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Circulation Research. 1997;81:567-574

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(Circulation Research. 1997;81:567-574.)
© 1997 American Heart Association, Inc.


Articles

Tie2 Expression and Phosphorylation in Angiogenic and Quiescent Adult Tissues

Adrianne L. Wong, Zishan A. Haroon, Sabine Werner, Mark W. Dewhirst, Charles S. Greenberg, , Kevin G. Peters

From the Department of Cell Biology (A.L.W.), the Department of Pathology (Z.A.H., M.W.D., C.S.G.), the Department of Radiation Oncology (M.W.D.), the Department of Medicine, Divisions of Hematology & Medical Oncology (C.S.G.) and the Division of Cardiology (K.G.P.), and the Department of Pharmacology (K.G.P.), Duke University Medical Center, Durham, NC, and the Max-Planck-Institut fur Biochemie (S.W.), Planegg-Marlinsried, Germany.

Correspondence to Dr Kevin G. Peters, Box 3623, Duke University Medical Center, 430 Sands Bldg, Research Drive, Durham, NC 27710. E-mail kgp{at}hodgkin.mc.duke.edu


*    Abstract
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*Abstract
down arrowIntroduction
down arrowMaterials and Methods
down arrowResults
down arrowDiscussion
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Abstract Angiogenesis, the process of new vessels sprouting from the existing vasculature, is a critical process during early development. However, angiogenesis rarely occurs in the adult, except in response to cyclic hormonal stimulation in the ovary and uterus, in response to injury, and in response to pathological conditions such as tumorigenesis and diabetes mellitus. Tie2 (also known as Tek) is a novel endothelium-specific receptor tyrosine kinase, which has been demonstrated to be essential for the development of the embryonic vasculature; Tie2 knockout mice die by embryonic day 10.5 with specific defects in the formation of microvessels. Tie2 is downregulated later in embryogenesis, and its function in the adult has been relatively unexplored. To gain insight into the potential functions of Tie2 in the adult vasculature, Tie2 expression was examined in adult tissues undergoing angiogenesis and in quiescent tissues. Tie2 expression was localized by immunohistochemistry to the endothelium of neovessels in rat tissues undergoing angiogenesis during hormonally stimulated follicular maturation and uterine development and in healing skin wounds. Immunoprecipitation and RNase protection assay demonstrated upregulation of Tie2 protein and mRNA in rat and mouse skin wounds, respectively. Moreover, Tie2 immunoprecipitated from skin wounds was tyrosine-phosphorylated, indicating active downstream signaling. Surprisingly, Tie2 was also expressed in the entire spectrum of the quiescent vasculature (arteries, veins, and capillaries) in a wide range of adult tissues, and Tie2 immunoprecipitated from quiescent adult tissues was also tyrosine-phosphorylated. Together, these results suggest a dual function for Tie2 in adult tissues involving both angiogenesis and vascular maintenance.


Key Words: receptor tyrosine kinase • endothelium • angiogenesis • wound healing • Tie2


*    Introduction
up arrowTop
up arrowAbstract
*Introduction
down arrowMaterials and Methods
down arrowResults
down arrowDiscussion
down arrowReferences
 
Angiogenesis, the sprouting of new vessels from the existing vasculature, is a tightly controlled process that plays its most obvious role in early development. Although the potential for angiogenesis is maintained throughout the lifetime of an organism, once the vasculature has been established, the endothelium remains extraordinarily quiescent in the adult.1 2 The hormonal control of the ovary and uterus in reproduction provides perhaps the only normal physiological exception to this rule.3 All other activation of angiogenesis during adulthood occurs in response to injury or pathological processes such as tumorigenesis and diabetic retinopathy.4 5 6

Although the mechanisms that drive angiogenesis have not been fully elucidated, a large body of evidence has established important roles for endothelial RTKs such as VEGF and FGF receptors and their cognate growth factors.7 Recently, a novel family of endothelium-specific RTKs, the Tie family, has been identified, consisting of the receptors Tie1 and Tie2 (also known as Tek).8 9 10 11 12 13 14 Not only were Tie1 and Tie2 expressed predominantly in vascular endothelial cells during embryogenesis,14 15 but functional disruption of either Tie1 or Tie2 in transgenic mice was lethal secondary to distinct defects in vascular development.16 17 18 Disruption of Tie1 function led to perinatal lethality, with defects suggesting a role in vascular integrity. However, disruption of Tie2 function led to early embryonic lethality, with defects in the microvasculature suggesting a role in embryonic angiogenesis. Although these studies have established a role for Tie1 and Tie2 during embryonic vascular formation, little is presently known regarding the function of these receptors in the mature vasculature.

