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Circulation Research. 2008;102:372-379
Published online before print November 21, 2007, doi: 10.1161/CIRCRESAHA.107.158501
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(Circulation Research. 2008;102:372.)
© 2008 American Heart Association, Inc.


Integrative Physiology

Extracellular Matrix Fibronectin Mechanically Couples Skeletal Muscle Contraction With Local Vasodilation

Denise C. Hocking*, Patricia A. Titus, Ronen Sumagin, Ingrid H. Sarelius*

From the Departments of Pharmacology and Physiology (D.C.H., P.A.T., I.H.S.) and Biomedical Engineering (D.C.H., R.S., I.H.S.), University of Rochester NY.

Correspondence to Denise C. Hocking, University of Rochester School of Medicine and Dentistry, 601 Elmwood Ave, Box 711, Rochester, NY 14642. E-mail denise_hocking{at}urmc.rochester.edu


*    Abstract
up arrowTop
*Abstract
down arrowIntroduction
down arrowMaterials and Methods
down arrowResults
down arrowDiscussion
down arrowReferences
 
During exercise, local mechanisms in tissues cause arterioles to rapidly dilate to increase blood flow to tissues to meet the metabolic demands of contracting muscle. Despite decades of study, the mechanisms underlying this important aspect of blood flow control are still far from clear. We now report a novel mechanism wherein fibronectin fibrils in connective tissue matrices transduce signals from contracting skeletal muscle to local blood vessels to increase blood flow. Using intravital microscopy, we show that local vasodilation in response to skeletal muscle contraction is specifically inhibited by an antibody that recognizes the matricryptic site in the first type III repeat of fibronectin (FNIII-1). In the absence of skeletal muscle contraction, direct application of FNIII-1–containing fibronectin fragments to cremaster muscle arterioles in situ, triggered a rapid, specific, and reversible local dilation that was mediated by nitric oxide and required the cryptic, heparin-binding sequence of FNIII-1. Furthermore, application of function-blocking FNIII-1 peptides to cremaster muscle arterioles rapidly and specifically decreased their diameter, indicating that the matricryptic site of fibronectin also contributes to resting vascular tone. Alexa fluor 488–labeled fibronectin, administered intravenously, was rapidly assembled into elongated, branching fibrils in the extracellular matrix of intact cremaster muscle, demonstrating active polymerization of fibronectin in areas adjacent to blood vessels. Together, these data provide the first evidence that a matricryptic, heparin-binding site within fibronectin fibrils of adult connective tissue plays a dynamic role in regulating both vascular responses and vascular tone.


Key Words: extracellular matrix • fibronectin • metabolic coupling • vascular tone


*    Introduction
up arrowTop
up arrowAbstract
*Introduction
down arrowMaterials and Methods
down arrowResults
down arrowDiscussion
down arrowReferences
 
The flow of blood to skeletal muscle is tightly coupled with metabolic activity. In response to active shortening of skeletal muscle fibers, local mechanisms in the tissue cause arterioles to dilate rapidly, which increases blood flow to tissues in support of the metabolic demands of contracting muscle.1 These locally coupled mechanisms support tissue metabolic demands as a facet of the integrated response to exercise. Arteriolar dilation following skeletal muscle contraction is a local response2–4 that is mediated, in part, by metabolic factors, including adenosine, H+, and potassium.1,5 Nitric oxide (NO), derived from both endothelial and neuronal NO synthases, has been identified as an important contributor to the arteriolar dilation that is produced by skeletal muscle contraction.3,6–9 It has also been established that dilation of small arterioles in response to muscle contraction requires increased endothelial cell calcium.10 However, mechanisms that physically couple skeletal muscle fiber contraction to local NO release have not yet been identified.

Fibronectins are high-molecular-mass glycoproteins that form an extensive network of elongated, branching fibrils in extracellular matrices (ECMs) throughout the body. Soluble fibronectins are polymerized into insoluble ECM fibrils via a cell-dependent process that can be rapidly up- and downregulated.11 In vivo, fibronectin matrix polymerization is a continuous process, with as much as 50% of the fibronectin matrix undergoing turnover every 24 hours.12 Multimeric ECM fibrils are thought to serve as the primary functional form of fibronectin in vivo and are essential for embryonic development.13 In vitro, the ECM form of fibronectin stimulates several actin-dependent processes, including cell spreading, growth, contractility, and migration, by a mechanism that uses, in part, a matricryptic heparin-binding site in the first type III repeat of fibronectin (FNIII-1).14–17 The physiological role of ECM fibronectin fibrils in adult connective tissues is not known.

