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Arteriosclerosis, Thrombosis, and Vascular Biology. 1996;16:488-496

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(Arteriosclerosis, Thrombosis, and Vascular Biology. 1996;16:488-496.)
© 1996 American Heart Association, Inc.


Articles

Thrombin-Induced Increase in Endothelial Permeability Is Associated With Changes in Cell-to-Cell Junction Organization

Marie-Josèphe Rabiet; Jean-Luc Plantier; Yves Rival; Yolande Genoux; Maria-Grazia Lampugnani; Elisabetta Dejana

From CEA, Laboratoire d'Hématologie, INSERM U217, Département de Biologie Moléculaire et Structurale, Grenoble, France, and Istituto di Ricerche Farmacologiche Mario Negri, Milano, Italy (M.-G.L.).

Correspondence to Dr M.-J. Rabiet, Laboratoire d'Hématologie, INSERM U 217, Département de Biologie Moléculaire et Structurale, CEN-G, 17 rue des Martyrs, 38054 Grenoble Cedex, France.


*    Abstract
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*Abstract
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Abstract Thrombin increases endothelial permeability in a rapid and reversible way. This effect requires the catalytic activity of the enzyme and thrombin receptor engagement. Endothelial cell permeability is mostly regulated by intercellular junction organization. In the present study, we investigated whether opening of intercellular gaps after thrombin treatment could be related to changes in adherence-junction molecular organization. By immunofluorescence analysis, we found that thrombin stimulation of endothelial cells caused a marked alteration of the distribution of vascular endothelial (VE)-cadherin and of the associated catenins. These molecules, which are strictly localized at intercellular boundaries in confluent resting cells, were absent in the areas of intercellular retraction. Immunoprecipitation analysis indicated that thrombin disrupted the VE-cadherin/catenin complex. This effect was reversible and correlated with the increase in endothelial permeability. The use of a protein kinase C inhibitor (calphostin C) blocked both thrombin-induced permeability and disassembly of adherence-junction components. We propose that thrombin's effect on endothelial cell junction organization is an important determinant in the increase in endothelial permeability induced by this agent.


Key Words: endothelial monolayer • thrombin • cadherin • catenins


*    Introduction
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up arrowAbstract
*Introduction
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down arrowDiscussion
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Thrombin induces profound alterations of endothelial cell monolayer permeability in vitro and in vivo. Intravenous infusion of thrombin was found to be a potent stimulus for increased pulmonary vascular permeability to proteins that ultimately results in pulmonary edema.1 In addition, changes in endothelial cell permeability have been associated with early phases of atherosclerosis.2 The mechanism of thrombin-induced alteration of endothelial permeability remains to be fully characterized. Thrombin receptor cleavage and the consequent combined elevation of intracellular calcium and PKC activation seem to be required for thrombin to have an effect.3 4 These processes would sequentially lead to stimulation of an endothelial contractile reaction, with the eventual development of intercellular gaps. Actin filaments at the periphery of endothelial cells are linked to cell-to-cell adherence junctions. These organelles are formed by transmembrane calcium-dependent adhesive proteins called cadherins, which are associated inside the cells with a complex network of cytoskeletal molecules that in turn promote the anchorage to actin microfilaments.5 6 7 8 9 10 An endothelium-specific cadherin has been identified. This molecule was named VE-cadherin (cadherin-5,11 or 7B412 ). VE-cadherin, similarly to the other members of the family, is complexed with cytoplasmic proteins termed {alpha}-catenin, ß-catenin, and plakoglobin (or {gamma}-catenin), which in turn promote its anchorage to the actin cytoskeleton.13 Such a high order of structure must be dynamic and capable of responding to cellular signals.

In the present study, we investigated whether disruption of endothelial cell barrier function induced by thrombin is associated with changes in the organization of adherence junctions. Immunofluorescence studies showed that thrombin caused endothelial cell retraction accompanied by a redistribution of VE-cadherin and catenins in the areas of intercellular gap formation. Immunoprecipitation analysis indicated that thrombin activation of endothelial cells induced disruption of the VE-cadherin/catenin complex. This effect paralleled the effect of the enzyme on endothelial barrier properties. We suggest that alteration of adherence-junction organization is related to thrombin-induced increase in endothelial permeability.


