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J Am Soc Nephrol 12:891-899, 2001
© 2001 American Society of Nephrology

Activated Coagulation Factor X: A Novel Mitogenic Stimulus for Human Mesangial Cells

RAFFAELLA MONNO*, GIUSEPPE GRANDALIANO*, ROBERTA FACCIO{dagger}, ELENA RANIERI*, CARMELA MARTINO*, LORETO GESUALDO* and FRANCESCO P. SCHENA*

* Division of Nephrology, Department of Emergency and Transplantation, University of Bari, Bari, Italy.
{dagger} Institute of Human Anatomy, University of Bari, Bari, Italy.

Correspondence to Prof. Francesco P. Schena, Division of Nephrology, Department of Emergency and Transplantation, University of Bari, Polyclinic, Piazza Giulio Cesare, 11, 70124 Bari, Italy. Phone: 39-80-5592237; Fax: 39-80-5575710; E-mail: fp.schena{at}nephro.uniba.it


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Abstract. Intraglomerular activation of the coagulation cascade is a common feature of mesangioproliferative glomerulonephritis. Besides thrombin, very little is known about the cellular effects of other components of the coagulation system. This study investigated the effect of activated factor X (FXa) on cultured human mesangial cells. This serine protease induced a significant and dose-dependent increase in DNA synthesis. In addition to its mitogenic effect, FXa caused a striking upregulation of platelet-derived growth factor (PDGF) A and B chain gene expression. Next, the intracellular mitogenic signaling pathways activated by FXa were investigated. FXa induced a rapid spike in cytosolic calcium concentration followed by a sustained plateau. This response was not influenced by the downregulation of thrombin receptors. In addition, FXa stimulated a significant upregulation of different tyrosine-phosphorylated proteins. One of these phosphorylated cellular proteins was represented by the c-jun N-terminal kinase, a member of the mitogen-activated protein kinase family. To evaluate the role of FXa enzymatic activity and of PDGF autocrine secretion, FXa-induced DNA synthesis was studied in the presence of leupeptin, a specific serine protease inhibitor, and neutralizing anti-PDGF antibody. To investigate the role of tyrosine kinase (TK) activation on FXa mitogenic effect, FXa-stimulated thymidine uptake was evaluated in the presence of genistein and herbimycin A, two powerful and specific TK inhibitors. FXa-elicited DNA synthesis was also examined after protein kinase C (PKC) downregulation by prolonged incubation with phorbol-12-myristate-13-acetate to study the influence of the phospholipase C-PKC axis. The proliferative effect of FXa required its proteolytic activity, and the activation of TK was only partially dependent on PKC activation while it was PDGF independent. Finally, it was shown by reverse transcription-PCR that mesangial cells do not express the signaling splicing variant of the putative FXa receptor, effector protease receptor-1. In conclusion, the present study demonstrated that FXa is a powerful mitogenic factor for human mesangial cells, and it induces its cellular effect not through effector protease receptor-1, but most likely by binding a protease-activated receptor and activating phospholipase C—PKC and TK signaling pathways.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The local activation of the coagulation cascade with consequent intraglomerular thrombosis and fibrin deposition is a common feature of a variety of experimental and human mesangioproliferative glomerulonephritides (1,2,3). Among the components of the coagulation system, thrombin recently has been suggested to play a pivotal role in the abnormal activation of glomerular cells, constantly observed in glomerulonephritides (4). Indeed, this serine protease can induce mitogenesis and growth factor and cytokine secretion in resident glomerular cells interacting with a specific cell surface receptor (4,5,6,7). The unusual proteolytic activation, induced by thrombin itself, of this transmembrane protein is responsible for different intracellular signaling events (8). Since the cloning of thrombin receptor (8), growing interest has been focused on the cellactivating properties of proteases, and in the last few years three more protease-activated receptors (PAR) have been cloned and characterized (9,10,11). The presence of different PAR with similar properties suggests that other coagulation proteases also could share with thrombin the ability to modulate the mechanisms of cell activation. Interestingly, earlier works suggested that activated factor X (FXa), the enzymatically active constituent of the prothrombinase complex responsible for the conversion of prothrombin to thrombin, triggers complex pathways that are involved in the regulation of cellular growth. Binding of FXa to vascular endothelial cells induces the release of platelet-derived growth factor (PDGF)-like molecules, thus providing a paracrine mechanism of cell proliferation (12). Moreover, FXa directly stimulates proliferation of rat aortic smooth muscle cells (SMC) independently from thrombin formation (13). An FXa-specific receptor, effector protease receptor-1 (EPR-1), has been cloned in leukocytes and has been shown to be expressed also by endothelial and SMC, although very little is known about the signaling cascade activated by this receptor, which eventually leads to an FXa mitogenic effect.

The aim of this study was to investigate the effect of FXa on mesangial cell proliferation and to evaluate the potential signaling pathways that are activated by this coagulation factor. Our data demonstrate that FXa induces DNA synthesis and PDGF gene expression in human mesangial cells. Interestingly, the FXa mitogenic action is PDGF independent and most likely involves its binding to a protease-activated receptor with consequent increase in cytosolic calcium ([Ca2+]i) and in tyrosine phosphorylation of cytoplasmic proteins.

Thus, we can propose FXa as a novel growth factor for human mesangial cells (HMC) and support the hypothesis of a pathogenic involvement of this coagulation factor in mesangioproliferative glomerulonephritides.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Reagents
RPMI 1640 medium, trypsin, penicillin, and streptomycin were obtained from Mascia Brunelli (Milan, Italy). Fetal bovine serum, L-glutamine, sodium pyruvate, nonessential amino acids, hirudin, insulin, transferrin, and selenium were from Sigma Cell Culture (Milan, Italy). FXa was purchased from Calbiochem (La Jolla, CA). This preparation was homogeneous and was guaranteed by the manufacturer to contain no detectable thrombin contamination. Bovine thrombin, phorbol-12-myristate-13-acetate (PMA), genistein, leupeptin, fura 2 acetoxymethylester, and ionomycin were from Sigma Chemical Co. (Milan, Italy). Neutralizing polyclonal rabbit anti-human PDGF AB antibody was from Genzyme (Cambridge, MA). The monoclonal antiphosphotyrosine antibody Py20 was obtained from Upstate Biotechnology Inc. (Lake Placid, NY). The monoclonal anti-phospho jun N-terminal kinase (JNK) was purchased from USB (Cleveland, OH). The horseradish-peroxidase-conjugated sheep anti-mouse antibody was supplied from ECL (Amersham, UK). [32P]dCTP and [methyl-3H]-thymidine were purchased from Amersham. All other chemicals were reagent grade.

