Endocrinology Vol. 142, No. 4 1578-1586
Copyright © 2001 by The Endocrine Society
Natriuretic Peptides Suppress Vascular Endothelial Cell Growth Factor Signaling to Angiogenesis1
Ali Pedram,
Mahnaz Razandi and
Ellis R. Levin
Division of Endocrinology, Veterans Affairs Medical Center, Long
Beach, California 90822; and Departments of Medicine (A.P., M.R.,
E.R.L.) and Pharmacology (E.R.L.), University of California, Irvine,
California 92717
Address all correspondence and requests for reprints to: Ellis R. Levin, M.D., Medical Service (11/111-I), Long Beach Veterans Affairs Medical Center, 5901 East 7th Street, Long Beach, California 90822. E-mail: ellis.levin{at}med.va.gov
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Abstract
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Vascular endothelial cell growth factor (VEGF) is essential for
angiogenesis. Atrial natriuretic peptide (ANP) inhibits the production
of VEGF, but whether this important vascular peptide also inter- rupts
VEGF signaling to angiogenesis is unknown. In cultured bovine aortic
endothelial cells, VEGF significantly stimulated extracellular
signal-regulated protein kinase activity and phosphorylation, which was
inhibited 60% by coincubation with ANP or a natriuretic peptide
clearance receptor specific ligand (NPRC), C-type NAP-(423)
[C-ANP-(423)]. VEGF also stimulated c-Jun N-terminal kinase (JNK)
and p38 activities/phosphorylation that were prevented by the two
natriuretic peptides (NP). A specific NP guanylate cyclase (GC)
receptor antagonist, HS-1421, blocked the actions of ANP [but not
those of C-ANP-(423)], supporting the involvement of both GC and
NPRC receptors. VEGF and expression of constituitively active JNK each
stimulated the synthesis of cyclin D1 and increased the activity of the
cyclin-dependent kinase-4, which was inhibited 55% by ANP. VEGF
induced endothelial cell proliferation and migration, which was
significantly blocked by NP or by expressing a dominant negative JNK-1.
VEGF stimulated human microvascular endothelial cells to form
capillary tubes, which was significantly inhibited by expressing
dominant negative JNK-1 and by NP. Therefore, VEGF induction of
critical steps in angiogenesis is enhanced through JNK activation. The
actions are significantly prevented by NP, which act through both the
NPRC and GC receptors to block growth factor signaling. Thus, NP are
candidate antiangiogenesis factors that inhibit both the synthesis and
function of VEGF.
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Introduction
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MANY OF THE steps leading to
angiogenesis can be enacted by the endothelial cell-specific growth
factor, vascular endothelial cell growth factor (VEGF) (1, 2). VEGF binds and signals through the transmembrane tyrosine
kinase receptors Flk-1 (KDR) (3), Flt-1
(4), and neuropilin (5). The Flk-1 tyrosine
kinase receptor has been shown to be necessary for VEGF-induced
endothelial cell (EC) proliferation and migration, but signaling
through Flt-1 also contributes to biological actions of VEGF on both EC
and nonendothelial cells (4, 6). Genetic inactivation of
either receptor leads to a complete lack of development of blood
vessels in the embryo (3, 7), and inactivation of Flk-1
function dramatically impairs the growth of cancer cells in
vivo (8). These findings established the importance
of VEGF-induced signaling for angiogenesis in both physiological and
pathophysiological conditions.
Flk receptors in particular phosphorylate and activate
membrane-associated kinases, such as Src and phosphoinositol 3-kinase
(4, 6). Complexes of signal molecules/adapter proteins/GTP
exchange factors, such as Shc-Grb2-Nck, assemble in response to the
ligation of Flk and transmit activating signals to the
mitogen-activated protein (MAP) kinase extracellular signal-regulated
protein kinase (ERK), in part through the generation of nitric oxide
(9). This leads to ERK- dependent proliferation in cells
expressing transfected KDR (10). VEGF activation of
c-Jun N-terminal kinase (JNK) has also been demonstrated, and it has
been recently described that VEGF stimulation of ERK activity is
necessary for the subsequent activation of JNK in EC (11).
This occurred when VEGF-induced ERK led to the upstream activation of
SEK-1 (JNK kinase), which resulted in JNK activation. JNK was
shown to be the final effector of the ability of VEGF to induce cell
cycle progression (11).