*    Methods
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*Methods
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Cell Culture
HUVECs were isolated from normal-term umbilical cord veins by collagenase perfusion as previously described.14 Cells were grown on Falcon tissue culture flasks (Becton Dickinson) coated with 0.5% gelatin (Sigma Chemical Co) in 20% newborn calf serum/M199 medium (GIBCO-BRL) supplemented with 50 µg/mL endothelial cell growth supplement prepared from bovine brain and 100 µg/mL heparin (Sigma). Cells were used between the second and fourth passages.

The human endothelial cell line EA.hy92615 was obtained from C.J. Edgell (University of North Carolina, Chapel Hill, NC) and cultured in Dulbecco's modified Eagle's medium (GIBCO) supplemented with 10% fetal calf serum (GIBCO).

Reagents and Antibodies
Purified human {alpha}- and {gamma}-thrombin were prepared as described.16 A mammalian expression system was used to obtain an active-site mutant thrombin (SA205 thrombin) devoid of catalytic activity.17

TRAP14, corresponding to amino acids 42 through 55 (SFLLRNPNDKYEPF) of the human thrombin receptor,18 was synthesized on an Applied Biosystems peptide synthesizer and purified by high-performance liquid chromatography as described.17 PKC inhibitors (calphostin C and H7), staurosporine, and herbimycin A were purchased from Sigma.

Monoclonal antibodies to human VE-cadherin (clone TEA1-31)13 and human plakoglobin (clone PG5-1, purchased from IBL Research Products) were used. Rabbit polyclonal antibodies against {alpha}- and ß-catenin were kindly provided by Dr D. Vestweber (Max Planck Institute for Immunology, Freibourg, Germany) and D. Gulino (Laboratoire d'Hématologie, DBMS, CEN-G, Grenoble, France). These antibodies were used at concentrations previously indicated.13 Monoclonal antibody to p120 was purchased from Transduction Laboratories and used at a 1/1000 dilution.

Transendothelial Permeability Assay
The passage of HRP through confluent cell monolayers was measured using Transwell cell culture chambers (Polycarbonate filters, 0.4-µm pore size, Costar). HUVECs were seeded and grown as previously described.12 EA.hy926 cells were seeded at 2x104 cells per filter in 200 µL Dulbecco's modified Eagle's medium with 10% fetal calf serum in the upper compartment. The same medium (800 µL) filled the lower compartment. EA.hy926 cells were grown for 3 days to attain confluence. At the start of the experiment, the medium in the upper compartment was removed and replaced by 200 µL of thrombin or TRAP14 at indicated concentrations in serum-free medium. The lower compartment was refilled with 800 µL serum-free medium. After a 15-minute agonist treatment, the medium in the upper compartment was removed and replaced by 200 µL serum-free medium containing 0.5 µmol/L HRP. The lower compartment was refilled with 800 µL serum-free medium. At several time points, 20-µL samples were withdrawn from the lower compartment. HRP concentration was determined spectrophotometrically by assaying peroxidase activity on 5 mmol/L guaiacol in 50 mmol/L Na2H2PO4 in the presence of 0.6 mmol/L hydrogen peroxide and measuring the increase in the absorbance at 470 nm.19 20 HRP clearance rate was expressed in micrograms per minute. In preliminary experiments, 15-minute incubation was selected because, with all the thrombin concentrations used, it resulted in maximal HRP passage.

Localization of Actin Filaments and Immunofluorescence Staining
Confluent monolayers of HUVECs, grown on fibronectin (7 µg/mL)-coated glass coverslips as described,12 and of EA.hy926 cells, grown on Lab-Tek chamber slides (Poly Labo), were treated with 10 nmol/L thrombin in serum-free medium for various lengths of time. After thrombin treatment, cells were fixed and permeabilized as described12 13 and processed for immunofluorescence microscopy as described earlier.21 Observations were performed with a Zeiss microscope equipped for epifluorescence, and fluorescence images were recorded on Kodak 400 films.

