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Updated: Jul 6, 2026

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Published on: October 27, 2020
FK506 can activate transforming growth factor-beta signalling in vascular smooth muscle cells and promote
Arturo Giordano1, Simona Romano, Maria Mallardo
1Invasive Cardiology Unit, Clinica Pineta Grande, Castelvolturno, Italy.
Aims:
FK506-binding protein (FKBP) 12 is an inhibitor of transforming growth factor (TGF)-beta type I receptors. Several lines of evidence support the view that TGF-beta stimulates vascular smooth muscle cell (VSMC) proliferation and matrix accumulation. We investigated the effect of FK506, also known as tacrolimus, on cellular proliferation and on matrix protein production in human VSMCs.
Methods And Results:
We measured cell proliferation with flow cytometry using BrdU incorporation and fluorimetrically by measuring DNA concentration with Hoechst 33258. Western blot assay of whole-cell lysates was used to measure the levels of signalling proteins involved in proliferative pathways, in particular beta-catenin, pErk, pAkt, pmTOR, and cyclin D1. Collagen synthesis was also investigated by Western blotting. The TGF-beta signal was studied by both Western blotting and confocal microscopy. We used the SiRNA technique for FKBP12 gene silencing. Our results show that FK506 stimulates VSMC proliferation and collagen type I production. FK506 enhanced beta-catenin levels and activated the extracellular signal-regulated kinase, Akt, and mammalian target of rapamycin kinase, which are important effectors of proliferation. Accordingly, cyclin D1 expression was increased. We also demonstrate that FK506 activates the TGF-beta signal in VSMCs and that, through this mechanism, it stimulates cell proliferation.
Conclusion:
FK506 can act as a growth factor for VSMCs.
Insights
FK506 (tacrolimus) stimulates vascular smooth muscle cell (VSMC) proliferation and collagen production by activating the TGF-beta pathway. This immunosuppressant drug acts as a growth factor for VSMCs, impacting cardiovascular health.
Area of Science:
- Cardiovascular Biology
- Molecular Pharmacology
- Cell Signaling
Background:
- FK506-binding protein (FKBP) 12 inhibits TGF-beta type I receptors.
- Transforming growth factor-beta (TGF-beta) promotes vascular smooth muscle cell (VSMC) proliferation and matrix accumulation.
- The role of FK506 (tacrolimus) in VSMC behavior requires further investigation.
Purpose of the Study:
- To investigate the effects of FK506 on human VSMC proliferation.
- To determine FK506's impact on matrix protein production in VSMCs.
- To elucidate the signaling pathways involved in FK506's action on VSMCs.
Main Methods:
- Cell proliferation assessed via BrdU incorporation and DNA concentration.
- Western blotting used to quantify signaling proteins (beta-catenin, pErk, pAkt, pmTOR, cyclin D1) and collagen type I.
- TGF-beta signaling and FKBP12 gene silencing (siRNA) were analyzed.
Main Results:
- FK506 significantly increased VSMC proliferation and collagen type I production.
- FK506 enhanced beta-catenin levels and activated key proliferative signaling pathways (Erk, Akt, mTOR).
- FK506 was shown to activate the TGF-beta signal in VSMCs, driving cell proliferation.
Conclusions:
- FK506 acts as a potent growth factor for vascular smooth muscle cells.
- The mechanism involves activation of the TGF-beta signaling pathway.
- FK506's proliferative effects on VSMCs have implications for cardiovascular research.
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