Vascular Biology |
From the Second Department of Internal Medicine (M.T., K.Y., T.M., Y.S., S.M.), School of Medicine, Chiba University, and the Department of Internal Medicine (M.N., T.S., T.H.), Sakura National Hospital, Chiba, Japan; and the Section of Immunopathogenesis (S.K., T.U.), Institute of Immunological Science, Hokkaido University, Hokkaido, Japan.
Correspondence to Minoru Takemoto, Second Department of Internal Medicine, School of Medicine, Chiba University, 1-8-1 Inohana, Chiba 260-0856, Japan. E-mail mtakemo{at}intmed02.m.chiba-u.ac.jp
| Abstract |
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Key Words: diabetic macroangiopathy osteopontin platelet-derived growth factor vascular smooth muscle cells
| Introduction |
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Osteopontin (OPN) is a multifunctional phosphoprotein secreted by many cell types, such as osteoclasts, lymphocytes, macrophages, epithelial cells, and vascular smooth muscle cells (SMCs).6 Overexpression of OPN has been found in several physiological as well as pathological conditions, including immunologic disorders,7 neoplastic transformation,8 progression of metastases,8 formation of urinary stones,9 and wound healing.10
It has been reported that OPN protein and mRNA are expressed in the neointima as well as in calcified atheromatous plaque.11 A neutralizing antibody against OPN has been found to inhibit rat carotid neointimal formation after endothelial denudation.12 It has also been reported that OPN inhibits the calcification of vascular SMCs in culture.13 These reports have suggested that OPN contributes not only to the tissue calcification process but also to the development of atherosclerosis, especially in the process of intimal thickening.
We have recently reported that high glucose levels stimulate OPN expression through protein kinase Cdependent pathways as well as hexosamine pathways in cultured rat aortic SMCs.14 The present study was undertaken to gain more insight into the mechanism of diabetic vascular complications. We first demonstrate that OPN protein is highly expressed in the medial layers of the arteries of diabetic rats and patients. Furthermore, OPN stimulates migration and enhances platelet-derived growth factor (PDGF)-mediated DNA synthesis of SMCs, possibly by promoting the activation of focal adhesion kinase (FAK) as well as extracellular signalregulated kinase (ERK). The present data suggest that OPN plays a role in the accelerated atherogenesis in diabetes mellitus.
| Methods |
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-smooth
muscle actin antibody (1A4) was from Sigma Chemical Co.
[Methyl-3H]thymidine was from Amersham
Pharmacia Biotech.
Tissue Preparation
Male Wistar rats weighing
200 g were administered either 50
mg/kg streptozotocin (STZ, Sigma) or normal saline into tail veins as
described previously.16 Four weeks later, the carotid
arteries were thoroughly perfused with 4%
paraformaldehyde in PBS, excised, fixed with 4%
paraformaldehyde in PBS for 4 hours at 4°C, rinsed
with PBS, and incubated with 30% sucrose in PBS for 3 hours at 4°C.
Then the fixed arteries were mounted in Tissue-Tek embedding OCT
compound (Miles Inc), snap-frozen, and subsequently stored at -70°C
before sectioning.17 A piece of vascular wall was excised
from the forearm arteries of 6 patients with end-stage renal disease
during a shunt operation after obtaining written informed consent for
their excised arteries to be used in the present experiment. Of the
6 patients, 5 were men; the ages of the 6 patients ranged between 40
and 80 years, with a mean age of 62 years. Three of the patients were
diabetics, 2 patients had been treated by diet restriction only, and
the other patient had been treated by diet restriction and subcutaneous
insulin infusion. The samples were fixed in 4%
paraformaldehyde at 4°C for 24 hours, mounted in
Tissue-Tek embedding OCT compound, snap-frozen, and subsequently stored
at -70°C before sectioning.17
Immunohistochemistry
Immunohistochemistry was performed essentially as
described.18 For the identification of OPN, we used the
anti-human OPN antibody (10A16, 5 µg/mL) as well as the anti-rat OPN
antibody (MPIIIB10, 1:250 dilution), which also cross-reacts with human
OPN, according to the manufacturers instructions. For the
identification of SMCs, we used the anti
-smooth muscle actin
antibody (1A4, 1:1000 dilution). Calcium deposition was assessed by von
Kossa staining.19
Cell Culture
Rat aortic SMCs were isolated by the explant method from adult
male Wistar rats, and the primary culture and subculture were carried
out as described.20 Cells at the 4th to 9th passages were
used for the present study.
Migration Assay
A chemotactic response was assayed essentially as
described21 with use of a 96-well microchemotaxis chamber
(Neuro Probe). Cells that had migrated to the lower surface of the
membrane were fixed and stained, and the number of the cells was
estimated by using a microplate reader (TOSHO) at 600 nm. Experiments
were performed in quadruplicate and were repeated at least 3 times.
[3H]Thymidine Incorporation Assay
DNA synthesis was estimated by measuring
[3H]thymidine incorporation into
trichloroacetic acidprecipitable materials of cultured cells as
described.22 Experiments were performed in quadruplicate
and were repeated at least 3 times.
Assays for FAK and ERK
Confluent SMCs in 6-cm dishes were serum-starved for 18 hours.
