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Circulation Research. 2008;102:480-487
Published online before print January 3, 2008, doi: 10.1161/CIRCRESAHA.107.159079
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(Circulation Research. 2008;102:480.)
© 2008 American Heart Association, Inc.


Cellular Biology

The Scavenger Receptor Class B Type I Adaptor Protein PDZK1 Maintains Endothelial Monolayer Integrity

Weifei Zhu, Sonika Saddar, Divya Seetharam, Ken L. Chambliss, Christopher Longoria, David L. Silver, Ivan S. Yuhanna, Philip W. Shaul*, Chieko Mineo*

From the Division of Pulmonary and Vascular Biology (W.Z., S.S., D.S., K.L.C., C.L., I.S.Y., P.W.S., C.M.), Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas; and Department of Biochemistry (D.L.S.), Albert Einstein College of Medicine, New York.

Correspondence to Chieko Mineo, Division of Pulmonary and Vascular Biology, Department of Pediatrics, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX. E-mail chieko.mineo{at}utsouthwestern.edu


*    Abstract
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*Abstract
down arrowIntroduction
down arrowMaterials and Methods
down arrowResults
down arrowDiscussion
down arrowReferences
 
Circulating levels of high-density lipoprotein (HDL) cholesterol are inversely related to the risk of cardiovascular disease, and HDL and the HDL receptor scavenger receptor class B type I (SR-BI) initiate signaling in endothelium through src that promotes endothelial NO synthase activity and cell migration. Such signaling requires the C-terminal PDZ-interacting domain of SR-BI. Here we show that the PDZ domain–containing protein PDZK1 is expressed in endothelium and required for HDL activation of endothelial NO synthase and cell migration; in contrast, endothelial cell responses to other stimuli, including vascular endothelial growth factor, are PDZK1-independent. Coimmunoprecipitation experiments reveal that Src interacts with SR-BI, and this process is PDZK1-independent. PDZK1 also does not regulate SR-BI abundance or plasma membrane localization in endothelium or HDL binding or cholesterol efflux. Alternatively, PDZK1 is required for HDL/SR-BI to induce Src phosphorylation. Paralleling the in vitro findings, carotid artery reendothelialization following perivascular electric injury is absent in PDZK1–/– mice, and this phenotype persists in PDZK1–/– mice with genetic reconstitution of PDZK1 expression in liver, where PDZK1 modifies SR-BI abundance. Thus, PDZK1 is uniquely required for HDL/SR-BI signaling in endothelium, and through these mechanisms, it is critically involved in the maintenance of endothelial monolayer integrity.


Key Words: PDZK1 • high-density lipoprotein • SR-BI • endothelium


*    Introduction
up arrowTop
up arrowAbstract
*Introduction
down arrowMaterials and Methods
down arrowResults
down arrowDiscussion
down arrowReferences
 
The risk of atherosclerosis is inversely related to circulating high-density lipoprotein (HDL) cholesterol levels,1,2 and there is also evidence that a lower HDL level is associated with a greater likelihood of restenosis after a vascular intervention.3,4 HDL classically functions in reverse cholesterol transport, removing cholesterol from peripheral tissues and delivering it to the liver and to steroidogenic organs by binding of the major HDL apolipoprotein, apolipoprotein (apo)A-I, to the high-affinity HDL receptor scavenger receptor B type I (SR-BI).5,6 In mouse models of atherosclerosis, apoA-I and SR-BI both provide atheroprotection,7,8 and in the context of experimental hypercholesterolemia, the provision of apoA-I or HDL attenuates neointima formation after artery injury.9,10 The protective nature of HDL has been previously attributed to its role in reverse cholesterol transport. However, evidence is accumulating that HDL has a number of additional actions that also afford cardiovascular protection, and many of these entail direct modulation of endothelial cell phenotype.11

