Vascular Biology |
From the Departments of Medicine and Medical Biochemistry, University of Turku (H.J.), Turku, Finland; Department of Vascular Biology, The Hope Heart Institute (H.J., R.B.V., M.D.G., A.F., P.Y.J., M.G.K., E.H.S., T.N.W.), Seattle, WA; Department of Pathology, University of Washington (S.L.), Seattle, WA.
Correspondence to Thomas N. Wight, PhD, The Hope Heart Institute, Seattle Life Science Center, Suite 783, 1124 Columbia St, Seattle, WA 98104. E-mail twight{at}hopeheart.org
| Abstract |
|---|
|
|
|---|
Methods and Results Rat arterial smooth muscle cells (ASMCs) transduced with bovine decorin cDNA by retroviral transfection (LDSN) exhibited enhanced contraction of collagen gels in vitro when compared with vector-only transduced (LXSN) cells. Addition of recombinant decorin to LXSN or LDSN cells did not stimulate contraction of collagen gels. Enhanced contraction of collagen by LDSN cells was unaffected by the metalloproteinase inhibitor GM6001. LDSN cells exhibited increased expression of type I collagen mRNA when compared with that of LXSN cells. Correspondingly, collagen gel contraction by LDSN cells was reduced by inhibition of collagen synthesis by 3,4-L-dehydroproline (L-DHP). Antibodies to
1ß1-integrin, but not to
2ß1-integrin, blocked collagen contraction by both LXSN and LDSN cells. However, LXSN and LDSN cells expressed similar levels of
1- and ß1-integrin mRNAs.
Conclusions Decorin synthesized de novo by ASMCs increases type I collagen synthesis and enhances contraction of collagen gels. Regulated synthesis of decorin may be a useful therapeutic approach to reduce ECM volume in vascular disease.
Key Words: extracellular matrix decorin collagen, type I muscle, smooth integrin
| Introduction |
|---|
|
|
|---|
80% of the volume of intimal lesions 4 weeks after injury. It is known that the ECM within atherosclerotic and restenotic lesions is a complex mixture of various components such as collagens and proteoglycans that have distinct temporal and spatial patterns associated with the genesis of vascular lesions.1 However, it is not clear why specific ECM components accumulate with time after vascular injury; nor it is clear whether this ECM accumulation can be controlled. Some progress has been made in the regulation of tissue volume in response to injury. For example, decorin, a small, leucine-rich proteoglycan, inhibits the accumulation of ECM in animal models of glomerulonephritis and lung fibrosis.2,3 Furthermore, local overexpression of decorin by ASMC-mediated gene transfer at the site of arterial injury significantly reduces neointimal formation by reducing the volume of ECM in a rat vascular injury model in the absence of altered cell proliferation.4
The mechanism(s) by which decorin expression reduces ECM volume is unclear. A number of studies have shown that decorin interacts with fibrillar collagen to partly regulate collagen fiber diameter (for review, see Hocking et al5), as well as collagen packing.4,6 Thus, it is conceivable that decorin might regulate the volume of ECM solely via decorincollagen binding interactions that influence the size and spacing of collagen fibrils.7 Such interactions could in turn have a profound effect on the capacity of cells to alter the packing of the collagen fibrils.
A variety of cell types, including ASMCs, pull strongly on their surrounding ECM by a process referred to as traction.8 Traction forces, which originate in the cytoskeleton and are transmitted to pericellular ECM by coupling molecules that include the transmembrane integrins, mediate the reorganization of ECM in a variety of situations that include wound repair, pathological fibrosis, and developmental morphogenesis. In vitro, cells dispersed within lattices (gels) of fibrillar type I collagen exert traction forces that can significantly reduce the volume of the surrounding collagen matrixa phenomenon that is a well-established model for physical interactions between cells and ECM.
In the present study, we use a model of collagen gel contraction (CGC) to explore the hypothesis that decorin influences the volume of ECM by regulation of contractile forces generated by resident ASMCs.
| Methods |
|---|
|
|
|---|
Collagen gel cultures were maintained from 16 to 48 hours and subsequently were fixed with 1% neutral-buffered formalin. Digital images of fixed gels were recorded under darkfield illumination with a Leitz-Wild stereomicroscope. Areas of gels were measured with the public domain National Institutes of Health Image program (http://rsb.info.nih.gov/nih-image/) according to the method of Vernon and Gooden.10 In selected experiments, actin cytoskeletons of vector-only transduced (LXSN) and LDSN cells in contracted collagen gels were labeled with phalloidin conjugated to Alexa Fluor 488 (Molecular Probes)10 and viewed by epifluorescence illumination with the Leitz-Wild stereomicroscope.
