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Vascular Medicine
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DNA hypomethylation and methyltransferase expression in atherosclerotic lesions

Mikko O Hiltunen

AI Virtanen Institute, University of Kuopio, Kuopio, Finland

Mikko P Turunen

AI Virtanen Institute, University of Kuopio, Kuopio, Finland

Tomi P Häkkinen

AI Virtanen Institute, University of Kuopio, Kuopio, Finland

Juha Rutanen

AI Virtanen Institute, University of Kuopio, Kuopio, Finland

Marja Hedman

AI Virtanen Institute, University of Kuopio, Kuopio, Finland, Department of Medicine, University of Kuopio, Kuopio, Finland

Kimmo Mäkinen

Department of Surgery, University of Kuopio, Kuopio, Finland

Anna-Mari Turunen

AI Virtanen Institute, University of Kuopio, Kuopio, Finland

Katriina Aalto-Setalä

Department of Medicine, University of Tampere, Tampere, Finland

Seppo Ylä-Herttuala

AI Virtanen Institute, University of Kuopio, Kuopio, Finland, Department of Medicine, University of Kuopio, Kuopio, Finland, Gene Therapy Unit, University of Kuopio, Kuopio, Finland, Seppo.Ylaherttuala{at}uku

Arterial smooth muscle cell (SMC) migration and proliferation are central features in atherogenesis. Altered gene expression and cell proliferation in atherosclerotic lesions have some similar characteristics with certain solid tumors and thus might have similar mechanisms that lead to SMC proliferation. Among cancer cells common features are genome-wide hypomethylation which correlates with transformation and tumor progression, and coincident over-expression of methyltransferase (MTase). The purpose of the present study was to analyze whether alterations in DNA methylation and MTase expression are present in atherosclerotic lesions.

A significant reduction in genomic 5-methylcytosine content was detected in advanced human atherosclerotic lesions and in lesions of ApoE knock-out mice. SMC were shown to develop hypomethylation in vitro during transformation from a contractile to synthetic pheno-type. Balloon denudation of New Zealand White rabbit aorta caused proliferation of intimal SMC with concomitant genomic hypomethylation in the thickened intima. By using in situ hybridization the overall transcriptional activity was found to be increased in clusters of lesion SMC. Marked heterogeneity was seen in MTase mRNA expression in various types of atherosclerotic lesions among intimal and medial SMC.

These findings show that (1) genomic hypomethylation occurs during atherogenesis in human, mouse and rabbit lesions and that it correlates with increased transcriptional activity; (2) MTase is expressed in atherosclerotic lesions; and (3) hypomethylation is present in advanced lesions at the same level as in malignant tumors and may affect cellular proliferation and gene expression in atherosclerotic lesions.

Key Words: atherogenesis • cell culture • DNA methylation • gene expression

Vascular Medicine, Vol. 7, No. 1, 5-11 (2002)
DOI: 10.1191/1358863x02vm418oa


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