Cell Isolation and Culture
Normal-appearing portions of human kidneys that were surgically removed for renal carcinoma were used to culture mesangial cells from outgrowths of collagenase-treated glomeruli. HMC were established and characterized as previously reported (14). Cells were grown until confluent in RPMI 1640 medium supplemented with 17% heat-inactivated fetal bovine serum (FBS), 100 U/ml penicillin, 100 µg/ml streptomycin, 2 mM L-glutamine, 2 mM sodium pyruvate, 1% (vol/vol) nonessential amino acids, 5 µg/ml insulin, 5 µg/ml transferrin, and 5 ng/ml selenium. For passage, confluent cells were washed with PBS, removed with 0.025% trypsin/0.5 mM ethylenediaminetetraacetate (EDTA) in PBS and plated in RPMI. Experiments included in this study were performed on cells between the 5th and 10th passages.

Culture Condition and Cell Growth
DNA synthesis was measured as the amount of [methyl-3H]-thymidine incorporated into trichloroacetic acid (TCA)-precipitable material as described previously (14). Briefly, cells were plated in 24-well dishes at a density of 4 x 104/well, grown to confluence, and made quiescent by placing them in serum-free medium for 48 h. Before the serum-free medium was added, the cells were washed three times with PBS to avoid any possible contamination with thrombin and/or prothrombin present in the FBS. Then cells were incubated with FXa at the indicated concentrations for 24 h at 37°C. In a separate set of experiments, cells were preincubated with 10-7M PMA for 48 h, with genistein (25 µM) for 18 h, or with leupeptin (1 µg/ml) or neutralizing polyclonal rabbit anti human PDGF AB antibody (50 µg/ml) for 30 min before adding FXa for 24 h. At the end of the incubation period, cells were pulsed for 4 h with 1.0 µCi/ml 3H-thymidine. The medium then was removed, and the cells were washed twice in ice-cold 5% TCA and incubated in 5% TCA for 5 min. The cell layers were solubilized by adding 0.75 ml of 0.25 N NaOH in 0.1% sodium dodecyl sulfate (SDS). Half milliliter aliquots were then neutralized and counted in scintillation fluid using a ß counter.

RNA Isolation and Northern Blot Analysis
For each experiment, 2 x 106 cells were plated in 75-mm2 flasks and cultured as detailed above. After reaching confluence, HMC were serum-starved for 48 h and then incubated for the indicated time periods in serum-free insulin-free RPMI 1640 containing 10 nM FXa. At the end of incubation, cells were lysed with 4 M guanidium isothiocyanate containing 25 mM sodium citrate (pH 7.0), 0.5% sarcosyl, and 0.1 mM 2-ß-mercaptoethanol. Total RNA was isolated by the single-step method, using phenol and chloroform/isoamylalcohol (15).

PDGF A chain gene expression was studied by Northern blotting as described previously (6). Briefly, electrophoresis of 20 µg of total RNA from each experimental condition was carried out in 1 % agarose gel with 2.2 M formaldehyde. The gel was transferred overnight to a nylon membrane (Schleicher & Schuell, Dassel, Germany). The membrane was stained with ethidium bromide to evaluate the 28-S and 18-S bands and then prehybridized at 42°C for 2 h in 50% Formamide, 0.5% SDS, 5x SSC, and 0.1 mg/ml salmon sperm DNA. The cDNA probe used was a 1.3-kb fragment encoding the human PDGF A chain isolated from pGEM1 plasmid with EcoRI. The probe was labeled by random priming using a commercially available kit (Amersham) and [32P]dCTP (specific activity, 3000 Ci/mmol). The 32P-labeled probe (106 cpm/ml) was added to 10 ml of prehybridization solution, and the blots were hybridized for 16 h at 42°C. The membranes were then washed once in 2x SSC, 0.1% SDS at room temperature for 5 min, once in the same buffer at 55°C for 30 min, and in 1x SSC, 0.1% SDS at 55°C for another 30 min. After drying, membranes were exposed to a Kodak X-OMAT film with intensifying screens at -70°C.

Reverse Transcription-PCR
HMC express extremely low levels of PDGF B chain-specific transcript, which do not allow for conventional Northern blot analysis. Therefore, in preliminary experiments, we tried to analyze the target gene expression using a highly sensitive and specific RNase protection assay performed exactly as described previously (16). Unfortunately, this technical approach also failed to identify measurable amounts of PDGF B chain mRNA in 100 µg of total RNA extracted from unstimulated cells. Thus, we resolved to address this issue by adopting a semiquantitative reverse transcription-PCR (RT-PCR), which allowed us to compare the relative amounts of target gene transcripts in the different experimental conditions selected.

One µg of total RNA from cultured HMC was used in an RT reaction. Twenty µ1 of the reaction mixture containing 1 µg of total RNA, PCR buffer (10 mM Tris-HCl [pH 8.3], 50 mM KCl), 5 mM MgCl2, 1 mM dNTPs, 20 U of RNase inhibitor, 2.5 mM oligo (dT), and 100 U of Moloney murine leukemia virus reverse transcriptase were inactivate the enzyme activity and to denature RNA-cDNA hybrids. All samples were reverse transcribed in the same set of experiments, and the efficiency of the reaction was checked by glyceraldehyde phosphate dehydrogenase (GAPDH) amplification.

PCR was performed with two separate sets of oligonucleotide primers, specific for human PDGF B chain and GAPDH, respectively: PDGF B chain: 5'-ATG CTG AGT GAC CAC TCG-3' upstream, 5'-CCT GAA TTT CCG GTG CTT GCC-3' downstream; GAPDH: 5'-TGG TAT CGT GGA AGG ACT CAT GAC-3' upstream, 5'-ATG CCA GTG AGC TTC CCG TTC AGC-3' downstream.

