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Circulation Research. 2000;86:68-75

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(Circulation Research. 2000;86:68.)
© 2000 American Heart Association, Inc.


Cellular Biology

Differentiation-Inducing Factor-1, a Morphogen of Dictyostelium, Induces G1 Arrest and Differentiation of Vascular Smooth Muscle Cells

Yoshikazu Miwa, Toshiyuki Sasaguri, Chiya Kosaka, Yoji Taba, Akio Ishida, Takeo Abumiya, Yuzuru Kubohara

From the Departments of Bioscience (Y.M., T.S., Y.T., A.I.) and Epidemiology (T.A.), National Cardiovascular Center Research Institute; Second Department of Internal Medicine, Faculty of Medicine, Kyushu University (Y.M.); Department of Clinical Sciences and Laboratory Medicine, Kansai Medical University (C.K.); and Department of Molecular Physiology, Institute for Molecular and Cellular Regulation, Gunma University (Y.K.), Japan.

Correspondence to Toshiyuki Sasaguri, MD, PhD, Department of Bioscience, National Cardiovascular Center Research Institute, 5-7-1 Fujishiro-dai, Suita, Osaka 565-8565, Japan. E-mail sasaguri{at}ri.ncvc.go.jp


*    Abstract
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*Abstract
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down arrowMaterials and Methods
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Abstract—Differentiation-inducing factor-1 (DIF-1) is a morphogen that induces differentiation of Dictyostelium. Recently, DIF-1 has been shown to inhibit proliferation and induce differentiation in tumor cells, although the underlying mechanisms remain unknown. In this study, we examined the effects of DIF-1 on the proliferation and differentiation of vascular smooth muscle cells, to explore novel therapeutic strategies for atherosclerosis. DIF-1 nearly completely inhibited DNA synthesis and cell division in mitogen-stimulated cells. DIF-1 inhibited the phosphorylation of the retinoblastoma protein and the activities of cyclin-dependent kinase (Cdk) 4, Cdk6, and Cdk2, which phosphorylate the retinoblastoma protein. DIF-1 strongly suppressed the expression of cyclins D1, D2, and D3, as well as those of cyclins E and A, which normally began after that of the D-type cyclins. The mRNAs for the smooth muscle myosin heavy chains SM1 and SM2 were expressed in quiescent cells in primary culture, and these expression levels decreased after mitogenic stimulation. In the presence of DIF-1, the rate of the reduction was significantly decelerated. Moreover, the addition of DIF-1 to dedifferentiated cells induced the expressions of SM1 and SM2, accompanied by a reduction in the level of SMemb, a nonmuscle-type myosin heavy chain. Therefore, DIF-1 seemed to interrupt a very early stage of G1 probably by suppressing the expressions of the D-type cyclins. Furthermore, this compound may prevent phenotypic modulation and induce differentiation of vascular smooth muscle cells.


Key Words: differentiation-inducing factor-1 • vascular smooth muscle cell • cell cycle • cyclin • differentiation


*    Introduction
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up arrowAbstract
*Introduction
down arrowMaterials and Methods
down arrowResults
down arrowDiscussion
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Differentiation-inducing factor-1 (DIF-1), a chemical compound (1-[3,5-dichloro-2,6-dihydroxy-4-methoxyphenyl]-1-hexanone) discovered from Dictyostelium discoideum,1 is a putative morphogen required for undifferentiated cells of Dictyostelium to differentiate to stalk cells. To find a novel antineoplastic agent, the effect of DIF-1 on mammalian tumor cells has been examined, because in structure DIF-1 was found to be similar to differanisole A, which was identified from Chaetomium and induces differentiation in immature tumor cells.2 DIF-1 was found to inhibit proliferation and induce differentiation in mammalian cells, such as murine erythroleukemia (B8) and human leukemia (K562) cell lines.3 In the human myeloid leukemia cell line HL-60, DIF-1 inhibits proliferation and promotes retinoic acid–induced differentiation.4 However, the precise mechanisms underlying its antiproliferative and differentiation-inducing effects remain unknown.

