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Endocrinology Vol. 139, No. 5 2552-2563
Copyright © 1998 by The Endocrine Society


ARTICLES

Adrenomedullin Production in Fibroblasts: Its Possible Function as a Growth Regulator of Swiss 3T3 Cells1

Yoshitaka Isumi, Naoto Minamino, Takeshi Katafuchi, Masanori Yoshioka, Tetsuo Tsuji, Kenji Kangawa and Hisayuki Matsuo

National Cardiovascular Center Research Institute (Y.I., N.M., T.K., K.K., H.M.), Fujishirodai, Suita, Osaka 565; Faculty of Pharmaceutical Sciences, Setsunan University (Y.I., M.Y.), Hirakata, Osaka 573–01; and Shionogi Co., Ltd. (T.T.), Mishima, Settsu, Osaka 566, Japan

Address all correspondence and requests for reprints to: Naoto Minamino, Ph.D., National Cardiovascular Center Research Institute, 5–7-1 Fujishirodai, Suita, Osaka 565, Japan. E-mail: minamino{at}ri.ncvc.go.jp


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In addition to endothelial cells and vascular smooth muscle cells, we demonstrated that adrenomedullin (AM) is synthesized and secreted from fibroblasts, Swiss 3T3, Hs68, and NHLF cells, in a native and biologically active form. Synthesis and secretion of AM from these fibroblasts was regulated by inflammatory cytokines, such as tumor necrosis factor and interleukin-1, lipopolysaccharide, growth and differentiation factors, and hormones in a manner similar to that of vascular smooth muscle cells and endothelial cells. Tumor necrosis factor-{alpha}, interleukin-1ß, and dexamethasone elevated AM secretion, whereas transforming growth factor-ß1 and interferon-{gamma} suppressed it in these three fibroblasts. Swiss 3T3 cells were shown to express receptors specific for AM by both cAMP production and receptor binding assay, and AM was found to stimulate DNA synthesis of quiescent cells through the cAMP-mediated pathway. AM secreted from Swiss 3T3 cells was also confirmed to augment cAMP production and DNA synthesis in the cells themselves. These effects were inhibited by a neutralizing monoclonal antibody against AM. These findings raise the possibility that AM functions as a growth regulator in the case of Swiss 3T3 cells. As AM receptors are widely distributed, AM secreted from fibroblast may play a role as a local regulator in mesenchymal cells of inflammatory or wounded regions.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
ADRENOMEDULLIN (AM) is a vasorelaxant peptide of 52 residues recently isolated from extracts of human pheochromocytoma (1). This peptide structurally belongs to the calcitonin gene-related peptide (CGRP) superfamily and elicits a potent depressor effect comparable to that of CGRP (2). AM receptors are expressed on vascular smooth muscle cells (VSMCs) and endothelial cells (ECs) (3, 4, 5, 6). AM acts on VSMC and relaxes vascular smooth muscle through elevation of intracellular cAMP concentration. In the case of bovine EC, AM increases both intracellular cAMP and calcium concentrations, the latter of which activates nitric oxide synthase (6), and the resulting nitric oxide further dilates blood vessels. Even at the whole animal level, cAMP and nitric oxide are known to be involved in the vasodilatory action of AM, although there are significant species differences with regard to the mechanism of action of AM (7, 8, 9).

Our systematic survey has demonstrated that VSMC and EC actively produce and secrete AM and that their gene transcription levels are much higher than that of adrenal gland (10, 11). Among the substances examined, tumor necrosis factor (TNF), interleukin-1 (IL-1), and lipopolysaccharide (LPS) potently stimulated AM production in VSMC and EC (12, 13), suggesting that AM may participate in inflammation as well as in induction of hypotension in septic shock. In fact, the plasma AM concentration was markedly elevated in LPS-injected rats and in patients with septic shock (14, 15, 16). In LPS-injected rats, AM messenger RNA was detected and elevated in almost all tissues (14). These data indicate that vascular cells are major sites of synthesis and secretion of AM in septic shock model rats. However, nonvascular cells of some other tissues, such as lung, were deduced to be able to synthesize AM.

Fibroblasts of mesenchymal tissue are one of the important targets of inflammatory cytokines and LPS (17, 18). Recent observations have clarified that fibroblasts can secrete a variety of immunoregulatory cytokines and chemical mediators when they are stimulated with inflammatory cytokines or LPS (18). In heart tissue, for instance, fibroblasts are reported to support the development of cardiac hypertrophy and myocardial fibrosis when stimulated with angiotensin II (19). Factors secreted from human fibroblasts are shown to down-regulate the production of plasminogen activator inhibitor type 1 in cultured human EC (20). These data suggest that fibroblasts have potential functions not only in maintaining tissue integrity, but also in physiological regulation of parenchymal cells. In the present paper, we report active production of AM in human and mouse fibroblasts as well as regulation of AM production in these cells. Furthermore, we raise the possibility that AM functions as a growth regulator of Swiss 3T3 cells.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Materials
BSA (RIA grade), bovine thrombin, bovine insulin, dexamethasone, and T3 were purchased from Sigma Chemical Co. (St. Louis, MO). Mouse recombinant IL-1ß was obtained from Intergen (Purchase, NY). Mouse recombinant TNF{alpha} and bovine basic fibroblast growth factor (FGF) were products of Boehringer Mannheim (Mannheim, Germany). Human recombinant epidermal growth factor (EGF) was obtained from Austral Biologicals (San Ramon, CA), and rat interferon-{gamma} (IFN{gamma}) and genistein were obtained from Calbiochem (San Diego, CA). Human TNF{alpha} and IL-1ß were obtained from R&D Systems (Minneapolis, MN), and human IFN{gamma} was purchased from Pepro Tech (Rocky Hill, NJ). Forskolin was obtained from Wako Pure Chemicals (Osaka, Japan), and NOC-18 [2,2'-(hydroxynitrosohydrazino)bis-ethanamine] was purchased from Dojindo (Kumamoto, Japan). Escherichia coli LPS (serotype 026:B6) was purchased from Paesel+Lorei (Frankfurt, Germany), and NG-nitro-L-arginine methyl ester was a product of Biomol Research Laboratory (Plymouth Meeting, PA). Triton X-100 and Triton X-305 were obtained from Nacalai Tesque (Kyoto, Japan). H-89 (N-[2-(p-bromocinnamylamino)ethyl]-5-isoquinolinesulfonamide) and H-7 [1-(5-isoquinolinesulfonyl)-2-methylpiperazine] were products of Seikagaku Corp. (Tokyo, Japan). Human (h) AM-(40–52), its N-Tyr derivative, and hAM-(46–52) were synthesized by a peptide synthesizer (Applied Biosystems 431A, Foster City, CA) and purified by reverse phase HPLC. Mouse (m) AM was purchased from Phoenix Pharmaceutical (Mountain View, CA). Other peptides used in this study were of human or rat (r) origin and were obtained from Peptide Institute (Osaka, Japan). Dexamethasone was first dissolved in ethanol, and then diluted with an incubation medium (DMEM containing 1% FCS). T3 was first dissolved in 0.1 M NaOH, then diluted with the incubation medium. Other substances were dissolved according to the producer’s manuals and diluted with the incubation medium.

