Vascular Biology |
From the Cardiovascular Division, Department of Internal Medicine, University of Virginia Health Sciences Center, Charlottesville.
Correspondence to Dr Coleen A. McNamara, Cardiovascular Division, MR-4 Room 6022, University of Virginia Health Sciences Center, Charlottesville VA 22908. E-mail cam8c{at}virginia.edu
| Abstract |
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Key Words: smooth muscle cells helix-loop-helix factors atherosclerosis vascular injury alternative splicing
| Introduction |
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The inhibitor of DNA binding (Id) class of helix-loop-helix (HLH) transcription factors is known to regulate growth in a variety non-SMC types.6 7 There are 4 known Id genes (Id1 to Id4),8 9 10 11 and the rat homologues of 3 have been cloned (Id1 to Id3). Previous studies have determined that the expression of various Id genes is downregulated when cells terminally differentiate, and overexpression of Id impairs differentiation.7 8 Additionally, serum induces the expression of human Id1 and Id2 mRNA in human diploid fibroblasts, and antisense oligomers complementary to Id1 and Id2 inhibit entry into the S phase of the cell cycle.12 Furthermore, overexpression of Id1 enhances growth in fibroblasts.13 Although the Id proteins appear to be redundant in their enhancement of cell growth, recent data provide evidence that the different Id proteins may be involved in the regulation of distinct pathways.14 15 16 Additionally, it appears that the Id factors may also be involved in the regulation of pathways leading to programmed cell death.17 18
There is evidence that Id proteins are expressed in cultured SMCs.19 However, the specific Id proteins expressed in proliferating SMCs and in vascular lesions are unknown. To identify Id proteins expressed in SMCs, we used the yeast 2-hybrid system to clone dimerization partners of ubiquitously expressed E proteins from a cultured rat aortic SMC library. In the present study, we report on the cloning of rat Id3 and a unique isoform of the rat Id3 protein (called Id3a). Id3a is generated via alternative splicing of the Id3 gene, resulting in the inclusion of a "coding intron." This coding intron encodes a unique 29amino acid carboxyl terminus for the Id3a protein. Id3 and Id3a have differential mRNA expression patterns in the normal and balloon-injured rat common carotid artery. Additionally, the human homologue of Id3a (Id3L)20 mRNA is detected in human atherosclerotic lesions. We demonstrate that in contrast to Id3, infection of cultured SMCs with an adenovirus overexpressing Id3a results in a significant decrease in cell number. The decrease in cell viability that results from ectopic overexpression of Id3a in SMCs appears to be due to increased apoptotic activity in these cells. These data provide evidence that posttranscriptional regulation of the Id3 gene represents a mechanism by which SMC growth and viability can be rapidly modulated in the developing neointima. The expression of Id3 isoforms in the neointima and in advanced atherosclerotic plaques suggests a role for these Id forms in the regulation of the balance between SMC growth and death during vascular lesion formation.
| Methods |
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Yeast 2-Hybrid Library Screening
The Matchmaker Two-Hybrid System (Clontech) was used
for library screening. The bait plasmid pBW202 was constructed by
subcloning nucleotides 1231 to 1851 of the
Pan-121 cDNA into the
SmaI-BamHI
site of the binding domain vector pGBT9trp+. The bait plasmid pBW206
was constructed by subcloning nucleotides 1831 to 2499 of
the REB
cDNA22 into the
EcoRI-SalI
site of pGBT9trp+. The constructs were sequenced to verify orientation
and protein coding frame. With pBW202 used as bait, 10 million colonies
were screened. During a subsequent round of screening with pBW206 used
as bait, 8 million colonies were screened. Positive colonies were
identified by ß-galactosidase filter assay. Plasmid DNA was extracted
from the positive colonies and electroporated into the
Escherichia coli strain HB101
to eliminate the pGBT9 plasmid. The remaining plasmid DNA was extracted
(SMC cDNAcontaining GAD10 plasmid) from HB101, restriction-digested,
and gel-electrophoresed. The resultant banding patterns were compared
with eliminate identical clones before further characterization. Both
plasmids (pGBT9 bait and pGADSMC cDNA) were retransformed into yeast,
and a colony-lift ß-galactosidase filter assay was performed
to confirm dimerization. True positive clones were identified and
sequenced.
