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Arteriosclerosis, Thrombosis, and Vascular Biology. 1997;17:3164-3173

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(Arteriosclerosis, Thrombosis, and Vascular Biology. 1997;17:3164-3173.)
© 1997 American Heart Association, Inc.


Articles

Dopamine as a Novel Antimigration and Antiproliferative Factor of Vascular Smooth Muscle Cells Through Dopamine D1-Like Receptors

Kenichi Yasunari; Masakazu Kohno; Tadayoshi Hasuma; Takeshi Horio; Hiroaki Kano; Koji Yokokawa; Mieko Minami; ; Junichi Yoshikawa

From the The First Department of Internal Medicine (K.Y., M.K., T.Ho., H.K., K.Y., M.M., J.Y.) and The Second Department of Biochemistry (T.Ha.), Osaka City University Medical School, Asahi-machi, Abeno-ku, Osaka, Japan.

Correspondence to Kenichi Yasunari, MD, The First Department of Internal Medicine, Osaka City University Medical School, 1-5-7 Asahi-machi, Abeno-ku, Osaka 545, Japan.


*    Abstract
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*Abstract
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Abstract Vascular smooth muscle cell (VSMC) migration and proliferation are believed to play key roles in atherosclerosis. To elucidate the role of vascular dopamine D1-like receptors in atherosclerosis, the effects of dopamine and specific D1-like agonists SKF 38393 and YM 435 on platelet-derived growth factor (PDGF) BB-mediated VSMC migration and proliferation were studied. We observed that cells stimulated by PDGF-BB (5 ng/mL), showed increased migration and proliferation. These effects were prevented by coincubation with dopamine, SKF 38393, or YM 435 (1 to 10 µmol/L), and this prevention was reversed by Sch 23390 (1 to 10 µmol/l), a specific D1-like antagonist. These actions are mimicked by forskolin (1 to 10 µmol/L), a direct activator of adenylate cyclase and 8-bromo-cAMP at 0.1 to 1 mmol/L and are blocked by a specific protein kinase A inhibitor, N-[2-(p-bromocinnamylamino)ethyl]-5-isoquinoline-sulfonamide (H 89), but not blocked by its negative control, N-[2-(N-formyl)-p-chlorociannamylamino)ethyl]-5-isoquinoline sulfonamide (H 85). PDGF-BB (5 ng/mL)-mediated activation of phospholipase D, protein kinase C, and mitogen activated protein kinase activity were significantly suppressed by coincubation with dopamine. These results suggest that vascular D1-like receptor agonists inhibit migration and proliferation of VSMC, possibly through protein kinase A activation and suppression of activated phospholipase D, protein kinase C, and mitogen-activated protein kinase activity.


Key Words: dopamine • vascular smooth muscle • migration • proliferation


*    Introduction
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up arrowAbstract
*Introduction
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down arrowResults
down arrowDiscussion
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Migration and proliferation of VSMCs are thought to play key roles in the development of atherosclerotic lesions.1 Understanding the regulatory mechanism of VSMC migration and proliferation are, therefore, important in elucidating the pathogenesis of atherosclerosis and also in the design of therapeutic drugs or devices for treating atherogenic disorders. PDGF is one of the major mitogens in serum and is reported to stimulate VSMC proliferation.2 It has been reported that the PDGF-BB isoform induces directed migration of VSMCs3 and is a mitogen for VSMCs.4

Two distinct classes of dopamine receptor were originally thought to exist in peripheral tissue and are designated D1- and D2-like receptors.5 There are at least five dopamine receptor subtypes cloned from the brain. Types D1A and D1B are D1-like, whereas types D2, D3, and D4 are D2-like.6–8 Further, D1A receptors in coronary arterial smooth muscle cells have been reported,9 and D1-like receptors have been evaluated biochemically.10,11 Stimulation of D1-like receptors causes vasodilation.12 Vasodilator hormones such as natriuretic peptides and ß-adrenergic receptor agonists have been shown to act as the antigrowth factors.13,14

Therefore, the present study is designed to investigate the possible role of the D1-like receptors on PDGF-BB-mediated VSMC migration and proliferation and examine the potential therapeutic effect of D1-like receptor agonists on atherosclerosis.


