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Vol. 20, Issue 1, 33-42, January 1, 2009
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*BHF Laboratories, Department of Medicine, University College London, London WC1E6JJ, United Kingdom;
Experimental Medicine and Toxicology, Imperial College, Hammersmith Hospital, London W12 ONN, United Kingdom; and
Institute of Clinical Biochemistry and Pathobiochemistry, University of Würzburg, D-97080 Würzburg, Germany
Submitted April 17, 2008;
Revised September 29, 2008;
Accepted October 7, 2008
Monitoring Editor: Martin A. Schwartz
| ABSTRACT |
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| INTRODUCTION |
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Methylarginines reduce synthesis of NO. Reduction of NO generation in vivo induces microvessel leakage in pulmonary circulation of eNOS–/– mice treated with the NOS inhibitor L-NAME [N(G)-nitro-L-arginine methyl ester; Predescu et al., 2005
] and in the isolated perfused rabbit lung after NOS inhibition (Mundy and Dorrington, 2000
), but the mechanisms are unclear. NOS inhibitors appear to have a direct effect on endothelial barrier function in vivo (Predescu et al., 2005
), but their actions may also involve indirect, secondary mechanisms such as increased neutrophil adhesion (Rumbaut et al., 2000
). In addition to inhibition of NO production, it has been proposed that ADMA might uncouple NOS leading to superoxide production (Cardounel et al., 2005
). Oxidative stress increases in many models of pulmonary hypertension and both increases (van Wetering et al., 2002
) and decreases in ROS (Wojciak-Stothard et al., 2005
) can disrupt endothelial barrier function.
We have recently shown that ADMA differentially regulates the activities of the known regulators of actin dynamics, Rho GTPases RhoA, Rac1, and Cdc42 in PAECs (Wojciak-Stothard et al., 2007
). Rho GTPases are important in the regulation of endothelial barrier function. Activation of RhoA increases endothelial permeability by increasing endothelial actomyosin contractility and intercellular gap formation (van Nieuw Amerongen and van Hinsbergh, 2001
). In contrast, Rac1 activity is required for the assembly, maintenance, and recovery of endothelial intercellular junctions (Waschke et al., 2004
; Wojciak-Stothard et al., 2005
). Cdc42 has been shown to promote junction recovery after thrombin treatment in human pulmonary arterial endothelial cells (Kouklis et al., 2004
).
Downstream effectors of NO, cAMP-activated protein kinase A (PKA) and cGMP-activated protein kinase G (PKG) may also mediate the effects of methylarginines. PKA and PKG have been implicated in the control of endothelial permeability but, depending on the vascular bed, their effects have been either protective or detrimental (van Nieuw Amerongen and van Hinsbergh, 2002
). Both kinases phosphorylate vasodilator-stimulated phosphoprotein (VASP), which links intercellular junction proteins and integrins with the actin cytoskeleton (Krause et al., 2003
). Genetically altered mice have indicated a crucial role of VASP for vascular integrity (Furman et al., 2007
) but the role of VASP phosphorylation in control of junctional integrity remains unclear. VASP phosphorylation by PKA was postulated to strengthen intercellular adhesions (Comerford et al., 2002
), but others have shown that it may interfere with the assembly of cortical actin cytoskeleton and decrease intercellular adhesion (Benz et al., 2008
). VASP phosphorylation by PKG has been shown to induce reorganization of endothelial cytoskeleton and enhance angiogenesis (Chen et al., 2008
), but its effects on endothelial barrier function are not known. Interestingly, VASP localization and activity in endothelial cells is closely associated with Rac1 activation and junctional integrity (Schlegel et al., 2008
).
