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1Department of Anesthesiology, 2Department of Pharmacology, and 3Department of Anatomy, Aichi Medical University School of Medicine, Nagakute, Aichi, 480-1195; and 4Department of Anesthesiology, Nagoya University School of Medicine, Tsurumai 65, Showa-ku, Nagoya, 466-8550, Japan
Submitted 26 September 2003 ; accepted in final form 13 February 2004
| ABSTRACT |
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)-3-methoxyestra-1,3,5(10)-trien-17-yl]amino}hexyl)-1H-pyrrole-2,5-dione (U-73122), it was less sensitive than VEGF. However, the effects of both NPY and VEGF on the permeability of the RAEC monolayer were blocked with equal concentration dependence by STI571 (imatinib mesylate), which is an inhibitor of Abl tyrosine kinase in the nucleus and/or cytoplasm. The myosin light-chain kinase inhibitor 1-(5-chloronaphthalene-1-sulfonyl)-1H-hexahydro-1,4-diazepine HCl (ML-9) suppressed both NPY- and VEGF-induced increment in permeability by
70%, whereas the calmodulin-dependent kinase inhibitor DY-9760e could decrease to below the baseline. These results indicate that the NPY Y3-receptor subtype is specifically linked to the effects of STI571 on endothelial cells, and that NPY, a sympathetic coneurotransmitter, may increase vascular permeability in association with altered intracellular or nuclear signal transduction.
STI571; Abl; hypoxia; Y3 receptor; myosin light-chain kinase; protein kinase C
Vascular permeability may be enhanced by a variety of endogenous substances including bradykinin and histamine. Vascular endothelial growth factor (VEGF) is a potent permeability factor that is associated with vascular endothelial cell growth (8), vascular neogenesis (21), and sprout formation (7). VEGF is also known as a mediator of cancer cell metastasis by facilitating their penetration of the endothelial layer (10). VEGF binds to two receptor subtypes, VEGF receptor-1 [VEGFR-1, also known as Fms-like tyrosine kinase-1 (Flt-1); Refs. 23, 30] and VEGF receptor-2 [VEGFR-2, also known as kinase insert domain-containing receptor/fetal liver kinase-1 (Kdr/Flk-1); Refs. 22, 29]. Recent studies on VEGF-induced permeability revealed that the binding of VEGF to VEGFR-2 initiates autophosphorylation of receptor-coupled tyrosine kinase (31). Consequently, VEGF activates many protein kinases involved in intracellular signal transduction including Rac; phospholipase C
(PLC
); protein kinase C (PKC)-
, -
, and -
; extracellular regulated kinase (Erk1/2); protein kinase B (Akt); non-receptor-coupled tyrosine kinases (Src and focal adhesion kinase); mitogen-activated protein kinase (MAPK); and phosphatidylinositol 3-kinase (PI3-kinase) (7, 27, 28). Because VEGF is a growth factor for vascular endothelial cells, it may enhance DNA transcription in the nucleus. Recently nucleus protein kinase inhibitors such as STI571 (Gleevec imatinib mesylate; Novartis Pharmaceuticals) have been developed for cancer chemotherapy. STI571 potently inhibits Abl-family tyrosine kinases (c-Abl, v-Abl, and Bcr-Abl) in the nucleus and cytoplasm, which diminishes VEGF-evoked DNA transcription and cell proliferation and moderately or less-potently blocks receptor-coupled tyrosine kinases c-Kit, Flt-1, and Kdr, which are closely linked with the stem cell factor receptor, VEGFR-1, and VEGFR-2, respectively (2, 3). Dudek and Garcia (5) reported that studies of angiogenesis may provide encouraging insights into mechanisms regulating endothelial cell permeability, a key factor for angiogenic processes. However, few studies on the role of transcription factors in increasing vascular permeability have been performed.
