Vascular smooth muscle cell growth and insulin regulation of mitogen-activated protein kinase in hypertension

Hyperinsulinemia (HI) and insulin resistance (IR) are frequentlyassociated with hypertension and atherosclerosis. However, the exactroles of HI and IR in the development of hypertension are unclear.Mitogen-activated protein kinases (MAPK) are well-characterized intracellular mediators of cell proliferation. In this study, weexamined the contribution of MAPK pathway in insulin-stimulated mitogenesis using primary vascular smooth muscle cells (VSMCs) isolatedfrom aortas of normotensive Wistar-Kyoto rats (WKY) and spontaneoushypertensive rats (SHR). VSMCs were grown to confluence in culture,serum starved, and examined for DNA synthesis {using ³H]thymidine (TDR),immunoprecipitated MAPK activity, and MAPK phosphatase (MKP-1)induction}. Basal rate of TDR incorporation into DNA was twofoldhigher in SHR compared with WKY (P < 0.005). Insulin caused a dose-dependent increase in TDR incorporation (150% over basal levels with 100 nM in 12 h). Stimulation was sustained for 24 h with a decline toward basal in 36 h. Pretreatment with insulin-like growth factor I (IGF-I) receptor antibody did notabolish mitogenesis mediated by 10-100 nM insulin, suggesting thatinsulin effect is mediated via its own receptors. Insulin had a smallmitogenic effect in WKY (33% over basal). Insulin-stimulated mitogenesis was accompanied by a dose-dependent increase in MAPK activity in SHR, with a peak activation (>2-fold over basal) between 5 and 10 min with 100 nM insulin. Insulin had very small effects onMAPK activity in WKY. In contrast, serum-stimulated MAPK activation wascomparable in WKY and SHR. Pretreatment with MEK inhibitor, PD-98059,completely blocked insulin's effect on MAPK activation andmitogenesis. Inhibition of phosphatidylinositol 3-kinase with wortmannin also prevented insulin's effects on MAPK activation andmitogenesis. In WKY, insulin and IGF-I treatment resulted in a rapidinduction of MKP-1, the dual-specificity MAPK phosphatase. Incontrast, VSMCs from SHR were resistant to insulin with respect toMPK-1 expression. We conclude that insulin is mitogenic in SHR, and theeffect appears to be mediated by sustained MAPK activation due toimpaired insulin-mediated MKP-1 mRNA expression, which may act asan inhibitory feedback loop in attenuating MAPK signaling.