Cell Culture
Rat aortic SMCs were grown to confluence in DF10, and
then the medium was changed to a defined serum-free medium containing
DMEM:F-12 (1:1) with 10 U/mL penicillin, 10 µg/mL streptomycin, 35
µg/mL ascorbic acid, 5 µg/mL transferrin, 2.85 µg/mL insulin, and
6.25 ng/mL selenium (all from Sigma Chemical Co). The cells were
maintained in serum-free medium for 5 days and then stimulated with
10% FBS. The cells were harvested at 0, 4, 8, 12, and 24 hours after
serum stimulation.
Rat Carotid Injury Model
The rat carotid endothelial
denudation model was performed with the use of male 300-g
Sprague-Dawley rats (n=18, Harlan Laboratories, Indianapolis, Ind) as
described elsewhere.23 At 1
(n=5), 6 (n=5), 14 (n=4), and 28 (n=4) days after the initial injury,
the rats were given an overdose of intraperitoneal
ketamine/xylazine. A midline sternotomy was performed, and the
animals were pressure-perfused with 4%
paraformaldehyde in cold PBS. The injured left and
control right carotid arteries were removed and postfixed in 4%
paraformaldehyde for 2 hours, dehydrated in a graded
alcohol series, and paraffin-embedded for thin
sectioning.
Human Tissue Preparation
Freshly excised human carotid plaques (n=6) were
collected at the time of carotid endarterectomy in
accordance with institution human tissue use protocols. The samples
were fixed for 2 hours in 4% paraformaldehyde in PBS,
dehydrated in a graded alcohol-xylene series, and mounted in paraffin
for thin sectioning. Serial sections from each specimen were examined
for expression of Id3L mRNA as well as smooth muscle
-actin
protein.
In Situ Hybridization
The polymerase chain reaction (PCR; Gene-amp,
Perkin-Elmer) was used to synthesize a 175-bp fragment corresponding to
nucleotides 270 to 444 of rat Id3a from a full-length cDNA.
This region of the rat Id3a mRNA includes the 115-bp insert as well as
30 bp of the flanking sequence on either side of the insert. A similar
strategy was used to produce a 150-bp fragment corresponding to
nucleotides 386 to 535 of the 3' untranslated region of rat
Id3 and Id3a. A human Id3L riboprobe was constructed by using PCR to
amplify a 137-bp fragment corresponding to the 107-bp insert of human
Id3L and 15 bp of the flanking sequence on each side of the insert from
human male genomic DNA (Promega Corp). These fragments were subcloned
into the pGEM-t vector (Promega Corp), and digoxigenin-labeled
riboprobes were generated. Probe specificity was confirmed by use of
RNA dot blot hybridization. In addition, the specific activity of the
Id3 and Id3a probes for their corresponding targets was determined by
Northern hybridization. The binding activities of the Id3 and Id3a
probes were determined to be equivalent with the use of this assay
(data not shown).
Thin sections of rat and human tissue were fixed to Probe-on Plus slides (Fisher Scientific), dried at 37° for 4 hours, deparaffinized in xylene, and rehydrated in a graded alcohol series. The sections were fixed in cold 4% paraformaldehyde in diethyl pyrocarbonatetreated PBS for 15 minutes at room temperature. The sections were then washed with 0.5x SSC and treated with proteinase K (10 µg/mL, Sigma) for 15 minutes at 37°C. Prehybridization was carried out at 42°C for 1 hour in buffer containing 55% formamide, 0.5 µg/µL yeast tRNA, 0.25 µg/µL salmon sperm DNA, 10% dextran sulfate, 0.5 µg/µL heparin, 2x SSC, and 1x Denhardts solution. Digoxigenin-labeled probes in hybridization buffer (500 ng/mL) were denatured at 80°C for 5 minutes, cooled on ice, and incubated with the tissue sections overnight at 50°C. After hybridization, the slides were washed twice in 1x SSC for 10 minutes each, twice in 0.5x SSC for 10 minutes each, and twice in Tris-buffered saline for 10 minutes each. The sections were blocked with 5% BSA in Tris-buffered saline (TBS) for 1 hour at room temperature. The sections were then incubated with alkaline phosphataseconjugated anti-digoxigenin antibody (Boehringer-Mannheim) diluted 1:500 in 5% BSA in TBS for 4 hours at room temperature. Sections were then washed twice in TBS for 10 minutes each, washed once in 100 mmol/L Tris (pH 9.5), 100 mmol/L NaCl, and 50 mmol/L MgCl2 for 10 minutes, and incubated with color substrate solution (nitro blue tetrazolium and 5-bromo-4-chloro-3-indolyl phosphate in dimethylformamide, Boehringer-Mannheim) with 2.5 mmol/L levamisole (Sigma) overnight at 4°C. The colorization reaction was quenched with 25 mmol/L Tris (pH 8.0)/2 mmol/L EDTA, the sections were counterstained with 0.15% Fast Green FCF (Fisher Scientific), and the sections were mounted with the use of Gelmount (Fisher Scientific).
