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Circulation Research. 2004;94:324-332
Published online before print December 18, 2003, doi: 10.1161/01.RES.0000113781.08139.81
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Molecular Medicine

PPAR{alpha} Activators Inhibit Vascular Endothelial Growth Factor Receptor-2 Expression by Repressing Sp1-Dependent DNA Binding and Transactivation

Markus Meissner, Monika Stein, Carmen Urbich, Kerstin Reisinger, Guntram Suske, Bart Staels, Roland Kaufmann, Jens Gille

From the Department of Dermatology (M.M., M.S., K.R., R.K., J.G.), Molecular Cardiology, Department of Internal Medicine IV (C.U.), Klinikum der J.W. Goethe-Universität, Frankfurt am Main, Germany; Institut für Molekularbiologie und Tumorforschung (G.S.), Philipps-Universität, Marburg, Germany; Département d’Athérosclérose (B.S.), UR545 INSERM, Institut Pasteur de Lille, Lille, France; and the Department of Molecular Biology (J.G.), Max-Planck-Institut für Physiologische und Klinische Forschung, Bad Nauheim, Germany.

Correspondence to Jens Gille, MD, Zentrum der Dermatologie, Klinikum der J.W. Goethe-Universität, Theodor-Stern-Kai 7, D-60590 Frankfurt am Main, Germany. E-mail Gille{at}em.uni-frankfurt.de


*    Abstract
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*Abstract
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Peroxisome proliferator–activated receptors (PPARs) are ligand-activated transcription factors, originally implicated in the regulation of lipid and glucose homeostasis. In addition, natural and synthetic PPAR activators may control inflammatory processes by inhibition of distinct proinflammatory genes. As signaling via the vascular endothelial growth factor receptor-2 (VEGFR2) pathway is critical for angiogenic responses during chronic inflammation, we explored whether known antiinflammatory effects of PPAR ligands are mediated in part through diminished VEGFR2 expression. In this study, PPAR{alpha} agonists are found to inhibit endothelial VEGFR2 expression, whereas predominant PPAR{gamma} ligands remained without discernible effects. Time- and concentration-dependent inhibition is demonstrated both at the level of protein and mRNA VEGFR2 expression. Inhibitory effects of PPAR{alpha} agonists on transcriptional activity of the VEGFR2 promoter are conveyed by an element located between base pairs -60 and -37 that contains two adjacent consensus Sp1 transcription factor binding sites. Constitutive Sp1-containing complex formation to this sequence is decreased by PPAR{alpha} treatment, indicating that VEGFR2 gene expression is inhibited by repressing Sp1 site-dependent DNA binding and transactivation. Our coimmunoprecipitation experiments revealed enhanced protein interactions between PPAR{alpha} and Sp1 on PPAR{alpha} activation, thus constituting a probable mechanism by which PPAR{alpha} activators decrease Sp-dependent binding activity to the VEGFR2 promoter. Hence, molecular mechanisms by which PPARs modulate the rate of gene transcription may include direct interactions between specific transcription factors and PPARs that ultimately result in reduced DNA binding to their respective response elements.


Key Words: endothelial growth factor receptors • peroxisome proliferator–activated receptors • inflammation • transcription factors • promoter regions


*    Introduction
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up arrowAbstract
*Introduction
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Vascular endothelial growth factor (VEGF, also referred to as VEGF-A) and its receptors are considered key regulators of blood vessel growth by vasculogenesis and angiogenic sprouting in cancer, wound repair, and ischemic and inflammatory diseases.1 VEGF is known for its ability to induce vascular permeability, to act as a critical survival factor for endothelial cells, and to promote endothelial proliferation and migration.2

Although VEGF receptor-2 (VEGFR2, formerly termed KDR/Flk-1)3 is detectable only at relatively low levels in the adult vasculature, it may be markedly upregulated by blood vessels during chronic inflammation, tumor growth, and wound repair.1,2 Endothelial expression of VEGFR2 closely parallels VEGF expression in angiogenic responses. As a result, suppression of the VEGF/VEGFR2 signaling pathway is intensely explored as therapeutic prospect to interfere with new blood vessel formation.