Relevant to a discussion of modulators of vascular biology, the
natriuretic peptides (NP) are a family of small proteins that modulate
salt and water balance, as well as vascular tone (reviewed in Ref.
12). Atrial and brain natriuretic peptides (ANP and BNP)
are produced predominantly in the heart, whereas C-type NP (CNP) is
synthesized by the endothelial cell. Both circulating and locally
produced NP have been shown to inhibit vascular cell growth as well as
regulate vessel tone. These peptides act through binding two classes of
receptors. Most biological functions of the NP occur after binding the
guanylate cyclase A (reactive to ANP or BNP) or B (CNP-specific)
receptors (13, 14). This stimulates the production of cGMP
and subsequent activation of protein kinase G (PKG), to stimulate
target genes or the modulation of K+ channels
(14). Alternatively, a second class of NP receptors is the
clearance receptor (NPRC) (15), and this protein may
modulate other aspects of vascular biology. It has been reported that
the NP act to inhibit cardiomyocyte, vascular EC, or astrocyte
proliferation in part through this receptor (16, 17). We
have recently shown that NP inhibit VEGF transcription and protein
production in cultured human vascular smooth muscle cells via the NPRC
(18). Overall, the ability of the NP to impede cardiac or
vascular remodeling may limit the cellular response to chronic
cardiovascular insult.
The ability to modulate VEGF-induced angiogenesis would theoretically
provide a tool to influence wound healing, tumor propagation, or
diabetic retinopathy. This could result from modulating VEGF synthesis
or VEGF receptor signaling function. Vascular endocrine peptides such
as angiotensin II, ANP, or endothelin, regulate cardiovascular
remodeling and could also play important roles as
angiogenesis-modulating factors (19, 20). In this study we
examined the ability of natriuretic peptides to inhibit VEGF-
induced signaling to MAP kinases and the subsequent effects of JNK
activation on the angiogenesis program.
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Materials and Methods
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Materials
Antibodies and substrate for kinase activity or antibodies to
cyclin D1 were obtained from Santa Cruz Biotechnology, Inc. (Santa Cruz, CA). PD 98059 was a gift from Dr. Alan Saltiel
(Parke-Davis, Detroit, MI). VEGF was obtained from
Calbiochem (San Diego, CA) or Sigma (St.
Louis, MO). Lipofectamine was purchased from Life Technologies, Inc. (Gaithersburg, MD).
Cell preparation
Primary cultures of bovine aortic EC were prepared and used as
previously described (11, 18). In transfection studies, EC
were used in passages 45, because this greatly increases the
transfection efficiency of these cells.
Kinase activity assays
For ERK and JNK activity assays, the cells were synchronized for
24 h in serum- and growth factor-free medium. The cells were then
exposed to VEGF (1020 ng/ml) for 10 (ERK) or 15 (JNK) min with or
without additional substances or peptides, as previously described
(11). Immunoprecipitated kinases were then added to the
proteins myelin basic protein (for ERK) or
glutathione-S-transferase-c-Jun-(179) (for JNK) for
in vitro kinase assays. In addition, the VEGF-induced
phosphorylations of ERK, JNK, and p38 MAP kinases were determined as
indexes of activation. From each experimental plate of cells, 100 µl
lysate were dissolved in SDS sample buffer, boiled, separated, then
transferred to nitrocellulose. Phosphorylated kinase proteins were
detected using phospho-specific monoclonal MAP kinase antibodies
(Santa Cruz Biotechnology, Inc.) and the enhanced
chemiluminescence Western blot kit. Equal samples from the above plates
of cells were processed similarly, and immunoblots of the precipitated
kinase protein from each experimental condition were determined to show
equal loading on the gel of total MAP kinase protein. For
cyclin-dependent kianse (Cdk) activity, EC were cultured with
VEGF for 8 h. Cell lysate was added to protein
A-Sepharose-conjugated Cdk4 antibody, then added to in vitro
kinase activity tubes containing
glutathione-S-transferase-pRB as substrate. Samples from
each condition were assayed for Cdk4 protein by immunoblot. All
experiments were repeated two or three times.
