Holzmeister J, Ludewig B, Kroczek RA, Frei U, Brause M, Fleck E, Regitz-Zagrosek V
Functional expression of CD40 on human coronary vascular smooth muscle cells
50th Annual Fall Conference AHA Council for High Blood Pressure Research
Hypertens (Sep) 28:509 1996

Increasing evidence indicates that inflammation plays a key role in the pathogenesis of atherosclerosis. The vascular smooth muscle cell participates in this process in a variety of ways and is both a launch site and a target for various cytokines and proinflammatory mediators.

In this study, Holzmeister et al demonstrate expression of CD40, a cell surface receptor found on B-cells, macrophages and dendritic cells that plays a critical role in cell- and humoral-mediated immune responses, on cultured human aortic and coronary vascular smooth muscle cells. Resting serum deprived cells do not constitutively express CD40; however, after stimulation with IFN- , TNFà, or both expression of CD40 by these cells was strong and rapid. Moreover, subsequent treatment with CD40 ligand induced enhanced MHC class I and II and ICAM-1 expression.

Comment: This study suggests that during inflammation, expression and upregulation of CD40 on VSMC could play an important role in vascular diseases, in particular coronary artery disease. Perhaps these pathways are important in generating vascular lesions caused by atherosclerotic damage as well as injurious agents such as viruses, etc., leading to vascular smooth muscle activation and subsequent vascular events. Whether this activity actually induces smooth muscle proliferation remains to be determined. (Robert D. Toto, M.D., University of Texas Southwestern Medical Center)

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50th Annual Fall Conference AHA Council for High Blood Pressure Research
CRF by organ system : Cardiovascular/Hypertension
H: Pathophysiology : Heart in hypertension