The direct actions of HDL on the endothelium are multiple. In particular, HDL promotes the production of the atheroprotective signaling molecule NO by upregulating endothelial NO synthase (eNOS) expression,12 by maintaining the lipid environment in caveolae, where eNOS is colocalized with partner signaling molecules,13 and by stimulating eNOS enzymatic activity.14,15 As importantly, HDL protects endothelial cells from apoptosis and promotes their growth and migration,11,16 thereby maintaining the integrity of the endothelial monolayer. The direct actions of HDL on endothelium are mediated by SR-BI, which is enriched in endothelial cell caveolae and required for signaling by the lipoprotein.14,16 The latter processes entail initial Src activation, which results in parallel activation of Akt kinase and mitogen-activated kinases.15 These events then lead to eNOS stimulation and to the activation of Rac GTPase, which initiates endothelial cell migration in an NO-independent manner.15,16 The most proximal events involve cholesterol flux, the C-terminal transmembrane domain of SR-BI that directly binds cholesterol, and the C-terminal PDZ-interacting domain of SR-BI.17 A major role for apoA-I/HDL and SR-BI in the maintenance of endothelial monolayer integrity has been previously demonstrated in vivo in mice.16 However, the molecular basis for the coupling of SR-BI to downstream events governing endothelial cell behavior is unknown.

Recognizing the absolute requirement for the C-terminal PDZ-interacting domain of SR-BI in signal initiation,17 the present study investigated the potential role of the multi-PDZ domain–containing adaptor protein PDZK1 in the vascular actions of the HDL/SR-BI tandem. Studies in the liver first indicated that PDZK1 binds directly to the C terminus of SR-BI,18 and further work has shown that it mediates hepatic SR-BI levels.19 We raised the hypothesis that PDZK1 is expressed in endothelial cells and necessary for the modulation of endothelial cell phenotype by HDL and SR-BI. We determined the role of PDZK1 in HDL-induced eNOS activation, and in HDL-mediated endothelial cell migration, which is NO-independent. Additional experiments were designed to reveal how PDZK1 governs SR-BI function in endothelium. Furthermore, carotid artery reendothelialization was assessed after perivascular electric injury in mice in which PDZK1 status was genetically manipulated to reveal whether PDZK1 participates in the maintenance of intimal layer integrity.


*    Materials and Methods
up arrowTop
up arrowAbstract
up arrowIntroduction
*Materials and Methods
down arrowResults
down arrowDiscussion
down arrowReferences
 
Animal Model
Experiments were performed in littermate wild-type PDZK1+/+ mice and PDZK1–/– mice in which exon 1 and a portion of intron 1 of the PDZK1 allele were replaced by the Neo cassette as described previously.20

Cell Culture
Bovine aortic endothelial cells (BAECs) were harvested using procedures reported previously21 with minor modifications, cultured in EGM-2 medium (Cambrex Corp) with 5% FBS (Sigma-Aldrich), and studied at passages 5 to 9. Additional experiments were performed in primary mouse endothelial cells grown from explants of aortas from PDZK1+/+ mice.20,22

Immunoblot Analysis
PDZK1, SR-BI, eNOS, caveolin-1, c-Src, and actin protein abundance was evaluated using established procedures. Additional details are provided in the online data supplement at http://circres.ahajournals.org.

Modification of PDZK1 in Cultured Endothelial Cells
To knock down PDZK1 expression, a small interfering (si)RNA-based strategy was used. Double-stranded RNA sequences directed at bovine PDZK1 were transfected into cells, and expression of PDZK1 and SR-BI and functional readouts were determined 24 to 48 hours later. To enhance PDZK1 expression, an adenoviral construct encoding murine PDZK1 was used. Additional details are provided in the online data supplement.

eNOS Activation Assays
eNOS activation was assessed in whole cells by measuring [14C]-L-arginine conversion to [14C]-L-citrulline.23 Cell treatments included HDL (10 µg/mL), acetylcholine (10 µmol/L), or vascular endothelial growth factor (VEGF) (1.2 pmol/L or 50 ng/mL). Additional details are provided in the online data supplement. eNOS activation was also evaluated over 60 minutes in isolated endothelial cell plasma membranes in the absence of added calcium, calmodulin, or eNOS cofactors, with HDL (10 µg/mL) as the stimulus. This model system allows interrogation of the participating signaling molecules by antibody blockade.14 To test the role of PDZK1 in HDL signaling, experiments were performed in the absence or presence of 500 µg/mL of monoclonal antibody to PDZK1, which was kindly provided by Hiroyuki Arai (Department of Health Chemistry, Graduate School of Pharmaceutical Sciences, University of Tokyo, Japan).18 Control treatment was with unrelated IgG, and results were confirmed in 3 independent experiments.