Matricryptic sites are biologically active sequences within ECM proteins that are not exposed in the soluble form of a molecule, but may be expressed following structural or conformational changes to the protein.18 These sequences represent a unique reserve of signaling sites in connective tissue that may be exposed and activated under a variety of conditions where ECM remodeling occurs. Mechanisms that promote matricryptic site expression include protein multimerization, proteolysis, and mechanical forces.18 Decreasing intracellular cytoskeletal tension alters the conformation of fibronectin in a region adjacent to the matricryptic site in FNIII-1,19 suggesting that mechanical forces in the body may influence FNIII-1 structure to, in turn, stimulate actin-dependent processes. As such, the ability of skeletal muscle contraction to place a tensile force on the ECM surrounding arterioles suggested to us that local, transient exposure of the matricryptic FNIII-1 site in ECM fibronectin may be important in mechanically coupling skeletal muscle contraction to arteriolar dilation. In the present study, we used intravital microscopy to examine the role of ECM fibronectin and the matricryptic site in vivo. Data presented herein identify a novel physiological mechanism whereby ECM fibronectin fibrils function in adult connective tissue as mechanotransduction elements that couple skeletal muscle contraction with local NO-mediated vasodilation through the transient exposure of the matricryptic site.


*    Materials and Methods
up arrowTop
up arrowAbstract
up arrowIntroduction
*Materials and Methods
down arrowResults
down arrowDiscussion
down arrowReferences
 
Materials
An expanded Material and Methods section is available in the online data supplement at http://circres.ahajournals.org.

Animals
Adult male golden hamsters (HSD Han:Aura, Harlan Indianapolis, Ind.; 100 to 130 g) and adult male mice (C57BL/6J, The Jackson Laboratory, Bar Harbor, Me; 20 to 25 g) were used. All protocols were approved by the Institutional Animal Care and Use Committee of the University of Rochester. All protocols, except that demonstrating incorporation of fibronectin into tissues (Figure 2), were performed in hamster cremaster muscle. Preparation of cremaster muscle for microcirculatory observation has been described elsewhere.3,4,7 Details are provided in the online data supplement. The microvasculature was observed with the microscope coupled to a charge-coupled device camera (Dage MTI, CD72S), and video images were recorded onto videotape (Sony VO9500) or DVD (Sony DVO100MD) for offline analysis.3,4

Muscle Fiber Stimulation
To induce muscle contraction, a platinum wire microelectrode was placed onto muscle fibers running approximately perpendicular to the test arteriole and was positioned at a distance {approx}1000 µm away from the site of muscle fiber–arteriole overlap. A small group of muscle fibers4–5 was stimulated at 4 Hz for 2 minutes (5 to 10 V; 0.4-ms duration).3,4 The diameter of the arteriole at the site of muscle fiber overlap was measured before, during, and after muscle contraction. After a 5 to 10 minutes of recovery, antibodies (1.8 mg/mL; total volume, {approx}100 µL) were suffused directly onto the tissue at the observation site via micropipette for 20 minutes. Preparation and use of micropipettes to deliver test substances to the tissue surrounding individual microvessels have been described elsewhere.3 The muscle fibers were then restimulated and the diameter response of the same arteriole was measured. Earlier studies have confirmed that successive stimulations produce the same local responses.4

Protein Application
Applications of fusion proteins, peptides, and antibodies were restricted to a local region of the tissue apposed to the test vessel by using a micropipette attached to a simple manometer system that ejects the pipette contents as the pressure in the pipette is raised.4 At the conclusion of all protocols in each tissue, sodium nitroprusside (10–4 mol/L) was added to the superfusion to maximally dilate the vasculature. This was used both to verify that each vessel retained the capacity to dilate and to record the maximal arteriolar diameter for calculation of dilator capacity (below). For additional details, refer to the online data supplement.