We studied the role of ADMA metabolism in the regulation of endothelial permeability in cultured primary macrovascular and microvascular pulmonary endothelial cells in vitro and in mouse lungs in vivo. We also sought to elucidate the mechanism by which methylarginines affect the organization of junction-associated cytoskeleton and intercellular junctions in endothelial cells.
| MATERIALS AND METHODS |
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The Use of Drugs
ADMA (100 µmol/l), SDMA (100 µmol/l), or L-NAME (1 mmol/l, Calbiochem, La Jolla, CA) were added to cell cultures for 24 h. S-nitroso-N-acetyl-D, L-penicillamine (SNAP; 10–100 µmol/l, Calbiochem); guanosine 3',5'-cyclic monophosphate, 8-bromo-, sodium salt (Br-cGMP, Na; 500 µmol/l, Calbiochem); guanosine, 3',5'-cyclic monophosphorothioate,8-(4-chlorophenylthio)-, Rp-Isomer, triethylammonium (Rp-8-pCPT-cGMPS, TEA; 100 nmol/l, Calbiochem); or the flavoprotein inhibitor diphenylene iodonium (DPI, 10 µmol/l; Calbiochem) were added to untreated cells or ADMA-treated cells 1 h before the end of experiment. The Rho kinase inhibitor, Y-27632 (Calbiochem, 5 µmol/l) was added to the cells 2 h before the end of experiment, and superoxide dysmutase mimic, Mn(III)tetrakis(1-methyl-4-pirydyl)porphyrin pentachloride (MnTMPyP; 50 µmol/l, Calbiochem,) or gap junction inhibitor, 18β-glycyrrhetinic acid (18β-GA, 10 µmol/l, Sigma, St. Louis, MO) were added to the cells together with ADMA and incubated for 24 h.
Plasmids and Transfection
WT GFP-VASP, S239A GFP-VASP, and S239D GFP-VASP were prepared as in Lindsay et al. (2007)
. Transfection was carried out using Amaxa Nucleofector system (Köln, Germany, program U-01). The cells were seeded at the density 3 x 104 cells/ml and studied 48 h after transfection.
Rho, Rac, and Cdc42 GTP-binding assays and nitrite determination were performed as described earlier (Wojciak-Stothard et al., 2007
).
Construction of Recombinant Adenoviruses
Adenoviral vectors for mutant Rho GTPases, DDAHI, DDAHII, and inactive mutants of DDAHI and DDAHII were generated as described previously (Wojciak-Stothard et al., 2005
, 2007
). Inactive DDAH mutants have a Cys249 to Ser mutation in their active site, which completely inactivates the enzyme, but does not affect protein folding.
Transendothelial Permeability Assay In Vitro
PAECs were plated in Transwell-Clear chambers (3-µm pore size, 12-mm diameter; Costar Corning, Costar, High Wycombe, United Kingdom) at cell density of 1 x 104 cells/well, and grown till confluence. The cells were left untreated or were infected with recombinant adenoviruses to induce overexpression of DDAH or mutant Rho GTPases. Two hours after infection, ADMA was added to the upper and lower chambers of Transwell dishes and incubated with the cells for a further 24 h. Alternatively, PAECs were transfected with VASP mutants, plated at cell density of 3 x 104 cells/well, and left for 24 h to form a monolayer. After this time, ADMA was added to transfected cells for a further 24 h. For dextran flux measurements, FITC-dextran (molecular wt 42,000, 1 mg/ml, Sigma) was added to the upper chamber of Transwell dishes, and samples were taken from the lower compartment after a 1-h incubation, as previously described (Wojciak-Stothard et al., 2001
, 2005
). The amount of FITC-dextran was determined with a TECAN GeNios microplate reader (TECAN, Reading, United Kingdom) using an excitation wavelength of 485 nm and emission at 510 nm.
Lung Permeability In Vivo
All experiments were carried out under a Home Office License and conducted according to the Animal Scientific Procedures Act 1986. DDAH HT knockout mice have been characterized elsewhere (Leiper et al., 2007
).
The lungs of anesthetized (Hypnorm [fentanyl and fluanisone 0.25 ml/kg] and midazolam 25 mg/kg ip) DDAHI HT knockout mice and WT littermate controls (five animals per group) were flushed via a catheter inserted through right ventricle in situ in the open chest with 5 ml PBS at a flow rate of 1.8 ml/min with a nonpulsatile pump (Masterflex model 7518-00) until it was blood free (Zhao et al., 1999
). The lungs were then perfused with 10 ml of 0.16 mg/ml Evans Blue (Sigma) in PBS and with 10 ml PBS afterward. The left lung lobe were dissected, weighed, homogenized, and suspended in 2.5 ml formamide for extraction overnight at room temperature. The homogenates were then centrifuged at 12,000 x g, and the concentration of Evans blue in supernatants was quantified by dual wavelength spectrophotometric analysis at 620 and 740 nm (Moitra et al.2007
). This method corrects the specimen's absorbance at 620 nm for the contaminating heme pigments. The Evans blue concentration was calculated from the standard curve with the use of the following formula: Corrected absorbance = Real absorbance at 620 – [1.1649 x absorbance at 740 + 0.004] (Moitra et al., 2007
). The Evans blue concentration read in µg/ml was converted to µg/g wet weight of lungs using the dilution factor of the original homogenate.
