Regulation of Vascular Proteoglycan Synthesis by Angiotensin II Type 1 and Type 2 Receptors
Ryoko Shimizu-Hirota,
Hiroyuki Sasamura,
Mizuo Mifune,
Hideaki Nakaya,
Mari Kuroda,
Matsuhiko Hayashi and
Takao Saruta
Department of Internal Medicine, School of Medicine, Keio University, Tokyo, Japan.
Correspondence to Dr. Hiroyuki Sasamura, Department of Internal Medicine, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. Phone: +81-3-3353-1211; Fax: +81-3-3359-2745; E-mail: sasamura{at}mc.med.keio.ac.jp
ABSTRACT. Recent studies have shown that proteoglycans playan important role in the development of vascular disease andrenal failure. In this study, the effects of angiotensin II(AngII) type 1 (AT1) and type 2 (AT2) receptor stimulation onglycosaminoglycan and proteoglycan core protein synthesis invascular smooth muscle cells (VSMC) were examined. Treatmentof AT1 receptor-expressing VSMC with AngII resulted in a dose-dependentand time-dependent increase (2- to 4-fold) in 3H-glucosamine/35S-sulfateincorporation, which was abolished by pretreatment with theAT1 receptor antagonist, losartan. The effects of AngII wereinhibited by the epidermal growth factor receptor inhibitor,AG1478, and the mitagen-activated protein kinase kinase inhibitor,PD98059, but not the protein kinase C inhibitors, chelerythrineand staurosporine. AngII treatment also resulted in significantincreases in the mRNA of the core proteins, versican, biglycan,and perlecan. The effects of AT2 receptor stimulation were examinedby retroviral transfection of VSMC with the AT2 receptor. Stimulationof the AT2 receptor in these VSMC-AT2 cells resulted in a significant(1.3-fold) increase in proteoglycan synthesis, which was abolishedby the AT2 receptor antagonist, PD123319, and attenuated bypretreatment with pertussis toxin. These results implicate bothAT1 and AT2 receptors in the regulation of proteoglycan synthesisand suggest the involvement of epidermal growth factor receptor-dependenttyrosine kinase pathways and Gi/o-mediated mechanisms in theeffects of the two receptors.
Proteoglycans are important nonfibrous components of the extracellularmatrix (1). These complex macromolecules consist of a proteincore covalently bound to one or more glycosaminoglycan (GAG)side-chains. Because of their structural properties, particularlythe strong negative charge carried by the GAG moiety, proteoglycanshave many unique functions. These include the ability to bindan array of other molecules, such as growth factors and cytokines,and regulate their function. Consequently, the proteoglycan-richextracellular matrix serves as both a reservoir and a modulatorof the actions of a variety of other growth and differentiationfactors. In addition, proteoglycans play a direct role in controllingcell growth and differentiation, in modifying cell adhesion,migration, and development, and in influencing the depositionof other extracellular matrix components such as collagen. Theproteoglycans, perlecan and/or agrin, may also play a majorrole in forming the glomerular basement membrane negative chargebarrier, which prevents the loss of protein in the glomerularultrafiltrate (2,3,4).
Recent studies have shown that abnormal regulation of proteoglycansplays an important role in the pathophysiology of both vascularand renal disease. Abnormal accumulation of proteoglycans hasbeen shown to occur in both atherosclerosis and in postinjuryrestenosis in both humans and animal models (1,5). It has beenproposed that binding of proteoglycans to LDL can cause LDLretention in the artery, which can contribute to the developmentof atherosclerotic lesions. Two recent reports have also shownthat abnormal accumulation of proteoglycans is also a characteristicof a variety of renal diseases in humans, including primaryglomerulonephritis, diabetic nephrosclerosis, hypertensive nephrosclerosis,and amyloidosis (6,7). Human studies have also shown that expressionof proteoglycans correlates with loss of renal function (8),suggesting an important pathophysiologic role for these glycoproteinsin the progression of renal failure.