In order to gain insight into the function of Tie2 in the mature vasculature, the present study explores the regulation of Tie2 expression in adult tissues. Using a monoclonal antibody developed in our laboratory, we have demonstrated that Tie2 is expressed in the endothelium during angiogenesis in the hormone-stimulated ovary and uterus and in healing skin wounds. Unexpectedly, Tie2 was also broadly expressed in the endothelium of the quiescent adult vasculature. Moreover, Tie2 was tyrosine-phosphorylated in both angiogenic tissues and quiescent adult tissues. Taken together, these results suggest that in adult tissues, Tie2 signaling may have a dual function in both vascular growth and vascular maintenance.


*    Materials and Methods
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up arrowAbstract
up arrowIntroduction
*Materials and Methods
down arrowResults
down arrowDiscussion
down arrowReferences
 
Animal Protocols
Superovulation
Thirty-day-old Wistar rats (Charles River Laboratories, Raleigh, NC) were given an intraperitoneal injection of 50 IU of PMSG (Sigma Chemical Co) in 0.75 mL of 0.9% NaCl between 9:00 and 10:00 AM of day 1, followed by 25 IU of hCG (Sigma) in 0.4 mL of 0.9% NaCl between 9:00 and 10:00 AM of day 3. Animals were killed between 4:00 and 5:00 PM of days 1 to 4 by isoflurane anesthesia, followed by cervical dislocation.

Wounding
Three-month-old Fischer rats (Charles River Laboratories, Raleigh, NC) were anesthetized with an intramuscular injection of ketamine (70 mg/kg) and an intraperitoneal injection of pentobarbital (40 mg/kg), then shaved, and depilated (Nair). Sixteen 5-mm biopsy punch wounds were made on the dorsal skin. The punches from day 0 served as an unwounded skin control; wounds were harvested on days 1, 3, 5, 7, and 9 after wounding for Western blotting and on days 2, 4, 5, 6, and 8 for immunohistochemical analysis. One rat was killed for each time point, and the experiments were performed in duplicate.

Organ Blots
Three-month-old Wistar rats were killed, and their organs were removed. Rats were killed by an intravenous overdose of pentobarbital.

Tissue Preparation
Dissected organs were fixed in 4% paraformaldehyde/PBS for 1 to 3 hours, then equilibrated in 30% sucrose overnight, and embedded in Tissue Tek OCT (Miles). Skin wounds were snap-frozen in OCT.

Immunohistochemistry
MoAb33 was raised against the extracellular domain of human Tie2 protein. Although MoAb33 exhibits cross-reactivity with mouse Tek in enzyme-linked immunosorbent assays, it does not recognize the closely related Tie1 protein in Western blots (P. Rao, K. Peters, unpublished data, 1996). Tie2 protein was localized with MoAb33 at 1:1000 in PBS, MRC-OX-43 (Serotec) was used at 1:400 as a marker for rat endothelium, and IgGK (Sigma) at 1:1000 was used as a negative control. Slides were dried overnight at room temperature. Snap-frozen sections were postfixed in 4% paraformaldehyde for 20 minutes, treated in 3% hydrogen peroxide/PBS for 15 minutes, blocked in 5% normal rabbit serum for 20 minutes, blocked with biotin/avidin for 15 minutes each (Vector), and incubated with the following: primary antibody for 2 hours at room temperature, biotinylated rabbit-anti mouse IgG (Dako) at 1:400 for 30 minutes, and Vector Elite ABC biotin-avidin-peroxidase complex for 30 minutes; sections were then developed with diaminobenzidine and diaminobenzidine enhancer (Vector), counterstained with hematoxylin, and mounted.

