title: Cellular mechanism through which parathyroid hormone-related protein induces proliferation in arterial smooth muscle cells: definition of an arterial smooth muscle PTHrP/p27kip1 pathway.
abstract: Parathyroid hormone-related protein (PTHrP) is present in vascular smooth muscle (VSM), is markedly upregulated in response to arterial injury, is essential for normal VSM proliferation, and also markedly accentuates neointima formation following rat carotid angioplasty. PTHrP contains a nuclear localization signal (NLS) through which it enters the nucleus and leads to marked increases in retinoblastoma protein (pRb) phosphorylation and cell cycle progression. Our goal was to define key cell cycle molecules upstream of pRb that mediate cell cycle acceleration induced by PTHrP. The cyclin D/cdk-4,-6 system and its upstream regulators, the inhibitory kinases (INKs), are not appreciably influenced by PTHrP. In striking contrast, cyclin E/cdk-2 kinase activity is markedly increased by PTHrP, and this is a result of a specific, marked, PTHrP-induced proteasomal degradation of p27(kip1). Adenoviral restoration of p27(kip1) fully reverses PTHrP-induced cell cycle progression, indicating that PTHrP mediates its cell cycle acceleration in VSM via p27(kip1). In confirmation, adenoviral delivery of PTHrP to murine primary vascular smooth muscle cells (VSMCs) significantly decreases p27(kip1) expression and accelerates cell cycle progression. p27(kip1) is well known to be a central cell cycle regulatory molecule involved in both normal and pathological VSM proliferation and is a target of widely used drug-eluting stents. The current observations define a novel "PTHrP/p27(kip1) pathway" in the arterial wall and suggest that this pathway is important in normal arterial biology and a potential target for therapeutic manipulation of the arterial response to injury.
authors.affiliation: Division of Endocrinology, University of Pittsburgh School of Medicine, PA 15213, USA. Taeschn@msx.dept-med.pitt.edu
authors.forename: Nathalie
authors.initials: N
authors.lastname: Fiaschi-Taesch
authors.forename: Brian M
authors.initials: BM
authors.lastname: Sicari
authors.forename: Kiran
authors.initials: K
authors.lastname: Ubriani
authors.forename: Todd
authors.initials: T
authors.lastname: Bigatel
authors.forename: Karen K
authors.initials: KK
authors.lastname: Takane
authors.forename: Irene
authors.initials: I
authors.lastname: Cozar-Castellano
authors.forename: Alessandro
authors.initials: A
authors.lastname: Bisello
authors.forename: Brian
authors.initials: B
authors.lastname: Law
authors.forename: Andrew F
authors.initials: AF
authors.lastname: Stewart
mesh_terms: D000818:Animals; D001158:Arteries / Q000166:cytology / Q000378:metabolism*; D002453:Cell Cycle; D018797:Cell Cycle Proteins / Q000378:metabolism; D002460:Cell Line; D049109:Cell Proliferation; D002478:Cells, Cultured; D050760:Cyclin-Dependent Kinase Inhibitor p27 / Q000378:metabolism*; D015536:Down-Regulation; D016193:G1 Phase; D051379:Mice; D009131:Muscle, Smooth, Vascular / Q000166:cytology / Q000378:metabolism*; D009687:Nuclear Proteins / Q000378:metabolism; D044162:Parathyroid Hormone-Related Protein / Q000378:metabolism*; D046988:Proteasome Endopeptidase Complex / Q000378:metabolism; D020543:Proteome / Q000378:metabolism; D051381:Rats; D016196:S Phase; D015398:Signal Transduction
chemical_list: D018797:Cell Cycle Proteins; D009687:Nuclear Proteins; D044162:Parathyroid Hormone-Related Protein; D020543:Proteome; D050760:Cyclin-Dependent Kinase Inhibitor p27; D046988:Proteasome Endopeptidase Complex