Background-Integrin-linked kinase (ILK) is a protein that plays important roles in extracellular matrix-mediated signaling. It has been shown that ILK is expressed preferentially in cardiac and skeletal muscles. Evidence points to its role as an upstream regulator of protein kinase B, a critical player in apoptosis. Because oxidized LDL (oxLDL) is thought to promote atherogenesis by causing the apoptosis of endothelial cells, we investigated the potential roles that ILK may play in oxLDL-induced apoptosis in vascular endothelial cells. Methods and Results-Transcriptional and translational levels of ILK were investigated with reverse-transcriptase polymerase chain reaction and Western analysis. oxLDL treatment induced both the transcription and the translation of the ILK gene in endothelial cells. A recombinant adenovirus vector encoding the ILK gene was constructed to investigate its potential role in oxLDL-induced apoptosis in human umbilical vein endothelial cells and mouse lymphoid vein endothelial cells transformed by simian virus 40. In both types of cells, overexpression of the ILK gene significantly prevented oxLDL-induced apoptosis or cell death, as evaluated by 2 independent assay methods. Furthermore, we showed that ILK could inhibit oxLDL-induced upregulation of the kinase activity of p38 mitogen-activated protein kinase, which is often associated with stress-induced pro-apoptotic signal transduction. Finally, examination of other factors, such as bcl-2, bcl-xl, caspase 3, and caspase 9, demonstrated significant changes that were correlated with oxLDL treatment and ILK overexpression. Key Words: oxygen Ⅲ lipoproteins Ⅲ endothelium Ⅲ apoptosis Ⅲ kinases O xidized LDL (oxLDL) has been implicated in atherosclerosis in both epidemiological and laboratory studies. 1,2 The precise role that oxLDL plays in atherogenesis is unknown. There is, however, increasing evidence to suggest that oxLDL-induced injury of the vascular wall is critical because it may be the initiating event that leads to the inflammatory responses now recognized to be the main cause of atherosclerosis. How does oxLDL induce injury to the vascular wall? Many recent studies suggest that oxLDLinduced apoptosis in the vascular smooth muscle cells or vascular endothelial cells may be the key. In support of this theory, several studies have demonstrated the presence of apoptosis in human and experimental atherosclerotic plaques. 3,4 Tissue culture experiments have indicated that oxLDL exposure leads to extensive apoptosis in vascular smooth muscle cells, 5 human coronary cells, 6 and human umbilical venous endothelial cells (HUVECs). 7,8 It has been further shown that the p38 mitogen-activated protein kinase (MAPK) is a downstream effector of the oxLDLinduced apoptotic process. 5 Little is known, however, about the upstream molecular mechanisms that regulate this process.
Conclusion-ILKIn our efforts to identify novel signal-transduction pathways further upstream, we came across integrin-linked kinase (ILK) by virtue of its upregulation in oxLD...