PMID- 16113518 OWN - NLM STAT- MEDLINE DCOM- 20051222 LR - 20220228 IS - 0250-8095 (Print) IS - 0250-8095 (Linking) VI - 25 IP - 5 DP - 2005 Sep-Oct TI - Uric acid causes vascular smooth muscle cell proliferation by entering cells via a functional urate transporter. PG - 425-33 AB - BACKGROUND: Soluble uric acid stimulates vascular smooth muscle cell (VSMC) proliferation by activating mitogen-activated protein kinases, and stimulating COX-2 and PDGF synthesis. The mechanism by which uric acid enters the VSMC is not known. We hypothesized that uric acid enters via transporters similar to that observed in the kidney. METHODS: We studied the uptake of uric acid into rat VSMC under polarized and depolarized conditions and in the presence of organic anion transport (OAT) inhibitors (probenecid and benzbromarone) or p-aminohippurate (PAH). We also examined the ability of probenecid to inhibit uric acid-induced VSMC proliferation and monocyte chemoattractant protein-1 (MCP-1) synthesis. RESULTS: (14)C-Urate uptake was shown in VSMC and was enhanced under depolarized conditions. (14)C-Uric acid uptake was inhibited by probenecid and benzbromarone, as well as by unlabelled urate and PAH. Probenecid blocked VSMC proliferation and MCP-1 expression in response to uric acid. VSMC did not express rOAT1-3, rOAT-5 or URAT-1 mRNA by PCR, but did express the voltage-sensitive transporter (UAT) by both PCR and RNase protection assay. CONCLUSIONS: Urate enters VSMC by both voltage-sensitive and OAT pathways, and the uptake, cell proliferation and MCP-1 expression can be blocked by OAT inhibitors. The specific transporter(s) responsible for the urate uptake remains to be determined. CI - Copyright (c) 2005 S. Karger AG, Basel. FAU - Kang, Duk-Hee AU - Kang DH AD - Division of Nephrology, Ewha Women's University College of Medicine, Seoul, Korea. FAU - Han, Lin AU - Han L FAU - Ouyang, Xiaosen AU - Ouyang X FAU - Kahn, Andrew M AU - Kahn AM FAU - Kanellis, John AU - Kanellis J FAU - Li, Ping AU - Li P FAU - Feng, Lili AU - Feng L FAU - Nakagawa, Takahiko AU - Nakagawa T FAU - Watanabe, Susumu AU - Watanabe S FAU - Hosoyamada, Makoto AU - Hosoyamada M FAU - Endou, Hitoshi AU - Endou H FAU - Lipkowitz, Michael AU - Lipkowitz M FAU - Abramson, Ruth AU - Abramson R FAU - Mu, Wei AU - Mu W FAU - Johnson, Richard J AU - Johnson RJ LA - eng GR - I01 BX002586/BX/BLRD VA/United States GR - 1P50 DK 064233-01/DK/NIDDK NIH HHS/United States GR - R01 HL 68607/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. DEP - 20050819 PL - Switzerland TA - Am J Nephrol JT - American journal of nephrology JID - 8109361 RN - 0 (Ccl2 protein, rat) RN - 0 (Chemokine CCL2) RN - 0 (Organic Anion Transporters) RN - 0 (urate transporter) RN - 268B43MJ25 (Uric Acid) RN - PO572Z7917 (Probenecid) SB - IM MH - Animals MH - Cell Proliferation/drug effects MH - Cells, Cultured MH - Chemokine CCL2/antagonists & inhibitors/biosynthesis MH - Muscle, Smooth, Vascular/*cytology/*metabolism MH - Myocytes, Smooth Muscle/*cytology/metabolism MH - Organic Anion Transporters/antagonists & inhibitors/*metabolism MH - Probenecid/pharmacology MH - Rats MH - Reverse Transcriptase Polymerase Chain Reaction MH - Uric Acid/*pharmacokinetics/*pharmacology EDAT- 2005/08/23 09:00 MHDA- 2005/12/24 09:00 CRDT- 2005/08/23 09:00 PHST- 2005/04/22 00:00 [received] PHST- 2005/07/05 00:00 [accepted] PHST- 2005/08/23 09:00 [pubmed] PHST- 2005/12/24 09:00 [medline] PHST- 2005/08/23 09:00 [entrez] AID - 87713 [pii] AID - 10.1159/000087713 [doi] PST - ppublish SO - Am J Nephrol. 2005 Sep-Oct;25(5):425-33. doi: 10.1159/000087713. Epub 2005 Aug 19.