Inhibition of MDM2 attenuates neointimal hyperplasia via suppression of vascular proliferation and inflammation

Tumour protein p53 plays an important role in the vascular remodelling process as well as in oncogenesis. p53 is negatively regulated by murine double minute 2 (MDM2). A recently developed MDM2 inhibitor, nutlin-3, is a non-genotoxic activator of the p53 pathway. So far, the effect of MDM2 inhibitio...

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Veröffentlicht in:Cardiovascular research 2011-09, Vol.91 (4), p.711-719
Hauptverfasser: HASHIMOTO, Toru, ICHIKI, Toshihiro, IKEDA, Jiro, NARABAYASHI, Eriko, MATSUURA, Hirohide, MIYAZAKI, Ryohei, INANAGA, Keita, TAKEDA, Kotaro, SUNAGAWA, Kenji
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container_end_page 719
container_issue 4
container_start_page 711
container_title Cardiovascular research
container_volume 91
creator HASHIMOTO, Toru
ICHIKI, Toshihiro
IKEDA, Jiro
NARABAYASHI, Eriko
MATSUURA, Hirohide
MIYAZAKI, Ryohei
INANAGA, Keita
TAKEDA, Kotaro
SUNAGAWA, Kenji
description Tumour protein p53 plays an important role in the vascular remodelling process as well as in oncogenesis. p53 is negatively regulated by murine double minute 2 (MDM2). A recently developed MDM2 inhibitor, nutlin-3, is a non-genotoxic activator of the p53 pathway. So far, the effect of MDM2 inhibition on vascular remodelling has not been elucidated. We therefore investigated the effect of nutlin-3 on neointima formation. Nutlin-3 up-regulated p53 and its downstream target p21 in vascular smooth muscle cells (VSMCs). DNA synthesis assay and flow cytometric analysis revealed that nutlin-3 inhibited platelet-derived growth factor (PDGF)-induced VSMC proliferation by cell cycle arrest. This inhibitory effect was abrogated in p53-siRNA-transfected VSMCs. Furthermore, nutlin-3 inhibited PDGF-stimulated VSMC migration. Treatment with nutlin-3 attenuated neointimal hyperplasia at 28 days after vascular injury in mice, associated with up-regulation of p53 and p21. BrdU incorporation was decreased at 14 days after injury in nutlin-3-treated mice. TUNEL assay showed that nutlin-3 did not exaggerate apoptosis of the injured vessels. Infiltration of macrophages and T-lymphocytes and mRNA expression of chemokine (C-C motif) ligand-5, interleukin-6, and intercellular adhesion molecule-1 were decreased in the injured vessels of nutlin-3-treated mice. Nutlin-3 suppressed NF-κB activation in VSMCs, but not in p53-siRNA-transfected VSMCs. The MDM2 antagonist nutlin-3 inhibits VSMC proliferation, migration, and NF-κB activation, and also attenuates neointimal hyperplasia after vascular injury in mice, which is associated with suppression of vascular cell proliferation and an inflammatory response. Targeting MDM2 might be a potential therapeutic strategy for the treatment of vascular proliferative diseases.
doi_str_mv 10.1093/cvr/cvr108
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A recently developed MDM2 inhibitor, nutlin-3, is a non-genotoxic activator of the p53 pathway. So far, the effect of MDM2 inhibition on vascular remodelling has not been elucidated. We therefore investigated the effect of nutlin-3 on neointima formation. Nutlin-3 up-regulated p53 and its downstream target p21 in vascular smooth muscle cells (VSMCs). DNA synthesis assay and flow cytometric analysis revealed that nutlin-3 inhibited platelet-derived growth factor (PDGF)-induced VSMC proliferation by cell cycle arrest. This inhibitory effect was abrogated in p53-siRNA-transfected VSMCs. Furthermore, nutlin-3 inhibited PDGF-stimulated VSMC migration. Treatment with nutlin-3 attenuated neointimal hyperplasia at 28 days after vascular injury in mice, associated with up-regulation of p53 and p21. BrdU incorporation was decreased at 14 days after injury in nutlin-3-treated mice. TUNEL assay showed that nutlin-3 did not exaggerate apoptosis of the injured vessels. Infiltration of macrophages and T-lymphocytes and mRNA expression of chemokine (C-C motif) ligand-5, interleukin-6, and intercellular adhesion molecule-1 were decreased in the injured vessels of nutlin-3-treated mice. Nutlin-3 suppressed NF-κB activation in VSMCs, but not in p53-siRNA-transfected VSMCs. The MDM2 antagonist nutlin-3 inhibits VSMC proliferation, migration, and NF-κB activation, and also attenuates neointimal hyperplasia after vascular injury in mice, which is associated with suppression of vascular cell proliferation and an inflammatory response. 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subjects Animals
Biological and medical sciences
Cardiology. Vascular system
Cell Cycle - drug effects
Cell Movement - drug effects
Cell Proliferation - drug effects
Hyperplasia
Imidazoles - pharmacology
Inflammation - prevention & control
Male
Medical sciences
Mice
Mice, Inbred C57BL
Muscle, Smooth, Vascular - cytology
Neointima - pathology
NF-kappa B - metabolism
Piperazines - pharmacology
Proto-Oncogene Proteins c-mdm2 - antagonists & inhibitors
Proto-Oncogene Proteins c-mdm2 - physiology
Rats
Rats, Sprague-Dawley
Tumor Suppressor Protein p53 - physiology
title Inhibition of MDM2 attenuates neointimal hyperplasia via suppression of vascular proliferation and inflammation
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