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Departments of Medicine, Cell Biology, Biochemistry, and Pharmacology, Divisions of Nephrology and Hypertension and Clinical Pharmacology, The Vanderbilt Center for Vascular Biology, Vanderbilt Cancer Center, Vanderbilt University, Nashville, Tennessee 3723
| ABSTRACT |
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| Introduction |
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COX-2 expression or function is induced in cultured endothelial cells in response to phorbol esters (5
, 6)
, basic FGF (7)
, hypoxia (8)
, cyclic strain (9)
, thrombin, interleukin 1
(10)
, or interleukin 1ß (11)
. Hypoxia (12)
or lipopolysaccharide administration (13)
induce microvascular endothelial COX-2 expression in situ. Moreover, COX-2 inhibitors have been shown to decrease urinary excretion of prostacyclin, a major product of vascular endothelium in human subjects (14)
. These findings motivated our efforts to identify a COX-2 product or products that are capable of functioning as intermediaries of angiogenesis.
| Materials and Methods |
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Endothelial Migration.
Confluent human renal microvascular endothelial cells were grown to confluency and serum-depleted in medium containing 1% (w/v) bovine albumin for 18 h prior to assay (16)
. Triplicate circular "wounds" (600900 µm in diameter) were generated in confluent endothelial monolayers within a single well, using a rotating silicon-tipped drill bit mounted on a drill press, to avoid scoring subjacent surfaces. Medium was supplemented at the time of wounding with test agents at concentrations indicated in the figures. Residual fractional wound areas were measured using a Bioquant (Nashville, TN) software package calibrated to a Nikon Diaphot microscope. Mean fractional residual areas of three wounds, calculated at each of two or three time points (see Fig. 1b
), were used to derive linear regressions, reflecting migration rates (expressed as percentage closure per h ± 95% confidence intervals).
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| Results and Discussion |
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were the dominant PMA-induced products, and induced endothelial production of each was blocked by coincident exposure to a COX-2-selective inhibitor. Notably, basal endothelial capacity to produce these metabolites was maintained in the presence of COX-2 inhibition, consistent with production by constitutive endothelial COX-1.
To assess functional consequences of endothelial COX-2 inhibition, we evaluated endothelial motility. The rates at which endothelial cell migration closed replicate circular wounds in confluent monolayers were determined by quantitating residual wound areas in digital images that were captured at multiple points during a 12-h time course. PMA reproducibly stimulated the rate of endothelial migration over that of untreated cells (Fig. 1b)
, and the PMA-induced migration was blocked by two different COX-2-selective inhibitors, NS398 and VU08.
The effect of COX-2 inhibition to reduce endothelial production of eicosanoids, coupled with its effect to inhibit endothelial migration, led us to ask whether supplementation with specific eicosanoids would reconstitute PMA-induced migration in the presence of COX-2 inhibition. Shown in Fig. 2a
, the TXA2 mimetic, U46619, reconstituted a near full migratory response to PMA under COX-2-inhibited conditions. Because endothelial cells produce TXA2 (Ref. 18
; Fig. 1a
) and express functional TXA2 receptors (19)
, we evaluated further the effects of U46619 and the thromboxane receptor antagonist, SQ29548.
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0.1 µM, also consistent with its reported affinity for thromboxane receptors (20)
. U46619 alone did not stimulate migration rates above basal levels in the absence of PMA (data not shown), suggesting TXA2 participates as a requisite but permissive contributor to induced migration.
To test the hypothesis that TXA2 may be a mediator of angiogenic responses promoted by COX-2, we evaluated effects of systemic COX-2 inhibition upon corneal angiogenesis in a mouse pellet implantation model. Systemic administration of a selective COX-2 inhibitor imposed a marked inhibitory effect on the angiogenic response to basic FGF in the corneal model, reducing the area vascularized by 52% and the density of vascularity within that area by 80% (Fig. 3a)
. This provided strong evidence that a COX-2 metabolite participates in angiogenic responses to FGF.
