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Updated: Jul 9, 2026

Murine Aortic Crush Injury: An Efficient In Vivo Model of Smooth Muscle Cell Proliferation and Endothelial Function
Published on: June 11, 2017
Regulation of vascular smooth muscle cell growth by survivin
Andrew W Hoel1, Grace J Wang, Hector F Simosa
1Division of Vascular Surgery, Brigham and Women's Hospital, Boston, MA 02115, USA.
Abstract:
The inhibitor of apoptosis protein survivin has long been of interest in the cancer literature for its role in both the regulation of cell proliferation and the inhibition of apoptosis. A growing body of literature has implicated survivin in the maladaptive pathways following vascular injury and, in particular, in the growth of vascular smooth muscle cells that comprise the hyperplastic neointimal lesions that characterize midterm vein bypass graft failure and restenosis following angioplasty and stenting. This review focuses on the emerging role of survivin in the regulation of smooth muscle cell growth and its implications for the prevention of restenosis following revascularization procedures. The expression, regulation, and function of survivin are addressed, as well as the current state of understanding regarding the effects of survivin inhibition in vitro and in vivo.
Insights
Survivin, an inhibitor of apoptosis protein, plays a key role in vascular smooth muscle cell growth. Inhibiting survivin may prevent restenosis after revascularization procedures.
Area of Science:
- Cardiovascular Biology
- Molecular Oncology
Background:
- Survivin is an inhibitor of apoptosis protein implicated in cancer.
- Survivin is increasingly recognized for its role in vascular injury pathways.
- Vascular smooth muscle cell hyperplasia, driven by survivin, contributes to graft failure and restenosis.
Purpose of the Study:
- To review the role of survivin in vascular smooth muscle cell growth.
- To discuss survivin's implications for preventing restenosis after revascularization.
- To summarize current knowledge on survivin expression, regulation, function, and inhibition.
Main Methods:
- Literature review focusing on survivin in vascular biology.
- Analysis of survivin's role in smooth muscle cell proliferation.
- Examination of in vitro and in vivo studies on survivin inhibition.
Main Results:
- Survivin regulates vascular smooth muscle cell growth.
- Survivin is a key factor in neointimal lesion formation.
- Inhibition of survivin shows potential in preclinical models.
Conclusions:
- Survivin is a critical regulator of smooth muscle cell proliferation.
- Targeting survivin offers a promising strategy for preventing restenosis.
- Further research into survivin inhibition is warranted for vascular interventions.
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