Original Contributions |
From the Department of Pharmacology (K.-i.K., T.S., S.M., T.M.), the Department of Neurosurgery (K.-i.K., N.H.), Faculty of Medicine, Kyoto University, Kyoto, Japan, the National Cardiovascular Center Research Institute (T.S., T.M.), Suita, Osaka, Japan, and the Department of Molecular Pharmacology (T.S.), Graduate School of Pharmaceutical Sciences, Osaka University, Suita, Osaka, Japan.
Correspondence to Tomoh Masaki, MD, PhD, Director General, National Cardiovascular Center Research Institute, Suita, Osaka 565-8565, Japan. E-mail masaki{at}ri.ncvc.go.jp
| Abstract |
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Key Words: lysophosphatidylcholine arginine transporter nitric oxide endothelium lipoprotein, oxidized low-density
| Introduction |
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Significant alleviation of the formation and progression of atherosclerosis by arginine supplementation has been reported.6 These results suggest that the availability of arginine in the cytoplasm of endothelial cells is reduced in the state of hypercholesterolemia, and it is highly probable that an exogenous supply of arginine could ameliorate the impaired NO release and suppress atherogenesis.
Evidence has accumulated that oxidized LDL (OxLDL) or its lipid constituent, lysophosphatidylcholine (LPC), plays a critical role in atherogenesis.7 8 Immunohistochemical studies of atherosclerotic lesions have revealed the deposition of OxLDL, which is taken up by monocytes/macrophages.9 LPC is formed in the process of oxidative modifications of LDL. It is a major deleterious component of OxLDL, constituting up to 40% of the total lipid content of OxLDL. LPC, like OxLDL, shows a special atherogenic capacity including the induction of growth/chemotactic factors, induction of leukocyte adhesion molecule, and inhibition of the NO release from endothelium.8 10 11
To clarify the change of arginine availability, we focused on the
relationships between arginine transport and NO production in
endothelial cells treated with LPC. The arginine uptake
in endothelial cells is mainly mediated by system
y+, a sodium-independent transport system of
cationic amino acids. The 4 members of the system
y+ transporter family identified to date are
cationic amino acid transporters (CAT1, CAT2a, CAT2b, and
CAT3).12 13 According to their different
affinities to arginine, 3 of these transport systems (CAT1, CAT2b, and
CAT3) are classified as high-affinity
(Kd
10-4
mol/L) transporters, whereas CAT2a, an alternatively
spliced isoform of CAT2b, is classified as a low-affinity
(Kd
10-3 or
more mol/L) transporter.
The present results revealed that (1) the decrease in NO production in endothelial cells treated with LPC was reversed by high dose of arginine; (2) arginine uptake of endothelial cells was mediated by the 2 pathways, high- and low-affinity arginine transport systems; and (3) LPC selectively inhibited the high-affinity system. Our findings unveil one of the molecular mechanisms underlying the in vivo observations that high-dose arginine attenuates atherogenesis by increasing endothelium-derived NO release.
| Materials and Methods |
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Preparation of LDL
Human plasma LDL (density=1.019 to 1.063) was isolated by
sequential ultracentrifugation, and oxidative
modification of LDL was carried out with cupric ion in vitro, as
described previously.14 Oxidation was monitored
by measuring the amount of thiobarbituric acid-reactive substances
(
10 nmol malondialdehyde equivalent/mg protein in OxLDL). Agarose
gel electrophoresis revealed an increase in electrophoretic mobility
and minimal aggregation of OxLDL particles.
Bioassay of NO Release From BAE Cells
BAE cells seeded for the experiments were cultured for 16 hours
in Eagle's MEM lacking arginine (Gibco). The cells were harvested by
trypsinization and then incubated for 2 hours at 37°C in
HEPES-buffered saline (HBS) (10 mmol/L HEPES, 5 mmol/L
glucose, 150 mmol/L NaCl, 5 mmol/L KCl, 1 mmol/L
CaCl2, 1 mmol/L MgCl2
[pH 7.5], and 0.3% BSA) containing LPC or OxLDL at the
concentrations indicated in the figures. After washing twice with HBS,
BAE cells were used for the measurement of antiaggregational
effects.