Increasing evidence suggests that a group of closely related nuclear receptors, called peroxisome proliferators–activated receptors (PPARs), may play a significant role in the control of inflammatory responses with potential therapeutic applications in chronic inflammatory diseases.4,5 PPARs comprise a family of three ligand-activated transcription factors characterized by distinct functions, ligand specificities, and tissue distributions. The role of these receptors has been thought originally to be restricted to lipid and lipoprotein metabolism, glucose homeostasis, and cellular differentiation.6 PPARs are activated by natural ligands, such as eicosanoids and fatty acids. In addition, synthetic antidiabetic thiazolidinediones (TZDs) and lipid-lowering fibrates have been shown to act as activators of PPAR{gamma} and PPAR{alpha}, respectively.7

As endothelial VEGFR2 expression is increasingly recognized as a key component of the VEGF/VEGFR signaling system during chronic inflammation,8 we hypothesized that PPAR activators may control inflammatory responses in part by targeting VEGFR2 expression. This assumption is also supported by recent experimental evidence, revealing antiangiogenic properties of PPAR activators both in vitro and in vivo.9–11 Thus, PPARs as ligand-activated transcription factors were tested regarding their potential to modulate vascular responses through transcriptional regulation of the VEGFR2 gene.

The present study reveals inhibition of endothelial VEGFR2 expression by different PPAR{alpha} activators, whereas predominant PPAR{gamma} ligands failed to exert such effects. Because PPAR{alpha} agonists greatly attenuated VEGF-driven capillary-like network formation, antiinflammatory effects of PPAR{alpha} ligands may be mediated in part via reduced VEGFR2 expression.


*    Materials and Methods
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*Materials and Methods
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Reagents
Recombinant human VEGF165 and basic fibroblast growth factor (bFGF) were purchased from R&D Systems. Fenofibrate, Wy14643, ciglitazone, rosiglitazone, troglitazone, and 15-deoxy-{Delta}12,14-prostaglandin J2 (15d-PGJ2) were obtained from Biomol; ciprofibrate and phorbol myristate acetate (PMA) were from Sigma-Aldrich.

Cell Culture
Human umbilical vein endothelial cells (HUVECs) were purchased from PromoCell (Heidelberg, Germany), cultured until the fifth passage at 37°C and 5% CO2 in Endothelial Cell Growth Medium (PromoCell).

FACS Analysis
HUVECs were incubated with mouse anti-human VEGFR2 mAb (V9134, 1:200 dilution; Sigma) or isotype control mouse anti-human IgG1 (Caltag) for 30 minutes on ice. Cells were then incubated with FITC-conjugated affinity-purified goat F(ab')2 anti-mouse IgG (DAKO, Hamburg, Germany) at a 1:100 dilution for 30 minutes, and were subsequently analyzed by a BD FACScan Cytometer (Becton Dickinson). Nonviable cells were identified and excluded by propidium iodide staining.

Western Blot Analysis
Protein extracts were prepared as described previously.12 The membranes were incubated with the indicated primary antibodies (VEGFR1, clone H-225, VEGFR2, clone A-3, Sp1, clone PEP2, all from Santa Cruz, Heidelberg, Germany; PPAR{alpha}, clone 3B6, Alexis; Tubulin Ab from LabVision), followed by incubation with horseradish peroxidase-conjugated secondary antibodies (anti-mouse or anti-rabbit IgG, Amersham). The blots were developed using the enhanced chemiluminescence detection system (ECL) according to the instructions of the manufacturer (Amersham).

Coimmunoprecipitation of Sp1/PPARa
For Sp1 immunoprecipitation, 5x106 cells were lysed in cold buffer containing 50 mmol/L Tris-HCl (pH 7.6), 150 mmol/L NaCl, and 1% NP-40 (v/v) for 30 minutes on ice. Immunoprecipitations were performed at antibody excess, incubating 200 µg of total lysate with Sp1 antibody (Santa Cruz, clone PEP2) on a rotator at 4°C overnight. Immunocomplexes were then captured with Protein G Sepharose 4 Fast Flow (Amersham) during a 2-hour incubation step.

Cell Proliferation and Cytotoxicity Assay
The effect of PPAR ligands on cell proliferation was measured by quantitating BrdU, utilizing a cell proliferation immunoassay from Roche Diagnostics. Twenty-four hours after seeding, cells were exposed to PPAR activators as indicated. After 6 hours, BrdU was added for 18 hours. The cytotoxic potential of PPAR ligands was determined by the Cytotoxicity Detection Kit (LDH) from Roche. Twenty-four hours after seeding, cells were exposed to different PPAR activators for 24 hours as indicated.

HUVEC Migration Assay
Migration of ECs was assayed by a modified Boyden chamber (BD Falcon 24-well Assay Plates, BD Biosciences) with 8-µm pore size membranes (BD Falcon Individual HTS FluoroBlok Cell Culture Inserts, BD Biosciences). HUVECs, suspended in Endothelial basal medium (EBM) (CellSystems) containing 1% bovine serum albumin (Sigma) and solvent or the respective PPAR agonists, were added to the upper chamber at 1x104 cells/well. Endothelial growth media (EGM) (CellSystems) containing 20% FBS was placed in the lower chamber, and cells were allowed to migrate for 24 hours. After incubation, migrated cells attached to the lower face of the membrane were visualized with Hoechst Stain 33342 (Sigma) and counted in high-power fields.

