Articles |
From the Department of Surgery, University of Washington, Seattle.
Correspondence to Alexander W. Clowes, MD, Department of Surgery, RF-25, University of Washington, Seattle, WA 98195.
| Abstract |
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Key Words: metalloproteinases smooth muscle cells rats arterial injury migration
| Introduction |
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To test the hypothesis that MMPs are required for SMC proliferation and migration, we determined whether a synthetic metalloproteinase inhibitor, BB94, inhibits these processes in vitro and in vivo.
| Methods |
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Cell Culture
Rat aortic medial SMCs grown in Dulbecco's
modified Eagle's
medium (DMEM) supplemented with 10% fetal bovine serum, 200 µg
streptomycin/mL, and 200 U penicillin/mL (GIBCO Laboratories) were
isolated by the explant method. Cells were used between passages 3 and
15. In immunohistochemical preparations, SMCs stained positive for
smooth muscle
-actin (mouse anti-human smooth muscle
-actin, Boehringer Mannheim Corp).
SMC DNA Synthesis
Confluent SMCs were trypsinized, suspended
in DMEM plus 10%
fetal bovine serum with streptomycin and penicillin, and seeded at
2.5x104 cells per well into 24-well plates (Corning Co).
After 6 hours, the cells were washed with PBS, and the medium was
changed to DMEM containing insulin (10 µg/mL), transferrin (5
µg/mL), and ovalbumin (1 mg/mL) to allow the cells to
become quiescent. After 2 days, PDGF-BB at 10 ng/mL was added directly
to the serum-free medium, and the cells were incubated an
additional 20 hours at 37°C. 3H-Thymidine (1 µCi/well)
was then added for an additional 6 hours. Incorporation of
3H-thymidine into the trichloroacetic
acidprecipitable fraction was determined as previously
described.24 BB94 was solubilized in ethanol at a
concentration of 10 mmol/L. BB94 was added to the cells at final
concentrations between 1 nmol/L and 1 µmol/L 1 hour before the
addition of PDGF-BB.
SMC Migration Assay
Migration of SMCs was assayed with
polycarbonate filters
(Nucleopore Corp) having 5.0-µm pores in 48-well chemotaxis chambers
(Neuro Probe Inc).25 The filters were coated in one of two
ways. Either 2.7 µg/well of Matrigel (Collaborative Research), a
basement membrane preparation, was dried at room temperature and
reconstituted with distilled water before the assay,26 or
filters were incubated in 100 µg/mL of Vitrogen (mainly type I
collagen; Celtrix Pharmaceuticals, Inc) overnight at room temperature
and dried. Cultured SMCs were trypsinized and suspended at a
concentration of 5.0x105 cells/mL in serum-free DMEM
with streptomycin and penicillin. A volume of 50 µL of SMC suspension
was placed in the upper chamber, and 25 µL of DMEM containing 10
ng/mL of PDGF-BB was placed in the lower chamber. In some experiments,
the SMC suspension was mixed with increasing concentrations of BB94
before it was placed in the upper chamber. The chamber was incubated at
37°C for 24 hours. For the migration experiments with filters coated
with a thin layer of Vitrogen, the chamber was incubated for 4 hours.
After incubation, the filters were removed and the SMCs on the upper
side of the filter were scraped off. The SMCs that had migrated to the
lower side of the filter were fixed in methanol, stained with
Diff-Quick staining solution (Baxter), and counted under a microscope
(x100) for quantification of SMC migration. Migration activity was
expressed as the mean number of cells that had migrated per x100
field.
Animal Model
Three-month-old male Sprague-Dawley rats (370
to 400 g) were obtained from Bantin & Kingman, Inc. Rats were
anesthetized with 1.0 mL/kg IM of a solution containing
acepromazine 1 mg/mL (Fermenta Animal Health Corp), ketamine 50
mg/mL (Aveco, Inc), and xylazine 5 mg/mL (Mobay Corp) in saline and
were cared for according to the `Principles of Laboratory Animal
Care' (formulated by the National Society for Medical Research) and
the Guide for the Care and Use of Laboratory Animals (NIH
publication 86-23, revised 1985). Endothelial
denudation was performed in the left common carotid artery by the
passage of a 2F balloon embolectomy catheter (V. Mueller) as described
previously.1 A 2.5-mg/mL suspension of BB94 was made by
sonication in PBS, pH 7.2, with Tween-80 (0.01%).22 Rats
received a daily injection of the BB94 suspension at 1 to 30
mg·kg-1·d-1 IP from 2 to 14
days.
