PMID- 11015350 OWN - NLM STAT- MEDLINE DCOM- 20001026 LR - 20190623 IS - 1524-4539 (Electronic) IS - 0009-7322 (Linking) VI - 102 IP - 14 DP - 2000 Oct 3 TI - Direct evidence for cytokine involvement in neointimal hyperplasia. PG - 1697-702 AB - BACKGROUND: Tumor necrosis factor-alpha (TNF-alpha) and interleukin 1 (IL-1) are proximal inflammatory cytokines that stimulate expression of adhesion molecules and induce synthesis of other proinflammatory cytokines. In addition, TNF-alpha and IL-1 influence vascular smooth muscle cell migration and proliferation in vitro. In view of the inflammatory nature of neointimal hyperplasia (NIH), we tested the hypothesis that endogenous TNF-alpha and IL-1 modulate low shear stress-induced NIH. METHODS AND RESULTS: Mice underwent unilateral common carotid artery (CCA) ligation. Low shear stress in the patent ligated CCA has previously been shown to result in remodeling and NIH. Reverse transcriptase-polymerase chain reaction for TNF-alpha and IL-1alpha mRNA demonstrated both TNF-alpha and IL-1alpha mRNA in ligated CCAs, whereas normal and sham-operated CCAs had none. Mice lacking functional TNF-alpha (TNF-/-) developed 14-fold less neointimal area than WT controls (P:<0.05). p80 IL-1 type I receptor knockout (IL-1RI-/-) mice tended to develop less (7-fold, P:>0.05) neointimal area than WT controls. Furthermore, no IL-1alpha mRNA expression was detected in CCAs from TNF-/- mice; however, TNF-alpha mRNA expression was found in the IL-1RI-/- mice. Mice that overexpress membrane-bound TNF-alpha but produce no soluble TNF-alpha display an accentuated fibroproliferative response to low shear stress (P:<0.05). CONCLUSIONS: These results directly demonstrate that TNF-alpha and IL-1 modulate NIH induced by low shear stress. NIH can proceed by way of soluble TNF-alpha-independent mechanisms. Specific anti-TNF-alpha and anti-IL-1 therapies may lessen NIH. FAU - Rectenwald, J E AU - Rectenwald JE AD - University of Florida College of Medicine, Malcom Randall VAMC, Gainesville, FL, USA. FAU - Moldawer, L L AU - Moldawer LL FAU - Huber, T S AU - Huber TS FAU - Seeger, J M AU - Seeger JM FAU - Ozaki, C K AU - Ozaki CK LA - eng GR - 1T32-GM08721-01/GM/NIGMS NIH HHS/United States GR - GM-40586/GM/NIGMS NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Circulation JT - Circulation JID - 0147763 RN - 0 (Interleukin-1) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Animals MH - Hyperplasia/metabolism MH - Immunohistochemistry MH - Interleukin-1/genetics/metabolism/*physiology MH - Male MH - Mice MH - Mice, Transgenic MH - Tumor Necrosis Factor-alpha/metabolism/*physiology MH - Tunica Intima/metabolism/*pathology EDAT- 2000/10/04 11:00 MHDA- 2001/02/28 10:01 CRDT- 2000/10/04 11:00 PHST- 2000/10/04 11:00 [pubmed] PHST- 2001/02/28 10:01 [medline] PHST- 2000/10/04 11:00 [entrez] AID - 10.1161/01.cir.102.14.1697 [doi] PST - ppublish SO - Circulation. 2000 Oct 3;102(14):1697-702. doi: 10.1161/01.cir.102.14.1697.