Fibronectin and Incorporation of Alexa Fluor-488–Fibronectin into Tissue
See the online data supplement.

Diameter Measurements and Statistical Analysis
One or 2 arterioles per tissue preparation were used to collect data; at least 3 animals were used in each protocol (n refers to the number of vessels). Arteriolar diameters were measured offline via video calipers generated by a modified video analyzer (no. 321, Colorado Video) using a videotaped stage micrometer for calibration. Vessel diameter (D) measurements are reproducible to 0.3 µm, which is 1% to 2% of the expected diameter.3,4 Diameter changes were expressed either as the change in diameter from baseline to peak response or as fractional change in dilator capacity, which was calculated as (DtestDbaseline)/(DmaxDbaseline). Data are presented as means±SEM. We performed statistical analysis using ANOVAs or t tests as appropriate. A value of P<0.05 was considered statistically significant.


*    Results
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
*Results
down arrowDiscussion
down arrowReferences
 
The role of fibronectin in microcirculatory responses was investigated using intravital (in situ) microscopy, in which the microvasculature is visualized with a microscope coupled to a charge-coupled device camera and video images are recorded for offline analysis.4,6,7,10,20 As described previously,4 muscle contraction for 2 minutes at 4 Hz stimulated a significant local dilation of the arteriole (Figure 1). This vasodilation was significantly inhibited by local delivery of the anti–FNIII-1 monoclonal antibody 9D221 (Figure 1). Local application of 9D2 to cremaster muscle did not change basal arteriolar tone (diameter before 9D2 application was 20.0±1.6 µm versus 20.9±2.0 µm with 9D2). In contrast to the inhibitory effect of 9D2, application of the anti-fibronectin monoclonal antibody L821 did not alter the vasodilatory response to muscle contraction (Figure 1). Control experiments using the appropriate, nonimmune IgG in place of 9D2 or L8 were without effect on the active dilation (paired difference from controls: –2.9 µm; P=0.37; n=5). Both 9D2 and L8 antibodies recognize epitopes either within or immediately adjacent to FNIII-1 and block the assembly of a fibronectin matrix by cultured cells.21 However, the inability of L8 to block the muscle contraction-induced vasodilation suggests that inhibition of this response is not attributable to disruption of fibronectin matrix assembly within the tissue. A portion of the 9D2 epitope maps directly to the matricryptic site in FNIII-1.17 Thus, these data support a model in which skeletal muscle contraction opens matricryptic FNIII-1 sites in the surrounding connective tissue matrix that, in turn, interact with cell surface receptors to induce arteriolar dilation.


Figure 1
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Figure 1. The anti–FNIII-1 monoclonal antibody 9D2 inhibits vasodilation induced by skeletal muscle contraction. Arteriolar diameter was monitored during and after 2 minutes of 4-Hz muscle contraction, first in the absence (open bars) and then the presence of either 9D2 or L8 monoclonal antibodies (black bars; n=8 [9D2] and n=5 [L8]). Illustrated is mean peak diameter change (µm) following muscle contraction±SEM. Sodium nitroprusside (10–4 mol/L) was used to verify that the arteriole retained the capacity to dilate. *Significantly different from control; ANOVA, P=0.0034.

To visualize the distribution and pattern of fibronectin fibrils in the ECM surrounding arterioles, control and N-ethylmaleimide (NEM)-treated Alexa 488–labeled fibronectins were injected intravenously into mice and allowed to incorporate into tissues for 4 hours. Uptake of 125I-labeled fibronectin from plasma into tissues is near maximal at this time.12 N-Ethylmaleimide alkylation blocks the assembly of fibronectin into the ECM of cultured cells22 and tissues,12 thus allowing us to specifically identify cell-polymerized fibronectin fibrils within cremaster muscle. Alexa 488–fibronectin was visible in the ECM of cremaster muscle in close proximity to arterioles, where it appeared as elongated, branching fibrils (Figure 2B). In contrast, N-ethylmaleimide–alkylated, Alexa 488–fibronectin was not visible in cremaster tissues (Figure 2A), demonstrating the specificity of the Alexa 488–fibronectin fibril staining. Fibronectin fibrils were clearly visible in areas adjacent to arterioles (Figure 2B), as well as in areas remote from the blood vessel along the edges of individual skeletal muscle myocytes (Figure 2C). Together, these data demonstrate that in intact cremaster muscle, fibronectin is actively incorporated into its fibrillar form in the ECM surrounding arterioles.


