Skip to main content
  • American Heart Association
  • Science Volunteer
  • Warning Signs
  • Advanced Search
  • Donate

  • Home
  • About this Journal
    • Editorial Board
    • Meet the Editors
    • ATVB Journal History
    • General Statistics
  • All Issues
  • Subjects
    • All Subjects
    • Arrhythmia and Electrophysiology
    • Basic, Translational, and Clinical Research
    • Critical Care and Resuscitation
    • Epidemiology, Lifestyle, and Prevention
    • Genetics
    • Heart Failure and Cardiac Disease
    • Hypertension
    • Imaging and Diagnostic Testing
    • Intervention, Surgery, Transplantation
    • Quality and Outcomes
    • Stroke
    • Vascular Disease
  • Browse Features
    • Cover Art Award
    • ATVB Early Career Award
    • ATVB in Focus
    • Recent Brief Reviews of ATVB
    • Lecture Series
    • Collections
    • Recent Highlights of ATVB
    • Commentaries
    • Browse Abstracts
    • Insight into ATVB Authors
  • Resources
    • Instructions for Authors
    • Online Submission/Peer Review Site
    • Council on ATVB
    • Permissions and Rights Q&A
    • AHA Guidelines and Statements
    • Customer Service and Ordering Information
    • Author Reprints
    • International Users
    • AHA Newsroom
  • AHA Journals
    • AHA Journals Home
    • Arteriosclerosis, Thrombosis, and Vascular Biology (ATVB)
    • Circulation
    • → Circ: Arrhythmia and Electrophysiology
    • → Circ: Genomic and Precision Medicine
    • → Circ: Cardiovascular Imaging
    • → Circ: Cardiovascular Interventions
    • → Circ: Cardiovascular Quality & Outcomes
    • → Circ: Heart Failure
    • Circulation Research
    • Hypertension
    • Stroke
    • Journal of the American Heart Association
  • Facebook
  • LinkedIn
  • Twitter

  • My alerts
  • Sign In
  • Join

  • Advanced search

Header Publisher Menu

  • American Heart Association
  • Science Volunteer
  • Warning Signs
  • Advanced Search
  • Donate

Arteriosclerosis, Thrombosis, and Vascular Biology

  • My alerts
  • Sign In
  • Join

  • Facebook
  • LinkedIn
  • Twitter
  • Home
  • About this Journal
    • Editorial Board
    • Meet the Editors
    • ATVB Journal History
    • General Statistics
  • All Issues
  • Subjects
    • All Subjects
    • Arrhythmia and Electrophysiology
    • Basic, Translational, and Clinical Research
    • Critical Care and Resuscitation
    • Epidemiology, Lifestyle, and Prevention
    • Genetics
    • Heart Failure and Cardiac Disease
    • Hypertension
    • Imaging and Diagnostic Testing
    • Intervention, Surgery, Transplantation
    • Quality and Outcomes
    • Stroke
    • Vascular Disease
  • Browse Features
    • Cover Art Award
    • ATVB Early Career Award
    • ATVB in Focus
    • Recent Brief Reviews of ATVB
    • Lecture Series
    • Collections
    • Recent Highlights of ATVB
    • Commentaries
    • Browse Abstracts
    • Insight into ATVB Authors
  • Resources
    • Instructions for Authors
    • Online Submission/Peer Review Site
    • Council on ATVB
    • Permissions and Rights Q&A
    • AHA Guidelines and Statements
    • Customer Service and Ordering Information
    • Author Reprints
    • International Users
    • AHA Newsroom
  • AHA Journals
    • AHA Journals Home
    • Arteriosclerosis, Thrombosis, and Vascular Biology (ATVB)
    • Circulation
    • → Circ: Arrhythmia and Electrophysiology
    • → Circ: Genomic and Precision Medicine
    • → Circ: Cardiovascular Imaging
    • → Circ: Cardiovascular Interventions
    • → Circ: Cardiovascular Quality & Outcomes
    • → Circ: Heart Failure
    • Circulation Research
    • Hypertension
    • Stroke
    • Journal of the American Heart Association
Cell Biology/Signaling

Novel Role of Proline-Rich Nonreceptor Tyrosine Kinase 2 in Vascular Wall Remodeling After Balloon Injury

Ravisekhar Gadepalli, Nikhlesh K. Singh, Venkatesh Kundumani-Sridharan, Mark R. Heckle, Gadiparthi N. Rao
Download PDF
https://doi.org/10.1161/ATVBAHA.112.253112
Arteriosclerosis, Thrombosis, and Vascular Biology. 2012;32:2652-2661
Originally published October 17, 2012
Ravisekhar Gadepalli
From the Department of Physiology, University of Tennessee Health Science Center, Memphis, TN.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Nikhlesh K. Singh
From the Department of Physiology, University of Tennessee Health Science Center, Memphis, TN.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Venkatesh Kundumani-Sridharan
From the Department of Physiology, University of Tennessee Health Science Center, Memphis, TN.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Mark R. Heckle
From the Department of Physiology, University of Tennessee Health Science Center, Memphis, TN.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Gadiparthi N. Rao
From the Department of Physiology, University of Tennessee Health Science Center, Memphis, TN.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Tables
  • Supplemental Materials
  • Info & Metrics
  • eLetters

Jump to

  • Article
    • Abstract
    • Introduction
    • Materials and Methods
    • Results
    • Discussion
    • Acknowledgments
    • Disclosures
    • Footnotes
    • References
  • Figures & Tables
  • Supplemental Materials
  • Info & Metrics
  • eLetters
Loading

Abstract

Objective—To investigate the role of Pyk2, a proline-rich nonreceptor tyrosine kinase, in G protein−coupled receptor agonist, thrombin-induced human aortic smooth muscle cell growth and migration, and injury-induced vascular wall remodeling.

Methods and Results—Thrombin, a G protein–coupled receptor agonist, activated Pyk2 in a time-dependent manner and inhibition of its stimulation attenuated thrombin-induced human aortic smooth muscle cell migration and proliferation. Thrombin also activated Grb2-associated binder protein 1, p115 Rho guanine nucleotide exchange factor, Rac1, RhoA, and p21-activated kinase 1 (Pak1) and interference with stimulation of these molecules attenuated thrombin-induced human aortic smooth muscle cell migration and proliferation. In addition, adenovirus-mediated expression of dominant negative Pyk2 inhibited thrombin-induced Grb2-associated binder protein 1, p115 rho guanine nucleotide exchange factor, Rac1, RhoA and Pak1 stimulation. Balloon injury also caused activation of Pyk2, Grb2-associated binder protein 1, p115 rho guanine nucleotide exchange factor, Rac1, RhoA, and Pak1 in the carotid artery of rat, and these responses were sensitive to inhibition by the dominant negative Pyk2. Furthermore, inhibition of Pyk2 activation resulted in reduced recruitment of smooth muscle cells onto the luminal surface and their proliferation in the intimal region leading to suppression of neointima formation.

