(Circulation. 1999;99:392-399.)
© 1999 American Heart Association, Inc.
Clinical Investigation and Reports |
From the Medical Research Council Multidisciplinary Research Group on Hypertension, Clinical Research Institute of Montreal, University of Montreal, Montreal, Quebec, Canada.
Correspondence to Rhian M. Touyz, MD, PhD, Clinical Research Institute of Montreal, 110 Pine Ave W, Montreal, Quebec, Canada H2W 1R7. E-mail touyzr{at}ircm.umontreal.ca
| Abstract |
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Methods and ResultsVSMCs derived from resistance arteries (<300 µm in diameter) from subcutaneous gluteal biopsies of healthy subjects (n=8) were used to assess Ang IIstimulated [Ca2+]i, pHi, and contractile responses. [Ca2+]i and pHi were measured with fura 2-AM and BCECF-AM, respectively, and contraction was measured photomicroscopically in cells grown on Matrigel matrix. To determine whether tyrosine kinases and ERKs influence Ang IIstimulated responses, cells were pretreated with 10-5 mol/L tyrphostin A-23 (tyrosine kinase inhibitor) and PD98059 (MEK inhibitor). Ang IIstimulated MEK activity was determined by tyrosine phosphorylation of ERKs. The angiotensin receptor subtypes (AT1 and AT2) were assessed with [Sar1,Ile8]Ang II (a nonselective subtype antagonist), losartan (a selective AT1 antagonist), and PD123319 (a selective AT2 antagonist). Ang II dose-dependently increased [Ca2+]i (pD2=8.4±0.36, Emax=541±55 nmol/L), pHi (pD2=9.4±0.29, Emax=7.19±0.01), and contraction (pD2=9.2±0.21, Emax=36±2.2%). Ang II induced rapid tyrosine phosphorylation of ERKs, which was inhibited by PD98059. Tyrphostin A-23 and PD98059 attenuated (P<0.05) Ang IIstimulated second messengers, and PD98059 reduced Ang IIinduced contraction by >50%. [Sar1,Ile8]Ang II and losartan, but not PD123319, blocked Ang IIstimulated responses.
ConclusionsThese data demonstrate that in VSMCs from human peripheral resistance arteries, functional Ang II receptors of the AT1 subtype are coupled to signaling cascades involving Ca2+ and pHi pathways that are partially dependent on tyrosine kinases and ERKs. ERKs, the signaling cascades characteristically associated with cell growth, may play an important role in Ang IIstimulated contraction of human VSMCs.
Key Words: arteries calcium kinases signal transduction angiotensin
| Introduction |
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Elucidation of Ang II signaling pathways has been extensively investigated in animal VSMCs.5 9 However, little is known about the intracellular transduction events in human VSMCs. The few human studies performed were done in cells from aortic, coronary, internal mammary, umbilical, and uterine arteries and saphenous veins.10 11 12 13 14 15 16 17 Furthermore, these studies all examined large vessels, which do not contribute significantly to peripheral resistance or blood pressure regulation. Also, in all of these studies, immortalized or passaged cultured cells, which lose their contractile phenotype and do not resemble the cells from which they were originally derived, were investigated. To the best of our knowledge, there are no data in the literature on Ang II signaling events in VSMCs from human peripheral resistance arteries. The aim of the present study was to investigate the receptor subtypes and some of the intracellular transduction pathways through which Ang II mediates its actions in VSMCs from human peripheral resistance arteries. In particular, we examined whether ERK-dependent pathways play a role in Ang IIelicited second messengers and associated contraction in isolated VSMCs. The novelty of this study relates to the facts that humans, and not experimental animals, were studied; that primary cultured cells, which retain their contractile phenotype, were used; and that small arteries, which contribute to blood pressure regulation, were examined. Furthermore, [Ca2+]i and contractile responses were measured simultaneously, which allows for the investigation of the temporal relationship between an intracellular signaling event ([Ca2+]i responses) and a functional effector (contraction).
