Endocrinology Vol. 139, No. 8 3432-3441
Copyright © 1998 by The Endocrine Society
Adrenomedullin as a Novel Growth-Promoting Factor for Cultured Vascular Smooth Muscle Cells: Role of Tyrosine Kinase-Mediated Mitogen-Activated Protein Kinase Activation1
Hiroaki Iwasaki,
Satoru Eguchi,
Masayoshi Shichiri,
Fumiaki Marumo and
Yukio Hirata
Endocrine-Hypertension Division, Second Department of Internal
Medicine, Tokyo Medical and Dental University, 15-45 Yushima,
Bunkyo-ku, Tokyo 113, Japan
Address all correspondence and requests for reprints to: Dr. Yukio Hirata, Second Department of Internal Medicine, Tokyo Medical and Dental University, 15-45 Yushima, Bunkyo-ku, Tokyo 113, Japan.
 |
Abstract
|
|---|
To examine whether adrenomedullin (AM), a novel vasodilator peptide,
acts as a growth modulator in the vasculature, the effects of AM on
protein tyrosine phosphorylation, mitogen-activated protein kinase
(MAPK) activation, protooncogene expression, DNA synthesis, and cell
proliferation were studied in cultured rat vascular smooth muscle cells
(VSMC). AM and calcitonin gene-related peptide (CGRP), although weaker
than AM, stimulated DNA synthesis and cell proliferation of quiescent
VSMC, whose effects were inhibited by a CGRP receptor antagonist,
CGRP-(837). AM induced a rapid increase in MAPK activity, followed by
the expression of the immediate early protooncogene
c-fos. AM-induced MAPK activation and cell proliferation
were completely blocked by protein tyrosine kinase inhibitors
(genistein and ST638). Moreover, AM rapidly induced tyrosine
phosphorylation of several proteins (
120,
90, and
50 kDa) and
transiently increased association of a tyrosine-phosphorylated protein
(
120 kDa) and Shc with the
glutathione-S-transferase-Grb2 fusion protein. A MAPK
kinase inhibitor (PD98059) also reduced the AM-induced MAPK activation,
c-fos messenger RNA expression, and cell proliferation.
Although AM has been shown to induce vasodilation through cAMP
production in VSMC, a cAMP antagonist (Rp-cAMP-thionate) and a protein
kinase A inhibitor (KT5720) failed to block AM-induced MAPK activation
and DNA synthesis. Moreover, 8-bromo-cAMP and forskolin did not affect
the MAPK activity. AM had no effect on either the intracellular
Ca2+ concentration or inositol 1,4,5-trisphosphate
formation. In addition, a protein kinase C inhibitor (GF109203X) did
not inhibit the AM-induced MAPK activation. These data suggest that in
addition to its vasodilatory effect through the cAMP-dependent pathway,
AM exerts its mitogenic activity via protein tyrosine kinase-mediated
MAPK activation in quiescent rat VSMC.
 |
Introduction
|
|---|
ADRENOMEDULLIN (AM) is a novel vasorelaxant
peptide originally isolated from the extract of human pheochromocytoma
(1). Human AM, which comprises 52 amino acid residues, has a partial
homology with calcitonin gene-related peptide (CGRP) (1). Subsequent
study revealed that AM transcripts are expressed in variety of tissues,
including the cardiovascular system (2). Indeed, cultured endothelial
cells (EC), vascular smooth muscle cells (VSMC), and cardiomyocytes
have been shown to be not only sources (3, 4, 5, 6), but also targets, of AM
(7, 8, 9), suggesting its role as an autocrine/paracrine factor in the
cardiovascular tissues. We have previously reported that common AM/CGRP
receptors in VSMC are coupled to a Gs/cAMP
pathway (7, 10) that is believed to transmit the vasodilatory
action.
Recently, it has been shown that AM is an autocrine growth factor
for various tumor cell lines (11), and that AM stimulates DNA synthesis
and cell proliferation in Swiss 3T3 fibroblasts (12). It has also been
reported that CGRP stimulates the proliferation of cultured human EC
(13). It has been reported that plasma AM concentrations increase in
patients with certain cardiovascular diseases, such as essential
hypertension (14, 15), congestive heart failure (16, 17), and septic
shock (18). Thus, AM may be involved not only in the regulation of
vascular tone but also in the process of vascular lesion
formation associated with hypertension and atherosclerosis.
p42/p44 mitogen-activated protein kinase (MAPK) is a member of a family
of serine/threonine kinases that may participate in the regulation of
cell growth and differentiation (19, 20, 21). MAPK is rapidly activated by
activation of growth factor/tyrosine kinase receptors and G protein-
coupled receptors (22, 23). Receptor tyrosine kinases and G
protein-coupled receptors can recruit a set of adaptor proteins (Shc,
Grb2, and Sos), and Sos catalyzes the exchange of GDP to GTP on the
membrane-bound p21ras, thereby initiating MAPK
cascade. The activation of MAPK results in phosphorylation of a nuclear
transcriptional factor, Elk1, which induces expression of the
growth-associated nuclear protooncogene c-fos (24, 25).
In the present study, we examined the role of the signal transduction
cascade activated by AM in cultured rat VSMC. We found that AM
stimulates MAPK activity, c-fos expression, and subsequent
proliferation of quiescent rat VSMC via a protein tyrosine kinase (PTK)
pathway, but not via a cAMP/protein kinase A (PKA) or
Ca2+/protein kinase C (PKC) pathway.
 |
Materials and Methods
|
|---|
Materials
DMEM was obtained from Life Technologies (Grand Island, NY). FCS
was purchased from JRH Biosciences (Lenexa, KS). Synthetic rat AM, rat
CGRP, human CGRP-(837), and endothelin-1 (ET-1) were obtained from
Peptide Institute (Osaka, Japan). Genistein, Rp-cAMP-thionate, and
GF109203X were obtained from Calbiochem-Novabiochem (La Jolla, CA).
KT5720 was purchased from Kyowa Medix Co. (Tokyo, Japan). Forskolin and
8-bromo-cAMP were obtained from Sigma Chemical Co. (St. Louis MO).
PD98059 and phospho-specific MAPK antibody (no. 9101) were obtained
from New England Biolabs (Beverly, MA). Monoclonal antiphosphotyrosine
antibody conjugated with peroxidase (RC20H) was purchased from
Transduction Laboratories (Lexington, KY). Polyclonal anti-Shc
antibody, polyclonal anti-ERK2 antibody, and agarose-conjugated
glutathione-S-transferase (GST)-Grb2-(1217) fusion protein
were obtained from Santa Cruz Biotechnology (Santa Cruz, CA).
Peroxidase-linked antirabbit and antimouse IgG antibodies,
[3H]thymidine (SA, 6.7 Ci/mmol),
[
-32P]deoxy-CTP (SA, 111 tetrabecquerels/mmol), and
[
-32P]ATP (SA, 37 megabecquerels/mmol) were obtained
from Amersham International (Aylesbury, UK). Human c-fos
complementary DNA (cDNA) was provided by the Japanese Cancer Research
Bank (Tokyo, Japan).
