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Circulation. 1999;99:392-399

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(Circulation. 1999;99:392-399.)
© 1999 American Heart Association, Inc.


Clinical Investigation and Reports

Role of Extracellular Signal-Regulated Kinases in Angiotensin II–Stimulated Contraction of Smooth Muscle Cells From Human Resistance Arteries

Rhian M. Touyz, MD, PhD; Gang He, MD; Li-Yuan Deng, MD; Ernesto L. Schiffrin, MD, PhD.

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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*Abstract
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Background—We assessed the role of extracellular signal–regulated kinases (ERKs) in Ang II–stimulated contraction and associated signaling pathways in vascular smooth muscle cells (VSMCs) from human small arteries.

Methods and Results—VSMCs derived from resistance arteries (<300 µm in diameter) from subcutaneous gluteal biopsies of healthy subjects (n=8) were used to assess Ang II–stimulated [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 II–stimulated responses, cells were pretreated with 10-5 mol/L tyrphostin A-23 (tyrosine kinase inhibitor) and PD98059 (MEK inhibitor). Ang II–stimulated 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 II–stimulated second messengers, and PD98059 reduced Ang II–induced contraction by >50%. [Sar1,Ile8]Ang II and losartan, but not PD123319, blocked Ang II–stimulated responses.

Conclusions—These 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 II–stimulated contraction of human VSMCs.


Key Words: arteries • calcium • kinases • signal transduction • angiotensin


*    Introduction
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The major function of vascular smooth muscle cells (VSMCs) is to maintain normal vascular tone via coordinated contraction-relaxation cycling. These cells are also responsible for the structural characteristics of the vessel wall, including growth, development, remodeling, and repair.1 Vascular smooth muscle function is modulated by various growth factors and vasoactive peptides, among which angiotensin II (Ang II) has been identified as an important endogenous regulator. Ang II is a multifunctional peptide that influences both contraction and growth.2 3 It binds at least 2 receptors, AT1 and AT2.4 Most known Ang II–induced effects are mediated via AT1 receptors, whereas the function and signaling pathways of the AT2 subtype remain unclear. The AT1 receptor couples to a wide variety of signal transduction events, including phospholipase C, tyrosine kinases, and mitogen-activated protein kinases (MAPKs) (or extracellular signal–regulated protein kinase [ERK]).5 The ERK cascade consists of a 3-kinase module that includes a MAPK (ERK), which in turn is activated by a MAPK/ERK kinase (MEK), which in turn is activated by a MEK kinase (MEKK).6 7 Multiple mammalian MAPK pathways have been identified, of which the ERK cascade is the best characterized. It consists of Raf isoforms, MEK1/2, and ERK-1 and ERK-2 and is regulated by Ras.7 8

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 II–elicited 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 II–induced 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 II–mediated 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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Cell Culture
The study was approved by the Ethics Committee of the Clinical Research Institute of Montreal (IRCM). Written informed consent to participate in the study was obtained from each subject. Healthy men 25 to 50 years old were recruited. They had a normal physical examination, complete blood count, blood biochemistry, and urinalysis. Gluteal biopsies of subcutaneous fat, 1.0x0.5x0.5 cm, were obtained under local anesthesia. Arteries were dissected from gluteal fat under a dissecting microscope immediately after the biopsy had been performed. Small arteries were isolated as previously described.18 Only vessels with lumen diameters <300 µm were used for cell culture. Vessels of this size correspond to resistance arteries, which contribute significantly to the regulation and distribution of blood flow and pressure.19 20 21 VSMCs were isolated and characterized as described in detail previously,22 23 with some modifications. Briefly, cleaned arteries were placed in Ham's F-12 culture medium containing 1% gentamicin, collagenase (type 1), elastase, soybean trypsin inhibitor, and BSA and vortexed in an incubator for 1 hour at 37°C. The digested tissue was further dissociated by repeated aspiration through a syringe (needle gauge, 25). The cell suspension was centrifuged (200g, 5 minutes) and the cell pellet resuspended in Ham's F-12 culture medium containing 10% heat-inactivated FCS. Cells were seeded onto round glass coverslips (25 mm in diameter) that had been coated with Matrigel basement membrane matrix (Becton Dickinson Labware), which is a cell culture preparation optimized for contractile phenotypic states.24 Matrigel was diluted 1:3 and prepared according to the manufacturer's instructions. For the first 48 hours, cells were incubated in Ham's F-12 culture medium containing 10% heat-inactivated FCS. Thereafter, the culture medium was changed to DMEM containing L-glutamine, HEPES, penicillin, streptomycin, and 0.5% FCS as previously described.23 Before experimentation, cells were rendered quiescent by serum deprivation and maintenance in a serum-free medium for 36 hours.