Immunoprecipitation and Western Blotting
Cell extraction and immunoprecipitation with monoclonal anti–VE-cadherin antibody TEA1-31 were performed on 500 µL of total extract as previously described.13 Total extracts were precleared with a 30-minute incubation at 4°C with 50 µL of protein G Sepharose (Pharmacia). Na3VO4 (1 mmol/L) was added to all buffers used.

After SDS–polyacrylamide gel electrophoresis on a 7.5% polyacrylamide gel, the separated proteins were electrotransferred for 5 hours at 70 V onto Hybond ECL nitrocellulose (Amersham) in 50 mmol/L Tris-HCl, 95 mmol/L glycine, and 1 mmol/L CaCl2. The membrane was blocked with 10% low-fat milk in calcium-magnesium Dulbecco's PBS (purchased from Sigma) and incubated overnight with primary antibodies diluted in 10% low-fat milk in PBS. After washing in PBS containing 0.05% Tween 20, the membrane was incubated for 1 hour at room temperature with HRP-conjugated secondary antibodies of the appropriate species, developed with enhanced chemiluminescence reagent (Amersham), and exposed to hyperfilm ECL (Amersham).


*    Results
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*Results
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Characterization of Thrombin-Induced Permeability of HUVEC and EA.hy926 Cell Monolayers
In agreement with published work,22 in preliminary experiments, we observed some variability in the response to thrombin of HUVECs obtained from different umbilical cords. We therefore assayed whether we could standardize the system using an immortalized cell line. Among a series of endothelial lines assayed (LT2 and LT4,23 endothelioma murine cells b.End24 ), EA.hy926 cells appeared to give the most sensitive and reproducible response. This line is a hybrid cell type resulting from the fusion between HUVECs and the nonendothelial lung carcinoma A549/8 cell line. We first characterized the effect of thrombin on endothelial barrier function by comparing both freshly isolated HUVECs and the immortalized HUVEC cell line EA.hy926. Using a Transwell permeability system and measuring the clearance rate of a macromolecule, HRP, across endothelial cell monolayers, it was possible to quantify the phenomenon and to determine the experimental conditions under which a maximum effect of thrombin could be observed.

As shown in Fig 1Down, exposure of confluent HUVECs to thrombin induced a concentration-dependent increase in the HRP clearance rate. As previously reported by others,25 higher concentrations of thrombin than those required for cell activation, as measured by calcium entrance, were necessary to elicit HUVEC monolayer permeability. EA.hy926 cells were found to be more responsive than HUVECs to thrombin, as a lower concentration of the agonist was necessary to induce maximum monolayer permeability. Responses of HUVECs and EA.hy926 cells to thrombin were consistent with a pathway involving the thrombin receptor. A thrombin mutant in which the active-site serine has been replaced by an alanine (SA205 thrombin) was inactive in inducing monolayer permeability up to 100 nmol/L, and {gamma}-thrombin, a catalytically active but proteolyzed form of thrombin, exhibited only 40% of {alpha}-thrombin activity at maximum concentration. TRAP14 was able to mimic thrombin effects and induced a response similar in EA.hy926 cells and in HUVECs (Fig 1Down). As observed for other cell types, {approx}1000 times more peptide than thrombin was required to produce an equivalent response.



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Figure 1. Characterization of thrombin-induced permeability. Changes in HRP clearance rate across HUVECs exposed to increasing concentrations of thrombin ({blacktriangleup}) or TRAP14 ({triangleup}) and EA.hy 926 cells exposed to increasing amounts of thrombin ({bullet}) or TRAP14 ({circ}) for 15 minutes. Values represent the mean±SEM of four independent experiments run in triplicate.

Thrombin effect on endothelial monolayer permeability was a rapid and reversible phenomenon. At maximum agonist concentration, cell retraction and gap formation were observed within 2 minutes and maximum HRP clearance rate was achieved within 15 minutes. When cells were incubated either with thrombin or TRAP14 and refed after agonist removal with culture medium containing 10% fetal calf serum, permeability to HRP rapidly decreased and restoration of the cell monolayer integrity was achieved within 3 hours.