Conclusion—Together, these results demonstrate for the first time that Pyk2 plays a crucial role in G protein–coupled receptor agonist thrombin-induced human aortic smooth muscle cell growth and migration, as well as balloon injury–induced neointima formation.

  • restenosis
  • signal transduction
  • vascular biology

Introduction

Thrombin is generated at the sites of vascular injury because of the exposure of platelets to subendothelial collagen and subsequent activation of the blood clotting process.1 Thrombin, in addition to its indispensable role in blood clotting, acts as a mitogen and chemotactic factor to a variety of cell types, including fibroblasts and vascular smooth muscle cells (VSMCs).2–5 Thrombin mediates its effects via protease-activated receptors 1–4 that are coupled to various G proteins.2,5–7 Many studies have also demonstrated that G protein–coupled receptor (GPCR) agonists, such as angiotensin II, lysophosphatidic acid, and thrombin, transactivate receptor tyrosine kinases in mediating their growth and chemotactic effects.8,9 Among the G proteins, Gs, Gi, Gq/11, and G12/13 are coupled to protease-activated receptors 1–4 and mediate thrombin’s effects depending on the cell type.10–12 Activation of these G proteins via coupling to various phospholipase Cs leads to generation of second messenger molecules, diacylglycerol and inositol 1,4,5-triphosphate, which in turn results in increased intracellular calcium levels and protein kinase C activation.13 One of the signaling molecules whose activation process depends on calcium is Pyk2.14 Pyk2 is a proline-rich nonreceptor tyrosine kinase whose function has been linked to cell motility.15 It was also reported that Pyk2 bridges the GPCR agonist, angiotensin II–mediated calcium-protein kinase C signaling with mitogen-activated protein kinases in VSMCs.16 Pyk2 has also been shown to be involved in VSMC growth in response to platelet-derived growth factor-BB.17 However, nothing is known with regards to the role of Pyk2 in thrombin-induced human aortic smooth muscle cell (HASMC) growth and migration and injury-induced vascular wall remodeling. Therefore, in the present investigation we sought to address the role of Pyk2 in thrombin-induced HASMC growth and migration. Our findings reveal that thrombin activates Pyk2 in HASMCs and mediates their growth and migration. In addition, activation of Pyk2 is essential for thrombin-induced Grb2-associated binder protein 1 (Gab1)-p115 Rho guanine nucleotide exchange factor (RhoGEF)-Rac1-RhoA-p21-activated kinase 1 (Pak1) stimulation leading to HASMC growth and migration. Furthermore, balloon injury (BI) caused activation of Pyk2, Gab1, p115 RhoGEF, Rac1, RhoA, and Pak1. Blockade of Pyk2 attenuated BI-induced Gab1, p115 RhoGEF, Rac1, RhoA, and Pak1 activation resulting in reduced SMC migration/proliferation and neointima formation.

Materials and Methods

The construction of adenoviral vectors, cell culture, cell growth and migration, double immunofluorescence staining, histological staining, immunoprecipitation, pull-down assays, transfections and transductions, Western blotting, common carotid artery BI, and in vivo smooth muscle cell migration were previously described.18–23 All of the experiments involving animals were performed in accordance with the relevant guidelines and regulations approved by the Institutional Animal Care and Use Committee of the University of Tennessee Health Science Center, Memphis, TN. For a detailed description of the methods, please refer to the online-only Data Supplement.

Results

To understand the role of GPCR signaling events in vascular wall remodeling, we have studied the role of Pyk2 in thrombin-induced HASMC growth and migration. Thrombin stimulated Pyk2 tyrosine phosphorylation in a time-dependent manner (Figure 1A). Interference with Pyk2 activation by adenovirus-mediated expression of its dominant negative mutant attenuated thrombin-induced HASMC growth and migration (Figure 1B and 1C). To explore the signaling events of how Pyk2 mediates HASMC growth and migration, we studied the role of Gab1, a scaffolding adopter protein.24 Thrombin induced Gab1 tyrosine phosphorylation in a time-dependent manner (Figure 2A). Inhibition of Gab1 by its dominant negative mutant blocked thrombin-induced HASMC growth and migration (Figure 2B and 2C). In addition, inhibition of Pyk2 activation attenuated thrombin-induced Gab1 tyrosine phosphorylation (Figure 2D). To find whether Pyk2-Gab1 signaling leads to activation of any RhoGEFs, we tested the effect of thrombin on the stimulation of p115 RhoGEF, PDZ RhoGEF and leukemia-associated RhoGEF, the RhoA-specific GEFs.25 Thrombin stimulated the tyrosine phosphorylation of p115 RhoGEF and PDZ RhoGEF but not leukemia-associated RhoGEF in HASMCs (Figure 3A). Because p115 RhoGEF activation was found to be robust, we next focused on the role of this RhoGEF in thrombin-induced HASMC growth and migration. siRNA-mediated downregulation of p115 RhoGEF substantially inhibited thrombin-induced HASMC growth and migration (Figure 3B−3D). Furthermore, adenovirus-mediated expression of either dominant negative Pyk2 or dominant negative Gab1 inhibited thrombin-induced p115 RhoGEF tyrosine phosphorylation (Figure 3E and 3F). Because Gab1 is an adaptor molecule, we asked the question whether it directly interacts with p115 RhoGEF. In response to thrombin, p115 RhoGEF was found to be associated with Gab1 in a time-dependent manner (Figure 3G). In addition, inhibition of Gab1 activation attenuated thrombin-induced association of p115 RhoGEF with Gab1 (Figure 3H). RhoGEFs mediate activation of Rho GTPases by facilitating the exchange of GDP for GTP.26,27 To identify the Rho GTPases activated by p115 RhoGEF, first we studied the time course effect of thrombin on Rac1 and RhoA activation. Thrombin stimulated Rac1 and RhoA in a time-dependent manner (Figure 4A). Interestingly, dominant negative mutant–mediated blockade of either Rac1 or RhoA inhibited thrombin-induced HASMC growth and migration (Figure 4B and 4C). Downregulation of p115 RhoGEF by its siRNA prevented thrombin-induced Rac1 and RhoA activation (Figure 4D). Similarly, inhibition of either Gab1 or Pyk2 by adenovirus-mediated expression of their respective dominant negative mutants also attenuated both Rac1 and RhoA activation (Figure 4E and 4F). Previously, we reported that RhoA mediates Rac1 activation downstream to leukemia-associated RhoGEF in response to thrombin in rat aortic smooth muscle cells.18 So, we asked whether there is any interaction between Rac1 and RhoA in HASMCs in response to thrombin. Inhibition of Rac1 blocked thrombin-induced RhoA activation (Figure 4G). However, blockade of RhoA stimulation had no effect on Rac1 activation (Figure 4H). Because both the Rho GTPases target Pak1,26–29 we next wanted to find whether thrombin activates Pak1 in HASMCs. Thrombin induced Pak1 activation in a time-dependent manner (Figure 5A). Furthermore, downregulation of Pak1 levels by its siRNA inhibited thrombin-induced HASMC growth and migration (Figure 5B−5D). In addition, adenovirus-mediated expression of either dominant negative Rac1 or dominant negative RhoA attenuated thrombin-induced Pak1 activation (Figure 5E and 5F). Downregulation of p115 RhoGEF levels by its siRNA or adenovirus-mediated expression of either dominant negative Gab1 or dominant negative Pyk2 also blocked thrombin-induced Pak1 activation (Figure 5G−5I). The observed effects with the use of adenoviral vectors for the delivery of dominant negative mutants of the indicated molecules into cells were not because of cell death as transduction with Ad-GFP had little (<5%) effect on HASMC viability (Figure I in the online-only Data Supplment).

