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Molecular Medicine |
From the Institute of Pathophysiology (K.v.W.L., P.K., S.L., G.H., B.L.), Center of Internal Medicine, University Hospital, Essen, Germany; Department of Pharmacological Sciences (N.F.), University of Milan, Italy; and Molecular Pharmacology (J.W.F.), Institute of Pharmacology and Clinical Pharmacology, Heinrich-Heine University Düsseldorf, Germany.
Correspondence to Bodo Levkau, Institute of Pathophysiology, University Hospital Essen, Hufelandstrasse 55, 45122 Essen, Germany. E-mail levkau{at}uni-essen.de
| Abstract |
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B via phosphorylation and degradation of I
B
. Its prevention through retroviral expression of superrepressor I
B
or proteasome inhibition potently induced apoptosis. In the presence of blocking antibodies to
vß3 integrin and RGD peptides, collagen fragments no longer activated NF-
B and apoptosis was enhanced. The mechanism by which NF-
B was protecting SMC against collagen fragment-induced apoptosis was a transcriptional activation of several endogenous caspase inhibitors of the inhibitor of apoptosis protein (IAP) family as: (1) the expression of xIAP, c-IAP2, and survivin was potently induced by collagen fragments; (2) IAP expression was abrogated by superrepressor I
B
; and (3) knockdown of each of the 3 IAPs by small interfering RNA (siRNA) resulted in enhanced apoptosis after collagen fragment treatment. Our data suggest that SMC exposed to degraded collagen are protected against apoptosis by a mechanism involving
vß3-dependent NF-
B activation with consequent activation of IAPs. This may constitute a novel antiapoptotic pathway ensuring SMC survival in settings of enhanced ECM degradation such as cell migration, vascular remodeling, and atherosclerotic plaque rupture.
Key Words: apoptosis caspase activation NF-
B vascular smooth muscle cells collagen extracellular matrix atherosclerosis
| Introduction |
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Our previous studies have shown that extended culture of human SMC on polymerized type I collagen profoundly altered their focal contacts through calpain-mediated proteolysis of focal adhesion proteins such as FAK, talin, and paxillin and that this process was mediated by MMP-generated collagen fragments.10 Recently, we demonstrated that the identical collagen fragments lead to a rapid activation of caspases and apoptosis that was dependent on calpains.11 This coincided with calpain-dependent proteolysis of X chromosomelinked inhibitor of apoptosis protein (xIAP) resulting in loss of its caspase-inhibitory potential.11 However, caspase activation was moderate, xIAP destruction transient and most of the SMC survived. This led us to postulate the existence of an antiapoptotic pathway activated in parallel by type I collagen fragments and dominant over the apoptotic. In the present study, we have identified this survival pathway as the activation of the transcription factor nuclear factor (NF)-
B by type I collagen fragments with consecutive activation of several members of the inhibitor of apoptosis (IAP) family. We have characterized the necessity and sufficiency of the IAPs for SMC survival in a proteolyzed collagen environment and have identified the responsible integrins.
| Materials and Methods |
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B
(Santa Cruz Biotechnology); p-I
B
, cleaved caspase-3, cleaved lamin A (New England Biolabs); survivin (Novus Biologicals); caspase-3 (R&D Systems);
- and ß-actin (Sigma-Aldrich); and GAPDH (HyTest Ltd). Other reagents used were: secondary antibodies (Vector Laboratories); blocking antibody against
vb3 (LM609; Chemicon); mouse IgG1 (BD Biosciences); RGD peptides (Invitrogen); N-acetyl-leucinyl-leucinyl-norleucinal (LLnL) and Z-Leu-Leu-Leu-aldehyde (MG-132; Alexis); and cycloheximide (Sigma-Aldrich).
SMC Culture and Preparation of Collagen Fragments
Human newborn arterial SMC from the thoracic aorta were a kind gift of Elaine W. Raines, University of Washington, Seattle, and were used in all our previous studies on collagen fragments.10,11 Type I collagen gels (1.0 mg/mL final collagen concentration) were prepared by neutralizing the bovine skin collagen solution (Vitrogen 100, Cohesion) with one-sixth volume of a 7-fold DMEM and polymerization at 37°C for 12 hours. Collagen-coated dishes were prepared by incubating 0.1 mg/mL collagen solution in 0.1 mol/L acetic acid at 37°C for 12 hours. Degraded type I collagen was prepared as described10,11 by incubating polymerized collagen gels with 2 mg/mL collagenase type 3 (Worthington Biochemical Corp) at 37°C for 30 minutes and addition of an equal volume of 10% FCS/DMEM.