RNase Protection Assay
Six full-thickness excisional wounds were made on the backs of BALB/c mice by excising skin and panniculus carnosus. The wounds were allowed to dry to form a scab. The complete wound including the scab and 2 mm of the epithelial margins was excised at each time point (1, 3, 5, 7, and 13 days after wounding). A similar amount of skin from the backs of three nonwounded animals was used as a control. In every experiment, the wounds from four animals (24 wounds) were combined, immediately frozen in liquid nitrogen, and stored at -70°C until used for RNA isolation. Antisense Tie2 probe was generated by linearizing a murine Tie2 extracellular domain cDNA in pcrScript (Stratagene) with Bbs I and transcribing with T7 RNA polymerase (Promega) in the presence of [32P]UTP (Amersham) to yield a 271-bp probe of bases 2168 to 2439 (Genbank Accession No. X67553). Each RNA (1 µg) was loaded on a 1% agarose gel before hybridization as an internal standard. Samples (50 µg) of total RNA were hybridized with 1x105 cpm of 32P-labeled antisense RNA probe overnight at 42°C and then digested with RNase A and T1 for 40 minutes at 30°C. The digests were resolved on 5% polyacrylamide gels and visualized by autoradiography.

Western Blotting
Tissue samples were homogenized in modified RIPA buffer (50 mmol/L Tris [pH 7.4], 1% IGEPAL CA-630 (Sigma), 0.25% sodium deoxycholate, 150 mmol/L NaCl, 1 mmol/L EDTA, 1 mmol/L phenylmethylsulfonyl fluoride, and 1 µg/mL aprotinin, leupeptin, and pepstatin). EC-RF24 cells (a gift from Dr H. Pannekoek, University of Amsterdam, the Netherlands)19 were cultured on 2% gelatin (Sigma)/PBS in endothelial cell growth medium with 2% FBS (Clonetics) and serum-starved in endothelial cell basal medium (Clonetics). Cells were lysed in modified RIPA buffer for 15 minutes at 4°C with rocking and then scraped from the plates. Protein samples (1 mg) were immunoprecipated via incubation with 1 µg MoAb33 for 2 hours at 4°C and with protein G–agarose beads (Santa Cruz Biotechnology) for an additional 1 hour. The beads were then washed three times in lysis buffer, once in 50 mmol/L Tris/1 mmol/L vanadate, resuspended in Laemmli loading buffer, and separated on 8% SDS-polyacrylamide gels. Nitrocellulose membranes (Schleicher & Schuell, Inc) were blocked with 5% milk/TBST for 1 hour, probed with MoAb33 (at 1:10 000 with TBST) or 4G10 (UBI) and {alpha}-mouse IgG–horseradish peroxidase (Promega), and developed using enhanced chemiluminescence (Amersham). Stripping of blots was performed overnight at room temperature in TBST (pH 2.4). A vanadate-pretreated lysate of 3T3 cells stably transfected with the full-length Tie2 cDNA served as the control. Laser densitometry was performed with an LKB UltroScan XL.


*    Results
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up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
*Results
down arrowDiscussion
down arrowReferences
 
Tie2 Is Expressed and Tyrosine-Phosphorylated in the Vascular Endothelium of Angiogenic Tissues
In order to investigate the expression of Tie2 in the context of hormonally induced angiogenesis in the ovary, reproductively immature female rats were treated with PMSG on day 1 to induce follicular maturation and with hCG on day 3 to induce ovulation. Localization of Tie2 expression was examined by immunohistochemistry on days 1 to 4 of treatment. In the early stages of follicular development, Tie2 expression was confined to the stroma surrounding the developing follicles (Fig 1ADown). As follicular maturation proceeded, Tie2 expression was detected in the newly vascularized theca interna (Fig 1BDown). No staining was observed in the avascular granulosa cells of the mature follicle. After ovulation, Tie2 expression was detected in the endothelium of microvessels invading the previously avascular granulosa of the developing corpus luteum (Fig 1CDown).



