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(Chest. 1998;114:236-240.)
© 1998 American College of Chest Physicians

Stimulation of Human Smooth Muscle Cell Proliferation by Thrombin Involves Increased Synthesis of Platelet-Derived Growth Factor

Sergio Paulo Bydlowski MD, PhD1; Madalena M.N.S. Pares MSc2; Rosângela P.S. Soares BSc2; and Antonio Augusto B. Lopes MD, FCCP2

1 From the Department of Hematology, University of São Paulo Medical School, São Paulo, Brazil
2 From the Research and Molecular Biology Division, Fundação Pró-Sangue Hemocentro de São Paulo, São Paulo, Brazil

Objectives: Thrombin generated at sites of vascular injury not only participates in the coagulation cascade but can also signal other events related to cell mitogenesis and migration. In this report, we investigated the effects of thrombin on the proliferation of human arterial smooth muscle cells (SMCs) in culture and its interaction with platelet-derived growth factor (PDGF).

Material and methods: Human arterial SMCs originated from a renal artery were grown in cell culture. The effect of thrombin on DNA synthesis was evaluated by 3H-thymidine incorporation. The effect of thrombin on inositol-phosphate formation by SMCs was also analyzed as well as the binding of PDGF AA and BB to these cells. PDGF secretion was analyzed by radioimmunoassay (RIA).

Results: Exposure of cultured human SMCs to thrombin caused an increased rate of DNA synthesis in a dose-response manner, with a maximal stimulatory effect at a concentration of 2.0 U/mL. Thrombin was found to increase the accumulation of inositol phosphates and to increase the production of PDGF as measured by RIA. Exposure of cells to 2.0 U/mL thrombin resulted in a strong decrease in PDGF AA binding to PDGF receptors and did not change PDGF BB binding, probably indicating that PDGF agr-receptors could be occupied by endogenously produced PDGF A.

Conclusion: Thrombin stimulates human vascular SMC proliferation in a dose-response way, in part by the formation of inositol phosphates. The mechanism responsible for this effect involves, at least in part, an increased endogenous synthesis of PDGF.

Key Words: cell proliferation • DNA synthesis • inositol-phosphate • PDGF receptor • platelet-derived growth factor (PDGF) • vascular smooth muscle cell

Submitted on October 16, 1997
Accepted on December 1, 1997






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