Carvedilol inhibits platelet-derived growth factor-induced extracellular matrix synthesis by inhibiting cellular reactive oxygen species and mitogen-activated protein kinase activation

被引:11
|
作者
Park, Jehyun
Ha, Hunjoo
Kim, Myoung Soo
Ahn, Hyung Joon
Huh, Kyu Ha
Kim, Yu Seun
机构
[1] Yonsei Univ, Coll Med, Dept Transplantat Surg,Res Inst Transplantat & BK, Seodaemun Ku, Seoul 120752, South Korea
[2] Ewha Womans Univ, Coll Pharm, Seoul, South Korea
[3] Severance Hosp, Transplantat Ctr, Dept Transplantat Surg, Seoul, South Korea
来源
JOURNAL OF HEART AND LUNG TRANSPLANTATION | 2006年 / 25卷 / 06期
关键词
D O I
10.1016/j.healun.2006.01.008
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Vascular smooth muscle cell (VSMC) proliferation, migration, and extracellular matrix (ECM) synthesis are major pathologic features of chronic allograft vasculopathy. Carvedilol, an antihypertensive agent, might be an effective agent for preventing the development and progression of chronic, allograft vasculopathy, since it can inhibit VSMC proliferation and migration. The present study was designed to examine the effect of carvedilol on platelet-derived growth factor (PDGF)induced ECM synthesis in rat VSMCs. Furthermore, we evaluated whether carvedilol inhibits PDGF-induced cellular reactive oxygen species (ROS) and the activation of mitogen-activated protein kinase (MAPK). Methods: Primary cultured rat VSMCs were stimulated with PDGF-BB (10 ng/ml) in the presence or absence of carvedilol, and the effects of carvedilol were compared with those of ROS or MAPK inhibitors. Fibronectin secretion, proliferating cell nuclear antigen (PCNA) expression, and each MAPK activation were determined. by Western blot analysis, total collagen synthesis by [H-3]-proline incorporation, and cellular ROS by flow cytometry. Results: PDGF significantly increased PCNA expression, fibronectin secretion, total collagen synthesis, cellular ROS, and MAPK activation in rat VSMCs. Carvedilol at doses that inhibited PDGF-induced cell proliferation, inhibited ECM synthesis, cellular ROS, or subsequent MAPK activation. Structurally different anti-oxidants and extracellular signal-regulated protein kinase or p38 MAPK inhibitor effectively inhibited PDGF-induced fibronectin secretion and total collagen synthesis. Conclusions: These results suggest that carvedilol inhibits PDGF-induced VSMC proliferation and matrix protein synthesis by inhibiting cellular ROS and the subsequent activation of MAPK. Thus the targeted inhibition of cellular ROS and MAPK might provide an effective therapeutic strategy to treat chronic allograft vasculopathy.
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页码:683 / 689
页数:7
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