Two-Dimensional, Short-Term In Vitro Matrigel Assay
The Matrigel assay was performed according to the description by Hernandez and coworkers with minor modifications.13 PPAR concentrations were maintained during the experiment as indicated. After 12 hours, cells were photographed using an inverted phase-contrast photomicroscope. The area covered by cellular extensions and branch points was taken as a measure to reflect formation of spontaneous and VEGF-induced capillary-like structures. Area calculation was performed on photographs of standardized fields from at least five wells per experimental condition, utilizing the public domain Java image-processing program ImageJ (v1.29).

RNA Extraction and Northern Blot Analysis
RNA was prepared as described previously.14 A 331-bp fragment (nt 3803-4134; GenBank accession No. AF035121) of the human VEGFR2 cDNA and a 502-bp coding sequence of the human GAPDH cDNA (nt 286-788; M33197) were used as specific probes. Band intensities were analyzed by densitometry (ImageJ, v1.29).

Transient Transfection and Analysis of Reporter Gene Expression
HUVECs (1.0x105/well, 12-well plates) were transfected with 0.5 µg of appropriate firefly luciferase construct and 0.1 µg pRL-TK vector (Promega) using SuperFect transfection reagent (Qiagen). Human VEGFR2 reporter gene constructs were generously provided by Dr C. Patterson (University of North Carolina, Chapel Hill, NC).15 PPAR{alpha} expression vector (pSG5-hPPAR{alpha}) or vector only (each at 0.15 µg) were cotransfected.16 Likewise, Sp1 expression vector (pEVR2/Sp1) or backbone vector only (each at 0.35 µg) were coadministered.17 Twenty-four hours after transfection, control transfectants were left untreated and test transfectants were exposed to PPAR treatment for 24 hours. The activities of luciferases were measured utilizing the Dual-Luciferase Reporter Assay System from Promega.

Preparation of Nuclear Extracts and Gel Mobility Shift Analysis
HUVECs were left untreated or were incubated with PPAR activators for 6 hours. Nuclear proteins were extracted as described previously.12 The DNA binding reactions were performed with or without excess of unlabeled competitor, Sp1 consensus-oligonucleotide (Promega), PPAR{alpha}, Sp1, Sp3, or RelA/NF-{kappa}B antibody (Santa Cruz).

Statistical Analysis
Data are expressed as mean±SD/SE from >=3 independent experiments. Statistical analysis was performed by Student’s t test.


*    Results
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*Results
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PPAR{alpha} but not PPAR{gamma} Ligands Suppress VEGFR2 Protein Expression by Human Endothelial Cells
Flow-cytometric analyses showed that incubation with PPAR{alpha} activators Wy14643 and fenofibrate significantly reduced basilar VEGFR2 protein expression in a concentration-dependent fashion (Figure 1), with significant inhibition noticed at doses of 100 or 200 µmol/L, respectively. Considerable reduction was observed after 16 hours of incubation, whereas a 4-hour treatment only modestly affected VEGFR2 expression (Figure 1E). In contrast to PPAR{alpha} activators, protein expression was not discernibly suppressed by treatment with PPAR{gamma} ligand ciglitazone or 15d-PGJ2 (even at 25 µmol/L, resembling concentrations that compromise membrane integrity, as determined by LDH release assays; Figure 3B). These findings were bolstered by Western blot analyses, revealing inhibition of basal VEGFR2 expression by treatment with PPAR{alpha} activator Wy14643, but not with PPAR{gamma} ligands ciglitazone, troglitazone, 15d-PGJ2, and rosiglitazone (all at 25 µmol/L; Figures 2A and 2C). Interestingly, VEGFR1 expression levels were largely unchanged by treatment with either PPAR{alpha} or PPAR{gamma} ligands. To explore whether the effects of PPAR agonist were affected by the presence of angiogenic stimuli, according to Xin et al,10 VEGFR2 expression was also determined in the presence of PMA, VEGF, and bFGF, as well as PMA and growth factors (Figure 2B and 2C). In line with previous data, VEGF was seen to downregulate VEGFR2 expression by cultured ECs.18 This effect was antagonized by simultaneous administration of PMA. Pertinent to the objective, however, the effects of PPAR ligands on VEGFR2 expression were not affected by the presence of angiogenic stimuli. In particular, PPAR{gamma} ligands (rosiglitazone, Figure 2C; ciglitazone, not shown) failed to show considerable inhibitory effects under the chosen experimental conditions.