PDGF B chain or GAPDH cDNA amplification was performed in two separate sets of reactions at a final concentration of 1x PCR buffer, 1.5 mM MgCl2, 200 µM dNTPs, 0.15 µM PDGF B primers or 0.15 µM GAPDH primers, and 1.25 U of AmpliTaq DNA polymerase (Perkin Elmer Cetus, Norwalk, CT), in a total volume of 50 µl. The amplification profile involved denaturation at 95°C for 1 min, primer annealing at 61°C for PDGF B or at 55°C for GAPDH for 1 min, and extension at 72°C for 1 min. PCR products were electrophoresed in 1.6% agarose gel in Tris borate/EDTA buffer, loading 10 µl of either PDGF B or GAPDH PCR products for each sample. The expected size of the amplified fragments was 588 bp and 450 bp for PDGF B chain and GAPDH, respectively.

In a separate set of experiments, total RNA from growing HMC was reverse transcribed as described and amplified using the following sets of primers specific for human EPR-1 and ß-actin: EPR-1: 5'-TTACGCCAGACTTCAGCCTG-3' upstream, 5'-TGGGTAACAGTGGCTGCTTC-3' downstream; ß-actin: 5'-GGCATCGTGATGGACTCCG-3' upstream, 5'-GCTGGAAGGTGGACAGCGA-3' downstream. The expected size of the fragments was 295 bp and 746 bp for the two EPR-1 transcripts and 700 bp for ß-actin.

Western Blot Analysis
HMC were grown in 60-mm2 Petri dishes to confluence in RPMI containing 17% FBS. The cell monolayer was incubated 48 h in serum-free medium and then exposed to 10 nM FXa for the indicated time periods. At the end of the treatment, the cell monolayer was rinsed rapidly twice with ice-cold PBS and lysed in 100 µl of RIPA buffer (1 mM phenylmethylsulphonyl fluoride, 5 mM EDTA, 1 mM sodium orthovanadate, 150 mM sodium chloride, 8 µg/ml leupeptin, 1.5% nonidet P-40, 20 mM tris-HCl [pH 7.4]). The lysates were set on ice for 30 min and centrifuged at 12,000 x g at 4°C for 5 min, and the supernatants were collected and stored at -80°C until used. Aliquots containing 7.5 µg of proteins from each lysate were subjected to SDS-polyacrylamide gel electrophoresis on 7.5% gels under reducing conditions and then electrotransferred onto nitrocellulose membranes (Hybond C; Amersham). After blocking nonspecific binding through incubation with 2% bovine serum albumin and 0.1% Tween-20 in PBS (TBS) overnight at room temperature, the membranes were incubated with monoclonal antiphosphotyrosine antibody Py20 at room temperature for 4 h. The membranes were washed twice in TBS and then incubated with horseradish-peroxidase-conjugated sheep anti-mouse antibody at 1:1500 dilution in 0.1% tween-20 in PBS for 2 h at room temperature. The membranes were washed three times at room temperature in TBS and then once with 0.1% SDS in PBS. The ECL enhanced chemiluminescence system was used for detection.

Immunoprecipitation and Anti-Phospho JNK Immunoblotting
Confluent HMC in 60-mm2 culture dishes were placed in serumfree medium for 48 h. FXa was then added for the indicated time periods. Cells were washed twice with ice-cold PBS and lysed with RIPA buffer for 30 min at 4°C. The cell lysate was centrifuged at 10,000 x g for 30 min at 4°C. A total of 100 µg of protein from the supernatant first was incubated with antiphosphotyrosine antibodies for 2 h on a rocking platform at 4°C and then with agarose-linked protein A for 2 h at 4°C. The immunobeads were washed twice with RIPA buffer and twice with 0.5 mM LiCl, 0.1 mM Tris-HCl (pH 7.5), and 1 mM sodium orthovanadate. The beads were then resuspended in sample buffer and boiled. The immunoprecipitated proteins were separated by electrophoresis on a 10% polyacrylamide gel and transferred onto a nitrocellulose membrane. The membrane was blocked as described and incubated with mouse anti-phospho JNK antibody (1:500) for 4 h at room temperature, washed, and incubated with horseradish peroxidase-conjugated rabbit anti-mouse IgG antibody (1:1500). The ECL enhanced chemiluminescence system was used for detection.

Measurements of [Ca2+]i
[Ca2+]i was measured at 37°C by dual-wavelength fluorescence microscopy in groups of 7 to 10 cells loaded with the Ca2+ -sensitive indicator fura 2, as described previously (17). Briefly, cells seeded at a density of 2 x 104/24 mm diameter round glass coverslips were loaded with 3 to 10 µm of fura 2 acetoxymethylester in serum-free medium at 37°C and 5% CO2 for 60 min. Coverslips were rinsed twice and then incubated subsequently with FXa and thrombin at 37°C in Krebs-Ringer-HEPES buffer (125 mm NaCl, 5 mm KCl, 1.2 mm KH2PO4, 1.2 mm MgSO4, 2 mm CaCl2, 265 mm HEPES, 6 mm glucose). Cells were not washed between the two different stimuli. [Ca2+]i-dependent fluorescence was measured with a microfluorometer (Cleveland Bioinstrumentation, Cleveland, OH) connected to a Zeiss IM35 inverted microscope equipped with a Nikon CF X40 fluor objective. Recordings were performed at 340- and 380-nm excitation wavelengths (bandwidth, 0.5 nm). Emission was collected by a photomultiplier carrying a 505-nm cutoff filter. Emission from 340 and 380 nm and real-time 340- to 380-nm ratios were recorded by a specific softwere (Labview, National Instruments Corporation, Austin, TX). In each experiment, the maximal fluorescence ratio was determined by addition of Ca2+ ionophore ionomycin, and the minimal fluorescence ratio was determined by addition of 7.5 mM ethyleneglycol-bis(ß-aminoethyl ether)-N,N'-tetraacetic acid and 60 mM Tris (hydroxymethyl) aminomethane HCl (pH 10.5). Fura 2 dissociation constant was assumed to be 224 nM. [Ca2+]i was calculated using previously described formulas (18).