Morphological Analysis of Endothelial Adherence Junction Components After Thrombin Treatment
As examined by immunofluorescence microscopy, thrombin treatment caused endothelial cell retraction, with the opening of intercellular gaps (see actin staining in Fig 2Down). The immunofluorescence staining pattern of HUVEC (on the left) or EA.hy926 (on the right) confluent monolayers using an anti–VE-cadherin antibody consisted of a continuous lining at the cell borders. Under the action of thrombin, a redistribution of VE-cadherin was observed. The antigen was strongly detected only at contacting cell borders but redistributed in a zigzag pattern in correspondence with intercellular gaps. The molecule was not visible along free cell edges in areas of retraction.



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Figure 2. Immunofluorescence morphological analysis of the distribution of VE-cadherin in HUVEC and EA.hy926 cell monolayers treated with thrombin. After thrombin (100 nmol/L [10 U/mL] for HUVECs or 10 nmol/L [1 U/mL] for EA.hy926 cells) treatment for 5 or 30 minutes, the cells were double stained with antibodies specific for VE-cadherin followed by appropriate rhodamine-tagged second antibody and for F-actin with fluorescein-labeled phalloidin. Cell free margins were negative, and reactivity was restricted to the areas of established cell contacts. Cells were also examined 4 hours after the agonist had been removed. F-actin distribution in the same cells is shown on the right of each panel. Bar=10 µm.

A very similar pattern was observed (Figs 3Down and 4Down) for {alpha}-catenin, ß-catenin, plakoglobin, and p120, a pp60src substrate recently shown to be associated with the cadherin/catenin complex.26 After thrombin removal, restoration of the cell monolayer integrity resulted in a progressive recovery of normal appearance of antigens at junctional sites (Figs 2 through 4UpDownDown).



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Figure 3. Immunofluorescence morphological analysis of the distribution of {alpha}-catenin, ß-catenin, plakoglobin, and p120 in HUVEC monolayers treated with 100 nmol/L thrombin. Bar=10 µm.



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Figure 4. Immunofluorescence morphological analysis of the distribution of {alpha}-catenin, ß-catenin, plakoglobin, and p120 in EA.hy926 cell monolayers treated with 10 nmol/L thrombin. Bar=10 µm.

Since EA.hy926 cells appeared to behave in a way comparable with freshly isolated HUVECs and responded to thrombin in a more sensitive and reproducible way, the experiments reported below were performed on this cell line and confirmed at least once in HUVECs.

Modification of the Composition of VE-Cadherin/Catenin Complex by Thrombin
The organization of the VE-cadherin/catenin complex was next examined in cell lysates of confluent cells incubated in the presence of 10 nmol/L (1 U/mL) thrombin for various lengths of time. Equal aliquots of cell extracts were immunoprecipitated with VE-cadherin antibodies, separated by SDS–polyacrylamide gel electrophoresis, transferred to nitrocellulose membranes, and probed with antibodies to VE-cadherin and catenins. As shown in Fig 5ADown, the amounts of VE-cadherin immunoprecipitated were comparable in the control (time 0) and after various times (5, 15, and 30 minutes) of thrombin treatment. When VE-cadherin immunoprecipitates were blotted with anti–{alpha}-catenin, anti–ß-catenin, anti-plakoglobin, or anti-p120 antibodies, the amount of each protein associated with VE-cadherin decreased along with the duration of thrombin treatment. The reduction was particularly significant for plakoglobin and p120. As shown in Fig 5BDown, the amounts of the four proteins in total extracts were not significantly changed before and after thrombin treatment. After 30 minutes of thrombin treatment and thrombin removal (time 0 in Fig 5CDown), the amounts of catenins associated with VE-cadherin progressively increased, and the normal pattern was achieved within 4 hours in parallel with the return to a normal organization of cell-to-cell contacts. Comparable results, with essentially the same timing, were obtained stimulating the cells with 500 µmol/L TRAP (data not shown).