Immunohistochemistry
Human carotid thin sections were rehydrated by use of
a graded alcohol series. The sections were stained for smooth muscle
-actin by using the Vectastain Elite ABC kit (Vector Laboratories).
Sections were blocked for 30 minutes in 2% horse serum, followed by
incubation with a monoclonal antismooth muscle
-actin antibody
(Boehringer-Mannheim) diluted 1:100 in 2% horse serum for 2
hours at room temperature. Slides were washed twice with PBS and
incubated with a biotinylated anti-mouse antibody diluted 1:2000 in 2%
horse serum for 1 hour at room temperature. Slides were then incubated
for 30 minutes in 0.3% hydrogen peroxide followed by Vectastain Elite
ABC reagent for 30 minutes at room temperature. Slides were washed
twice with PBS and incubated with diaminobenzidine peroxidase substrate
(Sigma) for 2 minutes. Sections were counterstained with hematoxylin,
dehydrated through a graded alcohol series, and mounted with the use of
Permount (Fisher Scientific).
Construction of AdId3 and AdId3a5/3
Description of the Cre-loxbased adenoviral system
is described elsewhere.24
Full-length Id3 and Id3a cDNAs were synthesized from rat SMC mRNA by
using reverse transcriptionPCR. An Id3a cDNA (Id3a5/3), which cannot
be spliced, was constructed from the Id3a cDNA by site-directed
mutation of the 5' splice site and polypyrimidine tract as well as
deletion of the 3' consensus splice site of the Id3a insert. These
constructs were subcloned into the vector pAdlox, and the resulting
plasmids were used to create AdId3 and AdId3a5/3 by homologous
recombination in 293 cells. Protein overexpression was confirmed in
SMCs by Western blot with the use of a monoclonal antibody to the
unique carboxyl terminus of Id3a or a rabbit polyclonal antibody to the
carboxyl terminus of Id3 (Santa Cruz
Biotechnology).
Analysis of Cell Number After
Infection of Cultured Rat Aortic SMCs With AdId3 and AdId3a5/3
Cultured rat aortic SMCs were plated in equal numbers
and infected with 5 multiplicities of infection (MOIs) of either AdId3,
AdId3a, or AdLacZ. Twenty-four hours later, cells were replated in
96-well plates at a density of 5000 cells per well and allowed to grow
in medium containing 10% FBS. At 3 and 5 days after replating, cells
were counted by use of a colorimetric cell number assay
(Celltiter, Promega Corp). Absorbance was converted to cell number by
using a previously constructed standard curve.
Analysis of Apoptotic Activity
After Infection of SMCs With AdId3 and AdId3a5/3
Cultured rat aortic SMCs were infected with 5 MOI of
either AdId3, AdId3a5/3, or AdLacZ, as described above. Forty-eight
hours after infection, cells were harvested, and cytoplasmic
histone-associated DNA fragments were measured by using the Cell Death
Detection ElisaPLUS kit (Roche Molecular
Biochemicals).
| Results |
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(rat homologue of human
HEB)22 were subcloned into
the Gal 4 binding domain (GBT9) vector, which was to be used as the
bait. The ubiquitously expressed E proteins Pan-1 and REB were chosen
as bait sequences because they are known to interact with Id proteins
and because we have demonstrated that they are expressed in rat aortic
SMCs (data not shown). The above-mentioned specific
nucleotides of Pan-1 and REB were used because they contain
the HLH region essential for dimerization but lack the activation
domain of the E protein. Using these constructs to screen a library
derived from early-passage rat aortic SMCs, we isolated 30 positive
clones. The clones were subsequently sequenced, and all encoded either
Id3 or a novel isoform of Id3 (Id3a) described below.
