Thrombosis |
From the Department of Cardiovascular Medicine (H.O., K.K., H.D., T.M., S.S., H.Y.) and the Institute of Molecular Embryology and Genetics (H.S.), Kumamoto University School of Medicine, Kumamoto City, Japan, and the Department of Vascular Biology (L.A.M.), The Scripps Research Institute, La Jolla, Calif.
Correspondence to Kiyotaka Kugiyama, MD, PhD, Department of Cardiovascular Medicine, Kumamoto University School of Medicine, Kumamoto City, 860-8556 Japan. E-mail kiyo{at}gpo.kumamoto-u.ac.jp
| Abstract |
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Key Words: atherosclerosis lysophosphatidylcholine monocyte-derived macrophages plasminogen activators antioxidants
| Introduction |
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Lysophosphatidylcholine (lysoPC) is generated from phosphatidylcholine by the action of phospholipase A2.11 The activity of secretory type II phospholipase A2, one of the enzymes responsible for lysoPC production, is increased in atherosclerotic arterial walls, inflammatory sites, and neoplasms,12 and lysoPC content is increased severalfold in atherosclerotic arterial walls.13 14 Furthermore, we and others have shown that lysoPC caused impairment of endothelium-dependent vasorelaxation,15 induction of various proatherogenic and proinflammatory molecules in endothelial cells,16 17 and mitosis of monocytes/macrophages,18 all of which are observed in atherosclerotic arterial walls. Thus, multiple biological activities of lysoPC on vascular cells may play an important role in the pathogenesis of atherosclerosis and inflammation.
Therefore, we hypothesized that lysoPC could upregulate the expression of uPA and uPAR molecules in vascular cells. The present study examines the effects of lysoPC on the expression of these molecules in cultured human monocytederived macrophages. We found that lysoPC induced uPA and uPAR in the cells through a redox-sensitive pathway.
| Methods |
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After they were plated on plastic Petri dishes of the indicated sizes, the 7-day cultures of the macrophages were washed 3 times with serum-free M-199 and then serum-starved for 12 hours. The medium was replaced with serum-free M-199, and the cells were then incubated with various concentrations of lysoPC, the same volume of PBS (as a time control), or other additions for the indicated times. The treated cells were assayed for mRNA expression, antigen levels of uPA and uPAR, binding activity of the amino-terminal fragment (ATF) of uPA to the cell surface, and plasminogen activator activity.
Northern Blotting
Total RNA was extracted from the treated cells by the guanidine
thiocyanate method.20 Northern blot analysis was
then performed by loading 10 µg of RNA in each lane of 1%
agarose-formaldehyde gels, separating electrophoretically, transferring
to nylon membranes (Schleicher & Schuell), and ultraviolet
cross-linking.20 Equivalent loading of RNA in each lane
was confirmed by examination of ethidium bromidestained gels.
Complementary cDNA probes were 32P-labeled by the
random primer method to a specific activity of
5x108 cpm/µg DNA. The cDNA probes in the
present study included the following: (1) a 600-bp cDNA probe for
uPAR21 ; (2) a 369-bp fragment corresponding to bases
19 to 387 of human uPA cDNA,22 which was prepared by
polymerase chain reaction amplification and cloned into the vector PCR
II (Invitrogen) (fidelity of the amplification was confirmed by
sequencing); and (3) a 1-kb cDNA probe for GAPDH. Membranes were
hybridized with either the uPA or the uPAR probes. The same blot was
rehybridized with the GAPDH probe to normalize the amount of uPA and
uPAR mRNA. The intensity of hybridization signals was determined by use
of a Bio Image Analyzer (BA 100, Fuji).
Measurements of Antigen Levels of uPA and uPAR
The cultures of the cells (1x106 cells
per well) in 12-well plates (Corning) were washed 3 times with
serum-free M-199 and were serum-starved for 12 hours. After incubation
of the cells with various concentrations of lysoPC or the same volume
of PBS (as a time control) for the indicated times, the conditioned
medium was collected. A portion of the treated cells was then washed 3
times with PBS and scraped into cold PBS with protease
inhibitors. The remainder of the treated cells was further
incubated with acid buffer (50 mmol/L glycine-HCl and 0.1 mol/L
NaCl, pH 3.0) for 5 minutes at 23°C to elute cell-bound uPA. The
eluates were neutralized by the addition of 1/4 vol of 0.5 mol/L
Tris-HCl (pH 7.8). The conditioned medium and the eluates were
centrifuged at 800g for 10 minutes to remove cell
debris and made in each buffer with 0.01% Tween 80, and frozen at
-80°C until use. The conditioned medium was concentrated 4- to
5-fold by using a pressurized stirred cell fitted with a YM-10 membrane
(Amicon Corp). The scraped cells were disrupted by sonication (Sonifier
250, Bronson) at 4°C. The suspension was then centrifuged at
800g for 10 minutes at 4°C to remove unbroken cells and
nuclear material. The postnuclear supernatant was centrifuged
at 100 000g for 60 minutes to separate the cytosol and
particulate fractions. The pellet (particulate fraction) was
resuspended in cold Hanks balanced salt solution (HBSS) with protease
inhibitors and 0.01% Triton X-100 and again sonicated at
4°C. Protein levels were measured by the Lowry protein assay with BSA
used as a standard.