Endothelial Cell Migration Assay
BAECs were grown to near confluence, and a defined region of cells was removed with a razorblade. Cells were treated for 24 hours, fixed, and the number of cells that had migrated past the wound edge was quantified.16 Additional details are provided in the online data supplement.

HDL Binding and Cholesterol Efflux
Details regarding measurements of HDL binding and cholesterol efflux from BAECs are provided in the online data supplement.

Coimmunoprecipitation
Details regarding SR-BI and src coimmunoprecipitation are provided in the online data supplement.

Carotid Artery Reendothelialization
Carotid artery reendothelialization was studied following perivascular electric injury in mice by assessing Evans blue dye uptake.16,24,25 Endothelial denudation and recovery postinjury in this model has been confirmed by immunohistochemistry for von Willebrand factor.16 Study groups included wild-type PDZK1+/+ mice, PDZK1–/– mice, and PDZK1–/– mice with adenoviral reconstitution of hepatic PDZK1 expression.

Statistical Analysis
All data are presented as means±SEM. ANOVA with Neuman–Keuls post hoc testing was used to assess differences between 3 or more groups. Differences in reendothelialization were evaluated by Mann–Whitney tests. Significance was set at P<0.05.


*    Results
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
*Results
down arrowDiscussion
down arrowReferences
 
PDZK1 Expression and Subcellular Localization
Vascular PDZK1 expression was first evaluated in whole mouse aorta. Whereas the protein was detected in aortas from wild-type PDZK1+/+ mice, it was not detected in aortas from PDZK1–/– mice that served as a negative control (Figure 1A). PDZK1 was also detected in primary endothelial cells cultured from explants of aortas from wild-type mice (Figure 1B).


Figure 1
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Figure 1. PDZK1 is expressed in endothelium and localized to the plasma membrane and cytoplasm. A, Immunoblot analysis for PDZK1 was performed in lysates of thoracic aorta from PDZK1+/+ and PDZK1–/– mice. B, Immunoblot analysis for PDZK1 was performed in lysates of primary mouse endothelial cells grown from thoracic aortas of PDZK1+/+ mice, with lysates of COS-7 cells transfected with cDNA for PDZK1 serving as positive control (Con). C, The subcellular localization of PDZK1 was evaluated in BAEC postnuclear supernatant (PNS), cytoplasm (Cyto), and plasma membrane (PM). The same subcellular fractions were probed for SR-BI and caveolin-1. Results shown are representative of 3 independent experiments.

The subcellular localization of PDZK1 was evaluated in the postnuclear supernatant, cytoplasmic, and plasma membrane fractions of BAECs (Figure 1C). Whereas SR-BI protein was concentrated in plasma membranes, PDZK1 was detected in the cytoplasm and in the plasma membrane fraction.

Role of PDZK1 in eNOS Activation
To determine whether PDZK1 is required for HDL-mediated signaling in endothelium, eNOS activation was evaluated in cells in which PDZK1 expression was knocked down by siRNA (Figure 2A). Whereas HDL caused eNOS stimulation in cells transfected with control siRNA, signaling to eNOS by HDL was not evident in cells transfected with PDZK1 siRNA (Figure 2B). In contrast, the loss of PDZK1 expression did not alter eNOS activation by acetylcholine or VEGF, indicating that the siRNA effect is specific to PDZK1 and that PDZK1 is uniquely required for signaling by HDL.


Figure 2
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Figure 2. PDZK1 is required for HDL-induced eNOS activation. A, BAECs were transfected with control siRNA or PDZK1 siRNA, and PDZK1 and actin abundance were assessed by immunoblot analysis 24 hours later (duplicate samples). B, eNOS activation was assessed in intact cells 24 hours following transfection by measuring [14C]-L-arginine to [14C]-L-citrulline conversion during 15-minute incubations with vehicle or HDL (50 µg/mL), acetylcholine (Ach) (10 µmol/L), or VEGF (1.2 pmol/L or 50 ng/mL). Stimulated NOS activity in control cells (open bar) and in PDZK1 siRNA cells (closed bar) is expressed relative to that attained in control cells. Values are means±SEM (n=4). *P<0.05 vs control siRNA. C, eNOS activation was assessed in plasma membranes isolated from BAECs during 60-minute incubations without added reagents (basal) or in the presence of HDL (50 µg/mL), HDL plus anti-PDZK1 antibody, or HDL plus unrelated IgG. Values are means±SEM (n=4). *P<0.05 vs basal, {dagger}P<0.05 vs no anti-PDZK1.