Figure 2
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Figure 2. Visualization of Alexa-488 fibronectin in the ECM of mouse cremaster muscle. N-Ethylmaleimide (NEM)-alkylated fibronectin (A) and control fibronectin (B and C) were labeled with Alexa fluor 488 and administered intravenously to mice. Three hours later, the cremaster muscle was surgically exposed and confocal images were captured. Fibronectin fibrils (arrows) are visible in areas adjacent to the arteriole (B) as well as in areas remote from the blood vessel, where they are located along the edges of individual skeletal muscle myocytes (C). Scale bar=25 µm.

Fibronectin, like many other ECM molecules, is a mosaic protein composed of tandem, individually folded modules.11 An extensive number of studies have used proteolytic or recombinant fragments to localize the functional activities of fibronectin to discrete domains.23 We previously engineered a small, recombinant fibronectin construct that exhibits properties similar to that of larger ECM fibronectin fibrils.15 To generate this protein, the cryptic, heparin-binding fragment of FNIII-1, comprised of residues I597-T673,24 was linked directly to the integrin-binding FNIII8-10 modules (GST/III1H,8-10). Treatment of cultured cells with GST/III1H,8-10 stimulates cell spreading, growth, contractility, and migration to a similar extent as ECM fibronectin.15–17 As such, this fibronectin matrix mimetic effectively bypasses the requirement for soluble, protomeric fibronectin to undergo a conformational change to initiate ECM fibronectin-specific signals. Therefore, if matricryptic FNIII-1 sites in the vicinity of the vasculature play a role in contraction-induced vasodilation, then infusing the fibronectin matrix mimetic, GST/III1H,8-10, directly onto tissues would be expected to stimulate vasodilation locally in the absence of skeletal muscle contraction. Indeed, locally applying the fibronectin matrix mimetic to cremaster muscle in situ caused a rapid, specific, and reversible local dilation of arterioles (GST/III1H,8-10; 15 µmol/L; Figure 3) that was blocked by addition of the NO inhibitor N{omega}-nitro-L-arginine (L-NNA) (Figure 3). We showed in previous work3 that in the presence of L-NNA, local vasodilation in response to muscle contraction was significantly decreased versus controls, indicating that NO-dependent mechanisms indeed contribute to this local response. We therefore tested the effect of L-NNA when the response was already attenuated by 9D2; with 9D2+L-NNA exposure, the vasodilation was to 63% of the capacity, compared with 55% capacity with 9D2 alone (Figure 1) and 51% capacity with L-NNA alone.3 These data suggest that a large fraction of the NO-dependent component of the response to muscle contraction may be accounted for by fibronectin-dependent mechanisms.


Figure 3
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Figure 3. The fibronectin matrix mimetic GST/III1H,8-10 stimulates vasodilation by an NO-dependent mechanism. Time course of arteriolar diameter change after a 10-minute exposure to GST/III1H,8-10 (15 µmol/L) in the absence (solid squares; n=8) or presence (open squares; 10–4 mol/L; n=8) of L-NNA. Resting diameter (20.8±2.5 µm, controls) was not different with L-NNA (18.7±2.1 µm). Maximum vasodilation occurred within 5 minutes of the start of protein application, with rapid (<90 seconds) recovery after its withdrawal. Bar indicates period of protein application. Sodium nitroprusside was added to the superfusate at the end of each experiment to determine maximum capacity for vasodilation. Data are presented as fractions of total capacity±SEM. Responses are significantly different during protein exposure; ANOVA, P<0.0001.