Figure 1.
  • Download figure
  • Open in new tab
  • Download powerpoint
Figure 1.

Proline-rich nonreceptor tyrosine kinase 2 (Pyk2) mediates thrombin-induced human aortic smooth muscle cell (HASMC) growth and migration. A, An equal amount of protein from control and the indicated time periods of thrombin (0.5 U/mL) treated HASMCs was analyzed by Western blotting for phosphorylated Pyk2 (pPyk2) using its phosphospecific antibodies and the blot was normalized for the total Pyk2 levels. B and C, HASMCs that were transduced with adenovirus containing green fluorescent protein (Ad-GFP) or adenovirus containing dominant negative Pyk2 (Ad-dnPyk2) and quiesced were subjected to thrombin (0.5 U/mL) induced cell growth (B) or migration (C) assays. Cell growth was measured by [3H]-thymidine incorporation, and MTT assay and cell migration was measured by modified Boyden chamber method. The bar graphs represent mean±SD of 3 independent experiments. *P<0.01 vs control or Ad-GFP; *P<0.01 vs thrombin or Ad-GFP+thrombin.

Figure 2.
  • Download figure
  • Open in new tab
  • Download powerpoint
Figure 2.

Thrombin-induced tyrosine phosphorylation of Grb2-associated binder protein 1 (Gab1) requires proline-rich nonreceptor tyrosine kinase 2 (Pyk2) activation. A, An equal amount of protein from control and each time period of thrombin (0.5 U/mL) treated human aortic smooth muscle cells (HASMCs) was immunoprecipitated with anti-Gab1 antibodies and the immunocomplexes were analyzed by Western blotting using anti-PY20 antibodies. The blot was normalized for the total Gab1 levels. B and C, HASMCs that were transduced with adenovirus containing green fluorescent protein (Ad-GFP) or adenovirus containing dominant negative Gab1 (Ad-dnGab1) and quiesced were subjected to thrombin (0.5 U/mL) induced cell growth (B) or migration (C) assays. D, HASMCs that were transduced with Ad-GFP or Ad-dnPyk2 were treated with and without thrombin (0.5 U/mL) for 30 minutes and an equal amount of protein from control and each treatment was immunoprecipitated with anti-Gab1 antibodies and the immunocomplexes were analyzed by Western blotting using anti-PY20 antibodies. The blot was reprobed sequentially with anti-Pyk2 and anti-Gab1 antibodies to show over expression of dnPyk2 and normalization of Gab1 levels, respectively. The bar graphs represent mean±SD of 3 independent experiments. *P<0.01 vs control or Ad-GFP; **P<0.01 vs thrombin or Ad-GFP+thrombin. pGab1 indicates phosphorylated Gab1.

Figure 3.
  • Download figure
  • Open in new tab
  • Download powerpoint
Figure 3.

Proline-rich nonreceptor tyrosine kinase 2 (Pyk2) and Grb2-associated binder protein 1 (Gab1) mediate thrombin activation of rho guanine nucleotide exchange factor (RhoGEF). A, An equal amount of protein from control and each time period of thrombin (0.5 U/mL) treated human aortic smooth muscle cells (HASMCs) was immunoprecipitated with anti-PY20 or anti-p115 RhoGEF antibodies and the immunocomplexes were analyzed by Western blotting using p115 RhoGEF, PDZ RhoGEF, leukemia-associated RhoGEF (LARG), or PY20 antibodies. The blot on the right side was normalized for p115 RhoGEF levels. B, An equal amount of protein from cell extracts of HASMCs that were transfected with control or p115 RhoGEF small interfering RNA (siRNA) was analyzed by Western blotting for p115 RhoGEF and cyclin-dependent kinase 4 (CDK4) levels using their specific antibodies to show the effect of the indicated siRNA on its target and off-target molecules. C and D,HASMCs that were transfected with control or p115 RhoGEF siRNA and quiesced were subjected to thrombin (0.5 U/mL) induced cell growth (B) or migration (C) assays. E and F, An equal amount of protein from HASMCs that were transduced with adenovirus containing green fluorescent protein (Ad-GFP), adenovirus containing dominant negative Pyk2 (Ad-dnPyk2), or adenovirus containing dominant negative Gab1 (Ad-dnGab1), quiesced, and treated with and without thrombin (0.5 U/mL) for 30 minutes was immunoprecipitated with anti-p115 RhoGEF or anti-PY20 antibodies and the immunocomplexes were analyzed by Western blotting using anti-PY20 or anti-p115 RhoGEF antibodies. The blot in E was reprobed sequentially with anti-p115 RhoGEF and anti-Pyk2 antibodies for normalization of p115 RhoGEF levels and to show the overexpression of dnPyk2, respectively. The blot in F was reprobed with anti-Gab1 antibodies to show the overexpression of dnGab1.Figure 3. (Continued) G, An equal amount of protein from control and each time period of thrombin (0.5 U/mL) treated HASMCs was immunoprecipitated with anti-Gab1 or anti-p115 RhoGEF antibodies and the immunocomplexes were analyzed by Western blotting using anti-p115 RhoGEF or anti-Gab1 antibodies. The blots were normalized for Gab1 or p115 RhoGEF levels. H, All the conditions were the same as in F except that immunoprecipitation was performed with anti-Gab1 antibodies and the immunocomplexes were analyzed by Western blotting using anti-p115 RhoGEF antibodies. The blot was reprobed with anti-Gab1 antibodies to show the overexpression of dnGab1. The bar graphs represent mean±SD of 3 independent experiments. *P<0.01 vs control or Ad-GFP; **P<0.01 vs thrombin or Ad-GFP+thrombin. pp115 indicates phosphorylated p115; pPDZ, phosphorylated PDZ; pLARG, phosphorylated LARG.

Figure 4.
  • Download figure
  • Open in new tab
  • Download powerpoint
Figure 4.