Sequence of Id3a
Id3a is 100% homologous to rat Id3 in the coding
region except for 115 bp of retained intron sequence downstream from
the HLH domain, which disrupts the carboxyl-terminal coding region of
Id3
(Figure 1
). The divergent region of Id3a was identified as an
intronic sequence by comparison with the DNA sequence of the Id3
genomic clone.25 The
nucleotides flanking the insert are homologous to
donor-acceptor sites at intron-exon boundaries (GT-AG), suggesting that
this is a retained coding intron. Retention of a coding intron
resulting in an isoform with a unique carboxyl terminus has been
previously described for rat
Id1.26 The deduced amino acid
sequence of Id3a results in a unique 29amino acid carboxyl terminus.
This deduced Id3a amino acid sequence was confirmed by mass
spectrometric sequencing of bacterially expressed Id3a protein (data
not shown). The carboxyl terminus of Id3 is 19 amino acids in length
and lacks homology to the carboxyl terminus of
Id3a.
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Id3 and Id3a Are Differentially Expressed in
the Vessel Wall After Vascular Injury
By use of reverse transcriptionPCR, we confirmed the
expression of Id3a mRNA in cultured SMCs and in cultured
endothelial cells and fibroblasts. Expression of Id3a
in these cells was determined to be quite low compared with the
expression of fully spliced Id3 (data not shown). To determine whether
Id3a is expressed in vascular SMCs in vivo and whether this expression
is altered after vascular injury, we examined Id3a mRNA expression
after balloon endothelial denudation of the rat common
carotid artery with the use of in situ hybridization with an RNA
riboprobe that was complementary to the 115-bp coding intron unique to
Id3a mRNA. No Id3a mRNA was detected in uninjured rat carotid arteries
(Figure 2A
) or at 24 hours after balloon injury
(Figure 2B
). Six days after injury, Id3a mRNA was detected
for the first time
(Figure 2C
) predominantly within the growing
neointima and periluminal medial layers. Additionally, Id3a
mRNA was detected in scattered cells of the adventitia. High-power
magnification revealed that Id3a mRNA was cytoplasmic, providing
evidence that Id3a mRNA is indeed exported from the nucleus for
translation
(Figure 2D
; arrowheads indicate nuclei). This pattern of Id3a
expression continued at 14 days
(Figure 2E
) and 28 days
(Figure 2F
) after injury. No staining was noted at any time
point by use of the control sense Id3a probe
(Figure 2G
), confirming specificity of the
signal.
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The detection of Id3a mRNA was localized predominantly to
the neointima and inner medial layers after rat carotid
injury, and this expression pattern was first noted at 6 days after
injury. This pattern of expression contrasts with that of the fully
spliced Id3. Expression of Id3 mRNA was detected by use of an antisense
riboprobe that is complementary to a 150-bp region of the 3'
untranslated region common to Id3 and Id3a. There are no sequences that
are unique to Id3; therefore, any positive staining with use of the Id3
probe could represent Id3 or Id3a. Given the fact that Id3a was
not detected in the media of uninjured vessels or 1 day after injury
with the Id3a-specific probe, the positive staining seen at these time
points with use of the common probe represents Id3. Id3 mRNA
was expressed diffusely throughout the media of the uninjured carotid
artery
(Figure 3A
) and at 24 hours after balloon denudation
(Figure 3B
). Control sense Id3 probe was negative in
uninjured vessels
(Figure 3C
, uninjured vessel), confirming signal specificity.