Transient transfections
Bovine aortic endothelial cells (BAEC; passages 45) were grown
to 4050% confluence and then transiently transfected with 1.510
µg fusion plasmids depending on the plate size and the amount of
cells. Plasmids included constituitively active, wild-type JNK-1
(pcDNA3Flag-JNK-1), dominant negative JNK-1 (pcDNA3 Flag-JNK-1
APF) (11), or control pcDNA3, and transfection was
carried out using Lipofectamine. Cells were incubated with liposome-DNA
complexes at 37 C for 5 h, followed by overnight recovery in DMEM
containing 10% FBS. Then, before experimental treatment cells were
synchronized for 24 h in serum-free DMEM and treated with VEGF.
The efficiency of transfection of all constructs ranged from 5065%
based upon cotransfection of green fluorescent protein-pcDNA3.
Cyclin D1 synthesis
EC were synchronized by serum deprivation for 48 h, then
incubated in methionine-free DMEM with dialyzed 10% FBS for 1 h
before experimentation, as previously described (21). The
culture plates were then incubated in the absence of serum or unlabeled
methionine, but with 250 µCi [35S]methionine
in the presence or absence of VEGF for 16 h. The cells were lysed
and precleared, and specifically labeled cyclin D1 protein was
immunoprecipitated using polyclonal antibody. The immunoprecipitated
proteins were solubilized and denatured in SDS reducing buffer,
electrophoretically resolved by PAGE, and subjected to fluorography,
followed by autoradiography for 1 day. Each translation experiment was
performed at least three times.
EC proliferation
Nontransfected or transfected EC were synchronized overnight in
the absence of serum, then subjected to incubation with VEGF with or
without NP for 72 h. The cells were then exposed to trypsin,
scraped, resuspended, and counted using a hemocytometer, as triplicate
field counts per condition. The experiment was repeated, and the data
were combined.
EC migration assay
Nontransfected or transfected EC were grown to confluence on
six-well plates in DMEM with 10% serum. The cells were synchronized
for 24 h in the absence of serum, and a wound was created by
scraping the monolayer with a single edge razor blade. Selected
reagents were added to the wounded BAEC for 24 h at 37 C. The
cells were then fixed in 3.7% formaldehyde and assessed for migration.
BAEC migration was measured using an image analyzer system composed of
an inverted microscope and a 20- to 24-in. digitizing board (Jandel
Scientific, Corte Madera, CA) attached to an IBM computer (IBM
Corp.). The SigmaScan program (Jandel) was used for analysis of
measurements of the distance traveled by the cells within the
calibrated area adjacent to the wound. Five measurements per well were
taken, and results from three separate experiments contributed to the
bar graph.
Microvascular capillary tube formation
Human dermal microvascular EC were plated on growth
factor-reduced Matrigel in the presence or absence of VEGF with or
without NP and maintained for 6 h at 37 C. The cells were fixed at
6 h (maximum tube formation), stained with Diff-Quik, and
photographed and assessed at x10 magnification using phase microscopy.
Five random fields per condition were examined, the number of cords per
tubes was counted in each, and mean values were determined. The
experiment was repeated twice.
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Results
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NP inhibition of VEGF-induced ERK occurs by both NPRC and guanylate
cyclase (GC) receptors
VEGF induced a 2.7-fold increase in ERK activity, and this was
60% inhibited by ANP or the NPRC-specific ligand, C-ANP-(423); Fig. 1A
, left. We found that
HS-1421, a specific inhibitor of only the NP GC receptor, prevented
the action of ANP (lane 7), but had an insignificant effect on the
action of C-ANP-(423) (lane 8). Supporting the idea that the GC
receptor and the generation of cGMP are involved, addition of
8-bromo-cGMP to the VEGF-incubated EC in the absence of ANP also
significantly prevented ERK activation (lane 9). Using antibodies to
the phosphorylated form of ERK, we found that NP inhibited VEGF-induced
ERK phosphorylation in a dose-related fashion (70% maximally at 100
nM; Fig. 1A
, right).

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Figure 1. A, VEGF activates ERK, which is inhibited by NP.
