title: Production of transforming growth factor beta 1 during repair of arterial injury.
abstract: Repair of arterial injury produced by balloon angioplasty leads to the formation of a neointima and a narrowing of the vascular lumen. In this study, we examined the possibility that smooth muscle cells (SMC) in injured rat carotid arteries are stimulated to produce type-1 transforming growth factor-beta (TGF-beta 1) during neointima formation in vivo. Levels of TGF-beta 1 transcripts (2.4 kb) were significantly increased within 6 h after carotid injury and reached a maximum (five to sevenfold) by 24 h. Regenerating left carotids had sustained increases in TGF-beta 1 mRNA levels (about fivefold) over the next 2 wk, during which time a substantial neointimal thickening was formed. No changes in basal TGF-beta 1 mRNA levels were found in contralateral uninjured carotids at any of the times examined. Immunohistochemical studies showed that a large majority of neointimal SMC were stained for TGF-beta 1 protein in an intracellular pattern, consistent with active TGF-beta 1 synthesis in this tissue. Neointima formation and TGF-beta 1 immunoreactivity were correlated with increases in fibronectin, collagen alpha 2(I), and collagen alpha 1(III) gene expression. Infusion of purified, recombinant TGF-beta 1 into rats with a preexisting neointima produced a significant stimulation of carotid neointimal SMC DNA synthesis. These results suggest that TGF-beta 1 plays an important role as an endogenous growth regulatory factor produced by neointimal SMC themselves during progressive neointimal thickening after balloon angioplasty.
authors.affiliation: Department of Pathology, University of Washington, Seattle 98195.
authors.forename: M W
authors.initials: MW
authors.lastname: Majesky
authors.forename: V
authors.initials: V
authors.lastname: Lindner
authors.forename: D R
authors.initials: DR
authors.lastname: Twardzik
authors.forename: S M
authors.initials: SM
authors.lastname: Schwartz
authors.forename: M A
authors.initials: MA
authors.lastname: Reidy
mesh_terms: D000800:Angioplasty, Balloon / Q000009:adverse effects; D000818:Animals; D001158:Arteries / Q000293:injuries* / Q000378:metabolism; D002339:Carotid Arteries / Q000378:metabolism; D020212:Carotid Artery Injuries; D004247:DNA / Q000096:biosynthesis; D016326:Extracellular Matrix Proteins / Q000235:genetics; D015870:Gene Expression; D008297:Male; D009131:Muscle, Smooth, Vascular / Q000378:metabolism*; D012333:RNA, Messenger / Q000032:analysis; D051381:Rats; D011919:Rats, Inbred Strains; D016212:Transforming Growth Factor beta / Q000032:analysis / Q000096:biosynthesis* / Q000235:genetics; D014945:Wound Healing / Q000502:physiology
chemical_list: D016326:Extracellular Matrix Proteins; D012333:RNA, Messenger; D016212:Transforming Growth Factor beta; D004247:DNA