These reports highlight the importance of understanding themechanisms of control of proteoglycan synthesis to the designof better strategies for arresting disease development. Theproteoglycans were previously classified biochemically intochondroitin sulfate (CSPG), dermatan sulfate (DSPG), and heparansulfate (HSPG) proteoglycans without a clear knowledge of thestructure of their core proteins. However, the use of molecularcloning techniques has revealed the structure of the major coreproteins, resulting in a newer classification that is basedon the core protein moiety. It is now known that major proteoglycancore proteins expressed in the kidney include the large CSPG,versican, the smaller CS/DSPG, decorin and biglycan, and theHSPG, perlecan (2). However, the regulation mechanisms of theseproteoglycans are still unclear.
Studies from our laboratory have shown that the vasoactive peptidehormone angiotensin II (AngII) can regulate the synthesis ofthe extracellular matrix protein collagen via both the type1 (AT1) and type 2 (AT2) AngII receptors (9,10). We have alsoshown that treatment with AT1 receptor antagonist causes proteoglycancore protein-specific changes in hypertensive rats (11). Therehas recently been a rapid increase in the use of renin-angiotensininhibitors (angiotensin-converting enzyme inhibitors and AT1receptor antagonists) to inhibit the progression of renal andcardiovascular disease (12). These two agents differ in thatthe former reduces stimulation of both AT1 and AT2 receptors,whereas the latter increases AT2 receptor stimulation. The long-termconsequences of these differences are still unclear. These tworeceptors couple to different G proteins, and the AT1 receptoris thought to act predominantly via Gq, whereas the AT2 receptormay act through Gi (13,14). At present, the effects of AT1 andAT2 receptor stimulation on regulation of proteoglycan synthesishave not been defined. The following were, therefore, the aimsof this study: (1) to examine the role of the AT1 receptor inthe control of proteoglycan synthesis in vascular smooth musclecells (VSMC) as well as the mechanisms involved; (2) to correlatethe observed changes in GAG synthesis to changes in core proteingene expression; and (3) to examine the effects of AT2 receptorstimulation on proteoglycan synthesis.
Cell Cultures and Transfection of the AT2 Receptor
Rat VSMC were prepared from the thoracic aortae of 6-wk-oldmale Wistar rats by collagenase digestion and cultured in Dulbeccosmodified Eagle medium supplemented with 10% fetal calf serum(15). Retroviral transfection of VSMC with an AT2 receptor retrovirus(LXSN-AT2) to produce AT2 receptor-expressing VSMC (VSMC-AT2)was performed as described previously (10).
Proteoglycan Synthesis Assays
Synthesis of cell-associated and medium-secreted proteoglycanwas determined as described (16,17) with minor modifications.In brief, quiescent VSMC in 24-well plates were transferredinto serum-free media for 48 h. After serum deprivation, cultureswere incubated in Dubeccos modified Eagle medium containing3H-glucosamine (2 µCi/ml) or sulfate-free medium containing35S-sulfate (5 µCi/ml) in the presence of AngII (10-7mol/L unless otherwise stated) for 48 h. VSMC-AT2 cultures werestimulated with the AT2 agonist, CGP42112A (10-7 mol/L unlessotherwise stated). The medium was harvested, and 300 µlof the supernatant was incubated with 25 µl of 25 mmol/LMgS04 and 120 µl of 2.5% cetylpyridinium chloride (CPC)in the presence of 5 µg of carrier chondroitin sulfatefor 1 h at 37°C. Precipitated proteoglycans were collectedon nitrocellulose filters by vacuum filtration, washed with1.0% CPC in 20 mmol/L NaCl, and radio-counted in a liquid scintillationcounter. In some experiments, samples were treated overnightat 37°C with Chondroitinase ABC (Seikegaku, Tokyo, Japan)(10 mU) in 33 mmol/L Tris HCl, 33 mmol/L sodium acetate, and80 µg/ml bovine serum albumin (pH 8.0), ChondroitinaseAC (10 mU) in 33 mmol/L Tris HCl and 80 µg/ml bovine serumalbumin (pH 6.0), or heparitinase III (10 mU) in 100 mmol/Lsodium acetate and 10 mmol/L calcium acetate (pH 7.0) beforeCPC precipitation. For determination of cell-associated proteoglycansynthesis, the cell layers were rinsed with phosphate-bufferedsaline and lysed in 1 mol/L NaOH. A 300-µl portion ofeach sample was neutralized with 2 N acetic acid and digestedwith Pronase E (Sigma, St. Louis, MO) (1 mg/ml) at 55°Cfor 18 h. After addition of chondroitin sulfate (100 µg/ml)as a carrier, cell-associated proteoglycans were precipitatedfor 3 h at 37°C with 1% CPC in 20 mmol/L NaCl. The precipitatewas collected on nitrocellulose filters and treated as describedabove. To separate proteoglycans in the media on the basis ofdifferences in charge density, ion-exchange chromatography wasperformed as described by Kaji et al. (18) using DEAE-Sephacel(Amersham-Pharmacia, Upsala, Sweden). After application of controland AngII-treated samples, unbound radioactivity was removedfrom the column by washing with 30 ml of wash buffer (8 mol/Lurea, 50 mmol/L Tris [pH 7.5], 2 mmol/L ethylenediaminetetraaceticacid, 0.1 mol/L NaCl, 0.5% Triton X-100). Bound radioactivitywas eluted with a NaCl gradient (0.1 to 0.7 mmol/L in the samebuffer) and quantified by scintillation counting.
Protein Kinase C (PKC) Assay
Serum-starved VSMC were treated with PKC inhibitors for 30 min,washed twice with cold phosphate-buffered saline, and scrapedinto extraction buffer (20 mmol/L Tris [pH 7.5], 0.5 mmol ethyleneglycotetraaceticacid, 0.5 mmol/L ethylenediaminetetraacetic acid , 0.5% TritonX-100, 25 µg/ml aprotinin, 25 µg/ml leupeptin).PKC activity was assayed by following the method of Luo et al.(19).
Northern Blot Analysis
Total RNA was purified from VSMC and VSMC-AT2 cells by the acidguanidine-phenol-chloroform method and quantified by measurementof absorbance of 260 nm in a spectrophotometer. Twenty microgramsof total RNA were denatured with formamide and formaldehydeat 65°C for 10 min and fractionated by electrophoresis througha 1.0% formaldehyde-agarose gel. RNA was stained with ethidiumbromide to verify integrity and equal loading, transferred toa nylon filter (Pall BioSupport, East Hills, NY), and then crosslinkedby using a UV irradiator (Stratagene, La Jolla, CA). Prehybridizationwas conducted at 42°C for 2 h in a buffer containing 6xSSC (0.9 mol/L sodium chloride, 0.09 mol/L sodium citrate [pH7.0]), 5x Denhardts solution (0.1% [wt/vol] polyvinylpyrrolidone,0.1% [wt/vol] ficoll type 400, 0.1% [wt/vol] bovine serum albumin),50% formamide, 0.1% sodium dodecyl sulfate, and sheared, denaturedsalmon sperm DNA (100 µg/ml). The cDNA probe for biglycan(20) was generously provided by Dr. Kevin Dreher (Weis Centerfor Research, Danville, PA) through Dr. Minoru Takagi (Departmentof Anatomy, Nihon University School of Medicine, Tokyo, Japan).Probes for perlecan and versican were obtained by reverse transcriptase-PCR(RT-PCR) as described below. Perlecan sense and antisense primers(21) were 5'-GCTGAGGGCCTACGATGG-3' and 5'-TGCCCAGGCGTCGGAACT-3',corresponding to bases 1 to 18 and antisense of 480 to 496 respectivelyof the previously reported perlecan sequence (RPD-I). Versicansense and antisense primers (22) were 5'-GACTATGGCTGGCACAA-3'and 5'-GTCCTTTGGTATGCAGA-3', which correspond to sense and antisenserespectively, of bases 6813 to 6829 bp and 7371 to 7387 bp inthe rat versican sequence. Reaction products were subclonedinto the plasmid pCDNA3.1His/Topo (Invitrogen, Carlsbad, CA)and sequenced by using an automated sequencer. The 1.1-kb humanGAPDH probe was purchased from Clontech (Palo Alto, CA). Probeswere radiolabeled with -32P dCTP by the random primer synthesismethod (RadPrime DNA Labeling System; Life Technologies BRL,Grand Island, NY). After hybridization, the filter was washedin 0.2x SSC, 0.1% sodium dodecyl sulfate at 42°C. Bandswere visualized, and incorporated radioactivity was quantifiedby scanning with a laser image analyzer (model BAS 2000; FujiFilm, Tokyo, Japan).
