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Molecular Medicine |
From the Cancer Research UK London Research Institute (S.A., N.K., R.H.A.), Vascular Development Laboratory, London, UK; Max-Planck-Institute of Biochemistry (R.F.), Department of Molecular Medicine, Martinsried, Germany; Max-Planck-Institute for Molecular Biomedicine (R.H.A.), Department of Tissue Morphogenesis, and University of Münster, Faculty of Medicine, Münster, Germany.
Correspondence to Ralf H. Adams, Vascular Development Laboratory, Cancer Research UK London Research Institute, 44 Lincolns Inn Fields, London WC2A 3PX, United Kingdom. E-mail ralf.adams{at}cancer.org.uk
| Abstract |
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Key Words: integrin adhesion blood vessel vascular smooth muscle cell pericyte
| Introduction |
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The close relationship between matrix proteins and blood vessel morphogenesis is highlighted by the phenotypes of knockout mice lacking extracellular matrix (ECM) components. Loss of fibronectin or collagen IV results in lethality around midgestation because of defects in the embryonic heart and vasculature.6–8 The alternatively spliced EIIIA and EIIIB regions of fibronectin are essential for normal vascular remodeling, VSMC association, and embryonic survival.9 Targeted inactivation of the Lama4 gene (laminin
4) is compatible with embryonic angiogenesis and cardiac development, but mutant capillaries have basement membrane defects and are dilated and fragile.10 Binding to these matrix substrates is mediated by integrin receptors, which, in turn, control cellular responses such as adhesion, spreading, motility, proliferation, and survival. Integrins function as heterodimers consisting of
and β subunits. Gene targeting experiments have uncovered that complexes containing the integrin molecules
4,
5,
7,
V, and β8 are essential for vascular morphogenesis.11,12 Because these integrins play important roles in many different tissues and cell types, the mutant phenotypes may reflect primary defects in ECs, PCs/VSMCs, or other cell populations. Alterations in the local matrix and/or integrin expression are also thought to promote a phenotypic switch of VSMCs in response to vessel wall injury or in atherosclerosis. Affected SMCs acquire a mitotic, poorly differentiated ("synthetic") phenotype and share features with immature embryonic VSMCs.4,13–15
To gain better insight into integrin function in the vessel wall, we inactivated the Itgb1 gene encoding integrin β1 in mural cells. Integrin β1 is a particularly promiscuous subunit that can partner with 11 distinct
chains and thereby mediate binding to a diversity of matrix substrates including collagen I and IV, laminins, vitronectin, and fibronectin. This versatility may explain why the global inactivation of the Itgb1 gene in mice is incompatible with survival beyond embryonic day (E)5.5.11 To circumvent this early developmental block, conditional Itgb1 mutants permitting tissue-specific gene targeting with the Cre-loxP approach have been generated previously.16 We combined these mice with Pdgfrb-Cre transgenics,17 a strain of mice expressing Cre recombinase under the control of a Pdgfrb (the gene for platelet-derived growth factor receptor β) genomic DNA fragment. Because of Pdgfrb-Cre expression in PCs and VSMCs of the skin and other tissues,17 this gene-targeting strategy allowed us to investigate the function of the integrin β1 subunit in mural cells without disrupting its expression in the endothelium.
| Materials and Methods |
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Analysis of Tissues
For immunofluorescence on sections, tissue samples were fixed overnight in 4% paraformaldehyde at 4°C and embedded in paraffin for sectioning. Microtome sections were blocked with 0.1% BSA and 1.5% goat serum in PBS (30 minutes) before overnight incubation with primary antibody diluted in blocking solution. Primary antibodies were rat monoclonal anti–integrin β1 (Chemicon, 1:100), rabbit polyclonal anti-fibronectin (Sigma, 1:200), anti–collagen IV (Chemicon, 1:200), anti–phospho-histone H3 (Upstate, 1:100), and goat polyclonal anti–smoothelin B (Santa Cruz Biotechnology, 1:100). After washing, samples were incubated in secondary antibody (anti-rabbit Alexa Fluor-488 or Fluor-546, anti-rat Alexa Fluor-488, Molecular Probes, 1:500) and counterstained with 4',6-diamidino-2-phenylindole (DAPI) (Sigma, 1:1000). Fluorescence was visualized using a Leica DM IRBE light microscope.
