Abstract-The role of signal transducers and activators of transcription (STAT) proteins in modulating proliferation and differentiation of various cell types in the hematopoietic system and the central nervous system has been well established. In contrast, the pathophysiological role of these proteins in vascular proliferative diseases has remained unproven, despite in vitro observations emphasizing the involvement of the STAT system in mediating vascular smooth muscle cell (VSMC) proliferation. On the basis of our previous observations demonstrating the occurrence of a specific modulation of Stat6 protein during the proliferative, migratory, and differentiation phases of the developing brain, we investigated whether Stat6 protein is present and modulated in arterial tissue challenged by perivascular injury. The time course of expression and localization of Stat6 after arterial injury was analyzed by immunohistochemistry, Western blot analysis, and confocal microscopy. Six hours after injury, the expression of Stat6 was markedly increased. This overexpression preceded the onset of VSMC proliferation and was downregulated starting from 7 days after injury, coincident with the decline of VSMC proliferation. Moreover, early after injury, Stat6 was predominantly localized at the nuclear level, denoting its functional activation. Conversely, Stat6 staining at later time points was largely cytosolic, suggesting silencing effects of this signaling pathway. These data indicate that Stat6 signaling may contribute to the modifications of gene expression underlying VSMC activation in the context of acute vascular proliferative diseases. [1][2][3][4][5][6] In normal arteries, VSMCs are in a fully differentiated, low proliferative rate phenotype; however, a number of growth factors or inflammatory cytokines elaborated by infiltrating leukocytes and activated intrinsic vascular cells can promote VSMCs to dedifferentiate and begin to replicate within the media, to migrate from the media into the intima, and to massively proliferate within the intima. 2,7,8 Changes in VSMC behavior induced by extracellular stimuli require the execution of a rapid and complex program of transcriptional events, which results in the emergence of VSMCs from quiescence (for a review see Reference 9). The nature of the molecular pathways specifically coupling the vascular injury stimuli to the VSMC dedifferentiation process is currently under intense investigation in an attempt to identify critical targets for interventional therapies. 10 -19 The quantitative and qualitative changes observed in VSMC gene expression during this transition involve, among others, the activation of distinct cytosolic signaling pathways. 9 A signaling cascade that has been correlated with mitogenic and pleiotropic functional responses induced by a variety of growth factors and cytokines involves the members of the Janus kinase (JAK) family of cytoplasmic tyrosine kinases (Jak1, Jak2, Jak3, and Tyk2) and the signal transducers and activators of transcription (STAT) pro...