To provide an independent means to determine whether PDZK1 is necessary for signal initiation by HDL, antibody blockade was performed during measurements of eNOS activation by HDL in isolated endothelial plasma membranes. In prior work, antibody to the C-terminal cytoplasmic tail of SR-BI fully attenuated eNOS activation by HDL in isolated plasma membranes.14 Paralleling the previous findings, monoclonal antibody to PDZK1 prevented eNOS activation by HDL, whereas unrelated IgG had no effect (Figure 2C). Therefore, PDZK1 is both in the plasma membrane fraction and the cytoplasm of endothelial cells, and the subpopulation of the protein associated with the plasma membrane is required for HDL signaling to eNOS.

Role of PDZK1 in Cell Migration
Along with its capacity to activate eNOS, we have previously demonstrated that HDL promotes endothelial cell migration via SR-BI in an NO-independent manner.16 To determine whether PDZK1 is required for this process, endothelial cells were transfected with control siRNA or PDZK1 siRNA to knock down expression of the protein, wounded, and treated with HDL or VEGF. In control cells the lipoprotein caused a marked increase in migration that was comparable to that stimulated by VEGF (Figure 3A). In contrast, cells transfected with PDZK1 siRNA had diminished migration in response to HDL, whereas VEGF-induced migration was unaltered. Summary data from 4 experiments indicated that PDZK1 siRNA blunted HDL-induced migration by 60% to 66% (Figure 3B). These findings indicate that HDL-induced endothelial cell migration is PDZK1-dependent, whereas the response to VEGF is PDZK1-independent.


Figure 3
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Figure 3. PDZK1 is required for HDL-induced endothelial cell migration. A, BAECs were transfected with control siRNA or PDZK1 siRNA, and 24 hours later, the cells were wounded and treated with media alone (control), media plus HDL, or media plus VEGF, and migration was evaluated over 18 hours. B, Summary data for control cells (open bar) and PDZK1 siRNA cells (closed bar) from 3 experiments. Values are means±SEM. *P<0.05 vs control siRNA.

Impact of PDZK1 on SR-BI
To understand the basis for the specific requirement for PDZK1 in HDL modulation of endothelial cell phenotype, the impact of PDZK1 on vascular and endothelial SR-BI expression was determined. As has been reported previously, a lack of PDZK1 in the liver resulted in a marked decline in SR-BI protein abundance (Figure 4A). In contrast, SR-BI expression was similar in aortas from PDZK1+/+ and PDZK1–/– mice. To specifically investigate the role of PDZK1 in the regulation of SR-BI expression in endothelial cells, PDZK1 was knocked down by siRNA and immunoblot analysis for SR-BI was performed. Receptor expression was unchanged with the loss of PDZK1 in endothelial cells (Figure 4B). To provide a complementary approach, PDZK1 was overexpressed in endothelial cells using an adenoviral construct, and SR-BI abundance remained unchanged (Figure 4C).


Figure 4
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Figure 4. PDZK1 does not regulate SR-BI expression or subcellular localization or HDL binding to SR-BI or cholesterol efflux to HDL in endothelium. A, PDZK1 and SR-BI abundance was evaluated in the livers and thoracic aortas of PDZK1+/+ and PDZK1–/– mice by immunoblot analysis. B, BAECs were transfected with control siRNA or PDZK1 siRNA, and PDZK1 and SR-BI abundance was evaluated 24 hours later by immunoblot analysis. C, BAECs were transfected with control adenovirus or adeno-PDZK1, and PDZK1 and SR-BI abundance was evaluated 48 hours later by immunoblot analysis. In B and C, results with duplicate samples are shown. PDZK1 was detectable in control samples with longer immunoblot exposure (data not shown). D, BAECs were transfected with control siRNA or PDZK1 siRNA, 24 hours later postnuclear supernatant (PNS), cytoplasm, and plasma membrane (PM) fractions were prepared, and SR-BI and eNOS abundance in the subfractions was evaluated by immunoblot analysis. Knockdown of PDZK1 was confirmed in PNS samples. Results shown in A through D are representative of 3 independent experiments. E, BAECs were transfected with control siRNA or PDZK1 siRNA, and 125I-HDL binding in the absence or presence of excess unlabeled HDL was evaluated 48 hours later. Values are means±SEM (n=3). *P<0.05 vs no unlabeled HDL. F, BAECs were transfected with control siRNA or PDZK1 siRNA and loaded for 24 hours with 3H-cholesterol beginning 24 hours later, and cholesterol efflux to HDL was then measured over 360 minutes. Values are means±SEM (n=3).