Measurement of ROS
Confluent PAECs grown on 96-well plates were treated with various pharmacological agents as described before. Culture medium was replaced with prewarmed Krebs saline, pH. 7.4, with or without drugs and containing 2',7'-dichlorofluorescein diacetate (DCFH-DA; 5 µmol/l, Calbiochem; Wojciak-Stothard et al., 2005
). After a 1-h incubation, DCFH fluorescence was read at excitation wavelength of 485 and emission 530 nm on TECAN GeNios microplate reader. Alternatively, N-acetyl-3,7-dihydroxyphenoxasine (Amplex Red; 50 µmol/l, Molecular Probes, Eugene, OR) and horseradish peroxidase (1 U/ml, Sigma) were dissolved in Krebs saline and added to the cells for 1 h, and then fluorescence was read on the microplate reader at 530-nm excitation and 590-nm emission (Takano et al., 2002
).
Immunofluorescence and localization of F-actin were analyzed as described elsewhere (Wojciak-Stothard et al., 2007
). Mouse monoclonal anti-phospho-VASP (Ser239) antibody (Upstate Biotechnology, Lake Placid, NY) and rabbit polyclonal anti-VASP antibody (Chemicon International, Temecula, CA) were used at 1:100.
Determination of p-Ser239 VASP was carried out with immunoprecipitation of the protein with mouse monoclonal anti-phospho-VASP (Ser239) antibody preadsorbed on A-Sepharose beads followed by Western blotting as in Wojciak-Stothard et al. (2007)
.
Statistical Analysis
All the experiments were performed in triplicate. Data are presented as means ± SD. Comparisons between two groups were carried out with two-tailed Student's t test. When more than conditions were being compared, a one-way ANOVA test followed by Dunnett's post-test was used. Statistical significance was accepted for p < 0.05.
| RESULTS |
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ADMA/NO/PKG-mediated Changes in the Activity of Rac1 Are Responsible for Remodelling of Endothelial Actin Cytoskeleton and Adherens Junctions and Changes in Endothelial Permeability
To verify the individual contributions of Rho GTPases to ADMA-induced effects, we overexpressed dominant negative and constitutively activated mutants of RhoA, Rac1, and Cdc42 in PAECs via adenoviral gene transfer.
Dominant negative RhoA, N19RhoA reduced stress fiber formation (Figure 4, A–C) but did not significantly affect endothelial permeability in ADMA-treated cells (144 ± 15%; Figure 4G). Similarly, the inhibitor of Rho kinase, Y-27632, reduced stress fiber formation in cells (not shown) but did not prevent ADMA-induced endothelial leakage (140 ± 12%; Figure 4G). In contrast, the constitutively activated Rac1, V12Rac1, increased the levels of cortical F-actin, inhibited stress fiber formation and dispersion of intercellular junctions (Figure 4, D–F), and reduced endothelial permeability to control levels in ADMA-treated cells (Figure 4G). The dominant negative Rac1, N17Rac1, significantly increased endothelial permeability (160 ± 17%), consistent with previous reports (Wojciak-Stothard et al., 2005
). This effect was not affected by ADMA, suggesting that inhibition of dextran flux by N17Rac1 was maximal. Rac1 activity was up-regulated by overexpression of DDAHI or DDAHII or by pretreatment with SNAP and 8-Br-cGMP (Figure 4, H and I), suggesting that NO/PKG are mediators in this regulation. DDAH, SNAP, and 8-Br-cGMP also restored Rac1 activity to control levels in cells treated with ADMA (Figure 4, H and I). The dominant negative Cdc42, N17Cdc42, did not affect endothelial permeability (Figure 4G).
