Editorial |
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 oxidaseexpressing 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
-actin, desmin, and
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