Because PDZK1 serves as an adaptor protein for selected signaling molecules in nonendothelial cells impacting not only their abundance but their membrane association and function,26–28 the role of PDZK1 in directing SR-BI subcellular localization in endothelial cells was investigated. In control cells, SR-BI was enriched in the endothelial cell plasma membrane as previously described (Figure 4D).14 Knockdown of PDZK1 by siRNA had no effect on SR-BI association with the plasma membrane. In addition, the plasma membrane enrichment with eNOS was similar in control cells and cells transfected with PDZK1 siRNA.

The participation of PDZK1 in HDL binding to SR-BI and cholesterol efflux in endothelial cells was also evaluated. 125I-HDL binding to BAECs was unaffected by knockdown of PDZK1 by siRNA (Figure 4E). Specific binding of HDL (125I-HDL binding not displaced by unlabeled HDL) was similarly attenuated by antibody to the SR-BI extracellular domain in control and PDZK1 siRNA-treated endothelial cells, being decreased by 72.±4.% and 64±4%, respectively. In addition, cholesterol efflux to HDL was unchanged by the loss of PDZK1 (Figure 4F). These cumulative observations indicate that PDZK1 does not modify SR-BI abundance, its subcellular targeting, or its classical role in the regulation of cholesterol flux in endothelial cells.

The most proximal signaling event known to be initiated by HDL/SR-BI in endothelium is the activation of Src family kinases.15 To determine whether PDZK1 plays a role in HDL/SR-BI-induced Src activation, Src phosphorylation in response to HDL was assessed in cells with normal versus diminished PDZK1 expression using antibodies to c-Src. In cells transfected with control siRNA, HDL caused Src phosphorylation at 10 and 15 minutes of treatment (Figure 5A). In contrast, in cells transfected with PDZK1 siRNA, HDL did not cause Src activation. Cumulative results indicated that there was a 3-fold increase in Src phosphorylation with HDL treatment that was entirely PDZK1-dependent (Figure 5B). The requirement for SR-BI interaction with PDZK1 in HDL/SR-BI activation of Src was then determined by the transfection of a hemagglutinin-tagged, truncated form of PDZK1 comprised of amino acids 1 to 240 (TR-PDZK1), which consists of the 2 N-terminal PDZ domains including the interaction domain with SR-BI and lacks the 2 C-terminal PDZ domains (Figure 5C).18 Overexpressed TR-PDZK1 would therefore compete with endogenous wild-type PDZK1 for binding to endogenous SR-BI. Whereas sham-transfected cells displayed Src phosphorylation in response to HDL, cells expressing TR-PDZK1 did not. Summary findings revealed that the capacity of endogenous, wild-type PDZK1 to mediate a 3-fold increase in Src phosphorylation in response to HDL was fully inhibited by TR-PDZK1 (Figure 5D).


Figure 5
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Figure 5. PDZK1 and its interaction with SR-BI are required for HDL-induced Src activation in endothelial cells but not for Src association with SR-BI. A, BAECs were transfected with control siRNA or PDZK1 siRNA; 24 hours later, the cells were treated with HDL (50 µg/mL) for 0 to 20 minutes, and the abundance of phosphorylated Src relative to total Src was evaluated by immunoblot analysis. B, Summary data for 4 independent experiments. Values are means±SEM. *P<0.05 vs time 0, {dagger}P<0.05 vs control. C, BAECs were transfected with control vector or cDNA for hemagglutinin (HA)-tagged truncated PDZK1 (TR-PDZK1); 24 hours later, the expression of hemagglutinin-tagged TR-PDZK1 was confirmed (top), additional cells were treated with HDL (50 µg/mL) for 0 to 20 minutes, and the abundance of phosphorylated Src relative to total Src was evaluated by immunoblot analysis (bottom). D, Summary data for 4 independent experiments. Values are means±SEM, *P<0.05 vs time 0, {dagger}P<0.05 vs control. E, BAECs transfected with SR-BI were cotransfected with either PDZK1 or siRNA targeting PDZK1 to yield abundant versus absent PDZK1 (left). Twenty-four hours later, immunoprecipitation was performed on postnuclear supernatants with anti–SR-BI antibody directed to the extracellular domain (+ lane) or unrelated IgG (- lane), and immunoblotting for SR-BI and Src was performed on the immunoprecipitates (right). Results shown were replicated in 2 independent experiments.