The cryptic, heparin-binding activity of FNIII-1 was essential for triggering vasodilation in response to the matrix mimetic, because a GST/III1H,8-10 construct in which the functional, heparin-binding site of FNIII-1 was mutated to noncharged amino acids17 did not induce vasodilation (GST/III1H,8-10{Delta}KRWRK; 15 µmol/L; Figure 4). In contrast, a GST/III1H,8-10 construct in which the integrin-binding RGD and PHSRN sites were mutated to nonbinding sequences,17,25,26 retained the ability to induce vasodilation (GST/III1H,8-10{Delta}SYN/RGE; 15 µmol/L; Figure 4), indicating that the {alpha}5β1 integrin-binding activity of the fibronectin matrix mimetic was not required for the vascular response. At the conclusion of these observations, arterioles were maximally dilated by addition of the NO generator sodium nitroprusside (10–4 mol/L) to the suffusate. This confirmed that all tested arterioles retained the capacity to respond and enabled measurement of their maximal diameter. Importantly, these observations also demonstrate that the lack of dilation to GST/III1H,8-10{Delta}KRWRK was not an artifact and thus confirm the specificity of the response to the matricryptic site in GST/III1H,8-10.


Figure 4
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Figure 4. The matricryptic, heparin-binding activity of FNIII-1 is required for vasodilation. Time course of arteriolar diameter change during a 10-minute exposure to 15 µmol/L of either GST/III1H,8-10{Delta}Syn/RGE (solid circles; n=6) or GST/III1H,8-10{Delta}KRWRK (open squares; n=3). Data are presented as fractions of total capacity±SEM. Responses are significantly different during protein exposure; ANOVA, P<0.0001.

Smaller recombinant fragments of fibronectin were tested for their ability to directly stimulate vasodilation. Local application of a construct containing only the heparin-binding FNIII-1 fragment triggered vasodilation (GST/III1H; 7.5 µmol/L; Figure 5A) to a similar extent as that observed with the fibronectin matrix mimetic GST/III1H,8-10 (15 µmol/L; Figure 5B). Vasodilation in response to FNIII-1 was specific to this heparin-binding domain of fibronectin, as C-terminal heparin-binding fragments of fibronectin did not induce vasodilation (GST/III12–13; 7.5 µmol/L; Figure 5A). These data also demonstrate that the effect of GST/III1H on vasodilation is specific to this peptide and not attributable to endotoxin contamination. With agreement to results obtained with the integrin-binding mutant construct (Figure 4), application of an integrin-binding fibronectin fragment alone was not sufficient to stimulate vasodilation (GST/III8–10; 15 µmol/L; Figure 5B).


Figure 5
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Figure 5. The heparin-binding fragment of FNIII-1 directly stimulates vasodilation. Time course of arteriolar diameter change during a 10-minute exposure to various fibronectin fusion proteins. Top, 7.5 µmol/L either GST/III1H (solid squares; n=5) or GST/III12–13 (open squares; n=5) was applied. Responses are significantly different during protein exposure; ANOVA, P<0.0001. Bottom, Either 15 µmol/L GST/III1H,8-10 (solid squares; n=8) or GST/III8–10 (open squares; n=5) was applied. Responses are significantly different during protein exposure; ANOVA, P=0.0004. Data are presented as fractions of total capacity±SEM.

FNIII-1 peptides that contain the matricryptic amino acid sequence RWRPK specifically inhibit fibronectin- and GST/III1H,8-10-induced cell growth.17 These peptides do not inhibit fibronectin polymerization (unpublished observations) and, thus, likely inhibit ECM fibronectin-mediated effects by blocking the interaction of the matricryptic site with its cell surface receptor. Local application of blocking peptide 5 (5 mmol/L; Figure 6) and, separately, peptide 6 (5 mmol/L; Figure 6) to cremaster muscle, in the absence of skeletal muscle contraction, rapidly (<1 minute) induced arteriolar vasoconstriction. These decreases in arteriolar diameter were quite large; maximal decreases in arteriolar diameter during peptide 5 and peptide 6 application were –15.0±1.4 µm (or 71.5±3.4% total capacity) and –17.4±2.1 µm (or 73.0±4.2% total capacity), respectively. Moreover, the decreases in arteriolar diameter in response to the FNIII-1 peptides were rapidly (<5 minutes) reversed on removal of the peptides (data not shown). Peptide 7, which does not contain the matricryptic sequence and does not affect ECM fibronectin-mediated growth,17 did not cause a significant change in arteriolar diameter (5 mmol/L; Figure 6), demonstrating the specificity of the FNIII-1 peptide responses. Furthermore, the decreases in arteriolar diameter that occurred on administration of FNIII-1 peptide 5 and peptide 6 were not general responses to basic peptides, because local application of a heparin-binding peptide of vitronectin having a net positive charge identical to that of peptide 6 (+5), did not decrease arteriolar diameter (VN-R11G; 5 mmol/L; Figure 6). The ability of the blocking FNIII-1 peptides to rapidly and reversibly decrease blood vessel diameter suggests that some matricryptic FNIII-1 sites are constitutively expressed in connective tissue under resting conditions where they contribute to basal blood vessel tone.


