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Updated: Jun 6, 2026

Isolation of Primary Patient-specific Aortic Smooth Muscle Cells and Semiquantitative Real-time Contraction Measurements In Vitro
Published on: February 15, 2022
Tissue factor pathway inhibitor suppresses the growth of human vascular smooth muscle cells through regulating cell
Xia Dong1, Liping Song, Dunwan Zhu
1Institute of Biomedical Engineering, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin Key Laboratory of Biomedical Materials, Tianjin 300192, China.
Abstract:
Tissue factor pathway inhibitor (TFPI) was reported to suppress the proliferation and migration of vascular smooth muscle cells (VSMCs) which play an important role in several vascular proliferative disorders including restenosis. Our preliminary studies demonstrated that TFPI gene induced apoptosis in human vascular smooth muscle cells (hVSMCs). The current study was designed to address the role TFPI gene plays in the cell cycle of hVSMCs. hVSMCs isolated from human umbilical artery were transfected with pIRES-TFPI plasmid which expresses TFPI in eukaryotic cells. As measured by RT-PCR, the expression of TFPI was elevated in the TFPI treated cells, leading to the arrest of the cells at G1 phase as analyzed by flow cytometry. Further study by Western blotting demonstrated that TFPI gene transfer increased the amount of p21 and p53 and decreased the amount of cyclin D and phosphorylated cdk4 and cdk6 in the cells.
Insights
Tissue factor pathway inhibitor (TFPI) gene transfer halts human vascular smooth muscle cell (hVSMC) proliferation. TFPI induces apoptosis and G1 cell cycle arrest by modulating key cell cycle regulatory proteins.
Area of Science:
- Vascular Biology
- Cell Cycle Regulation
- Molecular Medicine
Background:
- Vascular smooth muscle cells (VSMCs) are crucial in vascular proliferative disorders like restenosis.
- Tissue factor pathway inhibitor (TFPI) is known to suppress VSMC proliferation and migration.
- Preliminary studies indicated TFPI gene induces apoptosis in human VSMCs (hVSMCs).
Purpose of the Study:
- To investigate the role of TFPI gene in the cell cycle regulation of hVSMCs.
- To determine how TFPI gene transfer affects hVSMC proliferation and cell cycle progression.
Main Methods:
- hVSMCs were isolated and transfected with a pIRES-TFPI plasmid.
- TFPI expression was confirmed using RT-PCR.
- Cell cycle analysis was performed using flow cytometry.
- Protein level changes were assessed via Western blotting.
Main Results:
- TFPI gene transfer significantly elevated TFPI expression in hVSMCs.
- TFPI treatment resulted in cell cycle arrest at the G1 phase.
- Western blotting revealed increased p21 and p53 levels.
- TFPI gene transfer decreased cyclin D and phosphorylated cdk4/cdk6 levels.
Conclusions:
- TFPI gene transfer effectively induces G1 cell cycle arrest in hVSMCs.
- TFPI modulates key cell cycle regulators, including p21, p53, cyclin D, cdk4, and cdk6.
- TFPI holds potential as a therapeutic agent for vascular proliferative diseases.
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