Vascular Biology |
vß3 IntegrinDependent Vascular Smooth Muscle Cell Invasion Through a Type I Collagen Lattice
From the Department of Geriatrics (S.K., M.K., M.A.R., T.K., A.I.), Nagoya University Graduate School of Medicine, Nagoya; and R&D Laboratories (K.Y., S.I.), Nippon Organon, Osaka, Japan.
Correspondence to Shigeru Kanda, MD, Department of Geriatrics, Nagoya University Graduate School of Medicine, 65 Tsuruma-cho, Showa-ku, Nagoya 466-8550, Japan. E-mail kanda3{at}spice.or.jp
| Abstract |
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vß3 integrin
antibody attenuated PDGF-BBdirected SMC invasion, whereas other
antibodies against RGD-recognizing integrins, namely
vß5 and
5,
had no effect. None of these antibodies had any effect on simple SMC
migration. RGD peptide and anti-
vß3 antibody inhibited the
attachment and spreading of SMCs on denatured collagen but not on
native collagen. These findings indicate that there is a difference in
the mechanisms between simple SMC migration across a collagen-coated
filter and SMC invasion through a fibrillar collagen barrier. A
proteolytic process is required for SMC invasion, and the degradation
of matrix proteins alters the relationship between matrix protein
molecules and SMC surface integrins.
Key Words: smooth muscle cells integrins collagen matrix metalloproteinases cell migration
| Introduction |
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Because SMCs in large vessels are usually surrounded by and embedded in extracellular matrix proteins, including collagens, elastin, and proteoglycans,6 7 8 the migration of SMCs and the remodeling of tissues during intimal thickening require controlled degradation of the extracellular matrix and the activation or release of growth factors. During the processes of SMC migration from the tunica media to the intima, SMCs must degrade and breach the extracellular matrix proteins surrounding each cell. The process can be described in 3 steps: a phenotypic change from the contractile to the synthetic state, proteolytic dissolution of extracellular matrix proteins, and cell migration through the digested matrixes, a process that resembles tumor cell invasion.9 10 Because SMC invasion into the vascular wall intima seems to consist of complex processes, an in vitro SMC migration assay does not always reflect actual SMCextracellular matrix protein interactions.
It has been known that SMCs can produce proteolytic enzymes such as matrix metalloproteinases (MMPs), a family of zinc-dependent enzymes, and plasminogen activators, including tissue-type and urokinase-type plasminogen activators.11 12 In fact, recent evidence supports the concept that these enzymes play an important role in SMC migration into the intima in the balloon-injured carotid artery.13 14 15
The interactions of cells with extracellular matrix proteins that are mediated through a family of cell-surface receptors, or integrins, regulate a variety of cell behaviors, including migration, proliferation, proteinase production, and differentiation.16 17 18 The intracellular domains of integrin subunits are connected to cytoskeletal proteins and signal transduction pathways, which regulate cell behavior on the matrix proteins. During SMC movement from the tunica media to the intima, it is likely that SMCs interact with the denatured extracellular matrix protein molecules, because SMCs need to digest surrounding matrix proteins to allow their migration into the vascular wall. The interaction between SMCs and denatured matrix proteins may have a different influence on SMC behavior, because proteolysis releases cryptic activities of extracellular matrix protein ligands that may signal differently compared with those of the intact proteins.19
To understand the molecular mechanisms of SMC migration during the process of intimal thickening, in the present study we used a collagen type I lattice as a coating on top of a porous filter in a chamber to examine the invasive behavior of SMCs and to compare it with simple SMC migration across a collagenous thinly coated filter.
| Methods |
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Reagents
Recombinant human PDGF-BB was obtained from Pepro Tech. Peptide
74, an MMP inhibitor20 that is derived from
the prosegment region of MMPs and contains an unpaired cysteine
residue, was purchased from Bachem (Feinchemikalien AG). GRGDSP and
GRGESP peptides were purchased from GIBCO BRL. Rat tail collagen type I
was obtained from Collaborative Research Inc. Bovine tissue
inhibitor of MMP-1 (TIMP-1) and TIMP-2, both of which are
intrinsic inhibitors of MMP,21 22 were
purchased from Fuji Chemical Industries, Ltd. A hydroxamic acidbased
metalloproteinase inhibitor,
[4-(N-hydroxyamino)-2R-isobutyl-3S-methylsuccinyl]-L-3-(5,6,7,8-tetrahydro-1-naphthyl)alanine-N-methylamide
(KB-R8301), and a nonhydroxamate derivative of KB-R8301,
4-(N-hydroxy-2R-isobutyl-3S-methylsuccinyl-L-3-(5,6,7,8-tetrahydro-1-naphthyl)alanine-N-methylamide
(KB-R8845), were synthesized by Kanebo Ltd.23 24
These compounds were dissolved in dimethyl sulfoxide at 10 mmol/L
as stock solutions.