Nan et al. (18) reported that NPY enhanced the RAEC monolayer permeability especially under hypoxic conditions (5% O2). Because intracellular cAMP concentrations obtained during hypoxia were much lower than those during normoxia (20% O2), the elevated permeability level obtained during hypoxia seemed to be correlated with a decrease in the intracellular cAMP content. Furthermore, intracellular Ca2+ concentration was increased with PYY to a similar extent as with NPY; therefore, NPY Y3-receptor-mediated permeability is not explained only by Ca2+ concentration changes. The present study was undertaken to evaluate signal transduction pathways for the permeating actions of NPY on RAECs in monolayer cultures compared to VEGF. Effects on increases in monolayer permeability were examined utilizing inhibitors of PKC, PI3-kinase, myosin light chain kinase (MLCK), calmodulin (CaM)-dependent kinase, VEGFR-2 tyrosine kinase, and PLC
, as well as the Abl protein kinase inhibitor STI571.
| METHODS |
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Isolation and culture of endothelial cells. RAECs were isolated from male Wistar rats (150200 g, 79 wk old) and cultured according to the methods of Suh et al. (26). Rats were anesthetized with ketamine (50 mg/kg body wt im) and pentobarbital sodium (25 mg/kg body wt ip), and their aortas were removed and placed in phosphate-buffered saline (PBS, without Ca2+ or Mg2+). The vessels were cleaned, opened longitudinally, cut into two or three small pieces, and placed with their intimal side down on Matrigel-coated plates in growth medium (GM). The GM contained 10% FCS, 75 µg/ml endothelial cell growth supplement (ECGS), 10 U/ml heparin, 100 U/ml penicillin-streptomycin, 1% L-glutamine, and 100 µM MEM nonessential amino acids in DMEM. After 47 days, the pieces were removed and cells were harvested; >90% viability of primary cultured cells was obtained when assessed with Trypan blue. The cells were identified as endothelial cells when they elicited a positive response to anti-von Willebrand factor antibody (Dako) after being fixed with a 7:3 ratio of methanol and acetone.
Establishment of endothelial cell monolayers for permeability assays. The incubation culture plates comprised two chambers. The base of the upper chamber was a sieve with 3-µm pore size (Chemotaxicell; Kurabo; Osaka, Japan). We used 24-well microplates for the lower chamber. Before use, the upper chamber plate was coated with 50 µl of 50 µg/ml collagen IV and left to dry overnight in a laminar-airflow cabinet. The chambers were then sterilized by rinsing with 70% ethanol and were allowed to dry. RAECs were detached with trypsin-EDTA from culture plates, washed once with fresh GM, and seeded on the upper chamber at a density of 2 x 105 cells per well in 200 µl of GM. They were incubated at 37°C in 5% CO2-95% air for 34 days during which time the GM (300 µl) was changed daily.
Incubation of endothelial cells during hypoxia or normoxia. Double chambers with endothelial cell monolayers were then moved to another CO2 incubator so that the cells could be incubated under conditions of hypoxia (5% CO2-5% O2-90% N2) or normoxia (5% CO2-20% O2-75% N2) at 37°C. The incubator was connected to a vinyl bag in which CO2, O2, and N2 gases were mixed at a desired content ratio and pumped at an appropriate velocity. From a gas outlet, PCO2 and PO2 were monitored with inhaled anesthetic gases (isoflurane and sevoflurane) using a respiratory O2-CO2 analyzer (Capnomac; Datex Instrumentarium; Helsinki, Finland). Two hours were allowed to elapse before cells were treated with drugs, and throughout the experiment the incubator door was kept closed except when the incubation medium was changed (which took <3 min).
Measurement of endothelial permeability. Endothelial monolayer permeability was assessed with reference to the filtration velocity of FITC-labeled albumin from the upper to the lower chamber as previously described (14). The incubation medium in the upper chamber was changed to 300 µl of GM that contained a kinase inhibitor or PBS as a control, NPY-VEGF-PBS, and 1% FITC-labeled albumin, while 1 ml of GM that contained 1% BSA was introduced into the lower chamber. After 2 h of incubation, 100-µl aliquots were then aspirated from the lower chamber and diluted with PBS at a 1:5 ratio for measurement of FITC-labeled albumin concentrations. A fluorescent spectrophotometer (Fluoroskan Ascent FL; Labsystems) with an excitation wavelength of 485 nm and an emission wavelength of 538 nm was used for this task. Concentration-dependent responses to NPY and VEGF were first examined with administration of the agents at ranges of 108 to 106 M for NPY and 3 x 109 to 3 x 107 g/ml for VEGF.
