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Endocrinology Vol. 142, No. 7 3014-3026
Copyright © 2001 by The Endocrine Society


ARTICLES

Pregnancy-Specific Enhancement of Agonist-Stimulated ERK-1/2 Signaling in Uterine Artery Endothelial Cells Increases Ca2+ Sensitivity of Endothelial Nitric Oxide Synthase as well as Cytosolic Phospholipase A21

Tao Di, Jeremy A. Sullivan, Ronald R. Magness, Lubo Zhang and Ian M. Bird

Perinatal Research Laboratories, Departments of Obstetrics/Gynecology (T.D., J.A.S., R.R.M.) and Meat/Animal Sciences (R.R.M.), University of Wisconsin-Madison, Madison, Wisconsin 53715; and Center for Perinatal Biology (L.Z.), Loma Linda University School of Medicine, Loma Linda, California 92350

Address all correspondence and requests for reprints to: Ian M. Bird, Ph.D., University Wisconsin-Madison, Department of Obstetrics and Gynecology, Perinatal Research Laboratories, 7E Meriter Hospital/Park, 202 South Park Street, Madison, Wisconsin 53715. E-mail: imbird{at}facstaff.wisc.edu


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
 References
 
Uterine artery endothelial cells (UAEC) from pregnant ewes (P-UAEC) demonstrate generally enhanced ability to couple growth factor and G protein-coupled receptors to the ERK-1/2 signaling pathway and stimulate NO production independently of elevated [Ca2+]. Herein we investigate the signaling and vasodilator responses to ATP, an agonist that also elevates [Ca2+]i in both NP and P-UAEC, to determine the relative importance of Ca2+ vs. ERK-1/2 in the activation of eNOS. We observed in both NP-UAEC and P-UAEC that ATP acts through G protein-coupled P2Y receptors to activate phospholipase C and dose-dependently elevate [Ca2+]i independently of extracellular Ca2+. The small reduction in the [Ca2+]i response in NP vs. P-UAEC did not, however, account for the difference in NO production by P-UAEC>>NP-UAEC. ATP had no stimulatory effect on Akt phosphorylation but rapidly stimulated ERK-1/2 phosphorylation in P-UAEC>>NP-UAEC in a manner that correlated with NO production. In both NP- and P-UAEC, both ERK-1/2 and Ca2+ were absolutely required for eNOS as well as cPLA2 activation and the Ca2+ sensitivity of eNOS was enhanced through the cytosolic [Ca2+]i range in P-UAEC>>NP-UAEC. Thus ERK-1/2 may regulate the Ca2+ sensitivity of eNOS to an even greater extent than is known to occur for cPLA2.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
 References
 
PREGNANCY IS ASSOCIATED with dramatic increases in uterine blood flow to meet the continually increasing needs of the growing fetus. The importance of this adaptive response is shown by the observation that direct impairment of uterine arterial flow results in intrauterine growth retardation (IUGR) and low birth weight, which in turn correlates with neonatal morbidity (1, 2, 3). During normal pregnancy, the uterine artery (UA) demonstrates a high degree of refractoriness to the potent vasoconstrictor angiotensin II (AII), compared with that observed in the nonpregnant state. Such uterine artery refractoriness is, to a great extent, through increased endothelial production of vasodilators such as nitric oxide (NO) and prostacyclin (PGI2) (reviewed in Refs. 4, 5). Although we have previously shown that AII stimulation of NO and PGI2 production is enhanced in maternal uterine artery endothelium during pregnancy and lacking in the nonpregnant state (6), others (7) have also recently shown that uterine artery NO production in response to ATP is greatly enhanced in the pregnant state over an otherwise poor response in the nonpregnant state; PGI2 production was not measured in this study. Thus, the enhanced vasodilatory response is not unique to the actions of AII and may occur for a number of additional agonists working through heptahelical receptors, including ATP. A number of studies in different species (reviewed in Ref. 5) have shown this is indeed the case. More recently, we have developed a cell culture model of UA endothelial cells (UAEC) from nonpregnant (NP) and pregnant (P) ewes, which has retained these altered vasodilator production responses to a number of agonists, as well as other important functional differences previously reported in vivo (8). Furthermore we have shown that while levels of eNOS and cPLA2 are similar in this model, P-UAEC show stimulation of both NO and PGI2 production in response to AII and ATP, whereas NP-UAEC fail to show NO production in response to AII and ATP, and show significant PGI2 production only in response to ATP (8). The question is how does this occur?