Cell culture
Swiss 3T3 cells (mouse embryonic fibroblast) and Hs68 cells (human newborn foreskin fibroblast) were maintained in DMEM containing 10% FCS (Filtron, Victoria, Australia) at 37 C in a humidified atmosphere containing 5% CO2. NHLF cells (normal human adult lung fibroblast), obtained from Clonetics Corp. (San Diego, CA), were maintained in modified MCDB202 containing 2% FCS, 1 ng/ml basic FGF, and 5 µg/ml insulin at 37 C in a humidified atmosphere containing 5% CO2.

Peptide iodination
The N-Tyr derivative of hAM-(40–52), rAM, and a methionine sulfoxide form of hAM were radioiodinated by the lactoperoxidase method (21). N-Tyr-monoiodinated hAM-(40–52) and a monoiodinated form of rAM with biological activity were isolated by reverse phase HPLC using a linear gradient elution of CH3CN from 10–60% in 0.1% trifluoroacetic acid (TFA) and used as tracers for RIA and receptor binding assay, respectively. A monoiodinated methionine sulfoxide form of hAM was also isolated by the same procedures.

Measurement of immunoreactive (IR-) AM secreted from fibroblasts and cellular IR-AM
Fibroblasts, grown to confluence in a six-well plate, were incubated with an incubation medium (DMEM-1% FCS) containing stimulants at 37 C for 14 h in a humidified atmosphere containing 5% CO2. The viability of fibroblasts after 12-h incubation was estimated by trypan blue exclusion assay, and more than 95% of the cells were viable under the present conditions. Culture media were acidified with acetic acid (final concentration, 0.25 M), and Triton X-100 was added (final concentration, 0.002%). The resulting solution was heated at 100 C for 15 min and lyophilized. The lyophilizates were dissolved in a RIA standard buffer and submitted to RIA for AM. Details for the RIA system using antiserum 172-CI-7 against hAM-(40–52) have been reported by Sakata et al. (21), and the detection limit of this RIA system was 1 fmol/tube. An antiserum 172-CI-7, donated by Dr. Kitamura of Miyazaki Medical College, strictly recognizes the C-terminal amide structure common to hAM, rAM, and pig AM. Synthetic mAM, prepared based on the amino acid sequence recently reported by Okazaki et al. (22), showed an affinity for the antiserum equivalent to that of hAM. For measurements of cellular IR-AM, fibroblasts were washed twice with PBS, scraped in 1 M acetic acid, and then collected. After heating at 100 C for 10 min, the cell lysates were sonicated and centrifuged, and the resulting supernatants were condensed with Sep-Pak C18 cartridges (Millipore Corp., Waters Division, Milford, MA), as reported previously (14). The eluted materials were lyophilized and subjected to RIA for AM.

Characterization of IR-AM in culture medium of fibroblasts
After 14-h incubation, conditioned culture media of the three fibroblasts, Swiss 3T3, Hs68, and NHLF cells, without stimulation and that of NHLF cells with stimulation of 10-7 M dexamethasone were collected separately and acidified with acetic acid (final concentration, 0.1 M). The peptide fraction of the culture medium was desalted and condensed with a Sep-Pak C18 ENV cartridge, as reported previously (14). After lyophilization, the condensate was subjected to gel filtration on Sephadex G-50 column (fine, 1 x 100 cm; Pharmacia, Uppsala, Sweden). The peak fraction of IR-AM on the gel filtration was separated by reverse phase HPLC on a Chemcosorb 5ODS-H (300 Å; 4.6 x 250 mm; Chemco, Osaka, Japan) using a linear gradient elution of CH3CN from 10–60% in 0.1% TFA over 60 min at a flow rate of 1 ml/min. An aliquot of each fraction was submitted to RIA for AM.

cAMP production assay
Fibroblasts, grown to confluence in a 24-well plate, were washed once with 0.5 ml DMEM, then preincubated in 25 mM HEPES-buffered DMEM (pH 7.4) containing 0.01% BSA and 0.5 mM isobutylmethylxanthine (Nacalai Tesque) for 1 h. The media were then replaced with the same buffer containing various concentrations of rAM, hAM, hCGRP, their antagonists, other related substances, and insulin, and the cells were further incubated at 37 C for another 1–6 h. Aliquots of culture media were collected and succinylated with succinic anhydride, as previously reported (23). The resulting solution was lyophilized, dissolved in the RIA standard buffer for the cAMP assay, and submitted to RIA of cAMP. The RIA was performed as previously reported (23). The antiserum against cAMP was donated by Dr. Kitamura.

Receptor binding assay
Fibroblasts, grown to confluence in a six-well plate, were washed twice with 1 ml 20 mM HEPES-buffered DMEM (pH 7.4), and incubated with various concentrations of 125I-labeled rAM ([125I]rAM) in 1 ml DMEM containing 0.05% BSA and 0.01% Triton X-305 at room temperature for 1 h. Nonspecific binding was determined in the presence of 2 µM unlabeled rAM. In the competition studies, peptides [rAM, hAM, hAM-(22–52), hCGRP, hCGRP-(8–37), and rat amylin (rAMY)] ranging from 10-11–10-6 M were added to the incubation medium with [125I]rAM. After incubation, the cells were washed once with ice-cold PBS and solubilized with 0.5 M NaOH. Radioactivity was measured with a {gamma}-counter (ARC-1000, Aloka, Tokyo, Japan). In the equilibrium-saturation experiments, 1.85 x 10-11 M [125I]rAM was added as a tracer, and the concentration of unlabeled peptide was varied from 6.5 x 10-12 to 1.6 x 10-8 M. Binding data were analyzed by nonlinear regression using a one- or two-site binding program (GraphPad Prism, GraphPad Software, San Diego, CA) to calculate the dissociation constant (Kd) and the maximum number of binding sites (Bmax).

DNA synthesis assay
DNA synthesis assay was performed mainly according to the method of Withers et al. (24). Swiss 3T3 cells were plated out in six-well plates at 105 cells/well and incubated under normal culture conditions. The cells were used for the assay after 7 days when they were confluent and quiescent. The cells were washed twice with DMEM and incubated with AM and other substances in DMEM-Waymouth’s medium (1:1, vol/vol) containing 0.05 mM isobutylmethylxanthine, 0.01% BSA, and 5-[125I]iodo-2'-deoxyuridine ([125I]DU; 0.2 µCi/ml; Amersham, Aylesbury, UK). After 40-h incubation, the fibroblasts were washed twice with ice-cold PBS and incubated in 5% trichloroacetic acid for 30 min at 4 C. Trichloroacetic acid was then removed, and the cells were washed twice with ethanol. [125I]DU incorporated into nuclei was extracted with 1 ml 0.1 M NaOH containing 2% Na2CO3 and 1% SDS. Radioactivity recovered from cell nuclei was measured with a {gamma}-counter.

