Recent studies indicate that smooth muscle cell (SMC) growth and morph
ology can be modulated by repetitive strain. However, there is very li
ttle known about the influence of pressure, without an associated cell
stretch, on SMC phenotype. To study this, cultured bovine aortic SMC
were grown on a rigid surface and placed in a custom-designed plexigla
ss pressure chamber with a carefully regulated 5% CO2/air environment.
SMC were exposed to either atmospheric, 105 mm Hg or 120/90 mm Hg pre
ssure at a frequency of 60 cycles/min (0.5 s systole, 0.5 s diastole).
SMC number was determined on days 1, 3, 5, 7 and 9. SMC exposed to pr
essure were more elongated and displayed a significant increase in cel
l number by day 5.which persisted until day 9. Lactate dehydrogenase (
LDH) in the conditioned media, an index of cytotoxicity, was not diffe
rent between the groups at each time point. There was also no differen
ce in pH or pCO(2) of the media of SMC in any group. This is the first
report of the effects of increased static and pulsatile pressure on S
MC in vitro and indicates an increased proliferative rate. We hypothes
ize that the systemic pressure that the blood vessel is exposed to in
vivo may have a significant regulatory influence on the phenotype of t
he smooth muscle cells which may affect the SMC response to injury or
stimuli.