Not only tumorigenesis but also atherogenesis involves abnormality in cell proliferation and differentiation. Vascular smooth muscle cells (VSMCs) found in atheromatous plaques and restenotic lesions are characterized by mitogenicity and a dedifferentiated phenotype.5 6 7 Therefore, substances that prevent proliferation and phenotypic modulation of VSMCs may be useful for the treatment of atherosclerosis. In this study, we examined the effects of DIF-1 on the proliferation and differentiation of VSMCs to explore whether DIF-1 or its derivatives could be applied to the treatment of atherosclerotic vascular diseases.

To elucidate the mechanism for the antiproliferative effect of DIF-1, we examined the effects of DIF-1 on cell cycle events that occur between G0 and S phases, including the expression of cyclins and cyclin-dependent kinases (Cdks), Cdk activation, the expression of Cdk inhibitor proteins, the phosphorylation of the retinoblastoma protein (pRb), and DNA synthesis. Most of the antiproliferative substances so far studied seem to exert their effects by upregulating Cdk inhibitors. However, we report here that the antiproliferative effect of DIF-1 may not result from the induction of Cdk inhibitors but probably from the strong suppression in the expression levels of the D-type cyclins, making DIF-1 unique among antiproliferative agents. Moreover, we show that this compound is able to prevent phenotypic modulation and induce differentiation of VSMCs.


*    Materials and Methods
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up arrowIntroduction
*Materials and Methods
down arrowResults
down arrowDiscussion
down arrowReferences
 
Chemicals
DIF-1 was purchased from Affiniti Research Products. Cycloheximide (CHX) and L-{alpha}-phosphatidylinositol (PI) were from Sigma. Wortmannin was from Wako Pure Chemicals Industries. LY294002 (2-[4-morpholinyl]-8-phenyl-4H-1-benzopyran-4-one) was from Calbiochem.

Cell Culture
VSMCs obtained from the media of human umbilical arteries by explant were cultured as described8 9 and used within 3 passages. G0 synchronization was achieved by serum starvation for 48 hours.

DNA Synthesis Assay
DNA synthesis was assessed by the level of thymidine (TdR) incorporation as described.8 9

Flow Cytometry
Cells dispersed by trypsinization and suspended in PBS were stained with propidium iodide using the Cycle TEST PLUS DNA Reagent Kit (Becton Dickinson). The fluorescence of DNA was measured using a flow cytometer (FACSCalibur, Becton Dickinson), and the cell cycle was analyzed by computer software (ModFit LT, Becton Dickinson).

Immunoprecipitation and Western blotting
Cell lysates were immunoprecipitated and analyzed by Western blotting as described.8 9

Cdk Assay
Cdk activities were measured using glutathione S-transferase–fused murine pRb carboxyl terminal (GST-Rb) (Santa Cruz Biotechnology) as described.8 9 Phosphorylated proteins were visualized and quantified using a bioimage analyzer (BAS-2500, Fuji Photo Film Co).

PI 3-Kinase (PI3K) Assay
Cell lysates were immunoprecipitated with an anti-phosphotyrosine antibody (PY20, Transduction Laboratories). PI (chloroform solution) was dried under nitrogen and suspended in water by sonication. After 3 washes with the kinase buffer (in mmol/L, Tris/HCl [pH 7.8] 50, NaCl 50, MgCl2 2, and EDTA 0.5), the precipitates were suspended in the same buffer containing 0.5 mg/mL PI micelles and 37 kBq [{gamma}-32P]ATP and incubated at 30°C for 10 minutes. The reaction was terminated by the addition of 0.5 mL of 1 mol/L HCl and 2 mL of chloroform/methanol (2:1, vol/vol). The lower organic phase was dried under nitrogen, dissolved in a small volume of chloroform, spotted on a silica-gel thin-layer plate (Silica gel 60, Merck), and developed with chloroform/methanol/28% NH3/water (70:100:15:25, vol/vol). Radioactive spots on the plate were visualized with BAS-2500.

