SUMMARYWe examined the mechanism of action of lysophosphatidylcholine (lyso-PC), which is suggested to be involved in the pathogenesis of atherosclerosis and inflamatory disorders, and its interaction with well-known vasoactive compounds such as hydrogen peroxide (H 2 O 2 ), thromboxane A 2 (TX-A 2 ), serotonin (5-HT), angiotensin II (Ang-II), endothelin-1 (ET-1), or urotensin II (U-II) on VSMC proliferation. Growth-arrested rabbit VSMCs were incubated with given concentrations of lyso-PC with H 2 O 2 , TX-A 2 , 5-HT, Ang-II, ET-1, or U-II. [3 H]Thymidine incorporation into DNA was measured as an index of VSMC proliferation. Lyso-PC induced a maximal effect on [ 3 H]thymidine incorporation at a concentration of 15 µM (156%), and its effect was significantly inhibited by the phospholipase C inhibitor U73122 (10 µM), the intracellular antioxidant NAC (400 µM), and the NADPH oxidase inhibitor diphenylene iodonium (1 µM), but not by the MAPK kinase inhibitor (10 µM). Heart J 2002; 43: 409-416)