(Hypertension. 2000;36:845.)
© 2000 American Heart Association, Inc.
Scientific Contributions |
From the Department of Internal Medicine (M.M., H.S., R.S.-H., T.S.), School of Medicine, Keio University, Tokyo, Japan; and Institute of Applied Biochemistry (H.M.), University of Tsukuba, Ibaraki, Japan.
Correspondence to Hiroyuki Sasamura, MD, PhD, Department of Internal Medicine, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. E-mail sasamura{at}mc.med.keio.ac.jp
| Abstract |
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i antisense
oligonucleotides. Interestingly, studies in other cell
lines demonstrated that CGP42112A caused similar results in transfected
mesangial cells but had essentially opposite effects in
fibroblasts (NIH-3T3-AT2). These results suggest that
AT2 receptor stimulation can increase collagen synthesis in
vascular smooth muscle cells via a
G
i-mediated mechanism and provide evidence
for heterogeneity in the effects of AT2
receptor stimulation in different tissues.
Key Words: angiotensin II receptor, angiotensin II collagen muscle, smooth, vascular fibroblasts
| Introduction |
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Although the AT2 receptor is well known to be widely expressed in fetal tissues, histological confirmation of the expression of these receptors in the vasculature of normal human adults as well as rats has been provided by several groups with immunohistochemistry, in situ hybridization, and receptor binding studies.3 4 5 A recent study with adult hypertensive rats demonstrated that the stimulation of these receptors can increase the hypotensive actions of AT1 receptor antagonists, providing evidence for a role for these receptors in blood pressure control in adults.6
In addition to being a vasoconstrictor and pressor hormone, Ang II is thought to play a direct role in the development of vascular hypertrophy and fibrosis and, consequently, of the vascular thickening that is a hallmark of hypertensive and atherosclerotic vascular disease. In regard to this relationship between Ang II and vascular remodeling, previous studies from our and other laboratories have shown that the stimulation of AT1 receptors causes hypertrophy and increased extracellular matrix synthesis in vascular smooth muscle cells (VSMCs).7 8 In contrast, the effects of AT2 receptor stimulation on extracellular matrix synthesis in the vasculature have not been well defined. In vivo studies have produced only discrepant results, with some groups reporting that AT2 receptor blockade increases vascular hypertrophy,9 whereas other groups have reported that AT2 receptor blockade inhibits vascular hypertrophy and fibrosis in vivo.4 10 It is particularly important to characterize the effects of prolonged AT2 receptor stimulation on the vasculature at this time in view of the recent increase in the use of AT1 receptor antagonists for the treatment of hypertension. The use of these agents is associated with a feedback activation of the renin-angiotensin system, which results in increased stimulation of the "unprotected" vascular AT2 receptors. Thus, an understanding of the effects of AT2 receptor stimulation on different tissues is increasing in clinical relevance.
Because in vivo experiments have produced confusing results regarding the role of AT2 receptors in vascular extracellular matrix synthesis, our aim in the present study was to use a direct approach to examine the effects of AT2 receptor stimulation on collagen synthesis by VSMCs in vitro. We also examined the signal transduction mechanisms involved in the AT2 receptormediated control of collagen synthesis and then compared the effects of AT2 receptor stimulation on collagen synthesis in 4 different cell types.
| Methods |
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Analysis of AT1 and AT2 Receptor
mRNA and Binding
Expressions of AT1 and
AT2 receptor mRNA and binding in
VSMC-AT2 cells were assessed with RT-PCR and
whole cell receptor binding studies as described in detail
previously.11 13
p42/p44 Mitogen-Activated Protein Kinase and Protein
Tyrosine Phosphatase Assays
Mitogen-activated protein kinase (MAPK) activity in
CGP42112A- or Ang IItreated cells was assessed with the p42/p44 MAPK
enzyme assay system (Amersham) as described previously.14
Protein tyrosine phosphatase (PTP) activity was assessed through
dephosphorylation of a PTP-specific synthetic
phosphorylated peptide with a commercially available
kit (Takara).
Determination of Cell Proliferation
VSMCs on 24-well plates were made quiescent through placement
for 48 hours in serum-free DMEM. The cells were treated with CGP42112A
(10-7 mol/L) for 48 hours, and cell counts were
determined with a cytometer. In parallel experiments, cells were
treated in a similar manner, and then thymidine incorporation was
determined on the basis of trichloroacetic acid
precipitation.11
Determination of Collagen Synthesis
Synthesis of cell-associated and secreted collagen was
determined as reported previously.14 In brief, quiescent
VSMCs on 24-well plates were stimulated with CGP42112A
(10-7 mol/L unless otherwise stated) in the
presence of ascorbic acid (50 µg/mL) for the indicated times.