Northern Blotting
Total cellular RNAs extracted with Isogen (Nippon Gene) were analyzed by Northern blotting as described.8 9 cDNAs were prepared as described.8 9

Reverse Transcription (RT)–Polymerase Chain Reaction (PCR)
RT-PCR was performed using Ready-To-Go RT-PCR Beads (Amersham Pharmacia Biotech). Total cellular RNAs (1 µg) were used for the RT reaction, and the products were amplified using DNA Thermal Cycler 480 (Perkin-Elmer Corp). PCR primers were synthesized as follows, based on the GenBank database: SM1 and SM2, 5'-ATGAGG-CCACGGAGAGCAACGA-3' and 5'-CCATTGAAGTCTGCGTC-TCGA-3', and SMemb, 5'-GAGGAAGCAGAAGAAGAAGCGA-3' and 5'-TTTCTGTGTCATCGTCGGA-GAG-3'. PCR products were electrophoresed on 2% agarose gel and visualized by staining with ethidium bromide. Amplified DNAs were identified by sequencing. The levels of ethidium bromide fluorescence of DNAs obtained in every PCR cycle were plotted on a semilogarithmic graph to determine an appropriate PCR cycle number at which all of the samples were plotted within a linear range of the graph. The amounts of DNAs were quantified at the cycles thereby determined.

Statistics
Results are expressed as the mean±SD of the number of observations. Statistical significance was assessed by the Student t test for paired or unpaired values.


*    Results
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up arrowIntroduction
up arrowMaterials and Methods
*Results
down arrowDiscussion
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DIF-1 Inhibited VSMC Proliferation
First, we tested whether DIF-1 has an antiproliferative effect in VSMCs as reported in tumor cells. To examine the effect of DIF-1 on DNA synthesis, G0-synchronized cells were labeled with [3H]TdR by stimulating with growth medium (DMEM containing 20% FBS and 5 ng/mL basic fibroblast growth factor) for 30 hours in the presence of various concentrations of DIF-1 (Figure 1ADown). DIF-1 inhibited DNA synthesis in a dose-dependent manner, and the effect was maximal at 30 µmol/L. However, DNA synthesis was quickly recovered when DIF-1 was removed after 30-hour incubation (Figure 1BDown). The increase in cell number was also reversibly suppressed by DIF-1 (Figure 1CDown). Therefore, the antiproliferative effect of DIF-1 was unlikely to be due to cytotoxicity.



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Figure 1. Effect of DIF-1 on VSMC proliferation. A, Cells seeded in 24-well plates were synchronized in G0 by serum starvation. Cells were then stimulated with growth medium in the presence of [3H]TdR and the indicated concentration of DIF-1. Incorporated radioactivity was measured after 30 hours by scintillation counting. B, G0-synchronized cells seeded in 24-well plates were labeled with [3H]TdR in growth medium in the presence of DIF-1 (30 µmol/L) for 30 and 60 hours. DIF-1 was removed from a part of the wells at 30 hours. {triangleup} indicates no growth stimulation; {square}, growth medium; {circ}, growth medium+DIF-1; and •, wash. C, Cells seeded in 6-well plates (4x104/well) were cultured in growth medium. DIF-1 was added after 2 days and removed from a part of the wells after 4 days. Medium was changed and cell number was counted every other day. {square} indicates growth medium; {circ}, growth medium+DIF-1; and •, wash. Data are mean±SD (n=3).

To determine where in the cell cycle the action point for DIF-1 is located, the cell cycle distribution was analyzed by flow cytometry (Figure 2ADown). After DIF-1 was added to exponentially growing cells, the cell population in S and G2/M phases significantly decreased, whereas that in G0/G1 phase increased. Therefore, DIF-1 was likely to inhibit the cell cycle in G0/G1 phase but unlikely to interrupt S and G2/M phases. As shown in Figure 2BDown, DIF-1 did not cause cell detachment, and it had no apparent effect on the cell shape, except that the number of cells under mitosis decreased after the treatment with DIF-1.



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Figure 2. Effect of DIF-1 on cell cycle distribution. A, VSMCs seeded at 4x105/dish (90 mm in diameter) were cultured in growth medium for 48 hours. Thereafter, cells were further cultured in the presence of DIF-1 (30 µmol/L). At the indicated times after addition of DIF-1, cells were trypsinized and stained with propidium iodide. DNA fluorescence in 2x104 cells was measured by flow cytometry. Percentages of the cell number in each phase are also shown. B, Phase-contrast microscopy (x40) of the cells treated as described in panel A for the indicated times. Arrows indicate cells undergoing mitosis.

