title: Attenuation by fibrates of plasminogen activator inhibitor type-1 expression in human arterial smooth muscle cells.
abstract: Human atherosclerotic lesions exhibit increased expression of plasminogen activator inhibitor type-1 (PAI-1) that has been implicated in atherogenesis. Although vascular smooth muscle cells are a predominant source of PAI-1 expression potentially favorable modulation of PAI-1 expression by fibrates has not yet been characterized in these cells. Human aortic smooth muscle cells were exposed to selected growth factors. PAI-1 expression was stimulated most powerfully by TGF-beta (EC50 = 0.2 ng/ml, up to 12-fold increase). Gemfibrozil inhibited basal PAI-1 expression by 23% (p = ns) and TGF-beta-induced PAI-1 expression by 52% (p = 0.017) whereas t-PA and total protein synthesis was not affected. Changes in PAI-1 protein accumulation reflected PAI-1 gene expression attributable to modulation of half-life of PAI-1 mRNA by gemfibrozil. Inhibition by other fibrates was less. Gemfibrozil specifically attenuates TGF-beta-induced PAI-1 expression in human arterial smooth muscle cells. Thus, fibrates are promising agents for normalizing increased PAI-1 expression in arterial walls in patients in whom PAI-1 expression is increased.
authors.affiliation: Department of Cardiology, University of Freiburg, Germany. nordt@mm31.ukl.uni-freiburg.de
authors.forename: T K
authors.initials: TK
authors.lastname: Nordt
authors.forename: S
authors.initials: S
authors.lastname: Lutzi
authors.forename: J
authors.initials: J
authors.lastname: Ruef
authors.forename: K
authors.initials: K
authors.lastname: Peter
authors.forename: E
authors.initials: E
authors.lastname: Klar
authors.forename: W
authors.initials: W
authors.lastname: Kübler
authors.forename: B E
authors.initials: BE
authors.lastname: Sobel
authors.forename: C
authors.initials: C
authors.lastname: Bode
mesh_terms: D001011:Aorta / Q000166:cytology; D002478:Cells, Cultured; D004347:Drug Interactions; D015248:Gemfibrozil / Q000494:pharmacology*; D005786:Gene Expression Regulation / Q000187:drug effects; D006801:Humans; D009131:Muscle, Smooth, Vascular / Q000166:cytology / Q000378:metabolism*; D017395:Plasminogen Activator Inhibitor 1 / Q000235:genetics / Q000378:metabolism*; D020871:RNA Stability / Q000187:drug effects; D012333:RNA, Messenger / Q000187:drug effects / Q000378:metabolism; D016212:Transforming Growth Factor beta / Q000494:pharmacology
chemical_list: D017395:Plasminogen Activator Inhibitor 1; D012333:RNA, Messenger; D016212:Transforming Growth Factor beta; D015248:Gemfibrozil