vß3 integrinspecific blocking monoclonal
antibody (mAb; LM609), the
vß5 integrinspecific blocking mAb
P1F6, and the
5 integrinspecific blocking mAb P1D6 were purchased
from Chemicon International, Inc. The F(ab')2 fragment of
FITC-conjugated anti-mouse IgG antibody was obtained from Vector
Laboratories Inc.
Migration and Invasion Assays
The migration assay was performed with Transwell (Costar)
24-well tissue-culture plates composed of a polycarbonate membrane
containing 5-µm pores. The membrane was coated with 50 µg/mL
collagen type I solution in 0.02N acetic acid for 12 hours at 4°C and
then rinsed well with Dulbeccos PBS (Nissui Pharmaceutical). SMCs
were seeded on the inner chamber of the Transwell at
106 cells in 100 µL of DMEM containing 0.3%
bovine serum albumin (BSA). In some experiments, SMCs were
pretreated in the DMEM containing 0.3% BSA in the presence or absence
of GRGDSP, GRGESP, or anti-integrin mAbs, including LM609, P1F6, and
P1D6 at the indicated concentrations for 30 minutes at room
temperature. The cell suspension was then seeded on the inner chamber.
To examine the role of MMPs, an SMC suspension containing MMP
inhibitors, including KB-R8301 (1 to 10 µmol/L),
TIMP-1 (2.5 to 10 µg/mL), TIMP-2 (2.5 to 10 µg/mL), and peptide 74
(100 µmol/L), was plated in the upper chambers. The inner
chamber was placed into the outer chamber, which contained 600 µL of
DMEM containing 0.3% BSA supplemented with recombinant human PDGF-BB
(10 ng/mL), and was incubated for the indicated periods of time at
37°C in a CO2 incubator. Cells that migrated
onto the outer side of the membrane were fixed and stained with
Dif-Quick stain (American Hospital Supply Corp). The number of migrated
cells was counted in 6 to 8 randomly chosen fields of duplicate
chambers at x200 magnification for each sample.
The invasion assay was conducted in similar fashion but with a coating of fibrillar collagen. In brief, 1.0 mg/mL collagen type I solution in 0.02N acetic acid and a 1/10 volume of 10x DMEM were mixed and neutralized with 1N NaOH at 4°C. Twenty microliters of the mixture was added to an inner-chamber membrane and polymerized at 37°C for 6 hours. The SMC suspension in DMEM containing 0.3% BSA was added to the inner chamber as described above.
Gelatin Zymography
For gelatin zymography, each aliquot of the medium conditioned
for 12 hours in the upper chamber was mixed with an equal volume of
lysis buffer containing 0.25 mol/L Tris-HCl (pH 6.8), 20% glycerol,
2% SDS, and 10 µg/mL bromophenol blue without a reducing agent. Each
sample was then loaded onto a 10% SDS-polyacrylamide gel
containing 1 mg/mL gelatin as a substrate. After electrophoresis, the
gels were incubated with 2 changes of 2.5% Triton X-100, followed by
overnight incubation at 37°C with substrate buffer (50 mmol/L
Tris, pH 8.0, 50 mmol/L NaCl, and 10 mmol/L
CaCl2). The gels were then stained with 0.1%
Coomassie Brilliant Blue, and gelatinolytic
activity was revealed as clear bands against a blue-stained
background.
Attachment Assay
To prepare heat-denatured collagen, type I collagen solution (50
µg/mL in 0.02N acetic acid) was heated at 100°C for 15 minutes.