Our study demonstrates that in VSMCs from human peripheral resistance arteries, Ang IIinduced contraction and associated second messengers are mediated via receptors of the AT1 subtype, signaling in part by tyrosine kinases and ERKs. We also show that MEK may influence [Ca2+]i by modulating Ca2+ influx and intracellular Ca2+ mobilization. Our data thus show for the first time that in VSMCs from human small arteries, ERK-dependent pathways, which are characteristically involved in signaling cascades associated with cell growth, may also play an important role in Ang IImediated contraction. These results have important clinical significance, because small arteries are the vessels that play a critical role in regulating peripheral resistance and blood pressure in humans.
| Methods |
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For Western blotting of ERKs, cells (passages 1 to 3) from 3 subjects were used. For these studies, cells were grown in DMEM containing heat-inactivated FCS (10%), L-glutamine, HEPES, penicillin, and streptomycin as previously described.23 VSMCs were maintained at 37°C in a humidified incubator in an atmosphere of 95% air/5% CO2. Before experimentation, confluent cultures of VSMCs were rendered quiescent by serum deprivation and maintenance in a serum-free medium for 36 hours.
Measurement of [Ca2+]i
[Ca2+]i was
measured with fura 2-AM 4 µmol/L according to
previously described methods.23 Cells were investigated
with an inverted microscope (x40 oil-immersion objective) and
Attofluor Digital Fluorescence System (Zeiss) with alternating
excitatory wavelengths of 343 and 380 nm. Video images of
fluorescence at 520-nm emission were obtained with an
intensified CCD camera system with the output digitized to a resolution
of 512x480 pixels.
[Ca2+]i was calculated by
in situ calibration techniques.25
Measurement of Ang IIInduced Contraction
The gel-coated coverslips with attached fura 2loaded cells
were placed on the stage of the microscope. After a 10-minute
stabilization period, a field of cells was photographed to obtain
baseline images. Ang II (in the absence or presence of
inhibitors) was then added, and serial images were taken of
the same field of cells at 30-second intervals after addition of Ang
II. The images, which were computer-saved, were later scanned with a
Scan Jet 4c/T scanner (Hewlett Packard). The lengths of the longest
axes of cells were measured in the first image, and lengths of the same
cells were measured in the subsequent photographs with Adobe Photoshop
software (version 4.0). The magnitude of cell contraction was expressed
as the percentage reduction in cell length relative to initial baseline
measurements.26 27 28 29 For each cell, the percent contraction
from the baseline was calculated, and these values were averaged for
all cells. To demonstrate that cells did in fact contract in response
to Ang II and that the changes in cell length were not simply due to
volume changes, we assessed the effects of sodium nitroprusside (SNP),
a nitric oxide donor, on Ang IIprecontracted cells.
Measurement of pHi
pHi was measured with BCECF-AM 2
µmol/L according to previously described methods.30
Fluorescence was measured with alternating excitatory
wavelengths of 488 and 460 nm and an emission wavelength of 520 nm.
pHi was calculated from a calibration curve
obtained for each experiment by determining the fluorescence
ratios at pHi values of 7.4, 7.2, 7.0, and 6.8.
pHi was set by incubating the coverslip in
K+-rich buffer in the presence of 10
µmol/L nigericin (an exogenous
K+/H+ exchange
ionophore).30
Experimental Protocols
[Ca2+]i,
pHi, and contractile responses were measured in
cells exposed to Ang II 1012 to
10-5 mol/L in the absence and presence of the
selective tyrosine kinase inhibitor tyrphostin A-23
10-5 mol/L, its inactive analogue tyrphostin A-1
10-5 mol/L, and the MEK inhibitor
PD98059 10-5 mol/L.31 32 For these
experiments, cells were preexposed to the specific
inhibitors for 20 minutes before addition of Ang II. The
effects of SNP were assessed in precontracted cells. In these
experiments, once cells had reached maximal contraction (
3 minutes
after addition of Ang II), cells were exposed to
10-5 mol/L SNP. To determine the receptor
subtype through which Ang II mediates responses, cells were preexposed
to 10-6 mol/L
[Sar1,Ile8]Ang II,
losartan, and PD 123319 for 10 minutes before Ang II
addition.
Western Blotting of ERKs
Quiescent cells, grown on 15 mL-culture plates, were stimulated
with Ang II 10-7 mol/L for 1.5, 3, 5, or 10
minutes. Cells were pretreated with 10-5 mol/L
PD98059 for 30 minutes before Ang II addition. Cells were lysed,
collected, and sonicated for 5 seconds as previously
described.6 Protein concentrations were determined with
the Bio-Rad Assay (Bio-Rad Laboratories). Equal amounts of proteins (15
µg for phosphotyrosine assays and 5 µg for ERK assessment) were
loaded onto a 10% SDS-polyacrylamide gel and transferred to
PVDF membrane (Boehringer Mannheim) for 1 hour at 100 V.