Antigen levels of uPA in the medium and in the eluates and the levels of uPAR in the particulate fraction of the cells were determined by the double-antibody sandwich methods that used ELISA with monoclonal antibodies against human uPA and polyclonal antibodies against human uPAR (TintElize uPA, Biopool, and IMUBIND Total uPAR ELISA, American Diagnostica Inc, respectively). The assay for uPA detects single-chain uPA and high molecular weight uPA with the same efficiency. The assay for uPAR detects uPAR, uPAR/uPA, and uPAR/uPA/plasminogen activator inhibitor type 1 with the same efficiency. Standard curves obtained from the assay kits showed that the lower limits of detection were 0.1 ng uPA/mL and 0.1 ng uPAR/mL.
Ligand Binding
ATF, a receptor-binding domain of uPA consisting of amino acids
1 to 135, was radiolabeled with sodium 125I with
the use of Iodo-Beads (Pierce Chemical Co) according to the
manufacturers instructions. Unbound iodine was removed on a P-6DG
column (Bio-Rad), which had been preequilibrated with PBS. ATF was
labeled to a specific activity of 2 to 5x106
cpm/µg.
The cultures of the cells (density of 2x106 cells per well) on 6-well plates were washed 3 times with PBS and incubated with lysoPC or the same volume of PBS (as a time control) for 24 hours. Then, the cultures were rinsed twice with PBS and treated with acid buffer for 10 minutes on ice to remove endogenous uPA bound to uPAR. Subsequently, the cultures were quickly neutralized with 0.5 mol/L HEPES and 0.1 mol/L NaCl, pH 7.5, and then washed with M-199 twice. The cells were incubated at 4°C for 2 hours with binding buffer (M-199 with 3 mg/mL of BSA) containing the radiolabeled ATF in the presence or absence of a 50-fold molar excess of unlabeled ATF. After incubation, the cells were washed 3 times with phenol redfree M-199 and solubilized with 1 mol/L NaOH. The radioactivity in the lysates was determined by counting in a gamma counter. Specific binding was defined as the difference between total binding and nonspecific binding (counts bound in the presence of the unlabeled ATF). Kd and Bmax were determined by Scatchard analysis.
Assay of Cell-Associated Plasminogen Activator
Activity
The cultures of cells were detached by cold PBS (4°C)
containing 0.05% EDTA. After they were washed, the suspended cells
were replated into a 96-well microtiter plate at a density of
2x104 cells per well and incubated for 24 hours
with M-199, 10% human serum, and antibiotics in the
CO2 incubator (5% CO2).
After washing the cells with phenol redfree M-199, the culture medium
was replaced with phenol redfree M-199 without serum. The cells were
additionally incubated for 8 hours and then treated with lysoPC
(15 µmol/L) or PBS (as a time control) in either the presence or
absence of reduced glutathione diethyl ester (GSH diethyl ester,
500 µmol/L) for 24 hours. After incubation, the cells were
washed twice with phenol redfree M-199 and subsequently incubated
with 0.2 mmol/L of S-2251 (KabiVitrum), a chromogenic
substrate for plasmin, in either the presence or absence of 50 µg/mL
human Glu-plasminogen (Biopool).23
The absorbance at 405 nm in each well was measured periodically for
time periods up to 3 hours by using a microplate reader (M-Emax, Wako)
at 37°C. The cell-associated plasminogen
activator activity was assessed by the difference in the
values of the absorbance between wells incubated with S-2251 alone
(background control) and S-2251 plus Glu-plasminogen.
