Articles |
From the Wallenberg Laboratory for Cardiovascular Research, Göteborg University, Sahlgrenska University Hospital, Göteborg, Sweden.
Correspondence to Alexandra Krettek, Wallenberg Laboratory for Cardiovascular Research, Göteborg University, Sahlgrenska University Hospital, S-413 45 Göteborg, Sweden. E-mail alexandra.krettek{at}wlab.wall.gu.se
| Abstract |
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Key Words: smooth muscle cells macrophages endothelial cells differentiation platelet-derived growth factor
| Introduction |
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In the lesions of experimentally induced atherosclerosis, ASMCs appear simultaneously with or after the appearance of monocyte-derived macrophages.4 5 6 7 ASMCs, endothelial cells, and macrophages are three cell types that localize within the atherosclerotic lesion and may influence each other by the growth factors/cytokines they secrete. Thus, the release of biologically active mitogens by these cells in the arterial intima is likely to play a role on target cells expressing cognite receptors. One of these mediators is PDGF, which, together with the fibroblast growth factors, is a major mitogen for mesenchymal cells, including SMCs from all species. PDGF is regarded as an incomplete mitogen (competence factor), which induces proliferation only in the simultaneous presence of cofactors (commitment factors) such as the insulin-like growth factors.8 Further, the effects of stimulatory cytokines are balanced by inhibitory cytokines such as transforming growth factors9 and by binding to GAGs.10 11 Consequently, the regulation of ASMC proliferation is a complex network of interactions that has been only partially penetrated.
The mature and active forms of PDGF occur as homodimers or heterodimers of two disulfide-linked polypeptide chains, A and B. These chains have a high amino acid homology of approximately 50%. All PDGF chimeras (AA, AB, and BB) have been isolated from several sources, including platelets, vascular SMCs, endothelial cells, and macrophages.12 13 14 15 16 The gene for the human PDGF A chain has been mapped to chromosome 7,17 while the gene for the PDGF B chain was mapped to chromosome 22.18 19 The PDGF A- and B-chain genes have similar organization and consist of seven analogous exons spaced by differently sized introns. The PDGF A chain occurs as two isoforms due to alternative mRNA splicing of exon 6.17 The longer PDGF A form contains a highly basic amino acid C-terminal extension corresponding to exon 6. This sequence has cellular retention properties,20 presumably due to high-affinity binding to heparin-like GAGs.10 21 22 We have shown previously that hASMCs are stimulated by PDGF BB and long and short PDGF AA isoforms in vitro.23 One can assume that the shorter form of the A-chain lacking the basic domain may diffuse away from its site of synthesis. However, the long form of PDGF A may accumulate on GAGs and affect the cells in the arterial wall long after its synthesis by release from GAGs through enzymatic cleavage24 or displacement by other GAG-binding proteins.11 Proliferation of cells may subsequently be induced through paracrine or autocrine mechanisms long after the initial PDGF secretion.
The accumulation of cells in the intima after arterial
injury is accompanied by a change in cell phenotype. In the
present study we wanted to investigate the effect of phenotypic
state on the transcription of the genes for PDGF A and PDGF B isoforms
in hASMCs, hAVECs, and hM
in vitro. We also examined the effect of
cell phenotype on the transcription of long and short PDGF A
isoforms. Due to the lack of antibodies, there is presently no
method available for the estimation of the expression of long and short
PDGF A peptides. We thus decided to evaluate the expression of all PDGF
isoforms on the mRNA level to obtain a complete picture. Here, applying
an RT-PCR method, we quantified the expression of different PDGF
isoforms in hASMCs, monocytes/hM
, and hAVECs.
| Methods |
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-actin
confirmed the identity of the cells (not shown).
Mononuclear cells. Mononuclear cells were isolated
from buffy coats from three blood donors by a Ficoll-Hypaque
discontinuous gradient.27 Buffy coats were obtained from
the blood bank at Sahlgrenska University Hospital/Sahlgrenska
(Göteborg, Sweden). Monocytes at day 0 were obtained without
plating the cell suspension after gradient
centrifugation. These cells were isolated either with
Dynabeads Pan-T/CD2 (one donor), which removes CD2-positive T cells
from the cell suspension, or with Dynabeads M-450/CD14 (two donors),
which specifically isolates monocytes/macrophages. Beads were
used according to the manufacturer's instructions (Dynal AS). The
purity of the mononuclear cell isolates was warranted by the
specificity of the techniques. Isolated monocytes were cultured for 1,
3, 5, and 7 days in culture conditions as described.28
Viability of mononuclear cells was between 90% to 95% as seen with
trypan blue staining. Morphological characterization of mature hM
was made after hematoxylin staining (not shown).