For studies of the effects of inhibition of matrix metalloproteinases (MMPs) on cell-mediated contraction of collagen, LDSN cells in polymerized collagen gels were supplemented with 20 µmol/L of the proteinase inhibitor GM6001 (Ilomastat; Chemicon International). For studies involving inhibition of collagen secretion, LDSN cells in polymerized collagen gels were supplemented with 1 to 2 mmol/L of 3,4-L-dehydroproline (L-DHP; Sigma Chemical Company). For studies of integrin function, suspended ASMCs were incubated for 30 minutes in DMEM/10% calf serum supplemented with purified Armenian hamster monoclonal antibodies (mAbs) against rat integrin subunits-
1, -
2, or -ß1 (clones Ha 31/8, Ha 1/29, and Ha 2/5, respectively, from PharMingen). The concentration of anti-
1, -
2, or -ß1 mAbs present during the incubation was 5 µg/mL, 10 µg/mL, and 10 µg/mL, respectively. Subsequently, the incubation media, with suspended cells, were combined with collagen solutions that contained mAbs at the same concentration. The mixtures of collagen and cells were polymerized, cultured for 48 hours, and measured to assess contraction as described above.
Transmission Electron Microscopic Analyses
LXSN and LDSN cells cultured in collagen gels were fixed in half-strength Karnovsky solution, postfixed with 1% OsO4 in 0.1 mol/L Na cacodylate buffer (pH 7.4), dehydrated, and embedded in Epon.11 Thin sections were cut and stained with uranyl acetate/lead citrate and were viewed by transmission electron microscopy at 80 kV.
Western Blot Analysis of Decorin Expression
Synthesis of decorin by LXSN and LDSN cells was determined by Western blot analysis as previously described.12,13 Equal volumes of culture medium were conditioned for 24 hours by equivalent numbers of confluent LXSN and LDSN cells. Membranes were labeled with LF94, a rabbit polyclonal antibody directed against the core protein of bovine decorin (a gift from Dr. L. Fisher, NIH, Besthesda, MD).14
Assays of mRNA Expression by RT-PCR
Total RNA was isolated from the ASMCs by use of TRI-Reagent (Molecular Research Center) according to a modified method.15 Levels of mRNA corresponding to the
1-subunit of rat type I collagen and subunits-
1 and -ß1 of rat integrins were determined by the reverse transcriptionpolymerase chain reaction (RT-PCR) with oligonucleotide primers complementary to the rat cDNAs for these proteins.
| Results |
|---|
|
|
|---|
30 µg per 107 cells over a 24-hour period.9 Western blot analysis of LDSN cells used in the present study confirmed similar levels of bovine decorin expression (data not shown). In CGC assays, LDSN cells exhibited significantly greater contraction of collagen than did LXSN cells over a 4-fold range of cell number per gel (Figure 1A). The enhanced ability of LDSN cells to contract collagen corresponded to a robust generation of traction by these cells (Figure 1B) as indicated by the formation of cellular aggregates (a consequence of compression of ECM between adjacent cells) and by the appearance of networks of aligned collagen fibrils between the cellular aggregates. In contrast, LXSN cells did not aggregate or form fibrillar networks (Figure 1C). Active engagement of collagen gels by resident LDSN cells was confirmed by transmission electron microscopy. LDSN cells were irregular in shape and exhibited an abundance of cellular projections and clefts that were intimately associated with bundles of extracellular fibrillar collagen (Figure 1D). In contrast, LXSN cells lacked cellular projections and were not surrounded by collagenous bundles (Figure 1E).
|
Addition of recombinant human decorin to collagen either before or after gelation did not affect contraction of the gels by either LXSN or LDSN cells (Figure 2). These results indicate that newly synthesized decorin is required for enhanced contraction of collagen gels by ASMCs.