Measurements of Superoxide Anion Production
Production of superoxide anion
(O2·-) was detected by
chemiluminescence of lucigenin in a luminescence reader (BLR-201,
Aloka).24 25 The suspended cells were mixed with HBSS
containing Ca2+ (1.3 mmol/L),
Mg2+ (0.4 mmol/L), and lucigenin (250
µmol/L) at 37°C in a total volume of 1 mL
(1x106 cells) in the presence or absence of
superoxide dismutase (SOD), 4,5-dihydroxy-1,3-benzene-disulfonic
acid (Tiron), or diphenyliodonium (DPI). Counts were measured at
baseline and every 30 seconds until 15 minutes after addition of lysoPC
into the assay mixture. NADPH-dependent
O2·- generation in the
particulate fraction of the cells was also measured by the
chemiluminescence in HBSS containing Ca2+
(1.3 mmol/L), Mg2+ (0.4 mmol/L),
lucigenin (250 µmol/L), cell protein (100 µg), and NADPH
(100 µmol/L) at 37°C in a total volume of 1 mL, and the counts
were measured every 30 seconds until 30 minutes after the addition of
cell protein with lysoPC (7.5 µmol/L) or PBS (control). The
particulate fraction of the cells was prepared as described above. The
chemiluminescence response was estimated by subtraction of the
chemiluminescence in the absence of cells and cell fractions and was
standardized by use of a standard curve generated from known quantities
of xanthine and xanthine oxidase (X/XO). A chemiluminescence signal of
500 cpm was approximately equivalent to a rate of 1 nmol/min of
O2·- generation in our
system.
Measurements of Intracellular Oxidant Levels by Flow
Cytometry
Intracellular levels of reactive oxygen species (ROS) were
measured by flow cytometric analysis with an oxidant-sensitive
fluorescence probe, 2',7'-dichlorofluorescein
diacetate (DCFH-DA, Eastman Kodak), as previously
described.26 The cells treated with lysoPC or PBS
(control) for 1 hour were incubated with phenol redfree M-199
containing 5 µmol/L DCFH-DA for 30 minutes at 37°C in the
dark. After incubation, the cells were washed 3 times with cold PBS
(4°C) and detached by adding cold PBS containing 0.05% EDTA. The
suspended cells were then pelleted by centrifugation
and washed 2 times with phenol redfree M-199 containing 0.1% BSA.
The cells were resuspended and immediately analyzed with a
fluorescence-activated cell sorter (FACScan, Becton
Dickinson). For each analysis, 10 000 events were
recorded.
Materials
All reagents for cell cultures were from GIBCO-BRL.
[
-32P]dCTP was from Amersham. Synthetic
phospholipids, Tiron, SOD (S5639), lucigenin, NADPH, and other
chemicals were obtained from Sigma Chemical Co. DPI was from
Aldrich Chemical Co, Inc. DPI was dissolved in dimethyl sulfoxide
(Sigma), and the final concentration of dimethyl sulfoxide in the assay
mixture was 0.05%. This concentration of dimethyl sulfoxide had no
effect on the measurement of chemiluminescence.
Statistical Analysis
All values were expressed as mean±SEM unless otherwise
indicated. The mean values for >3 groups were compared by 1-way ANOVA.
Two-way ANOVA for the repeated measurement, followed by the Bonferroni
multiple comparison test, was used for comparison of curves showing the
results of the experiments of plasminogen
activator activity. The difference between 2 mean values
was analyzed with the unpaired Student t test. A
value of P<0.05 was considered statistically
significant.
| Results |
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-palmitoyl lysoPC (16:0) increased both mRNA levels of uPA and uPAR,
as shown in Figure 1
-Stearoyl
lysoPC (18:0) at a concentration of 15 µmol/L also increased uPA
and uPAR mRNA expression after incubation for 24 hours by 3.1- and
2.5-fold of the respective time control, respectively, whereas
dipalmitoyl phosphatidylcholine had no effect on the mRNA expression of
uPA and uPAR (data not shown).
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Increase in Antigen Levels of uPA and uPAR by LysoPC
The incubation of monocyte-derived macrophages with lysoPC
increased uPA antigen levels in the conditioned medium, as shown in
Figure 2A
. uPA antigen levels in the
acid-treated eluates of the treated cells, which reflected levels of
uPA bound to the cell surface receptor, were also increased after
incubation with lysoPC, as shown in Figure 2B
. The incubation of
monocyte-derived macrophages with lysoPC increased uPAR content
of the particulate fraction of the treated cells, as shown in Figure 2C
.
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Increase in Binding of ATF by Treatment of Cells With
LysoPC
As shown in Figure 3
(inset), the
binding of ATF to the treated cells was increased by the incubation of
the cells with 15 µmol/L lysoPC for 24 hours compared with the
time control. When the data in the binding isotherms (inset) were
analyzed in Scatchard plots, a single class of high-affinity
uPA binding sites was determined for both treated and control cells
with an apparent Kd of 1.28 nmol/L and 1.75
nmol/L, respectively. In control cells, the number of uPAR molecules
per cell was 1.2x104. LysoPC increased the
number of uPAR molecules per cell by 1.8-fold
(2.2x104 uPAR per cell).