Although Ca2+ and members of the mitogen-activated protein kinase (MAPK) pathway probably regulate cPLA2 activity, as seen in other endothelial cells (9), the role of Ca2+ in activation of eNOS is less clear, and activation of eNOS may indeed more closely correlate to an ability to activate extracellular signal-regulated protein kinases 1 and 2 (ERK-1/2) for several agonists of heptahelical or growth factor receptors (8). In initial characterizations of eNOS, it was quickly realized that this enzyme requires Ca2+ for activity, but an enzyme’s requirement for Ca2+ does not always mean it is physiologically regulated by changes in cytosolic Ca2+. Intracellular Ca2+ typically ranges from 50–1000 nM. If the enzyme’s requirement for Ca2+ is below or above that range it will either be permanently activated or never activated by Ca2+ elevation, respectively. However, studies of proteins such as cPLA2 have shown that alteration of protein structure through phosphorylation can result in a dramatic increase in Ca2+ sensitivity and so a shift of the Ca2+ dose response to the left, which in turn results in enhanced activation even at resting cytosolic [Ca2+]i (9). Thus, phosphorylation alone can result in a marked increase in activity without additional increases in free cytosolic Ca2+. The situation with eNOS is more complicated, and not yet fully understood. It is clear that eNOS can be activated by Ca2+ and calmodulin (CaM) and that subsequent complete removal of Ca2+ from the media abolishes such activation of eNOS in vitro, but it is also becoming increasingly clear that either inhibition of tyrosine phosphatases (10), or shear stress (11) can also increase eNOS phosphorylation and activity independently of an increase in [Ca2+]i in endothelial cells. Recent studies in pulmonary artery endothelial cells as well as COS-7 cells overexpressing estrogen receptor {alpha} (ER{alpha}) suggest that eNOS can be activated by estrogen in a manner associated with ERK activation, which in turn can be blocked by the MEK inhibitor PD98059 (12). eNOS is known to have a number of putative phosphorylation sites, but it is not known if ERK-1 or ERK-2, or indeed other members of the MAPK family directly regulate this enzyme’s activity. Additional studies have shown that binding to caveolin-1 (a scaffold protein located in caveolae) results in potent inhibition of eNOS (13), and more detailed recent studies suggest that caveolin-1, Ca2+/CaM and the site of eNOS phosphorylation may all lie within the same Ca2+/CaM binding domain of eNOS (14). Thus at rest eNOS is bound to caveolin-1 at the caveolae (plasma membrane invaginations rich in signaling proteins and substrates) and is therefore inactive. Two events, however, seem able to out-compete or destabilize the binding of eNOS to the caveolin and phospholipid bilayer, namely competitive binding of Ca2+/CaM formed on increases in cytosolic Ca2+, or phosphorylation of the same domain by a mechanism which in many cells seems to involve a Ca2+-independent protein kinase C, acting through a MAPK pathway (14, 15). Thus eNOS itself, and more specifically the Ca2+/CaM binding domain, is a possible point of convergence of Ca2+/CaM vs. protein kinases signaling. Translocation from the membrane/caveolae to the cytosol occurs as a result of the competitive inhibition of binding to the caveolae, with subsequent activation of the enzyme (16). Serine phosphorylation of eNOS by protein kinase B, more recently known as Akt, has also recently been shown to cause activation even at resting Ca2+ levels and the phosphorylated form becomes insensitive to further changes in Ca2+ (17).

In our UAEC model, AII does not stimulate Ca2+ mobilization, whereas ATP clearly stimulates Ca2+ mobilization in both NP-UAEC and P-UAEC (8). In P-UAEC alone, however, both AII and ATP also stimulate ERK-1/2 activation and both agonists stimulate a corresponding marked increase in NO production. In contrast, in NP-UAEC neither AII nor ATP evoke detectable ERK-1/2 stimulation and also fail to stimulate a significant increase in NO production, even in the face of Ca2+ elevation (8). We propose, therefore, that kinase regulation of eNOS activity occurs in our cells, and further suggest such phosphorylation is a more effective means of eNOS activation than Ca2+/CaM binding alone in UAEC. To this end, we chose to extend our former observations by first examining the effects of ATP on Ca2+, phosphoinositol production, ERK-1/2 and Akt activation in NP-UAEC and P-UAEC, and then subsequently examining the effects of BAPTA [a Ca2+ chelator and known blocker of Ca2+ mobilization in endothelial cells (16)], or U0126 [a known inhibitor of MAP kinase kinase (MEK1), the upstream kinase responsible for ERK-1/2 activation (18)] on both NO and PGI2 production. Our data suggest that eNOS activation may absolutely require ERK-1/2 signaling and that the physiologic consequence of such an event is an even greater increase in eNOS sensitivity to cytosolic Ca2+ than observed for cPLA2. Thus, the increased coupling of agonist receptors in UAEC to the ERK-1/2 pathway during pregnancy underlies the maternal adaptive response, serving to increase endothelial NO-mediated as well as PGI2-mediated vasodilation of the uterine artery and so support the growing fetus.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
 References
 
Materials
BAPTA-AM, LY294002, and CaCl2 were from Calbiochem (San Diego, CA), and U0126 from Promega Corp. (Madison, WI). Unless otherwise stated, all cell culture supplies (liquid) were from Life Technologies, Inc., and all tissue culture plasticware from Falcon (through Fisher). All electrophoresis reagents were from Bio-Rad Laboratories, Inc. (Hercules CA), and all other chemicals and biochemicals including ATP (disodium salt) were from Sigma-Aldrich Corp. (St. Louis, MO).