To evaluate responses of RAECs in monolayer cultures to 3 x 107 M NPY and 107 g/ml VEGF, RAECs were treated with kinase inhibitors at the following concentrations: 105 to 1010 M each of the MLCK inhibitor 1-(5-chloronaphthalene-1-sulfonyl)-1H-hexahydro-1,4-diazepine HCl (ML-9), the CaM-dependent kinase inhibitor DY-9760e, the VEGFR-2-receptor-coupled tyrosine kinase inhibitor tyrphostin SU-1498, the Abl tyrosine kinase inhibitor STI571, the phospholipase C (PLC) inhibitor 1-(6-{[(17
)-3-methoxyestra-1,3,5(10)-trien-17-yl]amino}hexyl)-1H-pyrrole-2,5-dione (U-73122), or the PKC inhibitor bis-indolylmaleimide I (GF-109203X); with 106 M each of the PI3-kinase inhibitor Wortmannin or the CaM kinase II inhibitor myristoyl-Lys-Lys-Ala-Leu-Arg-Arg-Gln-Glu-Ala-Val-Asp-Ala-Leu (myristoylated AIP).
Materials. Matrigel-coated plates were purchased from Becton Dickinson (Bedford, MA); DMEM, FCS, trypsin-EDTA, penicillin-streptomycin, L-glutamine, and MEM nonessential amino acid solution were obtained from GIBCO Life Technologies (Eggenstein, Germany); ECGS, Trypan blue, collagen IV, Wortmannin, and FITC-labeled albumin were from Sigma (St. Louis, MO); heparin, BSA, fluo 3-acetoxymethyl ester and Nonidet P-40 were from Wako (Osaka, Japan); Chemotaxicell was from Kurabo (Osaka, Japan); 96-and 24-well cell culture plates and poly-L-lysine were from Becton Dickinson Biosciences (Franklin Lakes, NJ); NPY was from Bachem; VEGF was from R&D Systems; and STI571 and DY-9760e were kindly supplied by Novartis Pharmaceuticals and Daiichi Pharmaceutical (Tokyo), respectively. Tyrphostin SU-1498 and GF-109203X were purchased from LC Laboratories (Boston, MA); U-73122 was from Cayman Chemical; and ML-9 and myristoylated AIP were from Biomol Research Laboratories. Tyrode's solution was composed (in mM) of 137 NaCl, 2.7 KCl, 1 MgCl2, 1.8 CaCl2, 0.2 NaH2PO4, 12 NaHCO3, and 5.5 glucose. ML-9, tyrphostin SU-1498, STI571, and U-73122 were dissolved in glycine + NaCl solution (Sorensen buffer solution; pH was adjusted to 4.5 with 0.1 M HCl) as stock solutions and were diluted with PBS to 0.1% before use. A preliminary study showed that Sorensen buffer solution did not affect the RAEC monolayer permeability.
Statistical analysis. Differences between means were examined for significance with ANOVA. Statistical significance was evaluated by Scheffé's method (24) at levels of 0.05 and 0.01 with values expressed as means ± SE.
| RESULTS |
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77 times greater than for VEGF (3 x 108 g/ml) when the molecular mass of VEGF was assumed to be 46 kDa.
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Effects of STI571 on NPY- and VEGF-induced elevations of RAEC monolayer permeability in hypoxia. The Abl tyrosine kinase inhibitor STI571 concentration-dependently inhibited both NPY- and VEGF-induced elevations of RAEC monolayer permeability as shown in Fig. 6. The dose-response curves of STI571 obtained against NPY- and VEGF-induced increases in permeability were very similar; IC50 values were almost 2 x 108 M. The highest concentration of STI571 completely inhibited the permeability responses of RAECs to either NPY or VEGF to the baseline level. STI571 alone (in the absence of NPY and VEGF) hardly affected the RAEC monolayer permeability.