DIF-1 Inhibited Cdk Activities
The phosphorylation of pRb is a milestone in the cell cycle at which the final decision is made whether the cell should advance to S phase to begin DNA synthesis.10 We precipitated pRb with an antibody that recognizes both the hypophosphorylated and hyperphosphorylated forms and fractionated the precipitates by SDS-PAGE (Figure 3ADown). Stimulation with growth medium elevated the amount of hyperphosphorylated pRb (114 kDa) without increasing that of hypophosphorylated pRb (110 kDa). The effect of DIF-1 was small at 10 µmol/L, but 30 µmol/L of DIF-1, which strongly suppressed DNA synthesis, completely inhibited the increase in the amount of hyperphosphorylated pRb.



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Figure 3. Effect of DIF-1 on Cdk activities. A, G0-synchronized cells were stimulated with growth medium in the presence or absence of DIF-1 (30 µmol/L) and lysed at 24 hours. Immunoprecipitates prepared using a monoclonal antibody to pRb (PharMingen) were fractionated by SDS-PAGE (7.5%) and blotted with another anti-pRb monoclonal antibody (PharMingen). B, G0 cells were stimulated with growth medium in the absence (-) or presence (+) of DIF-1 (30 µmol/L). Cell lysates prepared at the indicated times were immunoprecipitated with anti-Cdk2 (Upstate Biotechnology), Cdk4 (Santa Cruz Biotechnology), and Cdk6 (Santa Cruz Biotechnology) polyclonal antibodies. After the kinase reaction using GST-Rb as the substrate, the assay mixture was fractionated by SDS-PAGE (10%), electroblotted onto a membrane, and visualized by autoradiography. Radioactive levels of the bands were quantified and are shown as relative values. Data are mean±SD (n=3, *P<0.05). C, Immunoprecipitates for Cdk2, Cdk4, and Cdk6 prepared as described in panel B were fractionated by SDS-PAGE (10%) and blotted with the same antibodies. Arrows indicate specific bands.

To determine the mechanism by which DIF-1 inhibits pRb phosphorylation, we assayed the activities of Cdk2, Cdk4, and Cdk6, because pRb is considered to be phosphorylated in vivo by these Cdks activated during G1 phase. Figure 3BUp shows the effect of DIF-1 (30 µmol/L) on their activities. Stimulation with growth medium for 12 to 24 hours markedly elevated the levels of Cdk2-induced phosphorylation of GST-Rb, but DIF-1 strongly inhibited these activities. The activities of Cdk4 and Cdk6 were maximally elevated at 12 hours (middle to late G1). They were also strongly suppressed in the presence of DIF-1. However, the expressions of Cdk2, Cdk4, and Cdk6 were not affected by DIF-1, indicating that the DIF-1–induced inhibition of Cdk activities was unlikely to be due to reduction in their amounts (Figure 3CUp).

Effect of DIF-1 on the Expression of Cyclins
Cdks are activated by associating with cyclins. Cdk4 and Cdk6 associate with the D-type cyclins, and Cdk2 combines with cyclins E and A.11 Therefore, these cyclins are considered to be essential for the progression of G1 phase and the transition from G1 to S phase. We examined the effects of DIF-1 on the mRNA expression of various cyclins by Northern blotting (Figure 4ADown). DIF-1 (30 µmol/L) elevated the level of cyclin G mRNA, which was expressed in quiescent cells and decreased after mitogenic stimulation.8 9 DIF-1 significantly inhibited the expression of cyclin C mRNA, which was normally elevated in early G1 phase and sustained until 24 hours. The mRNA levels of the D-type cyclins began to increase soon after growth stimulation.8 They were maximally elevated at 12 hours and sustained until 24 hours. However, DIF-1 strongly suppressed these expressions. DIF-1 also inhibited the expressions of cyclins E and A, which normally increased from late G1 phase.



