H. Dorai et Tk. Sampath, Bone morphogenetic protein-7 modulates genes that maintain the vascular smooth muscle cell phenotype in culture, J BONE-AM V, 83A, 2001, pp. S70-S78
Citations number
46
Categorie Soggetti
Ortopedics, Rehabilitation & Sport Medicine","da verificare
Background: The vasculature is an important component in the musculoskeleta
l system, and vascularization is a key event in the development of normal c
artilage and bone formation. Blood vessels deliver nutrients, oxygen, and p
recursor cells to maintain the structural and functional integrity of joint
s and soft and hard tissues. Therefore, agents that help to inhibit prolife
ration and retain the phenotype of vascular smooth muscle cells (SMCs) are
of critical importance. In this study, we examined the capacity of bone mor
phogenetic protein-7 (BMP-7) to inhibit the proliferation of SMCs and maint
ain their phenotype.
Methods: A thymidine-incorporation assay was used to monitor the proliferat
ive activity of SMCs on stimulation with platelet-derived growth factor (PD
GF) and transforming growth factor-beta (TGF-beta), agents known to be stim
ulatory for these cells. Reverse transcriptase-polymerase chain reaction (R
T-PCR), Northern blot analysis, and enzyme-linked immunosorbent assay (ELIS
A) were used to monitor the modulation of various genes and gene products.
Immunolocalization of SMC specific markers was also performed.
Results: BMP-7 inhibited both serum-stimulated and growth factor-induced (P
DGF-BB and TGF-beta1) SMC growth, as measured by H-3-thymidine uptake and c
ell number, in primary human aortic smooth muscle (HASM) cell cultures. The
addition of BMP-7 stimulated the expression of developmentally regulated a
s well as SMC-specific markers, namely, id-1 and 1d-2, alpha -actin, and SM
C-specific heavy-chain myosin, as examined by semiquantitative and quantita
tive RT-PCR and by Northern blot analysis. Additionally, BMP-7 exhibited an
ti-inflammatory activity by downregulating intercellular adhesion molecule-
1 (ICAM-1) expression. The collagen type III/I ratio that becomes lower wit
h the transdifferentiation of SMCs into myofibroblasts is maintained in BMP
-7-treated cultures compared with untreated controls. Studies on the mechan
ism of action indicate that BMP-7 treatment induces cyclin-dependent kinase
-2 inhibitor, p21, which was inhibited during PDGF-BB-induced proliferation
of SMCs. Finally, BMP-7 upregulates the expression of the inhibitory Smads
, Smad6 and Smad7, which are known to inhibit TGF-beta superfamily signalin
g.
Conclusions: These results suggest that BMP-7 maintains the expression of t
he vascular SMC phenotype. Thus, BMP-7 may prevent vascular proliferative d
isorders and potentially could act as a palliative agent following damage t
o the vasculature.
Clinical Relevance: In musculoskeletal disorders in which the vasculature p
lays an important role, BMP-7 may be of benefit as an anti-inflammatory and
anti-proliferative agent for vascular endothelium and help maintain vascul
ar integrity.