Statistical Analyses
Data are presented as mean ± SD. Data were compared using ANOVA or two-tailed unpaired t test, as appropriate. P < 0.05 was considered significant.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Mitogenic Effect
We first evaluated whether FXa had an effect on HMC proliferation. Twenty-four h of incubation with this serine protease induced a dose-dependent increase in DNA synthesis, as shown by [3H]-thymidine incorporation (Figure 1). A significant increase over the basal counts occurred with concentrations of 2.5 nM and peaked at 20 nM. Higher concentrations of FXa did not cause any further upregulation of DNA synthesis (data not shown).



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Figure 1. Activated factor X (FXa)-induced [3H] thymidine incorporation into human mesangial cell (HMC) DNA. Mesangial cells were made quiescent by incubation in serum-free, insulin-free medium for 48 h, exposed to FXa for a total of 24 h and then pulsed with [3H] thymidine for 4 h. DNA synthesis, measured as described in the Materials and Methods section, was expressed in cpm (count per min)/well. Data represent means ± SD (n = 3, each point in quadruplicate). *, P < 0.001 versus basal.

 

Effects on [Ca2+]i Mobilization
Activation of the four known PAR results in the inducation of phospholipase C (PLC) activity with the subsequent increase in intracellular calcium concentration (8,9,10,11). To investigate the intracellular mitogenic signaling pathways elicited by FXa, we studied the activation of PLC indirectly by measuring the cytosolic calcium levels in groups of 7 to 10 human mesangial cells stimulated with FXa (10 nM). Increases in [Ca2+]i rapidly occurred, peaked within a few minutes, and declined slowly to reach a plateau at a slightly elevated steady-state level, which was maintained for several minutes (Figure 2A). After the early response to FXa was exhausted, the same cells were stimulated with thrombin (10 U/ml) to evaluate the activation and consequent downregulation of thrombin receptors by FXa in HMC. The FXa-stimulated cells were still responsive to thrombin, which induced an increase in [Ca2+]i following a kinetic similar to that previously described (4). The response mirrored the pattern described for FXa stimulation but with a higher peak and a more sustained plateau. To confirm the ability of FXa to elicit a [Ca2+]i spike despite the downregulation of thrombin receptors, we repeated the same experiments exposing the cells first to thrombin and then to FXa. The downregulation of thrombin receptors did not influence the cells' responsiveness to FXa (Figure 2B). Conversely, both FXa and thrombin completely downregulated their own response in HMC (Figure 2, C and D).



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Figure 2. Stimulation of cytosolic-free calcium ([Ca2+]) by FXa (10 nM) and thrombin (5 U/ml) (A) and vice versa (B), in groups of 7 to 10 cultured HMC. In each set of experiments (n = 6), the different stimuli were added at the indicated time (FXa, arrow; thrombin, arrowhead), without washing cells between the addition of the two proteases. Note that FXa stimulates a quick increase in [Ca2+] both before and after thrombin stimulation (A and B). (C and D) FXa and thrombin, respectively, were added twice to the cells at the indicated time.

 

Effect of FXa on Intracellular Tyrosine Kinases
Tyrosine phosphorylation is a key event in the intracellular signaling of different mitogens (19). Recently, non-tyrosine kinase (non-TK) receptor agonists, including thrombin, were shown to induce tyrosine phosphorylation of several cellular proteins (19). Therefore, the ability of FXa to induce the activation of intracellular TK was evaluated by immunoblotting using a specific monoclonal antiphosphotyrosine antibody. FXa (10 nM) caused a time-dependent increase in tyrosine phosphorylation of a panel of cellular proteins. The apparent molecular weight of the most prominent tyrosine-phosphorylated proteins was 140, 100, 80, 60, and 44 kD (Figure 3).



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Figure 3. Effect of FXa on protein-tyrosine phosphorylation (A and B). Confluent quiescent HMC were stimulated with FXa (10 nM) for 5, 15, 30, and 60 min and then lysed. Proteins (7.5 µg) from cell lysate were separated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE). Proteins were electrotransferred onto a nitrocellulose filter and probed with mouse monoclonal antiphosphotyrosine antibody, as described in the Materials and Methods section. Molecular mass markers are on the left (in kD). Arrows, on the right, indicate the most prominent tyrosine phosphorylated proteins whose apparent molecular weight were 140, 100, 80, 60, and 44 kD.

 

FXa has been shown to activate p44 mitogen-activated protein kinase in different cell types. In an attempt to identify one of the TK substrates phosphorylated in response to FXa, we blotted the antiphosphotyrosine immunoprecipitate with a specific anti-phospho JNK antibody, recognizing the activated JNK, another member of the MAP kinase family. As shown in Figure 4, FXa caused a rapid and significant increased in phosphorylated JNK in the antiphosphotyrosine immunoprecipitate, strongly suggesting a TK-dependent activation of this signaling enzyme induced by FXa.



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Figure 4. FXa-induced jun N-terminal kinase (JNK) phosphorylation in HMC. Confluent quiescent HMC were stimulated with FXa (10 nM) for the indicated time periods and then lysed. Equal amounts of protein from each cell lysate were immunoprecipitated with antiphosphotyrosine antibody, separated by SDS-PAGE, transferred onto nitrocellulose filters, and probed with anti-phospho JNK antibody as described in the Materials and Methods section. Molecular markers are shown on the left. Representative of three experiments.

 

Effect of FXa on PDGF mRNA Expression
PDGF is one of the most powerful growth factors for HMC, and most of the other mitogens, including thrombin, induce the expression of its two subunits (4, 20). We sought to determine whether FXa was able to stimulate PDGF A and B chain gene expression in quiescent HMC. Figure 5 demonstrates the time course of changes that occurred in PDGF A chain mRNA expression, studied by Northern blotting, in HMC exposed to FXa (10 nM). When compared with control cells, FXa-stimulated HMC exhibited a marked increase of PDGF A chain mRNA starting at 3 h, with a peak at 6 h, returning to near basal levels by 12 h and increasing again at 24 h without reaching the maximum expression found at 6 h. Then, we determined the effect of FXa on PDGF B chain mRNA. As shown in Figure 6, FXa also induced PDGF B chain mRNA expression with a peak at 6 h and a subsequent reduction to basal level after 12 h.