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Figure 4. Effect of DIF-1 on the expression of cyclins. A, G0 cells were stimulated with growth medium in the absence (-) or presence (+) of DIF-1 (30 µmol/L). Total cellular RNAs were extracted at the indicated times. Equal amounts of RNAs (10 µg/lane) were fractionated by electrophoresis and hybridized with 32P-labeled cDNA probes for cyclins and ß-actin. B, G0 cells were treated as described in panel A. Cell lysates prepared at the indicated times were immunoprecipitated with a polyclonal antibody to the D-type cyclins (Upstate Biotechnology). Proteins were fractionated by SDS-PAGE (10%) and blotted with antibodies specific to cyclins D1 and D2 (Santa Cruz Biotechnology).

Consistently with the result of Northern blotting, DIF-1 strongly inhibited the protein expressions of cyclins D1 and D2 (Figure 4BUp), although we did not clearly detect cyclin D3 protein (not shown).

Effect of DIF-1 on the Expression of Cdk Inhibitors
To test whether Cdk inhibitor proteins are involved in the antiproliferative effect of DIF-1, we examined the effects of DIF-1 on the expression of Cdk inhibitors by Western blotting. Figure 5ADown demonstrates the effect of DIF-1 on p21Cip1/Waf1/Sdi1. Although low concentrations (2.5 to 10 µmol/L) of DIF-1 significantly upregulated the expression of p21, DNA synthesis was not inhibited at these concentrations (Figure 1AUp). In contrast, high concentrations (20 to 40 µmol/L) of DIF-1 that inhibited DNA synthesis reduced the expression of p21 (Figure 5ADown). p21 expression was not upregulated by DIF-1 (30 µmol/L) throughout the course of G1/S progression. The expressions of other Cdk inhibitor p27Kip1, p57Kip2, and p15Ink4B were not significantly changed by DIF-1 (Figure 5BDown). The expressions of p16Ink4A and p18Ink4C were upregulated by mitogenic stimulation, but they were suppressed by this compound. We also examined the effects of DIF-1 on the levels of p21 and p27 associating with Cdks (Figure 5CDown). DIF-1 reduced the amounts of p21 associating with Cdk2, Cdk4, and Cdk6, whereas it did not change the levels of p27 associating with these Cdks. It was unlikely, therefore, that these Cdk inhibitors were responsible for the antiproliferative effect of DIF-1.



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Figure 5. Effect of DIF-1 on the expression of Cdk inhibitors. A, G0 cells were stimulated with growth medium in the absence (-) or presence (+) of the indicated concentrations of DIF-1 for the indicated times. Cell lysates were precipitated with a polyclonal antibody to p21 (Santa Cruz Biotechnology), fractionated by SDS-PAGE (12.5%), and blotted with a monoclonal antibody to p21 (PharMingen). B, G0 cells were stimulated with growth medium in the absence (-) or presence (+) of 30 µmol/L DIF-1 for the indicated times. Immunoprecipitates with antibodies to p27 (polyclonal), p57 (polyclonal), p16 (monoclonal), p15 (polyclonal), and p18 (polyclonal, Upstate Biotechnology) were blotted with antibodies to p27 (monoclonal, PharMingen), p57 (polyclonal), p16 (polyclonal), p15 (polyclonal), and p18 (polyclonal, Upstate Biotechnology), respectively. Antibodies were from Santa Cruz Biotechnology unless otherwise indicated. C, G0 cells were stimulated with growth medium in the absence (-) or presence (+) of 30 µmol/L DIF-1 for 12 hours. Immunoprecipitates (IP) with anti-Cdk antibodies were blotted (WB) with antibodies to p21 and p27 (PharMingen).

Effect of DIF-1 on the Early Mitogenic Signals
The above results suggested that DIF-1 inhibits the cell cycle by suppressing the expressions of the D-type cyclins in early G1 phase. To determine the upstream signals involved in this effect, we examined whether protein synthesis is required for the cyclin D1 suppression by DIF-1 (Figure 6ADown). CHX (5 µmol/L) inhibited the expression of cyclin D1 mRNA induced by mitogenic stimulation. However, CHX did not prevent DIF-1 from inhibiting the expression of cyclin D1. Therefore, mitogens may require de novo protein synthesis to induce cyclin D1, but DIF-1 may not require newly synthesized proteins to inhibit the induction.