Figure 6
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Figure 6. Inhibitory FNIII-1 peptides increase basal arteriolar tone. Arteriolar diameter was monitored before, during, and after a 10-minute exposure to 1 of the FNIII-1 peptides, peptide 5 (FN5; n=6), peptide 6 (FN6; n=5), peptide 7 (FN7; n=6), at a concentration of 5 mmol/L or exposure to vitronectin peptide VN-R11G (VNR11G; 5 mmol/L; n=8). Peptide sequences were as follows: peptide 5, KYILRWRPKNS; peptide 6, RWRPKNSVGRWK; peptide 7, KNSVGRWKEAT; VN-R11G, RNRKGYRQRG. Amino acids that form the matricryptic site in FNIII-117 are shown in bold. A consensus, heparin-binding sequence in the vitronectin peptide is underlined.40 Data are presented as mean diameter changes during peptide exposure±SEM. *Significantly different from FN peptide 7; ANOVA, P<0.0001.


*    Discussion
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
up arrowResults
*Discussion
down arrowReferences
 
This study shows that the matricryptic, heparin-binding site in the III-1 module of ECM fibronectin stimulates an NO-dependent increase in arteriolar diameter, providing the first evidence that ECM fibronectin fibrils play a dynamic role in regulating arteriolar responses in vivo. It is well established that vasodilation can be produced by a direct effect on smooth muscle cells and/or by a direct effect on endothelial cells, which in turn communicate vasodilatory signals to the adjacent smooth muscle. Although, in general, direct effects of metabolites and other products of skeletal muscle contraction on smooth muscle cells are implicated in local dilatory responses,27 recent work has also indicated an essential role for endothelial cells in metabolic responses.1,10 Our data suggest that skeletal muscle contraction alters the conformation of ECM fibronectin surrounding skeletal and/or smooth muscle cells. This would lead to a transient exposure of the matricryptic FNIII-1 site and the subsequent interaction of this site with receptors, most likely heparan sulfate proteoglycans15 on smooth muscle and/or skeletal muscle cells. In turn, this binding event initiates an NO-mediated signaling pathway that results in smooth muscle relaxation and, hence, vasodilation. These ideas are illustrated in Figure 7.


Figure 7
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Figure 7. Proposed role of ECM fibronectin in vascular responses. Schematic representation of an arteriole showing endothelial cells (EC), smooth muscle cells (SMC), and the fibrillar fibronectin matrix (ECM FN). A, Active assembly of a fibronectin matrix around arterioles results in low basal levels of matricryptic site ({blacktriangledown}) expression. Ligation of the FNIII-1H receptor (Y) on smooth muscle cells activates neuronal NO synthase to release NO, which contributes to basal vessel tone. B, Skeletal muscle contraction alters the conformation of ECM fibronectin leading to transient exposure of additional matricryptic FNIII-1 sites and the subsequent interaction of these sites with additional FNIII-1H receptors on smooth muscle and/or skeletal muscle cells. This increases NO production, which leads to smooth muscle relaxation and hence, vasodilation, and increased blood flow.