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Figure 5. FXa-induced platelet-derived growth factor (PDGF) A chain gene expression in HMC. Quiescent mesangial cells were incubated with FXa (10 nM) and harvested after 0, 3, 6, 12, and 24 h, and then total RNA was extracted. PDGF A chain mRNA expression was studied by Northern blot analysis (upper panel). 28-S and 18-S ribosomal RNA bands on ethidium bromide-stained gel were used to control the RNA loading (lower panel).

 


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Figure 6. FXa -induced PDGF B chain gene expression in HMC. Quiescent mesangial cells were incubated with FXa (10 nM) and harvested after 0, 3, 6, 12, and 24 h, and then total RNA was extracted. PDGF B chain mRNA was detected by reverse transcription-PCR (RT-PCR; upper panel), and signals revealed were normalized to the expression of glyceraldehyde phosphate dehydrogenase (GAPDH; lower panel). Representative of three experiments.

 

Regulation of FXa-Induced Mitogenesis
To determine whether the enzymatic activity of FXa was necessary to elicit the mitogenic effect observed, we evaluated the effect of a specific serine-protease inhibitor, leupeptin, on DNA synthesis stimulated by FXa. Leupeptin at the concentration of 1 µg/ml completely abolished the increase in thymidine uptake induced by FXa (Figure 7) without affecting the basal level (data not shown). To investigate whether FXa mitogenic effect was dependent on thrombin release, we used a specific thrombin inhibitor, hirudin. This antithrombin molecule at the concentration of 20 UI/ml did not affect FXa-induced DNA synthesis (Figure 7).



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Figure 7. Regulation of FXa-induced DNA synthesis in HMC. Quiescent confluent mesangial cells were respectively co-incubated with leupeptin (leu, 1 µg/ml) and with a polyclonal neutralizing antihuman PDGF antibody (PDGF ab, 50 µg/ml) and preincubated for 18 h with genistein (gen, 25 µM) and 48 h with phorbol-12-myristate-13-acetate (PMA) (10-7 M), before the addition of FXa (10 nM). DNA synthesis was measured as the amount of [3H] thymidine incorporation in trichloroacetic acid —insoluble precipitate as described in the Materials and Methods section. Data represent means ± SD (n = 3, each point in quadruplicate). *, P < 0.001 versus basal; **, P > 0.001 versus FXa.

 

Because FXa induced both PDGF A and B chain mRNA expression in human mesangial cells, we investigated whether its proliferative effect was dependent on the autocrine effect of PDGF. For this purpose, we studied FXa-induced DNA synthesis in HMC in the presence of a polyclonal neutralizing anti-human PDGF antibody (50 µg/ml) coincubated with FXa (10 nM). No significant reduction was observed in FXa-triggered thymidine incorporation (Figure 6), whereas the mitogenic response to PDGF AB (10 ng/ml) was completely abolished (control, 555 ± 50; PDGF AB, 2400 ± 320; PDGF AB + neutralizing antibody, 625 ± 115).

To understand the role of the increased calcium mobilization and protein tyrosine phosphorylation in FXa-induced mitogenesis in HMC, we examined the effect of Ca2+-dependent protein kinase C (PKC) downregulation and TK inhibition on DNA synthesis stimulated by FXa. The PKC downregulation, obtained as previously demonstrated (21), by a prolonged preincubation with PMA, significantly, although not completely, reduced thymidine uptake stimulated by FXa (Figure 7). Finally, genistein, an isoflavone compound that specifically inhibits TK, only partially reduced FXa-induced DNA synthesis (Figure 7), whereas a more pronounced and significant inhibition was observed with herbimycin A, a more powerful TK inhibitor.

EPR-1 Expression in HMC
Several reports support the hypothesis that the transmembrane protein EPR-1 is the potential FXa receptor. Interestingly, EPR-1 gene transcript undergoes an alternative splicing with the production of two mature mRNA, the longer one encoding a nuclear protein and the shorter the potential FXa receptor. We then investigated by RT-PCR whether HMC express EPR-1. HepG2, a hepatocarcinoma cell line, express both EPR-1 isoforms, whereas in human mesangial cells we observed only the expression, at very low levels, of the transcript encoding the nuclear protein (Figure 8).



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Figure 8. Effector protease receptor-1 (EPR-1) expression in HMC. Growing mesangial cells and HepG2, a hepatocarcinoma cell line (positive control), were harvested and total RNA was extracted as described in the Materials and Methods section. EPR-1 chain mRNA was detected by RT-PCR. HMC express very low levels of the longer transcript (lane 1), whereas HepG2 present both of the EPR-1 transcripts (lane 2). In the lanes 4 (mesangial) and 5 (HepG2), the ß-actin expression is observed in the same samples. The molecular marker is in lane 3. Molecular weights of the amplified bands are indicated. Representative of three experiments.

 


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The property of thrombin to influence pleiotropic cell functions (22) through the interaction with its proteolytically activated receptor (23) and the recent discovery of other PAR (9,10,11) have directed us toward the hypothesis that other coagulation proteases may regulate the mechanisms of cell activation. The increasing interest in clotting proteases has driven us to consider these enzymes as growth factors, leading to the demonstration of an FXa-proliferative effect on aortic SMC (13, 24) and factor XII mitogenic action on several target cells (25).