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| DISCUSSION |
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The results obtained in the present study showed that ML-9 and DY-9760e inhibited permeability responses of RAECs to both NPY and VEGF, which indicates the possible participation of MLCK- and CaM-dependent kinases in NPY- and VEGF-induced permeability. These kinases may be activated via an increase in intracellular Ca2+ released by inositol 1,4,5-trisphosphate, which is a product of PLC (11), but previously Nan et al. (18) showed a loss of difference in increasing intracellular Ca2+ concentration between NPY and PYY, the latter of which elicited no action on permeability. Such a controversial result suggests that an MLCK-mediated actin-myosin interaction may modulate the stress-fiber formation in association with the MLCK-independent pathway. But whether NPY causes such an MLCK-independent actin polymerization is still unclear. Furthermore, high concentrations of DY-9760e significantly lowered the baseline permeability as obtained with no drugs (see Fig. 5). Similarly, the CaM kinase II inhibitor myristoylated AIP (106) strongly lowered the FITC-labeled albumin concentration in the presence of NPY or VEGF to below the baseline level. These results indicate that a CaM-dependent protein kinase, possibly CaM kinase II, may play a role in maintaining the basal permeability level.
Increased RAEC monolayer permeability caused by NPY differed from that induced by VEGF at least with regard to sensitivity to the VEGFR-2-coupled tyrosine kinase inhibitor tyrphostin SU-1498, GF-109203X, and U-73122. The PKC inhibitor GF-109203X inhibited the VEGF-evoked permeability elevation in a concentration-dependent manner but did not exert any inhibitory action in the NPY case. The IC50 value for U-73122 (a PLC inhibitor) in inhibiting the permeability changes caused by NPY was much greater than that for VEGF. Because PKC activity may depend on the amount of diacylglycerol present, which is another product of PLC (11), the difference between NPY and VEGF in sensitivity to the PLC inhibitor indicates that different subtypes of PLC and PKC may be involved in NPY- and VEGF-induced increases in RAEC monolayer permeability. Reportedly, PKC activation induced by phorbol myristate acetate, tumor necrosis factor, or pertussis toxin enhances bovine pulmonary endothelial cell permeability but not human umbilical vein endothelial cell permeability, which likely reflects differences in PKC isotype-specific expression (5, 25). In the former, the permeability responses were observed without significant increases in myosin light-chain phosphorylation. In such a context, a PKC-mediated, MLCK-independent pathway may be involved in the VEGF-induced increase in RAEC monolayer permeability but not in the NPY-induced change.
Furthermore, in the present study, STI571 clearly inhibited both VEGF- and NPY-induced elevations of RAEC monolayer permeability in a concentration-dependent fashion and with similar IC50 values. According to the manufacturer's data for STI571 (obtained by in vitro estimation; Ref. 2), the IC50 values reported for the inhibitory actions on Abl-family protein kinases such as c-Abl, v-Abl, and Bcr-Abl were 0.0250.038 µM, which are almost identical to those obtained for the inhibitory action of STI571 in the present study. These values are much smaller (1:1,000) than those for VEGFR-2 tyrosine kinase Kdr and VEGFR-1 tyrosine kinase Flt-1, which were 10.7 and 19.6 µM, respectively. Multiple structural and functional domains have been found in the Abl molecules, especially in the DNA- and actin-binding domains (20). Thus Abl activation exerts a regulatory function in cell proliferation, survival, and apoptotic response depending on cell type or specific extracellular stimuli. Because Abl-family tyrosine kinases are transcription factors that exist in the nucleus, STI571 is used as a therapeutic drug for chronic myelogenous leukemia, lung cancers, and gastrointestinal stromal tumor (2, 3, 13). Abl molecules locate in the cytoplasm as well and act as a non-receptor-coupled protein tyrosine kinase and interact with actin to participate in cell migration (32). Woodring et al. (33) suggested that reciprocal regulation between F-actin and the c-Abl tyrosine kinase may provide a self-limiting mechanism in the control of cytoskeleton dynamics: purified c-Abl tyrosine kinase may be inhibited by F-actin, and in turn, occurrence of F-actin microspikes may depend upon Abl activity. Platelet-derived growth factor (PDGF) and epithelium growth factor (EGF) may activate Abl in fibroblasts and evoke plasma membrane ruffling (lamellipodial exploration) and filopodial exploration through actin polymerization (32), possibly independent of MLCK. Whether such a role for Abl is closely related to the NPY-induced increase in permeability across RAEC monolayers, i.e., through another MLCK-independent pathway, is still to be evaluated.