Protein Analysis
Cells were lysed in 50 mmol/L Tris-HCl, pH 8.0, 250 mmol/L NaCl, 5 mmol/L EDTA, pH 8.0, 50 mmol/L NaF, 0.5% Nonidet P-40 [NP-40], 0.5 mmol/L phenyl-methylsulfonyl fluoride, 0.5 mmol/L Na3VO4, and 5 µg/mL aprotinin, leupeptin, and pepstatin for 15 minutes on ice. Cell lysates were cleared by centrifugation at 15 000g for 5 minutes and protein concentrations determined using the BCA protein assay (Pierce). Cell proteins were separated by SDS-PAGE, transferred to polyvinylidene difluoride (PVDF) membranes (Millipore), immunoblotted and visualized by ECL (Amersham Biosciences).
Fluorescence-Activated Cell Sorting Analysis
SMC were trypsinized, pooled with all detached cells from their respective supernatants, and washed twice with ice-cold PBS. Double staining with fluorescein isothiocyanate (FITC)-conjugated annexin V and propidium iodide (PI) was performed according to the protocol of the manufacturer (Beckman Coulter). Samples were analyzed in a flow cytometer (Epics XL; Beckman Coulter) using the software Expo32 ADC Analysis. For each determination, a minimum of 10 000 events per sample was acquired.
Electrophoretic Mobility Shift Assay
SMC were plated on collagen 24 hours before treatment, and electrophoretic mobility shift assays (EMSAs) were performed as previously described.12 A double-stranded oligonucleotide containing the DNA-binding site for NF-
B (5'AGTTGAGGGGACTTTCCCAGGC3'; Santa Cruz Biotechnology) was end-labeled using [
32P]ATP (ICN) and T4-PNK (MBI Fermentas). The lysed nuclei were centrifuged for 5 minutes at 4°C 12 000g and diluted with 30 µL of Buffer D (20 mmol/L Hepes, pH 8.0, 50 mmol/L KCl, 20% glycerol, 0.2 mmol/L EDTA, 0.5 mmol/L phenylmethylsulfonyl fluoride [PMSF], and 0.5 mmol/L dithiothreitol [DTT]). Ten micrograms of nuclear extracts were mixed with 60 000 to 80 000 cpm of labeled probe in binding buffer (10 mmol/L Tris HCl, 1 mmol/L EDTA, 1 mmol/L DTT, and 0.05% NP-40, pH 7.5) and 50 µg/mL poly dIdC and incubated at room temperature for 20 minutes. For competition and supershift studies, unlabeled NF-
B oligonucleotides or unspecific p53mut oligonucleotides and antibodies against the p50 and p65 subunits of NF-
B (Santa Cruz Biotechnology), respectively, were used.
Retroviral Infection
Human I
B
Ser32,36/Ala was generated as previously described.13 Retroviral expression plasmids were constructed using the internal ribosomal entry site (IRES) vector pBMN-IRES-PURO expressing the puromycin resistance gene PAC as a selectable second cistron gene.14 Amphotrophic retrovirus was prepared using Phoenix-A packaging cells and transfections performed as described previously.14 For selection, the retroviral supernatant was replaced with growth medium containing puromycin (5 to 10 µg/mL) 12 hours after transfection. Cells were cultured for additional 48 hours before use.
Transfection of Small Interfering RNA
The small interfering RNAs (siRNAs) with the following sense and antisense sequences were (1) for xIAP: sense, 5'-GUGGUAGUCCUGUUUCAGCdTdT-3'; and antisense, 5'-GCUGAAACAGGACUACCACdT dT-3'; (2) for c-IAP2: sense, 5'-GUUCAAGCCAGUUACCCUCdTdT-3'; and antisense 5'-GAGGGUAACUGGCUUGAACdTdT-3'; (3) for survivin: sense, 5'-GAGCCAAGAACAAAA-UUGCdTdT-3'; and antisense, 5'-GCAAUUUUGUUCUUGGCUCdTdT-3'; (4) for control (nonsilencing): sense, 5'-UUCUCCGAACGUGUCACGUdTdT-3'; and antisense, 5'-ACGUGACACGUUCGGAGAAdTdT-3'. All siRNAs were purchased from Qiagen, and transfections were performed using a transfection system (Bio-Rad Laboratories) according to the protocol of the manufacturer.