*    Methods
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up arrowAbstract
up arrowIntroduction
*Methods
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Materials
PDGF (recombinant BB), 8-bromo-cAMP, BSA, and 3-isobutyl-1-methylxanthine, were purchased from Sigma Chemical Co. DMEM, penicillin-streptomycin, trypsin EDTA (Versine), and FCS were purchased from Gibco BRL. PKC and cAMP radioimmunoassay kits, [3H]thymidine, [3H]ethanolamine, and [{gamma}-32P]ATP were purchased from Amersham Japan Co. A Western blot system for analysis of the phosphorylation status of p44 and p42 MAPK was purchased from New England Biolabs Inc. Multiwell dishes, pipettes, and flasks were purchased from Becton Dickinson. H-89, N-[2-(p-bromocinnamylamino)ethyl]-5-isoquinoline-sulfonamide, and H-85, N-[2-(N-formyl-p-chlorocinnamylamino)ethyl]-5-isoquinoline sulfonamide, were purchased from Seikagaku Co. YM 435 was a gift from Yamanouchi Co.15 SKF 38393 was a gift from Smith Kline Beecham Co Ltd.5

Cell Culture
VSMCs were grown from explants of 14-week-old normotensive Wistar rat renal arteries, with animals handled as described previously.16,17 Cells were identified as VSMCs according to their morphologic and immunohistochemical characteristics as previously reported.18,19 Briefly, these cells showed a typical "hill-and-valley" growth pattern, were positive by fluorescence using antibodies against {alpha}-smooth muscle actin, and did not express von Willebrand factor. VSMCs were grown in DMEM supplemented with 10% FCS. Cells from passages 3 to 5 were used and were subcultured after trypsinization on a weekly basis since cells became confluent in 1 week. Each plate was replenished twice weekly with fresh medium. To avoid the ß-adrenergic effect of dopamine, propranolol (1 µmol/L) was added in each dopamine stimulation. Propranolol (1 µmol/L) alone did not affect cell migration and proliferation.

Measurement of cAMP
After incubation with D1-like agonists, cells were washed three times with 2 mL of DMEM and then stimulated for 30 minutes with different concentrations of dopamine, SKF 38393, or YM 435 dissolved in DMEM with 0.5 mmol/L 3-isobutyl-1-methylxanthine. Rapid aspiration and the addition of 0.5 mL of ice-cold 65% ethanol stopped the reaction. After evaporation in a centrifugal evaporator, the dry residue was dissolved in an assay buffer. cAMP levels were determined by radioimmunoassay using the Amersham cAMP radioimmunoassay kit as previously described.20,21

Migration Assay
Migration of VSMCs was assayed by a modification of Boyden's chamber method using microchemotaxis chambers (Neuro Probe Inc) and polycarbonate filters (Nucleopore Corp) with pores of 5.0 µm in diameter, as previously reported.22 In every experiment, collagen-coated filters were used. Briefly, the membranes were treated with 0.5 N acetic acid and then incubated for 48 to 72 hours at 25°C in a collagen solution (100 µg/mL type I collagen in 0.5 N acetic aid). They were then air-dried. Cultured VSMCs were trypsinized and suspended at a concentration of approximately 1.5x105 cells/mL in DMEM supplemented with 0.4% BSA. Cell number was counted with an electronic cell counter (Model ZB1; Coulter Electronics).23 A volume of 200 µL of VSMC suspension (3.0x104 cells) was placed in the upper chamber, and 40 µL of DMEM-0.4% BSA containing a migration factor, such as PDGF, was placed in the lower chamber. The chamber was incubated at 37°C under 5% Colo2 in air for 4 hours. After incubation, the filter was removed, and the VSMCs on the upper side of the filter were scraped off. The VSMCs that had migrated to the lower side of the filter were fixed in methanol, stained with Diff-Quick staining solution, and counted under a microscope to quantitate VSMC migration. Migration activity was expressed as the number of cells that had migrated per high-power field (x400). In experiments to determine the effects of dopamine, SKF 38393, YM 435, 8-bromo cAMP, and forskolin on VSMC migration, these agents were added to the lower chamber before the incubation.

Growth Curves
To determine cell numbers, VSMCs were placed into six-well culture dishes at 2x104/mL and grown in DMEM containing 10% FCS changed for every 72 hours, then switched to the same medium with 0.1% FCS for 48 hours to induce quiescence. Cultures were washed with a calcium- and magnesium-free phosphate-buffered saline and detached with trypsin EDTA solution. Counts were performed by an electronic cell counter.