The basis by which PDZK1 enables HDL/SR-BI to activate Src was further investigated in coimmunoprecipitation experiments. BAECs transfected with SR-BI cDNA such that the receptor could be readily immunoprecipitated were cotransfected with either PDZK1 cDNA or the siRNA targeting PDZK1 to yield abundant versus absent PDZK1 (Figure 5E, left). SR-BI was immunoprecipitated with SR-BI antibody directed to the extracellular domain of the receptor, and by immunoblotting with antibody to c-Src, it was found that Src coimmunoprecipitates with SR-BI (Figure 5E, right). The coimmunoprecipitation of SR-BI and Src occurred similarly in the presence versus absence of PDZK1. Thus, there is physical interaction between SR-BI and Src that is PDZK1-independent, but PDZK1 is required for the receptor to activate the kinase that mediates the downstream cellular responses to HDL that are of importance to vascular health.

Role of PDZK1 In Vivo
To determine whether PDZK1 modulates endothelial cell phenotype in vivo, carotid artery reendothelialization studies were performed in PDZK1+/+ and PDZK1–/– mice. The area of remaining denudation was determined after perivascular electric injury by the injection of Evans blue dye, which is incorporated in the region of denudation. On the day of injury, the area of initial denudation was similar in PDZK1+/+ and PDZK1–/– mice (Figure 6A, top images). At 5 days postinjury, markedly less reendothelialization had occurred in PDZK1–/– versus PDZK1+/+ mice, as indicated by the larger area of remaining denudation (Figure 6A, bottom images). Cumulative studies revealed 79% reendothelialization in PDZK1+/+ mice and an absence of reendothelialization in PDZK1–/– mice (Figure 6B).


Figure 6
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Figure 6. Carotid artery reendothelialization is absent in PDZK1–/– mice. A, The intimal surface of Evans blue-stained arteries from PDZK1+/+ mice and PDZK1–/– mice are shown 1 day (D1) and 5 days (D5) after injury. B, Area of denudation was quantified and expressed in arbitrary units. Values are means±SEM (n=8 mice per group). *P<0.05 vs day 1, {dagger}P<0.05 vs PDZK1+/+.

To determine whether the loss of reendothelialization in PDZK1–/– mice is attributable to absence of the protein in the liver, hepatic expression of PDZK1 was rescued in PDZK1–/– mice by liver-directed gene transfer of PDZK1 before artery injury. In mice receiving PDZK1-containing adenovirus, both PDZK1 and SR-BI expression in the liver were rescued to levels observed in wild-type mice (Figure 7A), and this resulted in a normalization of circulating total cholesterol (Figure 7B). In contrast, vascular PDZK1 remained undetectable (Figure 7C). With hepatic rescue of PDZK1 expression and function, the impaired reendothelialization phenotype in PDZK1–/– mice was unaffected (Figure 7D and 7E), providing additional evidence supporting a key role of endothelial PDZK1 in the maintenance of an intact endothelial monolayer.