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Figure 6. Effect of DIF-1 on the putative upstream signals for cyclin D1 expression. A, G0 cells were stimulated with growth medium in the absence (-) or presence (+) of CHX (5 µmol/L) and DIF-1 (30 µmol/L) for the indicated times. mRNAs (10 µg/lane) were analyzed for cyclin D1 by Northern blotting. B, G0 cells were stimulated with growth medium in the absence (-) or presence (+) of DIF-1 (30 µmol/L) for the indicated times. Cell lysates were fractionated by SDS-PAGE (10%) and blotted with polyclonal antibodies to p42MAPK and phosphorylated p44/42MAPK (pp44 and pp42) (New England Biolabs). C, G0 cells were stimulated with growth medium in the absence (-) or presence (+) of wortmannin (WT, 300 nmol/L) and (LY294002 (LY, 25 µmol/L). mRNAs (10 µg/lane) were analyzed for cyclin D1 by Northern blotting. D, Equal amounts of proteins obtained from G0 cells (lane 1) and cells stimulated with growth medium for 6 hours (lanes 2 to 8) were immunoprecipitated with an antiphosphotyrosine antibody (PY20). PI3K assay was performed as described in Materials and Methods. DIF-1 (30 µmol/L, lanes 3 and 6), wortmannin (300 nmol/L, lanes 4 and 7), or LY294002 (25 µmol/L, lanes 5 and 8) was added to the reaction mixture (lanes 3 to 5) or to living cells simultaneously with mitogenic stimulation (lanes 6 to 8).

Mitogen-activated protein kinase (MAPK) and PI3K are well known to be activated after growth factor receptor stimulation. Evidence suggests that these pathways are involved in mitogen-induced cyclin D1 expression.12 13 14 15 16 17 Therefore, we examined whether these pathways are involved in the DIF-1–induced effect on cyclin D1 expression. Mitogenic stimulation rapidly phosphorylated p44/42MAPK, but DIF-1 had no significant effect on the phosphorylation (Figure 6BUp). DIF-1 did not influence the expression of p42MAPK, either. Wortmannin (300 nmol/L) and LY294002 (25 µmol/L), PI3K inhibitors, significantly inhibited cyclin D1 mRNA expression induced by mitogenic stimulation, suggesting that PI3K is involved in cyclin D1 induction (Figure 6CUp). These PI3K inhibitors indeed inhibited mitogen-stimulated PI3K activity, whereas DIF-1 was not able to inhibit the activity, whether it was added to the kinase reaction mixtures or to living cells (Figure 6DUp).

Effect of DIF-1 on the Expression of Myosin Heavy Chain (MHC) Isoforms
Next, we explored whether DIF-1 regulates differentiation of VSMCs. Smooth muscle (SM) MHC isoforms SM1 and SM2 are specific markers for VSMC differentiation.18 19 20 We examined the effect of DIF-1 on the gene expression of SM1 and SM2 by RT-PCR using a single pair of PCR primers that cover the sequence specific to SM2, because SM1 and SM2 are produced from a single gene by alternative splicing.19 To quantitatively perform RT-PCR, the cycle numbers at which the PCR products were within a linear range were determined from the graphs shown in Figure 7ADown and used for the following experiments. When synchronized in G0 phase, cells in primary culture expressed SM1 and SM2, although the expression of SM2 was much less than that of SM1 (Figure 7BDown). Mitogenic stimulation rapidly decreased the expression levels of both. SM2 was no longer detected 24 hours after stimulation. However, DIF-1 (30 µmol/L) delayed the reductions. SM1 only slowly decreased up until 48 hours, but thereafter increased. SM2 remained until 24 hours in the presence of DIF-1. In contrast, DIF-1 significantly reduced the expression of SMemb (also designated MHC-B), a nonmuscle-type MHC expressed in immature cells. To examine the effect of long-term administration of DIF-1, it was added to cells in the third passage, which seemed to be completely dedifferentiated to synthetic type, because they expressed only a small amount of SM1 and no SM2 (Figure 7CDown). The level of SM1 was markedly elevated as the cells were cultured in the presence of DIF-1, and moreover, SM2 was again expressed after 16 days. In contrast, the level of SMemb was reduced rapidly after addition of DIF-1 but was thereafter sustained.