Human adult vein ECs. hAVECs were a generous gift from Professor Bo Risberg at the Department of Surgery, Sahlgrenska University Hospital/Östra (Göteborg, Sweden). Cells were isolated from stripped varicose veins and cultured in M199 medium (BioWhittaker) containing 2 mmol/L L-glutamine, 100 U/mL penicillin, 100 µg/mL streptomycin, 20% (vol/vol) fetal bovine serum, 90 µg/mL heparin, and 20 µg/mL endothelial cell growth factor (Sigma). Proliferating and confluent cells (passage 4) from one donor were obtained by growing sparse cultures for 1 and 2 weeks, respectively. The dedifferentiated and differentiated phenotypes have been characterized previously.29 Cells showed positive fluorescence when stained for von Willebrand Factor (not shown).
Total RNA. Total RNA was isolated according to Chirgwin et al.30
Quantitative RT-PCR
PDGF A- and B-chain mRNA expressions were studied with
quantitative RT-PCR31 and a Gene Amp RNA PCR kit
(Perkin-Elmer Cetus). The PCR Kit contains the internal standard
pAW109RNA, which is transcribed from plasmid pAW109. This standard
contains a linear array of synthetic 5' primers followed by the
complementary sequences of the 3' primers of 12 different target genes.
Among these are primer sequences corresponding to mRNA for PDGF A and B
chains.
For amplification of PDGF isoforms, two pairs of
oligonucleotide primers
(Table
) were synthesized on a DNA
synthesizer (Applied Biosystems Inc). To prevent amplification of
genomic DNA,31 at least one primer in each primer pair
spanned the junction between two exons (Table
). The primer pair used
for amplification of PDGF A allowed us to quantitate the total amount
of PDGF A mRNA without consideration of splicing
phenomena.13
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The cell-derived RNA (100 ng) was reversely transcribed into cDNA,
together with the pAW109RNA standard (defined number of molecules) and
random hexamer primer (final concentration, 2.5 µmol/L)
and 2.5 U/µL SuperScript reverse transcriptase (Life Technologies).
The RT step was incubated and processed for amplification as described
previously.32 The cDNA mixture obtained from the RT step
was further amplified by PCR using specific primer pairs for either
PDGF A or PDGF B cDNAs. The 5' primer was labeled by T4
polynucleotide kinase (Boehringer Mannheim) with
[
-32P]ATP (specific activity 5000 Ci/mmol; Amersham
Sweden AB). PCR amplifications, recovery of amplification products,
and determination of RNA copy numbers were done as described for PDGF
receptors.23 The results from the different donors were
averaged for each cell type and culture condition.
RT-PCR of PDGF A-Chain Isoforms
Splicing of exon 6 in the PDGF A-chain mRNA was studied with
primers according to Matoskova et al33 corresponding to
sequences in exons 4 and 7 of the human PDGF A-chain gene (Table
). The
rates of amplification were exponential at 35 cycles and approached a
plateau at 45 cycles.
Statistical Methods
Means, variances, and 95% CI were calculated using standard
procedures. Two-way ANOVA was used to test differences between donors
and culture conditions. This test also accounts for methodological and
other variabilities in its residual error against which any additional
variation provided by donor and/or culture condition is tested. The
methodological variability (coefficient of variation) was 15%, 23%,
and 21% for the determinations of PDGF A mRNA, PDGF B mRNA, and the
ratio short PDGF A/long PDGF A, respectively. Paired data were tested
using Students' paired t test. A value of P<.05
(two-sided tests) was regarded as statistically significant.
| Results |
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Comparisons based on results of PCR amplifications of different target genes needs precaution. Priming efficiency varies with primers, sequence, and size of the amplified fragments. Such variations make it difficult to compare the expression of different genes. For this reason, the priming efficiency of our A- and B-chain primers was compared with that of the internal standard pAW109, in which both primer pairs amplify almost the same DNA sequence. The B-chain primers were about six times more efficient than the A-chain primers. Thus, priming efficiency cannot explain the higher A- than B-chain mRNA concentrations seen in hASMCs with quantitative RT-PCR. Furthermore, the amplified fragments from cell-derived RNA were almost of the same size (224 versus 227 bp) and had a 62% sequence homology. Also, both amplified sequences for PDGF A and B chains contained almost equal amounts of GC nucleotides (63% and 65%, respectively), which contributes to a similar amplification efficiency of these two sequences. Consequently, the larger abundance of A- than B-chain transcripts in hASMCs may seem reliable even if not completely precise.
