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Am J Physiol Heart Circ Physiol 296: H987-H996, 2009. First published January 23, 2009; doi:10.1152/ajpheart.01158.2008
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Interaction of vascular smooth muscle cells and monocytes by soluble factors synergistically enhances IL-6 and MCP-1 production

Li Chen,1 Adrian Frister,1 Song Wang,1 Andreas Ludwig,2 Hagen Behr,1 Susanna Pippig,1 Beibei Li,1 Andreas Simm,3 Britt Hofmann,3 Claudia Pilowski,1 Susanne Koch,1 Michael Buerke,1 Stefan Rose-John,4 Karl Werdan,1 and Harald Loppnow1

1Universitätsklinik und Poliklinik für Innere Medizin III, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale); 2Institut für Pharmakologie und Toxikologie, Universitätsklinikum Aachen, Aachen; 3Universitätsklinik und Poliklinik für Herz- und Thoraxchirurgie, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale); and 4Biochemisches Institut, Christian-Albrechts-Universität, Kiel, Germany

Submitted 3 November 2008 ; accepted in final form 15 January 2009

Inflammatory mechanisms contribute to atherogenesis. Monocyte chemoattractant protein (MCP)-1 and IL-6 are potent mediators of inflammation. Both contribute to early atherogenesis by luring monocytes and regulating cell functions in the vessel wall. MCP-1 and IL-6 production resulting from the interaction of invading monocytes with local vessel wall cells may accelerate atherosclerosis. We investigated the influence of the interaction of human vascular smooth muscle cells (SMCs) with human mononuclear cells (MNCs) or monocytes on IL-6 and MCP-1 production in a coculture model. Interaction synergistically enhanced IL-6 and MCP-1 production (up to 30- and 10-fold, respectively) compared with separately cultured cells. This enhancement was mediated by CD14-positive monocytes. It was dependent on the SMC-to-MNC/monocyte ratio, and as few as 0.2 monocytes/SMC induced the synergism. Synergistic IL-6 production was observed at the protein, mRNA, and functional level. It was mediated by soluble factors, and simultaneous inhibition of IL-1, TNF-{alpha}, and IL-6 completely blocked the synergism. IL-1, TNF-{alpha}, and IL-6 were present in the cultures. Blockade of the synergism by soluble glycoprotein 130Fc/soluble IL-6 receptor, as well as the induction of synergistic IL-6 production by costimulation of SMCs with IL-1, TNF-{alpha}, and hyper-IL-6, suggested the involvement of IL-6 trans-signaling. The contribution of IL-6 was consistent with enhanced STAT3 phosphorylation. The present data suggest that SMC/monocyte interactions may augment the proinflammatory status in the tissue, contributing to the acceleration of early atherogenesis.

inflammation; monocytes/macrophages; chemokines; cytokines; lipopolysaccharide; interleukin-6; monocyte chemoattractant protein-1



Address for reprint requests and other correspondence: H. Loppnow, Universitätsklinik und Poliklinik für Innere Medizin III, Martin-Luther-Universität Halle-Wittenberg, Ernst-Grube-Strasse 40, 06097 Halle (Saale), Germany (e-mail: harald.loppnow{at}medizin.uni-halle.de)







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