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Figure 1. Effects of PPAR{alpha} and PPAR{gamma} activators on VEGFR2 cell surface expression by HUVECs. Flow-cytometric analyses of VEGFR2 expression. HUVECs were left untreated (solvent only, DMSO 0.3%; black line, to the right) or were treated with different concentrations of Wy14643 (100 µmol/L, blue line; 200 µmol/L, red line; 250 µmol/L, green line) (A), of fenofibrate (100 µmol/L, blue line; 200 µmol/L, red line) (B), of ciglitazone (25 µmol/L, red line) (C), or 15d-PGJ2 (25 µmol/L, red line) (D) for 16 hours. E, HUVECs were left untreated (solvent only; black line, to the right) or were treated with Wy14643 (at 200 µmol/L) for 4 hours (blue line), for 16 hours (red line) or for 24 hours (green line). Ab isotype control stainings are displayed as black lines to the left; histograms represent absolute cell counts (vertical axis, linear scale) versus fluorescence intensity (horizontal axis, log10 scale). One representative out of 3 experiments is shown.



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Figure 3. Determination of the cytotoxic potential and the effects on proliferation and migration of PPAR activators on cultured HUVECs. A, Quantification of HUVEC proliferation; average ODs (mean±SD) from 6 wells per experimental condition are displayed; data are expressed as cell proliferation in percentage (%) with regard to solvent controls (=100%; DMSO, 0.3%). B, Quantification of cytotoxicity; average ODs (mean±SD) from quadruplicate determinations per experimental condition were calculated; data are expressed as cytotoxicity in percentage (%). Data displayed are representative of 3 experiments. C, HUVECs were seeded in the top compartment in the absence or presence of PPAR agonists as indicated (Wy14643: Wy, 200 µmol/L, lane 2; fenofibrate, Feno, 200 µmol/L, lane 3; ciglitazone, Cigl, 25 µmol/L, lane 4; rosiglitazone, Rosi, 25 µmol/L, lane 5). Nuclei from cells that migrated to the lower face of the membrane were counted in 5 random high-power fields/filter. Results are the mean±SE of the number of migrated cells per field from 3 independent determinations; Student’s t test. n.s. indicates not significant.



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Figure 2. Effects on VEGFR2 and VEGFR1 protein expression by PPAR{alpha} and PPAR{gamma} activators in untreated and stimulated HUVECs. Representative Western blot analyses. A, ECs were left untreated (solvent only; line 1) or were treated with Wy14643 (Wy, 200 µmol/L; lane 2), ciglitazone (Cigl, 25 µmol/L; lane 3), troglitazone (Tro, 25 µmol/L; lane 4), or 15d-PGJ2 (25 µmol/L; lane 5) for 24 hours. Densitometry of bands was quantified using ImageJ (v1.29s); optical densities (ODs) of VEGFR bands were corrected for loading differences based on corresponding tubulin bands; fold difference in ODs of VEGFR bands with respect to untreated controls based on 3 independent experiments: VEGFR2: Wy, 0.02±0.05; Cigl, 0.83±0.21; Tro, 0.89±0.2; 15d-PGJ2, 0.92±0.18; VEGFR1: Wy, 0.79±0.18; Cigl, 1.16±0.17; Tro, 1.29±0.3; 15d-PGJ2, 1.31±0.13). B and C, ECs were treated with solvent only or with the respective PPAR agonist (B, Wy at 200 µmol/L; C, rosiglitazone, Rosi at 25 µmol/L) in the absence or presence of PMA (at 80 nmol/L)±bFGF (at 40 ng/mL)/VEGF (at 40 ng/mL); fold difference in ODs of VEGFR bands with respect to untreated controls: VEGFR2: Rosi, 0.92±0.15.

PPAR{alpha} Activator Wy14643 Inhibits Basal and VEGF-Induced Formation of Capillary-Like Structures In Vitro
To evaluate whether PPAR{alpha}-mediated inhibition of VEGFR2 expression may compromise VEGFR2-dependent endothelial cell functions, we studied the effect of Wy14643 on the ability of HUVECs to form capillary-like structures (Figure 4). Spontaneous and VEGF-induced capillary-like structures, formed by ECs that were either left untreated or were preincubated with Wy14643, was analyzed 12 hours after seeding on Matrigel. Treatment by Wy14643 significantly inhibited both spontaneous and VEGF-induced tube-like formation of HUVECs on Matrigel. These data suggest that PPAR{alpha} activation mediates direct effects on endothelial cell capabilities, which probably involve inhibition of VEGFR2 expression. On the contrary, preincubation with PPAR{gamma} ligand ciglitazone revealed no significant suppression on capillary-like structures in the used short-term in vitro Matrigel assay. These findings are in line with our data obtained from EC migration assays (Figure 3C). Whereas the PPAR{alpha} agonists Wy14643 and fenofibrate inhibited cell migration considerably, PPAR{gamma} ligands revealed no significant suppressive effects on the migratory capacity of ECs.