[3H]Proline (4 µCi/mL) was added during the
last 24 hours of stimulation. De novo collagen synthesis was determined
on the basis of the collagenase-sensitive proline
incorporation.
Antisense Oligonucleotide Experiments
G
i1 and
G
i3 antisense
experiments were performed with the primers and protocols described by
Wang et al.15 The sequences of the
oligonucleotides were
G
i1 sense,
5'-GGCGACGCTCGGCCAC-CATG-3';
G
i1 antisense,
5'-CATGGTGGCCGAGCGTCGCC-3';
G
i3 sense,
5'-CCTCTCCGGCCGCCGTCATG-3'; and
G
i3 antisense
5'-CATGACGGCGGCCGGAGAGG-3'. Oligonucleotides (30
µmol/L) were added to the medium 24 hours before stimulation with
CGP42112A.
Studies on Mesangial, NIH-3T3, and NRK49F
Cells
Mesangial cells from Sprague-Dawley rats were
obtained through enzymatic digestion14 and cultured in
RPMI 1640 supplemented with 10% FCS. The kidney
interstitial fibroblast cell line NRK-49F was obtained from
American Type Culture Collection and cultured in DMEM plus 10% FCS.
NIH-3T3 cells stably transfected with the AT2
receptor16 were cultured in DMEM plus 10% FCS. The
transfection of mesangial and NRK-49F cells with the
AT2 receptor was performed as described for
VSMCs.
Materials
CGP42112A was obtained from Research Biochemicals International.
Cell culture reagents were obtained from GIBCO BRL. RT-PCR reagents
were from PerkinElmer Cetus. Radiochemicals were from Amersham. All
other chemicals were from Sigma Chemical Co, unless otherwise
stated.
Statistical Analysis
Results are expressed as the mean±SEM. Statistical comparisons
were made by ANOVA followed by Fishers PLSD test for comparison
between groups. Values of P<0.05 were considered
statistically significant.
| Results |
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2:1 on binding assay (AT1 664±64,
AT2 280±48 fmol/mg protein).
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Effects of CGP42112A on MAPK and PTP Activity in
VSMC-AT2
The treatment of VSMC-AT2 with CGP42112A
(10-7 mol/L) did not cause significant changes
in MAPK activity (MAPK activity at 0 minutes 4565±442, 5 minutes
4773±276, 10 minutes 4854±250, 15 minutes 4875±106 cpm/µg protein;
n=4). On the other hand, the treatment of
VSMC-AT2 with the AT2
receptor antagonist PD123319 did cause a significant
increase in Ang IIstimulated MAPK activity, as has been reported by
other groups17 (Figure 2a).
A small (30% to 50%), dose-dependent decrease in PTP activity was
also detected after CGP42112A stimulation in these cells, which was
inhibited by pretreatment with the AT2 receptor
antagonist PD123319 but not the AT1
antagonist losartan (Figures 2b and 2c).
Further studies showed that the CGP42112A-induced decrease in PTP
activity was not seen when the cells were pretreated with pertussis
toxin (PTX) (without PTX: control 42.9±2.1, CGP42112A treated
29.9±4.0*x105 U/µg; with PTX: control
37.4±4.4, CGP42112A treated 38.2±4.3 x105
U/µg; n=4; *P<0.05 versus control).
|
Effects of CGP42112A on Cell Proliferation in
VSMC-AT2
Treatment of VSMC-AT2 with CGP42112A caused
only small, statistically insignificant changes in cell numbers (from
22 900±900 to 21 600±1400 cells per well, n=4) and thymidine
incorporation (from 3294±210 to 3568±106 cpm/well, n=4), suggesting
that CGP42112A did not have a major effect on proliferation in these
cells.