Protease-denatured collagen type I was prepared as follows. Collagen
type I solution (1 mg/mL) in 0.02N acetic acid was incubated with 200
U/mL pepsin at 4°C for 20 hours, precipitated with 1.7 mol/L NaCl,
and then centrifuged to remove any remaining pepsin. The
precipitate was redissolved in 0.02N acetic acid. The
precipitation step was repeated 3 times. A 96-well plate was coated
with 50 µg/mL native or denatured collagen type I for 16 hours at
4°C and washed twice with PBS, and uncoated parts of the plate were
blocked with DMEM containing 1% BSA for 1 hour. The SMC suspension in
serum-free DMEM containing 0.3% BSA was preincubated with blocking
agents for 30 minutes and plated at a density of
2.0x104 cells/well. After 1-hour incubation at
37°C, unattached cells were carefully washed away with PBS, and the
number of attached cells was counted in 8 randomly chosen fields of
duplicate wells at x200 magnification for each sample.
Flow Cytometry
Subconfluent SMCs were preincubated with DMEM containing 0.3%
BSA in the presence or absence of PDGF-BB (10 ng/mL) for 12 hours. The
cells were trypsinized, washed once with PBS, and resuspended at
106 cells/mL in PBS. Primary antibody against
vß3 (LM609, 10 µg/mL) was incubated with the cell suspension for
30 minutes at room temperature, and the cells were washed twice with
PBS. The cell suspension was then incubated with 200 µg/mL
FITC-conjugated anti-mouse IgG for 15 minutes at room
temperature, washed twice with PBS, and analyzed for
fluorescence by using a flow cytometer (Coulter Epics).
Statistical Evaluation
Values were expressed as mean±SD. Analysis by ANOVA was
used, followed by post hoc testing (Scheffes test). A value of
P<0.05 was considered to be statistically significant.
| Results |
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In the absence of PDGF-BB in the outer chamber and with or without PDGF-BB in the inner chamber, a few migrated SMCs and no invading SMCs were observed on the outer side of the filters over periods of 6 and 12 hours, respectively (Figures IIA and IIB online). When PDGF-BB was added to both the inner and outer chambers, a moderate number of cells were found on the filters in both migration and invasion assays but many fewer than in the presence of a steep gradient of chemoattractant (Figures IIA and IIB online), suggesting that both SMC invasion through the fibrillar collagen barrier and SMC migration across the filter were mainly dependent on the presence of a gradient of chemoattractant.
Involvement of MMPs in SMC Invasion
To examine whether proteolytic processes are required for SMC
migration across collagen-coated filters and for SMC invasion through a
collagen gel barrier, migration and invasion assays were performed in
the presence or absence of KB-R8301, a hydroxamic acidbased MMP
inhibitor, and KB-R8845, a nonhydroxamic acid control
compound.23 24 As shown in Figure 1B
, KB-R8301 inhibited PDGF-BBdirected
SMC invasion in a concentration-dependent manner, although this
synthetic MMP inhibitor had no effect on SMC migration
(Figure 1A
). Neither SMC invasion nor SMC migration was
inhibited in the presence of KB-R8845, a control compound. Peptide 74,
a synthetic peptide containing a highly conserved peptide sequence of
the MMP family,21 also blocked SMC invasion but not SMC
migration (Figures 1A
and 1B
). We also examined the effect of
TIMP-1 and TIMP-2, inhibitors of MMP,21 22 on
PDGF-BBdirected SMC migration and invasion (Figures 2A
and 2B
). Although these
inhibitors had no effect on SMC migration on
collagen-coated filters, TIMP-1 partially but statistically
significantly attenuated SMC invasion through a collagen gel barrier in
a concentration-dependent manner. TIMP-2 inhibited SMC invasion more
effectively than did TIMP-1 at a higher concentration. It should be
noted that even when the migration assay was extended to 12 hours, no
effect of MMP inhibitors was observed on SMC migration,
suggesting that the ineffectiveness of these inhibitors on
SMC migration was not due to shorter assay times. These MMP
inhibitors did not alter SMC attachment to collagen-coated
filters as well as to collagen gels (data not shown).
|
As shown in Figure 3A
, gelatin
zymographic analysis of the conditioned medium from invasion
assays revealed that major gelatinolytic activity
was observed at a molecular mass of 72 kDa, which most likely
corresponds to either the inactive form of MMP-2, on the basis of its
size and inhibition of activity on incubation with EDTA, or
1,10-phenanthroline. A band at 62 kDa was also detected in the
conditioned medium, which was assigned as the activated form of
MMP-2. In addition, the 62-kDa activated form of MMP-2 was not
observed in the medium conditioned in the presence of MMP
inhibitors KB-R8301 and TIMP-2, but it was detected in the
presence of control compound KB-R8845 and TIMP-1 (Figure 3A
). It
should be noted that there were no differences in the amounts of
inactive and activated forms of MMP-2 in the invasion assay
between those with and without PDGF-BB in the outer chamber as a
chemoattractant. Neither was MMP-9 detected in these zymographic
analyses. Although the 72-kDa band, an inactive form of MMP-2,
was detected in the conditioned medium from the migration assay, only a
faint band of 62 kDa, corresponding to the activated form of
MMP-2, was found in the gelatin zymogram. When SMC migration-assay time
was extended to 12 hours, no increase in the 62-kDa band was observed
(Figure 3B
). Therefore, the different patterns of zymography are
not due to the different intervals that we used between migration and
invasion assays. MMP-1, which induces faint
gelatinolytic activity at a molecular mass of 50
kDa, was not detected under any of our experimental conditions.