Although Kdr is known as a tyrosine kinase whose activation evokes vascular permeability with VEGF (16, 31, 34), the IC50 values for STI571 differed between the VEGF-induced increase in permeability and Kdr activities. In this context, the possibility that VEGF-induced permeability may be mediated through Abl activation in nucleus and/or cytoplasm deserves consideration. It was recently reported that NPY stimulates cell proliferation in several tissues via binding to NPY Y1- or Y2-receptor subtypes (35). It remains unclear whether proliferation of RAECs may also be induced by NPY mediated by the NPY Y3-receptor subtype, and whether such a proliferation may be responsible for the increase in permeability (12).
Wortmannin, an inhibitor of PI3-kinase, elicited no inhibitory actions on either NPY- or VEGF-induced increases in permeability in the present study, which suggests that PI3-kinase does not play a role in increasing permeability. It is therefore interesting that Takahashi et al. (27) demonstrated that VEGF-induced activation of Raf-MEK-MAP kinase and DNA synthesis are mainly mediated by a PKC-dependent pathway rather than by Ras-dependent or PI3-kinase-dependent pathways.
Thus far, all NPY-receptor subtypes except the Y3-receptor subtype are GTP-binding-protein-coupled receptors (15). Because STI571 showed no inhibitory action on NPY-induced vascular smooth muscle contraction caused through NPY Y1- and Y2-receptor subtypes (1, 6), signal transduction through Y1- and Y2-receptor subtypes seemed different from that through the Y3-receptor subtype, which may be specifically linked to Abl in endothelial cells. Lack of any inhibitory action of tyrphostin SU-1498 on NPY-induced monolayer permeability suggests that NPY may directly elicit permeability through NPY Y3-receptor binding but not indirectly by releasing VEGF as reported by Nan et al. (18). As additional evidence for support of direct action of NPY, differences in the actions between NPY and VEGF were obtained in the inhibitory responses of RAEC monolayers to PLC or PKC inhibitors during hypoxia. In experiments performed under hypoxic conditions, VEGF may be released from endothelial cells (7) and thereby increase the permeability, but it generally takes a long time for these effects to appear. It was reported that the amount of VEGF produced in human umbilical vein endothelial cells begins to increase from 24 h after incubation with hypoxia (5% O2) and then levels off at 48 h (17). Because the present study was carried out within 25 h after hypoxia was induced, it is not likely that VEGF contributed to the NPY-induced elevation of permeability (18). Nevertheless, the other unknown pathway through VEGF receptors or facilitated release cannot be ruled out.
Furthermore, the permeability responses obtained for both VEGF and NPY during hypoxia were significantly greater than those during normoxia. Although the mechanisms involved have yet to be elucidated, hypoxia may enhance the effects of both VEGF and NPY on RAEC monolayer permeability, probably by interacting with a signal transduction pathway that causes a decrease in cAMP (9, 18). Noll et al. (19) described NPY as reducing macromolecule permeability across coronary endothelial monolayers through modulation of cAMP-dependent signal transduction. Respecting such a difference in the permeability results obtained with NPY, Nan et al. (18) pointed out differences in O2 tension, vascular beds, and NPY-receptor subtypes.
In conclusion, NPY elicits permeability action on RAEC monolayers under hypoxic conditions to a greater extent than during normoxia with much less potency and almost similar efficacy when compared to VEGF. It is likely that a PKC-mediated pathway may be involved in the VEGF-induced increase of permeability, but this pathway likely has little effect on NPY-induced increase. It is noteworthy that STI571, an Abl tyrosine kinase inhibitor that acts in the nucleus and/or cytoplasm, equally inhibited the effects of both NPY and VEGF on permeability, which suggests a close relationship with signal transduction pathways for their actions. NPY- or VEGF-induced increases in RAEC monolayer permeability are still to be evaluated with special respect for participation of Abl tyrosine kinase and interaction with tethering or contractile forces. Taken together, we propose that NPY, a sympathetic coneurotransmitter, may increase vascular permeability in association with intracellular and/or nucleus signal transduction via the NPY Y3-receptor subtype.
| GRANTS |
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| FOOTNOTES |
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The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
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