AbstractAlthough various cytokines are known to be expressed in atherosclerotic lesions, it is not known how these cytokines affect receptors for the peptide hormone angiotensin II (Ang II). We therefore examined the effects of interleukin-1α (220 U/mL [10 ng/mL]), tumor necrosis factor-α (280 U/mL [100 ng/mL]), and interferon gamma (100 U/mL) on Ang II type 1 (AT1) receptors expressed in rat vascular smooth muscle cells. Treatment with interleukin-1α caused a 1.4- to 1.7-fold increase in AT1binding after 24 hours (P<.01) and a 2.3-fold increase in AT1mRNA (P<.05). Tumor necrosis factor-α and interferon gamma did not cause a significant change in AT1binding when administered alone but caused a 30% reduction in binding when administered together (P<.05). The maximal decrease in AT1binding (60%,P<.01) was seen with the combination of interleukin-1α with tumor necrosis factor-α and interferon gamma. Although the upregulation of AT1by interleukin-1α was unaffected by pretreatment of cells withN-monomethyl-l-arginine or indomethacin, downregulation of AT1by interleukin-1α combined with tumor necrosis factor-α/interferon gamma was inhibited byN-monomethyl-l-arginine (P<.01). Interleukin-1α treatment enhanced Ang II–induced [3H]uridine incorporation, whereas treatment with interleukin-1α combined with tumor necrosis factor-α/interferon gamma attenuated Ang II–induced [3H]uridine and [3H]leucine incorporation. These results demonstrate that interleukin-1α upregulates AT1receptors and enhances Ang II–stimulated hypertrophic responses. However, a combination of interleukin-1α with tumor necrosis factor-α and interferon gamma downregulates AT1receptors by a nitric oxide–dependent mechanism and reduces Ang II–stimulated trophic responses in vascular smooth muscle cells.