Proline-rich nonreceptor tyrosine kinase 2 (Pyk2) and Grb2-associated binder protein 1 (Gab1) via p115 Rho guanine nucleotide exchange factor (RhoGEF) mediate thrombin-induced Rac1 and RhoA activation. A, An equal amount of protein from control and each time period of thrombin (0.5 U/mL) treated human aortic smooth muscle cell (HASMCs) was subjected to pull-down assay using GST-Pak or GST-Rhotekin conjugated Sepharose CL4B beads and the resultant GST-Pak and GST-Rhotekin–bound proteins were analyzed by Western blotting for Rac1 or RhoA levels using their specific antibodies. An equal amount of protein from the same samples was analyzed by Western blotting for total Rac1 and RhoA levels using their specific antibodies. B and C, After transduction with adenovirus containing green fluorescent protein (Ad-GFP), adenovirus containing dominant negative Rac1 (Ad-dnRac1), or adenovirus containing dominant negative RhoA (Ad-dnRhoA), and quiescence, HASMCs were subjected to thrombin (0.5 U/mL) induced cell growth (B) or migration (C) assays. D, An equal amount of protein from HASMCs that were transfected with control or p115 RhoGEF small interfering RNA (siRNA) and treated with and without thrombin (0.5 U/mL) for 30 minutes were analyzed for Rac1 and RhoA activation as described in A. An equal amount of protein from the same samples was analyzed by Western blotting for total Rac1, RhoA, p115 RhoGEF, and cyclin-dependent kinase 4 levels to show the effect of the indicated siRNA on its target and off-target molecules. E–H, An equal amount of protein from HASMCs that were transduced with Ad-GFP, Ad-dnGab1, Ad-dnPyk2, Ad-dnRac1, or Ad-dnRhoA and treated with and without thrombin (0.5 U/mL) for 30 minutes were analyzed for Rac1 and RhoA activation as described in A. An equal amount of protein from the same samples was analyzed by Western blotting for Rac1, RhoA, Gab1, Pyk2, GFP, and β-tubulin levels to show the overexpression of their respective dominant negative mutants, control vector, or normalization. The bar graphs represent mean±SD of 3 independent experiments. *P<0.01 vs control or Ad-GFP; **P<0.01 vs thrombin or Ad-GFP+thrombin.

Figure 5.
  • Download figure
  • Open in new tab
  • Download powerpoint
Figure 5.

Proline-rich nonreceptor tyrosine kinase 2 (Pyk2), Grb2-associated binder protein 1 (Gab1), p115 rho guanine nucleotide exchange factor (RhoGEF), Rac1, and RhoA mediate thrombin-induced Pak1 activation. A, An equal amount of protein from control and each time period of thrombin (0.5 U/mL) treated human aortic smooth muscle cell (HASMCs) was analyzed by Western blotting for pPak1 levels using its specific antibodies and the blot was normalized for total Pak1 levels. B, An equal amount of protein from cell extracts of HASMCs that were transfected with control or Pak1 small interfering RNA (siRNA) was analyzed by Western blotting for Pak1 and β-tubulin levels using their specific antibodies to show the effect of the indicated siRNA on its target and off-target molecules. C and D, HASMCs that were transfected with control or Pak1 siRNA and quiesced were subjected to thrombin (0.5 U/mL) induced cell growth (C) or migration (D) assays. E–I, An equal amount of protein from HASMCs that were transduced with adenovirus containing green fluorescent protein (Ad-GFP), adenovirus containing dominant negative Rac (Ad-dnRac1), adenovirus containing dominant negative RhoA (Ad-dnRhoA), adenovirus containing dominant negative Gab1 (Ad-dnGab1), adenovirus containing dominant negative Pyk2 (Ad-dnPyk2), or transfected with control or p115 RhoGEF siRNA and treated with and without thrombin (0.5 U/mL) for 30 minutes were analyzed by Western blotting for pPak1 levels using its specific antibodies. The blots were reprobed with anti-Rac1, anti-RhoA, anti-p115 RhoGEF, anti-Gab1, anti-Pyk2, anti-GFP, anti-β-tubulin, or anti-cyclin-dependent kinase 4(CDK4) antibodies to show the overexpression of their respective dominant negative mutants, the siRNA effect on its target molecule level, control vector or for normalization. The bar graphs represent mean±SD of 3 independent experiments. *P<0.01 vs control or Ad-GFP; **P<0.01 vs thrombin or Ad-GFP+thrombin. pPak1 indicates phosphorylated Pak1.

To confirm the role of Pyk2 in thrombin-induced phosphorylation and activation of Gab1, p115 RhoGEF, Rac1, RhoA, and Pak1, we used the siRNA approach. Pyk2 depletion by its siRNA substantially inhibited thrombin-induced Gab1 and p115 RhoGEF tyrosine phosphorylation and Rac1, RhoA, and Pak1 activation (Figure II in the online-only Data Supplment). Consistent with these observations, siRNA-mediated downregulation of Pyk2 also attenuated thrombin-induced HASMC growth and migration (Figure III in the online-only Data Supplment). Furthermore, the blockade of Pyk2 activation by its dominant negative mutant had no effect on thrombin-induced protein kinase CΔ phosphorylation, suggesting that the role of Pyk2 on Gab1, p115 RhoGEF, Rac1, RhoA, and Pak1 stimulation by thrombin is selective (Figure IV in the online-only Data Supplement).

To validate these signaling events in vivo, we used BI of rat carotid artery model. BI induced tyrosine phosphorylation of Pyk2, Gab1, and p115 RhoGEF, as well as caused Rac1, RhoA, and Pak1 activation (Figure 6A−6C). In addition, adenovirus-mediated transduction of dominant negative Pyk2 blocked BI-induced Pyk2, Gab1, and p115 RhoGEF phosphorylation, as well as Rac1, RhoA, and Pak1 activation (Figure 6A−6C). To understand the role of Pyk2 in neointima formation, its activation was blocked by its dominant negative mutant and tested its effects on BI-induced SMC migration and proliferation. Adenovirus-mediated expression of dominant negative Pyk2 substantially inhibited BI-induced SMC recruitment to luminal surface and their proliferation in intimal region leading to the suppression of neointima formation (Figure 6D−6F).

Figure 6.
  • Download figure
  • Open in new tab
  • Download powerpoint
Figure 6.