Neutralizing monoclonal antibody against AM
Monoclonal antibody against human AM-(46–52) (mAb-C1) was prepared as follows. Synthetic human AM-(46–52), a carboxyl-terminal peptide common to hAM and rAM, was conjugated to bovine thyroglobulin (Sigma) by the carbodiimide method. The conjugate was emulsified with Freund’s complete adjuvant, and the emulsion containing 4.7 µgEq of the peptide was sc immunized to seven female BALB/c mice (5 weeks old) eight times at 3-week intervals. Three days before cell fusion, the emulsion was ip injected into the mouse with the highest titer. Fusion of spleen cells from the immunized mouse with mouse myeloma cells, X63-Ag8.653, was performed in a ratio of 5:1 using polyethylene glycol 4000 (Merck, Darmstadt, Germany) and a method previously reported (25). Hybridomas were screened first for their ability to produce antibody and second by the displacement test. The hybridomas selected by these tests were cloned by limited dilution and ip injected to BALB/c mice. Isotyping of mAb-C1 was carried out by the Ouchterlony technique (mouse monoclonal antibody isotyping kit, Amersham). Binding affinity was determined by a Scatchard plot analysis using a monoiodinated methionine sulfoxide form of hAM. The IgG fraction of mAb-C1 (mAb-IgG) was purified from mouse ascites using the Affi-Gel Protein A MAPS II Kit (Bio-Rad, Hercules, CA), and the IgG fraction of mouse nonimmune {gamma}-globulin (NI-IgG) was purified from mouse {gamma}-globulin (Organon Teknika, Durham, NC) using the same method. For the neutralizing experiments with AM, 10-8 M hAM or partially purified IR-AM was incubated at 4 C for 24 h in the absence or presence of mAb-IgG or NI-IgG before the cAMP production assay or the DNA synthesis assay.

Partial purification of AM from culture medium of Swiss 3T3 cells
Conditioned media (250 ml) of Swiss 3T3 cells with or without stimulation with TNF{alpha} (50 ng/ml) were collected from 50 10-cm dishes after 24-h incubation under normal culture conditions. Conditioned media as well as plain incubation medium (250 ml) were acidified with acetic acid (final concentration, 0.1 M). Peptide fractions of the media were condensed with Sep-Pak C18 ENV cartridges and then separated by reverse phase liquid chromatography on an LC-SORB SPW-C-ODS (Chemco) using a gradient elution of CH3CN from 10–60% in 0.1% TFA at a flow rate of 10 ml/min for 50 min to separate AM from TNF{alpha}. IR-AM fractions corresponding to authentic rAM were collected and lyophilized. The lyophilizates were dissolved in 1 ml DNA synthesis assay medium and submitted to cAMP production assay as well as DNA synthesis assay.

Statistical analysis
Values were expressed as the mean ± SEM. Statistical analysis of the results was performed with a one-way ANOVA, followed by a multiple comparison test (Dunnett’s test), and P < 0.05 was considered statistically significant.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Secretion of AM from fibroblasts
Amino acid sequences of mAM, rAM, hAM, pig AM, and dog AM are shown in Fig. 1Go. The carboxyl-terminal seven-amino acid amide structure is completely conserved in these five AMs, and the antibody 172-CI-7 used in this study strictly recognizes the carboxyl-terminal sequence of hAM. In practice, synthetic mAM and rAM elicited the same affinity to the antibody as that of hAM, indicating that the RIA for hAM used in this study can be used for measurements of mAM, rAM, and other mammalian AMs.



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Figure 1. Amino acid sequences of mouse, rat, human, pig, and dog AM. The amino acid sequence of mouse AM is denoted by the single letter amino acid code. The amino acid common to mouse AM is marked by a closed circle on the sequences of rat, human, pig, and dog AM, and the amino acid replaced is indicated by the single letter amino acid code. Mouse and rat AM have two amino acid residue deletions, indicated by a dash. AM has a single intramolecular disulfide linkage between two cysteine residues and a carboxyl-terminal amide structure.

 
As we have noticed the presence of AM gene transcription in extravascular tissue of rat lung, a culture medium of NHLF, fibroblasts of normal human lung origin, was first examined. This cell line was found to secrete 92.1 fmol IR-AM/105 cells for 14 h, which was higher than that of cultured rat EC (11). Hs68 of normal human dermal fibroblast was also shown to actively secrete 95.6 fmol IR-AM/105 cells for 14 h. Swiss 3T3, mouse fibroblast of embryonic tissue origin, secreted 3.34 fmol IR-AM/105 cells for 14 h, which was lower than that of NHLF or Hs68 and was about 60% that of rVSMC (Table 1Go) (10).


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Table 1. Effects of various substances on IR-AM secretion from Swiss 3T3, Hs68, and NHLF cells

 
Characterization of IR-AM secreted from fibroblasts
IR-AM secreted from fibroblasts was characterized by gel filtration and reverse phase HPLC (Fig. 2Go). More than 80% of the total IR-AM secreted from Swiss 3T3 and Hs68 cells was eluted at a mol wt of 6K corresponding to hAM (Fig. 2Go, A and B). In the case of NHLF cells, only 41% of total IR-AM secreted from NHLF cells was eluted at a mol wt of 6K, and 59% of IR-AM emerged at a mol wt of 2K (Fig. 2CGo). Fractions 37–39 (Swiss 3T3 cells and Hs68 cells) and 36–39 (NHLF cells) were each analyzed by reverse phase HPLC (Fig. 2Go, D–F). IR-AM of mol wt 6K obtained from these cell lines emerged at the elution times of rAM and hAM, respectively. Recently, the amino acid sequence of mAM has been deduced form its precursor complementary DNA (22). mAM is a 50-amino acid peptide like rAM and has three homologous replacements compared with rAM, as shown in Fig. 1Go. IR-AM eluted at the retention time of rAM in Fig. 2DGo was thought to be composed of mAM. Thus, 6K IR-AM secreted from Swiss 3T3, Hs68, and NHLF cells was concluded to be derived from mAM of 50 residues or hAM of 52 residues. On the other hand, about 60% of IR-AM secreted from NHLF cells that eluted at the lower mol wt region emerged as a single peak on reverse phase HPLC (data not shown). This peak of IR-AM was deduced to be a carboxyl-terminal fragment of AM, as antiserum 172-CI-7 recognized the carboxyl-terminal seven-residue structure common to mammalian AMs determined to date, and an AM fragment with comparable molecular properties was observed in the extracts of porcine duodenum (26). Based on these data, IR-AM measured in the present study was deduced to be exclusively derived from hAM or mAM and not from the cross-reactivity of unrelated substances. The ratio of higher and lower mol wt IR-AM in the culture medium of NHLF cells was not significantly altered even after stimulation with 10-7 M dexamethasone for 14 h (data not shown).