Statistics
Results are given as means±SD. Comparisons between multiple groups were performed using 1-way ANOVA followed by a Fishers least-significant difference (LSD) post hoc test. Single comparisons were made using Student t test. A probability value of P<0.05 was considered statistically significant.
| Results |
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B, known to promote survival in many experimental systems, was involved.
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Degraded Collagen Fragments Induce NF-
B Activation in SMC
EMSAs for NF-
B showed a marked activation 1 hour after exposure to 250 µg/mL degraded collagen fragments that remained constant up to 8 hours (Figure 2A) and declined after 16 hours (data not shown). The NF-
B DNA binding activity was specific as it became undetectable in the presence of excess unlabeled specific oligonucleotide and was unaltered by excess unspecific oligonucleotide (Figure 2B). Preincubation of SMC with 2 different proteasome inhibitors (LLnL and MG-132) abolished NF-
B activation by degraded collagen fragments (Figure 2B). To test whether NF-
B was activated via phosphorylation and proteasomal degradation of its inhibitor I
B
15 in our system, SMC were exposed to degraded collagen in the presence or absence of LLnL, and the levels of total and phosphorylated (Ser32,36) I
B
were examined by Western blotting. Incubation with degraded collagen fragments alone led to a rapid I
B
phosphorylation and degradation (Figure 2C). In the presence of LLnL, I
B
was also phosphorylated but accumulated over time, suggesting that NF-
B activation is mediated by proteasomal I
B
degradation (Figure 2C).
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NF-
B Inhibition by Proteasomal Inhibitors and a Superrepressor I
B
Ser32,36/Ala Induces Apoptosis in SMC Exposed to Degraded Collagen
Because activation of NF-
B is protective against apoptosis in a number of experimental systems, we tested whether the inhibition of IkB
degradation by proteasome inhibitors was causally involved in cytoprotection. To specifically inactivate NF-
B, we infected SMC with an IRES-PURO retrovirus encoding a phosphorylation-resistant I
B
mutant (I
B
Ser32,36/Ala) and the selectable puromycin resistance gene. This allowed rapid selection of a transduced SMC population expressing I
B
Ser32,36/Ala with approximately 99% infection efficiency as we have previously shown.13,14 Transduced SMC containing the control vector were treated with collagen fragments in the presence or absence of LLnL, and SMC overexpressing I
B
Ser32,36/Ala were treated with collagen fragments alone (Figure 3). Although overexpression of I
B
Ser32,36/Ala per se did not induce any morphological changes, treatment with collagen fragments led to pronounced cell rounding, blebbing and detachment reminiscent of apoptosis (Figure 3A). Accordingly, Western blot analysis revealed distinct and specific cleavage of the caspase-6 substrate lamin A/C in SMC overexpressing I
B
Ser32,36/Ala after treatment with collagen fragments (Figure 3B). In contrast, SMC transduced with the control vector and treated with degraded collagen did not show lamin A/C cleavage unless LLnL was present (Figure 3B).
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Blockade of
vß3 Integrins Prevents NF-
B Activation and Leads to Apoptosis in the Presence of Degraded Collagen
To test whether degraded collagen activates NF-
B via binding to specific integrins, SMC were incubated with blocking antibodies against
2,
5 and
vß3 integrins, respectively, and exposed to degraded collagen for 2 hours. Whereas blockade of
2 and
5 integrins had no effects on NF-
B DNA binding activity in EMSAs (data not shown), blocking antibodies to
vß3 substantially inhibited NF-
B activation by degraded collagen (Figure 4A). Blockade of
vß3 in the absence of degraded collagen had no effect on basal NF-
B activity (Figure 4A). Furthermore,
vß3 blockade by anti-
vß3 antibodies and RGD peptides resulted in enhanced apoptosis as shown by PARP and lamin A/C cleavage and this was further enhanced by treatment with LLnL (Figure 4B).