Blockade of proline-rich nonreceptor tyrosine kinase 2 (Pyk2) activation suppresses balloon injury (BI)-induced neointima formation. A–C, Common carotid arteries were dissected out at 12 hours after BI and transduction with adenovirus containing green fluorescent (Ad-GFP) or adenovirus containing dominant negative Pyk2 (Ad-dnPyk2) and tissue extracts were prepared. Tissue extracts containing an equal amount of protein were analyzed by Western blotting for pPyk2 levels using its specific antibodies (A), immunoprecipitated with anti-PY20 antibodies and the immunocomplexes were immunoblotted for Grb2-associated binder protein 1 (Gab1) or p115 rho guanine nucleotide exchange factor levels using their specific antibodies (B) or subjected to pull-down assay for Rac1 and RhoA activation (C). For testing Pak1 activation, tissue extracts were analyzed by Western blotting for pPak1 levels using its phosphospecific antibodies and blot was normalized for total Pak1 and β-tubulin levels (C). The blot in A was reprobed sequentially with anti-Pyk2 and anti-β-tubulin antibodies to show the overexpression of dnPyk2 and normalization, respectively. The bar graphs in A–C represent the mean±SD values of 3 experiments each involving 2- to 4-pooled arteries. D, Three days after BI and transduction with Ad-GFP or Ad-dnPyk2, injured common carotid arteries were dissected out, fixed, opened longitudinally, and stained with anti–smooth muscle cell α (SMCα)-actin antibodies. The SMCα-actin–positive cells were counted and SMC migration was expressed as the number of SMCα-actin–positive cells migrated onto a unit luminal surface area. E, At 1 week post-BI and transduction with Ad-GFP or Ad-dnPyk2, injured common carotid arteries were isolated, fixed, cryosections made and stained for SMCα-actin and Ki67 using their specific antibodies. The SMCα-actin– and Ki67-positive cells were counted to measure neointimal SMC proliferation. F, At 2 weeks post-BI and transduction with Ad-GFP or Ad-dnPyk2, injured common carotid arteries were isolated, fixed, cross sections made, stained with hematoxylin-eosin and the I/M ratios were calculated to measure neointima formation. The bar graphs in D–F represent the quantitative analysis of 6 animals. *P<0.05 vs uninjured; *P<0.05 vs Ad-GFP+BI. Figure 6. (Continued) G, Schematic diagram depicting the signaling events activated by thrombin in human aortic smooth muscle cell and injury in the artery. pPyk2 indicates phosphorylated Pyk2.

Discussion

Pyk2 is a calcium-dependent proline-rich tyrosine kinase and plays a role in the regulation of cell migration and proliferation.14,15,30 In addition, it was reported that GPCR agonists, such as angiotensin II, and receptor tyrosine kinase agonists, such as platelet-derived growth factor-BB, activate Pyk2 in VSMCs, mediating the migration and proliferation of these cells.16,17 Furthermore, a recent study showed that Pyk2 plays a role in the early inflammatory reactions during atherogenesis.31 Despite this information, the mechanisms by which Pyk2 influences vascular diseases are not well understood. In this aspect, in the present study, we demonstrate that thrombin activates Pyk2, as well as Gab1, p115 RhoGEF, Rac1, RhoA, and Pak1 in HASMCs (Figure 6G). In addition, thrombin-induced activation of Gab1, p115 RhoGEF, Rac1, RhoA, and Pak1 requires Pyk2 stimulation. Furthermore, the present observations clearly show that activation of Pyk2 is required for thrombin-induced HASMC growth and migration. Because both GPCR and receptor tyrosine kinase agonists–induced VSMC growth and migration appear to require Pyk2 activation, it might have a role in VSMC dedifferentiation in response to cues that provoke vessel wall perturbation leading to vascular wall remodeling. Studies from our laboratory, as well as others, have previously reported that Gab1 plays a role in the regulation of VSMC growth/migration and cardiac hypertrophy.18,32,33 However, there appears to be no information on how Gab1 mediates VSMC migration and proliferation. In this regard, our studies show that Gab1 physically interacts with RhoGEFs, particularly p115 RhoGEF, and facilitates its Pyk2-mediated tyrosine phosphorylation in response to thrombin. A large body of literature suggests that p115 RhoGEF exhibits specificity for RhoA activation.26,27 However, our findings indicate that p115 RhoGEF mediates the activation of Rac1, which in turn, leads to RhoA stimulation in response to thrombin. It is interesting to note that in contrast to the antagonism reported between RhoA and Rac1 in the regulation of cell migration,34 the present observations reveal an interaction between these 2 Rho GTPases in thrombin-induced HASMC growth and migration. Although a similar interaction was observed between these 2 Rho GTPases in the modulation of rat aortic smooth muscle cell migration in response to thrombin, in these cells leukemia-associated RhoGEF–dependent RhoA stimulation is needed for Rac1 activation.18 Thus, these findings point out clear species differences between human and rat VSMCs in the interaction of Rac1 and RhoA and the mode of their activation by their upstream RhoGEFs in response to thrombin. The Rho GTPase effector Pak1 plays a vital role in cell migration.28,29 However, in the present study, we show that Pak1 in addition to its role in cell migration also plays a role in cell proliferation. Recently, it was demonstrated that Gab1 interacts with Pak4 in the regulation of Met receptor–mediated cell migration.35 It was also reported that Gab1 facilitates Ras-dependent mitogen-activated protein kinases activation in epidermal growth factor–induced epidermal cell proliferation.36 Based on all of these observations, as well as our previous18 and present findings, it may be suggested that Gab1 associates with many signaling molecules, including Rho and Ras-specific RhoGEFs, and mediates the activation of their respective downstream signaling events, such as MAPKs, in enhancing the agonist-induced cell migration and proliferation. In this context, we would like to point out that previously we reported a correlation between c-Jun N-terminal kinase 1 activation and VSMC growth in response to thrombin.37 In addition, many reports showed that small GTPases, Ras, Rac1, Cdc42, and RhoA mediate the activation of c-Jun N-terminal kinase 1 in response to various stimulants.38,39 In view of these observations, we may speculate that Pyk2-dependent Gab1-mediated p115 RhoGEF-Rac1/RhoA-Pak1 signaling activation may target c-Jun N-terminal kinase 1 stimulation in facilitating thrombin-induced HASMC growth and migration.

The role of Pyk2 in Gab1 and p115 RhoGEF phosphorylation leading to Rac1-RhoA-Pak1 activation in vitro in HASMCs may be validated in vivo in the carotid artery injury model. BI induced Pyk2 tyrosine phosphorylation very acutely. In addition, we observed that BI activates p115 RhoGEF, Rac1, RhoA, and Pak1 with a time period that correlates with Pyk2 stimulation. The finding that blockade of Pyk2 activation attenuates BI-induced activation of all these molecules suggests that Pyk2 acts upstream to these signaling molecules. Furthermore, inhibition of Pyk2 substantially reduced the presence of SMC on the luminal surface, as well as their proliferation in the intimal region, resulting in decreased neointima formation. Based on these findings, we can conclude that Pyk2 plays an important role in the activation of RhoGEFs, such as p115 RhoGEF, which in turn mediates Rac1 and RhoA-dependent Pak1 activation. The connection between Pyk2 and p115 RhoGEF appears to be Gab1. The previous work from our as well as other laboratories reported that local expression or intravenous delivery of recombinant hirudin inhibits neointima formation.18,40 In addition, we have shown that recombinant hirudin attenuates BI-induced activation of RhoA, Rac1, and Pak1.18 Because thrombin activates Pyk2-Gab1-p115 RhoGEF-Rac1-RhoA-Pak1 in HASMCs and blockade of Pyk2 negates BI-induced Gab1, p115 RhoGEF, Rac1, RhoA, and Pak1, it is likely that thrombin-mediated GPCR signaling to Pyk2 activation plays a role in vascular wall remodeling. Whatever the cues that might be produced at the site of vascular injury, the present findings nonetheless suggest a prominent role for Pyk2 in vascular wall remodeling after injury.

