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Updated: May 5, 2026

Mouse Models for Graft Arteriosclerosis
Published on: May 14, 2013
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.
Abstract:
Vascular SMC proliferation is a crucial event in occlusive cardiovascular diseases. PPARalpha is a nuclear receptor controlling lipid metabolism and inflammation, but its role in the regulation of SMC growth remains to be established. Here, we show that PPARalpha controls SMC cell-cycle progression at the G1/S transition by targeting the cyclin-dependent kinase inhibitor and tumor suppressor p16(INK4a) (p16), resulting in an inhibition of retinoblastoma protein phosphorylation. PPARalpha activates p16 gene transcription by both binding to a canonical PPAR-response element and interacting with the transcription factor Sp1 at specific proximal Sp1-binding sites of the p16 promoter. In a carotid arterial-injury mouse model, p16 deficiency results in an enhanced SMC proliferation underlying intimal hyperplasia. Moreover, PPARalpha activation inhibits SMC growth in vivo, and this effect requires p16 expression. These results identify an unexpected role for p16 in SMC cell-cycle control and demonstrate that PPARalpha inhibits SMC proliferation through p16. Thus, the PPARalpha/p16 pathway may be a potential pharmacological target for the prevention of cardiovascular occlusive complications of atherosclerosis.
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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