We demonstrate for the first time that the pro-inflammatory cytokine interleukin (IL)-18 stimulates rapid and significant proliferation of SMC derived from human saphenous vein (VSMC), but not coronary artery. IL-18 also stimulates VSMC growth. Further investigations revealed that IL-18-induced VSMC proliferation was Wnt Inducible Secreted Protein-1 (WISP1) dependent. In addition to inducing its own expression via phosphotidylinositol 3-kinase/Aktdependent IKK/NF-κB activation, IL-18 stimulated glycogen synthase kinase 3β phosphorylation and degradation, β-catenin nuclear translocation and stabilization, T-cell factor-lymphoid enhancer binding factor (TCF-LEF) activation, and WISP1 induction. Moreover, WISP1 induced its own expression, and that of survivin and multiple matrix metalloproteinases via β-catenin/TCF-LEF interaction. WISP1 also activated AP-1, but not NF-κB, and induced matrix metalloproteinase (MMP)9 transcription in part via AP-1. Interestingly, WISP1 failed to regulate tissue inhibitors of matrix metalloproteinases (TIMP) expression. These novel findings indicate that IL-18 induces a series of signaling events that result in WISP1-mediated VSMC proliferation, survival and MMP induction that are key components of vein graft stenosis and this may be amplified by IL-18 and WISP1 autoregulation and cross-regulation.
KeywordsCytokines; interleukin-18; Proliferation; CCN; WISP1; β-catenin Atherosclerosis is a chronic inflammatory disease. Interleukin (IL)-18 is a proinflammatory cytokine that is associated with the development and progression of atherosclerosis in animal models (Elhage et al., 2003;Li et al., 2008;Maffia et al., 2006;Whitman et al., 2002). Circulating levels of IL-18 are increased in humans with coronary artery disease (CAD), and show a positive correlation with intima-media thickness (Yamagami et al., 2005). Further, IL-18 expression is markedly elevated in atherosclerotic lesions, particularly in unstable plaques (Mallat et al., 2001a). Since IL-18 is a potent inducer of other cytokines and matrix degrading metalloproteinases (MMPs; (Chandrasekar et al., 2006;Reddy et al.), * Address for correspondence: Bysani Chandrasekar, DVM. Ph.D., Heart and Vascular Institute, Tulane University School of Medicine, 1430 Tulane Avenue, New Orleans, LA 70112, bchandra@tulane.edu
NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript its increased expression may potentiate inflammation, ECM degradation, adverse remodeling, and other related complications. Of note, IL-18 levels are also increased in diabetes and in metabolic syndrome, both major contributing factors for CAD (Hung et al., 2005;Troseid et al., 2009).IL-18 is synthesized as a pro-form and is cleaved to a mature and biologically active molecule by caspase-1. Both endothelial and smooth muscle cells express IL-18 (Gerdes et al., 2002). IL-18 is also secreted by the infiltrating activated macrophages in atherosclerotic lesions, suggesting that all the cellular components of an inflamed or injured vessel contri...