To ensure that the presence of medial cell expression of Id3 does not
reflect higher specific activity of the Id3 probe versus the Id3a probe
for Id3a mRNA, we used Northern hybridization to confirm that the
specific activity of the 2 probes for their corresponding target
sequences was equivalent (data not shown). Interestingly, Id3 mRNA was
not detected in the media at 6 to 28 days after injury (data not
shown). It is not known whether the absence of Id3 mRNA expression at
these time points represents downregulation of Id3 in medial
SMCs or if Id3-positive SMCs noted at earlier time points subsequently
migrated to the neointima at these later time
points.
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Id3L Is Expressed in Human Carotid
Atherosclerotic Lesions
Results of in situ hybridization on injured rat carotid
arteries revealed that Id3a mRNA was present in abundance in the
cells constituting the neointima. Given the association of
this Id3 isoform with a vascular neointimal lesion in an
animal model, we were interested in the expression of the human
homologue of this Id3 isoform (Id3L) in human atherosclerotic plaques.
Like rat Id3a, human Id3L is the result of alternative splicing of the
Id3 gene, resulting in the inclusion of a coding
intron20 that results in a
unique carboxyl terminus with respect to the parent protein. However,
unlike the rest of the Id3 gene, the coding intron of Id3L is
completely divergent from the coding intron in rat Id3a. We performed
in situ hybridization on human carotid
endarterectomy specimens. A total of 6 specimens
were collected at surgical carotid endarterectomy.
These plaques contain complex lesions composed of
heterogeneous cellular material; however, Id3L mRNA was
detected in multiple discrete areas of each of the plaque specimens by
use of the antisense riboprobe; one such area of a
representative specimen is depicted
(Figure 4A
). Sense probe on a contiguous section (thus
representing the same area of plaque) confirmed the
specificity of this signal
(Figure 4B
). By use of a monoclonal antibody against smooth
muscle
-actin, it was determined that Id3L mRNA in this plaque was
localized to the
-actinpositive regions of the vessel wall
(Figure 4C
and 4D
; high power, brown staining). Thus, Id3L is
expressed in human carotid atherosclerotic plaques and is localized to
regions of plaque that contain abundant SMCs.
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Adenovirus-Mediated Overexpression of Id3a
Inhibits SMC Growth
We were unable to test the effect of overexpression of
Id3a in a stable transfection experiment, presumably because of
splicing of the Id3a coding intron by these SMCs. Evidence for this was
the fact that we were unable to detect Id3a protein in these stable
lines by using a carboxyl-terminal Id3a monoclonal antibody but that we
did detect significant overexpression of fully spliced Id3. Therefore,
we used site-directed mutagenesis to create the Id3a cDNA (Id3a5/3),
which contains an insert that cannot be spliced. Point mutations of the
5' splice sites and the internal polypyrimidine tract as well as a
deletion mutation of the 3' splice site were required to make Id3a5/3.
These mutations did not change the amino acid sequence of the Id3a
protein. This construct was then used to construct an adenovirus
overexpressing Id3a (Id3a5/3). Additionally, we constructed an
adenovirus vector overexpressing a full-length Id3 cDNA (AdId3).
Protein overexpression in cells infected with AdId3 and AdId3a was
confirmed by Western blotting (data not shown).
Cultured rat aortic SMCs were plated in equal numbers and
infected with 5 MOI of either AdId3, AdId3a5/3, or AdLacZ. Twenty-four
hours later, cells were replated in equal numbers, and at 3 and 5 days
after replating, the cells were counted by use of a
colorimetric cell number assay. Compared with cells
infected with Adgal, SMCs infected with AdId3 showed no significant
alteration in cell number. In contrast, SMCs infected with AdId3a5/3
demonstrated a significant decrease in cell number at 3 and 5 days
(Figure 5
, P<0.001).
Interestingly, the decrease in cell number in SMCs infected with
AdId3a5/3 represented a decrease versus the number of cells
initially plated; thus, it appears that overexpression of AdId3a5/3
resulted in decreased viability of these cells. To confirm that the
observed differences in cell number at 3 and 5 days after plating were
not due to differences in plating efficiencies of the
adenovirus-infected cell lines, we used the
colorimetric cell number assay to confirm that the cell
numbers were not significantly different between groups 24 hours after
plating (data not shown). Thus, the observed cell numbers at 3 and 5
days represented differences in cell growth or death after
plating and did not reflect differences in the ability of cells
infected with Id3 or Id3a to adhere and spread at the time of
plating.
