G beta gamma-mediated signaling: new therapeutic target for proliferative vascular disease
1Department of Surgery, Duke University Medical Center, Durham, North Carolina 27710, USA.
Abstract:
Proliferation of vascular smooth muscle (VSM) severely affects the outcome of coronary artery bypass and angioplasty procedures, causing the failure of venous grafts or restenosis of the reopened vessel. Investigation into the mechanisms underlying the process of VSM cellular proliferation has provided evidence that intracellular signaling mechanisms triggered by extracellular hormonal factors acting through G protein-coupled receptors, can mediate and sustain this pathological process. Inhibition of common pathways of G protein-coupled receptor signaling has recently proven effective in preventing VSM cellular activation and proliferation. In particular, inhibition of the G beta gamma-mediated mitogen-activated protein (MAP) kinase signaling pathway results in the inhibition of VSM proliferation in vitro. Moreover, use of adenoviral vectors to deliver a peptide inhibitor of G beta gamma signaling in vivo has resulted in inhibition of intimal hyperplasia in experimental models of vein-graft failure and restenosis.
Insights
Vascular smooth muscle cell proliferation hinders bypass surgery and angioplasty. Inhibiting G beta gamma signaling effectively reduces this proliferation, improving outcomes for vein grafts and reopened vessels.
Area of Science:
- Cardiovascular Biology
- Molecular Medicine
- Cellular Signaling
Background:
- Vascular smooth muscle cell (VSM) proliferation is a key factor in coronary artery bypass graft failure and restenosis after angioplasty.
- Extracellular hormonal factors acting via G protein-coupled receptors (GPCRs) trigger intracellular signaling pathways that mediate VSM proliferation.
- Targeting GPCR signaling pathways offers a potential therapeutic strategy to prevent pathological VSM growth.
Purpose of the Study:
- To investigate the role of G beta gamma signaling in VSM proliferation.
- To evaluate the efficacy of inhibiting G beta gamma signaling in preventing VSM proliferation in vitro and in vivo.
Main Methods:
- In vitro studies assessing VSM proliferation upon inhibition of G beta gamma signaling.
- In vivo experiments utilizing adenoviral vectors to deliver a peptide inhibitor of G beta gamma signaling.
- Assessment of intimal hyperplasia in experimental models of vein-graft failure and restenosis.
Main Results:
- Inhibition of the G beta gamma-mediated mitogen-activated protein (MAP) kinase signaling pathway effectively suppressed VSM proliferation in vitro.
- Adenoviral delivery of a G beta gamma signaling inhibitor reduced intimal hyperplasia in experimental models.
- These findings demonstrate the critical role of G beta gamma signaling in VSM proliferation and associated pathologies.
Conclusions:
- G beta gamma signaling is a crucial mediator of vascular smooth muscle cell proliferation.
- Inhibition of G beta gamma signaling presents a promising therapeutic approach for preventing vein graft failure and restenosis.
- Targeting this pathway could significantly improve outcomes for patients undergoing cardiovascular procedures.
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