BAEC were incubated with VEGF with or without ANP or with C-ANP-(423)
for 10 min, then ERK activity (left side of A) was
determined as described in Materials and Methods. An
immunoblot of ERK protein is shown below a
representative study. The effects of VEGF with or without NP on ERK
phosphorylation (Fig. 1A , right) were determined by
Western blot, using phospho-specific monoclonal antibody to this
kinase, as described in Materials and Methods. B, VEGF
activates JNK, which is inhibited by NP. EC were incubated with VEGF
with or without ANP or with C-ANP-(423) for 10 min, then JNK activity
(left side of B) was determined as
described in Materials and Methods. An immunoblot of JNK
protein is shown below a representative study. The
effects of VEGF with or without NP or of PDGF with or without NP on JNK
phosphorylation (B, right) were determined by Western
blot. C, VEGF stimulates p38 phosphorylation/activation, which is
inhibited by NP. Bar graphs represent combined data from
three experiments; the data were analyzed by ANOVA and Scheffes test.
Results are presented as the percent change from control. *,
P < 0.05 for control vs. VEGF; +,
P < 0.05 for VEGF vs. VEGF plus ANP
or C-ANP-(423) or vs. VEGF plus 8-bromo-cGMP; 2+,
P < 0.05 for VEGF plus ANP vs.
VEGF, ANP, and HS-1421.
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NP inhibit JNK activation by VEGF
We previously showed that VEGF-induced JNK is
necessary for this growth factor to stimulate EC proliferation. To
determine the effects of NP on this important signal, EC were incubated
with VEGF with or without NP for 10 min, based upon our previous time
course. VEGF significantly induced JNK activation, which was inhibited
5055% by each of the NP (Fig. 1B
, left). Again, HS-1421
addition to the ANP-incubated EC prevented the inhibition of
VEGF-induced JNK activation. However, this compound had little effect
on the action of C-ANP-(423). Further, incubation of the EC with VEGF
plus 8-bromo-cGMP (without ANP) significantly inhibited VEGF-induced
JNK. The NP were able to accomplish this in a dose-related fashion,
showing a maximal 69% decrease in VEGF-induced JNK phosphorylation
(Fig. 1B
, right). The NP could also block platelet-derived
growth factor (PDGF)-induced JNK phosphorylation (Fig. 1B
, right).
Finally we determined whether the NP could also block p38 activation by
VEGF (Fig. 1C
). In a dose-related fashion, the NP were capable of a
maximal 72% inhibition of VEGF-induced p38
phosphorylation/activation.
VEGF-induced cyclin D1 protein synthesis is inhibited by
NP
We previously showed that VEGF stimulates cyclin D1 synthesis
through a JNK-related mechanism, an important stimulus to
G1/S stage progression. Here we found that VEGF
induces cyclin D1 synthesis more than 2-fold and that ANP significantly
prevents this by 58% (Fig. 2
).
C-ANP-(423) was less potent than ANP in this regard, perhaps
identifying differential roles for the ANP GC receptor and NPRC
proteins. We also determined whether the NP could directly interfere
with JNK induction of cyclin D1 synthesis. To do this, we expressed a
mildly constituitively active JNK-1 protein in the transfected EC and
found that this could significantly stimulate cyclin D1 activity (Fig. 2
, lane 10). However, ANP and C-ANP-(423) could not block this
particular action of JNK.

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Figure 2. NP prevent VEGF-induced synthesis of cyclin D1. EC
were [35S]methionine-labeled, then the cells were exposed
to VEGF with or without NP for 16 h, as described in
Materials and Methods. Other cells were first
transfected with various plasmids, recovered, then treated as described
above. Total proteins were determined and normalized from each
condition, and the equal samples underwent immunoprecipitation with
cyclin D1 antibody. Immunoprecipitated cyclin D1 was separated by
SDS-PAGE, followed by autoradiography. The bar graph is
composed of data from three separate studies. *, P
< 0.05 for control vs. VEGF, or pcDNA3
vs. Flag-JNK-1 (constituitively active); +,
P < 0.05 for VEGF vs. VEGF plus ANP
or C-ANP-(423).
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VEGF-induced Cdk4 activation is inhibited by NP
We next examined the activity of the G1
kinase, Cdk4, directed against Rb protein. VEGF-induced Cdk4 activity
more than 2-fold (Fig. 3
, lane 4). ANP
blocked this effect of VEGF by 50% (lanes 5 and 6) and also blocked
the activation of Cdk4 by constituitively active JNK (lanes 1012).
C-ANP-(423) less potently simulated the actions of ANP.

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Figure 3. VEGF-induced Cdk4 activity is inhibited by the NP.
