PPAR alpha inhibits vascular smooth muscle cell proliferation underlying intimal hyperplasia by inducing the tumor

Florence Gizard1, Carole Amant, Olivier Barbier

  • 1INSERM U545, Département d'Athérosclérose, Institut Pasteur de Lille et Faculté de Pharmacie, Université Lille II, Lille, France.

Insights

Peroxisome proliferator-activated receptor alpha (PPARalpha) inhibits vascular smooth muscle cell (SMC) proliferation by regulating the p16INK4a (p16) gene. This PPARalpha/p16 pathway is a potential therapeutic target for cardiovascular occlusive diseases.

Area of Science:

  • Cardiovascular Biology
  • Molecular Biology
  • Cell Cycle Regulation

Background:

  • Vascular smooth muscle cell (SMC) proliferation is a key factor in occlusive cardiovascular diseases.
  • The nuclear receptor PPARalpha regulates lipid metabolism and inflammation, but its role in SMC growth is unclear.

Purpose of the Study:

  • To investigate the role of PPARalpha in regulating vascular SMC proliferation.
  • To elucidate the molecular mechanisms by which PPARalpha influences SMC cell-cycle progression.

Main Methods:

  • Analysis of PPARalpha's effect on SMC cell-cycle progression at the G1/S transition.
  • Investigation of PPARalpha's transcriptional regulation of the p16INK4a (p16) gene, including promoter binding and transcription factor interactions.
  • Utilizing a carotid arterial-injury mouse model to assess the in vivo effects of p16 deficiency and PPARalpha activation on SMC proliferation and intimal hyperplasia.

Main Results:

  • PPARalpha inhibits SMC cell-cycle progression by targeting the cyclin-dependent kinase inhibitor p16INK4a, preventing retinoblastoma protein phosphorylation.
  • PPARalpha activates p16 gene transcription via direct promoter binding and interaction with Sp1.
  • p16 deficiency exacerbates SMC proliferation and intimal hyperplasia in a mouse model.
  • PPARalpha activation inhibits in vivo SMC growth, an effect dependent on p16 expression.

Conclusions:

  • PPARalpha inhibits vascular SMC proliferation through the induction of p16INK4a.
  • The identified PPARalpha/p16 pathway represents a novel mechanism for controlling SMC cell-cycle progression.
  • This pathway holds potential as a pharmacological target for preventing cardiovascular occlusive complications associated with atherosclerosis.

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