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Figure 1. Localization of Tie2 expression during angiogenesis in hormone-stimulated ovary and uterus. To study the expression pattern of Tie2 during physiological angiogenesis, female mice were stimulated with PMSG/hCG (see "Materials and Methods"), and Tie2 expression in the ovary and uterus was determined at various intervals by immunohistochemistry. In the ovary (panels A through C), Tie2 was detected in the vessels of the stroma surrounding secondary follicles but was not detected in the theca interna (TI) or the zona granulosa (ZG) (panel A). In maturing graafian follicles (panel B), Tie2 was detected in the newly vascularized TI, but not in the avascular ZG. After ovulation, the follicle collapses, and the vessels of the TI encroach into the luteinized granulosa cells, helping to form the corpus luteum. Tie2 expression was detected throughout the neovasculature of the corpus luteum (panel C). TL indicates theca lutein cells. Tie2 also stained neovessels in the hormone-stimulated uterine endometrium (panels D through F). The most striking expression was in the late proliferative stage (panel E), although Tie2-stained vessels were also detected in the early proliferative (panel D) and late secretory (panel F) stages. GL indicates gland. Arrows in panels B through F indicate Tie2-expressing vascular endothelium. Magnification x100 (panel A), x50 (panel B), x30 (panel C), and x100 (panels D, E, and F).

In addition to characteristic changes in the ovary, PMSG treatment also results in the proliferation and neovascularization of the endometrium. Gonadotropin-induced ovarian steroid production stimulated endometrial development in preparation for implantation. As in developing ovarian vessels, Tie2 was expressed in the endothelium of the developing endometrial vasculature in the hormone-stimulated uterus (Fig 1DUp through 1F).

Wound healing is another well-established setting in which to study angiogenesis in adult animals.20 In order to examine Tie2 expression during wound-healing angiogenesis, 5-mm punch biopsy wounds were made on rat dorsal skin and harvested by excision at various time points after wounding for analysis by immunohistochemistry (days 2, 4, 5, 6, and 8) and immunoprecipitation (days 0, 1, 3, 5, 7, and 9). Immunohistochemical staining demonstrated that Tie2 was expressed on day 2 in the dilated ectatic vessels surrounding the wound (Fig 2ADown). By day 4, the newly formed microvessels invading the wound granulation tissue strongly expressed Tie2 (Fig 2BDown). The pattern of Tie2 staining was identical to that of a rat endothelial marker (MRC-OX-43, Fig 2EDown), and no staining was observed with an irrelevant isotype-matched antibody (IgGK, Fig 2DDown). By day 8, when wound edges had contracted and the microvessels had largely regressed, Tie2 expression was limited to blood vessels at the wound edge (Fig 2CDown and 2FDown).



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Figure 2. Localization of Tie2 expression during angiogenesis in rat skin wounds. Excision wounds (5-mm punch biopsy) were made on the dorsal skin of adult rats and harvested at various intervals for immunohistochemistry using an anti-Tie2 monoclonal antibody (panels A through C), an antibody against an epitope expressed specifically on rat endothelium (MRC-OX-43, panels E and F), or no primary antibody (panel D). Tie2 was expressed on the endothelium of dilated ectatic vessels surrounding the wound on day 2 (panel A, arrows), but no staining was detected in the granulation tissue (G) filling in the wound under the eschar (ES). By day 5, when epithelium (EP) begins to cover the wound, arrows indicate newly formed microvessels in the granulation tissue that strongly expressed Tie2 (panel B). On day 8, when the wound has been completely reepithelialized, microvessels have regressed from the granulation tissue, and Tie2 staining was observed only on the vessels at the wound edge (see arrows) (panel C). Comparison of the Tie2 staining pattern with a day-5 negative control, IgGK (panel D), and a rat endothelial marker, MRC-OX-43, on days 5 and 8 (panels E and F, respectively) demonstrated endothelium-specific Tie2 expression. Magnification x25.

Western blotting analysis revealed an increase in Tie2 expression after wounding that peaked at day 3, coincident with the vascularization of the granulation tissue (Fig 3ADown). Between days 5 and 9 after wounding, expression returned to near basal levels, coincident with contraction of the granulation tissue and regression of the neovasculature. This result was reproduced in duplicate in two independent experiments.