Membranes were blocked in 5% nonfat milk (for ERK) or 5% BSA (for
phosphotyrosine) and incubated with anti-ERK1 diluted 1:5000 or a mouse
antibody anti-phosphotyrosine (PY20) diluted 1:750 for 1 hour at room
temperature. They were then washed, incubated with a goat anti-rabbit
horseradish peroxidaseconjugated antibody (Bio-Rad) (for ERK) or a
goat anti-mouse horseradish peroxidaseconjugated antibody (for
phosphotyrosine) diluted 1:5000 for 1 hour at room temperature, and
washed extensively. Membranes were then incubated with blotting
substrate (POD) (Boehringer Mannheim) according to the
manufacturer's protocol, exposed to film, and developed. The film was
scanned by ScanJet 6100C/T (Hewlett Packard) and computer-saved. Band
intensity was measured by computer analysis with the Image
Quant program.
Statistical Analysis
Data obtained from digital imaging studies, in which multiple
cells (8 to 20 cells) were examined in each experimental field, were
calculated as the mean response per experiment and then as the mean of
multiple experiments. Results are presented as mean±SEM and
compared by Student's t test or by ANOVA where appropriate.
A Tukey-Kramer correction was used to compensate for multiple testing
procedures. Concentration-response curves were fitted by nonlinear
regression, the concentration in moles per liter that gave 50%
response (EC50) was determined, and
pD2 was calculated as -log
EC50. P<0.05 was considered
significant.
| Results |
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15 minutes after stimulation. The initial
[Ca2+]i peak (first
[Ca2+]i phase) was used
to construct dose-response curves. Ang II increased
[Ca2+]i in a
dose-dependent manner (pD2=8.4±0.36 and
Emax=541±55 nmol/L) (Figure 2
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Effects of Tyrphostin A-23 and PD98059 on Ang IIStimulated
[Ca2+]i and pHi
Responses
Tyrphostin A-23 alone did not alter
[Ca2+]i or
pHi. Tyrosine kinase inhibition significantly
reduced Ang IIstimulated peak
[Ca2+]i
(P<0.01) (Figures 1
and 3
) and prolonged
[Ca2+]i recovery to basal
levels (Figure 1
). Tyrphostin A-23 significantly attenuated
(P<0.05) Ang IIstimulated alkalinization (Figure 4
). Tyrphostin A-1 had no effect on
agonist-stimulated responses (Figures 1
, 3
, and 4
). These data suggest that Ang IIelicited actions are
partially mediated through tyrosine kinasedependent pathways.
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PD98059 did not alter basal
[Ca2+]i (85±7 nmol/L) or
basal pHi (7.01±0.03) but significantly
attenuated (P<0.01) Ang IIelicited
[Ca2+]i responses, both
the peak [Ca2+]i
transient and the second
[Ca2+]i phase (Figures 1
, 5
, and 6
). Ang IIinduced alkalinization was
significantly reduced by PD98059 (Figure 4
).
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To determine whether MEK effects on
[Ca2+]i are mediated via
Ca2+ influx, additional experiments were
performed in Ca2+-free buffer (Hanks buffer
without Ca2+ plus 3 mmol/L EGTA). In the
absence of extracellular Ca2+, basal and Ang
IIelicited [Ca2+]i
responses were reduced (Figures 5
and 6
). The peak
[Ca2+]i transient was
slightly but significantly (P<0.05) attenuated, and the
second [Ca2+]i phase was
almost abolished (Figure 5
). These results were similar to those
obtained with PD98059 in the presence of extracellular
Ca2+. When cells were pretreated with the MEK
inhibitor in Ca2+-deprived buffer,
the Ang IIinduced peak
[Ca2+]i response was
further reduced, whereas the second
[Ca2+]i phase was
unchanged compared with that in Ca2+-free buffer
without PD98059 (Figures 5
and 6
). These data suggest
that MEK inhibition decreases Ang IIelicited
Ca2+ influx, which contributes mainly to the
[Ca2+]i plateau phase and
to a lesser extent to the peak
[Ca2+]i transient. The
fact that PD98059 further reduced the peak
[Ca2+]i response in
Ca2+-free buffer suggests that MEK inhibition may
also elicit part of its effects via another mechanism, possibly by
inhibition of intracellular Ca2+
mobilization.
Effects of Ang II on VSMC Contraction
Ang II dose-dependently reduced cell length
(pD2=9.2±0.21,
Emax=36±2.2%) (Figure 7
). Maximal contraction occurred within 5
minutes of Ang II stimulation (Figure 8
).