Consistent with a role for TXA2, local administration of the TXA2 receptor antagonist, SQ29548, in the corneal pellet inhibited FGF-stimulated angiogenesis, reducing the vascularized area by 40% and the vascular density within that vascularized area by 51% (Fig. 3b)
. Although vascular flow in the ocular circulation is sensitive to TXA2 mimetics (21)
, the response is vasoconstrictive, and the TXA2 receptor antagonist should promote vasodilatation and capillary filling rather than the attenuation we observed. Thus, TXA2 appears to function as an in vivo mediator of FGF-stimulated angiogenesis.
The action of the TXA2 agonist U46619 to reconstitute endothelial migration under COX-2-inhibited conditions (Fig. 2a)
suggested the possibility of reconstituting corneal angiogenic responses to bFGF in the setting of systemic COX-2 inhibition. Shown in Fig. 4
, locally administered U46619 showed a striking capacity to repair the attenuated angiogenic response seen in the setting of COX-2 inhibition, returning the vascularized area to 80% and the vascular density within that area to 95% of levels achieved with FGF in the absence of COX-2 inhibition. U46619 alone was not angiogenic, and it did not amplify on the bFGF response in animals with intact COX-2 function (vehicle).
These findings provide in vivo validation of a critical role for TXA2 in neovascularization responses. Extrapolation from the endothelial migration responses in vitro (Fig. 2a)
suggests that a critical threshold level of TXA2 is required to support angiogenesis in this system, one that is not met under non-COX-2-induced conditions. Although COX-2 induction may lead to endothelial production of TXA2, other cellular sources may be relevant in the context of neovascularization in specific tissue circumstances.
Platelets generate TXA2 from endogenous COX-1-derived substrate prostaglandin H2 and can convert endothelial-derived prostaglandin H2 to TXA2 (22) . We speculate that TXA2 from either source may support angiogenesis adjacent to microthrombi in tumors and other vascular sites. Indeed, reported effects of thromboxane synthase inhibitors and thromboxane receptor antagonists to inhibit metastatic behavior of tumor cells in mouse models were attributed to interruption of adhesive platelet interactions with tumor cells (23) . Our findings suggest that TXA2 axis antagonists may, alternatively, act primarily to inhibit endothelial responses to angiogenic peptides that are required for tumor vascularization and metastasis. TXA2 axis antagonists may retain antiangiogenic activity under circumstances in which COX-2 inhibition is ineffective in eliminating TXA2 production that is dependent upon COX-1-derived substrate.
Although TXA2 receptor null mice show no overt developmental vascularization defects or disorders of pregnancy, gestation, or delivery (24)
, other critical mediators of neovascularization in mature animals, such as
vß3, are not required for developmental vascularization to proceed (25)
. The requirement for thromboxane receptors to mediate COX-2 induced responses provides a focal point for intervention and a rationale for application of thromboxane receptor and synthase antagonists to potentiate therapeutic efficacy of COX-2 inhibitors.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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1 This work was supported by USPHS Awards RO1 DK38517 and P50 DK39261(to T. O. D.), CA47479 (to L. J. M.), and DK48831, GM42056, DK26657, and GM15431 (to J. D. M.) as well as a by a center grant from the National Cancer Institute (Grant CA68485) . J. D. M. is the recipient of a Burroughs-Wellcome Fund Clinical Scientist Award in Translational Research. The T. J. Martell Foundation provided support critical to this work. ![]()
2 To whom requests for reprints should be addressed, at Division of Nephrology, MCN S3223, Vanderbilt University Medical Center, Nashville, TN 37232-2372. Phone: (615) 343-8496; Fax: (615) 343-7156; E-mail: tom.daniel{at}mcmail.vanderbilt.edu ![]()
3 The abbreviations used are: COX-2, cyclooxygenase-2; FGF, fibroblast growth factor; bFGF, basic FGF; TXA2, thromboxane A2; PMA, phorbol myristate acetate. ![]()
Received 5/21/99. Accepted 8/ 2/99.
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