The availability of these factors in the glomerular microenvironment is indicated by the presence of prominent fibrin deposits during several forms of glomerular diseases (3). Despite this observation, the possible role of the coagulation proteases in the activation of glomerular cells is still largely unknown. Mesangial cells are specialized glomerular pericytes that are intimately involved in the hemodynamic regulation of the glomerular microvascular bed. Proliferation of these cells is a histopathologic hallmark of a variety of experimental and human glomerular diseases, and it has been implicated in the progression of glomerular injury toward sclerosis. The data reported in this study demonstrate, for the first time, that FXa activates HMC, inducing mitogenesis and PDGF A and B chain gene expression. Interestingly, FXa exerts its proliferative effect at doses even lower than its physiologic plasma concentrations (15 to 75 nM), with a significant increase in thymidine uptake starting at 2.5 nM. Therefore, we can hypothesize that in vivo, the small amounts of FXa locally produced by activating the coagulation system during glomerular damage could be sufficient to induce mitogenesis in HMC.

PDGF is the most powerful mitogen for HMC (26), and its synthesis always has been associated in vitro as well as in vivo with the proliferation of this cell line (20). Indeed, an increased expression of PDGF B chain and PDGF ß receptor has been demonstrated in experimental and human mesangioproliferative glomerulonephritis (27,28,29,30). Although earlier data (12), confirmed by recent findings (24), showed that FXa stimulates the release of PDGF from endothelial and vascular SMC, the effect of this serine-protease on PDGF A and B chain gene expression has not yet been investigated. Ko et al. (24) suggested that all of the effects induced by FXa in rat SMC were due to the release of PDGF, because neutralizing anti-PDGF antibodies were able to abolish any cell response to this factor. We excluded that FXa-induced HMC proliferation was caused by an autocrine effect of PDGF de novo synthesized or released by intracellular storage. Although FXa-induced thymidine uptake in the presence of a polyclonal anti-human PDGF antibody was not reduced significantly, we could not exclude an intracytoplasmic autocrine loop. However, our data on FXa-induced tyrosine phosphorylation do not reveal the presence of a phosphorylated protein of 170 kD corresponding to PDGF receptors. In addition, we found that anti-PDGF antibody does not inhibit FXa-induced tyrosine phosphorylation, further supporting the hypothesis that PDGF molecules eventually available are not responsible for cellular response mediated by tyrosine phosphorylation. Conversely, we cannot rule out definitively a role for other growth factors that potentially are secreted in response to FXa, including bFGF. However, the signaling events observed within a few minutes or seconds after the addition of FXa to the culture medium strongly suggest that this protease may stand on its own as a mitogenic factor.

Once a direct FXa mitogenic effect on HMC was demonstrated, the next question to answer concerned the receptor used and the intracellular signaling pathways elicited by this serine protease. Recently, Altieri (31) cloned in a leukemia cell line a cell surface receptor, called EPR-1, that specifically binds FXa. This receptor presents a single transmembrane domain and a short cytoplasmic tail with different potential serine-phosphorylation sites. Herbert et al. (32) demonstrated in human aortic SMC that a blocking anti—EPR-1 antibody is able to inhibit FXa-induced rabbit SMC growth. However, our cells do not express EPR-1 as demonstrated by RT-PCR. This finding, together with the observation that a nonspecific protease inhibitor completely blocks the mitogenic effect of FXa, suggests the potential involvement of a protease-activated receptor. There is now a growing interest in PAR that, for their structure and functions, belong to the G protein-coupled receptor superfamily. Besides the first thrombin receptor, in the last few years, three more PAR have been cloned and characterized (9,10,11). Two of these transmembrane proteins can interact specifically with thrombin, although they are not expressed at the renal level. These receptors, activated through limited proteolysis of the amino-terminal sequence, are able to induce an increase in [Ca2+]i (4,5,6), the activation of PKC (21), the modulation of gene expression, and the synthesis of DNA (22). We investigated whether the proteolytic activity of FXa was necessary to elicit the mitogenic effect on HMC. The complete abolition of FXa-induced DNA synthesis by leupeptin, a specific serine protease inhibitor, indicates that this enzyme requires its enzymatic activity to trigger cellular response. This observation suggests the interaction with a membrane receptor whose activation would occur by a proteolytic cleavage. Activation of all four known PAR results in the induction of PLC activity with subsequent intracellular calcium mobilization (8,9,10,11). We demonstrated for the first time that FXa stimulates an increase in [Ca2+]i at physiologic concentrations in HMC. The kinetics observed mirrored the one described previously for thrombin (4). FXa induced, within 1 min, a peak followed by a plateau at a slightly elevated steady-state level. This suggests an early release from intracellular stores and a later influx of extracellular calcium. Interestingly, we observed that HMC, soon after stimulation with FXa at doses that maximally induced DNA synthesis, maintain their responsiveness to thrombin. On the basis of this observation, it is conceivable that FXa does not occupy the same thrombin receptor(s), which therefore remain available to interact with this serine protease and to induce a spike of [Ca2+]i. As expected, stimulation of HMC first with thrombin and then with FXa showed the same pattern of [Ca2+]i release observed using the opposite experimental conditions. This finding strongly supports the involvement of two different classes of receptors in the cell interaction with these serine proteases. Indeed, Vu et al. (8) demonstrated that thrombin receptor, PAR-1, PAR-3, and PAR-4 are highly specific for thrombin and are poorly activated by other proteases. Nystedt et al. (9) found that PAR-2 is specifically activated by trypsin. Thus, another unknown PAR could be involved in the FXa-induced cellular effects.

The activation of PLC in FXa-stimulated HMC demonstrated indirectly by the [Ca2+]i mobilization leads to PKC activation. To evaluate the involvement of Ca2+-dependent PKC in HMC proliferation induced by FXa, we downregulated it by a prolonged preincubation with PMA (21), finding a significant but not complete reduction of mitogenesis. This observation suggests an involvement of Ca2+-dependent PKC but does not exclude that other PKC isozymes, not affected by PMA preincubation, such as PKC{zeta} (21), could be responsible of the residual mitogen effect. Interestingly, downregulation of PKC in the presence of PMA did not result in any significant effect on thrombin-induced DNA synthesis (21), suggesting a divergence in the intracellular pathways elicited by these two serine proteases.