Effects of CGP42112A on Collagen Synthesis in
VSMC-AT2
In control VSMCs transfected with the vector alone, CGP42112A
treatment did not cause any change in collagen synthesis, as shown in
Figure 3a. On the other hand, the
stimulation of VSMC-AT2 with CGP42112A caused a
significant increase in collagen synthesis that was completely
inhibited by the AT2 receptor
antagonist PD123319 and unaffected by the
AT1 receptor antagonist
losartan, as shown in Figure 3b, confirming
AT2 receptormediated enhancement of collagen
synthesis. For comparison, experiments were also performed with the
agonist Ang II in the presence of AT1 and
AT2 receptor antagonists (Figure 3c). These experiments confirmed that an increase in collagen
synthesis (
1.4-fold) was seen in cells treated with an alternate
method of the AT2 receptor stimulation, namely a
combination of Ang II and losartan. Stimulation of the
AT1 receptors alone, with a combination of Ang II
and PD123319, caused a 1.7-fold increase in collagen synthesis.
Interestingly, the stimulation of both receptors with Ang II in the
absence of antagonists caused a 2.6-fold increase in
collagen synthesis, suggesting a synergistic effect of the 2 receptor
subtypes on collagen synthesis in these cells.
|
Studies on the time course and dose dependency of the effect of
CGP42112A on collagen synthesis showed a dose- and time-dependent
effect on both cell-associated and secretory collagen synthesis (Figure 4). The AT2
receptormediated effect on collagen synthesis was unaffected by
pretreatment of cells with the tyrosine phosphatase
inhibitor okadaic acid or the serine/threonine phosphatase
inhibitor sodium orthovanadate. On the other hand, the
CGP42112A-mediated enhancement of collagen synthesis was attenuated in
cells pretreated with PTX (Figure 4c). To further clarify the
role of G
i in the
AT2-mediated effect, antisense experiments were
performed with the method of Wang et al.15 As shown in the
Table, the CGP42112A-induced enhancement of
collagen synthesis was seen in cells pretreated with
G
i1 or
G
i3 sense
oligonucleotides but not in cells pretreated with the
corresponding antisense oligonucleotides.
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Effects of CGP42112A on Collagen Synthesis in
Mesangial, NIH-3T3, and NRK-49F Cells
To further examine the effects of CGP42112A on collagen synthesis
in other cell lines, AT2 receptorexpressing
mesangial cells and NRK-49F cells were produced. We also
used a previously characterized AT2
receptorexpressing embryonal fibroblast cell line,
NIH-3T3-AT2.16 Values of
AT2 receptor binding in these cells were 158±6
fmol/mg protein for AT2 receptortransfected
mesangial cells, 182±5 fmol/mg protein for NRK-49F cells,
and 247±10 fmol/mg protein for NIH-3T3-AT2
cells. The effects of CGP42112A on AT2
receptorexpressing mesangial cells were essentially
identical to the effects on VSMC-AT2 (Figure 5a). Thus, CGP42112A induced a
significant increase in collagen synthesis by mesangial
cells that was attenuated by PD123319 but not losartan. On the
other hand, the effects on NIH-3T3-AT2
fibroblasts were markedly different. As shown in Figure 5b, CGP42112A was found to cause a significant decrease in collagen
synthesis in these cells, which was attenuated by PD123319. In the case
of the fibroblast cell line NRK-49F transfected with the
AT2 receptor, the changes in collagen synthesis
did not attain statistical significance (untreated 147±5 cpm/µg
protein; CGP42112A treated 133±5 cpm/µg protein, n=4).
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| Discussion |
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The AT2 receptor has also been shown to be expressed in adult blood vessels, both in the rat and in humans. In particular, expression of the AT2 receptor in the small to medium-sized arteries of the kidney and mesenteric vasculature was confirmed by several groups through the use of in situ hybridization, immunohistochemistry, and binding assays.3 4 5 Physiological studies have suggested that these vascular AT2 receptors may be involved in vasodilation and control of regional hemodynamics,18 as well as blood pressure control.6
Although the AT2 receptor is also a member of the
superfamily of G proteincoupled heptahelical receptors, its signal
transduction appears to be quite different from that of other receptors
of this family. Interestingly, several studies have shown that the
actions of the AT2 receptor can be abolished with
PTX pretreatment, suggesting that the receptor is coupled to
G
i.1
Further support for AT2
receptorG
i coupling is
provided in studies that show the intracellular application of
anti-G
i antibodies can
attenuate AT2 receptorinduced activation of
potassium19 as well as T-type calcium
currents.20 Further downstream, AT2
receptor stimulation has been shown to modulate PTP activity (for a
review, see Inagami1 ).
