“…Intimal SMCs have been shown to undergo many additional changes including 1) increased DNA synthesis and expression of proliferation markers and cyclins such as proliferating cell nuclear antigen (PCNA) (77); 2) decreased expression of proteins characteristic of differentiated SMCs including SM MHCs (SM-1, SM-2), SM ␣-actin, SM22␣, smoothelin, h-caldesmin, desmin, calponin, and vinculin and increased ACLP and SMemb (4,129,130,138,183,257); 3) alterations in calcium handling and contractility (49,101,262); and 4) alterations in cell ultrastructure, including a general loss of myofilaments, which is replaced largely by synthetic organelles such as Golgi and rough endoplasmic reticulum, rounding of the cell from its typical elongated contractile morphology, and alterations in basement membrane (129,130,183). The preceding studies have been extended by Geary et al (72), who completed microarray-based profiling of gene expression patterns of SMCs in the neointima formed 4 wk after aortic grafting compared with those from the normal aorta in primates.…”