cGMP Signaling and Vascular Smooth Muscle Cell Plasticity

Cyclic GMP regulates multiple cell types and functions of the cardiovascular system. This review summarizes the effects of cGMP on the growth and survival of vascular smooth muscle cells (VSMCs), which display remarkable phenotypic plasticity during the development of vascular diseases, such as athe...

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Main Authors: Moritz Lehners, Hyazinth Dobrowinski, Susanne Feil, Robert Feil
Format: Article
Language:English
Published: MDPI AG 2018-04-01
Series:Journal of Cardiovascular Development and Disease
Subjects:
Online Access:http://www.mdpi.com/2308-3425/5/2/20
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author Moritz Lehners
Hyazinth Dobrowinski
Susanne Feil
Robert Feil
author_facet Moritz Lehners
Hyazinth Dobrowinski
Susanne Feil
Robert Feil
author_sort Moritz Lehners
collection DOAJ
description Cyclic GMP regulates multiple cell types and functions of the cardiovascular system. This review summarizes the effects of cGMP on the growth and survival of vascular smooth muscle cells (VSMCs), which display remarkable phenotypic plasticity during the development of vascular diseases, such as atherosclerosis. Recent studies have shown that VSMCs contribute to the development of atherosclerotic plaques by clonal expansion and transdifferentiation to macrophage-like cells. VSMCs express a variety of cGMP generators and effectors, including NO-sensitive guanylyl cyclase (NO-GC) and cGMP-dependent protein kinase type I (cGKI), respectively. According to the traditional view, cGMP inhibits VSMC proliferation, but this concept has been challenged by recent findings supporting a stimulatory effect of the NO-cGMP-cGKI axis on VSMC growth. Here, we summarize the relevant studies with a focus on VSMC growth regulation by the NO-cGMP-cGKI pathway in cultured VSMCs and mouse models of atherosclerosis, restenosis, and angiogenesis. We discuss potential reasons for inconsistent results, such as the use of genetic versus pharmacological approaches and primary versus subcultured cells. We also explore how modern methods for cGMP imaging and cell tracking could help to improve our understanding of cGMP’s role in vascular plasticity. We present a revised model proposing that cGMP promotes phenotypic switching of contractile VSMCs to VSMC-derived plaque cells in atherosclerotic lesions. Regulation of vascular remodeling by cGMP is not only an interesting new therapeutic strategy, but could also result in side effects of clinically used cGMP-elevating drugs.
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spelling doaj.art-3696f06879b043b4975094013d030e292022-12-22T00:48:45ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252018-04-01522010.3390/jcdd5020020jcdd5020020cGMP Signaling and Vascular Smooth Muscle Cell PlasticityMoritz Lehners0Hyazinth Dobrowinski1Susanne Feil2Robert Feil3Interfaculty Institute of Biochemistry, University of Tübingen, 72076 Tübingen, GermanyInterfaculty Institute of Biochemistry, University of Tübingen, 72076 Tübingen, GermanyInterfaculty Institute of Biochemistry, University of Tübingen, 72076 Tübingen, GermanyInterfaculty Institute of Biochemistry, University of Tübingen, 72076 Tübingen, GermanyCyclic GMP regulates multiple cell types and functions of the cardiovascular system. This review summarizes the effects of cGMP on the growth and survival of vascular smooth muscle cells (VSMCs), which display remarkable phenotypic plasticity during the development of vascular diseases, such as atherosclerosis. Recent studies have shown that VSMCs contribute to the development of atherosclerotic plaques by clonal expansion and transdifferentiation to macrophage-like cells. VSMCs express a variety of cGMP generators and effectors, including NO-sensitive guanylyl cyclase (NO-GC) and cGMP-dependent protein kinase type I (cGKI), respectively. According to the traditional view, cGMP inhibits VSMC proliferation, but this concept has been challenged by recent findings supporting a stimulatory effect of the NO-cGMP-cGKI axis on VSMC growth. Here, we summarize the relevant studies with a focus on VSMC growth regulation by the NO-cGMP-cGKI pathway in cultured VSMCs and mouse models of atherosclerosis, restenosis, and angiogenesis. We discuss potential reasons for inconsistent results, such as the use of genetic versus pharmacological approaches and primary versus subcultured cells. We also explore how modern methods for cGMP imaging and cell tracking could help to improve our understanding of cGMP’s role in vascular plasticity. We present a revised model proposing that cGMP promotes phenotypic switching of contractile VSMCs to VSMC-derived plaque cells in atherosclerotic lesions. Regulation of vascular remodeling by cGMP is not only an interesting new therapeutic strategy, but could also result in side effects of clinically used cGMP-elevating drugs.http://www.mdpi.com/2308-3425/5/2/20cyclic guanosine 3′-5′ monophosphatenitric oxidevascular smooth muscle cellscGMP-dependent protein kinase type Iatherosclerosiscell plasticitytransdifferentiationcell fate mappingimaging
spellingShingle Moritz Lehners
Hyazinth Dobrowinski
Susanne Feil
Robert Feil
cGMP Signaling and Vascular Smooth Muscle Cell Plasticity
Journal of Cardiovascular Development and Disease
cyclic guanosine 3′-5′ monophosphate
nitric oxide
vascular smooth muscle cells
cGMP-dependent protein kinase type I
atherosclerosis
cell plasticity
transdifferentiation
cell fate mapping
imaging
title cGMP Signaling and Vascular Smooth Muscle Cell Plasticity
title_full cGMP Signaling and Vascular Smooth Muscle Cell Plasticity
title_fullStr cGMP Signaling and Vascular Smooth Muscle Cell Plasticity
title_full_unstemmed cGMP Signaling and Vascular Smooth Muscle Cell Plasticity
title_short cGMP Signaling and Vascular Smooth Muscle Cell Plasticity
title_sort cgmp signaling and vascular smooth muscle cell plasticity
topic cyclic guanosine 3′-5′ monophosphate
nitric oxide
vascular smooth muscle cells
cGMP-dependent protein kinase type I
atherosclerosis
cell plasticity
transdifferentiation
cell fate mapping
imaging
url http://www.mdpi.com/2308-3425/5/2/20
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AT robertfeil cgmpsignalingandvascularsmoothmusclecellplasticity