title: Mutual exclusion of apoptosis and hsp70 in human vein intimal hyperplasia in vitro.
abstract: BACKGROUND
  Apoptosis of vascular smooth muscle cells (VSMC) plays a role in physiological vascular remodeling, as well as in disease states such as atherosclerosis and restenosis after angioplasty. Heat shock protein 70 (hsp70) may protect the cell against apoptosis and/or necrosis. In this study, we examined hsp70 expression and its temporal relationship to cell survival or death in a model of intimal vein hyperplasia in vitro.
  
  
  METHODS
  Segments of human saphenous veins were placed into culture. At different days vein segments were serum-starved or exposed to heat shock. Apoptosis and hsp70 expression were analyzed by Western blot, immunohistochemistry, and TUNEL assay.
  
  
  RESULTS
  A marked intimal vein hyperplasia developed after 14 days of culture when compared with baseline. hsp70 was present at baseline and disappeared during culture. Heating during culture could not up-regulate hsp70. The apoptotic markers were absent at baseline and present during normal culture. Conversely, serum starvation stimulated strong hsp70 expression coincidental with the disappearance of apoptotic markers.
  
  
  CONCLUSIONS
  Stimulation of veins during culture with serum resulted in hyperplasia, apoptosis, and inhibition of hsp70 expression. Down-regulation of hsp70 may permit apoptosis and vessel wall remodeling in this model.
authors.affiliation: Department of Surgery, University of Alabama, Birmingham, Alabama 35294, USA.
authors.forename: F
authors.initials: F
authors.lastname: Alcocer
authors.forename: D
authors.initials: D
authors.lastname: Whitley
authors.forename: J
authors.initials: J
authors.lastname: Salazar
authors.forename: W
authors.initials: W
authors.lastname: Jordan
authors.forename: K I
authors.initials: KI
authors.lastname: Bland
mesh_terms: D017209:Apoptosis / Q000502:physiology*; D015153:Blotting, Western; D018840:HSP70 Heat-Shock Proteins / Q000032:analysis / Q000378:metabolism*; D018869:Heat-Shock Response; D006801:Humans; D006965:Hyperplasia; D007150:Immunohistochemistry; D020287:In Situ Nick-End Labeling; D009131:Muscle, Smooth, Vascular / Q000737:chemistry / Q000473:pathology*; D009336:Necrosis; D009924:Organ Culture Techniques; D011506:Proteins / Q000032:analysis / Q000378:metabolism; D012501:Saphenous Vein / Q000737:chemistry / Q000473:pathology*; D017539:Tunica Intima / Q000737:chemistry / Q000473:pathology
chemical_list: D018840:HSP70 Heat-Shock Proteins; D011506:Proteins