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 II–Induced Contraction
The gel-coated coverslips with attached fura 2–loaded 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 II–precontracted 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 10–12 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 ({approx}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 peroxidase–conjugated antibody (Bio-Rad) (for ERK) or a goat anti-mouse horseradish peroxidase–conjugated 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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*Results
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Basal and Ang II–Stimulated [Ca2+]iand pHi Responses
Basal [Ca2+]i was 83.5±2.31 nmol/L, and basal pHi was 7.03±0.06. Ang II elicited a biphasic [Ca2+]i wave (Figure 1Down). The first phase, which peaked within a few seconds after addition of Ang II, was acute and transient (Figure 1Down). The second [Ca2+]i phase was sustained at suprabasal levels (Figure 1Down). [Ca2+]i approached basal values {approx}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 2Down). Ang II dose-dependently increased pHi (pD2=9.4±0.29 and Emax=7.19±0.01) (Figure 2Down). pHi values at maximal alkalinization were used to construct dose-response curves.



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Figure 1. Representative tracings of [Ca2+]i responses to 10-7 mol/L Ang II in absence and presence of tyrosine kinase and MEK inhibitors. Tracing 1 represents [Ca2+]i response without tyrosine kinase manipulation; tracing 2, Ang II–induced response in cells pretreated with tyrphostin A-1 10-5 mol/L; tracing 3, Ang II–induced response in cells pretreated with tyrphostin A-23 10-5 mol/L; and tracing 4, Ang II–elicited response in cells preexposed to PD98059 10-5 mol/L. Arrow indicates time of Ang II application.



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Figure 2. Concentration-response curves demonstrate effects of Ang II on VSMC [Ca2+]i and pHi responses. Each data point is mean±SEM of 4 to 7 experiments, with each experimental field comprising 10 to 20 cells.

Effects of Tyrphostin A-23 and PD98059 on Ang II–Stimulated [Ca2+]i and pHi Responses
Tyrphostin A-23 alone did not alter [Ca2+]i or pHi. Tyrosine kinase inhibition significantly reduced Ang II–stimulated peak [Ca2+]i (P<0.01) (Figures 1Up and 3Down) and prolonged [Ca2+]i recovery to basal levels (Figure 1Up). Tyrphostin A-23 significantly attenuated (P<0.05) Ang II–stimulated alkalinization (Figure 4Down). Tyrphostin A-1 had no effect on agonist-stimulated responses (Figures 1Up, 3Down, and 4Down). These data suggest that Ang II–elicited actions are partially mediated through tyrosine kinase–dependent pathways.



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Figure 3. [Ca2+]i effects of Ang II in absence and presence of tyrphostin A-23 (tyr23) 10-5 mol/L and tyrphostin A-1 (tyr1) 10-5 mol/L. Results are mean±SEM; each bar is mean of 3 to 7 experiments, with each experiment comprising 8 to 20 cells. *P<0.05; **P<0.01 vs Ang II and tyr1 counterparts; +P<0.01 vs other groups.



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Figure 4. pHi effects of Ang II 10-6 mol/L in absence and presence of tyrphostin A-23 (tyr23) 10-5 mol/L, tyrphostin A-1 (tyr1) 10-5 mol/L, and PD98059 (PD) 10-5 mol/L. Results are mean±SEM; each bar is mean of 3 to 5 experiments, with each experiment comprising 8 to 20 cells. *P<0.05 vs other groups.

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 II–elicited [Ca2+]i responses, both the peak [Ca2+]i transient and the second [Ca2+]i phase (Figures 1Up, 5Down, and 6Down). Ang II–induced alkalinization was significantly reduced by PD98059 (Figure 4Up).



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Figure 5. Time course of [Ca2+]i recovery after Ang II 10-7 mol/L stimulation in absence and presence of PD98059 10-5 mol/L in Ca2+-containing and Ca2+-free buffer. Maximal stimulated [Ca2+]i was taken at 0 minutes, and recovery to basal values was measured thereafter. **P<0.01 vs counterpart in other groups, +P<0.01 vs Ang II counterpart in Ca2+-free buffer, *P<0.05 vs Ang II+PD98059 counterpart in Ca2+-free buffer.



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Figure 6. Concentration-response curves demonstrate [Ca2+]i effects of Ang II in absence and presence of PD98059 10-5 mol/L in Ca2+-containing and Ca2+-free buffer. Curves were constructed with peak [Ca2+]i. Each data point is mean±SEM of 3 to 7 experiments, with each experimental field comprising 6 to 20 VSMCs. SEM may be covered by symbols. *P<0.05, **P<0.01 vs Ang II counterpart in Ca2+-containing buffer; +P<0.05, ++P<0.01 vs Ang II counterpart in Ca2+-free buffer; and #P<0.05 vs Ang II+PD98059 counterpart in Ca2+-containing buffer.