Then the cells were treated with different concentrations of PDGF-BB
and OPN at 37°C for 10 minutes. After incubation, activities of
FAK23 and ERK24 were assayed in the cells
exactly as described. Densitometric analyses of the detected
bands on gels were performed by use of an imaging scanner (EPSON ES
8000) with NIH Image 1.44 software.
Statistical Analysis
Data are expressed as mean±SEM. The significance of differences
was evaluated by Student t test.
| Results |
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-smooth
muscle actin antibody (1A4; data not shown), suggesting that the OPN
was produced by SMCs. No obvious relation was found between OPN
expression and calcium deposition (data not shown).
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OPN Not Only Stimulates Migration but Also Enhances
PDGF-BBMediated DNA Synthesis of SMCs
To evaluate a possible role of OPN in atherogenesis, biological
effects of recombinant human OPN on cultured rat aortic SMCs were
analyzed. We first examined the effect of OPN on the migration
of SMCs by modified Boyden chamber assay. As shown in Figure 2
, OPN dose-dependently enhanced SMC
migration. The migratory response was confirmed to be chemotactic, as
assessed by checkerboard analyses (data not shown).
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We next examined the effect of OPN on DNA synthesis of SMCs by a
[3H]thymidine incorporation assay. It was found
that OPN by itself did not stimulate DNA synthesis of SMCs (data not
shown). However, as shown in Figure 3
, OPN enhanced DNA synthesis of SMCs, which were
simultaneously stimulated with low-dose (1 ng/mL)
PDGF-BB.
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OPN-Induced Enhancement of PDGF-BBStimulated DNA Synthesis Is
Mediated Possibly by Promoting Activation of FAK and ERK
OPN is known to be a ligand for some integrins.25
Thus, we examined the effect of OPN on the activation of FAK, a
downstream mediator of the integrin signaling pathway. After treatment
of SMCs with PDGF-BB and/or OPN, the cell lysates were
immunoprecipitated with the anti-FAK antibody, and the samples were
subjected to Western blotting. The blot was first probed with an
anti-phosphotyrosine antibody. As shown in Figure 4
, treatment with 1 ng/mL PDGF-BB did not
appreciably enhance phosphorylation of FAK (top panel,
lane 2). Likewise, treatment of OPN alone did not appreciably enhance
FAK phosphorylation (data not shown). However, in the
presence of 1 ng/mL PDGF-BB, OPN potently enhanced FAK
phosphorylation (top panel, lanes 3 and 4). The same
blot was then stripped and reprobed with the anti-FAK antibody. The
intensity of the 125-kDa FAK band was not different among the lanes
(middle panel).
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The results led us to further examine the effect of OPN on activation
of ERK, a putative downstream mediator of FAK. SMCs were serum-starved
and stimulated with PDGF-BB and/or OPN. After stimulation, ERK was
collected by immunoprecipitation and subjected to in vitro kinase assay
in the presence of Elk-1. ERK activity was estimated by the degree of
Elk-1 phosphorylation, which was detected by
immunoblotting with the specific antibody against
phosphorylated Elk-1. As shown in Figure 5
, treatment with 1 ng/mL PDGF-BB
activated ERK to some degree (lane 3). Treatment with OPN alone
also slightly activated ERK (lane 4), but in the presence of 1
ng/mL PDGF-BB, OPN potently activated ERK (lanes 5 and 6).
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| Discussion |
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In vivo expression of OPN has previously been analyzed in several diabetic animal models. Towler et al26 demonstrated the upregulation of OPN expression in the aortas of high-fat dietinduced diabetic mice. Fischer et al27 reported that the upregulation of OPN expression in the renal cortex of STZ-induced diabetic rats was mediated by bradykinin. We also found the enhanced expression of OPN mRNA in the aortas of STZ-induced diabetic rats (data not shown). However, data concerning OPN expression in human subjects with diabetes mellitus have not yet been reported. In the present study, we have demonstrated for the first time that OPN expression is also enhanced in human diabetic arteries, confirming that the diabetes-induced upregulation of OPN expression is a general phenomenon observed across species.
OPN was shown to promote chemotaxis of different cell types, including
vascular SMCs,28 macrophages,29 and
osteoclasts.30 OPN was also shown to promote proliferation
of cultured human coronary artery SMCs28 and
primary prostate epithelial cells.31 It has been reported
that the OPN-stimulated migration of vascular SMCs is mediated by
interaction of OPN with ß3
integrin32 and, likewise, that the growth-promoting effect
of OPN is mediated by
vß3
integrin.33 In the present study, we have also found
that OPN stimulates migration and enhances PDGF-BBmediated DNA
synthesis of cultured rat aortic SMCs; thus, we examined the effect of
OPN on downstream events of the integrin signaling pathway. As shown in
Figures 4
and 5
, our present data clearly indicate
that OPN and PDGF-BB synergistically activate FAK and ERK; this
finding seems to explain the OPN-induced enhancement of
PDGF-BBmediated DNA synthesis observed in the present study.
We have previously reported that overexpression of the PDGF ß-receptor in SMCs is a causative element in the accelerated growth of diabetic SMCs.34 35 The report, together with our present findings, raises a possibility that diabetes-induced upregulation of the PDGF ß-receptor expression and OPN production in vascular SMCs synergistically augment their migration and proliferation and, thereby, facilitate the development of atherosclerosis in diabetes mellitus. Further study is necessary to examine this possibility.
| Acknowledgments |
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Received July 5, 1999; accepted September 28, 1999.
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