Into a tube containing a 1:9 volume of 3.8% sodium citrate solution as an anticoagulant, peripheral venous blood was withdrawn from healthy volunteers who had not taken any drugs for at least 2 weeks. Platelet-rich plasma (PRP) and platelet-poor plasma were obtained as supernatants after centrifugation for 10 minutes at 160g and 1500g, respectively.15 Two hundred microliters of PRP prewarmed at 37°C was set in an aggregometer (Heam Tracer 601; Niko Bioscience) with continuous stirring at 1000 rpm. Twenty microliters of the suspension of BAE cells, prepared as described above, was added to the PRP and incubated for 1 minute. Addition of endothelial cells (5x104 to 1.5x105 cells) did not significantly affect the light transmission. Test reagents were added and incubated for 1 minute. ADP was added to initiate platelet aggregation and to stimulate endothelial cells simultaneously. The numbers of BAE cells and the concentrations of ADP or test reagents used are shown in the figures. Changes in light transmission were recorded for 4 minutes after the stimulation. The light transmission was calibrated with that of platelet-poor plasma taken as the 100% transparent control and that of PRP as the 0% reference.16
Measurement of Transient Ca2+ Change Induced by
ADP
BAE cells pretreated with MEM without arginine
(Gibco) were harvested by trypsinization and incubated for 1.5 hours at
37°C in Ca2+ loading buffer (5 mmol/L
HEPES, 1 mmol/L
Na2HPO4, 5 mmol/L
glucose, 140 mmol/L NaCl, 4 mmol/L KCl, 1 mmol/L
MgCl2, and 0.3% BSA [pH 7.4]) containing LPC
or phosphatidylcholine (PC). The suspension was added by fluo-3
bis[(acetyloxy)-methyl]ester and further incubated for 30
minutes, as described elsewhere.17 The change of
intracellular Ca2+ evoked by
10-5 mol/L ADP was monitored by a
fluorescence spectrophotometer (model CAF-110; JASCO) with
excitation at 490 nm and emission at 540 nm.
Measurement of Amino Acid Uptake by Culture Cells
Confluent monolayers of BAE cells on 6-well plates were cultured
in MEM without arginine (Gibco) for 16 hours before the experiments.
The cells were washed twice with HBS and incubated at 37°C for 2
hours with HBS, 0.3% BSA containing LPC, or reagents indicated in the
figure legends. The media were then replaced with HBS and 0.3%
BSA containing 10-7 mol/L of
[3H]arginine or
[3H]leucine (222 GBq/mmol) to be
taken up by the cells. The uptake was stopped by washing the cells 3
times with ice-cold HBS and 0.3% BSA, and the cells were lysed with
0.2 mol/L NaOH and 1% SDS. The incorporated radioactivity was
determined with a solid scintillation counter and calibrated with the
amount of protein determined by Micro BCA assay (Pierce).
Measurement of Arginine Uptake by Endothelia of Intact Bovine
Aortas
Bovine aortas freshly obtained from a local slaughterhouse were
cut longitudinally and incubated at 37°C for 2 hours with HBS, 0.3%
BSA with or without 100 µmol/L LPC. The media were changed with
HBS containing [3H]arginine to allow the aortas
to incorporate arginine for 3 minutes. After being washed with ice-cold
HBS, the endothelia were scraped off with coverslips and lysed with 0.2
mol/L NaOH and 1% SDS. The radioactivity and protein concentration of
the lysate were determined. The scraped cells were identified as
vascular endothelial cells by the further culturing of
the cells in parallel experiments.
cDNA Cloning of CAT1
cDNA libraries from human lung and brain constructed in the
gt10 vector were screened by the standard plaque hybridization
method as described.13 The insert of a positive
clone (hCAT1) was subcloned into pBluescript II SK-
(Stratagene) to give pBShCAT1. It was confirmed by sequencing that
hCAT1 covered the whole coding region of human CAT1 cDNA.
