Endothelial denudation by balloon injury of the rat aorta induces the development of a neointima as a consequence of the migration and proliferation of smooth muscle cells (SMCs). Initially, intimal SMCs show a dedifferentiated phenotype, which reverts to a normal differentiated phenotype after endothelial cells have resurfaced the vessel lumen. We investigated in vitro the proliferative and phenotypic features of SMCs from different layers of rat aorta isolated 15 and 60 days after endothelial denudation. Freshly isolated intimal cells 15 days after balloon injury (IT-15) appeared rounded and showed a decreased content of a-smooth muscle actin, smooth muscle myosin, and desmin compared with intimal cells isolated 60 days after balloon injury . No morphological and cytoskeletal differences were observed among freshly isolated IT-60 cells and other medial populations, which included medial SMCs that underlie the intimal thickening. In culture, IT-15 cells showed increased proliferative activity both in monolayers and in free-floating collagen lattices. Decreased expression of a-smooth muscle actin and I ntimal thickening after endothelial denudation has been widely used as a model for the development of the atheromatous plaque and has furnished useful information on smooth muscle cell (SMC) susceptibility to microenvironmental stimuli. 16 Only a small proportion of medial SMCs are activated to migrate and replicate after endothelial denudation 5 ; this may reflect a heterogeneity of SMC phenotypic features that has been described by means of several other criteria. 6 " It has been shown that cultured SMCs from the normal media and from the experimental intimal thickening show different growth patterns. SMCs from the intimal thickening, collected 15 days after endothelial lesion, proliferate more actively than do medial cells in the presence of the same amounts of serum; moreover, contrary to medial cells, SMCs are capable of growing in the absence of serum factors.
48This behavior is also seen in normal medial SMCs Received December 17, 1993; revision accepted February 11, 1994.From the Department of Pathology, University of Geneva, Switzerland (A.O., H.P.E., P.R., G.G.); the Department of Pathology, University "Tor Vergata" of Rome, Italy (A.O., L.G.S.); and the Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston (H.P.E.).Reprint requests to Dr Giulio Gabbiani, Department of Pathology, University of Geneva, CMU-1, rue Michel-Servet, CH-1211 Geneva 4, Switzerland. smooth muscle myosin was documented in IT-15 cells compared with IT-60 cells and other medial SMC populations in monolayer. Moreover, IT-15 cells suspended in collagen lattices were poor at contracting these collagen lattices compared with IT-60 and control SMCs. IT-60 cells were equivalent to control SMCs at lattice contraction except for a temporary delay at day 1. Cells from the media underlying the intimal thickening isolated 15 and 60 days after balloon injury proliferated less, had an increased content...