Reagents
Cell culture reagents, RT-PCR, and electrophoresis reagentswere obtained from Life Technologies-BRL, Perkin Elmer (Branchburg,NJ), and Biorad (Hercules, CA) respectively. Radiochemicalswere obtained from NEN (Boston, MA). Other chemicals were fromSigma or Calbiochem, unless otherwise stated.
Statistical Analyses
Results are expressed as the mean ± SEM. Statisticalcomparisons were made by ANOVA followed by Fishers posthoc test. Values of P < 0.05 were considered statisticallysignificant.
Effects of AT1 Receptor Stimulation on Proteoglycan Synthesis in VSMC
Preliminary experiments established that the VSMC used in thisstudy expressed only the AT1 receptor subtype, whereas the AT2receptor was not detectable even by RT-PCR assay, as describedpreviously (15,10). When these cells were treated with AngII,a clear increase in proteoglycan synthesis was seen. As shownin Figure 1, AngII stimulation resulted in a time- and dose-dependentincrease (2- to 4-fold) in both cell-associated and secretedproteoglycan synthesis. To characterize the proteoglycans biochemically,the supernatants were pretreated with the enzymes ChondroitinaseABC (to detect CSPG and DSPG), Chondroitinase AC (to detectCSPG), and heparitinase (to detect HSPG). As shown in Table 1,increases in Chondroitinase ABC- and AC- and heparitinase-sensitiveincorporation were readily detectable, suggesting that AngIItreatment resulted in increases in all three classes of GAG(CSPG, DSPG, and HSPG). Figure 2 shows the results of ion-exchangechromatography on media from VSMC treated with or without AngII.Two major peaks were eluted by NaCl gradient. The counts frompeaks I and II were reduced by heparitinase and ChondroitinaseABC treatment, respectively, suggesting that peak I containedpredominantly HSPG whereas peak II contained CS/DSPG, as reportedpreviously (18). Both peaks were increased in the AngII-treatedsamples, further suggesting that the different classes of GAGwere up-regulated by AngII treatment.
Figure 1. Time course (A) and dose dependency (B) of angiotensin II (AngII) type 1 (AT1) receptor-mediated increases in proteoglycan synthesis. Vascular smooth muscle cells (VSMC) were treated with AngII (10-7 mol/L) for various times (A) or various doses of AngII for 48 h (B), and then cell-associated and secreted proteoglycan synthesis were determined as described in Materials and Methods. Results shown are mean ± SEM (n = 4 per assay point). *P < 0.05 versus control; **P < 0.01 versus control.
Figure 2. Analysis of proteoglycans in media from control and AngII-treated VSMC by DEAE-Sephacel (Amersham-Pharmacia) ion-exchange chromatography.