Transient Expression of CAT1 in COS-7 cells
The EcoRI fragment of hCAT1 was subcloned into a
mammalian expression vector pME18S to give pMEhCAT1. COS-7 cells were
maintained in DMEM supplemented with 10% FBS. The COS-7 cells to be
transfected were seeded on 10-cm dishes the night before, to give 50%
confluence at the time of transfection. The cells were transfected with
10 µg of pMEhCAT1 or with the vector (for basal uptake) using
LipofectAMINE (Life Technologies, Inc) according to the
instructions of the manufacturer. Twenty-four hours later, the cells
were transferred to 12-well plates and the medium was changed with
arginine-free MEM. Twenty-four hours after this, the cells were used
for the determination of arginine uptake.13
Northern Blotting
Poly(A)+ RNA (10 µg per lane), prepared
from BAE cells, was separated by formaldehyde/1.1% agarose gel
electrophoresis and transferred to a nylon membrane (Gene Screen Plus;
Du Pont). The membrane was hybridized with the probe, which was
prepared by labeling the EcoRI fragment of pMEhCAT1 with
[32P]dCTP (110 TBq/mmol; Amersham). Blotting
procedures were as described.18 The blot was
visualized for radioactivity with a BAS2000 image analyzer
(Fujifilm Co Ltd).
| Results |
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Using this assay system, we confirmed that LPC dose-dependently
inhibits NO release from BAE cells (Figure 2
). The inhibited NO release was restored
by the addition of 10 mmol/L arginine, but not by 10 mmol/L
lysine, which is also a dibasic amino acid but not a substrate of NOS
(Figure 3
). In addition, the NO release
from untreated BAE cells was not affected by the addition of 10
mmol/L arginine or lysine (data not shown). The findings also
demonstrated that BAE cells treated with LPC required more
extracellular arginine than the physiological
concentration to produce an equivalent amount of NO as in the normal
condition. These findings suggest that the arginine uptake by
endothelial cells would be inhibited by the LPC
treatment because the concentration of serum arginine is about 0.1
mmol/L, which is far higher than the Km
value of NOS for arginine.
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To test this hypothesis, we measured the uptake of extracellular
arginine into BAE cells in the presence of 100 nmol/L of
[3H]arginine. As expected, the transport was
significantly inhibited by the addition of LPC or OxLDL but not by PC
or native LDL (Figure 4A
). The
inhibitory effect of LPC reached the maximum within 1 hour
of incubation and continued for at least 5 hours (Figures 4B
and 5A
). This inhibitory effect
was dependent on the concentration of LPC (Figure 5B
). In contrast to
that of arginine, the transport of leucine, which is carried out by
another transport system, was not inhibited even at the maximum dose of
LPC (Figure 5C
).
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To exclude the possibility that these changes in arginine transport were due to nonspecific detergent-like effects of LPC, the viability of BAE cells was confirmed using the trypan blue exclusion assay and by measurement of the activity of lactate dehydrogenase released from dead BAE cells in the culture media. The results disclosed that BAE cells were still viable even in the presence of 100 µmol/L LPC in our culture system. The concentration of LPC in the vessel wall of an atherosclerotic lesion, according to the report by Portman and Alexander,20 was about 1 mmol/L, 10 times higher than the maximum concentration used in the present study. The detergent-like effects do not occur in vivo even at the highest concentration of LPC, probably because most of the LPC present was in a protein-bound form. In this sense, LPC was used in combination with 0.3% albumin as a carrier protein, as described previously.21 22
We examined whether the restoration of NO release by the administration
of arginine at high concentrations was caused by the change in the
activity of arginine transport. We analyzed the transport of
arginine in the presence of extracellular arginine at various
concentrations. Increase in the concentration of extracellular arginine
facilitated the transport of arginine in a dose-dependent manner
(Figure 6A
). The addition of LPC reduced
the transport particularly at low concentrations of extracellular
arginine but not at the highest concentration (3 mmol/L),
suggesting a decrease in the affinity of the transport system to
arginine. The maximum activity of arginine transport in LPC-treated BAE
cells was not significantly different from that in untreated BAE
cells.
|
Analysis by the Eadie-Hoffstee plot (Figure 6B
) confirmed that
there are 2 components of arginine transport with different affinities
to arginine in BAE cells, as reported
previously.23 The plot further revealed that the
inhibition with LPC was highly selective to the high-affinity component
of arginine transport, indicating that the restored activity at a high
concentration of extracellular arginine was predominantly caused by the
low-affinity arginine transporter that was relatively insensitive to
LPC.
