Summary
The role of plasminogen activator inhibitor-1 (PAI-1) in vascular smooth muscle cell
(VSMC) apoptosis mediated by plasminogen activation was studied with the use of aorticVSMC
derived from mice with deficiency of PAI-1 (PAI-1-/-), tissue-type (t-PA-/-) or urokinase-type
(u-PA-/-) plasminogen activator or from wildtype (WT) mice with corresponding genetic
background. Plasminogen incubated with confluentVSMC was activated ina concentration-dependent
and saturable manner for all four cell types, with maximal activation rates that were
comparable for WT,u-PA-/and t-PA-/cells,but about two-fold higher for PAI-1-/cells.
Plasminogen activation was impaired by addition of the lysine analogue 6-aminohexanoic
acid, and by addition of t-PA and u-PA neutralizing antibodies, suggesting that it
depends on binding to cell surface COOH-terminal lysine residues, and on plasminogen
activator activity. Morphological alterations consistent with apoptosis were observed
much earlier in PAI-1-/than in WT VSMC. Without addition of plasminogen, the apoptotic
index was similar for all four cell types, whereas after incubation with physiological
plasminogen concentrations, it was greater in PAI-1-/VSMC, as compared to WT, t-PA-/or
u-PA-/VSMC. Furthermore, the apoptotic rate paralleled the release of plasmin. Thus,
plasmin-mediated apoptosis of VSMC occurs via plasminogen activation by either t-PA
or u-PA and is impaired by PAI-1.
Keywords
Apoptosis - proteolysis / pericellular - plasminogen activators - plasminogen activator
inhibitors - plasminogen (-fragments)