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on July 26, 2004

Circulation. 2004
Published online before print July 26, 2004, doi: 10.1161/01.CIR.0000136995.83451.1D
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Submitted on July 8, 2003
Revised on March 23, 2004
Accepted on March 30, 2004

Role for Matrix Metalloproteinase-2 in Oxidized Low-Density Lipoprotein-Induced Activation of the Sphingomyelin/Ceramide Pathway and Smooth Muscle Cell Proliferation

Nathalie Augé PhD, Françoise Maupas-Schwalm MD, Meyer Elbaz MD, Jean-Claude Thiers MSc, Axel Waysbort MD, Shigeyoshi Itohara PhD, Hans-Willi Krell PhD, Robert Salvayre MD, PhD*, and Anne Nègre-Salvayre PhD

From INSERM U-466, Department of Biochemistry (N.A., F.M.-S., M.E., J.-C.T., A.W., R.S., A.N.-S.) and Department of Cardiology (M.E.), CHU Rangueil, Toulouse, France; Roche Diagnostics GmbH, Penzberg, Germany (H.-W.K.); and RIKEN Brain Science Institute, Wako-Shi, Saitama, Japan (S.I.).

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

Background--Oxidized LDLs (oxLDLs) and matrix metalloproteinases (MMPs) are present in atherosclerotic lesions. OxLDLs activate various signaling pathways potentially involved in atherogenesis. OxLDLs induce smooth muscle cell (SMC) proliferation mediated by the activation of the sphingomyelin/ceramide pathway and tyrosine kinase receptors. MMPs are also able to induce SMC migration and proliferation in addition to extracellular matrix degradation. The present study was designed to investigate whether MMPs play a role in the mitogenic effect of oxLDLs.

Methods and Results--OxLDLs induce the release of activated MMP-2 in SMC culture medium. MMP-2 was identified by its 65-kDa gelatinase activity on zymography and by using specific blocking antibodies and MMP-2-/- cells. MMP inhibitors (batimastat and Ro28-2653) and the blocking antibodies anti-MMP-2 and anti-membrane type 1-MMP inhibited the oxLDL-induced sphingomyelin/ceramide pathway activation and subsequent activation of ERK1/2 and DNA synthesis but did not inhibit the oxLDL-induced epidermal growth factor receptor and platelet-derived growth factor receptor activation. Exogenously added activated MMP-2 or membrane type 1-MMP-1 triggered the activation of both sphingomyelin/ceramide and ERK1/2 pathways and DNA synthesis. Conversely, suppression of MMP-2 expression in MMP-2-/- cells or in SMCs treated by small-interference RNA also blocked both sphingomyelin/ceramide signaling and DNA synthesis.

Conclusions--Together, these data demonstrate that MMP-2 plays a pivotal role in oxLDL-induced activation of the sphingomyelin/ceramide signaling pathway and subsequent SMC proliferation. These pathways may constitute a potential therapeutic target for modulating the oxLDL-induced proliferation of SMCs in atherosclerosis or restenosis.


Key words: cells, muscle, smooth • lipoproteins • metalloproteases • sphingomyelins • ceramides




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