Isolation of uterine artery endothelial cells
Uterine arteries were obtained from Polypay and mixed Western breed nonpregnant sheep (n = 4) and pregnant ewes at 120–130 days of gestation (n = 6) during nonsurvival surgery, as described previously (8). Procedures for animal handling and protocols for experimental procedures were approved by the University of Wisconsin-Madison Research Animal Care Committees of both the Medical School and the College of Agriculture and Life Sciences and follow the recommended AVMA guidelines for humane treatment and euthanasia of laboratory farm animals. Briefly, primary uterine arteries were flushed free of blood using M199 medium, before tying off arterial branches, clamping off the larger diameter end, and inflating with M199 containing 5 mg/ml collagenase B (Roche Molecular Biochemicals, through Roche, Indianapolis IN) and 0.5% BSA (Fraction V, Sigma) through a luerlock three way TAP Pharmaceuticals, Inc. Digestion was allowed to proceed at 37 C for 55 min before flushing the collagenase solution and endothelial cell sheets from the inner surface of the vessel. Freshly isolated cells (Passage 0) were plated to 35 mm dishes in MEM containing 20% FBS/1% penicillin streptomycin/1% gentamycin (growth medium; used throughout). Cells were then grown and passaged as previously described over 12–16 days to approximately 70% confluence in T75 flasks at which point they were passaged once more (Passage 3) to medium containing 10% dimethylsulfoxide and frozen in liquid nitrogen for long term storage. Cells were later recovered and grown in T75 flasks to approximately 70% confluence and subcultured for experimental use (Passages 4–5).

Agonist-stimulated production of NO and PGI2
Cells plated overnight in 12-well dishes were washed twice with modified Kreb’s buffer (125 mM NaCl, 5 mM KCl, 1 mM MgSO4, 1 mM KH2PO4, 6 mM glucose, 25 mM HEPES, 2 mM CaCl2, pH 7.4) before incubation for 1 h in 450 µl modified Kreb’s buffer per well. Agonists were then added as a 50-µl volume in wells and incubation continued for a further 40 min (or as otherwise stated). Medium was collected for assay, wells drained thoroughly and cells solubilized in lysis buffer for protein assay. NO production/release was measured immediately by conversion of total nitrate and nitrite back to NO and electrochemical detection using a Seivers model 280 NO analyzer (100 µl medium injected). Results were calculated against a standard curve (using known quantities of NaNO3). Samples were then stored frozen for further assay. To determine PGI2 production, the spontaneous breakdown product 6 keto-PGF1{alpha} was assayed in stored medium by EIA using a commercially available EIA kit (Cayman Chemical Co., Ann Arbor, MI), using 10 µl of medium per well, and including quality control standards of Kreb’s buffer alone or standards made up in Kreb’s buffer to monitor for assay drift. Standard curves typically show correlations of r2=0.98.

Phospholipase C activation assay
Cells maintained to passage 4 were subcultured onto 24-well plates and culture continued in medium supplemented with 20 µCi/ml [3H]inositol (Amersham Pharmacia Biotech, Arlington Heights, IL) for 48 h. Cells were washed in M199 and then incubated in M199/20 mM LiCl/10 mM inositol for 15 min before cell treatment as shown. Cell stimulation was allowed to proceed 30 min, at which time cells were rapidly lysed with perchloric acid (final concentration 5%) exactly as described previously (19). Cell lysates were separated by centrifugation into aqueous products and cell membranes, and the aqueous phase neutralized by mixing with 110% by vol of 1:1 Freon/octylamine. Water soluble [3H]inositol phosphates and [3H]inositol separated by Dowex chromatography as previously described (20). [3H]phosphoinositides were extracted from the cell membrane pellet by an acidified Bligh/Dyer procedure as previously described (19). Results shown for dose dependency are mean ± SE of data from quadruplicate incubations, and four separate experiments each, with data normalized to total cell labeling and expressed as the fold increase in inositol phosphates labeling over unstimulated controls.

Fura-2 Ca2+ imaging studies
For cellular imaging of Ca2+ using Fura 2, cells at passage 3 from four separate animals each were thawed and grown to passage 4, combined, and then split 1:8 before freezing with 10% dimethylsulfoxide (Sigma) for later plating at lower density as required. Note in test studies the data from these cells was indistinguishable from our previously published data on pre-passage 4 cells (8). UAEC plated to low density (10–20% confluence) on 35 mm dishes with glass coverslip windows (Intracellular Imaging, Inc., Cincinnati, Ohio) the night before use to allow attachment. The next day, immediately before use, cells were loaded with 5 µM Fura 2-AM (Molecular Probes, Inc.) in Kreb’s buffer (with 2 mM CaCl2, see above) for 45 min and cells rinsed three times and covered with 2 ml prewarmed (37 C) Kreb’s buffer and incubated a further 30 min to complete ester hydrolysis. Cells were washed once more and covered with 1 ml Kreb’s buffer, and Fura 2 loading was verified by viewing at 380 nm UV excitation on a Nikon inverted microscope (InCyt Im2, Intracellular Imaging, Inc.). A single isolated cell was then set in the field of view and recordings commenced, using alternate excitation at 340 nm and 380 nm at 50 msec intervals, and measuring emitted light using a photomultiplier. From the ratio of emission at 510 nm detected at the two excitation wavelengths, and by comparison to a standard curve established for the same settings using buffers of known free [Ca2+], the [Ca2+]i was then calculated in real time using the InCyt Im2 software on line. All agonist additions were made in an equal volume (1 ml) of buffer to ensure rapid mixing, and recovery of cells in fresh buffer was routinely performed for 20 min before restimulation to avoid desensitization.

