3] thymidine incorporation
or cell number. However, in both SV- and IMA- derived cells, UTP reduced t
he PDGF-stimulated [H-3] thymidine response and PDGF-stimulated cell prolif
eration. This cannot be explained by an inhibitory effect on the p42/p44 mi
togen-activated protein kinase (MAPK) cascade, since this response to PDGF
was not attenuated by UTP. We conclude that, in human VSMC of both arterial
and venous origin, UTP acts as an antiproliferative regulator.