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Endocrinology Vol. 139, No. 8 3432-3441
Copyright © 1998 by The Endocrine Society


ARTICLES

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, 1–5-45 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, 1–5-45 Yushima, Bunkyo-ku, Tokyo 113, Japan.


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
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-(8–37). 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
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
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
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
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-(8–37), 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-(1–217) 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), [{alpha}-32P]deoxy-CTP (SA, 111 tetrabecquerels/mmol), and [{gamma}-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 (10–20th passages) were made quiescent by incubation with serum-free DMEM for about 2–3 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 [{gamma}-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 [{gamma}-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 [{alpha}-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). Student’s t test was used for the statistical analysis; P < 0.05 was considered significant.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Growth-promoting effect of AM
In quiescent VSMC, AM stimulated DNA synthesis in a dose-dependent manner (10-9–10-6 M), whereas CGRP also stimulated DNA synthesis less potently than AM (Fig. 1AGo); 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. 1BGo).



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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. 2AGo, AM (10-7 M)- and CGRP (10-7 M)-stimulated DNA syntheses were equally and dose dependently (10-8–10-5 M) inhibited by a CGRP antagonist, CGRP-(8–37). The AM (5 x 10-8 M)-induced increase in cell number was also inhibited by CGRP-(8–37) (10-6 M; Fig. 2BGo).



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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-(8–37) 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-(8–37) (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. 3AGo, 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 (10-9–10-6 M) with the approximate ED50 of 2.5 x 10-8 M (Fig. 3BGo). 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. 4BGo).



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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.

 


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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-(8–37) (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-(8–37) completely blocked AM-induced MAPK activity (Fig. 4AGo) and its phosphorylation (Fig. 4BGo). 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. 5AGo) and its phosphorylation (Fig. 5BGo). 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. 6AGo), whereas PD98059 (5 x 10-5 M) decreased the AM-stimulated increase in cell number by about 70% (Fig. 6BGo). These results suggest the critical role of the MAPK pathway in the mechanism of AM-induced c-fos expression and cell proliferation.



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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).

 


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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. 7AGo, 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.



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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. 7BGo, 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. 7BGo). Pretreatment with genistein (10-4 M) completely blocked MAPK activation (Fig. 8AGo) and the increase in cell number stimulated by AM (10-7 M; Fig. 8BGo). 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.



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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. 9AGo) or [Ca2+]i (Fig. 9BGo). 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).



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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. 10AGo) or its phosphorylation (data not shown); Rp-cAMP-thionate (10-3 M) also did not affect AM-stimulated DNA synthesis (Fig. 10BGo). 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.



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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
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
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-(8–37), 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-(8–37). 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{gamma}-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-{alpha}, 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. Back

Received January 28, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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