Control animals were given vehicle alone.
Morphometry
Animals were killed with an overdose of
pentobarbital, and the
carotid arteries were fixed by perfusion with 10% formalin or 4%
paraformaldehyde in PBS, pH 7.4, at 100 mm Hg. The
arteries were embedded in paraffin (two segments per animal),
cross-sectioned, and stained with hematoxylin-eosin. Intimal
and medial cross-sectional areas were measured as described
previously,27 and the total number of nuclei in each cross
section was also counted.
Measurement of SMC Proliferation in Tissues
The thymidine
analogue BrdU (Boehringer Mannheim Corp)
was injected (30 mg/kg IP) at 1, 9, and 17 hours before death. In some
experiments, a tablet containing 50 mg of BrdU was placed
subcutaneously 20 hours before death. The BrdU labeling index (the
fraction of labeled nuclei times 100) was determined as described
previously28 by use of a monoclonal antibody against BrdU
(Boehringer Mannheim Corp) on histological
cross sections.
Statistical Analysis
In vitro experiments were analyzed by
one-tailed
t tests. In vivo experiments were analyzed by the
Mann-Whitney U test for comparisons of two groups or, for
comparing multiple groups, the Kruskal-Wallis test (an extension of the
Mann-Whitney test) with Dunn's correction for multiple comparisons. To
determine whether BB94 increased the 7-day intimal BrdU labeling index,
post hoc analysis was performed with a two-tailed
t test. This analysis was confirmed
(P<.04, BB94 versus control) by permutation
analysis,29 with the test statistic being the
difference between the means.
| Results |
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Proliferation (3H-thymidine incorporation) was
stimulated
by 10 ng/mL of either PDGF-AA or PDGF-BB. PDGF-AA increased
3H-thymidine incorporation by 2.1-fold over control, and
PDGF-BB increased it by 8.2-fold. BB94 at concentrations from 1 nmol/L
to 1 µmol/L had no effect on 3H-thymidine incorporation
in either unstimulated SMCs or SMCs stimulated by PDGF-AA or PDGF-BB
(Fig 2
).
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Suppression of Intimal Thickening in Balloon-Injured Rat Carotid
Artery by BB94
Seven days after balloon injury to the left carotid
artery,
intimal area was increased to 0.037±0.013 mm2. Uninjured
controls did not exhibit intimal thickening.1
Intraperitoneal administration of BB94 at 30
mg·kg-1·d-1 decreased intimal
area by
50% (Fig 3A
versus 3B; Fig 4A
). BB94
also decreased the total number of SMC nuclei in the intimal layer by
40% at 7 days (Fig 4B
). Medial area was not changed
(0.135±0.009 and
0.124±0.013 mm2 for control and BB94, respectively;
n=10).
At 14 days, the effect of BB94 on intimal area was less, with a
decrease of only 26% (Figs 3C
, 3D
, and
5A
), whereas the
total number of intimal SMC nuclei was decreased by 30% (Fig
5B
).
Medial area was not altered by treatment with BB94 (0.145±0.057 and
0.126±0.019 mm2 for control and BB94, respectively;
n=10).
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To determine whether BB94 inhibited SMC proliferation, we
measured the
fraction of cells labeled with BrdU at 2, 7, and 14 days after carotid
artery injury. BB94 decreased the BrdU labeling index in the media at 2
days after injury (Fig 6
) but not at 7 or 14 days. The
intimal BrdU-labeling index was increased by BB94 at 7 days but not
altered at 14 days (Fig 6
).