Figure 7
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Figure 7. Genetic reconstitution of PDZK1 expression and function in liver does not rescue reendothelialization in PDZK1–/– mice. A, PDZK1–/– mice received control adenovirus or adeno-PDZK1 by intravenous injection, and 5 days later, PDZK1 and SR-BI abundance in liver were compared with levels found in PDZK1+/+ mice by immunoblot analysis. Results shown are representative of 3 independent experiments. B, Total plasma cholesterol was measured in PDZK1+/+ mice and in PDZK1–/– mice that received control adenovirus or adeno-PDZK1 5 days earlier. Values are means±SEM (n=7 to 8 per group). *P<0.05 vs PDZK1+/+, {dagger}P<0.05 vs control adenovirus. C, Adenoviral reconstitution of PDZK1 expression in the livers of PDZK1–/– mice does not rescue vascular PDZK1 expression. PDZK1–/– mice received control adenovirus or adeno-PDZK1 by intravenous injection, and 5 days later, PDZK1 and SR-BI abundance was evaluated in liver and thoracic aorta by immunoblot analysis. Results for liver samples from 2 different mice, and a single pooled sample of aortas from 2 mice are shown. These findings were confirmed in 3 independent experiments. D, The intimal surface of Evans blue-stained arteries from PDZK1–/– mice that received control adenovirus or adeno-PDZK1 1 day before injury are shown 5 days after injury. E, Area of remaining denudation was quantified and expressed in arbitrary units. Values are means±SEM (n=8 mice per group).


*    Discussion
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
up arrowResults
*Discussion
down arrowReferences
 
Circulating levels of HDL cholesterol are associated with lower risk for cardiovascular disease. Along with its role in mediating reverse cholesterol transport, HDL has multiple endothelial actions that also afford cardiovascular protection. These include the activation of eNOS, protection from apoptosis, and the promotion of endothelial cell growth and migration. HDL signaling in endothelium is mediated by the high-affinity HDL receptor SR-BI.11 Here we show that HDL modulation of diverse endothelial cell phenotypes via SR-BI requires the adaptor molecule PDZK1. Thus, PDZK1 plays a central role in the promotion of vascular health by HDL.

In studies of mouse aorta, we first demonstrate that PDZK1 is expressed in vascular cells in vivo. Lack of detection of the protein in aortas from PDZK1–/– mice serves as an important negative control for detection of a protein that is primarily comprised of PDZ domains. PDZK1 protein is also detected in primary mouse endothelial cells, supporting the use of the mouse to interrogate the vascular actions of PDZK1 in vivo. In contrast to SR-BI, which is concentrated in endothelial caveola membranes, PDZK1 was found to be both membrane-associated and in the cytoplasm of endothelial cells. Thus, PDZK1 is expressed and localized in endothelial cells, where it can potentially mediate the actions of HDL/SR-BI.

The role of PDZK1 in endothelial function was then initially assessed in studies of eNOS activation. We show that the loss of PDZK1 from endothelial cells by siRNA causes complete prevention of HDL activation of eNOS, whereas stimulation of the enzyme by both a G protein–coupled receptor agonist, acetylcholine, and a growth factor, VEGF, are unaltered. In prior work, we demonstrated that HDL activation of eNOS in isolated endothelial cell plasma membranes is fully blocked by the addition of an antibody to the C terminus of SR-BI,14 thereby providing the first evidence of involvement of this domain of the receptor in HDL signaling. In the same model system, we now demonstrate that monoclonal antibody to PDZK1 also attenuates eNOS activation by HDL in the isolated plasma membranes, whereas an unrelated antibody does not. The finding that PDZK1 is required for HDL activation of eNOS is in agreement with a recent report showing that PDZK1 knockdown in cultured human umbilical vein endothelial cells (HUVECs) attenuates HDL-mediated effects via SR-BI.29 The present observations extend beyond the prior report by indicating that plasma membrane-associated PDZK1 is required for HDL activation of eNOS and importantly that there is a specific role for PDZK1 in HDL/SR-BI signaling to eNOS and not signaling by other classic ligand–receptor pairs that activate the enzyme.

To determine the requirement for PDZK1 in the regulation of a key endothelial cell behavior that is governed by HDL/SR-BI but not eNOS,16 HDL-induced migration was studied in BAECs transfected with control siRNA or PDZK1 siRNA. The migratory response to HDL, which was comparable in degree to that obtained with VEGF, was markedly attenuated following the knockdown of PDZK1. The resulting change in phenotype parallels that previously observed with depletion of endothelial cell SR-BI by siRNA.16 In contrast, endothelial cell migration with VEGF was not affected in PDZK1-depleted cells. These observations provide additional evidence that PDZK1 is specifically required for HDL/SR-BI modulation of endothelial cell phenotype.