Western blot analysis for Phospho-ERK and Phospho-Akt
UAEC were passaged (passage 4) to 60-mm dishes and maintained for 24 h before serum withdrawal by incubation in 2.97 ml MEM (1% penicillin-streptomycin and 1% gentamycin) with 0.01% BSA for 4 h. Cells were stimulated with agonists (30 µl vol) for the appropriate time. In further experiments cells were preincubated with 10 µM U0126 (a dose that fully inhibited ERK-1/2 activation by basic fibroblast growth factor (bFGF); Sullivan, J., unpublished data) or 10 µM LY294002 (a dose that fully inhibits EGF stimulated Akt phosphorylation; Sullivan, J., unpublished data) for the final 20 min of the 4 h serum withdrawal before being stimulated with 30 µM ATP for 10 min. Reactions were terminated by addition of ice-cold PBS. Cells were immediately washed twice in ice cold PBS, and solubilized in lysis buffer (4 mM NaP2O7.H2O, 50 mM HEPES, 100 mM NaCl, 10 mM EDTA, 10 mM NaF, 2 mM Na3VO4, 1 mM PMSF, 1% Triton X-100, 5 µg/ml leupeptin, and 5 µg/ml aprotinin) with sonication. Solubilized protein was quantified in cell lysates by a modified bicinchoninic acid assay procedure (Sigma). Proteins (10 µg/lane) were then separated on 7.5% polyacrylamide gels (100V, 2 h, Mini-Protein II, Bio-Rad Laboratories, Inc.) before transfer to Immobilon P membrane (100 V, 2 h).

For ERK-1/2 phosphorylation assays, Western analysis with the anti-active MAPK pAb (Promega Corp., Madison, WI) and HRP conjugated second antibody (HRP-linked antirabbit IgG; New England Biolabs, Inc., Beverly, MA) were used at a 1:5000 and 1:2000 dilution, respectively, to detect phosphorylated ERK-1/2. This antiactive MAPK antibody recognizes only the dually phosphorylated MAPK protein (pTpY) indicative of activity (21). To then normalize for loading, the membrane was reprobed by using anti-p42/p44 MAPK antibody diluted 1:1000 (New England Biolabs, Inc.), followed by second antibody (HRP-linked antirabbit IgG, 1:2000 dilution; New England Biolabs, Inc.). In each case, specific binding was detected by enhanced chemiluminescence reagent detection system, as described by Amersham Pharmacia Biotech, and exposed to Hyperfilm. The levels of protein expression were quantified by transmission scanning densitometry (Bio-Rad Laboratories, Inc., 670 scanning densitometer).

For Akt phosphorylation assays, membranes were blotted with anti-phospho-Akt antibody (New England Biolabs, Inc.) at 1:750 dilution and secondary HRP-linked antirabbit IgG antibody (New England Biolabs, Inc.) at 1:7500 dilution. Total Akt expression was determined with anti-Akt antibody at 1:1000 dilution and HRP-linked antirabbit IgG antibody (New England Biolabs, Inc.) at 1:2000 dilution.

Statistical analysis
Data were analyzed by one-way ANOVA or Student’s t test, as appropriate. Data presented are the means ± SE. Results were considered significant at the P < 0.05 level.


    Results and Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
 References
 
Our previous studies showed that ATP as well as AII and bFGF can all stimulate vasodilator production from P-UAEC but less so from NP-UAEC at single doses and times. We also showed all three agonists are potent activators of ERK-1/2 phosphorylation in P-UAEC but not NP-UAEC, whereas ATP alone stimulates Ca2+ elevation in both P-UAEC and NP-UAEC. We therefore further examined the time course of NO and PGI2 production in NP-UAEC and P-UAEC in response to ATP and compared this to the response to AII and bFGF. Angiotensin II, bFGF, and ATP all stimulated a significant increase in both NO and PGI2 production over control within 5–10 min of stimulation with the maximum observed at 40 min in P-UAEC (Fig. 1Go). Both ATP and bFGF gave rise to similar magnitude responses in P-UAEC. In contrast, no NO production was detected in response to AII, and both bFGF and ATP gave rise to only marginal NO production, which was not significant at any time in NP-UAEC (Fig. 1Go). NP-UAEC also failed to produce a significant increase in PGI2 in response to AII or bFGF, but retained the ability to increase production of PGI2 in response to ATP, albeit in a diminished fashion (Fig. 1Go). ATP-induced NO and PGI2 production was dose-dependent in P-UAEC (Fig. 2Go), with a maximal effect on both NO and PGI2 production at 30–100 µM. In NP-UAEC, however, there was no significant increase in NO production, whereas PGI2 production was dose-dependently increased but to a much lesser extent than in P-UAEC (Fig. 2Go).



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Figure 1. Time course of agonist-stimulated NO and PGI2 production in P- and NP-UAEC. P- and NP-UAEC were exposed to 300 µM ATP (solid circle), 100 nM AII (solid triangle), 10 ng/ml bFGF (solid squares), or control media (open circle) for the indicated time points and NO* and 6keto-PGF1{alpha} determined as described. Results per well were normalized to 100 µg cellular protein. Data are shown as mean ± SE of n = 4 experiments for P-UAEC and n = 4 for NP-UAEC, each performed in triplicate. (*, P < 0.05 relative to control.)

 


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Figure 2. Dose-dependency of NO and PGI2 production in UAEC. P- UAEC and NP-UAEC were treated with vehicle (control) or various dose of ATP (0.3–300 µM) for 40 min and NO* and 6keto-PGF1{alpha} measured as described. Results were normalized to 100 µg cellular protein/well and expressed as fold control. Data are shown as mean ± SE of n = 4 experiments for P-UAEC and n = 4 for NP-UAEC, each performed in triplicate. (*, P < 0.05 relative to control.)