Acknowledgments

This work was supported by National Institutes of Health grants HL103575 and HL069908 to G.N.R.

Disclosures

None.

Footnotes

  • The online-only Data Supplement is available with this article at http://atvb.ahajournals.org/lookup/suppl/doi:10.1161/ATVBAHA.112.253112/-/DC1.

  • Received May 7, 2012.
  • Accepted August 15, 2012.
  • © 2012 American Heart Association, Inc.

References

  1. 1.↵
    1. Di Nisio M,
    2. Middeldorp S,
    3. Büller HR
    . Direct thrombin inhibitors. N Engl J Med. 2005;353:1028–1040.
    OpenUrlCrossRefPubMed
  2. 2.↵
    1. McNamara CA,
    2. Sarembock IJ,
    3. Gimple LW,
    4. Fenton JW 2nd.,
    5. Coughlin SR,
    6. Owens GK
    . Thrombin stimulates proliferation of cultured rat aortic smooth muscle cells by a proteolytically activated receptor. J Clin Invest. 1993;91:94–98.
    OpenUrlCrossRefPubMed
  3. 3.↵
    1. Rauch BH,
    2. Millette E,
    3. Kenagy RD,
    4. Daum G,
    5. Fischer JW,
    6. Clowes AW
    . Syndecan-4 is required for thrombin-induced migration and proliferation in human vascular smooth muscle cells. J Biol Chem. 2005;280:17507–17511.
    OpenUrlAbstract/FREE Full Text
  4. 4.↵
    1. Bar-Shavit R,
    2. Kahn A,
    3. Fenton JW 2nd.,
    4. Wilner GD
    . Chemotactic response of monocytes to thrombin. J Cell Biol. 1983;96:282–285.
    OpenUrlAbstract/FREE Full Text
  5. 5.↵
    1. Sabri A,
    2. Short J,
    3. Guo J,
    4. Steinberg SF
    . Protease-activated receptor-1-mediated DNA synthesis in cardiac fibroblast is via epidermal growth factor receptor transactivation: distinct PAR-1 signaling pathways in cardiac fibroblasts and cardiomyocytes. Circ Res. 2002;91:532–539.
    OpenUrlAbstract/FREE Full Text
  6. 6.↵
    1. Vergnolle N,
    2. Derian CK,
    3. D’Andrea MR,
    4. Steinhoff M,
    5. Andrade-Gordon P
    . Characterization of thrombin-induced leukocyte rolling and adherence: a potential proinflammatory role for proteinase-activated receptor-4. J Immunol. 2002;169:1467–1473.
    OpenUrlAbstract/FREE Full Text
  7. 7.↵
    1. Darmoul D,
    2. Gratio V,
    3. Devaud H,
    4. Lehy T,
    5. Laburthe M
    . Aberrant expression and activation of the thrombin receptor protease-activated receptor-1 induces cell proliferation and motility in human colon cancer cells. Am J Pathol. 2003;162:1503–1513.
    OpenUrlPubMed
  8. 8.↵
    1. Daub H,
    2. Weiss FU,
    3. Wallasch C,
    4. Ullrich A
    . Role of transactivation of the EGF receptor in signalling by G-protein-coupled receptors. Nature. 1996;379:557–560.
    OpenUrlCrossRefPubMed
  9. 9.↵
    1. Prenzel N,
    2. Zwick E,
    3. Daub H,
    4. Leserer M,
    5. Abraham R,
    6. Wallasch C,
    7. Ullrich A
    . EGF receptor transactivation by G-protein-coupled receptors requires metalloproteinase cleavage of proHB-EGF. Nature. 1999;402:884–888.
    OpenUrlCrossRefPubMed
  10. 10.↵
    1. Ayoub MA,
    2. Trinquet E,
    3. Pfleger KD,
    4. Pin JP
    . Differential association modes of the thrombin receptor PAR1 with Galphai1, Galpha12, and beta-arrestin 1. FASEB J. 2010;24:3522–3535.
    OpenUrlAbstract/FREE Full Text
  11. 11.↵
    1. McCoy KL,
    2. Traynelis SF,
    3. Hepler JR
    . PAR1 and PAR2 couple to overlapping and distinct sets of G proteins and linked signaling pathways to differentially regulate cell physiology. Mol Pharmacol. 2010;77:1005–1015.
    OpenUrlAbstract/FREE Full Text
  12. 12.↵
    1. Gavard J,
    2. Gutkind JS
    . Protein kinase C-related kinase and ROCK are required for thrombin-induced endothelial cell permeability downstream from Galpha12/13 and Galpha11/q. J Biol Chem. 2008;283:29888–29896.
    OpenUrlAbstract/FREE Full Text
  13. 13.↵
    1. Bunney TD,
    2. Katan M
    . PLC regulation: emerging pictures for molecular mechanisms. Trends Biochem Sci. 2011;36:88–96.
    OpenUrlCrossRefPubMed
  14. 14.↵
    1. Watson JM,
    2. Harding TW,
    3. Golubovskaya V,
    4. Morris JS,
    5. Hunter D,
    6. Li X,
    7. Haskill JS,
    8. Earp HS
    . Inhibition of the calcium-dependent tyrosine kinase (CADTK) blocks monocyte spreading and motility. J Biol Chem. 2001;276:3536–3542.
    OpenUrlAbstract/FREE Full Text
  15. 15.↵
    1. Sanjay A,
    2. Houghton A,
    3. Neff L,
    4. DiDomenico E,
    5. Bardelay C,
    6. Antoine E,
    7. Levy J,
    8. Gailit J,
    9. Bowtell D,
    10. Horne WC,
    11. Baron R
    . Cbl associates with Pyk2 and Src to regulate Src kinase activity, alpha(v)beta(3) integrin-mediated signaling, cell adhesion, and osteoclast motility. J Cell Biol. 2001;152:181–195.
    OpenUrlAbstract/FREE Full Text
  16. 16.↵
    1. Sabri A,
    2. Govindarajan G,
    3. Griffin TM,
    4. Byron KL,
    5. Samarel AM,
    6. Lucchesi PA
    . Calcium- and protein kinase C-dependent activation of the tyrosine kinase PYK2 by angiotensin II in vascular smooth muscle. Circ Res. 1998;83:841–851.
    OpenUrlAbstract/FREE Full Text
  17. 17.↵
    1. Perez J,
    2. Torres RA,
    3. Rocic P,
    4. Cismowski MJ,
    5. Weber DS,
    6. Darley-Usmar VM,
    7. Lucchesi PA
    . PYK2 signaling is required for PDGF-dependent vascular smooth muscle cell proliferation. Am J Physiol, Cell Physiol. 2011;301:C242–C251.
    OpenUrlAbstract/FREE Full Text
  18. 18.↵
    1. Wang D,
    2. Paria BC,
    3. Zhang Q,
    4. Karpurapu M,
    5. Li Q,
    6. Gerthoffer WT,
    7. Nakaoka Y,
    8. Rao GN
    . A role for Gab1/SHP2 in thrombin activation of PAK1: gene transfer of kinase-dead PAK1 inhibits injury-induced restenosis. Circ Res. 2009;104:1066–1075.
    OpenUrlAbstract/FREE Full Text
  19. 19.↵
    1. Dechert MA,
    2. Holder JM,
    3. Gerthoffer WT
    . p21-activated kinase 1 participates in tracheal smooth muscle cell migration by signaling to p38 Mapk. Am J Physiol, Cell Physiol. 2001;281:C123–C132.
    OpenUrlAbstract/FREE Full Text
  20. 20.↵
    1. Fisslthaler B,
    2. Loot AE,
    3. Mohamed A,
    4. Busse R,
    5. Fleming I
    . Inhibition of endothelial nitric oxide synthase activity by proline-rich tyrosine kinase 2 in response to fluid shear stress and insulin. Circ Res. 2008;102:1520–1528.