Expression of Long and Short PDGF A mRNA Isoforms
Since these experiments were based on semiquantitative RT-PCR
analyses only, the concentration of long and short PDGF A
chains could not be expressed as copies per nanogram RNA. On the other
hand, both isoforms were determined simultaneously on
transcripts from the same gene using the same primer pairs and differed
only in length of the amplified fragments. This procedure enabled us to
estimate the relative abundance of PDGF A isoforms. Due to the low
expression of the long PDGF A mRNA, PCR amplifications were run for 45
cycles. This high cycle number enabled visualization of both long and
short A-chain variants after gel electrophoresis.
The results showed two amplification products of
expected sizes; one of 180 bp for the shorter message of the PDGF A
chain and one of 250 bp for the longer one (data not shown). The main
amplification product in all hASMC phenotypes was the short
isoform lacking exon 6. The short A-chain transcript was 8 (CI; 6-10)
times more abundant than that of the long form. It was almost the same
irrespective of phenotype (P=.599) (Fig 2
). The ratio differed between donors
(P=.010), and the possibility of a true interindividual
variability cannot be excluded from our results.
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In proliferating and confluent hASMCs, the ratio between the short and long PDGF A mRNAs was further investigated by PCR amplifications run for 35 cycles. The obtained radiolabeled products were mixed with unlabeled products resulting from a PCR run for 45 cycles before electrophoretic separation of the products. In these experiments, the short/long mRNA ratio was approximately the same as in experiments run for 45 cycles.
Considering the higher priming efficiency of the PDGF B primers and
that the long PDGF A isoform mRNA comprised only the minor part of the
total A-chain mRNAs, one can conclude that the long A-chain transcripts
were somewhat more abundant than the B-chain mRNA (Figs 1
and 2
).
Expression of PDGF mRNAs in hM
Quantitative Evaluation of Total PDGF A and PDGF B mRNA
Expression
Monocytes from all donors (n=3) expressed both PDGF A and PDGF B
mRNAs. The amount of PDGF A mRNA was higher than that of PDGF B mRNA
across donors and days in culture (P=.014). However, in
unplated monocytes (day 0), the copy numbers of PDGF A (mean 246, CI
38-454 copies per nanogram RNA) and B (mean 77, CI 52-103 copies per
nanogram RNA) did not differ significantly (P=.40). On
differentiation in culture, marked increases in copy numbers of both
PDGF mRNAs were seen already after 1 day. Maximal stimulation was
obtained after 3 days, with about 1200 copies of PDGF A mRNA and about
2600 copies of PDGF B mRNA per nanogram RNA. Clearly, these numbers
were outside the CI of day 0 (see above) and statistically significant.
Thus, during the first 3 days of monocyte differentiation, the amount
of PDGF A mRNA increased 5-fold and that of PDGF B mRNA approximately
30-fold compared with monocytes at day 0 (Fig 3
). After day 3, the expression of both
mRNAs tended to decrease. Nevertheless, after 7 days in culture, the
fully differentiated hM
still expressed higher amounts of both PDGF
mRNAs compared with monocytes, ie, twice as much PDGF A mRNA and 20
times more PDGF B mRNA than in monocytes. The error bars in Fig 3
reflect mainly differences between donors (P=.014 for PDGF A
and P=.054 for PDGF B).
