TY - JOUR AU - Wu Lian-pan AU - Gong Zheng-fan AU - Wang He AU - Zhou Zhong-shu AU - Zhang Ming-ming AU - Liu Chao AU - Ren Hong-mei AU - Yang Jian AU - Han Yu AU - Zeng Chun-yu PY - 2020 TI - TSPO ligands prevent the proliferation of vascular smooth muscle cells and attenuate neointima formation through AMPK activation JF - Acta Pharmacologica Sinica; Vol 41, No 1 (January 2020): Acta Pharmacologica Sinica Y2 - 2020 KW - N2 - Abnormal growth of the intimal layer of blood vessels (neointima formation) contributes to the progression of atherosclerosis and in-stent restenosis. Recent evidence shows that the 18-kDa translocator protein (TSPO), a mitochondrial membrane protein, is involved in diverse cardiovascular diseases. In this study we investigated the role of endogenous TSPO in neointima formation after angioplasty in vitro and in vivo. We established a vascular injury model in vitro by using platelet-derived growth factor-BB (PDGF-BB) to stimulate rat thoracic aortic smooth muscle cells (A10 cells). We found that treatment with PDGF-BB (1–20 ng/mL) dose-dependently increased TSPO expression in A10 cells, which was blocked in the presence of PKC inhibitor or MAPK inhibitor. Overexpression of TSPO significantly promoted the proliferation and migration in A10 cells, whereas downregulation of TSPO expression by siRNA or treatment with TSPO ligands PK11195 or Ro5-4864 (10 4  nM) produced the opposite effects. Furthermore, we found that PK11195 (10−10 4  nM) dose-dependently activated AMPK in A10 cells. PK11195-induced inhibition on the proliferation and migration of PDGF-BB-treated A10 cells were abolished by compound C (an AMPK-specific inhibitor, 10 3  nM). In rats with balloon-injured carotid arteries, TSPO expression was markedly upregulated in the carotid arteries. Administration of PK11195 (3 mg/kg every 3 days, ip), starting from the initial balloon injury and lasting for 2 weeks, greatly attenuated carotid neointima formation by suppressing balloon injury-induced phenotype switching of VSMCs (increased α-SMA expression). These results suggest that TSPO is a vascular injury-response molecule that promotes VSMC proliferation and migration and is responsible for the neointima formation after vascular injury, which provides a novel therapeutic target for various cardiovascular diseases including atherosclerosis and restenosis. UR - http://www.chinaphar.com/article/view/10071