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Figure 2. Characterization of IR-AM secreted from fibroblasts. Gel filtration (A–C) and reverse phase HPLC (D–F) of IR-AM secreted from Swiss 3T3 (A and D), Hs68 (B and E), and NHLF cells (C and F). A–C, Sample: 100 mlEq culture medium; column: 1.0 x 100 cm; solvent: 2 M acetic acid; fraction size: 4.0 ml/tube; flow rate: 5.0 ml/h. D–F, Samples D and E: fractions 37–39 in A and B; sample F: fractions 36–39 in C; column: Chemcosorb 5ODS-H (300 Å; 4.6 x 250 mm); flow rate: 1.0 ml/min; fraction size: 0.5 ml/tube; solvent system: linear gradient elution from 10–60% CH3CN in 0.1% TFA over 60 min. Arrows indicate the elution positions of 1) BSA, 2) hAM, 3) hAM-(22–52), 4) N-Tyr-AM-(40–52), 5) NaCl, and 6) rAM.

 
Regulation of AM secretion in fibroblasts
During 14-h incubation, IR-AM accumulated in the culture medium increased time dependently, but the cellular content of IR-AM was almost constant in every examined cell line and was only a small portion of the total IR-AM accumulated in the medium. For instance, Swiss 3T3 cells secreted 5.68 fmol IR-AM/105 cells during 24-h incubation, and the cellular content of IR-AM was estimated to be 0.62 fmol/105 cells, which corresponded to about 10% of the secreted IR-AM. In the case of Hs68 and NHLF cells, the ratios of cellular IR-AM to secreted IR-AM were less than 1%, as their secreted amounts of IR-AM were about 30 times higher than that of Swiss 3T3 cells. These results indicated that AM synthesized in fibroblasts was secreted constitutively without being stored in the cells and that the IR-AM content in the culture medium could be used as an index of AM synthesis in these fibroblasts. In the following study, therefore, we measured IR-AM content in the culture medium.

Based on the previous data of AM synthesis and secretion from cultured rVSMC (12, 27, 28), we administered 11 substances to fibroblasts and examined their effects on AM secretion (Table 1Go). In the case of Swiss 3T3 cells, TNF{alpha} most potently stimulated AM secretion and increased IR-AM content in the culture medium to 291% of the control value (Fig. 3AGo). The effect of TNF{alpha} was dose dependent, and its ED50 was estimated to be 3–5 ng/ml. IL-1ß and LPS weakly enhanced AM secretion, and basic FGF, the effective growth factor for fibroblasts, increased IR-AM content in the medium by 48%. Dexamethasone strongly and dose dependently stimulated AM secretion from Swiss 3T3 cells to 263% of the control value (Fig. 3BGo). Thyroid hormone, T3, and thrombin elevated IR-AM content in the medium of Swiss 3T3 cells by 17% and 38%, respectively. TGFß1 was the most potent suppressor of AM secretion, dose dependently decreasing IR-AM content in the medium to 33% of the control value (Fig. 4AGo). IFN{gamma} and forskolin strongly and dose dependently reduced the IR-AM content in the medium to 44% and 39% of the control value (Fig. 4Go, B and C).



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Figure 3. Dose-dependent AM secretion from Swiss 3T3 cells stimulated with TNF{alpha} and dexamethasone. IR-AM concentrations in culture medium of Swiss 3T3 cells after 14-h incubation with a series of different concentrations of TNF{alpha} (A) and IL-1ß (B) were measured by specific RIA and expressed as femtomoles per 105 cells. Each column represents the mean ± SEM of six separate wells. *, P < 0.01 compared with control incubation medium (1% FCS-DMEM).

 


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Figure 4. Dose-dependent AM secretion from Swiss 3T3 cells stimulated with TGFß1, IFN{gamma}, and forskolin. IR-AM concentrations in culture medium of Swiss 3T3 cells after 14-h incubation with a series of different concentrations of TGFß1 (A), IFN{gamma} (B), and forskolin (C) were measured by specific RIA and expressed as femtomoles per 105 cells. Each column represents the mean ± SEM of six separate wells. *, P < 0.01 compared with control incubation medium (1% FCS-DMEM).

 
In the case of Hs68 and NHLF cells, TNF{alpha} increased the IR-AM content in the culture medium to 206% and 131% of the control value, respectively. IL-1ß was the most potent stimulator of AM secretion from both Hs68 and NHLF cells, elevating IR-AM content in the culture medium to 215% and 150% of the control value. LPS augmented AM secretion from Hs68 cells, but did not induce any effect on NHLF cells. EGF and basic FGF reduced AM content in the medium of NHLF cells to 74% and 84% of the control value, but was ineffective in the case of Hs68 cells. TGFß1, IFN{gamma}, and thrombin were suppressors of AM secretion from both Hs68 and NHLF cells. Thrombin, in particular, markedly decreased IR-AM content in the media of Hs68 and NHLF cells to 25% and 8% of the control value, respectively. TGFß1 induced a strong effect, decreasing IR-AM levels to 31–47% of the control value, whereas the effects of IFN{gamma} were relatively weak, reducing the secretion to about 80% in these two cell lines. Dexamethasone slightly increased IR-AM content in the media of both Hs68 and NHLF cells, but T3 and forskolin did not alter IR-AM secretion in either cell line.

Effects of AM, CGRP, and their antagonists on cAMP production in fibroblasts
To characterize AM receptors expressed on fibroblasts, we first measured cAMP production in the three cell lines used in this study, as AM was known to induce its effect mainly through elevating the intracellular cAMP level. We measured the extracellular cAMP concentration in this study to examine large numbers of samples after confirmation that an extracellular cAMP level was correlated with an intracellular increase in cAMP concentration. The cAMP concentration in the medium was measured after incubating the cells with various concentrations of AM and CGRP in the presence or absence of their antagonists (Fig. 5Go). In the case of Swiss 3T3 cells, rAM and hAM dose dependently increased the cAMP concentration with ED50 values of 4 x 10-10 and 2.5 x 10-9 M, respectively. hCGRP also elevated the cAMP concentration dose dependently, and its ED50 value was estimated to be 1.3 x 10-7 M, which was 52 times greater than that of hAM. The maximal cAMP concentration (~11 pmol/105 cells·h) achieved with the agonist stimulation was more than 100 times higher than the basal cAMP concentration (0.1 pmol/105 cells·h). In the presence of hAM-(22–52), an AM receptor antagonist (29), the dose-response curve of hAM was shifted in parallel to the high concentration side, and its ED50 increased 8.8-fold. In the presence of hCGRP-(8–37), a CGRP receptor antagonist (30), however, the dose-response curve of hAM also shifted, and the ED50 of hAM increased 8.4-fold, which was comparable to that of hAM-(22–52). rAMY, another member of the CGRP superfamily, weakly increased the cAMP level to 3 pmol/105 cells·h at 10-6 M.