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Figure 7. Effect of DIF-1 on the expression of SM-MHCs. A, To determine the PCR cycle numbers appropriate for quantitative analyses, RT-PCRs were performed for SM1, SMemb, and GAPDH, with the products being sampled every 2 cycles. Levels of ethidium bromide fluorescence in each cycle were plotted on semilogarithmic graphs. Curves presented here were obtained using RNAs extracted from cells growing in the absence of DIF-1 ({circ}) and cells treated with DIF-1 (30 µmol/L) for 24 days (•). PCR products obtained from the other RNA samples were all plotted between these 2 curves. B, Cells in primary culture synchronized in G0 were stimulated with growth medium in the absence (-) or presence (+) of DIF-1 (30 µmol/L). The medium was changed in 2 days. RNAs extracted at the indicated times were analyzed for SM1/SM2, SMemb, and GAPDH by RT-PCR. Cycle numbers were 32 for SM1/SM2 and SMemb and 24 for GAPDH. Levels of fluorescence were quantified and are shown as relative values normalized to those of GAPDH. Data are mean±SD (n=3, *P<0.05, **P<0.01). C, Exponentially growing cells in the third passage were cultured in growth medium in the presence of DIF-1 (30 µmol/L) for the indicated periods. Medium was changed every other day. RT-PCR was performed as in panel B. Levels of fluorescence were quantified and are shown as relative values normalized to those of GAPDH. Data are mean±SD (n=3, *P<0.05, **P<0.01 against the values of day 0).


*    Discussion
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up arrowMaterials and Methods
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*Discussion
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Hyperplasia of VSMCs plays a key role in the development of atherosclerosis and restenosis after angioplasty.5 6 In VSMCs proliferating in the neointima, the differentiated (mature) phenotype has been converted to a dedifferentiated (immature) one.7 Therefore, substances that inhibit proliferation and phenotypic modulation may be useful for prevention and therapy of vascular diseases. Several substances have been reported to inhibit VSMC proliferation, but there is little that is also able to inhibit phenotypic modulation or induce differentiation.

DIF-1 inhibited proliferation in VSMCs, as it did in tumor cells. Our results suggested that DIF-1 arrests the cell cycle by inhibiting the expressions of the D-type cyclins, given that these cyclins play crucial roles in the progression of G1 phase and eventually for the transition to S phase. DIF-1 also inhibited the expression of cyclins E and A, which are induced subsequently to the D-type cyclins. Cyclin D–Cdk4, cyclin D–Cdk6, and cyclin E–Cdk2 complexes are responsible for the phosphorylation of pRb.21 pRb thereby hyperphosphorylated releases transcription factors of the E2F family, which initiate DNA synthesis.22 Consistently with this scenario, DIF-1 inhibited the activities of Cdk4, Cdk6, and Cdk2 and the phosphorylation of pRb.

On the other hand, DIF-1 did not induce Cdk inhibitor proteins at antiproliferative concentrations, although p21 was significantly upregulated at lower doses. Therefore, the antiproliferative effect of DIF-1 was unlikely to be mediated by Cdk inhibitors, in contrast to the fact that most of the antiproliferative substances so far examined induce Cdk inhibitors. For example, p21 is induced by nerve growth factor, transforming growth factor-ß (TGF-ß), interferons, 1,25-dihydroxyvitamin D3, retinoids, prostaglandin A2, and nitric oxide.9 23 24 p27 is involved in the negative growth signals for TGF-ß and cAMP.25 26 TGF-ß also induces p15.27

The manner in which DIF-1 arrests the cell cycle is therefore unique. Substances having similar features are rare. In murine macrophages, cAMP has been shown to inhibit the expression of cyclin D gene (CYL1),28 but this effect has not been reported in other cell species. Recently, the immunosuppressant rapamycin has been reported to reduce cyclin D1 expression in NIH 3T3 fibroblasts.29 In VSMCs, protein kinase C-{delta} has been shown to mediate an antiproliferative signal by suppressing cyclin D1 expression,30 although in our study, phorbol-myristate-acetate, which activates protein kinase C and has a strong antiproliferative effect on VSMCs, did not inhibit cyclin D1 expression.8 The antiproliferative effect of apolipoprotein E in VSMCs has been also suggested to be caused by suppression of cyclin D1 expression,31 but this effect is not as strong as that elicited by DIF-1.

