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Updated: Aug 15, 2026

Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation
Published on: May 31, 2016
A proatherogenic role for cGMP-dependent protein kinase in vascular smooth muscle cells
Wiebke Wolfsgruber1, Susanne Feil, Sabine Brummer
1Institut für Pharmakologie und Toxikologie, Technische Universität, Biedersteiner Strasse 29, 80802 Munich, Germany.
Abstract:
Nitric oxide (NO) exerts both antiatherogenic and proatherogenic effects, but the cellular and molecular mechanisms that contribute to modulation of atherosclerosis by NO are not understood completely. The cGMP-dependent protein kinase I (cGKI) is a potential mediator of NO signaling in vascular smooth muscle cells (SMCs). Postnatal ablation of cGKI selectively in the SMCs of mice reduced atherosclerotic lesion area, demonstrating that smooth muscle cGKI promotes atherogenesis. Cell-fate mapping indicated that cGKI is involved in the development of SMC-derived plaque cells. Activation of endogenous cGKI in primary aortic SMCs resulted in cells with increased levels of proliferation; increased levels of vascular cell adhesion molecule-1, peroxisome proliferator-activated receptor gamma, and phosphatidylinositol 3-kinase/Akt signaling; and decreased plasminogen activator inhibitor 1 mRNA, which all are potentially proatherogenic properties. Taken together, these results highlight the pathophysiologic significance of vascular SMCs in atherogenesis and identify a key role for cGKI in the development of atherogenic SMCs in vitro and in vivo. We suggest that activation of smooth muscle cGKI contributes to the proatherogenic effect of NO and that inhibition of cGKI might be a therapeutic option for treating atherosclerosis in humans.
Insights
Smooth muscle cGMP-dependent protein kinase I (cGKI) promotes atherosclerosis. Inhibiting cGKI in vascular cells may offer a new therapeutic strategy for treating this cardiovascular disease.
Area of Science:
- Cardiovascular Biology
- Molecular Medicine
- Vascular Cell Biology
Background:
- Nitric oxide (NO) has complex roles in atherosclerosis.
- The precise mechanisms by which NO influences atherosclerosis are not fully elucidated.
- cGMP-dependent protein kinase I (cGKI) is a key mediator of NO signaling in vascular smooth muscle cells (SMCs).
Purpose of the Study:
- To investigate the role of smooth muscle cGKI in the development of atherosclerosis.
- To determine if cGKI in SMCs promotes or protects against atherogenesis.
- To explore the molecular mechanisms by which cGKI influences SMC behavior in the context of atherosclerosis.
Main Methods:
- Selective postnatal ablation of cGKI in mouse SMCs.
- Cell-fate mapping studies in mice.
- In vitro activation of endogenous cGKI in primary aortic SMCs.
- Analysis of proatherogenic markers including proliferation, adhesion molecules, and signaling pathways.
Main Results:
- Ablation of SMC-specific cGKI significantly reduced atherosclerotic lesion area in mice.
- Cell-fate mapping revealed cGKI's involvement in the development of SMC-derived plaque cells.
- Activated cGKI in SMCs increased proliferation, vascular cell adhesion molecule-1, peroxisome proliferator-activated receptor gamma, and PI3K/Akt signaling.
- Activated cGKI also decreased plasminogen activator inhibitor 1 mRNA levels.
Conclusions:
- Smooth muscle cGKI plays a critical role in promoting atherogenesis.
- cGKI mediates proatherogenic changes in SMCs both in vitro and in vivo.
- Inhibition of smooth muscle cGKI may represent a potential therapeutic target for atherosclerosis.
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