 
We have previously observed that, in contrast to the actions of AII or bFGF, ATP is able to rapidly mobilize Ca2+ in UAEC (8). Because P2Y receptors have been reported to be associated with phospholipase C (PLC) and mobilization of intracellular Ca2+ in a variety of endothelial cells (reviewed in Ref. 22), we looked for evidence that ATP or indeed AII may activate PLC in UAEC. We found that the response to both AII and ATP were both significant but very small even in the presence of 20 mM Li+ (Fig. 3Go). The dose-response to ATP was dissimilar to that for vasodilator production in Fig. 2Go, and only rose more dramatically at doses of 100–300 µM ATP. The noncompetitive nature of Li+ inhibition of inositol phosphate degradation, however, may have skewed the dose response by potentiating the accumulation of more product as the weak response increases (because the degree of inhibition of inositol phosphate phosphatase is proportional to the product of [Li+] multiplied by [inositol phosphate]). Nevertheless, these data are intriguing because even at the maximal dose tested there was no major discrepancy between the response observed for NP-UAEC compared with that for P-UAEC for either AII or ATP. Thus differences in PLC activation alone do not account for the major differences in ATP stimulated NO production whereas they may relate to the lesser difference observed in PGI2 production in NP-UAEC vs. P-UAEC.



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Figure 3. Agonist activation of phosphoinositol turnover in UAEC. [3H]inositol-prelabeled cells were stimulated with AII (100 nM) and ATP (3–300 µM) for 30 min in the presence of 20 mM LiCl. Total phosphoinositol labeling was then determined as described and expressed as fold control. Data represents mean ± SE of n = 4 experiments each performed in quadruplicate (*, P < 0.05 relative to control).

 
More detailed studies using Ca2+ imaging in UAEC showed dose-dependent increases in mobilization of Ca2+ in response to ATP. Representative tracings from both NP-UAEC and P-UAEC are shown in Fig. 4AGo. The resting [Ca2+]i of P and NP-UAEC was typically below 100 nM. ATP was able to elicit a response in more than 80% of P-UAEC and in approximately 60% of NP-UAEC, and this response included both an acute rise within seconds and a sustained phase lasting several minutes. The lag time of [Ca2+]i increase was shortened with increasing ATP concentrations (not shown), and both the initial peak and the sustained rise showed dose-dependent increases (Fig. 4BGo). The acute and particularly the sustained responses in P-UAEC were consistently greater than the responses for NP-UAEC when assessed as peak level (mean maximal [Ca2+]i was 280 nM in P-UAEC and 230 nM in NP-UAEC) or total area under the curve for 2.5 min stimulation (Fig. 4BGo). Although there were no significant differences between NP-UAEC and P-UAEC responses when assessed as -log EC50, significant differences were observed in peak or area responses for threshold or maximal doses of ATP (Fig. 4BGo). Thus, changes in Ca2+ signaling were of a magnitude that appeared to correlate with changes in production of PGI2 and possibly PLC activation, but not NO production in NP-UAEC vs. P-UAEC.



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Figure 4. Dose-dependencies of ATP-stimulated Ca2+ elevation in P- and NP-UAEC: A, Tracings of [Ca2+]i elevation in response to ATP (30 µM) in a single P- and NP-UAEC are shown, representative of those obtained in n = 7 experiments each. B, Dose-responses in NP- (open circle) and P-UAEC (closed circle) for both peak as well as integrated area response to ATP stimulation are shown. ATP was maximally effective at 30–100 µM in both preparations. Results are mean ± SE of data from n = 7 separate experiments each. Note all responses above 1 µM for P-UAEC and 3 µM for NP-UAEC were significantly different from control (not shown). Differences between NP and P-UAEC at given doses are indicated by *, P < 0.05.

 
To establish the role of extracellular vs. intracellular sources of Ca2+ in ATP- induced [Ca2+]i elevation in UAEC, we examined the ATP-stimulated response in the absence of extracellular Ca2+. There was no obvious difference between cells pretreated with or without extracellular Ca2+ and in the presence of 50 or 500 µM EGTA (not shown). Repeated experiments showed similar results, suggesting that intracellular store release played a predominant role in ATP induced [Ca2+]i elevation in both P-UAEC (n = 4) and NP-UAEC (n = 4). Thus Ca2+ influx through Ca2+ channels via activation of P2x purinoceptor was not apparent within the time recorded. In addition, another feature of the response in P-UAEC was the presence of [Ca2+]i oscillations (Fig. 4AGo). We also found these [Ca2+]i oscillations occurred inside P-UAEC in the presence or absence of extracellular Ca2+ (not shown). Our studies are insufficient to establish the exact mechanism underlying the Ca2+ oscillation, although we clearly can conclude that extracellular influx does not play a critical part in this response. We were, however, able to completely block elevation of [Ca2+]i in NP-UAEC and P-UAEC by preloading the cells with BAPTA (Fig. 5AGo).