For whole-mount staining, skin samples were fixed overnight in 4% paraformaldehyde, washed with PBS, blocked in 1% goat serum in PBS containing 0.1% Tween 20 (3 hours at room temperature), followed by overnight incubation with primary antibodies (diluted in blocking solution) at 4°C. Samples were washed 3 times (1 hour each) in PBS, incubated for 3 hours at room temperature with secondary antibodies diluted in blocking solution, and washed as before. Primary antibodies were rat anti-mouse platelet endothelial cell adhesion molecule-1 MEC13.3 (Pharmingen, 1:100), mouse anti-human
-smooth muscle actin (SMA) (Clone1A4, Sigma, 1:400), polyclonal rabbit anti-desmin (Abcam, 1:200), rat monoclonal anti-endomucin (gift from Dietmar Vestweber, Max-Planck-Institute for Molecular Biomedicine, Münster, Germany), and rabbit anti-fibronectin (Sigma, 1:400). A Zeiss LSM510 Meta was used for confocal microscopy. Sample analysis by electron microscopy has been described previously.17
Flow Cytometry
Mesenteric tissue from E17.5 or postnatal day (P) 2 Pdgfrb-Cre Itgb1lox/lox Rosa26-EYFP or control mice was incubated for 2 hours at 37°C in 2 mL of PBS containing 400 U/mL collagenase (GIBCO). After the addition of 10 mL of medium (10% FCS in DMEM), cells were dispersed with a Pasteur pipette, sieved (pore size, 100µm), collected by centrifugation (1000 rpm, 5 minutes) and washed with 5 mL of medium. Cells were resuspended in 500 µL of DMEM containing 2% FCS, incubated with integrin β1 antibody for 45 minutes and anti-rat secondary antibody conjugated to Alexa Fluor-647 (Molecular Probes). Propidium iodide (Invitrogen) staining selected live cells, which were analyzed with a FACSCalibur system (BD Biosciences).
Smooth Muscle Cell Isolation, Culture, and Analysis
The isolation of SMCs from adult aortas, as well as the culture, verification, transfection, and staining of these cells; the analysis of fibronectin fibrillogenesis; and video microscopic and automatic cell shape analysis are described in the online data supplement, available at http://circres.ahajournals.org.
| Results |
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-SMA–positive cells (Figure 1C). Residual mural integrin β1 expression in mutant survivors at later postnatal stages suggests incomplete gene inactivation, and we therefore excluded these animals from our study. Flow cytometric analysis showed that integrin β1 is gradually depleted during development and that the majority of Pdgfrb-Cre–positive cells in postnatal mutants (74.2% at P1) has lost the protein (Figure 1D).
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Vascular Smooth Muscle Cell Defects in Itgb1 Mutants
Analysis of the Itgb1Pdgfrb-Cre dermal vasculature by whole-mount immunofluorescence revealed the presence of vascular aneurysms, local distensions of blood vessels, affecting both arteries and veins already in embryos (Figure 2A and 2B). These aneurysms correspond with regions with poor VSMC coverage, suggesting that this phenotype is linked to mural cell defects. At P2, mutant VSMCs show a highly rounded, button-like morphology. Because of poor spreading, individual cells are often separated by gaps so that Itgb1Pdgfrb-Cre arteries and veins lack continuous SMC coverage (Figure 2C and 2D). Staining with anti–
-SMA antibodies shows that the cytoskeleton of control VSMCs is aligned into a sheet of parallel fibers that surrounds the endothelium tightly. By contrast, Itgb1 mutant mural cells are highly disorganized and fail to align with neighboring cells. Moreover,
-SMA is no longer polarized to one surface of the VSMCs in the absence of integrin β1 (Figure 2E).