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| DISCUSSION |
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Precise control of NO levels by ADMA/DDAH system is important in the maintenance of basal endothelial junctional integrity. Exogenous and endogenous ADMA induced endothelial leakage in vitro, and its effects were reversed by overexpression of DDAH. Conversely, DDAH deficiency in mouse lungs compromised pulmonary endothelial barrier function in vivo. A moderate (twofold) increase in NO prevented the effects of ADMA, whereas a fourfold increase in NO induced endothelial leakage. In agreement with our data, others have reported that small increases in NO promote intercellular junction formation in HUVECs (Kameritsch et al., 2005
), whereas a substantial (three- to fourfold) increase causes endothelial leakage (Miyawaki-Shimizu et al., 2006
), likely to result from a significant increase in nitration and nitrosylation of proteins (Predescu et al., 2005
).
ROS were postulated to mediate the effects induced by methylarginines in HEK293 cells (Cardounel et al., 2005
). We did not observe any effects of superoxide dismutase mimetic on ADMA-induced permeability or detect changes in ROS levels induced by ADMA in pulmonary endothelial cells, indicating that ROS do not play a significant role in the ADMA/DDAH pathway in those cells.
ADMA can affect different physiological processes in endothelial cells by differentially regulating the Rho GTPases, RhoA and Rac1. In sparse endothelial cells, ADMA decreases the levels of cGMP, which leads to activation of RhoA and inhibition of spontaneous cell motility (Wojciak-Stothard et al., 2007
). In confluent cells in basal conditions, inhibition of Rac1 by ADMA leads to leaky junctions, whereas changes in RhoA activity play a lesser role. However, when endothelial cells are challenged by thrombin, cGMP-dependent inhibition of RhoA is barrier-protective (Klinger et al., 2006
). Although Rac1 appears more important in control of pulmonary endothelial barrier function in basal conditions, a role of RhoA cannot be completely excluded as Rac1 can regulate the activity of RhoA (Leeuwen et al., 1997
; Alberts et al., 2005
).
We identified NO/PKG as downstream mediators of ADMA/DDAH. Changes in PKG activity induced corresponding changes in the activity of Rac1. A role of PKG in the regulation of Rac1 was suggested in HEK-293, where 8-Br-cGMP induced a transient activation of Rac1 with kinetics similar to p38 MAPK phosphorylation (Hou et al., 2004
). As Rac1 is not a substrate for PKG, an indirect activation mechanism must operate in cells that may involve modification of exchange factors for Rac1 or regulation of their association with scaffolding proteins (Hou et al., 2004
).
Here we verified the role of VASP as a potential regulator of Rac1 activity in ADMA-mediated effects. VASP associates with adherens (Vasioukhin and Fuchs, 2001
) and tight junctions (Comerford et al., 2002
). Consistently, mice lacking proteins of the VASP family die from edema formation due to defective vascular barrier function (Furman et al., 2007
). VASP-deficient endothelial cells show increased permeability and reduced Rac1 activity in basal conditions (Schlegel et al., 2008
) and are more susceptible to conditions of impaired barrier function in vitro and in vivo (Benz et al., 2008
). Changes in phosphorylation of VASP by PKA or PKG accompany changes in endothelial junctional integrity (Draijer et al., 1995
; Comerford et al., 2002
; Benz et al., 2008
). The underlying mechanism is less understood and could involve altered interactions with the tight junction protein ZO-1 (Comerford et al., 2002
) and
II spectrin (Benz et al., 2008
) that are dependent on PKA-mediated Ser157 phosphorylation or impaired binding to F-actin after PKG-driven Ser239 phosphorylation. We observed that ADMA decreased phosphorylation of VASP on Ser239 and initiated translocation of the protein to the cytoplasm away from endothelial junctions, a change concomitant with inhibition of Rac1 and increase in endothelial permeability that was prevented by overexpression of DDAH. Overexpression of DDAH did not alter electrophoretic mobility of VASP in PAECs, indicating that Ser157 phosphorylation (that induces an electrophoretic shift from 46 to 50 kDa) was not affected by ADMA. In agreement with our data, PKG was shown to induce VASP phosphorylation on Ser239 but not on Ser157 in bovine aortic endothelial cells treated with atrial natriuretic peptide (ANP; Chen et al., 2008
).