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Increase in O2·- Production and
Intracellular ROS Levels by LysoPC
The addition of lysoPC to the incubation mixture stimulated
O2·- production in
intact macrophages. The production of
O2·- peaked 1 minute after
the addition of lysoPC and subsequently decreased to baseline within 5
minutes (Figure 4A
). Combined incubation
of the cells with Tiron (10 mmol/L) completely scavenged
O2·- produced after the
addition of lysoPC, whereas SOD (1000 U/mL) scavenged the induced
O2·- by only 10% to 20%
(chemiluminescence at peak [cpm/1x106 cells],
1672±53 after lysoPC alone, 1380±38 after lysoPC plus SOD
[P<0.05 versus after lysoPC alone], and 200±11 after
lysoPC plus Tiron [P<0.01 versus after lysoPC alone]; n=5
in each experiment). Thus, lysoPC-induced stimulation of
O2·- production was
mainly mediated by intracellular mechanisms. Combined incubation of the
intact cells with DPI, an inhibitor of flavin-contained
enzymes, significantly inhibited lysoPC-induced stimulation of
O2·- production by
40% (n=5, P<0.01 versus after lysoPC alone), suggesting
that flavin-contained enzymes such as NADH or NADPH may be partly
involved in the lysoPC-induced stimulation of
O2·- production in
the intact cells. The addition of lysoPC into the assay mixtures
containing the particulate fraction of the cells significantly
augmented NADPH-dependent
O2·- production in
the particulate fraction (1644±87 cpm/100 µg protein for lysoPC
versus 683±42 cpm/100 µg protein for PBS [control],
P<0.01, n=6 for each).
|
Flow cytometric analyses showed that the
2',7'-dichlorofluorescein intensity was increased in the
cells after 1 hour of treatment with lysoPC compared with the
time-control cells (Figure 4B
). This indicates that lysoPC
increased intracellular levels of ROS in the cells.
Role of Oxidative Stress in LysoPC-Induced Increases in uPA and
uPAR mRNA Expression and in Plasminogen Activator
Activity
The combined incubation of the cells with GSH diethyl ester or
N-acetylcysteine (NAC) significantly suppressed the
lysoPC-induced increase in mRNA expression of uPA and uPAR, as shown in
Figure 5
. uPA and uPAR mRNA expression
was significantly increased by the incubation with X/XO.
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Increase in Cell-Associated Plasminogen
Activator Activity by LysoPC
Incubation of the cells with lysoPC significantly increased their
plasminogen activator activity compared with
the time control, as shown in Figure 6
.
Absorbance at 405 nm in the cells treated with S-2251 without
Glu-plasminogen was not detectable for up to 180 minutes,
indicating that the S-2251 cleavage was not a result of
endogenous plasmin or other proteases that might have been
bound to the cells during the period of the incubation. The addition of
the antibody against human urokinase (Biopool) reduced cell-associated
plasminogen activator activity by
90%
compared with no addition of the antibody. These results suggest that
lysoPC increased the cell-associated plasminogen
activator activity through uPA. Furthermore, GSH diethyl
ester significantly suppressed the lysoPC-induced increase in
cell-associated plasminogen activation (Figure 6
).
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| Discussion |
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Although the present study did not define the downstream signals
leading to the upregulation of uPA and uPAR molecules by oxidant
stress, both genes are known to have oxidative stressresponsive
elements such as activator protein-1 and/or nuclear
factor-
B DNA binding sites in their promoter/enhancer
regions.27 A previous report showed that ROS caused uPA
activation.28 Our previous study showed that lysoPC was
capable of stimulating the binding of activator protein-1
and nuclear factor-
B to the DNA binding sites.29
Although the present study did not examine transcriptional activity
of both genes, it is possible that the activation of these
transcription factors may be involved in the lysoPC-induced
upregulation of both genes. However, lysoPC has been also shown to
modulate multiple signal transduction pathways, including stimulation
of protein kinase C activity,30 activation of adenylyl and
guanylyl cyclases,31 32 and stimulation of DNA binding
activities of other transcription factors,29 which can
possibly regulate uPA and uPAR expression. Thus, it may be possible
that synergism and/or cross talk among these diverse cellular actions
of lysoPC may also play a role in the lysoPC-induced upregulation of
uPA and uPAR mRNA in addition to the mechanisms involving oxidative
stress.