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On the ultrastructural level, mutant mural cells fail to associate with the subendothelial basement membrane, appear rounded and poorly spread, and are frequently located in some distance from the endothelium. As a consequence, Itgb1 vessel walls are not covered by a layer of tightly packed VSMCs and instead appear loosely organized (Figure 2F).
Integrin β1 Controls the Spreading of PCs
Because PCs play critical roles in the stabilization of capillary beds2,3 and are targeted by the Pdgfrb-Cre transgene,17 we analyzed the morphology PCs in Itgb1 mutants. Whole-mount staining with antibodies directed against desmin, an intermediate filament protein and PC marker, allows the visualization of the PCs that cover the dermal vasculature with an extensive lattice of fine processes (Figure 3A). Desmin-positive PCs are also present in the Itgb1Pdgfrb-Cre skin, and their number is even significantly increased compared with control littermates (Figure 3A and 3E). However, mutant cells lack the characteristic slender and stretched morphology of normal PCs, and their processes appear short (Figure 3B). Several lines of evidence suggest that loss of integrin β1 affects the interaction of PCs with ECs. In electron micrographs, mutant PCs have a round morphology, fail to wrap around dermal capillaries, and areas of endothelial-PC contact are small (Figure 3D). Whereas control PCs show no appreciable
-SMA immunofluorescence, mutant PCs are SMA-positive, similar to what has been reported previously for the poorly attached PCs covering the tumor vasculature.20 Furthermore, distended capillary diameters in the Itgb1Pdgfrb-Cre skin suggest that mutant PCs, despite their presence in greater numbers, are not supporting the endothelium sufficiently (Figure 3E). In contrast to other mutant models in which the loss or defective association of mural cells leads to edema formation and hemorrhaging,17,21 we did not find extravasated red blood cells in Itgb1 mutants. The angiogenic growth of the vascular network, as judged by the size of the vascularized area (Figure IA in online data supplement), the number of blood vessel branch points, and endothelial proliferation (data not shown), was also not significantly altered when mural cells had lost integrin β1 expression.
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Integrin β1 Controls the Shape, Adhesion, and Motility of Cultured Mural Cells
To investigate the role of integrin β1 in cultured mural cells, we isolated aortic smooth cell cells from adult Itgb1lox/lox homozygous mice, which also carried the H-2Kb-tsA58 immorto transgene, allowing the inducible expression of a temperature-sensitive SV40 T antigen.18 Transient expression of Cre recombinase in these cells yielded integrin β1–deficient (Itgb1KO) SMCs. Deletion of the loxP-flanked region in the Itgb1 gene of these cells was verified by genotyping PCR (data not shown), and immunofluorescence confirmed the absence of integrin β1 protein (Figure 4A and 4B). Mock-transfected cells were used as controls (Figure 4A and 4B). Visualization of the focal adhesions by anti-paxillin antibody staining and of the actin cytoskeleton shows that loss of Itgb1 in cultured VSMCs phenocopies morphological changes observed in vivo. Itgb1KO SMCs are round, poorly spread, and lack cellular protrusions seen in control cells (Figure 4A and 4C through 4E). Absence of integrin β1 expression does not prevent the formation of focal adhesions, even though they are short and disorganized in comparison with control cells (Figure 4A and 4B). As expected, reexpression of green fluorescent protein–tagged integrin β1 in Itgb1KO SMCs restores their morphology, so that they resemble control cells (supplemental Figure II).
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Consistent with the binding affinities of β1-containing integrin heterodimers, attachment and spreading on collagen I and fibronectin matrix substrates is delayed in Itgb1KO SMCs (Figure 5A and 5B). Similarly, cell motility and the persistence of migration are significantly reduced in the absence of integrin β1 (Figure 5C and 5D and supplemental Figure I).
