Extracellular ATP: a growth factor for vascular smooth muscle cells
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Updated: Oct 29, 2026

Isolation of Primary Patient-specific Aortic Smooth Muscle Cells and Semiquantitative Real-time Contraction Measurements In Vitro
Published on: February 15, 2022
1Department of Internal Medicine, Lund University Hospital, Sweden. david.erlinge@med.lu.se
Abstract:
1. Extracellular adenosine triphosphate (ATP) is mitogenic for vascular smooth muscle cells (VSMC) and stimulates several events that are important for cell proliferation: DNA synthesis, protein synthesis, increase of cell number, immediate early genes, cell-cycle progression, and tyrosine phosphorylation. 2. Receptor characterization indicates mitogenic effects of both P2U and P2Y receptors. The P2X receptor is lost in cultured VSMC and is not involved. Several related biological substances such as UTP, ITP, GTP, AP4A, ADP, and UDP are also mitogenic. 3. Signal transduction is mediated via Gq-proteins, phospholipase C beta, phospholipase D, diacyl glycerol, protein kinase C alpha, delta, Raf-1, MEK, and MAPK. 4. ATP acts synergistically with polypeptide growth factors (PDGF, bFGF, IGF-1, EGF, insulin) and growth factors acting via G-protein-coupled receptors (noradrenaline, neuropeptide Y, 5-hydroxytryptamine, angiotensin II, endothelin-1). 5. The mitogenic effects have been demonstrated in rat, porcine, and bovine VSMC and cells from human coronary arteries, aorta, and subcutaneous arteries and veins. 6. The trophic effects on VSMC and the abundant sources for extracellular ATP in the vessel wall make a pathophysiological role probable in the development of atherosclerosis, neointima-formation after angioplasty, and possibly hypertension.
Insights
Extracellular adenosine triphosphate (ATP) stimulates vascular smooth muscle cell (VSMC) proliferation through P2U and P2Y receptors. This process is crucial for understanding vascular diseases like atherosclerosis.
Area of Science:
- Vascular Biology
- Cell Signaling
- Molecular Cardiology
Background:
- Extracellular adenosine triphosphate (ATP) is a key signaling molecule in the cardiovascular system.
- Vascular smooth muscle cells (VSMCs) play a critical role in maintaining vascular tone and integrity.
- Dysregulation of VSMC proliferation contributes to various cardiovascular pathologies.
Purpose of the Study:
- To investigate the mitogenic effects of extracellular ATP on vascular smooth muscle cells (VSMCs).
- To identify the specific purinergic receptors and signaling pathways involved in ATP-induced VSMC proliferation.
- To explore the synergistic interactions between ATP and growth factors in VSMC mitogenesis.
Main Methods:
- Cell culture of VSMCs from various species and human vessels.
- Receptor characterization using specific agonists and antagonists.
- Analysis of signal transduction pathways including protein kinase activation.
- Assessment of VSMC proliferation markers (DNA synthesis, cell number).
Main Results:
- Extracellular ATP is mitogenic for VSMCs, stimulating DNA synthesis, protein synthesis, and cell proliferation.
- Mitogenic effects are mediated by P2U and P2Y receptors, while P2X receptors are not involved in cultured VSMCs.
- ATP signaling involves Gq-proteins, phospholipase C and D, and downstream kinases (PKC, Raf-1, MEK, MAPK).
- ATP acts synergistically with polypeptide growth factors and G-protein-coupled receptor agonists.
Conclusions:
- Extracellular ATP is a potent mitogen for VSMCs, acting through specific purinergic receptors and signaling cascades.
- The synergistic action of ATP with growth factors highlights its significant role in regulating VSMC growth.
- The findings suggest a pathophysiological role for extracellular ATP in atherosclerosis, neointima formation, and hypertension.
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