The present study showed that the exogenous addition of lysoPC stimulated O2·- production mainly in the intracellular space of human monocytederived macrophages partly through the membrane-associated NAD(P)H-dependent system. Furthermore, intracellular levels of ROS, assessed by an oxidant-sensitive probe, DCFH-DA, were increased in the cells after treatment with lysoPC. Thus, our data suggest that lysoPC can stimulate O2·- production in macrophages, leading to exposure of these cells to oxidative stress. A growing body of evidence indicates that increase in oxidative stress plays a crucial role in the pathogenesis of various vascular diseases, including atherosclerosis.33 In this regard, lysoPC may contribute to the increase in oxidative stress in atherosclerotic arterial walls on the basis of the present and previous data, showing that lysoPC stimulated O2·- production in smooth muscle cells25 and endothelial cells34 as well as macrophages. We cannot completely exclude the potential source of superoxide anion from the auto-oxidation of lucigenin itself.35 However, the lucigenin chemiluminescence in the present system was unlikely to be derived mainly from auto-oxidation of lucigenin because the lucigenin chemiluminescence detected in the cell suspension was only minimally abolished by extracellular addition of SOD, but it was completely abolished by Tiron, a low-molecular-weight and cell-permeable scavenger of superoxide anion, as shown in the present study. This indicates that the lucigenin chemiluminescence detected in the cell suspension was derived mainly from intracellular sources but not extracellular sources. Furthermore, the present system did not detect any significant chemiluminescence in the cell-free buffer with higher concentrations (up to 10 mmol/L) of lucigenin.
Secretory type II phospholipase A2, one of the enzymes responsible for lysoPC production, has recently been shown to be highly expressed in atherosclerotic arterial walls, in inflammatory sites, and in various neoplasms.12 Lecithin:cholesterol acyltransferase can hydrolyze phosphatidylcholine to lysoPC and transfer fatty acids to cholesterol.13 14 Higher lecithin:cholesterol acyltransferase activity is shown to be increased in the plasma of atherosclerotic patients.13 14 In fact, lysoPC content is increased severalfold in atherosclerotic arterial walls.13 14 Thus, the enzymatic activities responsible for lysoPC production are concomitantly increased in the milieu in which the uPA/uPAR system functions. Therefore, the upregulated expression of uPA and uPAR in atherosclerotic arterial walls, in inflammatory sites, and in various neoplasms may partly be due to the action of the high levels of lysoPC in these tissues. Plasminogen activators are shown to be abundant in plasma and extravascular tissues.36 Thus, lysoPC-induced increase in uPA and uPAR expression could play an important role in cell migration, tissue remodeling, and angiogenesis through plasmin-mediated proteolysis in these tissues.
In conclusion, lysoPC increased the expression of uPA and uPAR molecules and their activities in human monocytederived macrophages partly through redox-sensitive mechanisms. The lysoPC-induced increase in uPA and uPAR expression in human macrophages could play an important role in their pericellular proteolysis, tissue remodeling, and angiogenesis in atherosclerotic arterial walls, in inflammatory sites, and in neoplasms.
| Acknowledgments |
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Received June 21, 1999; accepted August 6, 1999.
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N. Watanabe, J. W. Zmijewski, W. Takabe, M. Umezu-Goto, C. L. Goffe, A. Sekine, A. Landar, A. Watanabe, J. Aoki, H. Arai, et al. Activation of Mitogen-Activated Protein Kinases by Lysophosphatidylcholine-Induced Mitochondrial Reactive Oxygen Species Generation in Endothelial Cells Am. J. Pathol., May 1, 2006; 168(5): 1737 - 1748. [Abstract] [Full Text] [PDF] |
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A. Md Sheikh, H. Ochi, A. Manabe, and J. Masuda Lysophosphatidylcholine posttranscriptionally inhibits interferon-{gamma}-induced IP-10, Mig and I-Tac expression in endothelial cells Cardiovasc Res, January 1, 2005; 65(1): 263 - 271. [Abstract] [Full Text] [PDF] |
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S.-i. Nakamura, K. Kugiyama, S. Sugiyama, S. Miyamoto, S.-i. Koide, H. Fukushima, O. Honda, M. Yoshimura, and H. Ogawa Polymorphism in the 5'-Flanking Region of Human Glutamate-Cysteine Ligase Modifier Subunit Gene Is Associated With Myocardial Infarction Circulation, June 25, 2002; 105(25): 2968 - 2973. [Abstract] [Full Text] [PDF] |
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