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Figure 5. A, Effect of BAPTA on ATP-induced [Ca2+]i elevation in P-UAEC. Tracings are representative of those obtained in P-UAEC challenged with 30 µM ATP following pretreatment with BAPTA-AM (10 µM, 60 min) or no pretreatment (Without BAPTA). Pretreatment with BAPTA totally blocked (clamped/buffered) the subsequent cell response to ATP in n = 4 separate experiments on P-UAEC (example shown) and NP-UAEC (not shown). B, Effect of suramin on ATP-stimulated [Ca2+]i elevation in P- and NP-UAEC. The effect of suramin pre/cotreatment on the response to ATP (10 µM) in P- (shaded bar) and NP-UAEC (open bar) is shown. See Results for further details. Results are mean ± SE of data from n = 5 (P-UAEC) and n = 4 (NP-UAEC) separate experiments. Significant reduction in response compared with ATP alone is as shown (*, P < 0.05).

 
Thus far, our data support the proposal that ATP is working through a heptahelical receptor and, in view of the PLC activation and Ca2+ mobilization from intracellular stores, this is probably of the P2Y subclass heptahelical receptor rather than an ion channel. To further verify this, we examined the effect of suramin, a known antagonist of P2Y receptors acting at the plasma membrane [at the level of the receptor and/or coupling to associated G protein-coupled (23, 24)], on the ATP-stimulated Ca2+ response in UAEC. Following initial challenge with ATP (10 µM), cells were washed and incubated with 30 µM suramin before rechallenge with ATP. This was then repeated using 100 µM suramin, and finally the cell was washed again and challenged with ATP alone. Suramin was able to dose-dependently inhibit the ATP-stimulated Ca2+ response in both NP-UAEC and P-UAEC, being fully effective at a 10-fold excess over ATP. Removal of suramin also completely restored the response to ATP (Fig. 5BGo), suggesting a rapid and reversible mechanism of action consistent with P2Y receptor inhibition at the plasma membrane level.

ATP is known to act through P2Y receptors in a number of cell types including astrocytes (25, 26) and vascular smooth muscle cells (27, 28) to stimulate ERK-1/2 activation as well as Ca2+ mobilization. We have previously demonstrated that ATP can induce ERK-1/2 phosphorylation in P-UAEC in a manner that correlates with vasodilator production (8), consistent with the observations of Chen et al. (12), whereas others (17, 29) have recently shown Akt phosphorylation of eNOS can activate the enzyme. The time-course of ERK-1/2 activation was examined by stimulating P-UAEC and NP-UEAC with ATP (30 µM) for time points ranging from 2–40 min (Fig. 6Go). The phosphorylation of ERK-1/2 peaked around 5 min, i.e. after the peak Ca2+ response, but before the peak in NO and PGI2 production. The elevated level of ERK-1/2 phosphorylation then returned to basal values by 20 min in P-UAEC. Consistent with our previous observations (8) a weak but otherwise significant ERK-1/2 phosphorylation was detected within 5 min in NP-UAEC In contrast, Akt phosphorylation was not observed in response to ATP in P-UAEC or NP-UAEC at any time of stimulation (inset, Fig. 6Go).



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Figure 6. Time course of ERK-1/2 and Akt phosphorylation in response to ATP challenge in P and NP-UAEC. Following serum withdrawal, P- and NP-UAEC were treated with ATP (30 µM) for the indicated time. Western blots (inset) were performed as described. No increase was seen in Akt phosphorylation (inset only). Graphs therefore show mean ± SE of the data for ERK-1/2 phosphorylation only from four experiments each, normalized to total corresponding ERK-1/2 protein (not shown) and expressed as fold of time 0 control (*, P < 0.05 relative to control).

 
The level of ERK-1/2 phosphorylation was also dosedependently elevated in response to ATP in P-UAEC and reached the maximal activation at 30–100 µM ATP (Fig. 7Go). This is consistent with the dose of ATP that induced maximal [Ca2+]i mobilization and NO and PGI2 production.



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Figure 7. ATP dose-dependent phosphorylation (10 min) of ERK-1/2 in P-UAEC. Following serum withdrawal as described, P-UAEC were stimulated for 10 min with ATP at the doses indicated, with 10 ng/ml bFGF as positive control. ERK1/ERK2 phosphorylation determined by Western blot analysis (inset). Results were normalized to the total ERK1/2 protein detected as described. Values in the graph correspond to mean ± SE of the four independent experiments and are expressed as fold increase with respect to their corresponding control (*, P < 0.05 relative to control).

 
Pretreatment of cells with U0126, the inhibitor of MEK-1/2 (18), totally abolished ERK-1/2 activation invoked by ATP (30 µM), whereas treatment with the PI3-kinase inhibitor LY294002 (10 µM) had no significant effect (Fig. 8AGo). This indicates that MEK mediates ERK-1/2 activation in response to ATP and that this is not dependent on or mediated indirectly by PI3-kinase. This effect of U0126 also provides us with a useful means to study cause and effect between MEK activation/ERK phosphorylation and vasodilator production (below). In addition the stimulatory action of ATP (10 µM) on ERK-1/2 phosphorylation was blocked by preincubation with suramin at 30 and 100 µM (Fig. 8BGo) to a similar extent as the Ca2+ responses were blocked by suramin in P-UAEC and NP-UAEC (Fig. 5Go). This suggests a similar receptor/G protein mechanism for ATP-stimulated Ca2+ mobilization vs. ERK-1/2 phosphorylation.