We used mutants of Ser239 VASP to directly verify the involvement of this phosphorylation site in control of endothelial permeability. Phosphomimetic mutant of VASP increased Rac1 activity and enhanced endothelial barrier function in untreated and ADMA-treated PAECs, whereas the nonphosphorylatable mutant had the opposite effect. VASP causes polymerization and bundling of actin filaments, leading to stress fiber formation and cell membrane ruffling (Krause et al., 2003
). Ser239 phosphorylation of VASP did not affect stress fiber formation in PAECs, but increased the levels of junction-associated F-actin, thought to strengthen intercellular adhesion, in a manner similar to activated Rac1 (Schlegel et al., 2008
). To a lesser extent, WT VASP also induced Rac1 activation and accumulation of peripheral F-actin, possibly resulting from Ser239 phosphorylation of the overexpressed protein.
The precise regulatory mechanisms between VASP and Rac1 and the role of VASP phosphorylation by PKA and PKG in control of endothelial barrier function under different conditions will require further studies. Though VASP was shown to act upstream of Rac1, the feedback regulatory mechanism may also exist. We observed that inhibition of Rac1 reduces the levels of Ser239-phosphorylated VASP in PAECs. Rac1 was also shown to increase junctional localization of VASP in immortalized mouse myocardial endothelial microvascular cells (MyEnd; Waschke et al., 2006
).
Both exogenous and endogenous ADMA induced endothelial dysfunction. Although the dose of exogenous ADMA (100 µmol/l) was relatively high, the change in ADMA levels caused by heterozygous DDAHI gene deletion led to an increase in the plasma concentration of ADMA 0.5–0.7 µmol/l, similar to that reported in patients with multiple cardiovascular risk factors (Leiper et al., 2007
). It is possible that lower doses of ADMA are required in chronic exposure to the inhibitor as mechanisms for the acute and chronic exposure to ADMA are different (Suda et al., 2004
). Another possibility is that local changes in ADMA concentrations in cells and tissues are higher than estimated. Plasma levels of ADMA vary from 0.2–1 µmol/l, but tissue levels may be much higher reaching 15 µmol/l (Cardounel et al., 2005
). We have recently reported a localized accumulation of DDAH at the leading edge that correlated with the motile activity of endothelial cells (Wojciak-Stothard et al., 2007
). The extent and significance of changes in ADMA concentration determined by local expression of DDAH remain to be established. ADMA metabolism is important in the regulation of basal endothelial permeability in vitro and in perfused lungs in vivo, but DDAHI knockout HT mice do not appear edematous (Leiper et al., 2007
). Interestingly, eNOS–/– mice also remain asymptomatic despite their leaky interendothelial junctions, suggesting the existence of a compensatory mechanism that prevents edema formation (Predescu et al., 2005
).
The barrier-protective effects of DDAH required intact gap junctions. Formation of gap junctions is NO/cGMP-dependent (Bazzoni and Dejana, 2004
). Gap junction proteins facilitate the assembly of adherens and tight junctions (Nagasawa et al., 2006
) and mediate exchange of secondary signaling mediators between cells in the lung capillary bed (Parthasarathi et al., 2006
). The role of gap junctions in the effects of DDAH will require further studies.
In conclusion, we show that ADMA and DDAH regulate pulmonary endothelial permeability in an NO/PKG-dependent manner. ADMA decreases the levels of Ser239-phosphorylated VASP, leading to inhibition of Rac1 and subsequent remodeling of the endothelial actin cytoskeleton and intercellular adherens junctions. These observations suggest that genetic or environmental factors that lead to decreased methylarginine metabolism have the potential to decrease pulmonary endothelial barrier function. Conversely, interventions that activate methylarginine metabolism might have therapeutic utility in a range of cardiovascular disease states including diabetes, atherosclerosis, pulmonary and systemic hypertension, and heart failure.
| ACKNOWLEDGMENTS |
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| Footnotes |
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Address correspondence to: Beata Wojciak-Stothard (B.Wojciak-Stothard{at}ucl.ac.uk)
Abbreviations used: ADMA, asymmetric methylarginine; DDAH, dimethylarginine dimethylaminohydrolases; VASP, vasodilator-stimulated phosphoprotein.
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