Effects of Inhibitors on AT1 Receptor-Induced Increases in Proteoglycan Synthesis in VSMC
To confirm that the above effects were mediated via the AT1receptor, experiments were performed using AT1 and AT2 receptorantagonists. As shown in Figure 3A, the AngII-mediated increasein proteoglycan synthesis was abolished by pretreatment withthe AT1 receptor-specific antagonist, losartan, and unaffectedby the AT2 receptor-specific antagonist, PD123319, demonstratingthat the changes seen were mediated exclusively by the AT1 receptor.To further characterize the changes mediated by AngII, experimentswere performed with protein kinase C (PKC) and tyrosine kinaseinhibitors. As shown in Figures 3B and 3C, the AT1 receptor-mediatedincrease in proteoglycan synthesis was unaffected by PKC inhibitors,chelerythrine and staurosporine, but completely inhibited bytyrosine kinase inhibitors, herbimycin A and genistein, suggestingthat the changes were mediated by PKC-independent tyrosine kinasepathways. Interestingly, the effects of AngII were also attenuatedby the mitogen-activated protein kinase (MAPK) kinase (MEK)inhibitor, PD98059, and the epidermal growth factor receptor(EGFR) tyrosine kinase inhibitor, AG1478, suggesting the involvementof EGFR tyrosine kinase and MAP kinase pathways in the up-regulationof proteoglycan synthesis mediated by the AT1 receptor. In aseparate series of experiments, the effects of chelerythrineand staurosporine on PKC activity in these cells were assayed.Treatment with these inhibitors resulted in significant reductionsin PKC activity (to 29 ± 3% and 25 ± 9% of controlwith staurosporine and chelerythrine, respectively; n = 4; P< 0.05), providing evidence that PKC activity was suppressedby these agents.
Figure 3. Effects of inhibitors on AT1 receptor-induced increases in proteoglycan synthesis. Cells were pretreated with (A) the AT1 receptor antagonist, losartan (10-6 mol/L), or the AT2 receptor antagonist, PD123319 (10-6 mol/L), (B) the PKC inhibitors, chelerythrine (chele; 1 µmol/L) and staurosporine (stauro; 100 nmol/L), (C) the tyrosine kinase inhibitors, herbimycin A (herb; 1 µmol/L) and genistein (geni; 100 µmol/L), or the epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor, AG1478 (250 nmol/L), or (D) the MEK inhibitor, PD98059 (10 or 30 µmol/L), before stimulation with AngII (10-7 mol/L) for 48 h. Secreted proteoglycan synthesis was then determined as described in Materials Methods. Results shown are mean ± SEM (n = 4 per assay point). *P < 0.05 versus respective groups; **P < 0.01 versus respective groups.
Effects of AT1 Receptor Stimulation on Proteoglycan Core Protein mRNA in VSMC
To further characterize mechanisms involved in AT1 receptor-inducedincreases in proteoglycan synthesis, expression of mRNA of thecore proteins, versican, biglycan, and perlecan, were examinedby Northern blot analysis. As shown in Figure 4, treatment withAngII was found to cause significant (P < 0.05) increasesin versican, biglycan, and perlecan mRNA. To examine the involvementof EGFR-dependent tyrosine kinase pathways in the observed changes,VSMC were pretreated with the tyrosine kinase inhibitor, herbimycinA, the MEK inhibitor, PD98059, the PKC inhibitor, chelerythrine,or the EGFR tyrosine kinase inhibitor, AG1478, before stimulationwith AngII. As shown in Figure 4D, the effect of AngII on biglycanmRNA appeared attenuated by the pretreatments with herbimycinA, PD98059, and AG1478, consistent with the results obtainedby CPC precipitation assay. A similar trend was seen with versicanand perlecan mRNA (data not shown).
Figure 4. Effects of AngII on proteoglycan core protein mRNA in VSMC. VSMC were treated with AngII (10-7 mol/L) for the indicated times, and levels of versican (A), biglycan (B and D), and perlecan (C) mRNA were assayed by Northern blot analysis. (upper panels) representative image; (lower panels) results of laser densitometric quantitation. The concentration of PD98059 was 30 µmol/L. Results shown are mean ± SEM (n = 4 per assay point). *P < 0.05 versus control; **P < 0.01 versus control.
