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Chapter category: Atherosclerosis

Cytokine Activated Target Cells in Atherogenesis: The Vascular

This chapter appears in the following book:

Edited by: Ming K. Heng
ISBN:
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Chapter authors:
Ming K. Heng and Madalene C.Y. Heng

Proliferation of vascular smooth muscle cells is an integral component of the thickened intima in atherosclerotic and restenotic arteries (Schwartz and Ross, 1984; Gordon et al, 1990; O'Brien et al, 1993). In the early phases of atherogenesis, intimal thickening occurs because of vascular smooth muscle cell migration from the media into the intima, and subsequent proliferation of intimal smooth muscle cells. Vascular smooth muscle cells with increased migratory and proliferative capacity are activated, and are targets of cytokines secreted by activated T lymphocytes and macrophages that infiltrate the artery following vascular injury (Warner and Libby 1989; Ross 1993). Activated vascular smooth muscle cells express genes and synthesize multiple molecules not normally expressed by these cells in their quiescent, contractile state (Kocher and Gabbiani 1986; Mosse et al, 1986; Glukhova et al, 1988: Kocher et al, 1991; Shanahan et al, 1993). Alteration in gene expression of cytokine–activated vascular smooth muscle cells is associated with alteration of morphology, in addition to changes in synthetic, migratory and proliferative properties. The immune factors which influence the activation of the smooth muscle cells and altered gene expression of these cells, resulting in changes in vascular smooth muscle cell phenotype and function, and how these relate to atherogenesis are the main focus of this review.

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Additional chapters from this book:

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