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Figure 4. Inhibition of in vitro capillary-like tube formation by PPAR{alpha} activator Wy14643. Two-dimensional, short-term in vitro Matrigel assay of HUVECs that were left untreated (DMSO 0.1%) or were preincubated with either Wy14643 (at 200 µmol/L for 8 hours) or ciglitazone (at 25 µmol/L for 8 hours) and were subsequently seeded on Matrigel in the absence or presence of rhVEGF165 (100 ng/mL). A, Photographs of 6 representative fields corresponding to the experimental procedures (pretreatment: w/o, Wy14643, or ciglitazone; absence or presence of rhVEGF: w/o, w/VEGF). B, Calculation of the area covered by cellular extensions linking cell masses and branch points was performed on photographs of standardized fields from at least 5 wells per experimental condition (mean±SD); Student’s t test, *P<0.03, **P<0.005. n.s. indicates not significant.

PPAR{alpha} Activators Suppress Steady-State VEGFR2 mRNA Levels in Human Endothelial Cells
To establish that inhibition of VEGFR2 protein synthesis by PPAR{alpha} activators corresponds to comparable changes of specific mRNA expression, we analyzed the effects of different PPAR ligands on steady-state VEGFR2 transcript levels in HUVECs (Figure 5). Treatment with PPAR{alpha} activators considerably suppressed VEGFR2 mRNA accumulation, whereas PPAR{gamma} ligand ciglitazone revealed no discernible effects. The inhibitory properties of PPAR{alpha} activators on VEGFR2 protein expression are thus a result of reduced mRNA steady-state expression, suggesting that the inhibitory properties are mediated at the transcriptional level.



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Figure 5. VEGFR2 mRNA expression is inhibited by PPAR{alpha} activators in HUVECs. Northern blot analyses of total RNA (20 µg/lane), extracted from confluent cell cultures. HUVECs were left untreated (DMSO 0.1%) or were treated with fenofibrate (Feno, at 100 µmol/L), Wy14643 (Wy, at 200 µmol/L), or with ciglitazone (Cigl, at 25 µmol/L) for 16 hours. Additional images of the respective GAPDH expressions and the ethidium bromide (EtBr)–stained nylon membrane are displayed. ODs of VEGFR2 bands were corrected for loading differences based on corresponding 28S rRNA bands; fold difference in ODs of VEGFR2 bands with respect to untreated controls based on 2 independent experiments: Feno, 0.57±0.13, Wy, 0.45±0.06, Cigl 1.1±0.17); Student’s t test: (-) vs Feno, P<0.03; (-) vs Wy, P<0.01; (-) vs Cigl, P=0.47, not significant; Student’s t test.

Inhibition of VEGFR2 Promoter Activity in Response to PPAR{alpha} Activator Wy14643 Is Conveyed by a Proximal Cluster of Sp1 Binding Sites
Analyses of the luciferase (Luc) expressions of 5'-deletion VEGFR2 promoter–based constructs in controls and Wy14643-treated cells showed significant baseline activity of the -4 kb/+296-bp and -164/+268-bp VEGFR2 Luc constructs that was reduced in response to Wy14643 to about 40% (Figure 6A). Shorter constructs showed less constitutive expression compared with the longer reporter plasmids; however, considerable basal activity was retained, including the ability to significantly suppress reporter gene activity (0.37±0.08; P<0.03). Whereas ciprofibrate was effective in a fashion comparable to that seen by Wy14643, the PPAR{gamma} activators ciglitazone and rosiglitazone failed to inhibit VEGFR2 promoter activity (not shown). Because two adjacent Sp1 consensus binding sites are located at position -58 and -44 bp, we next explored the potential impact on transcriptional activation of a mutant -60/+268-bp Luc construct, in which critical two nucleotide-mutations19 were incorporated within the Sp1 sites. Analyses of the mutant -60/+268-bp construct showed loss of both basal and Wy14643-mediated inhibition of reporter gene expression. To further strengthen our assumption that Wy14643-induced inhibition is Sp1-dependent, the effects of PPAR{alpha} activation on Sp1-mediated VEGFR2 transcription were analyzed (Figure 6B). These experiments revealed that Sp1-driven transcription is indeed subject to inhibition by Wy14643 treatment. In addition, cotransfection of PPAR{alpha} reduced VEGFR2 promoter activity in a concentration-dependent fashion, an effect that was further enhanced by the presence of Wy14643 (Figure 6C). Hence, these data indicate that the repressive effects of fibrates on VEGFR2 occur at the transcriptional level via activation of PPAR{alpha}.



