The endoplasmic reticulum (ER) is an essential organelle required for the folding and maturation of newly synthesized secretory and transmembrane proteins. Several biochemical and physiological conditions interfere with the correct folding of proteins, leading to the accumulation of unfolded or misfolded proteins in the ER. These conditions are called ER stress and elicit stress response signaling, collectively termed the unfolded protein response (UPR). 6 The UPR is regulated by 3 stress sensor proteins located at the ER membrane; inositol-requiring protein 1α (IRE1α), protein kinase regulated by RNA-like ER kinase, and activating transcription factor 6. The UPR signaling reduces the protein load that enters the ER and increases the protein folding capacity, attempting to reestablish and maintain the homeostasis of the ER. 7 However, when homeostasis cannot be re-established, the UPR leads to cell apoptosis. ER stress has been considered to play a key role in the pathogenesis of several diseases, such as neurological diseases, diabetes mellitus, and atherosclerosis. Objective-The accumulation of unfolded protein in the endoplasmic reticulum (ER) initiates an adaptive stress response, termed the unfolded protein response. Previous studies suggested that ER stress might be involved in the formation of neointima after vascular injury. We recently discovered a novel regulator of ER stress, 78-kDa glucose-regulated protein-interacting protein induced by ER stress (Gipie). The objective of this study was to elucidate the role of Gipie using models of vascular disease. Approach and Results-We investigated the functions of Gipie in cultured vascular smooth muscle cells (VSMCs) and in a vascular injury model of a rat carotid artery. The expression of Gipie was predominantly detected in synthetic VSMCs and to a much lesser extent in contractile VSMCs, which was augmented by treatment with thapsigargin. Gipie knockdown increased the phosphorylation levels of c-Jun N-terminal kinase and the number of apoptotic cells under ER stress. Moreover, Gipie knockdown decreased the mature form of collagen I in synthetic VSMCs. The expression of Gipie was rarely detected in the medial VSMCs of the intact carotid artery, whereas it was detected in most of the neointimal cells and some of the medial VSMCs after balloon injury. Depletion of Gipie in the rat carotid artery attenuated the neointimal thickening, which was accompanied by increased cell death in the neointima. Conversely, overexpression of Gipie augmented the neointimal thickening.
Conclusions-Gipie