Our observations indicate that, indeed, the NO-dependent component of the active dilation to muscle contraction is likely attributable to fibronectin-dependent signaling. The dependence on NO could indicate that an endothelial cell-dependent process is part of the response pathway. However, previous studies6,7 have indicated that neuronal NO synthase–dependent pathways in skeletal muscle could equally be involved in this dilation, and because neuronal NO synthase has also been identified in vascular smooth muscle,28,29 we postulate that the as yet unidentified receptor to which the matricryptic FNIII-1 binds could be located on either skeletal or smooth muscle myocytes. NO released from either skeletal or smooth muscle would thus be available locally to induce vasodilation. An alternative scenario that has not been excluded would be that the receptor is located on smooth muscle, but instead of leading to release of NO to feed back in an autocrine fashion, it initiates signals that are transmitted to endothelium via myoendothelial coupling30 to stimulate NO release and subsequent vasodilation.

We previously localized the functional, heparin-binding site in FNIII-1 to a sequence of basic amino acids, R613, W614, R615, and K617, and, in addition, showed that the 9D2 monoclonal antibody recognizes the R613, W614, R615 sequence within this site.17 In vitro, 9D2 inhibits fibronectin-stimulated cell growth,31 spreading,17 contractility,14 and migration.16 9D2 monoclonal antibodies does not block cell adhesion to fibronectin,16 indicating that this antibody does not interfere with the binding of fibronectin to integrin receptors. In the present study, we used a well-characterized in vivo model of exercise-induced vasodilation2–4 and showed that the 9D2 antibody specifically inhibits a portion of the vasodilatory response to skeletal muscle contraction. Furthermore, application of the fibronectin matrix mimetic GST/III1H,8-10 to cremaster muscle, in the absence of skeletal muscle contraction, triggered local arteriolar vasodilation by a mechanism that required the RWRPK sequence. Vasodilation in response to GST/III1H was specific to this heparin-binding region of fibronectin, because the carboxy-terminal heparin-binding fragment of fibronectin, GST/III12–13, did not alter arteriolar diameter. The specificity of the vasodilatory response to the heparin-binding FNIII-1 fragment is in agreement with our previous studies showing that these two heparin-binding domains of fibronectin trigger unique responses and do not have overlapping functions.14,16,17 Taken together, these data identify a novel role for fibronectin fibrils and specifically, the matricryptic site in FNIII-1, in mediating an essential physiological response to exercise in adult animals.

In contrast to results obtained with the heparin-binding fragments of FNIII-1 (Figure 5A), local application of {alpha}5β1 integrin-binding fibronectin fragments did not trigger vasodilation (Figure 5B). These results support and extend previous studies indicating that {alpha}5β1 integrin ligation by itself is not sufficient to induce cellular responses that are mediated by ECM fibronectin.15–17,31 Activated β1 integrins have been implicated in regulatory pathways in vascular smooth muscle,32 and we have shown that the matricryptic, heparin-binding site in FNIII-1 enhances β1 integrin-mediated cellular responses.17 Other studies have demonstrated that small, integrin-binding peptides of fibronectin can stimulate either vasodilation or vasoconstriction of isolated blood vessels.33 We can resolve this apparent discrepancy by speculating that, in vivo, constitutive ligation of integrin receptors by endogenous ECM proteins may be sufficient to prime skeletal and/or smooth muscle cells for subsequent signals initiated by the matricryptic site in fibronectin. In this manner, the FNIII1-mediated vasodilatory signal that we describe is directly coupled to skeletal muscle contraction and is rapidly extinguished when muscle contraction ceases (Figure 7, schematic).

