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Hypertension. 1995;25:449-452

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(Hypertension. 1995;25:449-452.)
© 1995 American Heart Association, Inc.


Articles

Pressure Enhances Endothelin-1 Release From Cultured Human Endothelial Cells

Keiich Hishikawa; Toshio Nakaki; Takeshi Marumo; Hiromichi Suzuki; Ryuichi Kato; Takao Saruta

From the Departments of Internal Medicine and Pharmacology (T.N., R.K.), Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan.

Correspondence to Toshio Nakaki, MD, PhD, Department of Pharmacology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160 Japan.


*    Abstract
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*Abstract
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Abstract The effect of pure pressure without shear stress or stretch on the release of endothelin-1 was investigated. Elevation of pressure significantly enhanced endothelin-1 release from cultured human umbilical vein endothelial cells. A calcium channel blocker, nifedipine, and a putative stretch-activated channel blocker, gadolinium, did not affect the pressure-induced endothelin-1 increase. On the other hand, a phospholipase C inhibitor, 2-nitro-4-carboxyphenyl-N,N-diphenylcarbamate, and protein kinase C inhibitors, 1-5-(isoquinolinylsulfonyl)-2-methylpiperazine and chelerythrine, significantly inhibited the pressure-induced endothelin-1 increase. Moreover, pure pressure reduced basal nitric oxide release, while pretreatment with a nitric oxide synthase inhibitor, NG-monomethyl-L-arginine, had no effect on the pressure-induced endothelin-1 increase. In conclusion, our results show for the first time that pressure enhances endothelin-1 release partially through activation of phospholipase C and protein kinase C in human endothelial cells.


Key Words: endothelin-1 • mechanoreception • Ca2+ channel • stretch • pressure • nitric oxide


*    Introduction
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*Introduction
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Endothelin-1 (ET-1), a 21–amino acid peptide produced primarily in endothelial cells, is the most powerful endogenous vasoconstrictor agent,1 but the role of ET-1 in hypertension is still unclear. Plasma ET-1 concentrations in experimental and human hypertension are similar to or slightly higher than those in normotensive control subjects.2 3 4 5 Therefore, it is important to clarify the regulatory mechanism of ET-1 production by endothelial cells. It has been become clear recently that hemodynamic forces play an important role in the structure and function of vascular endothelial cells. The physical forces exerted on the blood vessel wall by the passage of intraluminal blood are pressure and shear stress. Pressure is exerted radially at right angles to the axis of flow, leads to tangential strain on the wall, and secondarily causes stretch. Shear stress, on the other hand, is exerted in the same axis as flow. The effect of shear stress on the release of various vasoactive substances6 7 8 has been investigated extensively, while the effect of pressure itself is not well understood. We recently devised a new method of studying pressure effects and reported that transmural pressure inhibits nitric oxide (NO) release from human endothelial cells.9 It was also found that pressure increases the production of 1,4,5-inositol trisphosphate in rat cultured vascular smooth muscle cells.10 11 This study was designed to investigate whether and how pressure modulates ET-1 release from human endothelial cells.


*    Methods
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Materials
Nifedipine, 2-nitro-4-carboxyphenyl-N,N-diphenylcarbamate (NCDC), and NG-monomethyl-L-arginine (NMMA) were purchased from Sigma Chemical Co. Gadolinium chloride hexahydrate, 1-(5-isoquinolinylsulfonyl)-2-methylpiperazine (H-7), and N-(2-guanidinoethyl)-5-isoquinolinesulfonamide hydrochloride (HA1004) were purchased from Seikagaku Kogyo Co. Chelerythrine was purchased from LC Laboratories. Fetal calf serum (FCS) was purchased from Mitsubishi-Kasei. Endothelial cell growth supplement was purchased from Sigma Chemical Co. Collagen-coated 24-well plates were purchased from Corning and 175-cm2 film panel flasks (EZIN Flasks) were purchased from Nunc Inc.