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Degraded Collagen Induces IAP Expression via Activation of NF-
B
NF-
Bdependent de novo gene expression is required for survival in many experimental systems,16 and several members of the IAP family are under its transcriptional control, thereby mediating its antiapoptotic effects.17,18 To determine whether IAPs may be involved in NF-
Bmediated protection in our system, we analyzed their expression in SMC exposed to degraded collagen. There was a rapid and potent induction of xIAP, c-IAP2, and survivin after 1 hour of collagen fragment treatment and their levels steadily increased up to 30 hours (Figure 5A). To test whether IAP induction was NF-
B-dependent, we retrovirally overexpressed the superrepressor I
B
Ser32,36/Ala and a control vector, respectively, and determined IAP levels after incubation of SMC with degraded collagen. The induction of xIAP and c-IAP2 by collagen fragments was substantially inhibited in I
B
Ser32,36/Ala-expressing cells compared with control vector transduced cells (Figure 5B). In control SMC, LLnL inhibited the induction of xIAP and c-IAP2 by collagen fragments in a comparable manner (Figure 5B).
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Inhibition of IAPs by siRNA Sensitizes SMC to Apoptosis in the Presence of Collagen Fragments
To test whether the induction of IAP expression in SMC after exposure to degraded collagen is necessary for survival, we knocked down IAP expression by siRNA. Initially, SMC were transfected with siRNA against xIAP, c-IAP2 and nonsilencing siRNA, respectively, and protein levels of the IAPs were determined by Western blot analysis. A marked reduction of xIAP and c-IAP2 protein expression was present 48 and 72 hours after siRNA treatment (Figure 6A), with no effect on basal apoptosis rate (data not shown). We then treated SMC with siRNA against xIAP, c-IAP2, or survivin and exposed them to degraded collagen for 18 hours. We observed that, in contrast to SMC treated with nonsilencing siRNA, apoptosis was distinctly induced in all IAP-siRNAtreated SMC, as shown by cleavage of lamin A/C, PARP and activation of caspase-3 (Figure 6B). These results suggest that the induction of IAPs is necessary and sufficient to protect SMC against apoptosis after treatment with degraded collagen.
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| Discussion |
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B via phosphorylation and degradation of I
B
. Its causal involvement was evident from the rapid submission of SMC to apoptosis when NF-
B activation was prevented by proteasome inhibitors or a superrepressor I
B
. We have previously shown that
2 integrins mediate calpain activation by degraded collagen in our system10 and have now identified
vß3 integrins as responsible for NF-
B activation by the same collagen fragments. Blockade of
vß3 not only prevented NF-
B activation but also resulted in apoptosis in the presence of collagen fragments, suggesting that
vß3 integrins promote survival via induction of NF-
B in our system. Engagement of
vß3 by ECM plays an important role in survival in several vascular cell types: (1) it protects endothelial cells against apoptosis after binding to osteopontin or fibronectin via NF-
B1921; (2) its ligation by MMP-generated type I collagen fragments promotes survival in rat vascular SMC through tenascin-C9,22,23; and (3) MMPs secreted by human SMC cultured on polymerized collagen gels generate fragments capable of inducing NF-
Bdependent transcription.13 Together, these data suggest that in our system, degraded collagen fragments simultaneously activated an apoptotic pathway triggered by
2-mediated calpain/caspase activation and a survival pathway triggered by
vß3-mediated NF-
B activation (Figure 7). The survival pathway was dominant over the apoptotic as substantial cell death took place only after inactivation of NF-
B. One possibility of a functional cross-talk between these 2 rival pathways may be at the level of the IAPs: whereas calpains proteolytically destroyed xIAP leading to loss of its caspase-inhibitory potential,11 several IAPs including xIAP were potently induced by NF-
B. Such dynamic modulations of IAP levels inside the cell may have a substantial impact on the activation threshold of caspases as autoprocessing and activation of caspases is known to occur in the absence of the IAPs.24 Thus the functional dominance of the survival pathway over the apoptotic may be anchored in its ability to elevate the IAP threshold for caspase activation (Figure 7). An additional survival mechanism in our system may be mediated by Akt as collagen fragments activated Akt and were more effective in promoting apoptosis when Akt was inhibited (data not shown).