Effects of AT2 Receptor Stimulation on Proteoglycan Synthesis and Proteoglycan Core Protein mRNA in VSMC-AT2
A different approach was used to examine the effects of AT2receptor stimulation on proteoglycan synthesis. First, VSMCwere transfected with the AT2 receptor using retroviral vectorsas reported previously (10). The levels of AT2 receptors wereincreased from 0 to 280 ± 48 fmol/mg protein after retroviraltransfection, whereas levels of AT1 receptor were unchangedat 664 ± 64 fmol/mg protein. These transfected VSMC-AT2cells were therefore used for the studies on the AT2 receptor.As shown in Figure 5A, treatment of these cells with the AT2receptor agonist, CGP42112A, resulted in a small (1.3-fold)but significant increase in proteoglycan synthesis, which wasinhibited by the AT2 receptor antagonist, PD123319. A similareffect was seen when AT2 receptors were stimulated by a combinationof AngII + losartan (Figure 5B). The effects of AT2 receptorstimulation were unaffected by the tyrosine kinase inhibitor,herbimycin, or the EGFR inhibitor, AG1478 (Figure 5C). Moreover,a significant increase was also seen in the presence of theMEK inhibitor, PD98059 (data not shown). In contrast, the effectsof CGP42112A were attenuated by pertussis toxin, suggestingthe involvement of Gi/o-dependent pathways in the observed effects(Figure 5D). Results of Northern blot assays are shown in Figure 6.Expression of the mRNA for perlecan appeared somewhat increased,but the results did not attain statistical significance (Figure 6).
Figure 5. Effects of AT2 receptor stimulation on proteoglycan synthesis in AT2 receptor-expressing VSMC (VSMC-AT2). VSMC-AT2 were treated with (A, C, D) CGP42112A (10-7 mol/L) or (B) AngII (10-7 mol/L) after pretreatment with the AT1 receptor antagonist, losartan (Los, 10-6 mol/L), or the AT2 receptor antagonist, PD123319 (PD, 10-6 mol/L), the tyrosine kinase inhibitor, herbimycin A (herb, 1 µmol/L), the EGFR tyrosine kinase inhibitor, AG1478 (250 nmol/L), or the Gi/o inhibitor, pertussis toxin (200 or 400 ng/ml). Secreted proteoglycan synthesis was then determined as described in Materials and Methods. Results shown are the mean ± SEM (n = 4 per assay point). *P < 0.05 versus respective groups.
Figure 6. Effects of CGP42112A on proteoglycan core protein mRNA in VSMC-AT2. VSMC-AT2 were treated with AngII (10-7 mol/L) for the indicated times, and levels of versican, biglycan, and perlecan mRNA were assayed by Northern blot analysis. (upper panels) representative image; (lower panels) results of laser densitometric quantitation. Results shown are mean ± SEM (n = 4 per assay point).
Description of a Rat Perlecan cDNA Sequence from VSMC
Experiments were performed to confirm the identity of versicanand perlecan cDNA sequences from mRNA expressed in these cells.mRNA was subjected to RT-PCR, and then subcloned into the vectorpcDNA3.1His/topo before sequencing. Sequencing of the versicanplasmid revealed 100% identity to the previously reported versicansequence (22). In contrast, the homology between the VSMC-derivedperlecan domain I cDNA fragment to the previously reported cDNAfrom rat epithelial cells (21) was only 83% at the nucleotidelevel (87% at the amino acid level), whereas the homology tomouse perlecan (23) were 94% and 98% at the nucleotide and aminoacid levels, respectively. To confirm that the results werenot an artifact, experiments were repeated using rat mesangialcells. These sequences were the same, and are presented in Figure 7.