Determination of DNA Synthesis
Relative rates of DNA synthesis were assessed by determination of [3H]thymidine incorporation, into trichloroacetic acid-precipitable material.24 Quiescent VSMCs grown in 24-well culture dishes were pulsed 4 hours with [3H]thymidine (10 µCi/mL), washed with cold calcium- and magnesium-free phosphate-buffered saline and incubated with 5% trichloroacetic acid at 4°C for 10 minutes. Cells were dissolved in 1 N NaOH at 37°C for 30 minutes, neutralized. The radioactivity was determined by liquid scintillation counting.

Flow Cytometric Analysis of Cell Cycle
Quiescent VSMCs grown in flasks were detached with 0.25% trypsin at 37°C for 5 minutes and then pelleted by centrifugation (1000 rpm for 5 minutes). The cells were resuspended in 200 µL of solution A (trypsin, 30 mg/L; citric acid, 3.4 mmol/L; spermin, 1.5 mmol/L; Tris-HCl, 0.5 mmol/L; Nonidet P-40. 2 mL/L). Ten minutes later, 150 µL of solution B (trypsin inhibitor, 500 mg/L; RNase, 100 mg/L; citric acid, 3.4 mmol/L; spermin, 1.5 mmol/L; Tris HCl, 0.5 mmol/L; Nonidet P-40, 2 mL/L) was added and left for 10 minutes at room temperature. Then 150 µL of solution C (propidium iodide, 622 µmmol/L; spermin, 3.0 mmol/L; citric acid, 3.4 mmol/L; Tris-HCl, 0.5 mmol/L; Nonidet P-40, 2 mL/L) was added and left for more than 10 minutes. Cell cycle24 was analyzed within 3 hours on a flow cytometer (EPICS PROFILE). Red blood cells were used as internal standard of DNA analysis.

PLD Activity Measured by Ethanolamine Release
The cells in 35-mm dishes were cultured in medium containing [3H]ethanolamine (5 µCi/mL/dish) for 24 hours to label cellular phosphatidylethanolamine. After the labeling medium was removed, the cells were washed twice with buffer A (20 mmol/L HEPES [pH 7.4], 120 mmol/L NaCl, 5 mmol/L KCl, 1 mmol/L MgCl2, 1.5 mmol/L CaCl2, 0.1% (wt/vol) BSA, 22.2 mmol/L glucose). After 10 minutes incubation with buffer A containing agonists with or without antagonists, the reaction was terminated by removing buffer A and adding 0.75 mL of methanol. The cells were harvested by gentle scraping. The dishes were then washed again with 0.75 mL of methanol. Distilled water (0.6 mL) and 0.75 mL of chloroform were added to the cells. The aqueous and lipid phases were obtained from the cell extracts by adding 0.75 mL of chloroform and 0.75 mL of water, followed by centrifugation (3000g, 10 minutes). Ethanolamine metabolites from the aqueous phases were fractionated on Dowex 50w (H+)–packed columns (Bio-Rad Econo columns, 1-mL bed volume) as already described.25 The initial flow-through (1 mL) along with the following 3 mL of water contained glycerophosphoethanolamine. Ethanolamine phosphate was eluted with 15 mL of water. Finally, ethanolamine was eluted with 8 mL of 1 mol/L HCl.

Cell Fractionation and Assay of PKC
VSMCs were washed twice with an ice-cold assay buffer (50 mmol/L Tris-HCl [pH 7.5] buffer containing 2 mmol/L EDTA, 2 mmol/L EGTA, 0.25 mol/L sucrose, 10 mmol/L 2-mercaptoethanol, 0.21 mmol/L leupeptin, and 0.23 mmol/L phenylmethylsulfonyl fluoride). Then cells were scraped and were sonicated with three 10-second bursts. The homogenates were centrifuged at 100 000g for 60 minutes at 4°C to separate the cytosolic and particulate fractions. The cytosolic fraction was kept on ice with Nonidet P-40 at a final concentration of 1%. The pellet resuspended in assay buffer containing 1% Nonidet P-40 was stirred on ice for 1 hour, and then was centrifuged at 100 000g for 30 minutes. PKC activity was measured by a modification of the method previously reported using the Amersham PKC assay system.19 In brief, a sample of the reaction mixture (50 mmol/L Tris-HCl [pH 7.5], 3 mmol/L calcium acetate, 100 µmol/L-{alpha}-phosphatidyl-L-serine, 1 µmol/L phorbol myristate acetate, 225 µmol/L substrate peptide, 7.5 mmol/L dithiothreitol, and 0.05% wt/vol sodium azide) were mixed with magnesium [32P]ATP and incubated at 25°C for 15 minutes. The substrate peptide interacts at 8%,13%, and 38% of PKC activity with cAMP-dependent protein kinase, phosphorylase kinase, and proteolytic PKC fragment, respectively. However, it does not interact with hexokinase and myosin light-chain kinase. An acidic reaction-quenching reagent was added to stop the reaction. Phosphorylated peptide was separated on binding paper. After the paper was washed, the extent of phosphorylation was detected by scintillation counting. The PKC assay was linear for 15 minutes. PKC activity was determined by subtracting the initial rate of protein kinase activity (in the absence of activators) from the initial rate of protein kinase activity in the presence of phosphatidylserine, calcium acetate, and phorbol myristate acetate.