Cell culture
Rat VSMCs were prepared from the thoracic aorta of 6-week-old
male Wistar rats using the explant method and cultured in DMEM
containing 10% FCS at 37 C in a humidified atmosphere of 95% air-5%
CO2 as previously described (26). Subcultured cells
(1020th passages) were made quiescent by incubation with serum-free
DMEM for about 23 days.
MAPK activity
Quiescent VSMCs (
5 x 105 cells) grown on a
24-well plate were stimulated with AM at 37 C in serum-free DMEM for
the indicated times. The reaction was terminated by the replacement of
medium with ice-cold lysis buffer [10 mM Tris-HCl (pH
7.4), 20 mM NaCl, 2 mM EGTA, 2 mM
dithiothreitol, 1 mM Na3VO4, 1
mM phenylmethylsulfonylfluoride, 10 µg/ml leupeptin, and
10 µg/ml aprotinin]. After brief sonication, the sample was
centrifuged at 14,000 x g for 5 min at 4 C, and the
supernatant was assayed for MAPK activity by measurement of the
incorporation of [
-32P]ATP into a synthetic peptide
(KRELVEPLTPAGEAPNQALLR) as a specific MAPK substrate using an assay kit
(Amersham). The reaction was carried out with the cell lysate (
1
µg protein) in 75 mM HEPES buffer, pH 7.4, containing 1.2
mM MgCl2, 2 mM substrate peptide,
and 1.2 mM ATP/1 µCi [
-32P]ATP for 30
min at 30 C. The resultant solution was applied to a phosphocellulose
membrane (Amersham), which was extensively washed in 1% acetic acid
and then in H2O. The radioactivity trapped on the membrane
was measured in a liquid scintillation counter (1900TR, Packard
Instrument Co., Meriden, CT).
Western blotting
Quiescent VSMCs (
2 x 106 cells) grown on a
six-well plate were stimulated with AM at 37 C in serum-free medium for
the indicated times. The reaction was terminated by the replacement of
medium with 100 µl SDS-PAGE buffer, pH 6.8, containing 62.5
mM Tris-HCl, 2% SDS, 10% glycerol, 50 mM
dithiothreitol, and 0.1% bromophenol blue. After brief sonication,
samples were boiled for 5 min at 95 C and centrifuged (14,000 x
g, 5 min) at 4 C, and aliquots of the supernatants were
subjected to 10% SDS-PAGE. Proteins in the gel were transferred to a
nitrocellulose membrane (Hybond-ECL, Amersham) by electroblotting. The
membrane was treated with polyclonal phospho-specific MAPK antibody
(1:1000) that recognizes p42/p44 MAPK only when catalytically activated
by phosphorylation at Tyr204, with recombinant
antiphosphotyrosine antibody (1:1000), or with polyclonal rabbit
anti-ERK2 antibody (1:1000). After incubation with the appropriate
secondary antibodies, immunoreactive proteins were detected using the
ECL Western blotting detection kit (Amersham).
For immunoblot analysis of Grb2 associatable proteins, quiescent VSMCs
(
5 x 106 cells) were stimulated for the indicated
times and lysed in 0.8 ml lysis buffer (pH 7.4, containing 20
mM Tris-HCl, 150 mM NaCl, 2.5 mM
EDTA, 1.0% Triton-X, 0.1% SDS, 10% glycerol, 50 mM NaF,
10 mM Na3P2O7, 1.0%
deoxycholic acid, 1 mM Na3VO4, 1
mM phenylmethylsulfonylfluoride, and 10 µg/ml aprotinin).
Lysates were sonicated for 5 sec and then centrifuged at 14,000 x
g for 5 min at 4 C, and the supernatant was rocked with
agarose-conjugated GST-Grb2 fusion protein (6 µg) for 16 h at 4
C. The beads were washed three times with lysis buffer, solubilized in
Laemmli sample buffer, and subjected to immunoblotting. After the
membrane was initially treated with mouse monoclonal
antiphosphotyrosine antibody (1:1,000) or polyclonal anti-Shc antibody
(1:3,000) and then with secondary antibodies, immunoreactive proteins
were detected by the ECL detection kit.
Northern blot analysis
Quiescent VSMCs (
5 x 106 cells) were
incubated with AM in fresh serum-free DMEM for the indicated times.
Total RNAs from VSMCs were extracted using the acid guanidinium
thiocyanate-phenol-chloroform method (27). Northern blot analysis was
carried out as previously described (28). Briefly, cellular RNAs (20
µg) were separated by formaldehyde-1.1% agarose gel electrophoresis
and transferred to a MagnaGraph nylon membrane (Micron Separations,
Westborough, MA). After UV wave cross-linking, RNA immobilized on the
membrane was hybridized with human c-fos cDNA as a probe in
the presence of 50% formamide at 42 C. The probe was labeled with
[
-32P]deoxy-CTP triphosphate by the random primed
labeling method. The membrane was washed finally in 0.1 x SSPE
(15 mM NaCl, 1 mM
NaH2PO4, and 0.1 mM EDTA)-0.5% SDS
at 50 C and autoradiographed with intensifying screens for 24
h.
Mitogenic assays
DNA synthesis was assessed by incorporation of
[3H]thymidine into cells as previously described (29). In
brief, after preincubation in serum-free DMEM for 48 h, the
quiescent VSMC (
5 x 105 cells) were incubated with
AM for 20 h, after which 1 µCi [3H]thymidine was
added, and the cells were further incubated for 4 h. After
completion, trichloroacetic acid-insoluble radioactivity was measured
with a liquid scintillation counter (1900TR, Packard).
For determination of cell number, subconfluent VSMCs (
2 x
104 cells) were preincubated in DMEM containing 0.1% FCS
for 48 h. After medium was renewed by the same fresh medium, cells
were incubated with AM for 3 days. After trypsinization, cell number
was determined in a cell counter (CDA-500, Toua Medical Electronics
Co., Kobe, Japan).
Determination of intracellular calcium concentration
([Ca2+]i)
Measurement of [Ca2+]i was determined
by the Ca2+-fura-2 fluorescence method as described
previously (30). After incubation in serum-free DMEM for 48 h,
cells were trypsinized and incubated with 4 µM fura-2
acetoxymethyl ester (Dojindo Chemical Laboratory, Kumamoto, Japan) at
37 C for 20 min in buffered physiological salt solution. The
Ca2+-fura-2 fluorescence of the suspended cells was
measured by a spectrofluorometer (CA-200DP, Japan Spectroscopic Co.,
Tokyo, Japan) using excitation at 340 and 380 nm and emission at 500
nm. [Ca2+]i values were determined according
to the method of Grynkiewicz et al. (31).
Measurement of inositol 1,4,5-trisphosphate (IP3)
For measurement of IP3, quiescent VSMCs (
106
cells/well) were incubated with AM or ET-1 in 2 ml Hanks Balanced
Salt Solution, pH 7.4, at 37 C for 30 sec as previously described (32).