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Figure 5. Stimulation of cAMP production in Swiss 3T3 cells with AM and CGRP in the presence and absence of their antagonists. The cAMP concentration in culture medium of Swiss 3T3 cells was measured after 1-h stimulation with a series of different concentrations of AM (A) and CGRP (B), and expressed as picomoles per 105 cells. A, Swiss 3T3 cells were stimulated with increasing concentrations of hAM in the absence ({blacksquare}) or presence of 1 µM hAM-(22–52) (•) and 1 µM hCGRP-(8–37) ({blacktriangleup}), in addition to increasing concentrations of rAM ({diamondsuit}). B, Swiss 3T3 cells were stimulated with increasing concentrations of hCGRP in the absence ({square}) or presence of 1 µM of hAM-(22–52) ({circ}) and 1 µM hCGRP-(8–37) ({triangleup}). Each point represents the mean ± SEM of four separate wells.

 
Hs68 and NHLF cells responded very weakly to hAM, and its ED50 for cAMP production in these cells was estimated to be about 5 x 10-8 M (data not shown). In contrast, hCGRP increased the cAMP concentration from 10-10 M, and its ED50 values for Hs68 and NHLF cells were 5 x 10-10 and 1 x 10-9 M, respectively, indicating that these cells expressed receptors with higher affinity for CGRP than for AM.

In addition to AM, CGRP, and AMY, we administered seven peptides, which were generally known to increase the intracellular cAMP concentration (31, 32, 33, 34, 35, 36, 37), to Swiss 3T3 cells at a concentration of 10-6 M. Among them, vasoactive intestinal peptide and adenylate cyclase-activating polypeptide have been reported to stimulate cAMP production in Swiss 3T3 cells (31, 32). Pituitary adenylate cyclase-activating polypeptide, vasoactive intestinal peptide, peptide histidine-isoleucine amide, and GH-releasing factor stimulated cAMP production in Swiss 3T3 cells and increased the cAMP concentration in the medium to 280%, 360%, 310%, and 370% of the control value, respectively, whereas angiotensin II, ACTH, and endothelin-1 did not alter it. However, the increase in cAMP concentrations that these peptides induced was less than 3% of that caused by hAM or rAM.

Receptor binding assay
We characterized AM receptors expressed on fibroblasts by the receptor binding assay. Each of the three fibroblast cell lines was incubated with [125I]rAM in the presence of increasing concentrations of unlabeled rAM, hAM, hAM-(22–52), hCGRP-(8–37), and rAMY. All unlabeled peptides competed with [125I]rAM for binding to Swiss 3T3 cells in a dose-dependent manner (Fig. 6AGo). On the other hand, Hs68 and NHLF cells did not have any specific [125I]rAM-binding sites, and hAM did not alter [125I]rAM binding to the cells (data not shown). In the case of Swiss 3T3 cells, rAM most potently inhibited [125I]rAM binding, with a median inhibitory concentration (IC50) of 6.0 x 10-10 M. Equilibrium-saturation analysis of binding of [125I]rAM was performed to demonstrate saturation of the binding sites and to determine their number and affinity (Fig. 6BGo). Binding data were analyzed by nonlinear regression using a one- or two-site binding program to calculate Kd and Bmax under the assumption that radiolabeled ligand had affinity to the receptor equivalent to that of the unlabeled peptide. A two-site binding program showed a better regression curve for the equilibrium-saturation curve. The Bmax values of the two binding sites were 0.02 and 2.28 pmol/106 cells, and the Kd values were 0.29 x 10-9 and 36.3 x 10-9 M with 12,000 and 1,370,000 sites/cell, respectively. hAM and hCGRP inhibited [125I]rAM binding with IC50 values of 4.1 x 10-9 and 5.1 x 10-7 M, respectively, whereas hAM-(22–52) and hCGRP-(8–37) inhibited its binding with IC50 values of 9.0 x 10-7 and 6.0 x 10-8 M, respectively.



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Figure 6. Competitive binding assay and equilibrium-saturation analysis of [125I]rAM in Swiss 3T3 cells. A, Inhibition of [125I]rAM binding to Swiss 3T3 cells by rAM ({blacktriangleup}), hAM ({blacksquare}), hAM-(22–52) (•), hCGRP ({square}), hCGRP-(8–37) ({triangleup}), and rAMY ({circ}). B, Effects of increasing concentrations of [125I]rAM on specific binding to Swiss 3T3 cells. Results are expressed as the mean specific binding ± SEM of three assays and as picomoles per 106 cells.

 
Effect of AM on DNA synthesis in Swiss 3T3 cells
AM has been reported by Withers et al. (24) to stimulate DNA synthesis and proliferation of Swiss 3T3 cells. To confirm this report and analyze functions of AM, effects of AM on DNA synthesis of Swiss 3T3 cells were evaluated, as the other two cell lines were found not to express AM-specific receptors. We used hAM instead of rAM in the DNA synthesis assay, because the sets of agonists and antagonists were only available for hAM and hCGRP. We also performed the DNA synthesis assay in the presence and absence of insulin (1 µg/ml), which was known to precondition the Swiss 3T3 cells to respond well to growth stimulation (24, 38). Insulin itself was confirmed not to significantly alter cAMP production in Swiss 3T3 cells in the presence or absence of AM for up to 6 h. hAM dose dependently stimulated [125I]DU incorporation into confluent and quiescent Swiss 3T3 cells, increasing [125I]DU incorporation to 198% of the control value (Fig. 7Go). The maximal effect of hAM was observed at 10-6 M, which corresponded to 24.7% of that induced with 10% FCS. When hAM was administered in the presence of insulin, [125I]DU incorporation was further enhanced to 233% of the insulin control value, and the maximal effect of hAM, corresponding to 71.5% of that induced with 10% FCS, was also observed at 10-6 M AM. The dose-response curves of [125I]DU incorporation to Swiss 3T3 cells in the absence and presence of insulin was parallel to that of cAMP production stimulated with hAM (Fig. 5Go). Although hCGRP also stimulated [125I]DU incorporation into Swiss 3T3 cells in the presence and absence of insulin, the effect of hCGRP was weak and corresponded to 33% of that induced with hAM at 10-7 M (data not shown). AM and the CGRP antagonists, hAM-(22–52) and hCGRP-(8–37), dose dependently inhibited DNA synthesis stimulated by hAM in the presence of insulin (Fig. 8Go), similar to that observed in the cAMP production assay. H-89, an inhibitor specific for cAMP-dependent protein kinase (PKA), reduced hAM-induced [125I]DU incorporation to about 40% in the presence of insulin, whereas basal [125I]DU incorporation was not altered with H-89 at the same dose (Fig. 9Go). In addition, genistein (tyrosine kinase inhibitor, 5 x 10-6 M), H-7 (protein kinase C inhibitor, 5 x 10-6 M), NG-nitro-L-arginine methyl ester (nitric oxide synthase inhibitor, 10-5 M), and NOC-18 (nitric oxide generator, 10-5 M) were added to the culture medium of Swiss 3T3 cells, but these reagents did not alter [125I]DU incorporation induced by 10-8 M hAM and 1 µg/ml insulin. These results indicate that DNA synthesis stimulated with AM is mediated through the AM receptor and the cAMP-PKA pathway.