Nontransfected or transfected EC were incubated with VEGF or NP for
8 h, then kinase activity directed against exogenous pRb was
determined as described in Materials and Methods. A
representative study and Cdk4 immunoblots are shown. The bar
graph is composed of data from three separate experiments. *,
P < 0.05 for control vs. VEGF, or
pcDNA3 vs. Flag-JNK-1 (constituitively active); +,
P < 0.05 for VEGF vs. VEGF plus ANP
or C-ANP-(423), or Flag-JNK-1 vs. Flag-JNK-1 plus ANP
or C-ANP-(423).
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VEGF stimulates EC proliferation
After preliminary time-course studies, we determined that
VEGF stimulated more than a 100% increase in EC cell number after
72 h of incubation, compared with that in the control (no VEGF;
Fig. 4
). Each NP significantly prevented
this, with ANP causing a 53% inhibition. To further support the idea
that e NP work primarily through blocking VEGF-induced JNK activation,
we expressed a mildly constituitively active JNK-1 (Flag-JNK1) in this
setting. As a result, the effects of NP to act as antimitogens were
significantly prevented. The ability of VEGF to stimulate EC
proliferation was partially, but significantly, inhibited by dominant
negative JNK1 (APF), whereas expression of active JNK1 in the absence
of VEGF stimulated EC proliferation. The involvement of JNK in this
action of VEGF is probably underestimated, because the efficiency of
transfecting/expressing the dominant negative JNK is at best 65%, as
previously determined.

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Figure 4. VEGF stimulates the proliferation of EC through
JNK activation, which is inhibited by the NP. Transfected or
nontransfected EC were incubated for 72 h in the presence of VEGF
with or without NP. The cells were then treated with trypsin, gently
scraped, and resuspended, followed by counting of triplicate fields per
condition using a hemocytometer. Bar graph data are from
two combined experiments and are the mean ± SEM from
duplicate wells per condition per experiment. *, P
< 0.05 for control vs. VEGF, or pcDNA3
vs. VEGF or Flag-JNK1; +, P < 0.05
for VEGF vs. VEGF plus ANP or C-ANP-(423), or
vs. VEGF plus JNK-1-APF; 2+, P <
0.05 for VEGF plus ANP or C-ANP-(423) vs. the same
plus Flag-JNK1.
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NP, VEGF, and cell migration
We then examined the effect of VEGF on EC migration. After 24
h of incubation, this growth factor significantly stimulated a more
than 10-fold increase in EC migration across a wound barrier compared
with the control value (Fig. 5
, left, A vs. B and bar graph). This did
not reflect VEGF-induced proliferation, because increased cell number
in response to this growth factor was not seen at 24 h (data not
shown). In contrast, when the cells were coincubated with VEGF and ANP
(Fig. 5C
) or C-ANP-(423) (Fig. 5D
), there was a significant
inhibition of VEGF-induced cell migration, whereas NP had no effect on
basal migration (Fig. 5
, E and F). VEGF comparably stimulated the
migration of EC transfected to express the empty vector, pcDNA3 (Fig. 5
, right, A vs. B). This was substantially
prevented by expression of the dominant negative JNK-1 (Fig. 5C
). To
further support the idea that NP act through the inhibition of
VEGF-induced JNK activity, we overexpressed the constituitively active
JNK construct. We found that this completely reversed the inhibition of
EC migration by the NP (Fig. 5
, D and E). Transfection/expression of
JNK-1 in the absence of VEGF independently stimulated EC migration by
6-fold (Fig. 5F
), compared with that in the control (empty vector).


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Figure 5. VEGF induces the migration of EC, which is
prevented by inhibition of JNK-1 activation and NP.
Left: A, Control; B, EC incubated with VEGF (20 ng/ml);
C, VEGF plus ANP; D, VEGF plus CNP-(423); E and F, ANP and
C-ANP-(423) alone. Right: A, pcDNA3; B, VEGF added to
the pcDNA3-transfected EC; C, VEGF added to dominant negative
JNK-transfected EC; D and E, EC are first transfected with active
JNK-1, then incubated with VEGF and NP. The bar graph is
composed of data from three experiments. *, P <
0.05 for control vs. VEGF, or pcDNA3 vs.
VEGF; +, P < 0.05 for VEGF vs. VEGF
plus ANP or C-ANP-(423), or VEGF vs. VEGF plus
JNK1(APF); 2+, P < 0.05 for VEGF plus ANP or C-ANP
vs. VEGF plus ANP or C-ANP-(423) plus Flag-JNK-1
(constituitively active).