Incubation was terminated by the addition of 15% trichloroacetic acid,
and the extracts were used for measurement of IP3 using a protein
binding assay kit (Amersham).
Statistical analysis
All results are expressed as the mean ± SE of
three to five samples (n). Students t test was used for
the statistical analysis; P < 0.05 was considered
significant.
 |
Results
|
|---|
Growth-promoting effect of AM
In quiescent VSMC, AM stimulated DNA synthesis in a dose-dependent
manner (10-910-6 M), whereas
CGRP also stimulated DNA synthesis less potently than AM (Fig. 1A
); the approximate half-maximal doses
(ED50) of AM and CGRP were 2.5 x 10-9
and 5.6 x 10-8 M, respectively. To
confirm the mitogenic activity of AM on VSMC, cell number was measured
after treatment with AM for 3 days. AM caused a dose-dependent increase
in cell number; the approximate ED50 was 2.5 x
10-9 M (Fig. 1B
).

View larger version (18K):
[in this window]
[in a new window]
|
Figure 1. Mitogenic effects of AM and CGRP on rat VSMC. A,
Quiescent cells were incubated with AM and CGRP at the indicated
concentrations; [3H]thymidine radioactivity incorporated
into cells was determined as described in Materials and
Methods. Each point with bar shows the mean
± SE (n = 4). B, Quiescent cells were incubated with
AM at the indicated concentrations for 3 days, and cell number was
determined (n = 5).
|
|
As shown in Fig. 2A
, AM
(10-7 M)- and CGRP (10-7
M)-stimulated DNA syntheses were equally and dose
dependently (10-810-5 M)
inhibited by a CGRP antagonist, CGRP-(837). The AM (5 x
10-8 M)-induced increase in cell number was
also inhibited by CGRP-(837) (10-6 M; Fig. 2B
).

View larger version (22K):
[in this window]
[in a new window]
|
Figure 2. Effect of CGRP receptor antagonist on AM-induced
cell growth in rat VSMC. A, Quiescent cells were incubated with AM
(10-7 M) or CGRP (10-7
M) in the presence of CGRP-(837) atthe indicated
concentrations for measurement of [3H]thymidine
incorporation (n = 4). B, Quiescent cells were incubated with or
without AM (5 x 10-8 M) for 3 days
in the absence and presence of CGRP-(837) (10-6
M) for determination of cell number. Each column
with bar shows the mean ± SE (n = 5). *,
P < 0.05 vs. basal.
|
|
MAPK activation by AM
To determine whether the growth-promoting signal by AM involves
MAPK activation, the catalytic activity of p42/44 MAPK was assessed. As
shown in Fig. 3A
, AM (10-7
M) caused a transient MAPK activation, peaking at 5 min,
which returned to the basal level by 30 min, whereas neither
8-bromo-cAMP (10-3 M) nor forskolin
(10-5 M) affected MAPK activity in VSMC. AM
stimulated MAPK activity in a dose-dependent manner
(10-910-6 M) with the
approximate ED50 of 2.5 x 10-8
M (Fig. 3B
). As p42/p44 MAPK activation is closely
correlated with its phosphorylation at Tyr204, the effect
of AM on phosphorylation of p42/p44 MAPK was analyzed by immunoblotting
with polyclonal antibody, which selectively recognizes
Tyr204-phosphorylated MAPKs. AM (10-7
M) induced tyrosine phosphorylation of both p42 and p44
MAPKs within 5 min (Fig. 4B
).

View larger version (19K):
[in this window]
[in a new window]
|
Figure 3. Stimulation of MAPK activity by AM in rat VSMC. A,
Quiescent cells were incubated with AM (10-7
M), 8-bromo-cAMP (10-4 M), and
forskolin (10-5 M) for the times indicated
(n = 3). B, Quiescent cells were incubated for 5 min with AM at
the indicated concentrations (n = 3). MAPK activities of the cell
lysates were determined as described in Materials and
Methods.
|
|

View larger version (14K):
[in this window]
[in a new window]
|
Figure 4. Effect of CGRP receptor antagonist on AM-induced
MAPK activation and its phosphorylation in rat VSMC. Quiescent cells
pretreated with or without CGRP-(837) (10-6
M) for 30 min were stimulated with or without AM (5 x
10-8 M) for 5 min. MAPK activity was
determined (A; n = 4; *, P < 0.05
vs. basal), and immunoblotting (B) was performed using
antiphosphorylated MAPK (upper panel) and anti-ERK2
antibodies (lower panel). Arrows denote
phosphorylated MAPK at 42 and 44 kDa, respectively.
|
|
To determine whether AM-stimulated MAPK activity is mediated via
AM/CGRP receptor, the effect of a CGRP receptor antagonist was tested.
Pretreatment with CGRP-(837) completely blocked AM-induced MAPK
activity (Fig. 4A
) and its phosphorylation (Fig. 4B
). These data
suggest that the AM-induced MAPK activation and subsequent cell growth
are mediated via the same AM/CGRP receptor.
Role of MAPK pathway in c-fos expression and cell proliferation by
AM
To determine the role of MAPK cascade in the growth-promoting
effect of AM, we examined the effect of a MAPK kinase (MEK-1)
inhibitor, PD98059, on AM-induced MAPK activation, c-fos
expression, and cell growth in VSMC. PD98059 (5 x
10-5 M) decreased the AM-induced MAPK
activation (Fig. 5A
) and its
phosphorylation (Fig. 5B
). A transient (0.5-h) expression of
c-fos messenger RNA (mRNA) by AM (10-7
M) was markedly (
60%) inhibited by PD98059 (5 x
10-5 M; Fig. 6A
), whereas PD98059 (5 x
10-5 M) decreased the AM-stimulated increase
in cell number by about 70% (Fig. 6B
). These results suggest the
critical role of the MAPK pathway in the mechanism of AM-induced
c-fos expression and cell proliferation.