    OpenUrlAbstract/FREE Full Text
  21. 21.↵
    1. Liu Z,
    2. Zhang C,
    3. Dronadula N,
    4. Li Q,
    5. Rao GN
    . Blockade of nuclear factor of activated T cells activation signaling suppresses balloon injury-induced neointima formation in a rat carotid artery model. J Biol Chem. 2005;280:14700–14708.
    OpenUrlAbstract/FREE Full Text
  22. 22.↵
    1. Berkner KL
    . Development of adenovirus vectors for the expression of heterologous genes. BioTechniques. 1988;6:616–629.
    OpenUrlCrossRefPubMed
  23. 23.↵
    1. Bendeck MP,
    2. Zempo N,
    3. Clowes AW,
    4. Galardy RE,
    5. Reidy MA
    . Smooth muscle cell migration and matrix metalloproteinase expression after arterial injury in the rat. Circ Res. 1994;75:539–545.
    OpenUrlAbstract/FREE Full Text
  24. 24.↵
    1. Takahashi-Tezuka M,
    2. Yoshida Y,
    3. Fukada T,
    4. Ohtani T,
    5. Yamanaka Y,
    6. Nishida K,
    7. Nakajima K,
    8. Hibi M,
    9. Hirano T
    . Gab1 acts as an adapter molecule linking the cytokine receptor gp130 to ERK mitogen-activated protein kinase. Mol Cell Biol. 1998;18:4109–4117.
    OpenUrlAbstract/FREE Full Text
  25. 25.↵
    1. Aittaleb M,
    2. Boguth CA,
    3. Tesmer JJ
    . Structure and function of heterotrimeric G protein-regulated Rho guanine nucleotide exchange factors. Mol Pharmacol. 2010;77:111–125.
    OpenUrlAbstract/FREE Full Text
  26. 26.↵
    1. Schmidt A,
    2. Hall A
    . Guanine nucleotide exchange factors for Rho GTPases: turning on the switch. Genes Dev. 2002;16:1587–1609.
    OpenUrlFREE Full Text
  27. 27.↵
    1. Raftopoulou M,
    2. Hall A
    . Cell migration: Rho GTPases lead the way. Dev Biol. 2004;265:23–32.
    OpenUrlCrossRefPubMed
  28. 28.↵
    1. Sells MA,
    2. Knaus UG,
    3. Bagrodia S,
    4. Ambrose DM,
    5. Bokoch GM,
    6. Chernoff J
    . Human p21-activated kinase (Pak1) regulates actin organization in mammalian cells. Curr Biol. 1997;7:202–210.
    OpenUrlCrossRefPubMed
  29. 29.↵
    1. Sells MA,
    2. Boyd JT,
    3. Chernoff J
    . p21-activated kinase 1 (Pak1) regulates cell motility in mammalian fibroblasts. J Cell Biol. 1999;145:837–849.
    OpenUrlAbstract/FREE Full Text
  30. 30.↵
    1. Lim Y,
    2. Lim ST,
    3. Tomar A,
    4. Gardel M,
    5. Bernard-Trifilo JA,
    6. Chen XL,
    7. Uryu SA,
    8. Canete-Soler R,
    9. Zhai J,
    10. Lin H,
    11. Schlaepfer WW,
    12. Nalbant P,
    13. Bokoch G,
    14. Ilic D,
    15. Waterman-Storer C,
    16. Schlaepfer DD
    . PyK2 and FAK connections to p190Rho guanine nucleotide exchange factor regulate RhoA activity, focal adhesion formation, and cell motility. J Cell Biol. 2008;180:187–203.
    OpenUrlAbstract/FREE Full Text
  31. 31.↵
    1. Katsume A,
    2. Okigaki M,
    3. Matsui A,
    4. Che J,
    5. Adachi Y,
    6. Kishita E,
    7. Yamaguchi S,
    8. Ikeda K,
    9. Ueyama T,
    10. Matoba S,
    11. Yamada H,
    12. Matsubara H
    . Early inflammatory reactions in atherosclerosis are induced by proline-rich tyrosine kinase/reactive oxygen species-mediated release of tumor necrosis factor-alpha and subsequent activation of the p21Cip1/Ets-1/p300 system. Arterioscler Thromb Vasc Biol. 2011;31:1084–1092.
    OpenUrlAbstract/FREE Full Text
  32. 32.↵
    1. Mood K,
    2. Saucier C,
    3. Bong YS,
    4. Lee HS,
    5. Park M,
    6. Daar IO
    . Gab1 is required for cell cycle transition, cell proliferation, and transformation induced by an oncogenic met receptor. Mol Biol Cell. 2006;17:3717–3728.
    OpenUrlAbstract/FREE Full Text
  33. 33.↵
    1. Nakaoka Y,
    2. Nishida K,
    3. Fujio Y,
    4. Izumi M,
    5. Terai K,
    6. Oshima Y,
    7. Sugiyama S,
    8. Matsuda S,
    9. Koyasu S,
    10. Yamauchi-Takihara K,
    11. Hirano T,
    12. Kawase I,
    13. Hirota H
    . Activation of gp130 transduces hypertrophic signal through interaction of scaffolding/docking protein Gab1 with tyrosine phosphatase SHP2 in cardiomyocytes. Circ Res. 2003;93:221–229.
    OpenUrlAbstract/FREE Full Text
  34. 34.↵
    1. Leeuwen FN,
    2. Kain HE,
    3. Kammen RA,
    4. Michiels F,
    5. Kranenburg OW,
    6. Collard JG
    . The guanine nucleotide exchange factor Tiam1 affects neuronal morphology; opposing roles for the small GTPases Rac and Rho. J Cell Biol. 1997;139:797–807.
    OpenUrlAbstract/FREE Full Text
  35. 35.↵
    1. Paliouras GN,
    2. Naujokas MA,
    3. Park M
    . Pak4, a novel Gab1 binding partner, modulates cell migration and invasion by the Met receptor. Mol Cell Biol. 2009;29:3018–3032.
    OpenUrlAbstract/FREE Full Text
  36. 36.↵
    1. Cai T,
    2. Nishida K,
    3. Hirano T,
    4. Khavari PA
    . Gab1 and SHP-2 promote Ras/MAPK regulation of epidermal growth and differentiation. J Cell Biol. 2002;159:103–112.
    OpenUrlAbstract/FREE Full Text
  37. 37.↵
    1. Rao GN,
    2. Runge MS
    . Cyclic AMP inhibition of thrombin-induced growth in vascular smooth muscle cells correlates with decreased JNK1 activity and c-Jun expression. J Biol Chem. 1996;271:20805–20810.
    OpenUrlAbstract/FREE Full Text
  38. 38.↵
    1. Auer KL,
    2. Contessa J,
    3. Brenz-Verca S,
    4. Pirola L,
    5. Rusconi S,
    6. Cooper G,
    7. Abo A,
    8. Wymann MP,
    9. Davis RJ,
    10. Birrer M,
    11. Dent P
    . The Ras/Rac1/Cdc42/SEK/JNK/c-Jun cascade is a key pathway by which agonists stimulate DNA synthesis in primary cultures of rat hepatocytes. Mol Biol Cell. 1998;9:561–573.
    OpenUrlAbstract/FREE Full Text
  39. 39.↵
    1. Lee YN,
    2. Malbon CC,
    3. Wang HY
    . G alpha 13 signals via p115RhoGEF cascades regulating JNK1 and primitive endoderm formation. J Biol Chem. 2004;279:54896–54904.
    OpenUrlAbstract/FREE Full Text
  40. 40.↵
    1. Rade JJ,
    2. Schulick AH,
    3. Virmani R,
    4. Dichek DA
    . Local adenoviral-mediated expression of recombinant hirudin reduces neointima formation after arterial injury. Nat Med. 1996;2:293–298.
    OpenUrlCrossRefPubMed
View Abstract
Back to top
Previous ArticleNext Article