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Figure 5. Immunoblot analysis of VE-cadherin immunoprecipitates. A, Cell extracts of EA.hy926 confluent control cells (time 0) and cells treated for various times (5, 15, and 30 minutes) with 10 nmol/L (1 U/mL) thrombin were immunoprecipitated with an anti–VE-cadherin monoclonal antibody. The immunoprecipitates were then blotted with antibodies directed against VE-cadherin, p120, {alpha}-catenin, ß-catenin, and plakoglobin. Endothelial plakoglobin always runs as three bands.13 B, Immunoblot analysis of total cell lysates in confluent cells at time 0 and after thrombin treatment for 30 minutes. C, Cell extracts of cells treated with thrombin for 30 minutes (time 0) and allowed to recover for 1 and 4 hours after thrombin removal were immunoprecipitated with anti–VE-cadherin antibodies and immunoblotted with anti–VE-cadherin and anti-catenin antibodies. Apparent molecular mass is indicated on the right for each protein. The figure represents the results obtained in one of three separate experiments.

Phosphorylation of Cadherin and Catenins
Pretreatment of cell monolayers with 500 nmol/L calphostin C (which prevents PKC activation by binding to the regulatory site of the enzyme27 ) or 100 µmol/L H7 (a less specific PKC inhibitor acting on the catalytic site of the enzyme28 ) for 30 minutes prevented thrombin-induced barrier dysfunction. Pretreatment of the cells with 1 µmol/L staurosporine (an inhibitor of phospholipid/calcium-dependent protein kinase29 ) for 30 minutes or with 1 µmol/L herbimycin A (a tyrosine kinase inhibitor30 ) for 16 hours also blocked thrombin effect on endothelial permeability. As shown in Fig 6Down, the PKC inhibitor calphostin C also prevented thrombin-induced catenin dissociation from VE-cadherin. These observations were consistent with the mode of signaling of the thrombin receptor31 and strongly suggested that phosphorylation processes were required for thrombin-induced changes in permeability.



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Figure 6. Effect of protein kinase inhibition. Cells have been pretreated for 30 minutes with 500 nmol/L calphostin C before incubation with 10 nmol/L thrombin for 15 minutes. Cell extracts were immunoprecipitated with anti–VE-cadherin antibodies and immunoblotted with anti–VE-cadherin and anti-catenin antibodies.


*    Discussion
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up arrowAbstract
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up arrowResults
*Discussion
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Endothelial cell activation evoked by thrombin is associated with a dramatic alteration of cell morphology, with cell contraction and formation of interendothelial gaps.32 The parallel increase in endothelial cell monolayer permeability is apparent within a few minutes and is reversible.33 Thrombin receptor proteolysis is a prerequisite for cellular activation.25 34 Accumulating evidence suggests that both increased cytosolic calcium- and diacylglycerol-induced activation of PKC are critical for the subsequent alteration of endothelial barrier function.35 36 cAMP and cGMP act as potent fine regulators of endothelial permeability.37

The mechanism involved in endothelial cell retraction has not been fully clarified. It has been suggested that cell shape changes may result from an active cellular contraction event associated with activation of myosin light chain kinase and phosphorylation of myosin light chain.38 39 40 However, as the rapid decrease in the level of phosphorylated myosin light chain does not correlate with the much slower return to normal barrier function, after increases in centripetal forces via rapid myosin light chain phosphorylation, additional mechanisms such as reduced cell-matrix or intercellular adhesive forces may maintain the gap-producing state and cell-to-cell detachment. Both PKC and calcium are required for the full thrombin effect. Although it is a potent inducer of myosin light chain phosphorylation in bovine smooth muscle cells, phorbol 12-myristate 13-acetate does not increase myosin light chain phosphorylation above constitutive levels in either bovine pulmonary artery ECs or HUVECs. Thus, unlike smooth muscle cells, PKC does not directly lead to myosin light chain phosphorylation in endothelial cells, and additional myosin light chain independent mechanisms, such as reduced cell-to-cell or cell-to-matrix adhesion, must exist by which PKC accomplishes altered cytoskeletal protein interactions, intercellular gap formation, and endothelial cell barrier dysfunction.