|
The remodeling of connective tissues after injury is mediated in part by synthesis of ECM and by concomitant degradation of matrix by collagenolytic MMPs. For example, an increase in MMP activity occurs after balloon dilation of rat16 and pig17 carotid arteries. Moreover, inhibition of metalloproteinases by batimastat, a broad-spectrum inhibitor of MMPs, reduced constrictive narrowing of rat and porcine arteries after balloon dilation.18,19 In the present study, we assayed the contribution of MMP activity to the contraction of collagen gels by ASMCs by performing CGC assays in the presence of GM6001, which, like batimastat, is a broad-spectrum inhibitor of MMPs. We found that GM6001 had little or no effect on the robust contraction of collagen by LDSN cells (Figure 3), confirming a lack of an MMP effect on cell-mediated CGC.20
|
Studies in vitro have shown that the effectiveness with which type I collagen gels are contracted by certain cell types is directly correlated with the capacity of the cells to secrete new type I collagen.21 Thus, it has been proposed that the newly synthesized pericellular collagen acts as a binding agent that transfers forces of cellular traction to the fibrils of the surrounding collagen gel. We compared the synthesis of type I collagen by LXSN and LDSN cells by RT-PCR analysis of mRNA coding for the
1-subunit of type I collagen. We found that LDSN cells cultured either on a substrate of tissue culture plastic or within gelled collagen expressed significantly greater levels of collagen mRNA than did LXSN cells cultured under similar conditions (Figure 4A). Subsequently, we examined the effect of collagen synthesis on contraction of collagen gels by LDSN cells. CGC assays were performed in the presence of L-DHP, a proline analog that impairs the secretion of collagen22 as a consequence of its inability to be hydroxylated by prolyl-4-hydroxylase.23 Compared with controls lacking L-DHP, the contraction of collagen was inhibited significantly by L-DHP at concentrations of 1 to 2 mmol/L (Figure 4B). Furthermore, cells in which collagen synthesis was inhibited lacked cellular projections and were not surrounded by collagenous bundles, resembling LXSN control cells (data not shown).
|
Traction forces generated by the cytoskeleton are transmitted to the surrounding ECM by specific molecules that span the plasma membrane. Foremost among these force-transducing receptors are the integrins, a family of
- and ß-subunits that associate noncovalently as
/ß-heterodimers in >20 different combinations on the cell surface. The
1ß1- and
2ß1-heterodimers are important receptors for type I collagen, and both integrins mediate the contraction of collagen gels by a variety of cell types. Accordingly, we explored the possibility that differences in the function of the
1ß1- or
2ß1-integrins might contribute to differences in the contraction of collagen gels by LXSN and LDSN cells. Contraction of collagen by LXSN or LDSN cells was completely blocked by a mAb that interfered with the binding of the rat ß1-integrin subunit to collagen (Figure 5A). Moreover, contraction of collagen by LXSN and LDSN cells was inhibited by a mAb against the rat
1-integrin subunit (Figure 5B), but not by a mAb against the rat
2-integrin subunit (Figure 5C). RT-PCR analyses indicated that LDSN and LXSN cells cultured in type I collagen gels expressed similar levels of mRNA that corresponded to
1- and ß1-integrin subunits (Figure 5D).
|
| Discussion |
|---|
|
|
|---|
Recent studies demonstrate that introduction of decorin-overexpressing ASMCs into injured rat carotid arteries is associated with a significant reduction in neointimal ECM volume with no change in cell density.4 Furthermore, lumen diameter was preserved in the decorin-overexpressing neointimas, whereas constrictive remodeling is usually associated with reduction of lumen diameter.28 Consistent with preservation of lumen diameter is the observation of enhanced packing of the collagen fibrils in the decorin overexpressing neointimas.4 Although the capacity of decorin to influence the organization of fibrillar ECM is not understood mechanistically, decorin might act directly on ECM to facilitate the packing of ECM fibrils, or act indirectly to influence the compression of ECM by resident cells. Consistent with the latter hypothesis is our finding in the present study that overexpression of decorin by LDSN ASMCs is accompanied by an increased capability of the cells to contract fibrillar collagen in vitro.
There is growing evidence that the capacity of cells to synthesize collagen influences their ability to contract surrounding collagenous matrices in vitro. For example, contraction of collagen gels by different clonal lines of bovine aortic endothelial cells is directly correlated with type I collagen synthesis.21 Moreover, contraction of collagen gels by murine embryonic fibroblasts is inhibited by arrest of type I collagen synthesis via inactivation of the collagen gene.29 Correspondingly, we observed in the present study that contraction of collagen gels by rat ASMCs is inhibited by L-DHP at concentrations previously shown to inhibit collagen synthesis by porcine carotid SMCs.22 From these observations, it may be inferred that newly synthesized pericellular collagen fibers might serve as bridges to couple the force-generating elements of the cytoskeleton to the bulk of the supportive ECM. Accordingly, an increase in the synthesis of pericellular collagen would enhance the physical coupling between the cell and the surrounding ECM and, consequently, would increase the effectiveness of traction-mediated ECM remodeling. However, whether changes observed in the pericellular organization of collagen in the LDSN cultures totally arose by new collagen synthesis awaits further study.
