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Updated: Mar 17, 2026

A Simple Bioassay for the Evaluation of Vascular Endothelial Growth Factors
Published on: March 15, 2016
The mTOR/AP-1/VEGF signaling pathway regulates vascular endothelial cell growth
Shuo Wang1,2, Jiawei Lu1, Qingsheng You2
1Medical College, Nantong University, Nantong, China.
Abstract:
Vascular restenosis is a common adverse event following percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG). The atypical Ser/Thr protein kinase mammalian target of rapamycin (mTOR) plays an important role in cell differentiation and apoptosis. Vascular restenosis caused by excessive endothelial cell proliferation can be inhibited by local application of the mTOR inhibitor rapamycin (RAPA); however, RAPA can also suppress normal vascular endothelial cell growth by blocking mTOR/VEGF signaling, although the underlying mechanism is still unclear. Here, endogenous mTOR, AP-1, and VEGF were inhibited or overexpressed to investigate the mechanism underlying the effects of RAPA. Inhibition of AP-1 or mTOR with AP-1-siRNA or RAPA treatment respectively, decreased vascular endothelial cell proliferation, upregulation of AP-1 or mTOR increased cell proliferation, and VEGF overexpression increased, while RAPA-induced mTOR inhibition decreased vascular endothelial cell proliferation, the results indicate that combining mTOR downregulation and VEGF upregulation might both inhibit restenosis and maintain normal vascular endothelial cell growth after PCI or CABG, suggest the mTOR/AP-1/VEGF pathway might play a crucial role in regulating vascular endothelial cell growth.
Insights
Rapamycin (RAPA) inhibits vascular restenosis by targeting the mTOR pathway. Combining mTOR downregulation with VEGF upregulation may prevent restenosis while preserving normal vascular cell growth after procedures like PCI.
Area of Science:
- Cardiovascular Biology
- Molecular Medicine
- Cell Signaling
Background:
- Vascular restenosis is a significant complication after percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG).
- The mammalian target of rapamycin (mTOR) kinase is implicated in cell proliferation and apoptosis, making it a target for restenosis treatment.
- Rapamycin (RAPA), an mTOR inhibitor, can reduce restenosis but may also impair normal vascular endothelial cell function via mTOR/VEGF signaling.
Purpose of the Study:
- To elucidate the mechanism by which RAPA affects vascular endothelial cell proliferation.
- To investigate the role of the mTOR/AP-1/VEGF pathway in regulating vascular endothelial cell growth and restenosis.
Main Methods:
- Inhibition and overexpression of endogenous mTOR, AP-1, and VEGF in cellular models.
- Treatment with rapamycin (RAPA) and AP-1 siRNA to assess effects on cell proliferation.
- Analysis of the mTOR/AP-1/VEGF signaling axis.
Main Results:
- Inhibition of AP-1 or mTOR decreased vascular endothelial cell proliferation.
- Upregulation of AP-1 or mTOR increased cell proliferation.
- VEGF overexpression enhanced cell proliferation, whereas RAPA-induced mTOR inhibition reduced it.
Conclusions:
- The mTOR/AP-1/VEGF pathway is crucial for regulating vascular endothelial cell growth.
- Combining mTOR downregulation with VEGF upregulation may offer a dual benefit: inhibiting restenosis and maintaining normal vascular cell function post-PCI/CABG.
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