Because the activation of the PLC-PKC axis could not explain fully the mitogenic effect of FXa, we sought to investigate possible influence of FXa-cell interaction on tyrosine kinase activation, a key intracellular pathway leading to mitogenesis. Increasing evidence demonstrates that a variety of agonists, including thrombin, in addition to activating the G-protein cascade, require tyrosine phosphorylation to induce mitogenesis (33,34,35). Our data demonstrate that FXa causes a time-dependent increase in tyrosine phosphorylation of a panel of HMC proteins, and this intracellular event is necessary for the FXa mitogenic effect. Indeed, the TK inhibitor genistein reduced significantly, although not completely, FXa-induced DNA synthesis. The possible interaction between PLC-PKC and TK signaling pathways remains unclear. In mesangial cells, thrombin-induced intracellular calcium mobilization is unaffected by TK inhibition (36). However, it has been reported that an increase in intracellular calcium, caused by angiotensin II or by a calcium ionophore, stimulates the tyrosine phosphorylation of several cellular proteins (37). Because FXa-induced tyrosine phosphorylation does not occur rapidly but has slow kinetics, it is conceivable that a cytoplasmic TK could be activated by an increase in [Ca2+]i concentration through a calcium-binding regulatory protein.

Although the precise identity of most tyrosine phosphorylated proteins remains to be determined, the 44- to 46-kD protein most likely may represent one of the MAP kinase isoforms. Indeed, extracellular signal-regulated kinase-1 activation by FXa was demonstrated in rat vascular SMC mitogenesis (24). Interestingly, FXa in HMC induces the phosphorylation of another kinase belonging to the MAP kinase superfamily, JNK. JNK is a downstream target of several cytoplasmic TK and can activate, through jun phosphorylation, the transcription factor activator protein-1 that, in turn, can modulate the expression of several genes (38).

In conclusion, we demonstrated for the first time that FXa is a powerful mitogenic stimulus for HMC and induces PDGF A and B chain gene expression. Its proliferative effect, requiring its proteolytic activity, may be mediated by a protease-activated receptor through the activation of the PLC-PKC and TK signaling pathways. Our findings suggest that FXa, through the biologic effects described here, could be responsible for the activation of mesangial cells during glomerular injury.