Decorin is reported to alter CGC by MG-63 osteosarcoma cells,30 although a lack of a decorin effect has been shown for CHO cells,31 indicating possible differences in the response between different cell types.32 It is conceivable that in addition to regulating the quantity of pericellular collagen, decorin might alter the thickness and/or spacing of the newly synthesized collagen fibrils in a manner that would maximize the transmission of traction forces to the surrounding ECM. There is precedent for the hypothesis that control of the multimeric structure of ECM affects the remodeling of collagen by the cells. For example, the degree to which cells polymerize a surrounding, insoluble fibronectin matrix is directly correlated with the effectiveness of cell-mediated contraction of collagen gels in vitro.33
Decorin-mediated modulation of CGC must, in some capacity, involve collagen receptors on the surface of the ASMCs. The present study demonstrates that of the 2 integrins that are the major receptors for type I collagen (
1ß1 and
2ß1), it is
1ß1-integrin that is the primary mediator of CGC by both LXSN and LDSN ASMCs. Other studies have shown that
1ß1-integrin is the principal collagen receptor involved in the reorganization of collagenous matrix after injury.34 We observed that the expression of
1ß1-integrin mRNA did not differ between LXSN and LDSN cells in vitro; therefore, it is unclear at present whether the functions of this integrin are regulated directly by decorin. It is conceivable that decorin could influence the disposition of
1ß1-integrin at the cell surface indirectly via regulation of the availability of pericellular ECM ligands. In this context, it is noteworthy that inhibition of collagen synthesis by L-DHP did not affect the total expression of ß1-integrins by porcine carotid SMCs but did disrupt normal clustering of ß1-integrins on the SMC surface and inhibit engagement of collagen-coated substrates by the cells, as measured by spreading and migration assays in vitro.22
The increase in collagen content and organization in decorin-overexpressing neointimas in vivo may confer substantial biomechanical advantages to the tissue. For example, decorin bound to fibrillar collagen increases the tensile strength of collagen fibers,6 an effect that could provide stability to the newly-remodeled tissue. Considerable recent interest has focused on the protective role of collagen in stabilizing the fibrous cap in vascular lesions and preventing plaque rupture. It is very possible that decorin could play an important therapeutic role in stabilizing plaque structure through collagen interactions.
In summary, manipulating the expression of decorin in ASMCs genetically causes dramatic changes in cell-mediated CGC. Such an effect could have a major impact on the ECM volume and biomechanical properties of vascular lesions. The utility of decorin-based gene therapy to treat cardiovascular disease awaits further study.
| Acknowledgments |
|---|
We thank Carrie Murri for assistance with the RT-PCR analyses.
This study was supported by grants from the Aarne Koskelo Foundation, Finnish Foundation for Cardiovascular Research, and Turku University Foundation (H.J.), NIH grants R24HL64387 (R.B.V.) and HL-18645 (T.N.W.), and a beginning grant from the American Heart Association 00603732 (A.F.).
Received July 25, 2003; accepted November 3, 2003.
| References |
|---|
|
|
|---|
2. Border WA, Noble NA, Yamamoto T, Harper JR, Yamaguchi Y, Pierschbacher MD, Ruoslahti E. Natural inhibitor of transforming growth factor-ß protects against scarring in experimental kidney disease. Nature. 1992; 360: 361364.[CrossRef][Medline] [Order article via Infotrieve]
3. Giri SN, Hyde DM, Braun RK, Gaarde W, Harper JR, Pierschbacher MD. Antifibrotic effect of decorin in a bleomycin hamster model of lung fibrosis. Biochem Pharmacol. 1997; 54: 12051216.[CrossRef][Medline] [Order article via Infotrieve]
4. Fischer JW, Kinsella MG, Clowes MM, Lara S, Clowes AW, Wight TN. Local expression of bovine decorin by cell-mediated gene transfer reduces neointimal formation after balloon injury in rats. Circ Res. 2000; 86: 676683.
