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Published Online
on October 24, 2002

Arteriosclerosis, Thrombosis, and Vascular Biology. 2002
Published online before print October 24, 2002, doi: 10.1161/01.ATV.0000043453.21629.3B
A more recent version of this article appeared on December 1, 2002
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Submitted on August 21, 2002
Accepted on September 30, 2002

Oxidized LDL-Induced Smooth Muscle Cell Proliferation Involves the EGF Receptor/PI-3 Kinase/Akt and the Sphingolipid Signaling Pathways

Nathalie Auge ; Virginie Garcia ; Françoise Maupas-Schwalm ; Thierry Levade ; Robert Salvayre ; and Anne Negre-Salvayre *

From INSERM U-466, Université Paul Sabatier, Toulouse, France.

* To whom correspondence should be addressed. E-mail: anesalv{at}toulouse.inserm.fr.

Objective—Oxidized low-density lipoprotein (oxLDL)-induced smooth muscle cell (SMC) proliferation requires the coactivation of various signaling pathways, namely sphingomyelin/ceramide/sphingosine-1-phosphate, epithelial growth factor receptor (EGFR), and phosphoinositide 3-kinase (PI-3K) pathways. This study aimed to clarify the respective role and the hypothetical cross-talk between sphingomyelin/ceramide/sphingosine-1-phosphate, EGFR, and PI-3K/Akt pathways in the balance between mitogenic and cytotoxic effects elicited by oxLDL.

Methods and Results—Coimmunoprecipitation experiments and the use of inhibitors and dominant-negative mutant showed that oxLDL-induced PI-3K activation is dependent on EGFR. PI-3K activation is independent of the sphingomyelin/ceramide/sphingosine-1-phosphate pathway, because PI-3K inhibition by LY294002 or dominant-negative {Delta}p85 mutant does not abrogate sphingomyelin hydrolysis, and, conversely, the use of permeant C2-ceramide and of N,N-dimethyl-sphingosine, a sphingosine kinase inhibitor, does not alter PI-3K activity. Activation of Akt/PKB by oxLDL requires PI-3K, as shown by the inhibition by LY204002 and in {Delta}p85 SMC. The inhibition of Akt/PKB by PI-3K inhibitor LY204002 or by overexpression of kinase-dead Akt shifted the mitogenic effect of oxLDL toward apoptosis, thus suggesting that the PI-3K/Akt pathway acts as a survival pathway.

Conclusions—SMC proliferation elicited by moderate concentrations of oxLDL involves the sphingomyelin/ceramide/sphingosine-1-phosphate pathway, which leads to extracellular regulated kinase 1/2 activation and DNA synthesis, and the EGFR/PI-3K/Akt pathway, which prevents the apoptotic effect of oxLDL.


Key words: proliferation • survival • oxidized low-density lipoprotein • phosphoinositide 3-kinase • epithelial growth factor receptor • ceramide




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