Cells
Human umbilical vein endothelial cells (HUVEC) were prepared from human umbilical cord veins according to the method described by Jaffe et al, with some minor modifications.9 The study protocol was previously approved by the ethics committee of the Keio University Hospital. HUVEC were cultured on collagen-coated 24-well plates in M199 medium supplemented with 10% FCS, 30 µg/mL endothelial cell growth supplement, and 6 U/mL heparin at 37°C under 5% CO2 in air. Cells harvested between passages 3 and 5 were used for the experiments. At the end of each experiment, the 24-well plates were washed with Hanks' solution, and HUVEC were detached with 1% trypsin-EDTA. An aliquot of the suspension was counted to obtain the cell number with a Hemacytometer (Kayagaki Co). The result presented is an average of four fields. Cells were seeded with 2x104 cells per well, and the number of cells did not change over the course of experiments.

Pressure-Loading Apparatus
A pressure-loading apparatus was set up as previously reported9 10 11 with some modification. Collagen-coated 24-well plates were placed in a film panel flask by peeling off the upper plastic film, and the flask was then tightly resealed. The flasks were tightly clamped between two iron plates, and the top of each flask was sealed with a rubber cap. The rubber cap was pierced by a needle connected to tubing attached to a three-way rotary valve, a sphygmomanometer, and a pressure valve. Compressed helium gas was pumped in to raise the internal pressure. Cell number was calculated at the end of each experiment, but there were no significant changes among experiments. Cell viability determined by trypan blue exclusion test at the end of the studies exceeded 90% in each experiment. Lactate dehydrogenase enzymatic activity was examined in some experiments, but no significant changes were found.

Assay of ET-1
Confluent cells were incubated for 2 to 8 hours in 1 mL serum-free medium containing various kinds of drugs or vehicle under various pressures. After incubation, the medium was collected in tubes and stored at -80°C until assay. The concentration of ET-1 was measured with a sandwich-enzyme immunoassay kit (IBL 17121, Immuno Bio Laboratory),12 which detects only intact, active protein of ET-1.

Assay of NO
HUVEC were incubated for 8 hours in serum-free medium at atmospheric pressure and at 80 mm Hg. After incubation, the medium was collected and stored at -20°C until assay. NO production was evaluated by measurement of the stable end products of NO, NO2-, and NO3- with the Griess reaction, as described previously.13

Statistical Analysis
Results are expressed as mean±SEM. The statistical significance of the results was evaluated with ANOVA, and probability values were determined by Student's t test.


*    Results
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Effect of Pressure on ET-1 Production From HUVEC
When confluent HUVEC were incubated with serum-free medium for 8 hours at atmospheric pressure and at 80 mm Hg, ET-1 production increased linearly with time (Fig 1). The pressure-induced increase in ET-1 release from HUVEC was enhanced by elevation of the pressure from 40 to 160 mm Hg in a pressure-dependent manner (Fig 2).



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Figure 1. Line graph shows endothelin-1 (ET-1) concentration from cultured human umbilical vein endothelial cells at atmospheric pressure ({circ}) and at 80 mm Hg ({bullet}) as a function of time. Each point represents the value obtained from a separate well. Values are mean±SEM (n=8). *P<.05 vs the value of 0 mm Hg at each time.



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Figure 2. Bar graph shows dose-response curve for the pressures at which endothelin-1 (ET-1) release was observed. Each pressure-induced ET-1 increase was defined by subtracting values obtained at 0 mm Hg from those with applied pressure. Values are mean±SEM (n=8). *P<.05 vs the value of 40 mm Hg at each time.

Role of Voltage-Dependent Ca2+ Channel and Stretch-Activated Channel in Pressure-Induced ET-1 Increase
HUVEC were pretreated with a voltage-dependent Ca2+ channel blocker, nifedipine, and an inhibitor of stretch-activated channels, gadolinium, and then pressurized for 8 hours at 80 mm Hg. The level of ET-1 in the medium was determined. Each pressure-induced ET-1 increase was defined by subtraction of values obtained at 0 mm Hg from those with applied pressure. Nifedipine showed no effect on the pressure-induced ET-1 increase (Fig 3). Gadolinium, in the 1 to 10 µmol/L range, reportedly produces dose-dependent inhibition of stretch-activated current14 15 and stretch-induced arrythmias.16 We initially applied a 10-µmol concentration, but this caused cell death in just over half the HUVEC at 80 mm Hg. Therefore, we used 1 or 3 µmol/L. Neither of these concentrations affected the pressure-induced ET-1 increase (Fig 3).