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Inhibition of SMC Invasion by RGD Peptide and Anti-
vß3
mAb
Adhesion of SMCs to extracellular matrix proteins through
cell-surface receptors, or integrins, appears to be essential for SMC
motility. The RGD sequence is present in many adhesive molecules,
and short, synthetic, RGD-containing peptides also inhibit ligand
binding to integrins. Early studies showed that RGD-containing peptides
inhibit neointima formation in damaged arteries and prevent
SMC migration into the vascular wall.25 26 Therefore, we
examined whether RGD sequence recognition is involved in SMC migration
across a collagen-coated filter and in SMC invasion through fibrillar
collagen. Addition of RGD peptide during the course of the experiments
inhibited SMC invasion in a concentration-dependent manner (Figure 4B
) but had no effect on SMC migration
(Figure 4A
). RGE peptide, the control peptide of RGD, had no
effect on both SMC migration and invasion (Figures 4A
and 4B
).
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To evaluate which kind of integrin-recognizing RGD sequence is involved
in SMC invasion through a collagen gel barrier, the effect of 2 kinds
of
v integrinblocking mAb, LM609 (anti-
vß3 integrin mAb) and
P1F6 (anti-
vß5 integrin mAb), and the
5 integrinblocking mAb
P1D6 was examined. These integrins have been reported to recognize the
RGD sequence and to exist in several kinds of mammalian
SMCs.5 27 28 29 As shown in Figure 5B
, when SMCs were pretreated and exposed
to LM609, the anti-
vß3 mAb, during assay, SMC invasion through the
collagen lattice barrier was significantly attenuated in a
concentration-dependent manner. However, this antibody had no effect on
SMC migration on collagen-coated filters (Figure 5A
). Neither
P1F6, the anti-
vß5 mAb, nor P1D6, the anti-
5 mAb, had any
effect on SMC invasion and migration (Figures 5A
and 5B
).
|
To confirm the existence of an
vß3 integrin on the bovine SMC
surface, flow cytometry analysis was performed. The mean
intensity value of FITC fluorescence was remarkably increased
in the cell population stained with LM609, suggesting the existence of
integrin
vß3 on bovine SMC surfaces (Figure
III online). It should
be noted that pretreatment of SMCs with PDGF-BB for 12 hours did not
affect LM609 binding, indicating that at least a 12-hour treatment with
PDGF-BB had no effect on
vß3 expression on SMCs.
SMC Attachment to and Spreading on Native or Denatured Type I
Collagen
To examine the possible role of denatured collagen molecules on
SMC invasion through a collagen gel barrier, an SMC attachment assay
was performed by using native collagencoated and denatured
collagencoated wells. Within 1 hour of incubation, SMCs became
attached to and spread on both native type I collagen and denatured
type I collagen, which had been induced by heating or pepsin digestion.
No difference in the morphology and number of attached cells was
observed between native and denatured collagen (Figures 6A
, 6E
, and online Figure
IV). When the
SMC suspension was preincubated with RGD peptide, SMC attachment and
spreading were significantly inhibited on denatured collagen (Figure 6F
and online Figure
IV), whereas no effect of RGD
peptide was detected on SMC attachment to and spreading on native type
I collagen (Figure 6B
and online Figure
IV). Control
peptide RGE did not alter SMC attachment and spreading on both native
and denatured collagen surfaces (Figures 6C
, 6G
, and online
Figure
IV). Although the anti-
vß3 mAb LM609 also did not
inhibit SMC attachment to and spreading on native type I collagen
(Figure 6D
and online Figure
IV), this mAb attenuated
the attachment to and spreading on denatured type I collagen (Figure 6H
and online Figure
IV). The anti-
vß5 mAb P1F6 and
the combination of LM609 and P1F6 failed to show a difference in SMC
attachment to and spreading on denatured collagen from control and
LM609 alone, respectively (data not shown).