Cell contraction was sustained, and 8 minutes after stimulation, cells
were still contracted (Figure 8
). MEK inhibition significantly
attenuated Ang IIinduced contractile responses and almost abolished
the sustained phase of contraction (Figure 8
). Addition of SNP
to Ang IIprecontracted cells resulted in a rapid reversion of VSMCs
to their prestimulated length (97±1.2% of initial cell length).
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Characterization of Human VSMC Angiotensin Receptors
[Sar1,Ile8]Ang II (a
nonspecific angiotensin subtype receptor
antagonist) and losartan (a selective
AT1 receptor antagonist) completely
abolished Ang IImediated responses (Figure 9
). PD123319 (a selective
AT2 antagonist) had no effect on Ang
IIstimulated effects (Figure 9
). Treatment of VSMCs with any
of the antagonists alone did not influence basal
[Ca2+]i,
pHi, or cell size.
|
Effects of PD98059 on Ang II Effects on ERK Expression and
Tyrosine Phosphorylation
To determine whether Ang IIinduced changes in ERK expression and
tyrosine phosphorylation could occur within a time
frame that would be responsible for early signal transduction events
and to assess whether PD98059 could attenuate these effects, cells were
incubated for various periods of time with Ang II, in the absence and
presence of PD98059, before cell lysis. Multiple proteins were
tyrosine-phosphorylated under basal conditions. Ang II
significantly increased tyrosine phosphorylation of 2
proteins with molecular weights of 44 and 42 kDa, corresponding to
ERK-1 and ERK-2. Significant activation was evident within 1.5 minutes
of Ang II stimulation, and maximal activation occurred at 5 minutes
(Figure 10
). PD98059 significantly
attenuated Ang IIinduced activation of ERKs (Figure 10
).
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| Discussion |
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Smooth muscle cells in culture are used routinely in an effort to
elucidate the causes and mechanisms of vascular disease. However, cells
in culture, especially serially passaged cells, undergo many phenotypic
and morphological changes. Accordingly, cultured cells may be very
different from the cells from which they were originally derived. In
the present work, we studied cells that had undergone little
phenotypic change relative to the native cells in blood vessels.
Primary cultured cells were grown on Matrigel basement membrane matrix
in low-serum-containing culture medium. Under these conditions, they
displayed a contractile phenotype, had a low proliferation
rate, expressed the cytoskeletal marker
-actin as determined by
immunocytochemical analysis, and contracted in response to Ang
II. These features are characteristic of the contractile
phenotype as previously described.25
An important issue in this study is the VSMC contraction in response to Ang II. Cell volume changes could theoretically imitate contraction,27 and in the present study, actin-myosin interaction was not directly evaluated to unambiguously demonstrate that contraction had occurred. The fact that cells shortened in response to Ang II and elongated when exposed to SNP suggests that the cells did carry out excitation-contraction coupling and were probably under tension during the shortening phase. With respect to cell shape changes, we did not notice any ballooning of the cell bodies after exposure to Ang II, indicating that the physical change cells underwent was not simply a change in the shape of the cell. Thus, cell shortening induced by Ang II in our study probably does reflect smooth muscle cell contraction.
[Ca2+]i is a major trigger of actin-myosin interaction, cross-bridge cycling, and VSMC contraction.33 The response elicited by Ang II was typically biphasic, with an acute peak followed by a sustained, suprabasal second phase. The second [Ca2+]i phase was temporally related to maximum contraction, indicating an association between [Ca2+]i and contraction. pHi is also an important second messenger. Intracellular alkalinization stimulates DNA synthesis and cell growth and increases actin-myosin sensitivity to Ca2+, thereby increasing vascular contraction and tone.34 Basal pHi in the present study was similar to that reported in the only other known study of pHi in cultured human VSMCs35 and to the pHi in intact human subcutaneous small arteries.36 Our results, which are the first to show that Ang II induces alkalinization in primary cultured human VSMCs, are in agreement with findings from rat studies.28 37
In addition to stimulation of classic phospholipase Cmediated Ca2+ signaling pathways, Ang II also stimulates protein phosphorylation on tyrosine residues.38 39 Tyrosine kinase pathways are typically involved in cell growth, and it has recently been shown that these pathways also modulate contraction.3 28 To determine whether tyrosine kinases regulate VSMC [Ca2+]i and pHi, we assessed Ang II effects in the presence of the selective tyrosine kinase inhibitor tyrphostin A-23 and its inactive analogue tyrphostin A-1. Tyrphostin A-23, but not tyrphostin A-1, attenuated Ang IIelicited actions, suggesting a contribution of tyrosine kinases in the regulation of agonist-stimulated responses in human VSMCs. The tyrosine kinase effects on Ang IIelicited pHi responses may be mediated via Na+-H+linked pathways. We have observed in rat VSMCs that activity of the Na+-H+ exchanger is reduced by tyrosine kinase inhibitors. The importance of tyrosine phosphorylation in Ang II signaling has been extensively reviewed recently.5 6 The quoted studies, however, all referred to animal experiments. Our data now demonstrate that tyrosine kinases are also implicated in Ang IImediated Ca2+ and pHi signaling in human VSMCs.