View larger version (15K):
[in this window]
[in a new window]
|
Figure 5. Effect of MEK-1 inhibitor (PD98059) on AM-induced
MAPK activation and its phosphorylation. Quiescent cells pretreated
with or without PD98059 (5 x 10-5 M) for
60 min were stimulated with or without AM (10-7
M) for 5 min. MAPK activity was determined (A; n = 4;
*, P < 0.05 vs. basal), and
immunoblotting (B) was performed using antiphosphorylated MAPK
(upper panel) and anti-ERK2 antibodies (lower
panel).
|
|

View larger version (27K):
[in this window]
[in a new window]
|
Figure 6. Effect of MEK inhibitor (PD98059) on AM-induced
c-fos mRNA expression and cell growth in rat VSMC. A,
Quiescent cells pretreated with or without PD98059 (5 x
10-5 M) for 60 min were stimulated with or
without AM (10-7 M) for 30 min for Northern
blot analysis. Total RNA was hybridized with cDNAs for
c-fos (upper panel) and
glyceraldehyde-3-phosphate dehydrogenase (middle
panel) as probes, respectively. The lower panel
shows the ratio of c-fos signal to
glyceraldehyde-3-phosphate dehydrogenase expression quantified by
densitometry. B, Quiescent cells pretreated with or without PD98059
(5 x 10-5 M) for 60 min were stimulated
with or without AM (10-7 M) for 3 days for
determination of cell number (n = 5; *, P <
0.05 vs. basal).
|
|
Role of the PTK pathway in the mitogenic signal by AM
To examine the role of PTK in AM-induced proliferation of VSMC, we
investigated the effect of AM on protein tyrosine phosphorylation. As
shown in Fig. 7A
, AM rapidly (within 1
min) induced tyrosine phosphorylation of at least three distinct
proteins (
50,
90, and
120 kDa) as revealed by Western blot
analysis using antiphosphotyrosine antibody; these bands were markedly
reduced by pretreatment with genistein (10-4
M), a PTK inhibitor.

View larger version (28K):
[in this window]
[in a new window]
|
Figure 7. Tyrosine phosphorylation and Shc-Grb2 interaction
by AM in rat VSMC. Quiescent cells pretreated with or without genistein
(10-4 M) were incubated with AM
(10-7 M) for the indicated times, and cell
lysates were subjected to immunoblotting using antiphosphotyrosine
antibody (A) or were immunoprecipitated with GST-Grb2 fusion protein
and then immunoblotted using antiphosphotyrosine (B, upper
panel) and anti-Shc antibody (B, lower panel).
The arrows denote tyrosine-phosphorylated proteins (A
and B) and Shc isoforms (B), respectively.
|
|
The association of adaptor proteins (Shc and Grb2) with
tyrosine-phosphorylated PTK plays a central role to recruit Sos, a
putative activator of p21ras and subsequent MAPK
cascade (22). Thus, we further examined whether AM stimulates the
association of a tyrosine-phosphorylated protein and Shc with Grb2. As
shown in Fig. 7B
, AM transiently (within 1 min) increased association
of the tyrosine-phosphorylated protein (
120 kDa) with Grb2 as
detected by immunoprecipitation with GST-Grb2 and immunoblotting with
an antiphosphotyrosine antibody. The rapid association of all Shc
isoforms (p46, p52, and p66) with Grb2 was also observed upon AM
treatment (Fig. 7B
). Pretreatment with genistein
(10-4 M) completely blocked MAPK
activation (Fig. 8A
) and the increase in
cell number stimulated by AM (10-7 M; Fig. 8B
). ST638 (10-4 M), a highly selective PTK
inhibitor, also blocked the AM-induced MAPK activation (data not
shown). These data suggest that AM induces tyrosine phosphorylation of
p120, a putative PTK, to recruit adaptor proteins (Shc and Grb2),
thereby promoting MAPK activation and subsequent cell growth in
VSMC.

View larger version (18K):
[in this window]
[in a new window]
|
Figure 8. Effect of PTK inhibitor (genistein) on AM-induced
MAPK activation and cell growth of rat VSMC. Quiescent cells pretreated
with or without genistein (10-4 M) for 30 min
were stimulated with or without AM (10-7 M)
for 5 min for determination of MAPK activity (A; n = 4; *,
P < 0.05 vs. basal) and for 3 days
for determination of cell number (B; n = 5; *,
P < 0.05 vs. basal).
|
|
Roles of the PKC and PKA pathways in the mitogenic signal by AM
We then examined whether the growth-promoting signal(s) by AM
involves the Ca2+/PKC pathway and the cAMP/PKA pathway.
ET-1 (10-7 M) rapidly (within 30 sec) induced
IP3 formation and increased [Ca2+]i, whereas
AM (10-7 M) had no effect on IP3 levels (Fig. 9A
) or [Ca2+]i
(Fig. 9B
). GF109203X (2 x 10-6 M), a
highly specific PKC inhibitor that completely blocked PMA-induced MAPK
activation (33), had no effect on the AM-induced MAPK activation or its
phosphorylation (data not shown).

View larger version (10K):
[in this window]
[in a new window]
|
Figure 9. Agonist-induced IP3 formation and
[Ca2+]i elevation in rat VSMC. Quiescent
cells were incubated with or without AM (10-7
M) or ET-1 (10-7 M) for 30 sec for
measurement of IP3 (A; n = 3; *, P < 0.05
vs. basal) and measurement of
[Ca2+]i (B). The fura-2-loaded cells were
stimulated with AM (10-7 M) followed by ET-1
(10-7 M).
|
|
Both KT5720 (10-6 M), a selective PKA
inhibitor, and Rp-cAMP-thionate (10-3 M), a
cAMP antagonist, failed to inhibit MAPK activation (Fig. 10A
) or its phosphorylation (data not
shown); Rp-cAMP-thionate (10-3 M) also did not
affect AM-stimulated DNA synthesis (Fig. 10B
). These data suggest that
neither the Ca2+/PKC pathway nor the cAMP/PKA pathway
is involved in the AM-induced mitogenic signal in rat VSMC.

View larger version (19K):
[in this window]
[in a new window]
|
Figure 10. Effects of PKA inhibitor (KT5720) and cAMP
antagonist (Rp-cAMP-thionate) on AM-induced MAPK activation and DNA
synthesis in rat VSMC. Quiescent cells pretreated with or without
either KT5720 (10-6 M) or Rp-cAMP-thionate
(10-3 M) for 30 min were stimulated with or
without AM (10-7 M) for 5 min for
determination of MAPK activity (A; n = 4; *, P
< 0.05 vs. basal) and for 24 h for measurement of
[3H]thymidine incorporation (B; n = 4; *,
P < 0.05 vs. basal).
|
|
 |
Discussion
|
|---|
AM, originally identified as a vasodilator, has recently been
implicated in the modulation of cell growth and differentiation during
embryogenesis and carcinogenesis (10, 34). Cultured VSMCs and ECs,
which posses abundant AM/CGRP receptors (3, 4, 6), also express AM
transcript and secrete AM into culture medium (3, 4, 5), suggesting
its possible role as an autocrine/paracrine factor for the vasculature.
In the present study, we have demonstrated for the first time that AM
exerts a mitogenic effect on rat VSMC via AM/CGRP receptor
activation.
We previously reported that AM- and CGRP-induced cAMP responses in rat
VSMC were inhibited by a CGRP receptor antagonist, CGRP-(837),
suggesting that AM and CGRP may interact with the same and/or very
similar receptors in rat VSMC (7). In the present study, both AM and
CGRP stimulated DNA synthesis and proliferation of quiescent rat VSMC
in culture, the effects of which were similarly antagonized by a CGRP
antagonist, CGRP-(837). Recently, a cDNA clone for the putative
395-residue AM receptor containing seven transmembrane domains was
identified in rat lung (35). However, CGRP does not interact with the
putative AM receptor to increase cAMP generation (35). Northern blot
analysis of total RNA from our rat VSMC in culture with PCR-cloned cDNA
for the putative AM receptor failed to detect its expression (Iwasaki,
H., T. Imai, and Y. Hirata, unpublished observation). Therefore, there
exist receptor subtypes for AM/CGRP other than the putative AM receptor
in rat VSMC.