We confirmed the expression of CAT1, a ubiquitous and major
high-affinity transporter, in the endothelial cells
using Northern blot analysis (Figure 7A
). We examined whether the activity of
CAT1 was inhibited by LPC using COS-7 cells transfected with CAT1 cDNA.
As expected, the activity of CAT1 was inhibited by LPC in a comparable
dose of LPC, directly demonstrating the involvement of CAT1 in the
LPC-mediated inhibition of high-affinity transport of arginine (Figure 7B
).
|
Finally, we examined whether the effect of LPC on the arginine
transport would be seen in intact blood vessels. Treatment of freshly
isolated intact bovine aortas with comparable amounts of LPC from the
luminal side significantly decreased activity of arginine transport in
endothelial cells (Figure 8
), suggesting that LPC inhibits arginine
transporter not only in the cultured endothelial cells,
but also in vivo in atherosclerotic lesions.
|
We also examined whether LPC affects the
Ca2+ transient in BAE cells induced by ADP
stimulation in our system, because it is controversial between other
reports.24 25 In the present study, LPC did
not reveal significant change in the Ca2+
transient (Figure 9
). The findings
suggest that NO release can be impaired with the change in arginine
transport but without the change in agonist-induced intracellular
Ca2+ transient.
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| Discussion |
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Extracellular Arginine and NO Production
To investigate the potential mechanisms of the effect of LPC, we
developed an assay system specifically to measure the amount of NO
release from endothelial cells suspended in PRP. The
advantage of this method is that the medium closely approximates in
vivo conditions. Whereas other methods used for the measurement of NO
were not sensitive enough, the method used in the present study
permitted direct observation of the interaction between
endothelial cells and platelets mediated by NO with
enough sensitivity in real time to prevent the subtle changes of NO
release from being overlooked. Experiments using this method confirmed
the reduction of NO release from endothelial cells in
the presence of LPC. Despite the existence of
0.1 mmol/L
arginine in the medium, supplements of extracellular arginine (10
mmol/L) reversed the reduction, indicating that LPC possibly decreased
the availability of extracellular arginine for NOS. In contrast, the NO
release from the BAE cells not treated with LPC was not affected by
high concentrations of arginine. These findings suggested that
incorporation of arginine from extracellular space would not work well
in the LPC-treated cells, in combination with the intracellular
arginine supply system for NOS, because the extracellular concentration
of L-arginine (about 0.1 mmol/L) is higher than the
Km value of endothelial
NOS.23 24 The total arginine transport activity
was reduced. The reduction was caused by the decrease in the activity
of the high-affinity transport system. This explains why the addition
of excess amounts of arginine restores NO release in LPC-treated cells.
With an increase in the extracellular arginine level, arginine can be
carried by the low-affinity arginine transporter rather than the
high-affinity transporter. The Kd value of
high-affinity arginine transporter (about 0.1 mmol/L) was close to
the concentration of arginine in normal plasma. Therefore, the change
in the activity of the high-affinity arginine transporter markedly
affected the total capacity of the arginine transport system in
endothelial cells under
physiological conditions. Indeed, Closs et
al30 reported that the uptake of arginine by
CAT1, which mediates high-affinity transport, was several times higher
than that by CAT2, which mediates the low-affinity transport of
arginine, at physiological concentrations using an
expression system in Xenopus oocytes.