5. Hocking AM, Shinomura T, McQuillan DJ. Leucine-rich repeat glycoproteins of the extracellular matrix. Matrix Biol. 1998; 17: 119.[CrossRef][Medline] [Order article via Infotrieve]
6. Pins GD, Christiansen DL, Patel R, Silver FH. Self-assembly of collagen fibers: influence of fibrillar alignment and decorin on mechanical properties. Biophys J. 1997; 73: 21642172.[Medline] [Order article via Infotrieve]
7. Scott JE. Extracellular matrix, supramolecular organisation and shape. J Anat. 1995; 187: 259269.
8. Harris AK, Stopak D, Wild P. Fibroblast traction as a mechanism for collagen morphogenesis. Nature. 1981; 290: 249251.[CrossRef][Medline] [Order article via Infotrieve]
9. Fischer JW, Kinsella MG, Levkau B, Clowes A, Wight TN. Retroviral overexpression of bovine decorin differentially affects the response of arterial smooth muscle cells to growth factors. Arterioscler Thromb Vasc Biol. 2001; 21: 777784.
10. Vernon RB, Gooden MD. An improved method for the collagen gel contraction assay. In Vitro Cell Dev Biol Anim. 2002; 38: 97101.[CrossRef][Medline] [Order article via Infotrieve]
11. Lark MW, Wight TN. Modulation of proteoglycan metabolism by aortic smooth muscle cells grown on collagen gels. Arterioscler. 1986; 6: 638650.[Abstract]
12. Kinsella MG, Tsoi CK, Järveläinen HT, Wight TN. Selective expression and processing of biglycan during migration of bovine aortic endothelial cells: the role of endogenous basic fibroblast growth factor. J Biol Chem. 1997; 272: 318325.
13. Kinsella MG, Fischer JW, Mason DP, Wight TN. Retrovirally mediated expression of decorin by macrovascular endothelial cells: effects on cellular migration and fibronectin fibrillogenesis in vitro. J Biol Chem. 2000; 275: 1392413932.
14. Fisher LW, Stubbs JT 3rd, Young MF. Antisera and cDNA probes to human and certain animal model bone matrix noncollagenous proteins. Acta Orthop Scand Suppl. 1995; 266: 6165.[Medline] [Order article via Infotrieve]
15. Francki A, Bradshaw AD, Bassuk JA, Howe CC, Couser WG, Sage EH. SPARC regulates the expression of collagen type I and transforming growth factor-ß1 in mesangial cells. J Biol Chem. 1999; 274: 3214532152.
16. Zempo N, Kenagy RD, Au YP, Bendeck M, Clowes MM, Reidy MA, Clowes AW. Matrix metalloproteinases of vascular wall cells are increased in balloon-injured rat carotid artery. J Vasc Surg. 1994; 20: 209217.[Medline] [Order article via Infotrieve]
17. Southgate KM, Fisher M, Banning AP, Thurston VJ, Baker AH, Fabunmi RP, Groves PH, Davies M, Newby AC. Upregulation of basement membrane-degrading metalloproteinase secretion after balloon injury of pig carotid arteries. Circ Res. 1996; 79: 11771187.
18. Zempo N, Koyama N, Kenagy RD, Lea HJ, Clowes AW. Regulation of vascular smooth muscle cell migration and proliferation in vitro and in injured rat arteries by a synthetic matrix metalloproteinase inhibitor. Arterioscler Thromb Vasc Biol. 1996; 16: 2833.
19. de Smet BJ, de Kleijn D, Hanemaaijer R, Verheijen JH, Robertus L, van Der Helm YJ, Borst C, Post MJ. Metalloproteinase inhibition reduces constrictive arterial remodeling after balloon angioplasty: a study in the atherosclerotic Yucatan micropig. Circulation. 2000; 101: 29622967.
20. Travis JA, Hughes MG, Wong JM, Wagner WD, Geary RL. Hyaluronan enhances contraction of collagen by smooth muscle cells and adventitial fibroblasts: role of CD44 and implications for constrictive remodeling. Circ Res. 2001; 88: 7783.