Local application of FNIII-1 peptides, shown previously to block the cellular response to ECM fibronectin,17 caused a rapid and specific decrease in arteriolar diameter, indicating that the matricryptic site of fibronectin also contributes to resting vascular tone. Furthermore, using intravenous administration of Alexa 488–labeled fibronectin, we demonstrated that fibronectin is actively removed from the plasma and polymerized by intact tissues in areas adjacent to arterioles. From these findings, we hypothesize that continuous polymerization of fibronectin in connective tissue matrices surrounding arterioles may result in a constitutive level of expression of matricryptic FNIII-1 sites that provide signals controlling basal blood vessel tone. Additional matricryptic FNIII-1 sites may then be transiently exposed as skeletal muscle contraction places a tensile strain on ECM fibronectin fibrils, as shown in the schematic (Figure 7). Consistent with our proposed mechanism, we note in Figure 5A that GST/III-1H acts to dilate the vessel, but that this action is relatively short-lived, compared with the full-length matricryptic mimetic (Figure 5B). We conclude that because of its relatively short length, this peptide quite closely resembles the inhibitory peptides 5 and 6 (Figure 6). Hence, the initial stimulatory effect is replaced by a vasoconstrictor action as the short peptide fragment remains bound to the receptor. Unlike the results obtained with FNIII-1 peptides, we report that application of 9D2 to cremaster muscle did not decrease basal blood vessel tone. This results implies, not unexpectedly, that the relatively large 9D2 molecules cannot permeate the tissue to access matricryptic FNIII-1 sites that are constitutively expressed yet can interact with FNIII-1 sites that are transiently expressed. As such, FNIII-1 sites that contribute to maintenance of basal tone, and FNIII-1 sites that mediate the dilatory response initiated by skeletal muscle contraction may be compartmentalized within tissues. This concept is supported by recent studies in isolated arterioles34 that indicate that different integrins may be differentially involved in regulation of myogenic constriction versus regulation of basal tone, paralleling our current data interpretation that separate pools of matricryptic FNIII-1 sites regulate distinct vasodilatory responses. Developing methods to visualize and quantify FNIII-1 matricryptic site expression in vivo is currently an active area of investigation.

In the body, cells continuously sense and respond to a variety of mechanical forces, including isotonic muscle contraction, gravity, blood pressure and shear stress, and cell-generated contractile forces.35 The cellular responses to these stimuli govern normal physiological development and function.35 A great deal is known about aspects of the coupling between mechanical forces and cellular responses. Adhesion of cells to the ECM via integrin receptors serves to physically link the extracellular environment with the internal actin cytoskeleton.36 As such, mechanical forces initiated either internally or externally can be transmitted bidirectionally through integrins to regulate such processes as cell growth, cell migration, protein expression, and ECM deposition.35 Emerging evidence indicates that the translation of mechanical signals into biochemical signals, or "mechanotransduction," involves integrin receptors and occurs at cell–matrix adhesion sites.35 Accumulating evidence also points to key roles for the tyrosine kinases, focal adhesion kinase and Src, in mechanotransduction.37 However, in spite of what is known, the actual physical mechanism by which extracellular mechanical forces result in activation of intracellular kinases is not known. Our current study suggests an important new paradigm wherein tensile forces from actively contracting skeletal muscle alter the conformation of fibronectin fibrils surrounding the vascular wall and transiently expose matricryptic FNIII-1 sites that, in turn, initiate a biochemical signal and thus, signal a change in arteriolar diameter. The ability of tissue strain to alter the conformation of fibronectin and expose a cryptic cell-binding domain represents a simple, yet elegant means of converting a mechanical signal into a biochemical response. As such, this novel mechanotransduction pathway may be just 1 example of a common approach to transmitting mechanical forces, including pulsatile flow and shear stress, from the ECM to cells.

In addition to its fundamental contribution to understanding the blood flow response to exercise, our study points to an important aspect of the biology of human health in aging. Aging and age-related diseases are often accompanied by changes in the content and structure of connective tissue.38 These changes may decrease the local expression of, or limit access to, matricryptic sites in ECM fibronectin, raising the possibility that some of the impaired peripheral vascular responses that accompany aging39 may originate from changes in fibronectin matrix deposition or structure. Similarly, altered fibronectin matrix deposition also occurs in atherosclerosis, restenosis, and hypertension.11 We speculate that engineering fibronectin expression in such populations might help to maintain normal vascular function as well as preserve the ability of the vasculature to response to exercise.


*    Acknowledgments
 
Sources of Funding

This work was supported in part by grants from the NIH (to D.C.H. and I.H.S.). R.S. was supported by a predoctoral fellowship grant from the American Heart Association, Northeast Affiliate.

Disclosures

None.


*    Footnotes
 
*Both authors contributed equally to this work. Back

Original received June 22, 2007; revision received October 18, 2007; accepted November 12, 2007.


*    References
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up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
up arrowResults
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*References
 
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