Activation of MAPK by the tyrosine kinase receptors, such as
platelet-derived growth factor and epidermal growth factor, appears to
be a common requirement for cell growth and differentiation (36).
Recently, the G protein-coupled receptors for certain vasoconstrictor
peptides, such as angiotensin II and ET-1, have been shown to induce
MAPK activation in rat VSMC (37, 38). In the present study, we have
clearly demonstrated that stimulation with AM resulted in a marked
activation of MAPK associated with its tyrosine phosphorylation in rat
VSMC. There appears to be some discrepancy between the maximal
responses of MAPK activity in response to AM in the present study. This
may be due to the different passages of VSMCs used in each experiment
and/or very rapid (within 5 min) and transient activation. Thus,
Western blotting using phospho-specific MAPK antibody was performed,
confirming the data from these kinase assays. Likewise, the apparent
difference between the ED50 for DNA synthesis and MAPK
activation by AM, although not considerably significant, may be
accounted for by the same reasons. Alternatively, other signal
transduction(s) in addition to MAPK activation may be involved in
the maximal growth response by AM.
Recently, it has been reported that AM induces the immediate-early
gene, c-fos, in cultured rat VSMC and cardiomyocytes (39).
MAPK phosphorylates the transcription factor Elk1, thereby leading to
c-fos gene expression via a serum-responsive element in its
promoter region (24). Thus, it is suggested that AM stimulates
c-fos expression through MAPK activation. In fact, the
present study has demonstrated that PD98059, a MEK-1 inhibitor,
inhibited AM- induced MAPK activation, c-fos mRNA
expression, and mitogenesis. However, the partial inhibition of
c-fos induction and cell growth by PD98059 suggest that MAPK
activation is necessary, but not sufficient, for the maximal growth
response by AM in rat VSMC.
Recently, it has been reported that angiotensin II induced MAPK
activation through a PTK-dependent mechanism in rat VSMC (33). Thus, we
asked whether PTK activation is required for the AM-induced mitogenesis
in rat VSMC. In the present study, AM rapidly induced tyrosine
phosphorylation of at least three distinct proteins with different
molecular sizes (
50,
90, and
120 kDa), whose characteristics
are currently unidentified. As tyrosine phosphorylation of these
molecules was very rapid (within 1 min), they may represent targets for
PTK after AM receptor activation. It should be noted that tyrosine
phosphorylation and activation of MAPK and cell proliferation induced
by AM were equally blocked by PTK inhibitors (genistein and ST638).
Taken together, it is suggested that activation of as yet
uncharacterized PTK by AM is required for MAPK activation and
subsequent cell proliferation.
An adaptor protein, Shc, after tyrosine phosphorylation upon activation
of both receptor and nonreceptor PTKs (40, 41), can link
tyrosine-autophosphorylated PTKs with the Grb2/Sos complex, thereby
leading to p21ras activation (42).
Recently, Shc has also been implicated in
p21ras and MAPK activation by several G
protein-coupled receptors (40, 41, 42, 43, 44, 45). In the present study, we have
demonstrated that AM rapidly increased the amounts of all three Shc
isoforms (p46, p52, and p66) coprecipitated with a GST-Grb2 fusion
protein in rat VSMC. Moreover, AM induced association of a 120-kDa
tyrosine-phosphorylated protein with GST-Grb2 fusion protein with a
time course similar to that of Shc. These data further suggest that AM
activates a 120-kDa PTK, as yet uncharacterized, to recruit Shc,
thereby initiating the p21ras/MAPK cascade
in VSMC. Recently, Pyk2, a nonreceptor tyrosine kinase with an apparent
molecular mass of 120 kDa, has been implicated in MAPK activation with
several stimuli, such as activation of certain G protein-coupled
receptors, PKC activation, UV irradiation, and increases in
[Ca2+]i and extracellular osmolarity (46, 47). Whether Pyk2 plays a central role in AM-induced MAPK activation is
currently under investigation in our laboratory.
It has been reported that activation of AM receptor coupled to
Gq protein in bovine EC resulted in an increase
in [Ca2+]i and PKC activation through IP3 and
diacylglycerol production, respectively (9). However, it is unclear
whether Gq activation is involved in MAPK
activation by AM in VSMC. In our experiment, a PKC inhibitor
(GF109203X) that completely blocked the PMA-induced MAPK activation
(33) had no effect on AM-induced MAPK activation, and AM itself
affected neither IP3 formation nor [Ca2+]i in
rat VSMC. These data indicate that the AM-induced MAPK activation and
subsequent cell growth in rat VSMC are independent of
Gq-coupled second messengers.
As AM/CGRP stimulates cAMP formation in rat VSMC (7), whose potencies
were almost comparable to stimulate DNA synthesis in the present study,
cAMP may be an alternative intracellular messenger for mitogenesis.
Recently, it has been reported that PKA stimulated phosphorylation and
activation of MAPK via the serine/threonine kinase B-Raf in PC12 cells
(48). In fact, AM stimulated DNA synthesis and cell proliferation of
Swiss 3T3 cells via a cAMP-dependent mechanism (12). However, the role
of a cAMP/PKA pathway in the regulation of VSMC growth by AM is
unlikely, due to the following observations. First, both a PKA
inhibitor (KT5720) and a cAMP antagonist (Rp-cAMP-thionate) failed
to inhibit MAPK activity and [3H]thymidine uptake by AM.
Second, forskolin and 8-bromo-cAMP failed to stimulate MAPK activity in
VSMC. Third, compounds that increase cAMP formation and activate PKA
conversely inhibited platelet-derived growth factor-BB- and
thrombin-induced activation of MAPK kinase and DNA synthesis in rat
VSMC (49, 50). Collectively, these findings suggest that AM-induced
cAMP generation and subsequent PKA activation are not involved in its
mitogenic effect by AM in rat VSMC.
Several ligands that bind to G protein-coupled receptors use pertussis
toxin (PTX)-sensitive Gi/Go proteins
for their mitogenic responses (51, 52). Recently, it has been shown
that a PTX-sensitive MAPK cascade involving
p21ras was mediated through a PTK pathway
activated by ß
-subunits of Gi/Go (24, 53).
However, our preliminary data do not support a role for PTX-sensitive G
proteins in the AM-induced MAPK activation, because pretreatment with
PTX failed to affect AM-induced MAPK activation (unpublished
observation). Thus, the mitogenic signaling by AM occurs independent of
PTX-sensitive G proteins. Identification and characterization of the
putative transducer(s) to activate PTK by AM are currently under
investigation.