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Figure 3. Bar graph shows the effects of nifedipine and gadolinium on the pressure-induced endothelin-1 (ET-1) increase. Each pressure-induced ET-1 increase was defined by subtracting values obtained at 0 mm Hg from those with applied pressure. Values are mean±SEM (n=8). Vehicle indicates incubated with medium only; Nif, incubated with nifedipine (5 µmol/L) at 80 mm Hg; Gd 1, incubated with 1 µmol/L gadolinium at 80 mm Hg; and Gd 3, incubated with 3 µmol/L gadolinium at 80 mm Hg.

Role of Phospholipase C and Protein Kinase C in Pressure-Induced ET-1 Increase
To clarify the contribution of phospholipase C in the pressure-induced ET-1 increase, HUVEC were pretreated with NCDC and then pressurized for 8 hours at 80 mm Hg. Pretreatment with NCDC significantly inhibited the pressure-induced ET-1 increase at 80 mm Hg (Fig 4). Furthermore, to investigate the contribution of protein kinase C in this pressure-induced ET-1 increase, HUVEC were pretreated with protein kinase C inhibitor. Pretreatment with H-7 significantly inhibited the pressure-induced ET-1 increase at 80 mm Hg compared with an equimolar amount of the nonspecific protein kinase inhibitor HA1004. Chelerythrine chloride (0.6 µmol/L), a selective protein kinase C inhibitor, also significantly inhibited the pressure-induced ET-1 increase.



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Figure 4. Bar graph shows the effects of phospholipase C and protein kinase C inhibitors on pressure-induced endothelin-1 (ET-1) increase. Each pressure-induced ET-1 increase was defined by subtracting values obtained at 0 mm Hg from those with applied pressure. Vehicle indicates 0.1% dimethyl sulfoxide (DMSO); NCDC, incubated with 2-nitro-4-carboxyphenyl-N,N-diphenylcarbamate (200 µmol/L) under 80 mm Hg; HA, incubated with HA1004 (30 µmol/L) under 80 mm Hg; H7, incubated with H-7 (30 µmol/L) under 80 mm Hg; and chele, incubated with chelerythrine (0.6 µmol/L) at 80 mm Hg.

Role of NO in Pressure-Induced ET-1 Increase
To investigate the contribution of NO in pressure-induced NO release, NO and ET-1 release were measured simultaneously both under atmospheric conditions and after 80 mm Hg for 8 hours. Basal NO release was significantly inhibited by pressurization at 80 mm Hg (Fig 5A). Although pretreatment with NMMA virtually abolished NO release under atmospheric conditions and at 80 mm Hg, it had no effect on ET-1 release under either condition (Fig 5B).



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Figure 5. Bar graphs show the effects of pressure and 500 µmol/L of NG-L-monomethyl-arginine (NMMA) on (A) nitric oxide (NO) and (B) endothelin-1 (ET-1) release. Human umbilical vein endothelial cells were incubated both under atmospheric conditions and at 80 mm Hg, with and without NMMA, for 8 hours. *P<.05 vs atmospheric condition without NMMA. **P<.05 vs atmospheric condition without NMMA. ***P<.05 vs atmospheric condition with NMMA.


*    Discussion
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*Discussion
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The major finding of the present study is that pressure elevation enhances ET-1 release from HUVEC. It is possible that the pressure-induced ET-1 increases are attributable simply to an increase in cell number. In fact, Tokunaga and Watanabe17 and Sumpio et al18 reported that 48 hours of pressurization increased endothelial cell numbers. We also recently reported that 24 to 48 hours of pressurization increased cell numbers in cultures of rat vascular smooth muscle cells.11 There were, however, no significant differences in cell number among the experiments conducted in the present study. Eight hours may be too short a period to directly cause cell proliferation in response to pressure. These results show that the pressure-induced ET-1 increase was not caused by an increase in cell number. Furthermore, our results suggest that pressure causes proliferation of endothelial cells not only directly but also by a secondary effect, a growth factor19 mediated by the pressure-induced ET-1 increase.