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Expression of Long and Short PDGF A mRNA Isoforms
Since the long and short PDGF A mRNAs were expressed at similar
high levels in macrophages in contrast to hASMCs, 35 cycles
were used for PCR amplification. However, monocytes at day 0 expressed
9% (CI; 4-14) of PDGF A mRNA as the long form. Clearly, this amount
differed very significantly from the short form and from differentiated
hM
and corresponded to a short/long ratio of about 8. Already, after
1 day in culture, the expression of long A-chain mRNA was upregulated
to approximately 40% (S/L ratio=1.6) and remained at a similar level
throughout the differentiation (day 7) (Fig 3
). In conclusion, the
overall expression pattern in differentiating monocytes shifted to a
fourfold increase in the proportion of long A-chain mRNA after 7 days
in culture. Given the simultaneous increase in total
A-chain mRNA, the absolute increase in long A-chain mRNA was
considerable.
Expression of PDGF mRNAs in hAVECs
Quantitative Evaluation of Total PDGF A and PDGF B mRNA
Expression
hAVECs expressed both PDGF A and PDGF B mRNAs in high amounts
compared with other cells (Figs 4
and 5
). This
expression was dependent on cell phenotype. On proliferation,
hAVECs increased the expression of PDGF A mRNA by a factor of three and
decreased the expression of PDGF B mRNA by a similar factor (Fig 4
).
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Expression of Long and Short PDGF A mRNA Isoforms
The PCR amplifications (n=9) were run for 35 cycles, and the
relative abundance of the short and long PDGF A mRNA isoforms in
proliferating and confluent hAVECs was determined. The ratio of
short/long seemed to be stable and grossly independent of cell
phenotype, with a mean value of 1.5 (proliferating cells,
1.6±0.23; confluent cells, 1.4±0.18). The results showed a constant
and comparatively high production of the long PDGF A mRNA,
representing approximately 44% of the total PDGF A mRNA
expression.
A summary of average PDGF A- and B-chain expression in hASMCs,
monocytes/hM
, and hAVEC is given in Fig 5
.
| Discussion |
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, and hAVECs express
mRNAs for both PDGF A and PDGF B chains with the highest expression of
both isoforms in hAVECs. Our results further suggest at least 100 times
higher expression of PDGF A than PDGF B mRNA in hASMCs, while both
isoforms were expressed at similar levels in hAVECs and hM
. Furthermore, we have shown that cell phenotype affects the total mRNA expression of PDGF A and B. The confluent phenotype tended to downregulate transcripts for PDGF A in hAVECs and for both PDGF isoforms in hASMCs. Since we have shown previously that also the ß-subunit of the PDGF receptor is downregulated in confluent hASMCs,23 these observations taken together may be of potential importance. Consequently, it cannot be excluded that growth arrest during confluence is due at least partly to a reduction of endogenous production of both PDGF isoforms and at least one of their receptors. On proliferation, hAVECs upregulated the expression of PDGF A and downregulated that of PDGF B mRNA. In concordance with these results, it has been shown previously that in vitro proliferation and differentiation of human endothelial cells regulate the levels of the sis (PDGF B) mRNA.34 Compared with confluent cells, proliferating hASMCs showed a tendency toward increase in the production of PDGF A but not of PDGF B mRNA. Previous studies with less sensitive Northern blot analyses on adult rat ASMCs were only able to demonstrate expression of transcripts for the PDGF A chain.35 Furthermore, the expression of PDGF A- and B-chain genes seems to be age related since aortic SMCs from adult rats expressed mainly PDGF A-chain mRNA, while newborn rat SMCs also expressed PDGF B-chain transcripts.36 PDGF A-chain expression is also increased in human uterine muscle during the physiological hypertrophy of pregnancy.37 Studies with in situ hybridization on human atherosclerotic plaques have shown the presence of PDGF A- but not B-chain transcripts in mesenchyme-like cells, which could not be definitely classified as ASMCs. Thus, our results are fully compatible with these observations. They demonstrate more clearly that ASMCs from humans express PDGF A-chain mRNA, but also that they express a low abundance of B-chain mRNA that is likely not detected by less sensitive techniques.
On differentiation of hM
, both PDGF A and B mRNAs were upregulated.
The activating signal in our case seems to be the adherence to the
culture dish. Our general findings concerning macrophages are
consistent with previously published results by Nagaoka et
al.38 According to their experiments after adherence of
monocytes to plastic dishes (corresponding to day 1 in Fig 3
), the
expression of PDGF B but not of PDGF A increased both on the mRNA and
the protein level during further differentiation.
Thus, we can conclude that both hM
differentiation and proliferation
of hAVECs and hASMCs grossly increase the total production of
PDGF mRNAs.
