Related Experiment Video
Updated: Nov 4, 2025

A Rat Carotid Balloon Injury Model to Test Anti-vascular Remodeling Therapeutics
Published on: September 19, 2016
The p53 pathway in vasculature revisited: A therapeutic target for pathological vascular remodeling?
Xiaopei Cui1, Guopin Pan2, Ye Chen3
1Shandong Key Laboratory of Cardiovascular Proteomics and Department of Geriatric Medicine, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong Province, China.
Abstract:
Pathological vascular remodeling contributes to the development of restenosis following intraluminal interventions, transplant vasculopathy, and pulmonary arterial hypertension. Activation of the tumor suppressor p53 may counteract vascular remodeling by inhibiting aberrant proliferation of vascular smooth muscle cells and repressing vascular inflammation. In particular, the development of different lines of small-molecule p53 activators ignites the hope of treating remodeling-associated vascular diseases by targeting p53 pharmacologically. In this review, we discuss the relationships between p53 and pathological vascular remodeling, and summarize current experimental data suggesting that drugging the p53 pathway may represent a novel strategy to prevent the development of vascular remodeling.
Insights
Activating the tumor suppressor p53 may prevent pathological vascular remodeling. Targeting the p53 pathway offers a new strategy for treating vascular diseases like restenosis and pulmonary arterial hypertension.
Area of Science:
- Cardiovascular Biology
- Molecular Oncology
- Pharmacology
Background:
- Pathological vascular remodeling is a key factor in restenosis, transplant vasculopathy, and pulmonary arterial hypertension.
- Aberrant proliferation of vascular smooth muscle cells and inflammation drive vascular remodeling.
- The tumor suppressor p53 plays a role in regulating cell proliferation and inflammation.
Purpose of the Study:
- To review the relationship between p53 and pathological vascular remodeling.
- To summarize evidence supporting p53 pathway targeting for vascular disease treatment.
Main Methods:
- Literature review of experimental data on p53 and vascular remodeling.
- Analysis of studies on small-molecule p53 activators.
Main Results:
- p53 activation can inhibit vascular smooth muscle cell proliferation and inflammation.
- Small-molecule p53 activators show promise for therapeutic intervention.
- Targeting the p53 pathway is a potential novel strategy.
Conclusions:
- p53 activation counteracts pathological vascular remodeling.
- Pharmacological targeting of the p53 pathway may prevent vascular remodeling-associated diseases.
- Further research into p53-based therapies for vascular conditions is warranted.
Related Concept Videos
Regulation of Angiogenesis and Blood Supply
Abnormal Proliferation
Interactions Between Signaling Pathways
Convergence and divergence, and cross-talk between signaling pathways
Two distinct signaling pathways can converge on a single functional unit, which may either be a single protein or a complex of proteins. The response is either functionally distinct or synergistic between the two pathways but different from the response...
Mechanism of Angiogenesis
Peripheral Artery Disease III: Interprofessional Care
The Intrinsic Apoptotic Pathway