The MAPK cascade12 13 14 15 and the PI3K pathway16 17 have been suggested to mediate the expression of cyclin D1. However, it was unlikely that DIF-1 suppressed cyclin D1 expression by inhibiting MAPK or PI3K, because DIF-1 did not inhibit their activation induced by mitogenic stimulation. Recently ß-catenin, a component of adherens junctions that associates with cadherins, has been suggested to regulate the transcription of cyclin D1.32 33 However, DIF-1 did not influence the expression and subcellular distribution of N-cadherin or ß-catenin (not shown).

Whatever the underlying mechanism, it is clear that DIF-1 interrupts a very early stage of the cell cycle, because the expression of the D-type cyclins is one of the earliest events in G1 phase. DIF-1 may possibly prevent the G0/G1 transition, namely the entry into the cell cycle. Considering that cell differentiation may be induced after the exit from the cell cycle, the unique nature of DIF-1 led us to speculate that this substance could induce VSMC differentiation. Interestingly, in skeletal myoblasts, forced expression of cyclin D1, but not cyclins E, A, and B, inhibits the ability of MyoD to transactivate muscle-specific genes.34 This suggests that inhibition of cyclin D1 expression per se can lead to differentiation.

Several genes for contractile proteins are sequentially expressed in developing VSMCs, including SM {alpha}-actin, SM22{alpha}, calponin, h-caldesmon, and SM-MHC isoforms SM1 and SM2.7 We used MHC isoforms as markers for VSMC differentiation, because the pattern of their expression in different phenotypes has been well examined.18 19 20 SM1 is abundant, and SM2 is exclusively expressed in differentiated VSMCs, whereas SM1 is diminished and SM2 is undetectable in dedifferentiated cells. In our study, DIF-1 reduced the rate of the reduction of SM1 and SM2 in cells in primary culture (partially dedifferentiated cells). Moreover, this compound markedly elevated the level of SM1 and again induced SM2 expression when added to nearly completely dedifferentiated (synthetic-type) cells that had expressed a small amount of SM1 and no SM2. Therefore, DIF-1 may be able to inhibit phenotypic modulation induced by growth stimulation and moreover promote redifferentiation of synthetic VSMCs.

The molecular mechanism of DIF-1 action still remains poorly understood even in Dictyostelium. Recently, it has been reported that the activation of a member of the signal transducer and activator of transcription (STAT) factors is involved in the signal transduction of DIF-1 in Dictyostelium.35 However, its receptor is still unknown. DIF-1 has similar bioactivities in Dictyostelium and mammalian cells. This might mean that mammalian cells have DIF-1 receptors corresponding to those in Dictyostelium. It is fascinating to imagine that mammals could produce a bioactive substance corresponding to DIF-1.

In conclusion, DIF-1 induces cell cycle arrest probably by inhibiting the expression of the D-type cyclins. Moreover, DIF-1 may be able to induce differentiation of VSMCs. Assuming that DIF-1 acts in the same way in vivo as it does in vitro, this compound or its derivatives could provide novel strategies for the treatment of vascular diseases.


*    Acknowledgments
 
This study was supported in part by grants from the Ministry of Health and Welfare (Research Grants for Cardiovascular Diseases [8A-1 and 9A-4]), Science and Technology Agency (Special Coordination Funds for Promoting Science and Technology [Encouragement System of Center of Excellence]), Japan Cardiovascular Research Foundation, and Sankyo Foundation of Life Science.

Received August 30, 1999; accepted October 5, 1999.


*    References
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up arrowAbstract
up arrowIntroduction
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*References
 

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