PDGF A and B chains may be transcriptionally regulated through 5'-untranslated GC-rich sequences39 or posttranscriptionally regulated through mRNA stability in addition to splicing of primary transcripts.40 Our results suggest an independent regulation of both PDGF genes. Independently regulated expression of PDGF A and B transcripts in other cell types has been reported previously. Thus, while many tumor cell lines express either one or both of the isoform mRNAs,41 42 the PDGF A mRNA seems to be predominantly expressed, for example, in skeletal myoblasts and fibroblasts,35 43 and PDGF B mRNA in placental cytotrophoblasts.44 Several different cytokines have been shown to regulate the expression of PDGF genes. The cytokine effect seems to be dependent on cell type. It has been reported that transforming growth factor-ß increases PDGF A mRNA levels in human fibroblasts45 and vascular SMCs,46 while it stimulates PDGF B mRNA expression47 or the expression of both isoforms48 in other cells. Furthermore, it has been shown that transforming growth factor-ß can either inhibit or promote the proliferation of rat aortic SMCs depending on their phenotype.46 It has also been shown that mechanical injury, shear stress, and oxidative products from lipoprotein oxidation within plaques may influence PDGF expression.49 50 51
The PCR amplifications showed that the short/long A-chain mRNA ratio
varied between the different cell types. According to our results in
hASMCs, only the minor part of the total PDGF A mRNA consisted of long
PDGF A mRNA. Similar conclusions have been reported for human skin
fibroblasts, human umbilical vein endothelial cells,
and several transformed cell lines.33 Human AVECs produced
40% of the total PDGF A mRNA as the long isoform. Furthermore, the
distribution of long and short PDGF A mRNA isoforms was stable
irrespective of the phenotypic state of hAVECs. In contrast to these
results, the 7-day differentiation of hM
drastically increased the
amount of the long PDGF A mRNA. These results are consistent
with a previous observation demonstrating that resting monocytes
express only short PDGF A mRNA species, while in vitro maturated hM
expressed both short and long mRNA species.38
The long PDGF A chain may exhibit a higher mitogenic activity,52 probably due to increased efficiency of assembly and secretion.53 Primarily the long A-chain is upregulated during active wound healing in response to PDGF BB treatment.54 The long PDGF A isoform, which is not expressed in normal hearts, is present in cardiac allografts.55 In contrast to our results on hASMCs and hAVECs, in which phenotypic change did not affect the expression of the long PDGF A, the experiments with human monocyte-derived macrophages in vitro suggested a regulation of this PDGF A isoform during differentiation.
The functional significance of the long PDGF A chain is not clear. Our observations could possibly explain an accumulation of the long PDGF A isoform in the arterial wall after release from adhering platelets, local macrophages, and endothelial cells at the site of a growing atherosclerotic lesion. Indeed, others have shown that the long but not the short A-chain isoform accumulated outside cells associated with cell surface proteoglycans and extracellular matrix.20 We have shown previously that the long PDGF A isoform binds with high affinity to GAGs22 and that proliferating SMCs increase twice their production of GAGs compared with SMCs of differentiated phenotype.11 Particularly highly sulfated GAGs bind the long PDGF A isoform with high affinity.22 Although hASMCs express low concentrations of long A chain, their total contribution to the long A-chain pool may be substantial due to the large number of these cells in the arterial wall. The comparatively high expression of the long PDGF A mRNA in endothelial cells and its upregulation during monocyte differentiation further contributes to this storage.
Assuming no further translational control, all these phenomena would presumably promote the accumulation of PDGF, and particularly of PDGF isoforms binding to matrix components, in the arterial wall at the site of a growing atherosclerotic lesion. Release of PDGF from this pool would explain a prolonged stimulation of ASMC proliferation. However, this possibility needs further confirmation at the protein level in experimental systems as well as in vivo.
| Selected Abbreviations and Acronyms |
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| Acknowledgments |
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Received March 14, 1997; accepted July 1, 1997.
| References |
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B interacts functionally with the
platelet-derived growth factor B-chain shear-stress response
element in vascular endothelial cells exposed to fluid
shear stress. J Clin Invest. 1995;96:1169-1175.
in
human cardiac allografts. Transplantation. 1995;59:605-611.[Medline]
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