1992
DOI: 10.1172/jci116027
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Expression of transforming growth factor-beta 1 is increased in human vascular restenosis lesions.

Abstract: Human atheromata obtained in vivo were used to test the hypothesis that transforming growth factor-(31 plays a role in the development of vascular restenosis.We analyzed 28 specimens from patients with primary atherosclerotic or restenotic lesions; 26 of these were obtained by directional atherectomy and 2 at the time of coronary bypass surgery. Seven control tissues included operatively excised segments of human internal mammary artery, myocardium, and unused portions of vein graft obtained intraoperatively. … Show more

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Cited by 366 publications
(192 citation statements)
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“…In contrast, localized blockade of TGF-␤ signaling results in the inhibition of neointimal formation, accompanied by reduced extracellular matrix synthesis in a rat balloon-injury model (13,14). Of clinical relevance is the observation that the expression levels of TGF-␤ mRNA in restenotic lesions are higher than those in primary atherosclerotic lesions (15). These investigations indicate that TGF-␤ functions as a fibrogenic cytokine in a balloon-injury model, and apparently aggravates neointimal formation by promoting fibrosis.…”
Section: Discussionmentioning
confidence: 95%
“…In contrast, localized blockade of TGF-␤ signaling results in the inhibition of neointimal formation, accompanied by reduced extracellular matrix synthesis in a rat balloon-injury model (13,14). Of clinical relevance is the observation that the expression levels of TGF-␤ mRNA in restenotic lesions are higher than those in primary atherosclerotic lesions (15). These investigations indicate that TGF-␤ functions as a fibrogenic cytokine in a balloon-injury model, and apparently aggravates neointimal formation by promoting fibrosis.…”
Section: Discussionmentioning
confidence: 95%
“…TGFβ1 has been reported to express in vascular wall, including endothelial cells, vascular smooth muscle cells, monocytes/macrophages, regulatory T cells and myofibroblasts 16. Expression of TGFβ1 and receptors is increased in human atherosclerotic plaque lesion, especially in fibro‐proliferative regions, compared with non‐atherosclerotic regions 17, 18. TGFβ1 can stimulate endothelial migration, proliferation and angiogenesis at low concentrations, but inhibit these functions at higher concentrations, which associated with increased extracellular matrix 19.…”
Section: Discussionmentioning
confidence: 99%
“…The observed induction of mitogen mRNA expression in cultured bovine vascular SMC, data which although not necessarily reflecting similar changes on the protein levels of the respective mitogens, are, however, very much consistent with in situ findings that transcripts for several growth factors and their receptors including PDGF-B, the [3-subunit of the PDGF receptor, and TGF-~I were increased in advanced atherosclerotic lesions. In contrast, growth-promoting molecules and their specific receptors are not expressed in SMC from the tunica media of normal arteries or in regions of the intima unaffected by atherosclerosis [28].…”
Section: Resultsmentioning
confidence: 94%