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Figure 8. A, Effect of U0126 and LY294002 on ATP-induced ERK-1/2 phosphorylation in P-UAEC. P-UAEC were pretreated with 10 µM U0126, 10 µM LY294002, or vehicle (positive control) for 20 min before cells were challenged with 30 µM ATP for 10 min. ERK-1/2 phosphorylation was determined and normalized to total ERK-1/2 protein as described. Values in the bar graph are mean ± SE of n = 4 separate experiments. (*, P < 0.05 compared with control; +, P < 0.05 compared with ATP treated). B, Effect of suramin on ATP-induced ERK-1/2 phosphorylation in UAEC. P-UAEC were preincubated with or without suramin (30 µM and 100 µM) for the final 20 min of serum withdrawal, and challenged with ATP (10 µM, 5 min). ERK-1/2 phosphorylation was determined as described, and Western blot of total-ERK (bottom panel) was used as a loading control. Results shown are from one of two separate experiments.

 
To directly establish the dependence of ATP-stimulated vasodilator production on Ca2+ vs. ERK-1/2 in UAEC, we examined the effects of BAPTA and U0126 pretreatment on ATP- stimulated NO and PGI2 production in UAEC. We previously established that U0126 pretreatment did not alter the Ca2+ response to ATP in UAEC (not shown) and that BAPTA pretreatment reduced resting Ca2+ levels by about 10 nM (Fig. 5AGo) and reduced (50%) but did not abolish the substantial increase in ERK-1/2 phosphorylation response to 30 µM ATP. When P-UAEC and NP-UAEC were stimulated in the continued presence of U0126, ATP-stimulated (30 µM) increases in both NO production and PGI2 production were abolished in P-UAEC and ATP-stimulated PGI2 production was abolished in NP-UAEC (Fig. 9Go). Similarly, when cells were preincubated with 10 µM BAPTA, ATP (30 µM) stimulated increases in both NO production and PGI2 production were abolished in P-UAEC and ATP-stimulated PGI2 production was abolished in NP-UAEC (Fig. 9Go). This finding suggests that in both NP-UAEC and P-UAEC, both eNOS and cPLA2 activation are dependent on at least resting [Ca2+]i and at least some basal level of MEK-ERK-1/2 activation. However, absolute dependence of the responses on these pathways still does not indicate physiologic sensitivity to or endocrine dose-dependent regulation by increases in [Ca2+]i or the MEK and ERK-1/2 signaling pathway. This question is answered more clearly, however, by direct comparison of the dose-dependency for NO, PGI2, Ca2+, and ERK-2 phosphorylation responses to ATP in NP-UAEC and P-UAEC (Fig. 10Go). Such analysis reveals that in P-UAEC there is a direct correlation between NO production and Ca2+ elevation (P < 0.0005) or ERK-2 phosphorylation (P < 0.0001), and similarly between PGI2 production and Ca2+ elevation (P < 0.005) or ERK-2 phosphorylation (P < 0.0001). In NP-UAEC, however, there is no correlation between NO production and the otherwise still detectable Ca2+ elevation, whereas there is a correlation, albeit much reduced, between PGI2 production and Ca2+ elevation (P < 0.005). Thus, in physiologic terms, whereas eNOS and cPLA2 activation may be both Ca2+ and MEK-ERK-1/2 dependent, cPLA2 activation is more physiologically sensitive to Ca2+ than eNOS in the absence of dramatic ERK-1/2 activation, as observed in NP-UAEC. Both enzymes, however, show much greater Ca2+ sensitivity in response to dramatically increased MEK-ERK stimulation as seen in P-UAEC. Because Akt was not stimulated by ATP in these cells, and ATP-stimulated ERK-1/2 phosphorylation is insensitive to the PI3-kinase inhibitor LY294002 in these cells (not shown), it also appears activation of eNOS occurred independently of the previously described PI3-kinase/Akt pathway in UAEC.



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Figure 9. A, Role of Ca2+ and ERK-1/2 in ATP-stimulated NO production in P-UAEC. P-UAEC were preincubated for 60 min in Kreb’s buffer, during which cells were pretreated for the last 40 min with BAPTA-AM (10 µM) or the last 20 min with U0126 (10 µM). Cells were then treated with or without ATP 30 µM (positive control) for a further 40 min, and media collected for NO* determination. Values shown are mean ± SE from four independent experiments each. (*, P < 0.05 vs. control) and are normalized for cell protein. B, Role Ca2+ and ERK-1/2 in ATP-stimulated PGI2 production in P- and NP-UAEC. Media from P-UAEC and NP-UAEC treated as above were assayed for 6-keto PGF1{alpha} as described. Values shown are mean ± SE from four independent experiments each and are normalized for cell protein. P-UAEC (gray bar) and NP-UAEC (open bar). (*, P < 0.05 relative to control; **, P < 0.01 relative to control.)

 


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Figure 10. Correlation of dose-dependent effects of ATP on NO or PGI2 production vs. Ca2+ elevation or ERK-1/2 phosphorylation in P-UAEC or NP-UAEC. Data from Figs. 2Go, 4Go, and 8Go were compared as described in Results. Correlations for NP-UAEC (open symbols) and P-UAEC (closed symbols) are as shown and significance as indicated in Results and Discussion.

