Dandré, Frédéric, and Gary K. Owens. Platelet-derived growth factor-BB and Ets-1 transcription factor negatively regulate transcription of multiple smooth muscle cell differentiation marker genes. Am J Physiol Heart Circ Physiol 286: H2042-H2051, 2004. First published January 29, 2004 10.1152/ajpheart.00625.2003.-Platelet-derived growth factor (PDGF)-BB, a potent mitogen for mesenchymal cells, also downregulates expression of multiple smooth muscle (SM) cell (SMC)-specific markers. However, there is conflicting evidence whether PDGF-BB represses SMC marker expression at a transcriptional or posttranscriptional level, and little is known regarding the mechanisms responsible for these effects. Results of the present studies provide clear evidence that PDGF-BB treatment strongly repressed SM ␣-actin, SM myosin heavy chain (MHC), and SM22␣ promoters in SMCs. Of major significance for resolving previous controversies in the field, we found PDGF-BB-induced repression of SMC marker gene promoters in subconfluent, but not postconfluent, cultures. Treatment of postconfluent SMCs with a tyrosine phosphatase inhibitor restored PDGF-BB-induced repression, whereas treatment of subconfluent SMCs with a tyrosine kinase blocker abolished PDGF-BB-induced repression, suggesting that a tyrosine phosphorylation event mediates cell density-dependent effects. On the basis of previous observations that Ets-1 transcription factor is upregulated within phenotypically modulated neointimal SMCs, we tested whether Ets-1 would repress SMC marker expression. Consistent with this hypothesis, results of cotransfection experiments indicated that Ets-1 overexpression reduced transcriptional activity of SMC marker promoter constructs in SMCs, whereas it increased activity of SM ␣-actin promoter in endothelial cells. PDGF-BB treatment increased expression of Ets-1 in cultured SMCs, and SM ␣-actin mRNA expression was reduced in multiple independent clones of SMCs stably transfected with an Ets-1-overexpressing construct. Taken together, results of these experiments provide novel insights regarding possible mechanisms whereby PDGF-BB and Ets-1 may contribute to SMC phenotypic switching associated with vascular injury. vascular injury; promoter; cell density; signaling SMOOTH MUSCLE (SM) cells (SMCs) are highly specialized cells expressing a unique repertoire of contractile proteins, ion channels, and signaling molecules necessary for their contractile function (38). The differentiation state of SMCs is controlled by a complex combination of local environmental cues such as cell-cell and cell-matrix interactions, neuronal influences, and hemodynamic and mechanical forces (38), as well as intrinsic factors such as clonal origins (6). In contrast to cardiac and skeletal muscle cells, which are terminally differentiated, SMCs can undergo major changes in phenotype, depending on physiological or pathological conditions. For example, in tissue culture or in vascular neointimal lesions, SMCs display diminished expression of a number of proteins that are c...