MAPK Assay
MAPK activity was measured by the Amersham MAPK assay system.26 Briefly, cell aliquots (1x106 cells) were challenged with ligand at 37°C, and the reaction was terminated by directly adding lysis buffer containing 20 mmol/L Tris (pH 8), 20 mmol/L ß-glycerophosphate, 1 mmol/L sodium orthovanadate, 2 mmol/L EGTA, 2 mmol/L dithiothreitol, 0.1 mmol/L phenylmethylsulfonyl fluoride, 10 µg/mL aprotinin, and 0.1% Triton X-100 (final concentration) in a total volume of 200 µL. Extracts (15 µL) were then assayed by adding 10 µL of the substrate buffer (containing 6 mmol/L substrate peptide, 75 mmol/L HEPES, 300 µmol/L sodium orthovanadate, and 0.05% sodium azide, pH 7.4) and 5 µL of ATP buffer (containing 0.3 mmol/L [{gamma}-32P]ATP (300 µCi/mL) and 90 mmol/L MgCl2). The substrate peptide interacts with p34cdc2 at 3.4% and PKC at 0.1% of MAPK activity. After a 30-minute incubation at 37°C, 10 µL of 300 nmol/L orthophosphoric acid was added to terminate the reaction. Thirty microliters of each sample was spotted onto phosphocellulose discs, washed three times for 30 minutes in 0.5% phosphoric acid, and washed once for 5 minutes in distilled water. The radioactivity on each disk was then determined by scintillation counting.

Immunoblotting
VSMCs grown on a six-well plate were stimulated with agonists at 37°C in serum-free DMEM for specified durations. The reaction was terminated by the replacement of medium with 100 µL of SDS–polyacrylamide gel electrophoresis buffer, pH 6.8, containing 62.5 mmol/L Tris-HCl, 2% SDS, 10% glycerol, 50 mmol/L dithiothreitol, and 0.1% bromphenol blue. After brief sonication (5 seconds), samples were boiled for 5 minutes at 95°C and centrifuged (14 000g, 5 minutes) at 4°C, and the supernatant (25 µL) was subjected to SDS–polyacrylamide gel electrophoresis. Proteins in the gel were transferred to a polyvinylidene difluoride membrane (Schleicher & Schuell) by electroblotting. The membrane was treated with rabbit polyclonal phospho-specific MAPK antibodies that detect p42MAPK and p44MAPK only when catalytically activated by phosphorylation at Tyr-204. After incubation with secondary antirabbit antibodies, immunoreactive proteins were detected by the CDP-Star chemiluminescence system (New England Biolabs Inc).

Statistical Methods
Statistical analysis was performed by ANOVA and Scheffé's modified t test.27 Values of P<.05 were considered to be significant.


*    Results
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up arrowIntroduction
up arrowMethods
*Results
down arrowDiscussion
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Effect of D1-Like Receptor Agonists on cAMP Formation in VSMCs
Fig 1Down shows the effect of the D1-like agonists, dopamine, SKF 38393 and YM 435, on cAMP formation in VSMCs. As shown in Fig 1Down, D1-like agonists dose dependently increased the intracellular cAMP formation in VSMCs with the rank-order potency YM 435>= dopamine>SKF 38393. This cAMP formation was blocked completely by the specific D1-like antagonist Sch 23390.