The vasoactive peptide hormone AngII plays a central role inthe control of BP, renal hemodynamics, and fluid homeostasis.In addition, AngII acts directly on the vasculature as a growthfactor and thereby plays an important role in the developmentof vascular hypertrophy and fibrosis and, consequently, of thevascular thickening that is a hallmark of hypertensive and arterioscleroticdisease (24). These pleiotropic actions of AngII are mediatedby AngII receptors located on target tissues. Currently, thestructure of two types of receptors, the AT1 and AT2 receptors,have been determined by molecular cloning. Most of the classicactions of AngII, namely vasoconstriction, stimulation of aldosteronesecretion, and increased renal tubular sodium reabsorption,have been shown to be mediated by the AT1 receptor. In contrast,AT2 receptors have been shown to be involved in vasodilatationand inhibition of natriuresis. AT2 receptors have also beenshown to have antigrowth and apoptotic functions (25,13). Thesefindings have suggested that the AT1 and AT2 receptor functionsmay be predominantly antagonistic to each other and, therefore,that the net effect of AngII stimulation may be determined bythe balance between the actions of these two receptor subtypes.As to the distribution of these receptors in the kidney, studiesfrom our and other laboratories using immunohistochemistry,in situ hybridization, and receptor binding studies have shownthat both AT1 and AT2 receptors are expressed in the blood vesselsof adult kidneys in both rat and humans (26,25,27).
In this study, we tested the hypothesis that both AT1 and AT2receptors may be involved in the control of proteoglycans byVSMC. We found that stimulation of VSMC resulted in an increasein proteoglycan synthesis, as has been reported previously (16).We have shown that our VSMC express exclusively AT1 receptorswith no AT2 receptors detectable by either binding studies (15)or RT-PCR (10); therefore, these results could be assumed toresult from AT1 receptor stimulation. To confirm this assumption,we pretreated cells with the AT1 receptor antagonist losartanand found that the effects of AngII in these cells were totallyinhibited, consistent with an AT1 receptor-mediated mechanism.The actions of AngII on VSMC have been shown to act by bothPKC-dependent and PKC-independent pathways (24). We found thatthe AT1 receptor-mediated enhancement of proteoglycan synthesiswas completely inhibited by tyrosine kinase inhibitors, herbimycinA and genistein, whereas the PKC inhibitors, chelerythrine andstaurosporine, were without effect. Moreover, the actions ofAngII were attenuated by the EGFR tyrosine kinase inhibitor,AG1478, and the MEK inhibitor, PD98059, suggesting the involvementof EGFR-dependent and MAPK-dependent pathways as major mechanismsin the control of proteoglycan synthesis by the AT1 receptor.These results are consistent with the findings of Eguchi etal. (28) and Moriguchi et al. (29), who found that AngII-inducedEGFR transactivation plays a central role in the activationof the Ras-Raf pathway, leading to MAPK activation and stimulationof vascular hypertrophy. Our results suggest that a similarmechanism is involved in the control of proteoglycan synthesisby the AT1 receptor.
We also examined the effects of AT1 receptor stimulation onmRNA expression of the major core proteins expressed in VSMCand found that AngII stimulation resulted in significant increasesin versican, biglycan, and perlecan in these cells. The compositionof the GAG side-chains for each of these core proteins are predominantlyCSPG, CS/DSPG, and HSPG, respectively; therefore, these resultsare consistent with the results of our GAG characterizationassay using the enzymes Chondroitinase ABC and AC and heparitinaseas well as the results of the ion-exchange chromatography. Althoughwe did not examine changes in levels of other enzymes affectingGAG side-chain composition, the fact that the changes in GAGsynthesis paralleled the changes in core protein mRNA is consistentwith the assumption that all three biochemical classes of proteoglycansare up-regulated by AngII treatment. This is important, becauseeach of these proteoglycans has diverse functions in the kidneyand vasculature. Thus, versican has been implicated in the controlof cell attachment and proliferation. Moreover, versican isup-regulated in atherosclerotic lesions, suggesting a role forthis proteoglycan in the development of vascular disease (5).Similarly the expression of the CS/DSPG biglycan has been shownto be increased in atherosclerosis (5) as well as in areas ofmesangial sclerosis and interstitial fibrosis in the kidney(6,7). Perlecan has also been shown to possess both angiogenicand growth-promoting effects (2). The up-regulation of theseproteoglycans by AngII may be one of the important mechanismsby which AngII contributes to the progression of vascular hypertrophyand renal sclerosis. Concerning perlecan, we found that thesequence of our probe had high homology (98%) to amino acids26 to 190 of mouse perlecan (23) but was somewhat differentfrom the sequence previously reported from rat glomerular epithelialcells (21). We are currently performing further studies to investigatethese differences.
