PMID- 20709868 OWN - NLM STAT- MEDLINE DCOM- 20101130 LR - 20200930 IS - 1522-1539 (Electronic) IS - 0363-6135 (Linking) VI - 299 IP - 4 DP - 2010 Oct TI - Tumor necrosis factor inhibitors as novel therapeutic tools for vascular remodeling diseases. PG - H995-1001 LID - 10.1152/ajpheart.00562.2010 [doi] AB - Vascular remodeling diseases (VRDs) are characterized by enhanced inflammation and proliferative and apoptosis-resistant vascular smooth muscle cells (VSMCs). The sustainability of this phenotype has been attributed in part to the activation of the transcription factor hypoxia-inducible factor-1 (HIF-1). There is evidence that circulating cytokines can act as HIF-1 activators in a variety of tissues, including VSMCs. Increased circulating tumor necrosis factor (TNF) levels have been associated with vascular diseases, but the mechanisms involved remain unknown. We hypothesized that increased circulating levels of TNF promotes VRDs by the activation of HIF-1, resulting in VSMC proliferation and resistance to apoptosis. Circulating TNF levels were significantly increased in patients with vascular diseases (n = 19) compared with healthy donors (n = 15). Using human carotid artery smooth muscle cells (CASMCs), we demonstrated that TNF (100 ng/ml) activates HIF-1 (HIF-1alpha expression), leading to increased CASMC proliferation (Ki-67 and PCNA staining) and resistance to mitochondrial-dependent apoptosis [tetramethylrhodamine methyl ester perchlorate (TMRM), terminal deoxynucleotide transferase-mediated dUTP nick end labeling (TUNEL), annexin-V staining]. In vivo, TNF inhibition using polyethylene glycol coupled with TNF membrane receptor 1 (PEGsTNFR1), a soluble TNF receptor inhibiting circulating TNF, prevented carotid artery postinjury media remodeling and neointima development in rats. This effect was associated with lowered HIF-1 activation and decreased CASMC proliferation. In conclusion, we demonstrate for the first time that the inhibition of the TNF/Akt/HIF-1 axis prevents vascular remodeling. TNF inhibitors may therefore represent new and interesting therapeutic tools against VRDs. FAU - Lambert, Caroline M AU - Lambert CM AD - Centre de recherche du Centre Hospitalier Universitaire de Quebec, L'Hotel-Dieu de Quebec, Faculte de Medecine, Universite Laval, Quebec, Canada. FAU - Roy, Melanie AU - Roy M FAU - Meloche, Jolyane AU - Meloche J FAU - Robitaille, Genevieve A AU - Robitaille GA FAU - Agharazii, Mohsen AU - Agharazii M FAU - Richard, Darren E AU - Richard DE FAU - Bonnet, Sebastien AU - Bonnet S LA - eng GR - MOP-49609/Canadian Institutes of Health Research/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100813 PL - United States TA - Am J Physiol Heart Circ Physiol JT - American journal of physiology. Heart and circulatory physiology JID - 100901228 RN - 0 (Hypoxia-Inducible Factor 1) RN - 0 (Tumor Necrosis Factor-alpha) RN - 3WJQ0SDW1A (Polyethylene Glycols) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) SB - IM MH - Animals MH - Apoptosis/drug effects MH - Cardiovascular Diseases/*drug therapy/metabolism MH - Carotid Arteries/cytology/metabolism MH - Case-Control Studies MH - Cell Proliferation/drug effects MH - Cells, Cultured MH - Disease Models, Animal MH - Humans MH - Hypoxia-Inducible Factor 1/metabolism MH - Male MH - Muscle, Smooth, Vascular/cytology/metabolism MH - Polyethylene Glycols/*pharmacology MH - Proto-Oncogene Proteins c-akt/metabolism MH - Rats MH - Rats, Sprague-Dawley MH - Tumor Necrosis Factor-alpha/*antagonists & inhibitors/blood/pharmacology EDAT- 2010/08/17 06:00 MHDA- 2010/12/14 06:00 CRDT- 2010/08/17 06:00 PHST- 2010/08/17 06:00 [entrez] PHST- 2010/08/17 06:00 [pubmed] PHST- 2010/12/14 06:00 [medline] AID - ajpheart.00562.2010 [pii] AID - 10.1152/ajpheart.00562.2010 [doi] PST - ppublish SO - Am J Physiol Heart Circ Physiol. 2010 Oct;299(4):H995-1001. doi: 10.1152/ajpheart.00562.2010. Epub 2010 Aug 13.