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Decreased Viability of SMCs Overexpressing Id3a
Is due to Increased Apoptotic Activity
The significant decrease in cell number in SMCs
infected with AdId3a5/3 suggested that overexpression of Id3a may
induce apoptosis in these cells. Therefore, we assayed SMCs
infected with these adenoviral constructs for the presence of
cytoplasmic histone-associated DNA fragmentation, a marker of
apoptosis. SMCs were infected with 5 MOI of AdId3, AdId3a5/3,
or AdLacZ. Forty-eight hours later, cells were harvested, and
cytoplasmic fractions were assayed for histone-associated DNA fragments
by use of a colorimetric ELISA. Results are reported as
absorbance at 405 nm
(Figure 6
). Cytoplasmic lysates from SMCs infected with
AdId3a5/3 (versus AdLacZ-infected cells) yielded a 3-fold increase in
optical density at 405 nm
(P<0.01), providing evidence
that the substantial decrease in viability of SMCs overexpressing Id3a
reflects increased apoptotic activity in these
cells.
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| Discussion |
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The pattern of apoptosis of SMCs in the rat carotid
injury model has been studied
extensively.31 32
After injury, medial SMCs undergo an early wave of apoptosis in
the initial hours after balloon endothelial denudation,
followed by a second increase in apoptosis that begins in the
first week after balloon injury, peaks at day 9 after injury, and is
limited to the neointima. The factors that regulate the
balance between cellular growth and death within the evolving
neointima are poorly understood. It is intriguing to note
that the expression pattern of Id3a mRNA in the balloon-injured rat
carotid artery is limited to the neointima and peaks
between 6 and 14 days after endothelial denudation,
inasmuch as this closely follows the spatial and temporal pattern of
late SMC apoptosis in this
model.31 The timing of Id3a
mRNA expression in vivo coupled with the in vitro data demonstrating
Id3a-induced SMC apoptosis suggests that alternative splicing
of the Id3 gene resulting in expression of the Id3a protein limits
neointimal formation via enhancement of SMC
apoptosis. Although the expression of Id3a mRNA does not
confirm the presence or functional importance of Id3a protein in the
vessel wall, the in situ data demonstrating cytoplasmic expression of
the Id3a mRNA
(Figure 2D
) provide evidence that unlike the rapid splicing
of the wild-type Id3a cDNA in cultured rat aortic medial SMCs, the
mature endogenous Id3a mRNA is not spliced by
neointimal cells in vivo. Splicing of pre-mRNA occurs in
the nucleus before mRNA transport to the cytoplasm. Thus, cytoplasmic
expression of Id3a mRNA provides evidence that the mature Id3a mRNA has
been exported from the nucleus for translation. Further work to confirm
Id3a protein expression in vivo by use of a specific antibody is under
way. Additionally, the high rate of cell loss noted in
AdId3a5/3-infected SMCs may not reflect the effect of this protein when
expressed at endogenous levels in cells of the
neointima, inasmuch as adenovirus-mediated gene transfer
likely results in much higher levels of transgene expression than are
present in vivo.
The present study also provides evidence that vascular injury regulates the alternative splicing of Id3 mRNA and/or the stability of Id3a mRNA in the vasculature in vivo. Posttranscriptional modification of mRNA has the unique potential to result in quantitative and qualitative regulation of gene expression by generating different mRNAs from a single gene.22 33 It has previously been shown that vascular injury regulates the alternative splicing of other genes implicated in the modulation of the SMC phenotype, such as myosin heavy chain33 and fibronectin.34 35 Thus, alternative splicing appears to be a mechanism by which physiological stimuli alter the expression patterns of specific genes during SMC phenotypic modulation. This mode of posttranscriptional regulation may be an important mechanism for controlling specific gene expression in vascular SMCs after vessel injury. In particular, posttranscriptional regulation of the Id3 gene may be an important mechanism for controlling the balance between cell growth and death in the developing neointima.
| Acknowledgments |
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Received September 8, 1999; accepted February 22, 2001.
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