We next examined whether AT2 receptor stimulation had any effectson proteoglycan synthesis. Although intact renal blood vesselsexpress both the AT1 and AT2 receptors (26,25,27), VSMC loseAT2 receptors during the cell culture process (10,29); therefore,it has been difficult to directly examine the actions of AT2receptors in vitro. We have reported previously that it is possibleto reintroduce the lost AT2 receptors to VSMC by retroviraltransfection and thereby to directly analyze the actions ofthe AT2 receptor in VSMC (10).
Treatment of these VSMC-AT2 cells with the AT2 receptor-specificagonist, CGP42112A, resulted in different results from thoseseen after AT1 receptor stimulation. Thus we noted a small butsignificant increase in proteoglycan synthesis with similarchanges in proteoglycan core protein synthesis that did notattain statistical significance. Although a large body of evidencesuggests that AT2 receptor actions are predominantly antagonisticto the AT1 receptor, we and others have reported that this maynot always be the case in the vasculature. Specifically, Levyet al. (30) reported that the AT2 receptor antagonist, PD123319,attenuated AngII-induced vascular hypertrophy and fibrosis,a finding that has been corroborated in vivo by Cao et al. (31)and in vitro by our group (10). Moreover Senbnomatsu et al.(32) reported that cardiac hypertrophy induced by pressure overloadwas attenuated in AT2 receptor-deficient mice. These findingschallenge the view that AT2 receptor stimulation acts solelyto attenuate growth and induce apoptosis with beneficial consequencesfor the attenuation of tissue hypertrophy. This is of clinicalimportance because the increase in the use of AT1 receptor antagonistsresults in a feedback increase in the renin-angiotensin systemand enhanced stimulation of unprotected AT2 receptors, the long-termconsequences of which are still unclear (12). Concerning themechanisms of the AT2 receptor-mediated effects, studies fromour and other laboratories have shown that several of the actionsof this receptor may be mediated by Gi/o proteins (13,14), andthe results of this study suggest that Gi/o may also be involvedin the regulation of proteoglycan synthesis by this receptor.Interestingly, we found that the inhibitors that suppressedthe AT1-mediated effects were ineffective in suppressing theAT2-mediated effects, providing further support for the notionthat the signal transduction mechanisms of the two receptorsare quite different.
In summary, the results of this study suggest that multiplemechanisms are involved in the control of proteoglycan synthesisby AT1 and AT2 receptors. These findings are of direct clinicalrelevance in view of the recent increase in the use of angiotensin-convertingenzyme inhibitors and AT1 receptor antagonists in the treatmentof hypertension and renal disease, which results in marked changesin the stimulation of both AT1 and AT2 receptors in target tissues.Proteoglycans play an important role in the pathophysiologyof both renal/vascular fibrosis and proteinuria; therefore,understanding of these mechanisms may be important for designingnewer and better strategies for limiting the progression ofvascular disease and renal failure.
Acknowledgments
This work was supported in part by grants from the Ministryof Education, Science, and Culture of Japan and a grant-in-aidfrom Keio University Medical Science Fund, Japan.
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Received for publication May 1, 2001.
Accepted for publication July 11, 2001.
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