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Figure 1. Effect of the D1-like agonists, dopamine, SKF 38393, and YM 435, with ({circ}) or without ({bullet}) 10 µmol/L Sch 23390, a D1-like specific antagonist, on cAMP formation in VSMCs. cAMP responses of VSMCs to increasing concentrations of D1-like agonists were assessed as described in "Methods." Each point represents the mean±SD of quadruplicate determinations in a single representative experiment.

Effect of D1-Like Receptor Agonists on VSMC Migration Stimulated With PDGF
The effect of the D1-like receptor agonists, dopamine, SKF 38393, and YM 435, on the migration of VSMCs treated with PDGF-BB for 4 hours is shown in Fig 2Down. D1-like receptor agonists inhibited clearly in a concentration-dependent manner PDGF-BB-induced VSMC migration. Although nonstimulated VSMCs exhibited little migration activity, D1-like receptor agonists did not inhibit this basal activity (data not shown). There was a significant correlation between percent increase in D1-like agonists-mediated cAMP formation and the percent decrease in migration activity (r=.89, P<.01).



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Figure 2. Effect of the D1-like agonists, dopamine (DA), SKF 38393, and YM 435, on the migration of cultured VSMCs stimulated with 5 ng/mL PDGF-BB for 4 hours. Migration activities are expressed as the number of cells per high-power field (HPF), and the values are given as the mean±SD of four replicate measurements in a single representative experiment. *P<.05.

Inhibition of PDGF-BB-Induced Cell Proliferation by D1-Like Agonists
As shown in Fig 3Down, the number of cells stimulated by PDGF-BB for 48 hours was higher than those stimulated by control (vehicle). The D1-like agonists, dopamine, SKF 38393, and YM 435, exhibited dose-dependent inhibition of this PDGF-BB-induced VSMC proliferation. There was a significant correlation between the percent increase in D1-like agonist-mediated cAMP formation and the percent decrease in cell number (r=.87, P<.01).



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Figure 3. Cell number of VSMCs stimulated by 5 ng/mL PDGF-BB for 48 hours with or without indicated doses of the D1-like agonists, dopamine (DA), SKF 38393, and YM 435. Cells were placed in medium containing 10% FCS, and after reaching confluency cells were grown in media with 0.1% FCS for 48 hours. Cell number was measured by an electronic cell counter. Values represent the mean±SD of six determinations in three different cell preparations. *P<.05.

Antiproliferative Action of D1-Like Agonists on Postconfluent VSMCs
Fig 4Down shows the effect of D1-like receptor agonists on [3H]thymidine incorporation by postconfluent VSMCs in 0.1% FCS media or when stimulated by PDGF-BB for 48 hours. The D1-like receptor agonists, dopamine, SKF 38393 and YM 435, inhibited DNA syntheses of VSMCs in a dose-dependent manner. The D1-like agonists did not cause the loss of cells at the confluent stage. After addition of D1-like receptor agonists, <1% of cells were found to be present in the supernatant media. Cell viability was also assessed by trypan blue staining, confirming that >98% of cells were alive. There was a significant correlation between the percent increase in D1-like agonist-mediated cAMP formation and the percent decrease in [3H]thymidine incorporation (r=.94, P<.01).



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Figure 4. DNA synthesis. Incorporation of [3H]thymidine into DNA after PDGF stimulation for 48 hours of quiescent VSMCs with the indicated doses of the D1-like agonists, dopamine (DA), SKF 38983, and YM 435. Experimental details are given in "Methods." Values represent the mean±SD of six determinations in three different cell preparations. *P<.05.

Inhibition of Dopamine Action by a Specific D1-Like Antagonist Sch 23390
To confirm further that dopamine acts through D1-like receptors, the specific D1-like antagonist, Sch 23390, was used. Sch 23390 alone had no effect on migration, number, or [3H]thymidine incorporations by VSMCs. Sch 23390 reversed significantly the dopamine-induced decrease in migration, number, and [3H]thymidine incorporation by VSMCs (Table 1Down).


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Table 1. Effect of a Specific D1-Like Antagonist, Sch 23390, on Dopamine-Induced Suppression of Migration, Number, and [3H]Thymidine Incorporation by VSMCs Stimulated by PDGF-BB (5 ng/ml) for 48 Hours

Flow Cytometric Analysis of Cell Cycle
VSMCs cultured with 0.1% FCS for 48 hours are in the G0-G1 stage (100%). A summary of the cell cycle data is shown in Table 2Down. PDGF-BB treatment for 24 hours induced the change of the cell cycle from G0-G1 (64.8%) to the S (27.5%) or G2 M (7.6%) stage. D1-like agonists suppressed significantly this PDGF-BB-induced change.