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Figure 7. [125I]DU incorporation into Swiss 3T3 cells stimulated with hAM in the absence or presence of insulin. [125I]DU incorporated into acid-precipitable materials in the cell was measured after 40-h stimulation with a series of different concentrations of hAM in the absence ({blacksquare}) or presence (•) of insulin (1 µg/ml). Results are expressed as counts per min/well (left y-axis) and percentage of the incorporation induced by 10% FCS (right y-axis). Each point represents the mean ± SEM of six separate wells. *, P < 0.01 compared with control.

 


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Figure 8. Inhibition of AM-induced [125I]DU incorporation into Swiss 3T3 cells by hAM-(22–52) or hCGRP-(8–37). [125I]DU incorporated into acid-precipitable materials was measured after 40-h stimulation with hAM (10-8 M) and insulin (1 µg/ml) in the absence or presence of the indicated concentrations of hAM-(22–52) or hCGRP-(8–37). Results are expressed as counts per min/well. Each column represents the mean ± SEM of six separate wells. *, P < 0.01 compared with 10-8 M hAM.

 


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Figure 9. Inhibition by H-89 of AM-induced [125I]DU incorporation into Swiss 3T3 cells. [125I]DU incorporated into acid-precipitable materials was measured after 40-h stimulation with insulin (1 µg/ml) in the absence or presence of hAM (10-8 M) or H-89 (5 x 10-6 M). Results are expressed as counts per min/well. Each column represents the mean ± SEM of six separate wells. Data for all combinations except the control (hAM, H-89: -, -) vs. H-89 (hAM, H-89: -, +) are statistically significant (P < 0.01).

 
Monoclonal antibody against AM
A monoclonal antibody against the carboxyl-terminal fragment of AM (mAb-C1) was usable for RIA of hAM at a final dilution of 680,000 with an association constant of 7.4 x 1010 M-1 and was classified into the IgG1 {kappa} subclass. This antibody equally recognized rAM and hAM and showed no cross-reactivity (<0.01%) with hCGRP and hAMY. As the carboxyl-terminal region of AM is known to be essential for exerting biological activity, we checked whether mAb-C1 could neutralize the activity of AM. mAb-C1 and mouse {gamma}-globulin were purified by protein A affinity chromatography, as crude ascites disturbed the DNA synthesis assay of Swiss 3T3 cells. mAb-IgG dose dependently inhibited cAMP production in Swiss 3T3 cells stimulated with 10-8 M hAM in a range of 1–10 µg/ml, whereas NI-IgG was ineffective at the same concentrations (Fig. 10AGo). Moreover, DNA synthesis stimulated with 10-8 M hAM in the presence of insulin was completely inhibited by 10 µg/ml mAb-IgG, whereas it was not inhibited by NI-IgG (Fig. 10BGo). Thus, mAb-IgG (10 µg/ml) was verified to have sufficient ability to neutralize the action of 10-8 M hAM.



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Figure 10. Inhibition by mAb-C1 of AM-induced cAMP production and [125I]DU incorporation into Swiss 3T3 cells. A, hAM (10-8 M) was preincubated with mAb-IgG ({blacksquare}) or NI-IgG (•) in the cAMP assay medium at 4 C for 24 h, and then administered to the cells. The cAMP concentration in culture medium was measured after 1-h stimulation at 37 C. Each point represents the mean ± SEM of four separate wells. B, hAM (10-8 M) and insulin (1 µg/ml) were preincubated with mAb-IgG ({blacksquare}) or NI-IgG (•) in the DNA synthesis assay medium at 4 C for 24 h, then a DNA synthesis assay was performed. [125I]DU incorporated into acid-precipitable materials was measured after 40-h stimulation with the preincubated samples. Each point represents the mean ± SEM of six separate wells. *, P < 0.01 compared with control.

 
Effects of AM secreted from Swiss 3T3 cells on DNA synthesis of Swiss 3T3 cells
Swiss 3T3 cells were shown to synthesize and secrete AM, although the secretion rate of AM was lower than that of Hs68 and NHLF cells. We confirmed that AM had stimulatory activity on DNA synthesis in Swiss 3T3 cells expressing AM-specific receptors. To examine the possibility that AM secreted from Swiss 3T3 cells stimulated DNA synthesis in the cells themselves, we used mAb-IgG to prevent binding of endogenous AM to AM receptors. From conditioned medium of Swiss 3T3 cells stimulated with or without 50 ng/ml TNF{alpha} as well as a plain incubation medium, IR-AM fractions corresponding to rAM were partially purified and separated from TNF{alpha} by reverse phase liquid chromatography. DNA synthesis assay was performed in the presence of insulin. The IR-AM fraction obtained from the conditioned medium without TNF{alpha} stimulation increased [125I]DU incorporation to 156% of that in the plain incubation medium control, and the fraction from the medium with TNF{alpha} stimulation elevated it to 215% (Fig. 11BGo). The IR-AM concentrations administered were estimated by RIA to be about 1.0 x 10-9 and 1.4 x 10-10 M in the cases of TNF{alpha}-stimulated and nonstimulated conditioned media, respectively. When the same preparations were submitted to cAMP production assay, the IR-AM fraction from TNF{alpha}-stimulated and nonstimulated conditioned medium significantly increased cAMP production of Swiss 3T3 cells to 6.70 and 1.57 pmol/105 cells·h, respectively (Fig. 11AGo). Furthermore, [125I]DU incorporation enhanced by the IR-AM fraction from TNF{alpha}-stimulated conditioned medium was inhibited about 60% with 10 µg/ml mAb-IgG, but not with NI-IgG, whereas basal [125I]DU incorporation induced by the IR-AM fraction of the plain incubation medium was not altered by the addition of 10 µg/ml of either mAb-IgG or NI-IgG (Fig. 11BGo).



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Figure 11. Effects of AM secreted from Swiss 3T3 cells on cAMP production in and [125I]DU incorporation into Swiss 3T3 cells. Conditioned media of Swiss 3T3 cells with or without stimulation of TNF{alpha} (50 ng/ml) were collected after 24-h incubation. These media and a plain incubation medium were then partially purified by reverse phase liquid chromatography. IR-AM fractions corresponding to rAM were collected and submitted to cAMP production assay (A) and DNA synthesis assay (B). A, The cAMP concentration in culture medium of Swiss 3T3 cells was measured after 1-h stimulation with the IR-AM fraction of a plain incubation medium (a) and conditioned media stimulated with (c) or without (b) TNF{alpha}. Three fractions contained 0 (a), 0.14 (b), and 1.0 (c) pmol/ml partially purified IR-AM. Each column represents the mean ± SEM of four separate wells. All combinations of data are statistically significant (P < 0.01). B: (a)–(c), 10 µg/ml mAb-IgG or NI-IgG plus (c) and 10 µg/ml mAb-IgG or NI-IgG plus (a) that preincubated at 4 C for 24 h were submitted to DNA synthesis assay. DNA synthesis assay was performed in the presence of insulin (1 µg/ml). [125I]DU incorporated into acid-precipitable materials was measured after 40-h stimulation. Each column represents the mean ± SEM of six separate wells. All combinations of data are statistically significant (P < 0.01) except for the following: a vs. a plus mAb-IgG, a vs. a plus NI-IgG, a plus mAb-IgG vs. a plus NI-IgG, c vs. c plus NI-IgG, and b vs. c plus mAb-IgG.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In the present study, we demonstrated that human and mouse fibroblast cell lines actively synthesize and secrete IR-AM into culture medium, regardless of species and origin, such as lung, skin, and embryo. Characterization of IR-AM afforded solid evidence that IR-AM secreted from fibroblasts is biologically active and chromatographically indistinguishable from native AM. Only in the case of NHLF cells was about half of the IR-AM secreted a truncated and inactive form of AM. Secretion rates of AM from Hs68 and NHLF cells were about 16 times higher than that from rVSMCs, whereas Swiss 3T3 cells secreted AM at a rate about 60% that of rVSMCs (10). As fibroblasts are distributed throughout the body, these results indicate that fibroblasts should also be recognized as one of the major sources synthesizing and secreting AM in addition to vascular wall cells.