|
| Discussion |
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The kinetic study showed that SMCs crossed the collagenous thinly coated filters more rapidly than they penetrated the collagen lattice barrier in response to PDGF-BB. The different time course of SMC motility between the 2 assays may be explained by the different processes of SMC migration across collagen-coated filters and of invasion through a collagen lattice barrier. The SMC invasion assay measures the ability of these cells to attach to the collagen molecule, degrade collagen fibrils, and migrate toward a chemoattractant, PDGF-BB. The role of a proteolytic process is supported by the observations of an effect of MMP inhibitors on SMC invasion. KB-R8301, a synthetic inhibitor of MMP,23 24 blocked the penetration of SMCs, and TIMP1 and TIMP-2, naturally occurring inhibitors of MMPs,21 22 attenuated SMC invasion. In addition, peptide 74, a synthetic peptide that has been demonstrated to effectively inhibit MMP-2 activation and tumor cell invasion,20 almost completely inhibited SMC invasion through a collagen lattice barrier. These inhibitors had no effect on SMC migration on collagen-coated filters, indicating that MMPs play an important role in SMC invasion but not in SMC migration, at least in our system. MMP-2 has been implicated in a variety of invasive process, including tumor invasion30 and SMC migration through a reconstituted basement membrane protein complex10 and from aortic explants.31 In addition, MMP-2 has been shown to be present in human atherosclerotic lesions and is upregulated during the course of neointimal lesion formation after balloon angioplasty.32 33 34 35 Zymographic analysis of the conditioned medium revealed that the major gelatinolytic MMP derived from SMCs during the invasion assay was MMP-2, which degrades a variety of extracellular matrix proteins, including type IV collagen as well as denatured collagen of all types.30 36 An activated form of MMP-2 was also detected in the conditioned medium from invasion assays. Our findings that MMP inhibitor KB-R8301 and TIMP-2 inhibited MMP-2 activation during the course of SMC invasion and that TIMP-1 had no effect on MMP-2 activation are consistent with a previous report that a high concentration of TIMP-2 inhibits MMP-2 activation but that TIMP-1 has no effect.37 38 TIMP-1 and TIMP-2 form specific complexes with both the zymogen and active forms of MMP-9 and MMP-2 and inhibit their respective activities.22 Our result that TIMP-2 was much more efficient at inhibiting SMC invasion than was TIMP-1 and the fact that TIMP-1 and TIMP-2 have a similar inhibitory activity against MMP-121 raise the possibility that MMP-2 together with interstitial collagenase may play a key role in SMC invasion through collagen fibrils. Recently, the active form of MMP-2 was found to be capable of degrading type I collagen to a degree comparable to that of MMP-1,39 indicating that interstitial collagenase and MMP-2 are required for the complete dissolution of stromal collagen during cellular invasion.
We could not find any difference in the levels of latent and activated MMP-2 between media conditioned in the presence and absence of PDGF-BB in lower chambers as a chemoattractant, suggesting that PDGF-BB has no effect on MMP-2 activation. Because it has been reported that fibrillar collagen activates tumor cellderived MMP-2 through a membrane-type MMP,40 a recently discovered MMP that has the ability to activate MMP-2,41 upregulation of this membrane-type MMP through the interaction of SMCs with fibrillar collagen might be involved in MMP-2 activation.
Although RGD-containing peptides have been demonstrated to suppress
neointimal formation after arterial
injury,25 26 the exact mechanisms of this effect remain
unknown. In the present study, we showed that RGD peptide
attenuated SMC invasion through a collagen lattice, whereas this
peptide had no effect on SMC migration on collagen. It should be noted
that RGD peptide did not affect either SMC attachment to or spreading
on a collagen lattice, suggesting that the effect of RGD peptide is not
due to inhibition of SMC attachment to and spreading on a collagen
lattice. SMC invasion was also inhibited by treatment with a
neutralizing antibody against
vß3 integrin, LM609, but not with
antibodies against
vß5 and
5 integrins, which also recognize
RGD sequences.42 However, LM609 had no effect on both
directed migration of SMCs across collagen type Icoated filters and
on SMC adhesion to and spreading on a collagen lattice. These results
suggest that RGD peptide and LM609 do not alter the initial interaction
between SMCs and collagen molecules.