In terms of the effects of Ang II on extracellular matrix, previous studies from our and other laboratories have shown that Ang II causes hypertrophy as well as increased collagen synthesis in VSMC via an AT1 receptormediated mechanism.7 8 It is puzzling that the AT2 receptor has been suggested to inhibit vascular hypertrophy in vivo by some investigators9 and to enhance vascular hypertrophy and collagen accumulation by others.4 10 These findings were based on experiments conducted with the AT2 receptor antagonist PD123319 in vivo.
In the present study, we designed an in vitro strategy to examine the direct effects of AT2 stimulation on collagen synthesis in VSMCs. To circumvent problems caused by potential incomplete inhibition of receptors at low concentrations of losartan and PD123319 on the one hand and by potential cross-inhibition of AT receptor subtypes at high concentrations on the other, we stimulated our cells with the AT2-specific ligand CGP42112A. The fact that simultaneous stimulation with Ang II and losartan produced the same effect as CGP42112A suggested that the latter acted as an agonist, as reported previously.16 This was underscored in the present study by the fact that the AT2 receptor antagonist PD123319 inhibited the CGP42112A-induced effects in our cells.
Although AT2 receptors have been reported to be expressed in the vasculature of adult rats,5 their expression was undetectable with RT-PCR in cultured VSMCs, presumably because AT2 receptors are easily lost after subculturing.21 We therefore supplemented the VSMCs with AT2 receptors through gene transfer to mimic the situation of the vasculature in vivo. Previous studies have shown that pretreatment with AT2 receptor antagonist PD123319 can enhance AT1 receptorstimulated MAPK activation,17 and we noted the same phenomenon in the present study with these cells. AT2 receptor stimulation has been reported to be able to cause both an increase and a decrease in PTP activity1 ; in the present study, we detected a small decrease in PTP activity after CGP42112A stimulation.
In the VSMC-AT2 cells, stimulation of the
AT2 receptor caused a dose- and time-dependent
increase in collagen synthesis. The mechanism was different from
AT1 receptorinduced enhancement of collagen
synthesis, which has been shown to involve p42/p44 MAPK, because no
significant change in p42/p44 MAPK activity was seen after CGP42112A
stimulation. We found that the AT2
receptormediated enhancement of collagen synthesis was attenuated by
PTX treatment, suggesting the involvement of
G
i in the
AT2-induced effects. Moreover, pretreatment of
cells with anti-G
i
antisense oligonucleotides provided similar results in
response to PTX pretreatment, further supporting a role for
G
i in the
AT2 receptormediated effect on collagen
synthesis. PTX treatment was also effective in attenuating the
CGP42112A-induced decrease in PTP activity that we noted in these
cells. Interestingly, the experiments that compared the effects of
AT1 and AT2 receptor
stimulation suggested a synergistic effect of the 2 receptor subtypes
on collagen synthesis in these cells. These data point to the need for
further studies to clarify the intracellular signaling events
downstream of G
i, which
may be involved in the observed effects of the
AT2 receptor on collagen synthesis.
Recently, the effect of the AT2 receptor on extracellular matrix synthesis in a nonvascular tissue was studied by another group. Ohkubo et al22 examined cardiac fibrosis in myopathic hamsters and found clear evidence that AT2 receptor stimulation is associated with decreased collagen synthesis in the cardiac fibroblasts of these rats. To reconcile the conflicting reports concerning the effects of AT2 receptor stimulation on extracellular matrix synthesis in vivo, we went on to examine the effects of AT2 receptor stimulation in different cell types. In the case of mesangial cells, we found similar results to those with VSMCs. However, in fibroblasts, our results were markedly different from the results in VSMCs and mesangial cells and revealed tissue specificity in the actions of the AT2 receptor on extracellular matrix synthesis. One caveat in the interpretation of these results is that the data reflect the situation in vitro with an "artificial" overexpression system. However, the fact that our in vitro results are in good agreement with in vivo reports that PD123319 decreased fibrosis in the rat vasculature and increased fibrosis in the hearts of cardiomyopathic hamsters4 10 22 suggests that our in vitro results are relevant to the in vivo situation.
What are the implications of the findings of the present study? First, as noted in the introduction, an increasing number of patients are starting on AT1 receptor antagonists for the treatment of hypertension. The feedback activation of the renin-angiotensin system results in enhanced AT2 receptor stimulation. The results of the present study suggest that this could have multiple effects on remodeling in different tissues.