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Figure 3. Quantification of Tie2 protein expression and phosphorylation during angiogenesis in rat skin wounds. Tie2 was immunoprecipitated from protein lysates from control (C) unwounded skin as well as 5-mm dorsal skin wounds harvested on days 1, 3, 5, 7, and 9 after wounding. Immunoprecipitates were then probed sequentially with anti-phosphotyrosine and anti-Tie2 antibodies. Western blots were semiquantified by densitometry for calculation of fold increase over control. Tie2 receptor levels ({alpha}Tie2) were increased almost 3-fold above baseline on days 1, 3, and 5 and then returned to baseline by day 9 after wounding (panel A). Tyrosine phosphorylation of the Tie2 receptor ({alpha}P-Tyr), an indicator of ligand-mediated stimulation, was detected in control skin but was increased almost 2-fold at days 1 and 3, followed by a return to baseline level by day 9 after wounding (panel B).

To substantiate our findings of Tie2 upregulation during wound angiogenesis, 5-mm excision wounds were made on the dorsal skin of mice, and wounds were harvested at various time points for RNA isolation and analysis by RNase protection assay. Closely paralleling the pattern of Tie2 protein expression in rat skin wounds, Tie2 mRNA was rapidly upregulated by day 3 after wounding and then rapidly downregulated by day 13, reflecting vascular growth and regression in murine skin wounds (Fig 4Down).21 This result was reproduced in three independent protection assays using RNAs from different wound-healing experiments.



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Figure 4. Quantification of Tie2 mRNA expression during angiogenesis in mouse skin wounds. Excision wounds (5 mm) were made on the dorsal skin of mice and harvested on days 1, 3, 5, 7, and 13 for isolation of total RNA. Total RNA (50 µg) was hybridized with an antisense Tie2 riboprobe. After RNase digestion, protected fragments were separated by polyacrylamide gel electrophoresis and visualized by autoradiography. Similar to the pattern of protein expression in rat skin wounds, Tie2 mRNA was detected in control mouse skin and was upregulated in wounds between days 3 and 7, returning to baseline levels by day 13.

To explore the regulation of Tie2 signaling in wound angiogenesis, Tie2 immunoprecipitated from rat wound tissue was probed with an anti-phosphotyrosine antibody. Interestingly, Tie2 tyrosine phosphorylation could be detected even in control skin. Tie2 phosphorylation increased after wounding, peaking at day 3, and subsequently declined to near baseline levels by day 9 (Fig 3BUp).

Tie2 Is Widely Expressed and Tyrosine-Phosphorylated in the Vascular Endothelium of Quiescent Adult Tissues
Since Tie2 was expressed and tyrosine-phosphorylated in the quiescent vasculature of the unwounded skin, the expression and phosphorylation of Tie2 was examined in other angiogenically quiescent adult rat tissues. By immunohistochemistry, Tie2 expression was localized in the endothelium of all adult tissues examined (Figs 5Down and 6Down and the TableDown). Tie2 was homogeneously expressed throughout the vasculature in the endothelium of arteries, veins, and capillaries. For example, arteries and veins in the ovary, kidney, and skeletal muscle strongly expressed Tie2 (Fig 5Down). In the kidney, Tie2 expression was detected in both efferent and afferent arterioles and in fenestrated glomerular capillaries (Fig 6ADown). Comparison with a negative control (Fig 6BDown) and a marker for rat endothelium (Fig 6CDown) demonstrates staining specificity for vascular endothelium. Similarly, microvascular endothelial cells in the brain, heart, and spleen demonstrated prominent expression of Tie2 (Fig 6DDown through 6F).



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Figure 5. Localization of Tie2 expression in the endothelium of arteries and veins. Normal adult rat organs were probed by immunohistochemistry with anti-Tie2 to determine the expression pattern of Tie2 in angiogenically quiescent tissues (see "Materials and Methods"). Tie2 was clearly and strongly expressed in the normal vascular endothelium of both arteries (A) and veins (V) in all tissues examined. Representative examples include the ovary (panel A), kidney (panel B), and skeletal muscle (panels C and D). Arrows in panels A through D indicate Tie2 staining of the vascular endothelium. Magnification x320 (panels A and B) and x200 (panels C and D).