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NP prevent VEGF-induced microcapillary formation
We then determined the importance of ANP inhibition of VEGF
signaling to the angiogenesis program. Microvascular EC were plated on
growth factor-poor Matrigel (Becton Dickinson and Co., Bedford, MA) and in the presence of VEGF developed a
2.5-fold enhanced number of networked capillary tubes after 6 h
(Fig. 6
, A vs. B and bar
graph). In the presence of ANP or C-ANP-(423), VEGF was
significantly less effective (Fig. 5
, C and D), forming 53% fewer
capillary cords in the presence of ANP for the same number of plated
EC. NP had no effect on basal tube formation (Fig. 5
, D and
E).

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Figure 6. Capillary tube formation occurs in response to
17-ß-estradiol signaling. Human microvascular EC minimally
developed into capillaries 6 h after plating on green fluorescent
protein-Matrigel (a). VEGF increased the number of tubes formed (b),
which was significantly reversed by ANP or C-ANP (c and d). NP alone
are shown in e and f. In pcDNA3-transfected cells (g), VEGF induced
angiogenesis (h), which was partially inhibited by the expression of
dominant negative JNK-1 (JNK1-APF; i). Expression of constituitively
active JNK (Flag-JNK1) reversed the inhibition of tube formation by ANP
or C-ANP (j and k). Bar graph data are the mean ±
SE capillary tube number from three experiments.
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To understand the role of JNK and the mechanism of NP action, we first
transfected EC with the vector expressing dominant negative JNK-1
(JNK1-APF). This partially, but significantly, inhibited the ability of
VEGF to induce new blood vessel formation (Fig. 5
, H vs. I).
We also found that the ability of ANP or C-ANP to inhibit VEGF-induced
capillary formation was significantly reversed by expression of the
mildly constituitively active Jnk-1 protein (Flag-JNK1; Fig. 5
, J and K
vs. G). In the absence of VEGF, the expression of JNK-1
induced a smaller, but significant, increase in capillary formation
compared with the control value (Fig. 5
, G vs. L).
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Discussion
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The modulation of VEGF-induced angiogenesis has great therapeutic
potential to induce wound healing or impede tumor-related growth
(8) and proliferative diabetic retinopathy
(22). No endogenous proteins have been identified to
modulate both the production and action of VEGF. In this respect NP
appear unique. We report here that NP inhibit the activation of several
key signaling molecules that are important for VEGF-induced
angiogenesis (12); these include ERK, JNK, and p38 members
of the MAP kinase family. NP, in some situations, also inhibit JNK
action. We previously showed that JNK is an important effector kinase
for the ability of VEGF to stimulate cyclin D1 protein synthesis and
Cdk4 activity as well as EC proliferation (11). We now
report that significantly inhibiting VEGF-induced JNK activation (by
expressing dominant negative JNK-1) prevents EC migration and capillary
tube formation. Furthermore, ANP and C-ANP-(423) significantly
limited all of these actions of VEGF. We also found that NP inhibit
PDGF-induced JNK activation, suggesting that NP may play a larger role
in restraining events of vascular biology mediated through this
specific MAP kinase. This is feasible based upon data that NP inhibit
growth factor-induced vascular smooth muscle and cardiac fibroblast
proliferation (23, 24).
Although we define a role for JNK, other investigators have implicated
protein kinase C, ERK, phosphatidylinositol 3OH- kinase (PI3K), and p38
in the ability of VEGF to promote EC proliferation or migration
in vitro (10, 25, 26, 27). VEGF activation of p38
has been noted by several laboratories and has been proposed to
significantly contribute to the migration of EC in response to this
growth factor (28, 29). We found that the NP significantly
prevents VEGF-induced p38 phosphorylation, and therefore, this probably
contributes to the overall inhibition by ANP of migration seen here. In
addition to stimulating new blood vessel formation, VEGF serves as a
survival factor, operating through PI3K and protein kinase B, via the
Flk-1 tyrosine kinase receptor on EC (30).