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ECM Protein Expression in Itgb1 Blood Vessels
Previous work has indicated that integrins are not only necessary for cell–matrix adhesion but, at least in some tissues, for the proper expression and deposition of ECM proteins.22 Evaluation of laminin, fibronectin, and collagen IV by immunofluorescence shows that all these matrix proteins are expressed in Itgb1Pdgfrb-Cre dermal blood vessels (Figure 6A through 6C and supplemental Figure III). However, we noted that Itgb1
-SMA–positive cells protrude through the matrix layer into the surrounding dermis and are no longer fully ensheathed by collagen IV, as is the case for control blood VSMCs (Figure 6A and 6B). Whereas fibronectin is still located within the basement membrane that separates the endothelium from the VSMC layer, its assembly into long parallel fibrils is defective in Itgb1Pdgfrb-Cre mutants (Figure 6C and 6D). Confocal analysis reveals that mutant blood vessels lack long fibronectin fibrils and the ECM protein is instead predominantly accumulated in a circular fashion underneath VSMCs (Figure 6D). Similarly, cultured Itgb1KO SMCs are only capable of limited fibronectin fibrillogenesis (Figure 6E).
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Proliferation and Differentiation of Itgb1 VSMCs
To gain a better understanding of the defects in mutant vessel walls, we evaluated whether the loss of integrin β1 has any effect on the survival, proliferation, or differentiation of mural cells. TUNEL staining shows no overlap between apoptotic (TUNEL-positive) nuclei and anti–
-SMA antibody signal in both control and mutant skin sections (data not shown), arguing against an essential role of integrin β1 in the protection of mural cells against cell death. By contrast, VSMC proliferation, assayed with antibodies against the mitotic marker phospho-histone H3, is increased in Itgb1Pdgfrb-Cre mutants (Figure 7A through 7C). Thus, changes in the morphology of Itgb1 VSMCs are accompanied by upregulated proliferation reminiscent of the SMC behavior seen in response to vascular injury.
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The loss of late differentiation markers is another feature of the synthetic VSMC phenotype.4,15 We therefore analyzed the expression of smoothelin B, an actin-binding protein that is a late VSMC differentiation marker linked to SMC contractility.23 Whereas smoothelin B is abundantly present in
-SMA–positive cells of control vessels, such staining is missing in the Itgb1 dermal vasculature (Figure 7D and 7E). The expression of various transcriptional factors with established roles in the regulation of the smooth muscle differentiation program is also reduced and/or delayed in cultured integrin β1–deficient SMCs (supplemental Figure IV). All these findings together are consistent with a failure of VSMCs to acquire a fully differentiated and functional phenotype in the absence of integrin β1.
| Discussion |
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-SMA by integrin β1–deficient PCs is highly reminiscent of PC defects in the deregulated vasculature of tumors20 and most likely reflects changed gene expression in response to the loose association of these cells with the capillary network. The dilation of capillaries in the Itgb1Pdgfrb-Cre skin is also consistent with insufficient support by mural cells. Even though we were unable to establish that these vascular defects were directly responsible for the lethality of the mutant mice, some form of cardiovascular insufficiency or the rupture of dilated and fragile blood vessels are the most likely cause of death. Embryonic and perinatal growth and development is accompanied by a significant increase in blood pressure,24,25 and the severity of the mural cell defects suggests that the Itgb1Pdgfrb-Cre mutant vasculature may be too weak to cope with these stronger hemodynamic forces.