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Figure 6. Localization of Tie2 expression in the quiescent vasculature of normal adult tissues. Normal rat organs immunohistochemically probed with anti-Tie2 (as in Fig 5Up) revealed the broad expression of Tie2 in all types of vessels. For example, Tie2 was clearly expressed in the fenestrated glomerular capillaries (panel A). Comparison with an IgGK negative control (panel B) and MRC-OX-43, a marker for rat endothelium (panel C), revealed the specificity of anti-Tie2 for the vascular endothelium. Tie2 labeled both conduit vessels and the endocardium (E) in the heart (panel D). Tie2 expression was also demonstrated in the microvessels in the cerebellum of the brain (panel E) and spleen (panel F). Arrows in panels D through F indicate representative Tie2 staining of the vascular endothelium. Magnification x200 (panels A, B, and C) and x100 (panels D, E, and F).


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Table 1. Tie2 Expression in Normal Rat Organs

Immunoprecipitation experiments confirmed that Tie2 was broadly expressed in the quiescent adult vasculature. Tie2 protein was most abundant in the lung but was easily detected in all tissues examined, including liver, kidney, heart, spleen, skin, brain, and skeletal muscle (Fig 7ADown and data not shown). Probing of immunoprecipitated Tie2 with an anti-phosphotyrosine antibody demonstrated tyrosine phosphorylation of Tie2 in all tissues examined, consistent with active downstream signaling in quiescent vasculature (Fig 7BDown).



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Figure 7. Quantification of Tie2 protein expression and phosphorylation in normal adult tissues. Tie2 was immunoprecipitated from protein lysates from normal rat organs. Immunoprecipitates were then probed sequentially with anti-phosphotyrosine and anti-Tie2 antibodies. Although the highest amounts of Tie2 expression by Western blotting with {alpha}-Tie2 were found in the lung and liver, Tie2 was also expressed in the heart, spleen, skin, and brain (panel A). Tyrosine phosphorylation of the Tie2 receptor ({alpha}P-Tyr), an indicator of ligand-mediated stimulation, was detected in all of the organs tested (panel B), suggesting a functional role in the quiescent endothelium.

To exclude the possibility that Tie2 tyrosine phosphorylation was an artifact of immunoprecipitation with MoAb33, Tie2 was immunoprecipitated from lung lysates in parallel with endothelial cell lysates. ECRF cells, an HPV16-immortalized human umbilical vascular endothelial cell line, were either serum-starved overnight or allowed to grow in normal medium and pretreated with vanadate before lysis. In this experiment, similar amounts of Tie2 were immunoprecipitated from the ECRF cells and lung lysates (Fig 8Down). However, Tie2 immunoprecipitated from the ECRF cell lysates contained little detectable phosphotyrosine (even when pretreated with vanadate), whereas Tie2 from lung lysates contained easily detectable phosphotyrosine. Therefore, the tyrosine phosphorylation of immunoprecipitated Tie2 receptor from tissue extracts is likely to truly reflect Tie2 phosphorylation in vivo.



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Figure 8. Tyrosine phosphorylation of Tie2 from tissue extracts is attributable to in vivo phosphorylation. Tie2 was immunoprecipitated from serum-starved (st) ECRF cells, nonstarved ECRF cells pretreated with vanadate (van), and lung protein extract. Anti-phosphotyrosine activity ({alpha}P-Tyr) of Tie2 derived from ECRF cells ({alpha}-Tie2) is either negligible (st+) or weak (van+), whereas the phosphorylation of Tie2 from rat lung extracts was proportionately much greater. Thus, the tyrosine phosphorylation observed in rat tissues likely reflects the true phosphorylation state of Tie2 in vivo.