21. Vernon RB, Lara SL, Drake CJ, Iruela-Arispe ML, Angello JC, Little CD, Wight TN, Sage EH. Organized type I collagen influences endothelial patterns during "spontaneous angiogenesis in vitro": planar cultures as models of vascular development. In Vitro Cell Dev Biol Anim. 1995; 31: 120131.[Medline] [Order article via Infotrieve]
22. Rocnik EF, Chan BM, Pickering JG. Evidence for a role of collagen synthesis in arterial smooth muscle cell migration. J Clin Invest. 1998; 101: 18891898.[Medline] [Order article via Infotrieve]
23. Tan E, Ryhanen L, Uitto J. Proline analogues inhibit human skin fibroblast growth and collagen production in culture. J Invest Dermatol. 1983; 80: 261267.[CrossRef][Medline] [Order article via Infotrieve]
24. Clowes AW, Clowes MM. Kinetics of cellular proliferation after arterial injury. II. Inhibition of smooth muscle growth by heparin. Lab Invest. 1985; 52: 611616.[Medline] [Order article via Infotrieve]
25. Strauss BH, Chisholm RJ, Keeley FW, Gotlieb AI, Logan RA, Armstrong PW. Extracellular matrix remodeling after balloon angioplasty injury in a rabbit model of restenosis. Circ Res. 1994; 75: 650658.
26. Kolodgie FD, Burke AP, Farb A, Weber DK, Kutys R, Wight TN, Virmani R. Differential accumulation of proteoglycans and hyaluronan in culprit lesions: insights into plaque erosion. Arterioscler Thromb Vasc Biol. 2002; 22: 16421648.
27. Chung IM, Gold HK, Schwartz SM, Ikari Y, Reidy MA, Wight TN. Enhanced extracellular matrix accumulation in restenosis of coronary arteries after stent deployment. J Am Coll Cardiol. 2002; 40: 20722081.
28. Pasterkamp G, de Kleijn DP, Borst C. Arterial remodeling in atherosclerosis, restenosis and after alteration of blood flow: potential mechanisms and clinical implications. Cardiovasc Res. 2000; 45: 843852.
29. Iruela-Arispe ML, Vernon RB, Wu H, Jaenisch R, Sage EH. Type I collagendeficient Mov-13 mice do not retain SPARC in the extracellular matrix: implications for fibroblast function. Dev Dyn. 1996; 207: 171183.[CrossRef][Medline] [Order article via Infotrieve]
30. Markmann A, Hausser H, Schönherr E, Kresse H. Influence of decorin expression on transforming growth factor-ßmediated collagen gel retraction and biglycan induction. Matrix Biol. 2000; 19: 631636.[CrossRef][Medline] [Order article via Infotrieve]
31. Bittner K, Liszio C, Blumberg P, Schönherr E, Kresse H. Modulation of collagen gel contraction by decorin. Biochem J. 1996; 314: 159166.
32. Ehrlich HP, Griswold TR, Rajaratnam JB. Studies on vascular smooth muscle cells and dermal fibroblasts in collagen matrices: effects of heparin. Exp Cell Res. 1986; 164: 154162.[CrossRef][Medline] [Order article via Infotrieve]
33. Hocking DC, Sottile J, Langenbach KJ. Stimulation of integrin-mediated cell contractility by fibronectin polymerization. J Biol Chem. 2000; 275: 1067310682.
34. Gotwals PJ, Chi-Rosso G, Lindner V, Yang J, Ling L, Fawell SE, Koteliansky VE. The
1ß1-integrin is expressed during neointima formation in rat arteries and mediates collagen matrix reorganization. J Clin Invest. 1996; 97: 24692477.[Medline]
[Order article via Infotrieve]
This article has been cited by other articles:
![]() |
Z. Ferdous, V. M. Wei, R. Iozzo, M. Hook, and K. J. Grande-Allen Decorin-transforming Growth Factor- Interaction Regulates Matrix Organization and Mechanical Characteristics of Three-dimensional Collagen Matrices J. Biol. Chem., December 7, 2007; 282(49): 35887 - 35898. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. W. Fischer, S. A. Steitz, P. Y. Johnson, A. Burke, F. Kolodgie, R. Virmani, C. Giachelli, and T. N. Wight Decorin Promotes Aortic Smooth Muscle Cell Calcification and Colocalizes to Calcified Regions in Human Atherosclerotic Lesions Arterioscler. Thromb. Vasc. Biol., December 1, 2004; 24(12): 2391 - 2396. [Abstract] [Full Text] [PDF] |
||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
ATVB Home | Subscriptions | Archives | Feedback | Authors | Help | AHA Journals Home | Search Copyright © 2004 American Heart Association, Inc. All rights reserved. Unauthorized use prohibited. |