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| Discussion |
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In contrast to the effect of BB94 on medial SMC proliferation,
proliferation in the intima was increased by BB94 at 7 days but not 14
days. The reason for this difference is not clear but may be the result
of differences in the cells or the matrix surrounding the cells or may
be a compensatory response to hemodynamic forces that
results from the reduced migration of SMCs into the intima. Regarding
the former possibility, intimal and medial SMCs demonstrate many
differences. For example, intimal SMCs express less
1-integrin33 and can produce more
PDGF34 and migrate faster35 in culture than
medial SMCs. Concerning the matrix, it is clear that matrix components
can signal cells (for example, via integrins) and influence SMC
differentiation and growth.36 BB94 might alter turnover of
matrix binding sites. BB94 can inhibit the turnover of proteoglycans in
cartilage,37 and if this is true for SMCs, the balance of
growth-inhibitory and -stimulatory factors in the
matrix (eg, heparan sulfate proteoglycans and fibroblast growth factor)
may be altered to favor proliferation in the intima and inhibition in
the media. Finally, vascular growth is regulated by
hemodynamic forces such as flow and shear
stress38 39 40 that may determine final
intimal size. These
factors may cause increased proliferation in the intima as a
compensatory response to decreased SMC migration from the media.
BB94 had less effect on intimal area and SMC number at 14 days than 7 days. In a preliminary report, Prescott and colleagues41 found that an MMP inhibitor also significantly decreased intimal thickening in the injured rat carotid artery after 7 days but had no effect at 21 days. One explanation for this is the increased intimal proliferation at 7 days after treatment with BB94. Another possibility is that BB94 increased ECM by decreasing matrix degradation. However, BB94 did not alter the number of nuclei per square millimeter in the intima at 14 days (ie, cell density) and by inference did not affect the amount of matrix per square millimeter. So even though BB94 decreased the absolute number of cells in the intima, there was a proportional decrease in matrix. In addition, there was no effect of treatment with BB94 on histochemical staining for collagen, elastin, and proteoglycans (unpublished data, 1995). These results indicate to us that BB94 did not increase the accumulation of matrix.
These effects of BB94 are probably mediated through the inhibition of MMP activity. BB94 inhibited SMC migration in vitro when a thick layer of Matrigel was present on the filter but failed to do so when the membranes were lightly coated. A matrix-dependent inhibitory effect on SMC migration in vitro was also demonstrated for antibodies to 72-kD type IV collagenase and peptides of the amino terminus of pro72-kD type IV collagenase.42 Wang and colleagues43 reported that the blood levels of BB94 administered at 30 mg·kg-1·d-1 IP in mice were 10-fold higher than the IC50 for various MMPs; rats given 25 mg·kg-1·d-1 BB94 also attain levels >50 nmol/L in whole blood (Alan Galloway, PhD, British Biotech, Ltd, personal communication, 1995), well in excess of the IC50s of 72- and 92-kD type IV collagenase, interstitial collagenase, and stromelysin.22
It is not clear which MMPs play a role in the formation of the neointima. However, we recently showed that activation of 72-kD type IV collagenase is associated with SMC migration into the intima 4 to 5 days after arterial injury.15 16 This finding is consistent with the report of Pauly and coworkers,42 who found that antibodies to 72-kD type IV collagenase inhibit rat SMC migration through Matrigel in vitro. In addition, the expression of 92-kD type IV collagenase is increased within 24 hours after arterial injury as SMCs are entering the S phase. The activity of 92-kD type IV collagenase decreases thereafter.15 16 Our present results showing inhibition of medial SMC mitogenesis at 2 days suggest that 92-kD type IV collagenase may be involved in entry into the cell cycle by medial SMCs. Although these data do not rule out a role for other MMPs in SMC proliferation and migration, we have been unable to detect interstitial collagenase (MMP-1), stromelysin (MMP-3), or matrilysin (MMP-7) in the injured rat carotid artery.15