Their high order of structure makes adherence-type junctions major targets for downregulation of intercellular contacts. VE-cadherin is the only cadherin found consistently at the interendothelial contacts in all type of vessels.12 N-cadherin, the other major cadherin in human endothelial cells, is mostly diffuse on the cell membrane.41 P-cadherin is expressed at a low amount, and E-cadherin has been found only in brain vessels.42 Highly associated with the cytoplasmic domain of cadherins, catenins might represent important regulatory proteins for the extracellular adhesive properties of cadherins.

In this paper, we show that thrombin induces disassembly of adherence junctions in a way related to the increase in permeability. In immunofluorescence, thrombin caused the disappearance of VE-cadherin and catenins ({alpha}-catenin, ß-catenin, plakoglobin, and p120) at cell-to-cell retraction sites. In addition, immunoprecipitation analysis showed that lower amounts of the four catenins were associated to VE-cadherin. These effects had the same time course and reversibility as the increase in monolayer permeability. Activation of PKC seemed to be required for these changes, since calphostin C, which competes at the binding site for diacylglycerol, was able to prevent both the increase in monolayer permeability induced by thrombin and catenin dissociation from VE-cadherin.

The mechanisms regulating adherence-junction organization are largely unknown in endothelial cells. Decrease in calcium concentration in culture medium induced a rapid disappearance of VE-cadherin and catenins at cell junctions.7 This disappearance was not accompanied by a dissociation of the cadherin/catenin complex and was most likely due to a change in VE-cadherin conformation and adhesive properties. In addition, endothelial cell adherence junctions can be slowly modified by the state of confluence of the cells.13 In subconfluent cells, VE-cadherin, {alpha}-catenins, and ß-catenins were found at the junctions, but plakoglobin and actin microfilaments were associated with these structures only at later stages of junction maturation.

Thrombin is the first agent we know able to cause a general rapid and reversible disassembly of the VE-cadherin/catenin complex. The mechanism of this effect remains to be fully defined. The dissociation of catenins from VE-cadherin was not accompanied by detectable changes in the total amount of these molecules in the cytoplasm, which suggests that catenins and VE-cadherin remain protected from degradation and are possibly capable of a rapid turnover at cell-to-cell junctions. Indeed, the thrombin effect was reversible, and a complete reassembly of VE-cadherin/catenin complex was apparent within a few hours.

Growth factors or Src overexpression in other cell types induces tyrosine phosphorylation of cadherins and catenins, accompanied by a decrease in cell-to-cell adhesion.10 43 Particularly high levels of tyrosine-specific phosphorylation, as well as elevated levels of pp60Src44 and activation of pp125FAK,45 have been detected under stimulation by thrombin in the platelet system, where rapid cytoskeletal modifications are crucial for shape change. Tyrosine phosphorylation may also play a role in the thrombin-induced morphological changes, such as membrane and cytoskeletal rearrangements, observed in endothelial cells. However, in preliminary experiments (M.J.R., unpublished data, 1995), although thrombin-induced endothelial permeability was inhibited by tyrosine kinase inhibitors, we did not observe any significant increase in tyrosine phosphorylation of VE-cadherin and associated catenins. Further work is needed regarding cellular signals regulating junction assembly as well as eventual additional molecular participants.

In conclusion, we characterized at a molecular level some of the events associated with cell-to-cell retraction induced by thrombin on endothelial cells. The disassembly of adherence-junction components induced by this agent might contribute to the increase in endothelial permeability observed after its administration to cultured cells. The relevance of these observations in vivo remains to be established. Besides adherence junctions, in many regions of the vascular tree, endothelial cells present tight junctions,46 47 and we do not know whether thrombin stimulation could alter the architecture of these organelles. Adherence-junction organization, however, is required for tight-junction assembly,48 suggesting that alterations of these structures could have a more general effect on endothelial permeability.


*    Selected Abbreviations and Acronyms
 
HRP = horseradish peroxidase
HUVEC(s) = human umbilical vein endothelial cell(s)
PKC = protein kinase C
TRAP = thrombin receptor agonist peptide
VE = vascular endothelial


*    Acknowledgments
 
This work was supported in part by Programme d'actions intégrées franco-italien Galilee (Ministère des affaires étrangères, France).

Received September 11, 1995; accepted November 22, 1995.


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up arrowMethods
up arrowResults
up arrowDiscussion
*References
 
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