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Figure 6. PPAR{alpha} activator Wy14643 suppresses VEGFR2 transcription through a GC-rich element in close proximity to the transcription start site. Analyses of VEGFR2 promoter-based luciferase (Luc) constructs in HUVECs. A, Schematic representation of the reporter gene constructs on the left, coordinates with respect to the transcription start site in the center, and the relative Luc activities (expressed as % basal activity of the -164/+268 construct) in graphic format on the right. B, -60/+268 VEGFR2 Luc construct was cotransfected with pEVR2/Sp1 or vector only [p(-)], either in the absence or presence of Wy14643. White bars, untreated controls (Ctrl.); black bars, Wy14643-treated cells (Wy at 200 µmol/L; mean±SD of 3 independent duplicate assays). C, -164/+268 VEGFR2 construct was cotransfected with pSG5 PPAR{alpha} or vector only (pSG5), either in the absence or presence of increasing concentrations of Wy14643; mean±SD of 3 independent duplicate transfections and assays.

Constitutive Sp-Dependent Binding Activity to the -63/-31-bp VEGFR2 Promoter Sequence Is Reduced by PPAR{alpha} Activator Wy14643
We next explored whether Sp-dependent binding to the -63/-31-bp VEGFR2 promoter sequence is modulated by PPAR treatment. A DNA probe corresponding to the Sp1 cluster was utilized in EMSAs to investigate effects of PPAR{alpha} activator Wy14643 on Sp-dependent binding (Figure 7). When incubated with nuclear extracts of untreated HUVECs, constitutive DNA binding activity of distinct complexes was observed (lane 7). In lysates of cells that were treated with Wy14643, a significant decrease in DNA binding activity was detected (lane 8). Treatment with PPAR{gamma} ligand ciglitazone did not influence DNA binding activity (lanes 5 and 6). Competition assays further underscored the assumption that nuclear proteins bind to the -63/-31-bp VEGFR2 promoter sequence in a Sp1 site-exclusive manner (lanes 1, 2, and 4). Addition of Sp1 as well as Sp3 antibody led to formation of a more slowly migrating complex that almost disappeared after WY14643 treatment (lanes 9 to 12), whereas addition of PPAR{alpha} antibody did not exert discernible effects on complex or supershift formation (lanes 13 and 14).



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Figure 7. PPAR{alpha} activator Wy14643 reduces Sp1 site-dependent binding to the -63/-31-bp VEGFR2 promoter sequence. Representative EMSAs using nuclear extracts of untreated, Wy14643-treated (at 200 µmol/L, 6 hours), and ciglitazone-treated (at 25 µmol/L, 6 hours) HUVECs; competition with unlabeled -63/-31-bp wild-type DNA (lane 1; at 100 molar excess), or with a mutated unlabeled -63/-31-bp DNA oligo (lane 2; at 100 molar excess), or with unlabeled excess double-stranded Sp1 consensus oligonucleotides (lane 4; at a final concentration of 0.35 µmol/L). Representative autoradiography from 3 independent experiments is shown. Supershift analyses were performed by addition of specific Sp1 (lanes 9 and 10), Sp3 (lanes 11 and 12), or PPAR{alpha} antibody (lanes 13 and 14; all from Santa Cruz) at a final concentration of 100 ng/µL. Formation of constitutive Sp-dependent binding complexes is indicated by arrows to the left.

Sp1/PPAR{alpha} Protein Interactions Are Subject to Regulation by PPAR{alpha} Activator Wy14643 in HUVECs
To determine whether decreased Sp-binding activity to the GC-rich core promoter in response to PPAR{alpha} activation was mediated by changes in nuclear levels of Sp1 transcription factor, we analyzed nuclear HUVEC proteins for Sp1 expression in response to PPAR{alpha} activator Wy14643 (Figure 8A). PPAR{alpha} activation did not induce notable changes in Sp1 or PPAR{alpha} protein expression, regardless whether HUVECs were incubated a short (1 hour; not shown) or long time (24 hours; Figure 8A). We therefore hypothesized that increases in protein interactions between PPAR{alpha} and Sp1 may constitute a mechanism by which PPAR{alpha} activator Wy14643 decreases Sp-dependent binding activity to the -63/-31-bp VEGFR2 promoter. In order to study interactions between PPAR{alpha} and Sp1 proteins, whole protein extracts of untreated and Wy14643-treated HUVECs were immunoprecipitated by Sp1 antibody and were subsequently subjected to Western blot analyses with antibody directed against PPAR{alpha} (Figure 8B). Although interactions between PPAR{alpha} and Sp1 protein were already detectable constitutively, Wy14643 further increased PPAR{alpha} levels in anti-Sp1 immunoprecipitates. Thus, Sp1/PPAR{alpha} protein interactions may be enhanced in response to PPAR{alpha} activation, leading to potential transrepressive effects by which PPAR{alpha} activators may inhibit VEGFR2 gene transcription.