Because many of the known molecular players controlling mural cell biology are linked to integrins, it is worthwhile to compare the different mutant phenotypes. For example, signaling by platelet-derived growth factor (PDGF) B and its receptor PDGFRβ is essential for the proliferation, chemotactic guidance, and association of PCs/VSMCs. Studies in cultured cells have established that this pathway synergistically cooperates with integrins.26,27 However, this crosstalk involves integrin
vβ3 rather than complexes with β1, and we found that Itgb1Pdgfrb-Cre mutants do not recapitulate the dramatic reduction of PCs/VSMCs caused by the inactivation of the Pdgfb or Pdgfrb genes.3
We have shown previously that that mural cells require ephrin-B2, a small transmembrane protein and ligand for Eph family receptor tyrosine kinases, for their correct association with capillaries and small caliber arteries and veins.17 Even though cultured ephrin-B2–deficient aortic SMCs display prominent focal adhesion defects, the accelerated but random motility of these cells appears very distinct from the comparably static Itgb1 KO cells. Thus, mural cell-specific integrin β1 mutants fall into a separate phenotypic category characterized by compromised PC and VSMCs spreading, migration, and differentiation.
Redundancy Versus Functional Specificity of Integrin Receptors
Several mutant mice lacking individual integrin
subunits develop vascular defects, suggesting that these molecules may partner with β1 in PCs and VSMCs. Integrin
5β1 is strongly expressed in SMCs, and the knockout of the Itga5 gene encoding the
5 subunit reproduces the very severe vascular defects seen in embryos lacking fibronectin, the major ligand of
5β1.11,28 The midgestation lethality of Itga5 embryos is likely to reflect a combination of problems affecting the heart, the endothelium, and, possibly, mural cells. Tissue-specific loss-of-function studies will be required to identify the roles of integrin
5 in individual cell types. Similar to
5, the majority of Itga4 (integrin
4) mutants die at midgestation, which has been attributed to failed chorioallantoic fusion.29 A fraction of mutants surviving up to E14.5 displays defective distribution of PCs/VSMCs in the cranial vasculature.30 Adhesion and motility of cultured Itga4 cells was also reduced, similar to Itgb1KO SMCs.30,31 It also has been shown that the laminin receptor integrin
7β1 is expressed in SMCs, and cerebrovascular hemorrhaging in the knockout mice has been attributed to VSMC defects.32,33
Given that integrin β1 forms functional complexes with all the subunits mentioned above, mediates adhesion to fibronectin, laminin, and collagen substrates, and also controls fibronectin fibrillogenesis in the vessel wall, it is surprising that VSMC survival or proliferation are not disrupted in Itgb1Pdgfrb-Cre mutants. Similarly, mutant PCs are compromised in their ability to spread and support ECs but are actually present in increased numbers. These data suggest that other integrins, such as
vβ3 or
vβ5, provide sufficient adhesion for necessary promitotic and antiapoptotic signals. Indeed, the integrins
vβ3 or
vβ5 are expressed by SMCs and can bind a set of ECM molecules that partially overlaps with β1-containing receptor complexes.34
Integrin β1 and the Synthetic VSMC Phenotype
Changes in the matrix environment or the expression, cell surface presentation, binding, or signaling properties of integrins may cause or contribute to pathological changes in the vasculature. For example, it has been shown that laminin and type I or type IV collagens help to maintain a differentiated, contractile phenotype of cultured arterial SMCs, whereas the cell attachment (RGD) motif of fibronectin has the opposite effect.35–38 Experimentally induced vascular injury reduces the local expression and activity of β1 integrins in vascular cells, whereas
vβ3 or
vβ5 and the corresponding matrix substrates are upregulated.5,39–41 Moreover, β3 integrins favor a poorly differentiated and highly motile SMC phenotype, and knockout mice are protected against pathological VSMC migration and neointima formation.5,40–44
The sum of these findings suggests that different integrin complexes may have opposite roles in the regulation of the SMC phenotype. The defects in Itgb1Pdgfrb-Cre mutant mice directly confirms that integrin β1 is essential for VSMC morphology, differentiation, and function and may provide useful leads for future research investigating tissue repair and vascular regeneration processes.
| Acknowledgments |
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Sources of Funding
This work was funded by Cancer Research UK and the European Molecular Biology Organization Young Investigator Programme (R.H.A.).
Disclosures
None.
| Footnotes |
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