Interdepartmental Program in Vascular Biology and Therapeutics, Yale University School of Medicine, New Haven, Connecticut 06520-8089, USA.
J Surg Res. 2013 Jul;183(1):478-86. doi: 10.1016/j.jss.2013.01.009. Epub 2013 Feb 1.
During vein graft adaptation to the arterial circulation, vascular endothelial growth factor (VEGF) A expression transiently increases before becoming downregulated; however, the role of VEGF-A in venous remodeling is not clear. In addition, although VEGF-A stimulates angiogenesis and determines arterial identity in nascent arterial endothelial cells (EC), the role of VEGF-A in regulating identity in adult venous EC is also not clear.
EC, wild type (EphB4+/+) or heterozygous knockout (EphB4+/-), were stimulated with VEGF-A (0-100 ng/mL) and examined with quantitative polymerase chain reaction and western blotting.
VEGF-A (100 ng/mL) inhibited expression of EphB4 and stimulated expression of delta-like ligand 4 (dll4) but did not stimulate either notch or EphrinB2 expression in adult venous EC. Pretreatment with VEGF receptor 2-neutralizing antibody abolished VEGF-stimulated downregulation of EphB4 but not the upregulation of dll4. Pretreatment with PD98059 or wortmannin showed that VEGF-A downregulation of EphB4 and upregulation of dll4 are mitogen-activated protein kinase kinase and extracellular signal-regulated kinase dependent but phosphatidylinositol 3 kinase-Akt independent. Compared with VEGF-induced EphB4 downregulation and dll4 upregulation in control EC, reduced EphB4 signaling in EphB4+/- EC showed even further downregulation of EphB4 and upregulation of dll4.
Despite the genetic programming of arterial and venous EC fate, VEGF-A can repress venous identity in adult venous EC without induction of arterial identity. These changes in adult EC in vitro recapitulate the changes in identity described during vein graft adaptation to the arterial environment in vivo.
在静脉移植物适应动脉循环的过程中,血管内皮生长因子(VEGF)A 的表达在下调之前会短暂增加;然而,VEGF-A 在静脉重塑中的作用尚不清楚。此外,尽管 VEGF-A 可刺激血管生成并在新生动脉内皮细胞(EC)中决定动脉特性,但 VEGF-A 在调节成年静脉 EC 特性方面的作用也不清楚。
用 VEGF-A(0-100ng/ml)刺激 EC,野生型(EphB4+/+)或杂合子敲除(EphB4+/-),并用定量聚合酶链反应和 Western blot 进行检测。
VEGF-A(100ng/ml)抑制 EphB4 的表达并刺激 delta-like 配体 4(dll4)的表达,但在成年静脉 EC 中不刺激 notch 或 EphrinB2 的表达。VEGF 受体 2 中和抗体预处理可消除 VEGF 刺激的 EphB4 下调,但不影响 dll4 的上调。PD98059 或 wortmannin 的预处理表明,VEGF-A 下调 EphB4 和上调 dll4 依赖于丝裂原活化蛋白激酶激酶和细胞外信号调节激酶,但不依赖于磷脂酰肌醇 3 激酶-Akt。与对照 EC 中 VEGF 诱导的 EphB4 下调和 dll4 上调相比,EphB4+/-EC 中 EphB4 信号的降低导致 EphB4 进一步下调和 dll4 上调。
尽管动脉和静脉 EC 命运受到基因编程的影响,但 VEGF-A 可在没有诱导动脉特性的情况下抑制成年静脉 EC 的静脉特性。这些体外 EC 特性的改变重现了体内静脉移植物适应动脉环境过程中描述的特性改变。