Key result
Fenoldopam opposes Angiotensin II-induced vascular smooth muscle cell proliferation by modulating cAMP-dependent mTOR autophagy.
Why the study?
The interplay between the dopaminergic and renin-angiotensin systems in the regulation of autophagy in vascular smooth muscle cells was not well-understood.
Dopamine D1-like receptors and Angiotensin II type 1 receptors counter-regulate vascular smooth muscle cell autophagy and proliferation via the cAMP-dependent mTOR pathway, providing mechanistic insights into vascular remodeling.
Answers are grounded in this paper and cite their sources.
No immediate clinical implications for vascular remodeling; leaves open D1-like receptor modulation of VSMC autophagy for future study.
Vascular smooth muscle cells (VSMCs), the contractile cells in the tunica media of blood vessels, maintain vascular tone. The proliferation of VSMCs is an important feature of vascular remodeling that contributes to the regulation of blood pressure. Autophagy, an intracellular self-degrading process that delivers cytoplasmic constituents to lysosomes, plays a vital role in VSMC proliferation. This is regulated by the dopaminergic and renin–angiotensin systems but their interplay in their regulation of autophagy in VSMCs is not well-understood. In rat VSMCs, fenoldopam (Fen), a dopamine D1-like receptor agonist, increased autophagy, as determined by the increase in the protein expressions of microtubule-associated protein 1 light chain (LC)3-II and beclin-1 (BECN1), in a time- and concentration-dependent manner. Conversely, angiotensin II (Ang II), the endogenous Ang II type 1 receptor (AT1R) agonist, decreased the protein expression of LC3-II and BECN1, also in a time- and concentration-dependent manner. The production of cyclic adenosine monophosphate (cAMP) and autophagic LC3-II puncta in VSMCs were increased by Fen and decreased by Ang II. Pre-treatment of VSMCs with Rp-cAMPS, a protein kinase A inhibitor, prevented the Fen-mediated increase and the Ang II-mediated decrease in LC3-II protein expression. Fen decreased, whereas Ang II increased the phosphorylation of P70S6K, a direct downstream mammalian target of rapamycin (mTOR). The inhibitory effect of Fen and stimulatory effect of Ang II on P70S6K phosphorylation were prevented by Rp-cAMPS. Ang II also decreased the Fen-mediated increase in cAMP production, while Fen attenuated the Ang II-mediated increase in cell proliferation, a response that occurs downstream of autophagy. Moreover, Ang II prevented the Fen-mediated inhibition of cell proliferation, an effect that was blocked by losartan, an AT1R antagonist. These results demonstrate that Fen and Ang II counter-regulate autophagy and proliferation of VSMCs via the mTOR pathway, which is cAMP-dependent.
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Lee et al. (2026) studied this question. Fenoldopam and Angiotensin II vs. Vehicle was evaluated on Autophagy (LC3-II and BECN1 protein expression) and cell proliferation. Fenoldopam and Angiotensin II counter-regulate autophagy and proliferation of vascular smooth muscle cells via the cAMP-dependent mTOR pathway.
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