Recently, it has been reported that AM inhibited serum-stimulated
proliferation and platelet-derived growth factor-stimulated migration
of rat VSMC via a cAMP-dependent process (54, 55). We also confirmed
that AM only partially inhibited serum-stimulated DNA synthesis in our
rat VSMC in culture (Iwasaki, H., S. Eguchi, and Y. Hirata, unpublished
observation). Although the reason for the apparent discrepancy is
unknown, AM may play dual roles in VSMC growth: one as a growth
promoter under a quiescent state, and another as a growth inhibitor
under a proliferative state, as is the case with transforming growth
factor-ß (56, 57).
A considerable amount of AM is synthesized by and secreted from
cardiovascular tissues in vitro, including VSMCs, ECs, and
cardiomyocytes (3, 4, 6), which may contribute to the circulating AM
levels in vivo. Cytokines, such as interleukin-1ß and
tumor necrosis factor-
, and glucocorticoids have been shown to
induce AM gene expression in cultured VSMC, EC, and cardiomyocytes (5, 6). As the local concentrations of AM at the site of vasculature should
be far higher than those in plasma, our in vitro study
suggests that AM may function as an autocrine and/or paracrine growth
factor for VSMC. However, further study is required to clarify the
pathophysiological role of AM in the process of vascular remodeling
associated with hypertension, atherosclerosis, and endothelial
dysfunction.
 |
Footnotes
|
|---|
1 This work was supported in part by Grants-in-Aid from the Ministry of
Education, Science, and Culture and the Ministry of Health and Welfare
of Japan. 
Received January 28, 1998.
 |
References
|
|---|
-
Kitamura K, Kangawa K, Kawamoto M, Ichiki Y,
Nakamura S, Matsuo H, Eto T 1993 Adrenomedullin: a novel
hypotensive peptide isolated from human pheochromocytoma. Biochem
Biophys Res Commun 192:553560[CrossRef][Medline]
-
Kitamura K, Sakata J, Kangawa K, Kojima M, Matsuo H,
Eto T 1993 Cloning and characterization of cDNA encoding a
precursor for human adrenomedullin. Biochem Biophys Res Commun 194:720725[CrossRef][Medline]
-
Sugo S, Minamino N, Kangawa K, Minatoya K, Kitamura K,
Sakata J, Eto T, Matsuo H 1994 Endothelial cells actively
synthesize and secrete adrenomedullin. Biochem Biophys Res Commun 201:11601166[CrossRef][Medline]
-
Sugo S, Minamino N, Shoji H, Kangawa K, Kitamura K, Eto
T, Matsuo H 1994 Production and secretion of adrenomedullin from
vascular smooth muscle cells: augmented production by tumor necrosis
factor-
. Biochem Biophys Res Commun 203:719726[CrossRef][Medline]
-
Imai T, Hirata Y, Iwashina M, Marumo F 1995 Hormonal regulation of rat adrenomedullin gene in vasculature.
Endocrinology 136:15441548[Abstract]
-
Nishimori T, Tsujino M, Sato K, Imai T, Marumo F,
Hirata Y 1997 Dexamethasone-induced up-regulation of
adrenomedullin and atrial natriuretic peptide gene in cultured rat
ventricular myocytes. J Mol Cell Cardiol 29:21252130[CrossRef][Medline]
-
Eguchi S, Hirata Y, Kano H, Sato K, Watanabe Y,
Watanabe TX, Nakajima K, Sakakibara S, Marumo F 1994 Specific
receptors for adrenomedullin in cultured rat vascular smooth muscle
cells. FEBS Lett 340:226230[CrossRef][Medline]
-
Ishizaka Y, Ishizaka Y, Tanaka M, Kitamura K, Kangawa
K, Matsuo H, Eto T 1994 Adrenomedullin stimulates cyclic AMP
formation in rat vascular smooth muscle cells. Biochem Biophys Res
Commun 200:642646[CrossRef][Medline]
-
Shimekake Y, Nagata K, Ohta S, Kambayashi Y, Teraoka H,
Kitamura K, Eto T, Kangawa K, Matsuo H 1995 Adrenomedullin
stimulates two signal transduction pathways, cAMP accumulation and
Ca2+ mobilization. J Biol Chem 270:44124417[Abstract/Free Full Text]
-
Eguchi S, Hirata Y, Iwasaki H, Sato K, Watanabe Y,
Watanabe TX, Inui T, Nakajima K, Sakakibara S, Marumo F 1994 Structure-activity relationship of adrenomedullin, a novel vasodilatory
peptide, in cultured rat vascular smooth muscle cells. Endocrinology 135:24542458[Abstract]
-
Miller MJ, Martinez A, Unsworth EJ, Theiele CJ, Moody
TW, Elsasser T, Cuttitta F 1996 Adrenomedullin expression in human
tumor cell lines. J Biol Chem 271:2334523351[Abstract/Free Full Text]
-
Withers DJ, Coppock HA, Seufferlein T, Smith DM, Bloom
SR, Rozengurt E 1996 Adrenomedullin stimulates DNA synthesis and
cell proliferation via elevation of cAMP in Swiss 3T3 cells. FEBS Lett 378:8387[CrossRef][Medline]
-
Haegerstrand A, Dalsgaard C, Jonzon B, Larsson O,
Nilsson J 1990 Calcitonin gene-related peptide stimulates
proliferation of human endothelial cells. Proc Natl Acad Sci USA 87:32993303[Abstract/Free Full Text]
-
Kohno M, Hanehira T, Kano H, Horio T, Yokokawa K, Ikeda
M, Minamino M, Yasunari K, Yoshikawa J 1996 Plasma adrenomedullin
concentrations in essential hypertension. Hypertension 27:102107[Abstract/Free Full Text]
-
Ishimitsu T, Nishikimi T, Saito Y, Kitamura K, Eto T,
Kangawa K, Matsuo H, Omae T, Matsuoka H 1994 Plasma levels of
adrenomedullin, a newly identified hypotensive peptide, in patients
with hypertension and renal failure. J Clin Invest 94:21582161
-
Katoh J, Kobayashi K, Etoh T, Tanaka M, Kitamura K,
Imamura T, Koiwaya Y, Kangawa K, Eto T 1995 Plasma adrenomedullin
in patients with heart failure. J Clin Endocrinol Metab 81:180183[Abstract]
-
Jougasaki M, Rodeheffer RJ, Redfield MM, Yamamoto K, Wei
CM, Mckinley LJ, Burnett JC 1996 Cardiac secretion of
adrenomedullin in human heart failure. J Clin Invest 97:23702376[Medline]
-
Hirata Y, Mitaka C, Sato K, Nagura T, Tsunoda Y, Amaha
K, Marumo F 1996 Increased circulating adrenomedullin, a novel
vasodilatory peptide, in sepsis. J Clin Endocrinol Metab 81:144901453
-
Cowley S, Paterson H, Kemp P, Marshall CJ 1994 Activation of MAP kinase kinase is necessary and sufficient for PC12