TNF{alpha}, IL-1ß, and LPS, which are major factors in the induction of septic shock and inflammation (39, 40), augmented AM secretion from Swiss 3T3, Hs68, and NHLF cells, except for LPS in NHLF cells. Stimulation of these substances is comparable to or less than that observed in the case of cultured rVSMCs (12). These results indicate that factors that induce septic shock and inflammation generally enhance AM synthesis and secretion from fibroblasts as well as VSMC and EC (12, 13). IFN{gamma} suppressed AM secretion from all of the cell lines in a manner similar to that of EC and VSMC (13, 28), and TGFß1 also reduced it, as in the case of EC (13). Dexamethasone was one of the strongest stimulators of AM secretion in the three fibroblasts as well as in VSMC and EC (13, 27). These data indicate that AM synthesis in fibroblasts is principally regulated by a mechanism similar to that of VSMC and EC, especially in the case of inflammatory cytokines, IFN{gamma} and glucocorticoid. In the other substances examined, several discrepancies were observed between fibroblast cell lines and between fibroblasts and VSMC. Basic FGF and T3 stimulated AM synthesis in Swiss 3T3 cells, but basic FGF suppressed it in NHLF cells, and T3 did not alter it in either Hs68 or NHLF cells. EGF reduced AM synthesis in NHLF cells and was ineffective in Swiss 3T3 and Hs68 cells. The largest differences were observed in the cases of thrombin and forskolin. Thrombin stimulated AM synthesis in Swiss 3T3 cells, but potently suppressed it in both Hs68 and NHLF cells. Although we have to date failed to characterize the mechanism of thrombin action not only in fibroblasts but also in EC and VSMC (13, 28), the different responses of each cell line might be elucidated in the future through identification of the intracellular signal transduction systems. Forskolin decreased AM synthesis in Swiss 3T3 cells, but did not alter it in Hs68 and NHLF cells. The different actions of forskolin between cell lines may depend on receptors expressed on the cells. The different effects observed in the three fibroblast cell lines might be derived from the species or origin of the cells.

This study also demonstrated that AM has specific receptors on fibroblasts and stimulates cAMP production. Especially, Swiss 3T3 cells of mouse embryo origin are found to express high affinity AM receptors based on the results of the cAMP production assay and the receptor binding assay. rAM showed a dissociation constant of 0.6 x 10-9 M in the binding assay when [125I]rAM was used as a tracer and an ED50 of 0.4 x 10-9 M in the cAMP production assay. These values are comparable to each other and are relatively low for biologically active peptides, indicating that binding and intracellular events are induced by the same specific mechanism. Swiss 3T3 cells have been reported to express AM receptor, but not CGRP receptor (24), and to date, one AM receptor has been cloned and sequenced (41). In these reports, AM receptor was shown not to respond to CGRP or AMY even at a concentration of 10-6 M. The present study showed that CGRP stimulated cAMP production and inhibited [125I]rAM binding to Swiss 3T3 cells, and that its effect was weaker than that of AM. AMY elicited faint, but significant, effects in these two assays. Thus, AM is concluded to elicit its effect through receptors specific for AM, although we need to characterize the low affinity binding site for [125I]rAM.

For antagonists, [125I]rAM binding to Swiss 3T3 cells was more potently inhibited with hCGRP-(8–37) than with hAM-(22–52), but hCGRP showed less than 1% of the activity of hAM in the [125I]rAM binding assay. In the case of rat astrocytes, Zimmermann et al. reported data comparable to those of this study, i.e. hCGRP-(8–37) had higher affinity than hAM-(22–52) in the AM binding assay, but [125I]rAM binding was more potently inhibited with hAM than with hCGRP (42). In the cAMP production assay, hCGRP-(8–37) and hAM-(22–52) shifted a dose-response curve of hAM to a comparable extent, but the potency of hCGRP corresponded to a few percentages of that of hAM. On the other hand, Champion et al. reported that AM-(22–52) antagonized vasodilatory responses to CGRP, but not to AM, in the cat (9). These data indicate that hAM-(22–52) can be used as an antagonist for AM receptors, but is not a specific and appropriate one.

Among the seven examined peptides that were known to elevate the intracellular cAMP concentration, GH-releasing factor most potently increased cAMP production to 0.37 fmol/105 cells·h, 370% of the control value, but this level was only 3% of the cAMP concentration stimulated with hAM or rAM. This result indicates that AM is the most potent peptide in the cAMP production of Swiss 3T3 cells, suggesting that AM may have an important effect on Swiss 3T3 cells as an autocrine factor.

Hs68 and NHLF cells are found to express CGRP receptors rather than AM receptors, as the ED50 values of hAM for the cAMP production assay of Hs68 and NHLF cells were about 100 and 50 times larger than that of hCGRP. In the receptor binding assay, [125I]rAM did not show any specific binding to these two human fibroblast cell lines. Furthermore, maximal cAMP concentrations in the culture media of Hs68 and NHLF cells induced with hAM were 5–10% that in Swiss 3T3 cells. Although Hs68 and NHLF cells secrete AM at a rate 30 times higher than that of Swiss 3T3 cells, these data suggest that AM secreted from Hs68 and NHLF cells mainly functions not as an autocrine factor but as a paracrine factor, acting on other surrounding cells expressing AM receptors. On the other hand, it is another possibility that continual exposure to a high concentration of AM may down-regulate expression of the AM-specific receptor on Hs68 and NHLF cells to reduce the effect of AM. The lack of response of Hs68 and NHLF cells to forskolin in the AM production assay might be related to major expression of CGRP receptors and low expression of AM receptors, both of which are coupled with the adenylate cyclase system. As the vasodilatory effects of AM were shown by Nossaman et al. (8) to be quite different in each species, species differences should be taken into account to elucidate the different responses observed above.