This Issue

Arteriosclerosis, Thrombosis, and Vascular Biology
November 2012, Volume 32, Issue 11
  • Table of Contents
Previous ArticleNext Article

Jump to

  • Article
    • Abstract
    • Introduction
    • Materials and Methods
    • Results
    • Discussion
    • Acknowledgments
    • Disclosures
    • Footnotes
    • References
  • Figures & Tables
  • Supplemental Materials
  • Info & Metrics
  • eLetters

Article Tools

  • Print
  • Citation Tools
    Novel Role of Proline-Rich Nonreceptor Tyrosine Kinase 2 in Vascular Wall Remodeling After Balloon Injury
    Ravisekhar Gadepalli, Nikhlesh K. Singh, Venkatesh Kundumani-Sridharan, Mark R. Heckle and Gadiparthi N. Rao
    Arteriosclerosis, Thrombosis, and Vascular Biology. 2012;32:2652-2661, originally published October 17, 2012
    https://doi.org/10.1161/ATVBAHA.112.253112

    Citation Manager Formats

    • BibTeX
    • Bookends
    • EasyBib
    • EndNote (tagged)
    • EndNote 8 (xml)
    • Medlars
    • Mendeley
    • Papers
    • RefWorks Tagged
    • Ref Manager
    • RIS
    • Zotero
  •  Download Powerpoint
  • Article Alerts
    Log in to Email Alerts with your email address.
  • Save to my folders

Share this Article

  • Email

    Thank you for your interest in spreading the word on Arteriosclerosis, Thrombosis, and Vascular Biology.

    NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

    Enter multiple addresses on separate lines or separate them with commas.
    Novel Role of Proline-Rich Nonreceptor Tyrosine Kinase 2 in Vascular Wall Remodeling After Balloon Injury
    (Your Name) has sent you a message from Arteriosclerosis, Thrombosis, and Vascular Biology
    (Your Name) thought you would like to see the Arteriosclerosis, Thrombosis, and Vascular Biology web site.
  • Share on Social Media
    Novel Role of Proline-Rich Nonreceptor Tyrosine Kinase 2 in Vascular Wall Remodeling After Balloon Injury
    Ravisekhar Gadepalli, Nikhlesh K. Singh, Venkatesh Kundumani-Sridharan, Mark R. Heckle and Gadiparthi N. Rao
    Arteriosclerosis, Thrombosis, and Vascular Biology. 2012;32:2652-2661, originally published October 17, 2012
    https://doi.org/10.1161/ATVBAHA.112.253112
    del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo

Related Articles

Cited By...

Subjects

  • Basic, Translational, and Clinical Research
    • Smooth Muscle Proliferation and Differentiation
    • Vascular Biology
    • Cell Signaling/Signal Transduction

Arteriosclerosis, Thrombosis, and Vascular Biology

  • About ATVB
  • AHA CME
  • Meeting Abstracts
  • Permissions
  • Email Alerts
  • Open Access Information
  • AHA Journals RSS
  • AHA Newsroom

Contact the Editorial Office:
email: atvb@atvb.org

Information for:
  • Advertisers
  • Subscribers
  • Subscriber Help
  • Institutions / Librarians
  • Institutional Subscriptions FAQ
  • International Users
American Heart Association Learn and Live
National Center
7272 Greenville Ave.
Dallas, TX 75231

Customer Service

  • 1-800-AHA-USA-1
  • 1-800-242-8721
  • Local Info
  • Contact Us

About Us

Our mission is to build healthier lives, free of cardiovascular diseases and stroke. That single purpose drives all we do. The need for our work is beyond question. Find Out More about the American Heart Association

  • Careers
  • SHOP
  • Latest Heart and Stroke News
  • AHA/ASA Media Newsroom

Our Sites

  • American Heart Association
  • American Stroke Association
  • For Professionals
  • More Sites

Take Action

  • Advocate
  • Donate
  • Planned Giving
  • Volunteer

Online Communities

  • AFib Support
  • Garden Community
  • Patient Support Network
  • Professional Online Network

Follow Us:

  • Follow Circulation on Twitter
  • Visit Circulation on Facebook
  • Follow Circulation on Google Plus
  • Follow Circulation on Instagram
  • Follow Circulation on Pinterest
  • Follow Circulation on YouTube
  • Rss Feeds
  • Privacy Policy
  • Copyright
  • Ethics Policy
  • Conflict of Interest Policy
  • Linking Policy
  • Diversity
  • Careers

©2018 American Heart Association, Inc. All rights reserved. Unauthorized use prohibited. The American Heart Association is a qualified 501(c)(3) tax-exempt organization.
*Red Dress™ DHHS, Go Red™ AHA; National Wear Red Day ® is a registered trademark.

  • PUTTING PATIENTS FIRST National Health Council Standards of Excellence Certification Program
  • BBB Accredited Charity
  • Comodo Secured