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Prepublished online as a Blood First Edition Paper on August 14, 2003; DOI 10.1182/blood-2002-12-3872.

Submitted December 20, 2002
Accepted July 26, 2003
Monocyte-expressed urokinase inhibits vascular smooth muscle cell growth by activating Stat1
Sateesh Kunigal, Angelika Kusch, Natalia Tkachuk, Sergey Tkachuk, Uwe Jerke, Hermann Haller, and Inna Dumler*
Nephrology Department, Hannover Medical School, Hannover, Germany; Charite - Franz Volhard Clinic and Max Delbrueck Center for Molecular Medicine, Humboldt University Berlin, Berlin, Germany
* Corresponding author; email: dumler{at}fvk-berlin.de.
After vascular injury, a remodeling process occurs that features leukocyte migration and infiltration. Loss of endothelial integrity allows the leukocytes to interact with vascular smooth muscle cells (VSMC) and to elicit 'marching orders'; however, the signaling processes are poorly understood. We found that human monocytes inhibit VSMC proliferation and induce a migratory potential. The monocytes signal the VSMC via the urokinase-type plasminogen activator (uPA). The VSMC uPA receptor (uPAR) receives the signal and activates the transcription factor Stat1 that in turn mediates the antiproliferative effects. These results provide the first evidence that monocytes signal VSMC via mechanisms involving the fibrinolytic system and imply an important link between the uPA/uPAR-related signaling machinery and human vascular disease.

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