cell differentiation and for transformation of NIH 3T3 cells. Cell 77:841852[CrossRef][Medline]
-
Seger R, Seger D, Reszke AA, Munar ES, Eldar-Finkelman
H, Doborowolska G, Jensen AM, Cambell JS, Fischer EH, Krebs EG 1994 Over-expression of mitogen-activated protein kinase kinase (MAPKK)
and its mutant in NIH-3T3 cells: evidence that MAPKKs involvement in
cellular proliferation is regulated by phosphorylation of serine
residues in its kinase subdomain VII and VIII. J Biol Chem 269:2569925709[Abstract/Free Full Text]
-
Lai K, Wang H, Lee WS, Jain MK, Lee ME, Haber E 1996 Mitogen-activated protein kinase phosphatase-1 in rat arterial
smooth muscle cell proliferation. J Clin Invest 98:15601567[Medline]
-
Marshall CJ 1995 Specificity of receptor tyrosine
kinase signaling: transient vs. sustained extracellular
signal-regulated kinase activation. Cell 80:179185[CrossRef][Medline]
-
van Bisen T, Luttrell LM, Hawes BE, Ledkowitz RJ 1996 Mitogenic signaling via G protein-coupled receptors. Endocr Rev 17:698714[CrossRef][Medline]
-
Gille H, Sharrock AD, Shaw PE 1992 Phosphorylation
of transcription factor p62TCF by MAP kinase stimulates
ternary complex formation at c-fos promotor. Nature 358:414417[CrossRef][Medline]
-
Karin M 1995 The regulation of AP-1 activity by
mitogen-activated protein kinases. J Biol Chem 270:1648316486[Free Full Text]
-
Iwasaki H, Hirata Y, Iwashina M, Marumo F 1996 Specific binding sites for proadrenomedullin N-terminal 20 peptide
(PAMP) in the rat. Endocrinology 137:30453050[Abstract]
-
Chomczynski P, Sacchi N 1987 Single-step method of
RNA isolation by acid guanidinium thiocyanate-phenol-chlorform
extraction. Anal Biochem 162:156159[Medline]
-
Eguchi S, Hirata Y, Imai T, Kanno K, Marumo F 1994 Phenotypic change of endothelin receptor subtype in cultured rat
vascular smooth muscle cells. Endocrinology 134:222228[Abstract]
-
Hirata Y, Takagi Y, Fukuda Y, Marumo F 1989 Endothelin is a potent mitogen for rat vascular smooth muscle cells.
Atherosclerosis 78:225228[CrossRef][Medline]
-
Shichiri M, Hirata Y, Nakajima T, Ando K, Imai T,
Yanagisawa M, Masaki T, Marumo F 1993 Endothelin is an
autocrine/paracrine growth factor for human cancer cell lines. J
Clin Invest 83:708712
-
Grynkiewicz, G, Poenie M, Tsien RY 1985 A
generation of Ca2+ indicators with greatly improved
fluorescence properties. J Biol Chem 260:34403450[Abstract/Free Full Text]
-
Eguchi S, Hirata Y, Ihara M, Yano M, Marumo F 1992 A novel ETA antagonist (BQ123) inhibits endothelin-1-induced
phosphoinositide breakdown and DNA synthesis in rat vascular smooth
muscle cells. FEBS Lett 302:243246[CrossRef][Medline]
-
Eguchi S, Matsumoto T, Motley ED, Utsunomiya H, Inagami
T 1996 Identification of an essential signaling cascade for
mitogen-activated protein kinase activation by angiotensin II in
cultured rat vascular smooth muscle cells. J Biol Chem 271:1416914175[Abstract/Free Full Text]
-
Montuenga L, Martinez A, Miller MJ, Unsworth EJ,
Cuttitta F 1994 Expression of adrenomedullin and its receptor
during embryogenesis suggests autocrine or paracrine modes of action.
Endocrinology 134:222228
-
Kapas S, Catt KJ, Clark AJL 1995 Cloning and
expression of cDNA encoding a rat adrenomedullin receptor. J Biol
Chem 270:2534425347[Abstract/Free Full Text]
-
Cobb MH, Goldsmith EJ 1995 How MAP kinase are
regulated. J Biol Chem 270:1484314846[Free Full Text]
-
Molly CJ, Taylor DS, Weber H 1993 Angiotensin II
stimulation of rapid protein tyrosine phosphorylation and protein
kinase activation in rat aortic smooth muscle cells. J Biol Chem 268:73387345[Abstract/Free Full Text]
-
Koide M, Kawahara Y, Tsuda T, Ishida Y, Shii K, Yokoyama
M 1992 Endothelin-1 stimulates tyrosine phosphorylation and
the activities of two mitogen-activated protein kinases in cultured
vascular smooth muscle cells. J Hypertension 10:11731182[CrossRef][Medline]
-
Sato A, Autelitano DJ 1995 Adrenomedullin induces
expression of c-fos and AP-1 activity in rat vascular smooth
muscle cells and cardiomyocytes. Biochem Biophys Res Commun 217:211216[CrossRef][Medline]
-
Sadoshima J, Izumo S 1996 The heterotrimatric Gq
protein-coupled angiotensin II receptor activates
p21ras via the tyrosine kinase-Shc-Grb2-Sos
pathway in cardiac myocytes. EMBO J 15:775787[Medline]
-
Luttrell LM, Hawes BE, van Biesen T, Luttrell DK,
Langsing TJ, Lefkowitz RJ 1996 Role of c-Src tyrosine kinase in G
protein-coupled receptor- and Gß
subunit-mediated activation of
mitogen-activated protein kinases. J Biol Chem 271:1944319450[Abstract/Free Full Text]
-
van Biesen T, Hawes BE, Luttrell DK, Kreueger KM,
Touhara K, Porfiri E, Sakaue M, Luttrell LM, Lefkowitz RJ 1995 Receptor-tyrosine kinase- and G beta gamma-mediated MAP kinase
activation by a common signaling pathway. Nature 376:781784[CrossRef][Medline]
-
Carzabon SM, Ramos-Morales F, Fischer S, Schweighoffer
F, Strosberg AD, Couraud PO 1994 Endothelin induces tyrosine
phosphorylation and GRB2 association of Shc in astrocytes. J Biol
Chem 269:2480524809[Abstract/Free Full Text]
-
Chen Y, Gral D, Salcini AE, Pelicci PG, Pouyssegur J,
van Obberghen-Schilling E 1996 Shc adaptor proteins are key
transducers of mitogenic signaling mediated by the G protein-coupled
thrombin receptor. EMBO J 15:10371044[Medline]
-
Touhara K, Inglese J, Pitcher JA, Shaw G, Lefkowitz
RJ 1994 Binding of G protein beta gamma-subunits to pleckstrin
homology domains. J Biol Chem 269:1021710220[Abstract/Free Full Text]
-
Lev S, Moreno H, Martinez R, Canoll P. Peles E,
Musacchio JM, Plowman GD, Rudy B, Schlessinger J 1995 Protein
tyrosine kinase PYK2 involved in Ca2+-induced regulation of