The specific tyrosine kinase effectors involved in Ang IIstimulated responses are unclear, but ERKs may play a role, because they have been implicated in both contraction and growth in rat VSMCs.3 5 6 40 The immediate ERK activator is MEK, which phosphorylates ERK-1 and ERK-2.41 42 MEK, in turn, is activated by various kinases, which are stimulated by Ang II in cultured VSMCs.43 44 Thus, MEK may be a potential tyrosine kinase candidate activated by Ang II. To assess the role of ERKs in Ang II signaling, the MEK inhibitor PD98059 was used. We demonstrated that PD98059 inhibited Ang IIstimulated ERK activity in VSMCs, indicating that the inhibitor did in fact block agonist-induced ERK activation and that it was effective at a concentration of 10-5 mol/L. In cells pretreated with PD98059, Ang IIelicited alkalinization was reduced, [Ca2+]i peak responses were attenuated, the second [Ca2+]i phase was inhibited, and contraction was significantly decreased. These data suggest that ERKs partially regulate Ang IIstimulated second messengers and associated contraction in human VSMCs.
The putative mechanisms underlying ERK regulation of Ang IImediated responses are unclear, but ERKs, which are activated by Ca2+,44 may retroactively modulate [Ca2+]i and pHi. We demonstrate here that Ang IIinduced tyrosine phosphorylation of ERKs occurs rapidly, certainly within the time frame that would be associated with early signal transduction events. Similar findings have been demonstrated in human saphenous vein cells.10 ERKs might influence [Ca2+]i by modulating inositol 1,4,5-triphosphate, which is the primary mediator of Ca2+ mobilization, and/or by activating Ca2+ channels, which are the major pathway for Ca2+ influx. We demonstrate here that when cells are pretreated with PD98059 in Ca2+-deprived buffer, the Ang IIinduced peak [Ca2+]i response was further reduced, whereas the second [Ca2+]i phase was unchanged compared with that in Ca2+-free buffer without the inhibitor. These data suggest that MEK inhibition decreases Ang IIelicited Ca2+ influx, which contributes mainly to the [Ca2+]i plateau phase and to a lesser extent to the peak [Ca2+]i transient. The fact that PD98059 further reduced the peak [Ca2+]i response in Ca2+-free buffer suggests that MEK inhibition may also elicit its effects via another mechanism, possibly by inhibition of Ca2+ mobilization. These data are supported by recent studies that demonstrated that Ang IIinduced inositol phosphate generation is mediated through tyrosine kinase pathways in cardiomyocytes45 and that tyrosine kinases activate voltage-dependent Ca2+ channels in vascular smooth muscle.46 It may also be possible that ERKs directly influence regulatory contractile proteins.47 However, the exact cellular pathways by which ERKs influence Ang IImediated signaling and contraction in VSMCs await further clarification.
Ang receptor subtypes mediating Ang II responses were characterized by use of selective receptor antagonists. [Sar1,Ile8]Ang II and losartan completely blocked the cellular effects of Ang II, whereas PD123319 had no effect. These results indicate that Ang IIelicited actions are exclusively of the AT1 subtype in human VSMCs. Similar results have been reported in cultured cells from human coronary arteries and saphenous vein as well as in cells from rat small arteries.4 10 13 28
In conclusion, this study provides the novel findings that in VSMCs, ERKs modulate Ang IIinduced contraction and signaling events that lie upstream from MEK. These effects are mediated via AT1 receptors. Our data have significant physiological implications, because the cells that we studied retained their contractile phenotype so that they resembled, as closely as possible, the cells of origin. Also, cells were derived from peripheral resistance arteries, vessels that contribute to peripheral resistance and blood pressure regulation. The present study thus provides new insights regarding Ang II signaling in VSMCs, which participate in mechanisms involved in the control of blood pressure through changes in peripheral resistance in humans.
| Acknowledgments |
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Received July 13, 1998; revision received September 30, 1998; accepted October 9, 1998.
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