We initiated a survey of biological functions of AM secreted from Swiss 3T3 cells, after we confirmed the synthesis and secretion of AM and the expression of AM-specific receptors on this cell line. Withers et al. reported that forskolin, 8-bromo-cAMP, as well as AM stimulated DNA synthesis and proliferation of quiescent Swiss 3T3 cells in the presence and absence of insulin (24, 38). In this study, we also confirmed that AM dose dependently stimulated DNA synthesis in quiescent Swiss 3T3 cells in the presence and absence of insulin, and that a maximal stimulation level of DNA synthesis in the presence of insulin corresponded to 71.5% of that achieved with 10% FCS, which was comparable to that reported for bombesin and platelet-derived growth factor (38). Because insulin does not increase cAMP production in Swiss 3T3 cells, the enhancement of DNA synthesis induced by insulin is not thought to be mediated via a cAMP-mediated pathway. The stimulatory effect of hAM on DNA synthesis was inhibited with hAM-(22–52) and hCGRP-(8–37) in a manner similar to that observed in the cAMP production assay. Furthermore, AM was shown to be the strongest stimulant of cAMP production in Swiss 3T3 cells among the biologically active peptides examined, and DNA synthesis augmented with AM was inhibited with H-89, a specific inhibitor of PKA. On the other hand, neither tyrosine kinase inhibitor nor protein kinase C inhibitor suppressed AM-induced DNA synthesis. Nitric oxide is reported to significantly contribute to the vasodilatory effects of AM, but the inhibitor of nitric oxide synthase and nitric oxide generator did not affect the DNA synthesis stimulated by AM. These results indicate that AM functions as a proliferative factor in the growth regulation of Swiss 3T3 cells, and that this effect is induced through the AM-specific receptor and the adenylate cyclase-PKA system.

The proliferation of VSMCs and mesangial cells is reported to be inhibited by AM through the cAMP-mediated pathway (43, 44). This is a sharp contrast to the growth stimulatory effect of AM on Swiss 3T3 cells. Miller et al. reported that AM also stimulated growth of the breast and lung cancer cell lines via the cAMP-PKA system (45). Among the types of PKA identified to date, PKA-RI is reported to inhibit and PKA-RII to stimulate the cell growth (46). Based on these data, it is deduced that differences in the types of PKA used in the intracellular signal transduction system result in opposite effects of AM on the cell growth.

To examine the possibility of whether AM secreted from Swiss 3T3 cells acts on them as a growth regulator, a neutralizing monoclonal antibody was prepared and used for the experiment. mAb-IgG (10 µg/ml) was confirmed to have the ability to neutralize the effect of hAM up to 10-8 M. As direct administration of mAb-IgG to the culture medium did not significantly alter [125I]DU incorporation into the cells, IR-AM secreted from Swiss 3T3 cells was partially purified, incubated with mAb-IgG, and then applied to the culture medium of Swiss 3T3 cells. DNA synthesis of Swiss 3T3 cells induced with endogenous IR-AM was inhibited by mAb-IgG, but not by NI-IgG. These results suggest that endogenous AM could function as a growth factor in Swiss 3T3 cells if the AM concentration was more than 10-9 M. It is highly feasible that secreted AM is accumulated, and its concentration in the intercellular space is increased to more than 10-9 M based on the secretion rate data. Moreover, mAM is expected to have affinity comparable to or higher than that of rAM for the AM receptors on Swiss 3T3 cells, as deduced from the amino acid sequences of mAM. Based on these data, it is possible that AM functions as a growth regulator in the case of Swiss 3T3 cells.

Owji et al. reported that the abundant and specific binding of [125I]rAM was observed in all of the rat tissues examined, including heart, lung, spleen, spinal cord, and skeletal muscle (47). Although it is necessary to identify these receptors, the wide distribution of AM receptors as well as AM synthesis in fibroblasts shown in this study indicate that AM may be involved in many types of cell-cell communications. Miller et al. reported that AM and its receptor are expressed in human tumor cell lines at a high ratio, and that neutralizing monoclonal antibody against AM inhibits tumor cell growth (45). They implicated the presence of an autocrine growth regulatory mechanism through AM and its receptor in neoplastic proliferation.

Montuenga et al. reported that AM and AM receptor are expressed throughout the organogenic stage of mouse and rat embryos, and that they are present not only in parenchymal cells of heart, placenta, and brain, but also in mesenchymal cells, including fibroblast of lung, skeletal, and integumentary tissues (48). We demonstrated that AM is actively secreted from fibroblasts and stimulates DNA synthesis in Swiss 3T3 cells of mouse embryo origin. These findings suggest that AM may act on embryogenesis as an autocrine or paracrine regulator. On the other hand, AM stimulated DNA synthesis in Swiss 3T3 cells, but not in Hs68 and NHLF cells, of newborn and adult human fibroblasts. The differences observed between these fibroblasts may come from the differences in the original tissues and in the stage of development, although the cells might have been transformed during culture.

Under normal conditions, tissues are maintained in a quiescent state that allows only for the replacement of effete cells without overgrowth. Many forms of injury can perturb the system and activate a cascade of repair events leading to excessive connective tissue formation (49). A repair sequence begins with rapid infiltration of neutrophils and then macrophages, which secrete soluble mediators or cytokines that trigger the proliferation of fibroblasts, ECs, and VSMCs. TNF{alpha} and IL-1ß secreted from leukocytes then stimulate AM synthesis and secretion from fibroblasts in the wound region (50). Studies of dermal wounds have shown that wound macrophages also produce insulin-like growth factor I, which enhances cAMP-stimulated mitogenesis in a manner similar to that of insulin (51). These data suggest that AM secreted from fibroblasts may play an important role in tissue repair with cytokines and insulin-like growth factor I.

In the patients with heart failure and renal failure, circulatory levels of AM are reported to be higher than those in healthy volunteers (52, 53). In these patients, plasma concentrations of inflammatory cytokines, such as TNF{alpha} and IL-1ß, are also known to be elevated (54, 55). Although circulating AM is deduced to be mainly secreted from VSMCs and ECs (12, 13), the data obtained in the present study indicate that fibroblasts and mesenchymal tissues could be another major candidate for secreting AM into the circulation in these patients.

In conclusion, we demonstrated that AM is synthesized and secreted from fibroblasts in a native and biologically active form. The synthesis and secretion of AM in fibroblast are regulated by inflammatory cytokines, such as TNF and IL-1, LPS, growth factors, and hormones in a manner similar to that of VSMC and EC. As Swiss 3T3 cells express receptors specific for AM, and AM stimulates DNA synthesis of quiescent fibroblasts, AM secreted from Swiss 3T3 cells is deduced to function as a growth regulator. These data suggest that AM may be a local regulator of cell growth and inflammation in the mesenchymal tissue in addition to its potent effect as a vasorelaxant in the vascular wall.


    Acknowledgments
 
The authors are grateful to Dr. K. Kitamura and Prof. T. Eto of Miyazaki Medical College for discussion and kind donation of antisera against AM and cAMP, and to Ms. M. Nakatani and M. Higuchi of this institute for technical assistance.


    Footnotes
 
1 This work was supported in part by Special Coordination Funds for the Promotion of Science and Technology from the Science and Technology Agency (Encouragement System of C.O.E.) and research grants from the Ministry of Health and Welfare; the Ministry of Education, Science, and Culture; and the Human Science Foundation of Japan. Back

Received October 14, 1997.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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