Although RGD sequences exist in native collagen molecules, they are
masked within the triple helix, and integrin
vß3 ligates poorly to
it.43 44 We observed that RGD peptide and LM609 interfered
significantly with SMC attachment to and spreading on denatured
collagen, supporting previous findings that melanoma cells adhere to
denatured versus native type I collagen through different integrins,
namely
vß3 versus ß1 integrins, respectively,43 and
that melanoma cells degrade collagen molecules (mediated by
proteinases) and expose cryptic
vß3 binding sites when cultured in
a 3-dimensional collagen lattice.44 These observations
together with the results of MMP inhibitor experiments
indicate that SMCs seem to recognize RGD sites on denatured type I
collagen with
vß3 integrin after transforming collagen molecules
to the denatured form, a process mediated by MMPs derived from SMCs
themselves. It should be noted that the inhibitory effect
of LM609 on SMC attachment to denatured collagen was less than that of
RGD peptide, suggesting that RGD-recognizing integrins other than
vß3 might take part in the recognition of denatured type I
collagen. Our findings may indicate that the inhibitory
effect of RGD-containing peptides on neointimal lesion
formation after arterial injury may be due, at least in
part, to a reduction in SMC invasion through the matrix barrier.
Coleman et al45 have reported that systemic administration
of vitaxin, an mAb to
vß3 integrin, inhibits
neointimal formation after balloon injury. In addition,
these authors also demonstrated that this antibody inhibits SMC
migration through vitronectin-coated filters,
inconsistent with our result that
vß3 integrin was not
involved in SMC migration through collagen type Icoated filters.
Vitronectin has been known to react with
vß3 integrin
through RGD sites without denaturation. On the other hand, as described
above, denaturation is necessary for collagen type I to be recognized
by
vß3 integrin. Therefore, there is considerable difference
between vitronectin and type I collagen in terms of the
necessity of a denaturation step for recognition by
vß3
integrin.
It has been demonstrated that
vß3 integrin is detectable in
intimal lesions associated with various stages of
atherosclerosis but is absent in the normal
artery,46 suggesting that
vß3 integrin may play a
fundamental role in the formation of intimal thickening. In the
present study, we confirmed that bovine SMCs have
vß3
integrins on their surfaces, on the basis of results from the
attachment assay as well as flow cytometric analysis. It should
be noted that exposure of SMCs to PDGF-BB for 12 hours did not alter
vß3 integrin expression on SMCs. This may indicate that
PDGF-BBdirected SMC invasion is independent of the upregulation of
vß3 integrin expression on SMCs.
Recently, it has been found that ligation of the
vß3 integrin
enhances PDGF-BBinduced cell proliferation and
migration.47 48 The activated PDGF-ß receptor
forms a complex with
vß3 integrin, and several signaling molecules
that are known to be associated with the activated PDGF
receptor are present in
vß3 integrin complexes. Therefore, it
is conceivable that ligation of the
vß3 integrin with denatured
collagen may enhance the PDGF-BB gradientstimulated invasion of
SMCs.
The finding presented in this report demonstrates the
difference in the mechanisms between SMC migration across
collagen-coated filters and SMC invasion through a fibrillar collagen
barrier. We showed that a proteolytic process is required for SMC
penetration through matrix proteins and that the degradation of matrix
protein alters the relationship between matrix molecules and
cell-surface integrins. Our study supports a role for MMPs and the
vß3 integrin in SMC migration from the tunica media to the intima
during vessel remodeling in arterial disorders.
Received February 17, 1999; accepted November 3, 1999.
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X. W. Cheng, M. Kuzuya, T. Sasaki, K. Arakawa, S. Kanda, D. Sumi, T. Koike, K. Maeda, N. Tamaya-Mori, G.-P. Shi, et al. Increased Expression of Elastolytic Cysteine Proteases, Cathepsins S and K, in the Neointima of Balloon-Injured Rat Carotid Arteries Am. J. Pathol., January 1, 2004; 164(1): 243 - 251. [Abstract] [Full Text] [PDF] |
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M. Kuzuya, S. Kanda, T. Sasaki, N. Tamaya-Mori, X. W. Cheng, T. Itoh, S. Itohara, and A. Iguchi Deficiency of Gelatinase A Suppresses Smooth Muscle Cell Invasion and Development of Experimental Intimal Hyperplasia Circulation, September 16, 2003; 108(11): 1375 - 1381. [Abstract] [Full Text] [PDF] |
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