Although confluent HUVEC attached to a solid plate can be subjected to pure pressure with minimal participation of pressure-induced stretch, we cannot completely exclude the possibility that pressure-induced stretch occurred. To clarify the contribution of stretch in pressure-induced ET-1 release, HUVEC were pretreated with gadolinium, a putative blocker of stretch-activated channels that has a calcium channel blocking effect. Gadolinium (1 to 3 µmol/L) had no effect at either dose used. Agonist-mediated stimulation of ET-1 release has been shown to be mediated by increased intracellular calcium and activation of protein kinase C pathways.20 21 To test the possibility that pressure-induced ET-1 release is mediated by Ca2+ channel modulation, HUVEC were also pretreated with a calcium channel blocker before being pressurized. We were unable to demonstrate any inhibition of pressure-induced ET-1 release with nifedipine. These results clearly show that the pressure-induced ET-1 increase is mediated by neither stretch-activated channels nor voltage-dependent Ca2+ channels and that the pressure produced with our method is different from stretch.

We recently demonstrated that pressure causes phosphoinositide turnover in vascular smooth muscle cells.10 11 In addition, shear stress–induced ET-1 release has been reported to be regulated by protein kinase C.8 We have hypothesized that pressure-induced ET-1 release is regulated by a pressure-induced phosphoinositide turnover and activation of protein kinase C. NCDC, a serine esterase inhibitor, has a well-defined specificity for the active site of phospholipase C and inhibits phosphoinositide-specific phospholipase C.22 NCDC significantly inhibited pressure-induced ET-1 release. The Ki of H-7 for protein kinase G, A, and C are 5.8, 3.0, and 6.0 µmol/L, respectively. The Ki of HA1004 for protein kinase G, A, and C are 1.3, 2.3, and 40 µmol/L, respectively. The pressure-induced ET-1 increase was significantly inhibited by 30 µmol/L of H-7 but not by HA1004. Chelerythrine chloride, a selective protein kinase C inhibitor, significantly inhibited pressure-induced ET-1 release at 80 mm Hg but could not completely inhibit pressure-induced ET-1 release. These results show that the pressure-induced ET-1 increase may be mediated partially by the activation of phospholipase C and protein kinase C. The possibility of mediation by another pathway, however, such as activation of tyrosine kinase11 cannot be ruled out.

NO released during stimulation with thrombin has been reported not only to antagonize the effect of ET-1 but also to inhibit the agonist-stimulated production of ET-1 in endothelial cells.23 To investigate the role of NO in pressure-induced ET-1 release, HUVEC were pressurized at 80 mm Hg for 8 hours, and NO and ET-1 release was measured simultaneously. Basal NO production was significantly inhibited by pressure, as in the case of histamine-stimulated NO release.9 Pretreatment with NMMA, an NO synthase inhibitor, virtually abolished NO release both under atmospheric conditions and at 80 mm Hg but had no effect on ET-1 release under either condition. These results indicate that the pressure-induced ET-1 increase is not secondarily enhanced by reduced production of basal NO. The basal level of NO may be too low to inhibit ET-1 release, possibly accounting for the fact that NO inhibition has no effect on ET-1 release. Recently, Marsden et al24 reported that an AP-2–like element25 exists in human endothelial NO synthase gene. Taken together, these results suggest that a pressure-induced ET-1 increase may be attributable partially to activation of protein kinase C and that basal NO release declines after inactivation of NO synthase owing to protein kinase C activation.

In the hypertensive state, the endothelial layer is exposed to mechanical stresses such as shear stress, stretch, and pressure. Pressure has been reported to cause cell proliferation17 18 and to modulate prostacyclin synthesis17 in endothelial cells. The pressure-mediated pathway, however, has been poorly understood. Although the contribution of a protease,26 which inactivates ET-1, to the pressure-induced ET-1 increase cannot be ruled out, our results show for the first time that pressure enhances ET-1 release by partially activating phospholipase C and protein kinase C rather than by activating calcium- and stretch-activated channels. These results support the concept that not only shear stress and stretch but also pressure, as a mechanical stress, play an important role in regulating endothelial function.


*    Acknowledgments
 
This work was supported in part by the Mitsukoshi Prize of Medicine 1992 and by a grant-in-aid for general scientific research from the Ministry of Education, Science and Culture of Japan.

Received May 24, 1994; first decision July 22, 1994; accepted November 29, 1994.


*    References
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*References
 

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