*    Discussion
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up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
up arrowResults
*Discussion
down arrowReferences
 
Although a role for Tie2 in embryonic vascular development has been well established, its role in the adult vasculature has been relatively unexplored. Using immunohistochemistry with a Tie2-specific monoclonal antibody, we have shown that Tie2 was expressed in the endothelium of the developing vasculature in two adult tissues: in the hormone-stimulated female reproductive system and in healing skin wounds. Immunoprecipitation and RNase protection assay confirmed Tie2 expression in healing skin wounds, demonstrating rapid upregulation of Tie2 protein and mRNA during the early stages of wound healing, coinciding with wound angiogenesis, and rapid downregulation of Tie2 during the later stages, coinciding with regression of vessels. Moreover, immunoprecipitated Tie2 was tyrosine-phosphorylated, indicating activation of downstream signaling during wound angiogenesis. Unexpectedly, Tie2 was also expressed and phosphorylated throughout the quiescent vasculature of all adult tissues tested. The presence of tyrosine-phosphorylated Tie2 in tissues undergoing angiogenesis and in the quiescent vasculature suggests a dual role for this endothelium-specific receptor in both angiogenesis and in vascular maintenance.

Role of Tie2 During Angiogenesis
Functional Tie2 signaling is required for the proper development of the embryonic vasculature. Disruption of murine Tie2 function in transgenic mice resulted in early embryonic lethality secondary to distinct defects in microvascular development, characterized by reduced endothelial cell number, abnormal vascular branching, and compromised endothelial integrity. These findings demonstrated that Tie2 function was not required for the earliest stages of endothelial differentiation and vascular patterning but was crucial for the formation of the microvasculature during embryonic angiogenesis. The results of the present study are consistent with a similar role for Tie2 during angiogenesis in adult tissues. However, because global disruption of Tie2 signaling results in embryonic lethality, establishment of a functional role for Tie2 signaling during angiogenesis in adult tissues will require the development of alternative approaches to specifically inhibit Tie2 signaling in vivo.

Role of Tie2 in the Resting Vasculature
Other studies have shown the presence of Tie2 mRNA in adult tissues; however, these studies did not address the cellular localization, protein expression, or phosphorylation of Tie2 in these tissues.8 13 The results of the present study demonstrating Tie2 protein expression and phosphorylation in a wide range of adult tissues suggests a role for Tie2 signaling in the maintenance of the quiescent adult vasculature. Moreover, the expression of Tie2 in endothelia of arteries, veins, and capillaries suggests a function for Tie2 at all levels of the vasculature. Maintenance functions have been suggested for other endothelial RTKs. For example, Flt-1, a VEGF receptor, is also broadly expressed in the adult vasculature.21 Furthermore, prestimulation with VEGF has been shown to have a protective effect on the endothelium against ischemic insult.22 The expression of Flt-1 in the resting vasculature and the protective effect of VEGF on vascular function strongly suggest a role for VEGF receptor signaling in vascular maintenance.

A mutation in the Tie2 kinase domain has been correlated with venous malformations in two unrelated families.23 Histochemical analysis of these venous malformations revealed distended vessels surrounded by disorganized smooth muscle cells, suggesting that Tie2 signaling may be involved in the maintenance of normal vascular architecture by influencing either the phenotypic behavior of endothelial cells or endothelial cell–smooth muscle cell communication. Elucidation of such a role for Tie2 in the resting vasculature will require the development of methods to inhibit Tie2 signaling in the established vasculature.

Tie2 Signaling in the Mature Vasculature
Generally, signaling by RTKs is initiated by ligand-mediated dimerization and autophosphorylation.24 25 26 In cultured endothelial cells, Tie2 phosphorylation was induced by stimulation with a newly discovered Tie2 ligand, angiopoietin-1.27 Disruption of Tie2 signaling via angiopoetin-1 knockout, Tie2 knockout, or a Tie2 dominant-negative approach (to block ligand-mediated autophosphorylation) all yielded similar phenotypes.16 17 28 Taken together, these results suggest that, as is the case for other RTKs, ligand-mediated autophosphorylation is required for Tie2 signaling. Thus, the presence of tyrosine-phosphorylated Tie2 during angiogenesis and in the quiescent vasculature is consistent with ligand-mediated activation of Tie2 and is indicative of active downstream signaling.