The basis for the requirement for PDZK1 in HDL/SR-BI actions in endothelial cells was then investigated. In hepatocytes, PDZK1 modulates the steady-state levels of SR-BI19,30 and potentially similar mechanisms in vascular cells were evaluated. Whereas SR-BI abundance was markedly lower in livers of PDZK1–/– versus PDZK1+/+ mice, levels in whole aorta were unchanged, suggesting that the mechanisms regulating SR-BI expression are different in these tissues. In addition, neither the knockdown nor overexpression of PDZK1 in cultured endothelial cells altered SR-BI expression. These findings indicate that PDZK1 does not regulate SR-BI abundance in endothelial cells. Potential involvement of PDZK1 in SR-BI subcellular localization was then investigated, and it was found that SR-BI targeting to the plasma membrane of endothelial cells was not modified by the loss of PDZK1. Importantly, eNOS targeting to the plasma membrane was also not regulated by PDZK1. In addition, HDL binding to endothelial cell SR-BI and cholesterol efflux to HDL were not PDZK1-dependent.

The participation of PDZK1 in the coupling of SR-BI to the most proximal signaling event activated by HDL/SR-BI in endothelium, namely Src activation,15 was then investigated. Both PDZK1 knockdown by siRNA and the overexpression of a truncated form of PDZK1 (TR-PDZK1) including the region that interacts with SR-BI caused complete attenuation of Src phosphorylation in response to HDL. The dominant-negative effect of TR-PDZK1, which is capable of interaction with SR-BI but lacks the 2 C-terminal PDZ domains,18 suggests that endogenous PDZK1 association with SR-BI and regions within the C terminus of the adaptor protein are required for the signaling to Src invoked by SR-BI. Coimmunoprecipitation experiments further showed for the first time that Src interacts with SR-BI, and whereas Src activation by HDL/SR-BI is entirely PDZK1-dependent, the association of Src and SR-BI is not. These findings suggest that PDZK1 modifies the localization or function of kinase(s) required for Src phosphorylation by HDL/SR-BI. Detailed studies targeting the 2 C-terminal PDZ domains of PDZK1 and potentially associated kinase(s) are now indicated to determine the molecular basis of the requirement for PDZK1 in src regulation by HDL/SR-BI.

To determine whether PDZK1 modulates endothelial cell behavior in vivo, carotid artery reendothelialization studies were performed in PDZK1–/– versus PDZK1+/+ mice. In contrast to findings in wild-type mice, reendothelialization was absent in PDZK1–/– mice, paralleling the phenotype we previously demonstrated in apoA-I–/– mice and in SR-BI–/– mice.16 The impairment in reendothelialization was also apparent in PDZK1–/– mice with genetic rescue of PDZK1 in the liver and resulting rescue of hepatic SR-BI and normalization of circulating cholesterol levels, providing additional evidence supporting an important role for endothelial PDZK1 and SR-BI in vascular health. Furthermore, because the in vitro studies of endothelial cell migration showed specificity of PDZK1 involvement in HDL-mediated endothelial cell migration, these collective findings reveal that in the context of all other factors regulating endothelial cell phenotype, the molecular pathway comprised of HDL/apoA-I, SR-BI, and now PDZK1 is likely a major promoter of endothelial monolayer integrity in vivo. With these multiple observations now in hand, in vivo studies of the impact of conditional expression of PDZK1 in endothelium are worthy of pursuit.

The present observations reveal a key role for the adaptor protein PDZK1 in the modulation of endothelial cell phenotype by apoA-I/HDL and SR-BI. Our findings provide a new mechanistic context for understanding specifically how HDL initiates signal transduction and generally how HDL has beneficial impact on vascular health. Further research on the vascular biology of PDZK1 will enhance our capacity to apply the potent actions of HDL to prevent and combat cardiovascular disease.


*    Acknowledgments
 
We are indebted to Dr Daniel Rader for critical assessment of the manuscript.

Sources of Funding

This work was supported by NIH grants HL58888 (to P.W.S.) and HL082697 (to D.L.S.). Additional support was provided by the Crystal Charity Ball Center for Pediatric Critical Care Research and the Lowe Foundation (to P.W.S.).

Disclosures

None.


*    Footnotes
 
*Cosenior authors. Back

Original received July 5, 2007; revision received December 5, 2007; accepted December 13, 2007.


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