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Figure 8. PPAR{alpha} ligand Wy14643 does not modulate PPAR{alpha} or Sp1 expression but increases PPAR{alpha}/Sp1 protein interactions in HUVECs. A, Western blot analyses of nuclear extracts from HUVECs that were left untreated (media change) or exposed to Wy14643 (at 200 µmol/L, 24 hours). B, Cellular extracts of HUVECs that were left untreated or exposed to Wy14643 were immunoprecipitated (IP) by specific Sp1 antibody (Santa Cruz) before immunoblotting (IB) with Sp1 and PPAR{alpha} antibody; neither Sp1- nor PPAR{alpha}-immunoreactive material was retrieved by immunoprecipitation using nonimmune IgG (not shown). Immunoblots displayed are representative of 3 independent experiments that were performed revealing comparable results. ODs of PPAR{alpha} bands were corrected for loading differences based on the corresponding Sp1 bands; fold increase in ODs of PPAR{alpha} bands derived from anti-Sp1 immunoprecipitates of untreated versus Wy14643-treated: 2.32±0.12, n=3.


*    Discussion
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up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
up arrowResults
*Discussion
down arrowReferences
 
Our data indicate that PPAR{alpha} activators may control inflammatory responses in part by targeting endothelial VEGFR2 expression, representing a key element of the VEGF/VEGFR signaling system during chronic inflammation.8 Strong evidence revealing a potential role for PPARs in inflammation control stemmed from work on PPAR{alpha}-deficient mice, which showed a prolonged or exacerbated inflammatory response.20,21 Several studies aimed at resolving cellular mechanisms underlying the inflammation control by PPARs unveiled several modes of action that involve different cell types, including macrophages, hepatocytes, smooth muscle cells, and endothelial cells.

At the vascular level, both PPAR{alpha} and PPAR{gamma} activators have been shown previously to repress basal and induced expression of endothelin-1.22,23 As a another gene activated in inflammatory responses, monocyte-chemoattractant protein-1 expression by endothelial cells was shown to be inhibited by TZDs. In addition, PPAR{alpha} activation by fibrates and other synthetic agonists has been demonstrated earlier to block the regulated vascular cell adhesion molecule-1 expression by human endothelial cells.24

To control for adverse effects due to cytotoxicity, we determined the cytotoxic potential of different PPAR agonists at increasing doses in HUVECs (Figure 3B). These data showed cytotoxicity indices of about 10% with PPAR{alpha} ligands at concentrations of up to 400 µmol/L. Conversely, the TZD PPAR{gamma} agonists revealed cytotoxicities of 15% to 20% by concentrations of 25 µmol/L and about 70% by 50 µmol/L. Consequently, the dose-related cytotoxic profile of PPAR{alpha} and PPAR{gamma} activators is shown to be distinctly different in HUVECs, likely reflecting in part variations in ligand affinity binding.25,26 To better allow for comparison of PPAR{alpha} and PPAR{gamma} activators with regard to their biological properties on endothelial gene expression, concentrations of the respective ligands were used that exerted comparable effects on cytotoxicity and cell proliferation (Figures 3A and 3B).

As to important cellular functions, PPAR{gamma} activators have been previously implicated in cell cycle withdrawal and in induction of terminal differentiation of several cell types.26 Inhibitory effects on the growth of different tumor cells were regarded as apparent cellular mechanisms mediating antitumor effects of PPAR{gamma} ligands. However, evidence is accumulating that observed antitumor activities in vivo may not be conveyed entirely by effects on the tumor cell itself, but may also reflect antiangiogenic effects on the tumor endothelium, as PPAR{gamma} activators suppress proliferation of endothelial cells and induce their apoptosis in vitro.10,27 This assumption is bolstered by recent experimental data suggesting that PPAR{gamma} ligands can inhibit tumor growth by suppressing angiogenesis in vivo.9

