Vascular smooth muscle cells (VSMC) are the principal cellular component of the blood vessel wall. Atherosclerosis, hypertension, and angiogenesis are associated with abnormal VSMC growth. Angiotensin II is hypertrophic for cultured adult rat aortic VSMC, whereas platelet-derived growth factor and serum are hyperplastic. To identify changes in specific proteins associated with either hyperplastic or hypertrophic growth, high resolution two-dimensional gel electrophoresis was performed on extracts from quiescent rat aortic VSMC and from VSMC exposed for 24 h to growth factors (10% fetal calf serum, platelet-derived growth factor, or angiotensin II). 12 proteins were up-regulated and 5 down-regulated by treatment with growth factors. Eight of the up-regulated and one of the down-regulated proteins were identified by internal protein microsequencing from electroblotted two-dimensional gels or by co-electrophoresis of purified proteins in two-dimensional gels. Four of the proteins up-regulated by growth factors were identified as mediators of protein folding. These were heat shock proteins, HSP-60 and HSP-70, protein disulfide isomerase, and protein disulfide isomerase isozyme Q-2. Additional proteins were identified as elongation factor EF-1, a component of the protein synthesis apparatus, and calreticulin, another putative molecular chaperone. Vimentin and actin were also upregulated, whereas an isoform of myosin heavy chain was down-regulated. Hyperplastic and hypertrophic growth were accompanied by similar changes in protein expression, suggesting that both types of growth require up-regulation of the protein synthesis and folding machinery.Growth and migration of VSMC 1 are considered to be key events in the pathogenesis of atherosclerosis, hypertension, and angiogenesis (1). VSMC display two distinct growth responses: hyperplasia, characterized by increased DNA and protein synthesis as well as cell division, and hypertrophy, characterized by increased cell size and protein content without DNA synthesis or cell division (2). Atherogenesis is characterized by the hyperplastic response, involving the migration of VSMC from the vessel media to the intima and the proliferation of medial and intimal VSMC (1). Chronic hypertension involves predominantly enlargement of preexisting VSMC (hypertrophy) within the media of the blood vessel as well as proliferation (2). In cell culture, the nature of the growth stimulus, rather than intrinsic differences in growth responsiveness of distinct cell subpopulations, appears to determine whether VSMC undergo hyperplasia or hypertrophy (2). PDGF and serum mediate a hyperplastic response in adult rat aortic VSMC (3). In the same cells, Ang, arginine vasopressin, and thrombin more typically mediate a hypertrophic response (3-9).Considerable progress has been made in elucidating the molecular events associated with hypertrophic and hyperplastic VSMC growth. Many studies have focused on examining mRNAs induced by growth factor activation of VSMC. These have identified mRNAs encoding...