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Arteriosclerosis, Thrombosis, and Vascular Biology. 2001;21:175-177

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(Arteriosclerosis, Thrombosis, and Vascular Biology. 2001;21:175.)
© 2001 American Heart Association, Inc.


Editorial

NAD(P)H Oxidase: Marker of the Dedifferentiated Neointimal Smooth Muscle Cell?

P. J. Pagano

From the Hypertension and Vascular Research Division, Henry Ford Hospital, Detroit, Mich.

Correspondence to P.J. Pagano, PhD, Senior Staff Investigator, Hypertension and Vascular Research Division, Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI 48202-2689. E-mail ppagano1@hfhs.org

In recent years, there has been intense interest in vascular NAD(P)H oxidases and their role in vascular injury and atherosclerosis. Balloon injury has been shown to cause large increases in O2 stemming from NAD(P)H oxidases,1 while other studies have shown that hypercholesterolemia and atherosclerosis can induce vascular expression of NADPH oxidase.2 3 4 This induction has been implicated in cell phenotype change and proliferation, and a similar process can be inferred to occur during vascular grafting.5 Two key studies have demonstrated that overexpression of NAD(P)H oxidase in cells leads to transformation to a proliferative phenotype,6 7 and various redox mechanisms transducing this transformation in injury have been elucidated.8 On the contrary, other reports have shown that deletion of 2 essential components of phagocyte NAD(P)H oxidase fail to inhibit lesion formation in apoE–/– mice.9 10 However, it remains to be determined whether those components and NAD(P)H oxidase do play a role under conditions in which the renin-angiotensin system is activated.11 12

In this issue of Arteriosclerosis, Thrombosis, and Vascular Biology, West et al13 present exciting findings suggesting a role for NAD(P)H oxidase–expressing cells in intimal hyperplasia after venous bypass. The authors performed elegant immunohistochemical analyses in an attempt to carefully determine the source and state of differentiation of cells in the subintimal space. They found that cells that strongly express p22phox (an essential NADPH oxidase component) do not express smoothelin, a marker for highly differentiated smooth muscle cells.14 Their intriguing results show that whereas most cells in the neointima are positive for {alpha}-actin, desmin, and . . . [Full Text of this Article]




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