 
In summary, we have shown that ATP stimulates UAEC through a P2Y receptor, and that the response to ATP in NP-UAEC consists of a rapid mobilization of Ca2+ from intracellular stores, with a very weak but nonetheless significant acute activation of ERK-1/2. In this state, enhanced PGI2 production is observed but not NO production. Pregnancy appears to enhance this Ca2+ response to some degree but also dramatically enhances activation of the ERK-1/2 signaling pathway and is associated with a greater PGI2 and NO production in P-UAEC. The findings that eNOS as well as cPLA2 activation show different Ca2+ sensitivities and that pregnancy-associated increases in agonist-dependent ERK signaling is in turn associated with further increases in Ca2+-sensitivity of both enzymes is of the utmost importance. Pregnancy specific changes in NO and PGI2 production can now be entirely explained at the level of enhanced Ca2+ signaling combined with a far greater efficiency in ERK-1/2 signaling. This in turn strongly suggests that endothelial responsiveness of the uterine artery during pregnancy would be expected to be altered for a number of agonists acting through these same signaling pathways, and this is indeed seen to be the case in the UAEC model system (8) as well as in vivo (5, 7). Our findings also predict that during pregnancy, stimulation of UA endothelium by agonists which stimulate ERK without increased Ca2+ mobilization (AII, growth factors (8)] may well potentiate UA vasodilation by agonists (ATP and bradykinin) or physical forces (shear stress?) that can increase Ca2+ mobilization.

Although our previous data (8) as well as our findings herein provide a molecular model for changes in UA endothelial function in pregnancy, just how this pregnancyinduced change in UAEC signaling through ERK-1/2 occurs or is regulated in vivo remains unclear. ATP as well as other agonists previously tested (8) have similar Ca2+ and ERK-mediated signaling and subsequent vasodilator production responses in P-UAEC as previously reported in bovine aorta endothelial cells (BAEC) (9), and human hand vein endothelial cells from pregnant women (30). The reduced level of Ca2+ signaling in NP-UAEC is also seen in hand vein endothelial cells from nonpregnant women (30) and, more importantly, the pregnancy-specific enhancement in Ca2+ signaling is not seen in preeclamptic pregnancy (30). Thus, while a pregnancy-specific response, the differences in Ca2+ signaling is common to both uterine/reproductive and systemic/nonreproductive vasculature. In contrast, it is the NP-UAEC alone that appear unusual in their general lack of efficient coupling of agonists to ERK-1/2 signaling at a level distal to receptor occupancy and proximal to MEK activation. This specificity of changes in ERK-1/2 signaling but not Ca2+ signaling to the uterine artery endothelium suggests that different endocrine mechanisms may control these two endothelial responses through perhaps a specific paracrine vs. general endocrine mechanism, respectively. This is also consistent with the finding that the pregnancy-induced differences in uterine artery endothelial function are as much a reflection of UA endothelial under-responsiveness in the nonpregnant state as due to enhanced responsiveness in the pregnant state.

Our finding that the sensitivity of eNOS to Ca2+ is associated with changes in ERK-1/2 signaling is also of general importance to our understanding of mechanisms of Ca2+-dependent and independent eNOS activation in many other endothelial cell types. It is now generally accepted that ERK-mediated direct phosphorylation of cPLA2 brings about a dramatic increase in Ca2+ sensitivity such that almost full activity can be achieved at near resting Ca2+ levels (9). Our data likewise suggest that in the absence of significant ERK-1/2 activity, eNOS is relatively Ca2+ insensitive and that ERK-1/2 activation leads to a dramatic increase in eNOS Ca2+ sensitivity. Our findings are thus consistent with and extend those of Chen et al. (12). In contrast, a recent study in BAEC has demonstrated bradykinin induced eNOS phosphorylation in whole cells in a manner sensitive to PD98059, an inhibitor of MEK (31), but the authors also reported that such phosphorylation resulted in inhibition of eNOS activity. However, eNOS activity was determined in an immunoprecipitate, and the assay performed in a buffer containing 1 mM CaCl2. Such a high level of Ca2+ is substantially above the normal cytosolic range of 100-1000 nM, so the changes in Ca2+ sensitivity indicated by our observations would not be apparent even if they occurred. In turn we are unable to comment from our data alone whether ERK-1/2 associated increases in eNOS activity and Ca2+ sensitivity are due to direct eNOS phosphorylation by ERK, and further studies will clearly be necessary to establish this point. The UAEC cell culture model, however, clearly gives a unique system ideally suited to pursue this fundamental question of eNOS regulation.

Thus far our attention has focused on the role of Ca2+ and ERK-1/2 in controlling vasodilator production, and how this changes in UA endothelium during pregnancy. The observation that P2Y receptors couple to Ca2+ and ERK but not Akt is not, however, unique to UA endothelium, or indeed endothelium in general, and has also been reported in astrocytes (25, 26) and coronary artery smooth muscle cells (CASMC) (27, 28). It is of particular relevance that in CASMC ATP stimulation also did not result in Akt activation, but when Akt was costimulated with insulin, a hormone elevated during pregnancy, a synergistic effect was observed on mitogenesis (28). Preliminary studies suggest that P-UAEC and NP-UAEC also respond to insulin at the level of Akt phosphorylation (Sullivan, J., unpublished data). We are currently examining the possible synergy of ATP with insulin to control UA endothelial proliferation at this time.


    Footnotes
 
1 This study was conducted in partial fulfillment of M.S. requirements (of T.D.) in the Endocrine Reproductive Physiology Training Program, UW-Madison (www.erp.wisc.edu). This study was supported by awards from the USDA (9601773, 0002159) and NIH (HL-56702, HL-64601, HD-38843, HL-49210, HD-33255, and HL-57653). Back

Received January 25, 2001.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
 References
 

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