Migration and proliferation of vascular smooth muscle cells (VSMC) contribu
te to angiogenesis and the lesions of atherosclerosis. Since, vascular endo
thelial growth factor (VEGF) is overexpressed by VSMC in intima of atherosc
lerotic human coronary arteries, we determined if VEGF could stimulate VSMC
migration and the intracellular signals involved. VEGF induced VSMC migrat
ion but had no significant activity on proliferation. VEGF increased intrac
ellular reactive oxygen species (ROS), NF-kappaB activation and IL-6 expres
sion. Blockade of the generation of intracellular ROS by antioxidants inhib
ited VEGF-induced NF-kappaB activation, IL-6 expression, and cell migration
indicating that generation of ROS was required for NF-kappaB activation an
d the chemotactic activity of VEGF. Expression of a mutated, nondegradable
form of inhibitor of NF-kappaB (I epsilonB-alphaM) suppressed VEGF-triggere
d activation of NF-kappaB and upregulation of IL-6 as well as VSMC migratio
n. Neutralization of IL-6 by its antibody significantly attenuated the migr
ation stimulated by VEGF. Collectively, our data provide the first evidence
that intracellular ROS and NF-kappaB are required for VEGF-mediated smooth
muscle cell migration. Further, IL-6 induced by VEGF is involved in the ab
ility of the growth factor to stimulate migration. (C) 2001 Academic Press.