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Table 2. Summary of Cell Cycle Data

Effect of Forskolin and 8-Bromo cAMP on VSMC Migration and Proliferation Stimulated With PDGF-BB
To elucidate whether the inhibitory effect of dopamine on the migration and proliferation of VSMCs after stimulation with PDGF is causally linked to the increase in cellular cAMP, we examined the effect of an activator of adenylate cyclase, forskolin, on VSMC migration and proliferation treated with PDGF-BB. The addition of forskolin reduced PDGF-BB-induced VSMC migration and proliferation in a dose-dependent manner (Fig 5Down). Further, a cAMP analogue, 8-bromo-cAMP, also reduced VSMC migration and proliferation treated with PDGF-BB. Inhibition of PDGF-BB-induced VSMC migration and proliferation by dopamine could be reproduced by this analogue at concentrations of 100 µmol/L and 1 mmol/L (Fig 5Down).



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Figure 5. A, Effect of forskolin on cAMP formation by VSMCs. B, Effect of 8-bromo-cAMP and forskolin on the migration of cultured VSMCs stimulated with 5 ng/mL PDGF-BB for 4 hours. C, Number of VSMCs stimulated by 5 ng/mL PDGF-BB for 48 hours with or without indicated doses of 8-bromo-cAMP and forskolin. D, Incorporation of [3H]thymidine into DNA after PDGF-BB stimulation for 48 hours of quiescent VSMCs with the indicated doses of 8-bromo-cAMP and forskolin. Values represent the mean±SD of four determinations in three different cell preparations. *P<.05.

Effect of PKA Inhibitor on D1-Like Agonist-Mediated Suppression of [3H]Thymidine Incorporation
Incubation of VSMCs with the PKA inhibitor, H 89, reversed significantly D1-like agonist-mediated suppression of [3H]thymidine incorporation activated by PDGF-BB (5 ng/mL) for 48 hours (Fig 6Down). This action was not exerted by H 85, a negative control of H 89.28



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Figure 6. Effect of the PKA inhibitor, H 89, and its negative control, H 85, on dopamine-, SKF 38393-, and YM 435-mediated suppression of PDGF-BB (5 ng/mL)-mediated [3H]thymidine incorporation by vascular smooth muscle cells for 48 hours. Data indicate mean±SD of four determinations in three experiments. *P<.05.

Effect of Dopamine on PLD Activities and PKC Activities in Normal and PDGF-BB Stimulated Cells
As shown in Table 3Down, PLD activities in cells treated by PDGF-BB for 10 minutes were greater than those in control cells. This increase was blocked significantly by the coincubation of the cells with dopamine (10 µmol/L), forskolin (1 µmol/L), or 8-bromo cAMP (100 µmol/L). The action of dopamine was also blocked by coincubation of the cells with Sch 23390 (10 µmol/L), a specific D1-like antagonist or H 89 (10 µmol/L), a PKA inhibitor.


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Table 3. PLD and PKC Activities in Control and PDGF-Treated Cells

Membrane-bound (particulate) PKC activities in PDGF-BB treated cells were greater than those in control cells with a corresponding decrease in cytosolic PKC activities. When cells were coincubated with dopamine (10 µmol/L), forskolin (1 µmol/L), or 8-bromo-cAMP (100 µmol/L), PDGF-BB-induced PKC activation was significantly inhibited. The action of dopamine was also blocked by the coincubation of the cells with Sch 23390 or H 89.

Inhibition of MAPK Activity by D1-Like Agonists
Incubation of VSMCs with the D1-like agonists significantly inhibited MAPK activity (Fig 7ADown). Treatment of VSMC with D1-like agonists alone, at the concentration used in these experiments, did not alter the basal MAPK activity (data not shown). The PKA inhibitor H 89 (10 µmol/L) reversed significantly the effect of D1-like agonists. Inhibition of PDGF-BB-induced MAPK activation by dopamine, PKA agonists (forskolin [1 µmol/L] or 8-bromo-cAMP [100 µmol/L]) and a PKC inhibitor (calphostin C [1 µmol/L]) was also observed by immunoblotting (Fig 7BDown).



