Vascular Biology |
From the Division of Pharmacology (W.M., M.D.B., D.M.S., G.R.Y.D., A.G.H., M.M.K.), University of Antwerp, Wilrijk, Belgium; and the Department of Pathology (M.M.K.), General Hospital Middelheim, Antwerp, Belgium.
Correspondence to Dr Wim Martinet, Division of Pharmacology, University of Antwerp, Universiteitsplein 1, B-2610 Wilrijk, Belgium. E-mail wim.martinet{at}ua.ac.be
Objective Oxysterols such as 7-ketocholesterol (7-KC) are important mediators of cell death in atherosclerosis. Therefore, in vitro studies of human smooth muscle cell (SMC) death in response to 7-KC were undertaken to investigate the potential mechanisms.
Methods and Results Human aortic SMCs treated with 7-KC showed enhanced immunoreactivity for the oxidative stress marker 4-hydroxy-2-nonenal and upregulated several stress genes (70-kDa heat shock protein 1, heme oxygenase 1, and growth arrest and DNA damageinducible protein 153) at the mRNA but not at the protein level. 7-KCtreated SMCs rapidly underwent cell death as determined by neutral red, counting of adherent cells, and depolarization of the mitochondrial inner membrane. Cell death was associated with upregulation of ubiquitin mRNA and ubiquitination of cellular proteins. Inhibition of the proteasome by lactacystin potentiated considerably the toxicity of 7-KC. Transmission electron microscopy revealed formation of myelin figures, extensive vacuolization, and depletion of organelles. Formation of autophagosomes was suggested by labeling cells with LysoTracker and monitoring processing of microtubule-associated protein 1 light chain 3 (LC3). Analogous to our in vitro studies, human atherosclerotic plaques showed signs of ubiquitination in SMCs.
Conclusions 7-KC activates the ubiquitinproteasome system and induces a complex mode of cell death associated with myelin figure formation and processing of LC3 evocating autophagic processes.
7-Ketocholesterol induces a complex mode of cell death in human aortic smooth muscle cells associated with accumulation of ubiquitinated proteins in the cytoplasm, myelin figure formation, and LC3 processing, evocating autophagic processes.
Key Words: 7-ketocholesterol ubiquitination smooth muscle cells myelin figures LC3 autophagy atherosclerosis
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