Mechanism of Selective Inhibition of the High-Affinity
Arginine Transporter
The detailed mechanisms of selective inhibition of the
high-affinity arginine transporter are unclear (Figure 7
). Closs et
al31 reported that CAT1 requires cationic amino
acids on the trans side of the plasma membrane for its
transporter activity, but CAT2 does not. Accordingly, if LPC reduces
the intracellular arginine level, the activity of the high-affinity
arginine transporter decreases. Because at normal
physiological concentrations of arginine CAT1 is
the predominant transport system in endothelial cells,
this decrease results in the lowering of the intracellular arginine
concentration and, in turn, a decrease in the arginine transport
activity. Although its triggering mechanism is still unknown, this
positive feedback loop may produce a deficiency of arginine in
endothelial cells. Given that OxLDL readily evokes
arginine deficiency in BAE cells in the absence of extracellular
arginine, the existence of some mechanism for specifically reducing the
available intracellular arginine is
suggested.32
LPC is assumed to inactivate the arginine transporter with translocation of the transporter from caveolae to some other portion, as observed in endothelial NOS.33 34 35 Endothelial NOS reportedly localizes in the caveola, a specialized structure in the plasma membrane. Disruption of the localization by a point mutation of endothelial NOS significantly decreased the activity,34 36 37 suggesting that the microenvironment around caveolae is important in constitutive production of NO and that the arginine concentration in the cytoplasm might be heterogeneous and concentrated around caveolae. According to the recent report of McDonald et al,35 CAT1 and endothelial NOS are colocalized in caveolae in endothelial cells. Therefore, a decrease in the concentration of arginine around arginine transporters results in a decrease in the activity of the arginine transporter, as described above, and further decreases the amount of arginine supplied to NOS complexed with CAT1.
Relationships to Other Proposed Mechanisms
Several investigators reported that G proteinmediated signal
transduction was impaired by OxLDL and LPC.38 39
Because the response after transient Ca2+ change
induced by A23187 was preserved, the upstream mechanism of the
transient Ca2+ change in response to agonists has
been focused on as the cause of the impaired NO
release.40 41 Inoue et al24
reported that LPC inhibited bradykinin-induced
Ca2+ transients. The phenomenon observed seems to
be a heterologous desensitization, because LPC itself induced
Ca2+ transients in endothelial
cells. In contrast, in the present study, NO release was inhibited
by LPC without any significant change in the intracellular
Ca2+ transient in response to ADP as
analyzed with fluo-3 (Figure 9
). Shin et
al25 also reported that LPC inhibited NO release
induced by ATP without decreasing the Ca2+
transient of endothelial cells. These results suggest
that the impairment of NO release can be induced solely by the
reduction of arginine availability, although the
Ca2+-dependent mechanism may also work under some
conditions. Impairment of basal release of NO, which is independent of
the intracellular Ca2+ transient, may also be
explained by the change of arginine availability. Arginine transport is
also stimulated by the agonists of endothelial cells
(Figure 10
) such as bradykinin and
ATP.42 The process of receptor-mediated arginine
transport may also be involved in the impairment of NO release.
|
It has been reported that interactions between arginine and glutamine change endothelial NO production and that arginine deficiency causes production of superoxide anions by neuronal NOS.43 44 Durante et al45 reported that the transport of cationic amino acid in vascular smooth muscle cells is inhibited in the short term but enhanced in the long term by the treatment of LPC. The enhancement of the transport was not observed in the present study; this may be because of the difference in the origin and the metabolism of the cells. They observed the change in the amount of mRNA for CAT1 and CAT2, but for the short-term effect of LPC, the change does not seem to correlate with the transport activity. Therefore, the inhibitory effect should occur at the protein level of the transporters. There may be a common mechanism reducing the activity of CAT in endothelial cells. Durante et al45 also suggested that the polyamine metabolism might be important for the inhibition of NO production by inducible NOS in vascular smooth muscle cells. The inducible NOS requires much larger amounts of arginine (and various factors should modulate the arginine availability) than is the case with endothelial NOS. Thus, the relationships between arginine metabolism and NO production may be more complicated than the system used in the present study. Our present findings, however, are still compatible with previous reports on other factors. The inhibition of the high-affinity arginine transport seems to constitute, at least in part, the impairment of NO release by LPC in endothelial cells.
Therapeutic Possibilities
Evidence has accumulated that in vivo administration of arginine
improves atherosclerosis by increasing NO release from
endothelial cells.6 The
present results suggest the potential of the arginine transporter
for the gene therapy of atherogenesis. Two types of high-affinity
arginine transporter, CAT1 and CAT3, would be good transgene
candidates.
| Acknowledgments |
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Received April 27, 1998; accepted August 17, 1998.
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