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Figure 7. A, Effects of dopamine, SKF 38393, and YM 435 on PDGF-induced activation of MAPK activity. VSMCs were stimulated with PDGF (5 ng/mL) for 10 minutes. The cell lysates were used for measurement of MAPK activity. The columns and horizontal bars indicate mean±SD of four determinations in three experiments. Basal activity corresponds to 1.3x105 cpm and activation with PDGF (5 ng/mL) was 8.0x105 cpm and was designated as 100%. B, Effect of dopamine with or without Sch 23390 or H 89, forskolin, 8-bromo-cAMP, or calphostin C on PDGF-BB (5 ng/mL)-mediated phosphorylation of MAPK. Cells were starved at least 48 hours in DMEM with 0.5% FCS and stimulated with 5 ng/mLL of PDGF-BB for 10 minutes. MAPK activity was measured by immunoblotting as described in the Methods. Cell lysates were used for measurement of MAPK activity. Representative data are shown, with a summary of parallel measurements of MAPK activity in cell lysates. Values represent the mean±SD (n=4) of four measurements experiments in two experiments. *P<.05.


*    Discussion
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up arrowIntroduction
up arrowMethods
up arrowResults
*Discussion
down arrowReferences
 
This study has demonstrated for the first time that D1-like agonists inhibit the migration and proliferation of VSMCs stimulated with PDGF in a concentration-dependent manner. Although it has been reported that immunoreactive dopamine is present in human and rat plasma,29,30 the plasma free dopamine concentrations (approximately 0.1 to 1 nmol/L) are much lower than the concentration of dopamine that inhibited VSMC migration significantly in our in vitro study. However, local levels of dopamine in vascular tissues may be much higher than their plasma concentration, because it has been shown that a considerable amount of dopamine is present in the conjugated form (0.1 to 1 µmol/L).31 Further, it has been reported that free dopamine may be formed through a deconjugation reaction when necessary.32 Our results suggest, therefore, that dopamine acting locally in a paracrine manner inhibits the migration of VSMCs after stimulation with factors such as PDGF. The migration of arterial medial VSMCs into the intima is important in intimal thickening not only in atherosclerotic lesions but also in restenosis after angioplasty.1,33 Consequently, it is possible that dopamine antagonizes the development of these vascular lesions as a local antimigratory factor for VSMCs, although we have no direct evidence in vivo at this time.

In the present study, dopamine did not inhibit the basal migration activity of nonstimulated VSMCs. According to the trypan blue exclusion test, dead cells stained with trypan blue were not found 24 hours after treatment with 10 µmol/L dopamine. Based on these observations and the finding that cultured VSMCs actively produce cAMP induced by dopamine, it is unlikely that the inhibitory effect of dopamine on VSMC migration observed in this study was due to its cytotoxicity.

We have obtained some evidence for a causal link between cAMP production and the inhibition of VSMC migration and proliferation on treatment with PDGF-BB. For example, cAMP formation by 1 µmol/L forskolin, which is greater than cAMP formation by 10 µmol/L dopamine, induced greater antimigration activity. Further, cAMP formation by 0.1 µmol/L forskolin, which is greater than cAMP formation by 1 µmol/L dopamine, induced a greater decrease in [3H]thymidine incorporation (Figs 1Up, 2Up, and 4Up). Moreover, as shown in Fig 6Up, the PKA inhibitor H 89 reversed this D1-like agonist-mediated inhibition of DNA synthesis. These results suggest that dopamine inhibits VSMC migration and proliferation stimulated with PDGF-BB, probably through a cAMP-dependent process and PKA activation.

It has been reported that stimulation of phosphatidylinositol turnover, diacylglycerol formation, and intracellular Ca2+ flux is likely to be required for chemotaxis of human VSMCs.13 Since PKA activation decreases PLD (Table 3Up) and cAMP decreases the intracellular Ca2+ level in VSMCs,34 it is possible that decreased diacylglycerol formation due to the suppression of PLD by PKA activation or the decreased cytosolic Ca2+ induced by cAMP suppresses the migratory activities of VSMCs stimulated with PDGF-BB. However, we have not fully elucidated the exact cellular mechanism by which cAMP inhibits PDGF-BB-induced migration of VSMCs. Very recently, it was reported that MAPK activation is involved in PDGF-directed migration in VSMC.35 Therefore, inhibition of PDGF-directed migration by D1-like agonists may be explained by PKA-mediated inhibition of MAPK activity.

