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Updated: Jul 16, 2025

Isolation of Primary Patient-specific Aortic Smooth Muscle Cells and Semiquantitative Real-time Contraction Measurements In Vitro
Published on: February 15, 2022
FoxO3 normalizes Smad3-induced arterial smooth muscle cell growth
Jake T Francisco1, Andrew W Holt1, Michael T Bullock1
1Department of Physiology, Brody School of Medicine, East Carolina University, Greenville, NC, United States.
FoxO3 can reverse Smad3-driven arterial smooth muscle cell growth, a key factor in cardiovascular disease. This interaction, involving specific phosphorylation and cellular localization, suggests FoxO3 and Smad3 as potential therapeutic targets for abnormal ASM growth.
Area of Science:
- Cardiovascular Biology
- Cellular Signaling
- Molecular Medicine
Background:
- Arterial smooth muscle (ASM) cell transition to a growth-promoting state is central to cardiovascular disease (CVD).
- The roles of transcription factors Smad3 and FoxO3 in ASM growth are not fully understood.
- Investigating their coordinated impact is crucial for understanding CVD pathogenesis.
Purpose of the Study:
- To determine a coordinated, phosphorylation-specific relationship between Smad3 and FoxO3 in controlling ASM cell growth.
- To test the hypothesis that FoxO3 can moderate Smad3-induced ASM cell growth.
- To explore the therapeutic potential of targeting Smad3 and FoxO3 in CVD.
Main Methods:
- Utilized a rat in vivo arterial injury model and in vitro ASM cell culture models.
- Employed adenoviral gene delivery for overexpression of Smad3 and FoxO3.
- Analyzed protein expression, phosphorylation, cellular localization, and ubiquitin ligase activity (MuRF-1).
Main Results:
- Smad3 and FoxO3 exhibit unique cellular distributions under growth conditions.
- FoxO3 overexpression reversed Smad3-induced ASM cell proliferation and Smad3 overexpression reversed FoxO3-induced cytostasis.
- FoxO3 induced MuRF-1 expression, which was reversed by Smad3 co-expression, indicating a role in regulating protein degradation.
Conclusions:
- FoxO3 can effectively reverse Smad3-mediated ASM cell growth.
- Reciprocal antagonism exists between Smad3 and FoxO3, dependent on phosphorylation and localization.
- Smad3 and FoxO3 represent potential therapeutic targets for mitigating abnormal ASM growth in cardiovascular disease.
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