ion channel and MAP kinase functions. Nature 376:737745[CrossRef][Medline]
-
Tokiwa G, Dikic I, Lev S, Schlessinger J 1996 Activation of Pyk2 by stress signals and coupling with JNK signaling
pathway. Science 273:792794[Abstract]
-
Vossler MR, Yao H, York RD, Pan MG, Rim CS, Stork
PJS 1997 cAMP activates MAP kinase and Elk-1 through a B-Raf and
Rap-1-dependent pathway. Cell 89:7382[CrossRef][Medline]
-
Graves LM, Bornfeldt KE, Raines EW, Potts BC, Macdonald
SG, Ross R, Krebs EG 1993 Protein kinase A antagonizes platelet
derived growth factor of vascular smooth muscle cells. Proc Natl Acad
Sci USA 90:1030010304[Abstract/Free Full Text]
-
Homma Y, Sakamoto H, Tsunoda M, Aoki M, Takenawa T,
Ooyama T 1993 Evidence for involvement of phospholipase C-
2 in
signal transduction of platelet-derived growth factor in vascular
smooth-muscle cells. Biochem J 290:649653
-
Chambard JC, Paris S, LAllemain G, Pouyssegur J 1987 Two growth factor signaling pathways in fibroblasts distinguished
by pertussis toxin. Nature 326:800803[CrossRef][Medline]
-
van Corven EJ, Groenink A, Jalink K, Eichholtz T,
Moolenaar WH 1989 Lysophosphatidate-induced cell proliferation:
identification and dissection of signaling pathways mediated by G
proteins. Cell 59:4554[CrossRef][Medline]
-
Luttrell LM, Della Rocca GJ, van Biesen T, Luttrell DK,
Lefkowitz RJ 1996 Gß
subunits mediate Src-dependent
phosphorylation of the epidermal growth factor receptor. J Biol
Chem 272:46374644[Abstract/Free Full Text]
-
Kano H, Kohno M, Yasunari K, Yokokawa K, Horio T, Ikeda
M, Minami M, Hanehira T, Takeda T, Yoshikawa J 1996 Adrenomedullin
as a novel antiproliferative factor of vascular smooth muscle cells.
J Hypertension 14:209214[CrossRef][Medline]
-
Horio T, Kohno M, Kano H, Ikeda M, Yasunari K, Yokokawa
K, Minami M, Takeda T 1995 Adrenomedulline as a novel
antimigration factor of vascular smooth muscle cells. Circ Res 77:660664[Abstract/Free Full Text]
-
Majack RA 1987 Beta-type transforming growth factor
specifies organizational behavior in vascular smooth muscle cell
cultures. J Cell Biol 105:465471[Abstract/Free Full Text]
-
Goodman LV, Majack RA 1989 Vascular smooth muscle
cells express distinct transforming growth factor-ß receptor
phenotypes as a function of cell density in culture. J Biol Chem 264:52415244[Abstract/Free Full Text]
This article has been cited by other articles:

|
 |

|
 |
 
R. T. Dackor, K. Fritz-Six, W. P. Dunworth, C. L. Gibbons, O. Smithies, and K. M. Caron
Hydrops fetalis, cardiovascular defects, and embryonic lethality in mice lacking the calcitonin receptor-like receptor gene.
Mol. Cell. Biol.,
April 1, 2006;
26(7):
2511 - 2518.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J.-Y. Kim, J.-H. Yim, J.-H. Cho, J.-H. Kim, J.-H. Ko, S.-M. Kim, S. Park, and J.-H. Park
Adrenomedullin Regulates Cellular Glutathione Content via Modulation of {gamma}-Glutamate-Cysteine Ligase Catalytic Subunit Expression
Endocrinology,
March 1, 2006;
147(3):
1357 - 1364.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. Kato, T. Tsuruda, T. Kita, K. Kitamura, and T. Eto
Adrenomedullin: A Protective Factor for Blood Vessels
Arterioscler. Thromb. Vasc. Biol.,
December 1, 2005;
25(12):
2480 - 2487.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
N. Fukai, T. Yoshimoto, T. Sugiyama, N. Ozawa, R. Sato, M. Shichiri, and Y. Hirata
Concomitant expression of adrenomedullin and its receptor components in rat adipose tissues
Am J Physiol Endocrinol Metab,
January 1, 2005;
288(1):
E56 - E62.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. Iimuro, T. Shindo, N. Moriyama, T. Amaki, P. Niu, N. Takeda, H. Iwata, Y. Zhang, A. Ebihara, and R. Nagai
Angiogenic Effects of Adrenomedullin in Ischemia and Tumor Growth
Circ. Res.,
August 20, 2004;
95(4):
415 - 423.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
T. Yoshimoto, N. Fukai, R. Sato, T. Sugiyama, N. Ozawa, M. Shichiri, and Y. Hirata
Antioxidant Effect of Adrenomedullin on Angiotensin II-Induced Reactive Oxygen Species Generation in Vascular Smooth Muscle Cells
Endocrinology,
July 1, 2004;
145(7):
3331 - 3337.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Matsushita, M. Shichiri, N. Fukai, N. Ozawa, T. Yoshimoto, N. Takasu, and Y. Hirata
Urotensin II is an Autocrine/Paracrine Growth Factor for the Porcine Renal Epithelial Cell Line, LLCPK1
Endocrinology,
May 1, 2003;
144(5):
1825 - 1831.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
N. Fukai, M. Shichiri, N. Ozawa, M. Matsushita, and Y. Hirata
Coexpression of Calcitonin Receptor-Like Receptor and Receptor Activity-Modifying Protein 2 or 3 Mediates the Antimigratory Effect of Adrenomedullin
Endocrinology,
February 1, 2003;
144(2):
447 - 453.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. Martinez, M. Vos, L. Guedez, G. Kaur, Z. Chen, M. Garayoa, R. Pio, T. Moody, W. G. Stetler-Stevenson, H. K. Kleinman, et al.
The Effects of Adrenomedullin Overexpression in Breast Tumor Cells
J Natl Cancer Inst,
August 21, 2002;
94(16):
1226 - 1237.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
T. Shindo, Y. Kurihara, H. Nishimatsu, N. Moriyama, M. Kakoki, Y. Wang, Y. Imai, A. Ebihara, T. Kuwaki, K.-H. Ju, et al.
Vascular Abnormalities and Elevated Blood Pressure in Mice Lacking Adrenomedullin Gene
Circulation,
October 16, 2001;
104(16):
1964 - 1971.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. Dunzendorfer, A. Kaser, C. Meierhofer, H. Tilg, and C. J. Wiedermann
Cutting Edge: Peripheral Neuropeptides Attract Immature and Arrest Mature Blood-Derived Dendritic Cells
J. Immunol.,
February 15, 2001;
166(4):
2167 - 2172.
[Abstract]
[Full Text]
[PDF]
|
 |
|