cAMP inhibits serum- or PDGF-BB-induced DNA synthesis in VSMCs affecting, therefore, their proliferation.36,37 Moreover, we have demonstrated recently that adrenomedullin, which increases cAMP in VSMCs, inhibits the FCS-induced proliferation of VSMCs.38 It is possible that cAMP elevation by D1-like agonists inhibits PDGF-induced proliferation of VSMCs. We have demonstrated for the first time that dopamine-induced PKA activation inhibits PLD, PKC, and MAPK activation by PDGF (Fig 7Up). It has been reported that PKA mediates inhibition of PDGF-BB-induced by MAPK signaling in VSMCs,39 which is consistent with the present study. The antagonism by PKA does not appear to be at the level of the PDGF receptor ß subunit, MAPK kinase, or MAPK but is likely to occur between the receptor and MAPK kinase. A number of upstream activators of MAPK kinase have been reported, including Raf-1.40 It has been reported that activation of PKC is required to activate MAPK,41–43 as shown in the present study (Fig 7BUp), and hyperphosphorylation of Raf-1 in VSMCs43 and that activation of Raf-1 is inhibited by PKA in Rat-1 fibroblast cells.45,46 PKC may therefore contribute to the suppression of the MAPK activity by PKA. Because PLD activates PKC through the formation of diacylglycerol in VSMCs,47 PLD also may contribute to this suppression. However, since PLD is also reported to be activated by PKC,48 the possibility that PLD suppression is the result of PKC suppression cannot be excluded. Possible sites of action remain to be elucidated. In rat glioma C6 Bul cells, PLC-{gamma}, which plays an important role in mediating the PDGF mitogenic signal,49 is reported to be phosphorylated by PKA.50 Further, the D1-like receptor agonist femoldopam is reported to decrease PLC-{gamma}1 activity in renal tissue,51 and inhibition by cAMP of basal and induced inositol phosphate production in VSMCs has been also reported.52 It is possible that D1-like agonist-mediated PKA activation phosphorylates PLC-{gamma}1 and affects PLD and PKC signal transduction, which, in turn, suppress the MAPK pathway. Moreover, as shown in Table 2Up, PDGF-BB significantly changed the cell cycle from G0-G1 to the S phase. Activation of MAPK isoforms is required for cell cycle progression and S phase entry of fibroblast in response to mitogenic factors.53 The D1-like agonists inhibited this progression. These results indicate that D1-like agonists activate PKA, which modifies PLD, PKC and MAPK activity. These changes, in turn, suppress the cell cycle and cell proliferation.

In the present study, we have used VSMCs from the renal artery. Because approximately two-thirds of all lesions of renovascular hypertension in adults are caused by atherosclerosis,54 this protective effect of D1-like agonists may have a potential therapeutic significance for preventing this disease. However, whether D1-like agonists will prevent the development of atherosclerosis is another critical question raised by these studies. VSMC proliferation is an intermediate event in the atherogenesis, which follows endothelial cell damage and the deposition of fatty streaks in the vessel wall and results in the formation of the organized atherosclerotic plaque.55

In conclusion, activation of D1-like receptors suppresses PDGF-BB mediated VSMC migration and proliferation by activating PKA and suppressing PLD, PKC, and MAPK activity.


*    Selected Abbreviations and Acronyms
 
BSA = bovine serum albumin
DMEM = Dulbecco's modified Eagle's medium
EGTA = ethylene glycol-bis (ß-aminoethyl ether)-N,N,N',N'-tetraacetic acid
FCS = fetal calf serum
MAPK = mitogen-activated protein kinase
PDGF = platelet-derived growth factor
PKA = protein kinase A
PKC = protein kinase C
PLC = phospholipase C
PLD = phospholipase D
SDS = sodium dodecyl sulfate
VSMC = vascular smooth muscle cell


*    Acknowledgments
 
We thank Atsumi Ohnishi and Yuka Inoshita for excellent technical assistance. This work was supported by a grant-in-aid for Scientific Research from the Ministry of Education, Science, and Culture, Osaka City University Medical Research Foundation, Kimura Memorial Foundation, and Uehara Memorial Foundation. A part of the study was presented at the 50th Annual Fall Conference and Scientific Sessions of the Council for High Blood Pressure Research. Kenichi Yasunari was given a 1997 Young Investigator Award by the Japan Atherosclerosis Society for this study.

Received June 24, 1996; accepted July 22, 1997.


*    References
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up arrowAbstract
up arrowIntroduction
up arrowMethods
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*References
 
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