|
Our siRNA experiments have suggested that several IAPs were causally and independently responsible for survival as reducing the levels of single ones such as xIAP, c-IAP2, or survivin was sufficient to induce apoptosis. The inability to compensate or substitute for the antiapoptotic potential of one another suggests that individual IAPs play unique, nonredundant roles in our system. This is in line with the existence of several antiapoptotic functions beyond caspase inhibition of the individual IAPs such as the E3-ubiquitin ligase activity of xIAP toward active caspase-3 and -9,25,26 and that of c-IAP2 toward caspase-7,27 as well as the activation of the c-Jun N-terminal kinase-1 (JNK1) by xIAP but not c-IAP1 or c-IAP2, and its necessity for the antiapoptotic activity of xIAP.28 In SMC, high-density cultures have been shown to exhibit high constitutive NF-
B activity and increased resistance to apoptosis attributable to enhanced expression of c-IAP1.29 In endothelial cells, we and others have shown that IAPs such as xIAP were not only regulated by NF-
B but, vice versa, activated NF-
B themselves, thereby promoting their own transcription.30,31 Thus, in our system, apart from directly inhibiting caspases, IAPs may be also enforcing survival through a positive feedback loop between their NF-
Bdependent transcription and their ability to, in turn, activate NF-
Bs themselves.30,31
ECM Degradation in the Atherosclerotic Lesion: Pathways of SMC Death and Survival in a Proteolytic Environment
Apoptotic SMC are found in atherosclerotic lesions, and the low SMC numbers present in the thin fibrous caps of vulnerable plaques imply that SMC death may have occurred there over time. Eventually, such loss of SMC may potentially lead to decreased collagen synthesis in the fibrous cap and thus contribute to plaque destabilization and rupture.32,33 Increased type I collagen proteolysis by activated MMPs is also considered a risk factor for plaque rupture34 and has been shown to colocalize with MMPs in vulnerable plaques.2,35,36 However, little is known about the particular type I collagen fragments generated in the atherosclerotic plaque in vivo: although the main type I collagen digesting enzymes such as MMP-1, -8, and -13 are abundantly present and active in the lesion, the only in vivo identified collagen fragments are those exposing the neoepitope generated after cleavage of the native triple-helical fibrils of type I, II, and III collagen at the collagenase-specific single site Gly775-Leu/Ile776.35,36 According to well-established biochemical in vitro evidence, the resulting three-fourths and one-fourth collagen fragments would become accessible substrates to other MMPs present in the lesion such as gelatinases and stromelysins and be further catabolized.37,38 Besides the MMPs, there is another class of collagen-degrading enzymes present in the atherosclerotic lesion, the cathepsins, and these are known to cleave type I collagen in vitro at sites that are different from those cleaved by the MMPs: cathepsins L and B cleave only telopeptides but not the native type I collagen triple helix, whereas cathepsin K cleaves both telopeptides at multiple sites within the triple helix.3941 Therefore, it is more than plausible that several different collagen fragments are present simultaneously and/or consecutively in the atherosclerotic plaque in vivo. The
vß3 integrin is also present in lesions of atherosclerosis and appears to crucially influence the SMC content of the neointima after injury by regulating SMC migration.42 As SMC degrade ECM during migration, this may be 1 possible scenario of a proteolytic environment where ECM fragments influence SMC survival by engaging
vß3.
Macrophages and SMC are often neighbors in the atherosclerotic plaque, thereby actively interacting and influencing each others biological behavior.43,44 Because of this neighborhood, plaque SMC will most likely be confronted with matrix degradation, eg, by excessive production of MMPs by macrophages, at some point of their life. In a proteolytic environment, where protective outside-in signals from integrins are interrupted by the degradation of their ECM ligands, the existence of an antiapoptotic pathway originating precisely from some of the arising proteolytic ECM fragments may be important to guarantee SMC survival. Interestingly, apoptosis of SMC induced by mast cell chymase or lymphocyte-derived granzyme B in vitro have both been attributed to degradation of their fibronectin matrix and consecutive loss of protective focal adhesion signals.45,46 In the much more complex microenvironment of atherosclerotic lesions, the presence of type I collagen fragments may counteract such apoptotic signals. Furthermore, high IAP levels maintained by collagen fragments may also protect SMC against other apoptotic stimuli present in the lesion such as reactive oxygen species, Fas, p53, and deadly cytokines.5,6 In conclusion, our finding that collagen fragments tightly regulate SMC survival may be pathophysiologically essential not only at sites of increased ECM proteolysis such as atherosclerotic plaques but also in biological settings where ECM degradation is a general phenomenon necessary for cell migration, vascular remodeling, and neointima formation.47,48
| Acknowledgments |
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Sources of Funding
This study was supported in part by the Deutsche Forschungsgemeinschaft (LE 940/3-1), and the H.-H. Deichmann Foundation for Atherosclerosis Research. K.v.W.L. is a recipient of a postdoctoral fellowship from the Peter und Traudl Engelhorn Foundation.
Disclosures
None.
| Footnotes |
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