Second, the results of the study have suggested the existence of an
AT2 receptorinduced and
G
i-mediated pathway for
the control of vascular collagen synthesis. Increased extracellular
matrix synthesis plays an important role in the progression not
only of hypertensive and atherosclerotic vascular disease but also of
heart disease. Specific examples include myocardial scarring after
myocardial infarction, cardiomyopathy associated
with connective tissue diseases such as systemic sclerosis, and other
causes of restrictive cardiomyopathy. Therefore,
further study of the mechanisms involved may help to design new
strategies to control the pathological accumulation of extracellular
matrix in disease states.
Third, AT2 receptor stimulation was found to cause apparently opposite effects on collagen synthesis in different tissues. To our knowledge, this is the first description of bidirectional control of extracellular matrix synthesis by a G proteincoupled receptor. At the present, we do not know the reason for the striking tissue variability in the effect of the AT2 receptor, but we speculate that AT2 receptormediated signal transduction may be strongly modulated by interaction with other tissue-specific factors. In conclusion, our results provide strong evidence that further study of the AT2 receptor will provide us with a unique opportunity to understand previously unrecognized facets of the control of collagen synthesis in different tissues.
| Acknowledgments |
|---|
Received February 28, 2000; first decision March 16, 2000; accepted May 10, 2000.
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G. Wolf The road not taken': role of angiotensin II type 2 receptor in pathophysiology Nephrol. Dial. Transplant., February 1, 2002; 17(2): 195 - 198. [Full Text] [PDF] |
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L. Wu, M. Iwai, H. Nakagami, R. Chen, J. Suzuki, M. Akishita, M. de Gasparo, and M. Horiuchi Effect of Angiotensin II Type 1 Receptor Blockade on Cardiac Remodeling in Angiotensin II Type 2 Receptor Null Mice Arterioscler Thromb Vasc Biol, January 1, 2002; 22(1): 49 - 54. [Abstract] [Full Text] [PDF] |
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R. Shimizu-Hirota, H. Sasamura, M. Mifune, H. Nakaya, M. Kuroda, M. Hayashi, and T. Saruta Regulation of Vascular Proteoglycan Synthesis by Angiotensin II Type 1 and Type 2 Receptors J. Am. Soc. Nephrol., December 1, 2001; 12(12): 2609 - 2615. [Abstract] [Full Text] [PDF] |
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C. Berry, R. Touyz, A. F. Dominiczak, R. C. Webb, and D. G. Johns Angiotensin receptors: signaling, vascular pathophysiology, and interactions with ceramide Am J Physiol Heart Circ Physiol, December 1, 2001; 281(6): H2337 - H2365. [Abstract] [Full Text] [PDF] |
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D. Henrion, N. Kubis, and B. I. Levy Physiological and Pathophysiological Functions of the AT2 Subtype Receptor of Angiotensin II: From Large Arteries to the Microcirculation Hypertension, November 1, 2001; 38(5): 1150 - 1157. [Abstract] [Full Text] [PDF] |
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H. D. Intengan and E. L. Schiffrin Vascular Remodeling in Hypertension: Roles of Apoptosis, Inflammation, and Fibrosis Hypertension, September 1, 2001; 38(3): 581 - 587. [Abstract] [Full Text] [PDF] |
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S. Ichihara, T. Senbonmatsu, E. Price Jr, T. Ichiki, F. A. Gaffney, and T. Inagami Angiotensin II Type 2 Receptor Is Essential for Left Ventricular Hypertrophy and Cardiac Fibrosis in Chronic Angiotensin II-Induced Hypertension Circulation, July 17, 2001; 104(3): 346 - 351. [Abstract] [Full Text] [PDF] |
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L. H. Opie and M. N. Sack Enhanced Angiotensin II Activity in Heart Failure : Reevaluation of the Counterregulatory Hypothesis of Receptor Subtypes Circ. Res., April 13, 2001; 88(7): 654 - 658. [Abstract] [Full Text] [PDF] |
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C. Chassagne, C. Adamy, P. Ratajczak, B. Gingras, E. Teiger, E. Planus, P. Oliviero, L. Rappaport, J.-L. Samuel, and S. Meloche Angiotensin II AT2 receptor inhibits smooth muscle cell migration via fibronectin cell production and binding Am J Physiol Cell Physiol, April 1, 2002; 282(4): C654 - C664. [Abstract] [Full Text] [PDF] |
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