Inhibition of MMP activity by BB94 may alter cell function in more dynamic ways than just blocking the degradation of a simple physical barrier to migration. It is possible that some ECM proteins provide inhibitory signals to migration. Elastin peptides and fibronectin decrease SMC migration.44 In addition, we recently reported that heparan sulfate proteoglycans potentiate a migration-inhibitory signal induced by PDGF-AA in cultured SMCs.45 Matrix factors like fibronectin, elastin, and proteoglycans are substrates for MMPs and would be protected by treatment with BB94. A second way BB94 might act could be by changing the matrix that SMCs interact with, which in turn might alter the ability of SMCs to produce MMPs.46 Attachment of human alveolar macrophages to collagen types I and III but not type IV, laminin, fibronectin, or elastin augments the production of interstitial collagenase.47 Similar results have been reported for keratinocytes.48 The interactive effects of matrix proteins are illustrated by the observation that expression of several MMPs is increased in human synovial fibroblasts when cells are plated on a mixture of fibronectin and tenascin but not on fibronectin alone.49 These effects of the ECM on MMP expression are mediated in part by integrins.46 50 51 52
The effects of MMPs and other proteinases on cell migration, tissue development, and tissue remodeling depend on the balance of these proteinases with their endogenous inhibitors, such as TIMP-1 and -2 and PAI-1.53 54 55 56 For example, increased activity of interstitial collagenase, 72-kD and 92-kD type IV collagenases, and stromelysin is associated with accelerated tumor metastasis as well as angiogenesis.53 54 57 58 59 60 Members of the TIMP family of proteinase inhibitors and synthetic metalloproteinase inhibitors block tumor invasion and metastasis in vitro and in vivo,22 43 61 62 angiogenesis,63 64 65 collagen degradation by endothelial cells,66 and mammary gland involution.11 SMCs that overexpress TIMP-1 have reduced capacity to migrate through ECM (unpublished data, 1995). TIMP-1, TIMP-2, PAI-1, plasminogen activators, and several MMPs are expressed in human atherosclerotic plaques12 13 14 67 68 ; TIMP-2, PAI-1, plasminogen activators, and several MMPs are increased with different kinetics after injury in rat carotid arteries.15 17 69 These observations suggest that there is a complex interplay among proteinases and their inhibitors in the vascular wall.
In conclusion, the synthetic MMP inhibitor BB94 inhibits SMC migration through ECM but has no effect on DNA synthesis in vitro. BB94 also suppresses intimal thickening after injury in rat arteries and has complex effects on SMC proliferation. Thus, MMPs may play an important role in SMC migration and proliferation during the arterial response to injury.
| Selected Abbreviations and Acronyms |
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| Acknowledgments |
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Received June 23, 1995; accepted October 20, 1995.
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R. Forough, N. Koyama, D. Hasenstab, H. Lea, M. Clowes, S. T. Nikkari, and A. W. Clowes Overexpression of Tissue Inhibitor of Matrix Metalloproteinase-1 Inhibits Vascular Smooth Muscle Cell Functions In Vitro and In Vivo Circ. Res., October 1, 1996; 79(4): 812 - 820. [Abstract] [Full Text] |
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S. Eguchi, P. J. Dempsey, G. D. Frank, E. D. Motley, and T. Inagami Activation of MAPKs by Angiotensin II in Vascular Smooth Muscle Cells. METALLOPROTEASE-DEPENDENT EGF RECEPTOR ACTIVATION IS REQUIRED FOR ACTIVATION OF ERK AND p38 MAPK BUT NOT FOR JNK J. Biol. Chem., March 9, 2001; 276(11): 7957 - 7962. [Abstract] [Full Text] [PDF] |
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C. Chassagne, C. Adamy, P. Ratajczak, B. Gingras, E. Teiger, E. Planus, P. Oliviero, L. Rappaport, J.-L. Samuel, and S. Meloche Angiotensin II AT2 receptor inhibits smooth muscle cell migration via fibronectin cell production and binding Am J Physiol Cell Physiol, April 1, 2002; 282(4): C654 - C664. [Abstract] [Full Text] [PDF] |
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J.-S. Silvestre, Z. Mallat, R. Tamarat, M. Duriez, A. Tedgui, and B. I. Levy Regulation of Matrix Metalloproteinase Activity in Ischemic Tissue by Interleukin-10: Role in Ischemia-Induced Angiogenesis Circ. Res., August 3, 2001; 89(3): 259 - 264. [Abstract] [Full Text] [PDF] |
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