It appears, then, that a number of signaling pathways contribute to the
ability of VEGF to promote various aspects of angiogenesis. It is
likely that cross-talk and/or convergence between signaling systems
exist for the actions of the EC growth/survival factor. This is
comparable to other vascular growth factors, such as basic fibroblast
growth factor, insulin-like growth factor I, and PDGF, that activate
multiple signaling pathways leading to growth, differentiation, and
survival functions in cardiovascular cells (31). For
instance, PDGF or activation of the mast cell kit tyrosine kinase
receptor can activate JNK through a pathway dependent on PI3K
activation (32, 33). In this respect, we previously showed
that activation of JNK by basic fibroblast growth factor, PDGF,
angiotensin II, and thrombin all depended on the earlier activation of
ERK in EC (11). Our overall results indicate that JNK
activation by VEGF contributes to multiple steps in the angiogenesis
pathway, culminating in new capillary tube formation.
As we show here, the effects of NP on VEGF-induced angiogenesis result
from binding either class of NP receptor. The GC receptor modulates
most of the in vivo effects of ANP reported to date
(34) Upon binding GC receptors, NP stimulate the
generation of cGMP, and this underlies the inhibition of VEGF-induced
signaling and angiogenesis. Involvement of the GC receptor was shown,
in that a specific GC antagonist, HS-1421 (35, 36),
significantly prevented the effects of ANP, but not those of the
NPRC-specific ligand, C-ANP-(423). Further, in limited studies,
8-bromo-cGMP simulated the actions of ANP. However, we also
implicate the NPRC in NP action, in that the inhibition of ANP
action by HS-1421 was never complete. C-ANP-(423) is a synthetic
truncated form of ANP and serves as a specific ligand for the NPRC,
whose in vivo function remains poorly defined, except to
clear NP from serum (15). We previously reported that this
receptor mediates the ability of various NP to inhibit VEGF synthesis
in vitro (18) and now report that the NPRC
contributes to inhibit VEGF-induced signaling to angiogenesis.
Both GC and NPRC are found extensively on vascular smooth muscle cells
and EC, and therefore are potentially relevant to the in
vivo vascular actions of the NP. Many of the effects of cGMP (and
ANP) are mediated through the activation of PKG (37), but
it is not well defined what targets downstream from PKG might mediate
the actions of ANP in this setting. The signaling mechanisms for NPRC
are even less understood, but perhaps involve the inhibition of cAMP
generation (reviewed in Ref. 12). We speculate that there
is a common final pathway downstream of the GC receptor and the NPRC
that can be saturated by either receptor. Hence, in general, there is
no substantial additional inhibition of VEGF signaling by ANP binding
both receptors, compared with only one receptor (the response to
C-ANP). This EC model can be used to further understand the cross-talk
of GC and NPRC signaling with VEGF-induced ERK activation. In some
cells, inhibition of cAMP (as perhaps occurs via the NPRC) can inhibit
ERK activation (38). This would provide a partial
mechanism for the findings of past studies that implicate the NPRC in
preventing EC proliferation (16).
In animals with GC or NPRC genetic inactivation, no obvious
abnormalities of blood vessel formation have been noticed (39, 40). Thus, one might conclude that VEGF- induced
angiogenesis during embryonic development is not modulated by NP.
However, there is much redundancy in the NP system, with three
receptors and at least four peptides, and double or triple knockouts
have not yet been reported. During severe congestive heart failure, ANP
(and BNP) plasma levels are 10-fold elevated compared with those in
normal humans (41). In this disease, ANP may play a role
to prevent further deleterious cardiac remodeling or fibrosis
(24). This idea is supported by the finding that GC-A
knockout mice develop cardiac hypertrophy (42). However,
prevention of angiogenesis by ANP in this setting could impair
compensatory new blood vessel formation and long-term recovery from
ischemia-induced heart disease. On the other hand, the inhibition of
VEGF synthesis and action by ANP provides a potential therapeutic
approach to undesirable angiogenesis (8, 22). These
proposals can only be tested in vivo, and such studies are
underway in our laboratory.
In summary, VEGF-induced angiogenesis is partially dependent on
signaling through JNK activation, and this serves as a mechanism that
the NP use to inhibit this critical process. The actions of ANP result
from activation of both GC and NPRC, and the NP represent one of the
first described endogenous inhibitors of both VEGF synthesis and
function.
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Acknowledgments
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We thank Roger Davis for the JNK plasmids.
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Footnotes
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1 This work was supported by grants from the Research Service
of the Department of Veterans Affairs and the NIH (HL-59890,
to E.R.L.). 
Received September 11, 2000.
 |
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