PMID- 12805493 OWN - NLM STAT- MEDLINE DCOM- 20030801 LR - 20220409 IS - 1524-4628 (Electronic) IS - 0039-2499 (Linking) VI - 34 IP - 7 DP - 2003 Jul TI - Possible role of parathyroid hormone-related protein as a proinflammatory cytokine in atherosclerosis. PG - 1783-9 AB - BACKGROUND AND PURPOSE: Parathyroid hormone-related protein (PTHrP) is a vasodilator peptide. In addition, PTHrP appears to affect vascular growth and to be a mediator of inflammation in rheumatic and brain disorders. We examined the possible role of PTHrP in the inflammatory process in atherosclerosis METHODS: We immunohistochemically analyzed the cellular localization of PTHrP, the type 1 PTH/PTHrP receptor (PTH1R), and monocyte chemoattractant protein-1 (MCP-1) in 26 human carotid atherosclerotic plaques. RESULTS: The inflammatory region of plaques was characterized by high PTHrP, PTH1R, and MCP-1 immunostaining in relation to the cap (0.75+/-0.1 versus 0.29+/-0.04, 0.5+/-0.1 versus 0.25+/-0.05, 0.72+/-0.2 versus 0.29+/-0.05, respectively; P<0.05). PTHrP and MCP-1 were colocalized in both resident and inflammatory cells in the plaque. Moreover, in cultured vascular smooth muscle cells (VSMC), PTHrP(1-36) increased MCP-1 mRNA (3-fold at 6 hours) and MCP-1 protein (2.5-fold at 24 hours). This effect was inhibited by either PTHrP(7-34) or various protein kinase A inhibitors and by the nuclear factor-kappaB (NF-kappaB) inhibitor parthenolide. Furthermore, PTHrP(1-36) elicited an increase in NF-kappaB activation in VSMC. The 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitor simvastatin inhibited the PTHrP(1-36) induction of both NF-kappaB activity and MCP-1 overexpression, and this was reversed by mevalonate. CONCLUSIONS: PTHrP appears to be a novel proinflammatory mediator in the atheroma lesion and may contribute to the instability of carotid atherosclerotic plaques. Our data provide a new rationale to understand the mechanisms involved in the beneficial effects of statins in atherosclerosis. FAU - Martin-Ventura, Jose Luis AU - Martin-Ventura JL AD - Vascular Research Laboratory, Fundacion Jimenez Diaz, Autonoma University, Madrid, Spain. FAU - Ortego, Monica AU - Ortego M FAU - Esbrit, Pedro AU - Esbrit P FAU - Hernandez-Presa, Miguel Angel AU - Hernandez-Presa MA FAU - Ortega, Luis AU - Ortega L FAU - Egido, Jesus AU - Egido J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20030612 PL - United States TA - Stroke JT - Stroke JID - 0235266 RN - 0 (Chemokine CCL2) RN - 0 (Cytokines) RN - 0 (Hydroxymethylglutaryl-CoA Reductase Inhibitors) RN - 0 (Inflammation Mediators) RN - 0 (NF-kappa B) RN - 0 (PTH1R protein, human) RN - 0 (PTHLH protein, human) RN - 0 (Parathyroid Hormone-Related Protein) RN - 0 (Peptide Fragments) RN - 0 (Peptide Hormones) RN - 0 (Proteins) RN - 0 (RNA, Messenger) RN - 0 (Receptor, Parathyroid Hormone, Type 1) RN - 0 (Receptors, Parathyroid Hormone) RN - 0 (Sesquiterpenes) RN - 0 (parathyroid hormone-related peptide (1-36)) RN - 2RDB26I5ZB (parthenolide) SB - IM MH - Aged MH - Animals MH - Arteriosclerosis/immunology/*metabolism/pathology MH - Carotid Artery Diseases/immunology/*metabolism/pathology MH - Cells, Cultured MH - Chemokine CCL2/biosynthesis/genetics MH - Cytokines/*metabolism MH - Electrophoretic Mobility Shift Assay MH - Female MH - Humans MH - Hydroxymethylglutaryl-CoA Reductase Inhibitors/pharmacology MH - Immunohistochemistry MH - Inflammation Mediators/*metabolism MH - Male MH - Muscle, Smooth, Vascular/cytology/drug effects/metabolism MH - NF-kappa B/antagonists & inhibitors MH - Parathyroid Hormone-Related Protein MH - Peptide Fragments/pharmacology MH - Peptide Hormones/*metabolism MH - Precipitin Tests MH - Proteins/pharmacology MH - RNA, Messenger/metabolism MH - Rats MH - Receptor, Parathyroid Hormone, Type 1 MH - Receptors, Parathyroid Hormone/biosynthesis MH - Sesquiterpenes/pharmacology EDAT- 2003/06/14 05:00 MHDA- 2003/08/02 05:00 CRDT- 2003/06/14 05:00 PHST- 2003/06/14 05:00 [pubmed] PHST- 2003/08/02 05:00 [medline] PHST- 2003/06/14 05:00 [entrez] AID - 01.STR.0000078371.00577.76 [pii] AID - 10.1161/01.STR.0000078371.00577.76 [doi] PST - ppublish SO - Stroke. 2003 Jul;34(7):1783-9. doi: 10.1161/01.STR.0000078371.00577.76. Epub 2003 Jun 12.