We anticipated PPAR{gamma} rather than PPAR{alpha} activators to target VEGFR2 expression, because 15d-PGJ2, which is regarded as a natural PPAR{gamma} agonist, was found previously to reduce VEGFR2 mRNA expression by HUVECs grown in growth factor–containing 3-dimensional Collagen Typ I gels.10 In contrast, we observed in monolayer HUVEC cultures PPAR{alpha} rather than PPAR{gamma} ligands to suppress VEGFR2 expression. The putative discrepancy to the earlier study by Xin et al10 may presumably be explained by differences in the experimental setup, as HUVECs were seeded in collagen gels as opposed to be grown as monolayers. Whereas 15d-PGJ2 was seen to inhibit tube formation in long-term (48 hours) 3-dimensional collagen assays previously,10 our experiments on the capacity of PPAR activators to interfere with short-term (12 hours) formation of capillary-like structures after EC seeding on Matrigel revealed no discernible suppression in response to the PPAR{gamma} ligand ciglitazone. In the present study, the different findings may be related to the different length of exposure to the respective PPAR ligands. Conceivably, the antiangiogenic effects of PPAR{gamma} activators need longer time to take effect, and may therefore be detectable preferentially in long-term in vitro angiogenesis assays. In addition, the apparent antiangiogenic properties of PPAR{gamma} activators may be mediated primarily by their capacity to control cell cycling rather than by suppressing endothelial VEGFR2 expression. This assumption is supported by data showing pronounced effects of PPAR{gamma} ligands as opposed to PPAR{alpha} agonists on proliferation and cytotoxicity both in human ECs (Figure 3) and in B lymphocytes and B lymphoma cells.28

As a major control point of gene expression, transcriptional activation has been previously identified as a key regulatory mechanism of VEGFR2 expression. Our data indicate that the repressive effects of fibrates on VEGFR2 occur at the transcriptional level via activation of PPAR{alpha}. A promoter region with two adjacent Sp1 binding sites between base pairs -60 and -37 was identified that conveys Wy14643-mediated transrepression of the VEGFR2 gene (Figure 6A). Our findings support the hypothesis that activation of PPAR{alpha} inhibits VEGFR2 gene transcription via decreasing Sp1 site-dependent binding to the -63/-31 bp promoter sequence.

At the molecular level, PPARs have been demonstrated previously to repress gene transcription by restricting binding of specific transcription factors to respective response elements,21 or by competing with critical coactivators necessary for transcriptional activation.29 Pertinent to our findings, PPAR{alpha} activator Wy14643 has been indicated recently to inhibit inducible Sp1/Smad4 complex formation as a mechanism to block transforming growth factor-ß–induced ß5 integrin transcription in vascular smooth muscle cells.30 Because decreased Sp1-dependent binding activity to the GC-rich core promoter in response to PPAR{alpha} activation was apparently not mediated by changes in nuclear levels of Sp1 transcription factor (Figure 8A), we explored whether direct Sp1-PPAR{alpha} contacts may constitute a putative mechanism by which PPAR{alpha} activation may decrease Sp-binding activity to the VEGFR2 promoter. Indeed, our coimmunoprecipitation experiments revealed that PPAR{alpha} activation may increase direct protein interactions between Sp1 and PPAR{alpha} (Figure 8B). Thus, transrepression may represent a likely mechanism, by which PPAR{alpha} activators mediate, at least in part, their inhibitory effects on VEGFR2 gene transcription. Therefore, we here provide first evidence that PPAR{alpha} activation may exert transrepressive activity via increased interaction with Sp1 transcription factor.

In conclusion, our data identify VEGFR2 expression as an additional target of PPAR{alpha} activation in endothelial cells. Although all PPAR family members are expressed by vascular endothelium,31 only PPAR{alpha} but not PPAR{gamma} ligands directly affected VEGFR2 gene expression. As indicated by our studies, molecular mechanisms by which PPARs modulate the rate of gene transcription may include direct interactions between specific transcription factors and PPARs that ultimately result in reduced DNA binding to their respective response elements. Identification of target genes that are repressed in response to PPAR activation as well as further elucidation of the negative control mechanisms will likely help to better define the therapeutic potential and clinical indications of PPAR activators in vascular-dependent diseases.


*    Acknowledgments
 
This work was supported by Deutsche Forschungsgemeinschaft grants Gi 229/5-1 (J.G.) and Gi 229/6-1 (J.G.), by a Heinrich and Erna Schaufler-Stiftung and Dr Paul and Cilli Weill-Stiftung grant (J.G.), and by an International Investigative Dermatology Travel Fellowship Award 2003 (M.M.).


*    Footnotes
 
Original received June 19, 2003; resubmission received November 25, 2003; revised resubmission received December 5, 2003; accepted December 11, 2003.


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