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 II–elicited [Ca2+]i responses were reduced (Figures 5Up and 6Up). The peak [Ca2+]i transient was slightly but significantly (P<0.05) attenuated, and the second [Ca2+]i phase was almost abolished (Figure 5Up). 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 II–induced 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 5Up and 6Up). These data suggest that MEK inhibition decreases Ang II–elicited 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 7Down). Maximal contraction occurred within 5 minutes of Ang II stimulation (Figure 8Down). Cell contraction was sustained, and 8 minutes after stimulation, cells were still contracted (Figure 8Down). MEK inhibition significantly attenuated Ang II–induced contractile responses and almost abolished the sustained phase of contraction (Figure 8Down). Addition of SNP to Ang II–precontracted cells resulted in a rapid reversion of VSMCs to their prestimulated length (97±1.2% of initial cell length).



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Figure 7. Contractile effects of Ang II. Contraction is presented as percent reduction in cell length relative to cell length in basal state. Results are mean±SEM, with each data point representing mean of 3 experiments and each experiment comprising 5 to 9 cells.



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Figure 8. Effects of PD98059 on Ang II–stimulated contraction. Top, Time course of effects of Ang II 10-6 mol/L in absence and presence of PD98059 10-5 mol/L. A indicates time of addition of Ang II. Bottom, Effects of PD98059 on Ang II–stimulated contraction. Responses were recorded 5 minutes after addition of Ang II. *P<0.05, **P<0.01 vs Ang II counterpart.

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 II–mediated responses (Figure 9Down). PD123319 (a selective AT2 antagonist) had no effect on Ang II–stimulated effects (Figure 9Down). Treatment of VSMCs with any of the antagonists alone did not influence basal [Ca2+]i, pHi, or cell size.



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Figure 9. Effects of 10-6 mol/L [Sar1,Ile8]Ang II (sar), losartan (los), and PD123319 on Ang II–stimulated [Ca2+]i, pHi, and contractile responses. For pHi and contraction experiments, cells were stimulated with 10-6 mol/L Ang II. Each data point is mean±SEM of 3 or 4 experiments, with each experimental field comprising 10 to 22 cells. **P<0.01 vs Ang II counterpart; +P<0.05 vs other groups.

Effects of PD98059 on Ang II Effects on ERK Expression and Tyrosine Phosphorylation
To determine whether Ang II–induced 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 10Down). PD98059 significantly attenuated Ang II–induced activation of ERKs (Figure 10Down).



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Figure 10. Effects of Ang II in absence and presence of PD98059 on tyrosine phosphorylation (upper Western blot) and ERK expression (lower Western blot) in human VSMCs. Cells were stimulated with Ang II 10-7 mol/L for indicated times. For PD98059 studies, cells were pretreated with inhibitor 10-5 mol/L for 30 minutes before Ang II application. Anti–ERK-1 cross-reacted to some degree with ERK-2. Bar graphs demonstrate arbitrary densitometric units of phosphotyrosine bands. Data shown are representative of results of 3 separate experiments. Arrows indicate molecular weight of proteins.


*    Discussion
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*Discussion
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Data from the present study demonstrate that VSMCs from human peripheral resistance arteries possess functional angiotensin receptors of the AT1 subtype that mediate contraction via signaling cascades involving Ca2+ and pHi pathways that are partially dependent on tyrosine kinases and ERKs. Our results suggest that ERKs probably influence [Ca2+]i by modulating Ca2+ influx and intracellular Ca2+ mobilization.

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 {alpha}-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 C–mediated 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 II–elicited actions, suggesting a contribution of tyrosine kinases in the regulation of agonist-stimulated responses in human VSMCs. The tyrosine kinase effects on Ang II–elicited 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 II–mediated Ca2+ and pHi signaling in human VSMCs.

The specific tyrosine kinase effectors involved in Ang II–stimulated 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 II–stimulated 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 II–elicited 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 II–stimulated second messengers and associated contraction in human VSMCs.

The putative mechanisms underlying ERK regulation of Ang II–mediated responses are unclear, but ERKs, which are activated by Ca2+,44 may retroactively modulate [Ca2+]i and pHi. We demonstrate here that Ang II–induced 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 II–induced 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 II–elicited 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 II–induced 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 II–mediated 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 II–elicited 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 II–induced 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
 
This study was supported by grant 14080 and a group grant to the Multidisciplinary Research Group on Hypertension, both from the Medical Research Council of Canada, and by a grant from the Heart and Stroke Foundation of Quebec.

Received July 13, 1998; revision received September 30, 1998; accepted October 9, 1998.


*    References
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*References
 
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