After receptor autophosphorylation, phosphotyrosine residues serve as binding sites for cytoplasmic signaling molecules. It is likely that the complement of signaling molecules that associate with the autophosphorylated receptor dictates the cellular responses to receptor activation. We have recently shown that Tie2 associates with the cytoplasmic signaling molecules Grb2 and SH-PTP2 in a phosphorylation-dependent manner.29 Grb2 and SH-PTP2 have been shown to be involved in activation of the Ras/MAP kinase pathway.30 31 32 Activation of the Ras/MAP kinase pathway is known to be involved in a number of cellular responses, including proliferation. Although angiopoietin-1 elicited no mitogenic activity in cultured endothelial cells, Tie2 signaling may be required for efficient replication of endothelial cells in vivo.27 Alternatively, Tie2 signaling might influence other endothelial responses, including adhesion, differentiation, or survival. A major role for Tie2 in the maturation and stabilization of the neovasculature might necessitate a somewhat restricted activation of Tie2 in the early stages of angiogenesis, as depicted by the apparent decrease of Tie2 receptor phosphorylation per amount of total receptor in the early stages of wound healing (Fig 3Up). Continued progress in the study of Tie2 function will require further dissection of its downstream signaling pathways and relating these pathways to specific cellular responses.

Limitations of the Present Study
By Western blotting and RNase protection assay, it is clear that Tie2 expression is increased in skin wounds during angiogenesis compared with normal skin. It is likely that this increase represents an upregulation of Tie2 expression in the endothelium of neovessels, resulting in increased receptor density. However, it is also possible that at least part of the apparent increase in Tie2 expression is due to the increased general vascularity of wound tissue compared with normal skin. The approaches used in the present study cannot fully distinguish between these two possibilities.

Significance of Tie2 Expression and Phosphorylation in the Mature Vasculature
Many disease processes are known to be driven by angiogenesis, including cancer, atherosclerosis, diabetic retinopathy, and arthritis.33 34 For instance, tumor growth beyond 2 mm in diameter is constrained by a requirement for angiogenesis.35 Moreover, neovascularization of atherosclerotic plaques is likely involved in plaque progression and plaque rupture leading to vascular occlusion and myocardial infarction.36 37 38 39 Our results demonstrating Tie2 expression and phosphorylation during angiogenesis in adult tissues suggest a role for Tie2 signaling in pathological angiogenesis. Thus, strategies to inhibit Tie2 signaling might yield useful therapeutic agents for these "angiogenic" diseases.

Although many diseases are driven by vascular growth, others such as coronary artery disease and peripheral vascular disease are characterized by vascular insufficiency. In these diseases, stimulating vascular growth with angiogenic growth factors such as FGF and/or VEGF may help to restore blood flow to ischemic tissues.40 41 42 43 44 45 46 47 Results of the present study suggest that, like VEGF and FGF, Tie ligands might also be useful agents to stimulate revascularization of ischemic tissues. The potential usefulness of Tie ligands for angiogenic therapy will be determined by their ability to stimulate angiogenesis alone or to potentiate the response to other agents in standard angiogenesis assays.

There is mounting evidence from animal studies that both proangiogenic and antiangiogenic therapy might be relatively free of adverse effects. However, enthusiasm for therapeutic strategies perturbing Tie2 and perhaps VEGF receptor function should be tempered by the possible disruption of crucial roles for these receptors in vascular maintenance. Further investigation into the specific signaling pathways used for vascular growth and maintenance may lead to more specific and effective strategies for both proangiogenic and antiangiogenic therapy.


*    Selected Abbreviations and Acronyms
 
EC-RF24 = human umbilical vein endothelial cell line transformed by HPV-16
FGF = fibroblast growth factor
hCG = human chorionic gonadotropin
MAP = mitogen-activated protein
PMSG = pregnant mare serum gonadotropin
RTK = receptor tyrosine kinase
TBST = Tris-buffered saline with Tween 20
VEGF = vascular endothelial growth factor


*    Acknowledgments
 
This study was supported by Duke University Breast Cancer SPORE grant CA-66338 (Drs Peters, Dewhirst, Haroon, and Greenberg) from the National Institutes of Health, a grant from the McDonnell Foundation, and grant RO1 HL-55265 (Drs Peters and Wong) from the National Institutes of Health. Many thanks to Dr David W. Schomberg, Duke University Medical Center, Division of Reproductive Biology, OBGYN, and the Department of Cell Biology for comments on the manuscript and to Conrad Ireland for technical assistance.

Received January 31, 1997; accepted June 27, 1997.


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