    Acknowledgments
 
This study was presented at the 30th Annual Congress of The American Society of Nephrology, held in San Antonio, TX, November 2 to 5, 1997. It was supported partly by the Baxter Extramural grant (eight round, 1996 to 1998), the Associazione per il Progresso Scientifico in Nefrologia e Trapianto (APSNT), the Consiglio Nazionale delle Ricerche (CNR) (96.3476), the CNR target project on Biotechnology, and by grants from the Ministero dell' Universita' e della Ricerca Scientifica e Tecnologica (40%: 96.746, 96.7404). We thank the skillful technical experience of Michele Ursi.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Kincaid Smith P: Coagulation and renal disease. Kidney Int 2: 183-190,1972[Medline]
  2. Hancock W, Atkins R: Activation of coagulation pathways and fibrin deposition in human glomerulonephritis. Semin Nephrol5 : 69-77,1985[Medline]
  3. Takemura T, Voshiaka K, Akano N, Miyamoto H, Matsumoto K, Maki S: Glomerular deposition of cross-linked fibrin in human kidney disease. Kidney Int 32:102 -111, 1987[Medline]
  4. Shultz PJ, Knauss TC, Mené P, Abboud HE: Mitogenic signals for thrombin in mesangial cells: Regulation of phospholipase C and PDGF genes. Am J Physiol257 : F366-F374,1989[Abstract/Free Full Text]
  5. He CJ, Peraldi MN, Adida C, Rebibou JM, Meulders Q, Sraer JD, Rondeau E: Thrombin signal transduction mechanisms in human glomerular epithelial cells. J Cell Physiol150 : 475-483,1992[Medline]
  6. Grandaliano G, Poptic E, Barnes J, Choudhury GG, Woodruff K, Abboud HE: Thrombin stimulates platelet-derived growth factor production in cultured bovine glomerular endothelial cells. J Am Soc Nephrol9 : 583-589,1998[Abstract]
  7. Grandaliano G, Valente AJ, Abboud HE: A novel biologic effect of thrombin: Stimulation of monocyte chemotactic peptide-1 production. J Exp Med 179:1737 -1741, 1994[Abstract/Free Full Text]
  8. Vu TKJ, Hung DT, Wheaton VI, Coughlin SR: Molecular cloning of a functional thrombin receptor reveals a novel proteolytic mechanism of receptor activation. Cell 64:1057 -1068, 1991[Medline]
  9. Nystedt S, Emilsson K, Wahlestedt C, Sundelin J: Molecular cloning of a potential proteinase activated receptor. Proc Natl Acad Sci USA 91:9208 -9212, 1994[Abstract/Free Full Text]
  10. Ishihara H, Connolly AJ, Zeng D, Kahn ML, Zeng YW, Timmons C, Tram T, Coughlin SR: Protease-activated receptor 3 is a second thrombin receptor in humans. Nature 386:502 -506, 1997[Medline]
  11. Xu Wf, Andersen H, Whitmore TE, Presnell SR, Yee DP, Ching A, Gilbert T, Davie EW, Foster DC: Cloning and characterization of human protease-activated receptor 4. Proc Natl Acad Sci USA95 : 6642-6646,1998[Abstract/Free Full Text]
  12. Gajdusek C, Carbon S, Ross R, Nawroth P, Stern DM: Activation of coagulation releases endothelial cell mitogens. J Cell Biol 103:419 -420, 1986[Abstract/Free Full Text]
  13. Gasic GP, Arenas CP, Gasic TB, Gasic GJ: Coagulation factors X, Xa, and protein S as potent mitogens of cultured smooth muscle cells. Proc Natl Acad Sci USA 89:2317 -2320, 1992[Abstract/Free Full Text]
  14. Gesualdo L, Di Paolo S, Ranieri E, Schena FP: Trapidil inhibits human mesangial cell proliferation: Effect on PDGF ß-receptor binding and expression. Kidney Int 46:1002 -1009, 1994[Medline]
  15. Chomczynski P, Sacchi N: Single-step method of RNA isolation by acid guanidinium thiocyanate-phenol-chloroform extraction. Annal Biochem 162:156 -159 1987[Medline]
  16. Grandaliano G, Biswas P, Choudhury GG, Abboud HE: Simvastatin inhibits PDGF-induced DNA synthesis in human glomerular mesangial cells. Kidney Int 44:503 -508, 1993[Medline]
  17. Grano M, Faccio R, Colucci S, Paniccia R, Baldini N, Zambonin Zallone A, Teti A: Extracellular Ca+2 sensing is modulated by pH in human osteoclast-like cells in vitro. Am J Physiol267 : C961-C968,1994[Abstract/Free Full Text]
  18. Grynkiewicz G, Poenie M, Tsien RY: A new generation of Ca2+ indicators with greatly improved fluorescent properties. J Biol Chem 260:3440 -3450, 1985[Abstract/Free Full Text]
  19. Pouyssegur J, Seuwen K: Transmembrane receptors and intracellular pathways that control cell proliferation. Annu Rev Physiol 54:195 -210, 1992[Medline]
  20. Silver B, Jaffer FE, Abboud HE: Platelet-derived growth factor synthesis in mesangial cells: Induction by multiple peptide mitogens. Proc Natl Acad Sci USA 86:1046 -1060, 1989[Abstract/Free Full Text]
  21. Biswas P, Abboud HE, Kiyomoto H, Wenzel UO, Grandaliano G, Choudhury GG: PKC{alpha} regulates thrombin-induced PDGF-B chain gene expression in mesangial cells. FEBS Lett373 : 146-150,1995[Medline]
  22. Grandaliano G, Gesualdo L, Schena FP: Thrombin: A novel renal growth factor. Exp Nephrol 7:20 -25, 1999[Medline]
  23. Grand RJA, Turnell AS, Grabham PW: Cellular consequences of thrombin receptor activation. Biochem J313 : 353-368,1996
  24. Ko FN, Yang YC, Huang SC, Ou JT: Coagulation factor Xa stimulates platelet-derived growth factor release and mitogenesis in cultured vascular smooth muscle cells of rat. J Clin Invest98 : 1493-1501,1996[Medline]
  25. Gordon EM, Ventakatesan N, Salazar R, Tang H, Schmeidler-Sapiro K, Buckley S, Warburton D, Hall FL: Factor XII-induced mitogenesis is mediated via a distinct signal transduction pathway that activates a mitogen-activated protein kinase. Proc Natl Acad Sci USA93 : 2174-2179,1996[Abstract/Free Full Text]
  26. Shultz PJ, DiCorleto PE, Silver BJ, Abboud HE: Mesangial cells express PDGF mRNAs and proliferate in response to PDGF. Am J Physiol 255:F674 -F684, 1988[Abstract/Free Full Text]
  27. Gesualdo L, Pinzani M, Floriano J, Hassan O, Nagy MU, Schena FP, Emancipator SN, Abboud HE: Platelet-derived growth factor expression in mesangial proliferative nephritis. Lab Invest65 : 160-167,1991[Medline]
  28. Iida H, Seifert R, Alpers CE, Gronwald RG, Philips PE, Pritzl P, Gordon K, Gown A, Ross R, Bowen-Pope D, Johnson R: Platelet-derived growth factor and PDGF receptor expression in mesangial proliferative nephritis. Proc Natl Acad Sci USA 88:6560 -6564, 1991[Abstract/Free Full Text]
  29. Floege J, Burns MW, Alpers CE, Yoshimura A, Pritzl P, Gordon K, Seifert R, Bowen-Pope DF, Couser WG, Johnson R: Glomerular cell proliferation and PDGF expression precede glomerulosclerosis in the remnant kidney model. Kidney Int 41:297 -309, 1992[Medline]
  30. Gesualdo L, Di Paolo S, Milani S, Pinzani M, Grappone C, Ranieri E, Pannarale G, Schena FP: Expression of platelet-derived growth factor in normal and diseased human kidney: an immunohistochemistry and in situ hybridization study. J Clin Invest 94:50 -58, 1994
  31. Altieri D: Molecular cloning of effector cell protease receptor-1, a novel cell surface receptor for the protease factor Xa. J Biol Chem 269:3139 -3142, 1994[Abstract/Free Full Text]
  32. Herbert JM, Bono F, Herault JP, Avril C, Dol F, Mares AM, Schaeffer P: Effector protease receptor 1 mediates the mitogenic activity of factor Xa for vascular smooth muscle cells in vitro and in vivo. J Clin Invest 101:993 -1000, 1998[Medline]
  33. Force T, Kyriakis JM, Avruch J, Bonventre JV: Endothelin, vasopressin, and angiotensin II enhance tyrosine phosphorylation by protein kinase C-dependent and -independent pathways in glomerular mesangial cells. J Biol Chem 266:6650 -6656, 1991[Abstract/Free Full Text]
  34. Molloy CJ, Taylor DS, Weber H: Angiotensin II stimulation of rapid protein tyrosine phosphorylation and protein kinase activation in rat aortic smooth muscle cells. J Biol Chem268 : 7338-7345,1993[Abstract/Free Full Text]
  35. Weiss RH, Nuccitelli R: Inhibition of tyrosine phosphorylation prevents thrombin induced mitogenesis, but not intracellular free-calcium release, in vascular smooth muscle cells. J Biol Chem267 : 5608-5613,1992[Abstract/Free Full Text]
  36. Grandaliano G, Choudhury GG, Biswas P, Abboud HE: Mitogenic signalling of thrombin in mesangial cells: Role of tyrosine phosphorylation. Am J Physiol 267:F528 -F536, 1994[Abstract/Free Full Text]
  37. Huckle WR, Prokop CA, Dy RC, Herman B, Earp S: Angiotensin II stimulates protein tyrosine phosphorylation in calcium-dependent manner. Mol Cell Biol 10:6290 -6298, 1990[Abstract/Free Full Text]
  38. Kyriakis JM, Avruch J: Sounding the alarm: Protein kinase cascades activated by stress and inflammation. J Biol Chem271 : 24313-24316,1996[Free Full Text]
Received for publication August 10, 1998. Accepted for publication October 9, 2000.




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