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Development 130 (2): 411-423
A critical role for elastin signaling in vascular morphogenesis and disease
Satyajit K. Karnik1,2,*,
Benjamin S. Brooke1,2,*,
Antonio Bayes-Genis3,*,
Lise Sorensen1,
Joshua D. Wythe1,2,
Robert S. Schwartz4,
Mark T. Keating5, and
Dean Y. Li1,2,
1 Program in Human Molecular Biology and Genetics, University of Utah, Salt Lake
City, UT, USA
2 Department of Medicine and Oncological Science, University of Utah, Salt Lake
City, UT, USA
3 Hospital Sant Pau, Barcelona, Spain
4 Minnesota Cardiovascular Research Institute, Minneapolis, MN, USA
5 Howard Hughes Medical Institute, Department of Cell Biology, Harvard Medical
School, Department of Cardiology, Children's Hospital, Boston, MA, USA

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Fig. 1. Elastin inhibits proliferation of vascular smooth muscle cells. (A) RT-PCR
experiments confirm that murine vascular smooth muscle cells lines express
cell specific markers. The elastin gene product is detected in
Eln+/+ and not Eln-/- cells.
Immunofluorescence analysis with elastin antibodies and accompanying phase
photomicrographs demonstrate that Eln+/+ vascular smooth
muscle cells (B) synthesize and secrete elastin matrix, whereas
Eln-/- vascular smooth muscle cells (C) do not produce
elastin. (D) Assay measuring cell numbers demonstrates that
Eln-/- vascular smooth muscle cells proliferate at a much
higher rate than do Eln+/+ vascular smooth muscle cells
(P<0.0001, ANOVA). This difference is eliminated by the addition
of recombinant elastin gene product or tropoelastin (tEln). (E) Assay
measuring [3H]thymidine incorporation assay demonstrates that
Eln-/- vascular smooth muscle cells proliferate at a rate
over twofold greater than that for Eln+/+ cells. This
difference is eliminated by the inhibition of Eln-/- cells
proliferation by tropoelastin (P<0.0001, ANOVA).
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Fig. 2. Elastin induces a mature contractile phenotype in vascular smooth muscle
cells. (A-E) Immunofluorescence analysis for SM -actin reveals that
Eln+/+ vascular smooth muscle cells (A) have a highly
organized network of actin stress fibers, a hallmark of mature contractile
vascular smooth muscle cells. By contrast, there is a paucity of actin stress
fibers in Eln-/- vascular smooth muscle cells (B; outlined
by white dots). The elastin gene product, recombinant tropoelastin, induces
the formation of organized actin stress fibers in Eln-/-
vascular smooth muscle cells (D), but does not affect
Eln+/+ vascular smooth muscle cells (C). Scoring analysis
demonstrates a significant increase in the percentage of
Eln-/- vascular smooth muscle cells with organized actin
myofilaments after elastin treatment (P<0.0001) (E). Tropoelastin
mediated actin polymerization is unaffected when Eln-/-
cells are treated with either a gene transcription inhibitor, actinomycin D,
or a protein translation inhibitor, cycloheximide. The Rho kinase inhibitor,
Y27632, blocks actin polymerization of tropoelastin treated
Eln-/- cells. (F-J) Immunofluorescence analysis for
vinculin reveals that Eln+/+ vascular smooth muscle cells
(F) have well-defined focal adhesions (arrowheads). By contrast,
Eln-/- vascular smooth muscle cells (G; outlined by white
dots) have poorly defined focal adhesions. Tropoelastin induces well-defined
focal adhesions (arrows) throughout Eln-/- vascular smooth
muscle cells (I), but does not affect Eln+/+ vascular
smooth muscle cells (H). Scoring analysis revealed a significant increase
(P<0.0001) in the percentage of Eln-/-
vascular smooth muscle cells with defined focal adhesions after tropoelastin
treatment (J). (K,L) Immunofluorescence staining with antisera against tubulin
reveals no difference between Eln+/+ vascular smooth
muscle cells (K) and Eln-/- vascular smooth muscle cells
(L). Exposure times for all images are the same. Results represent the
mean±s.d. from three individual experiments.
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Fig. 3. Elastin controls migration of vascular smooth muscle cells. (A)
Eln+/+ and Eln-/- vascular smooth
muscle cells migrate to tropoelastin in a concentration-dependent manner,
indicating that tropoelastin is a specific and direct stimulus for vascular
smooth muscle cell localization. In addition, Eln-/- cells
consistently migrated at a higher rate than Eln+/+ cells,
suggesting that the autocrine production of elastin by
Eln+/+ cells reduces their chemotaxis to external stimuli.
(B) Tropoelastin inhibits vascular smooth muscle cell migration to the
chemotactic growth factor PDGF. A modified Boyden chamber assay was used for
all experiments to determine the total number of migrated cells in 15 randomly
selected high power microscope fields (HPF). Data shown are the
mean±s.e.m. from three independent wells.
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Fig. 4. Tropoelastin regulates migration and actin polymerization via a
non-integrin, G-protein-coupled signaling pathway. (A)
Eln-/- vascular smooth muscle cells migrate to recombinant
tropoelastin in an EDTA insensitive manner. By comparison, we show that
vascular smooth muscle cell migration to collagen, which is mediated by
integrins, is EDTA sensitive. (B) Tropoelastin mediated actin polymerization
of Eln-/- cells is EDTA insensitive. (C) Migration of
Eln-/- vascular smooth muscle cells towards tropoelastin
is pertussis toxin sensitive. Control experiments with the B protomer of
pertussis toxin alone demonstrate that the effect of pertussis toxin is
specific to its ability to inhibit G-protein signaling. The migration of
Eln-/- cells to PDGF (30 ng/ml) is insensitive to
pertussis toxin. This control experiment demonstrates that
Eln-/- cells treated with pertussis toxin can respond
normally to stimuli other than tropoelastin. (D) Tropoelastin-mediated actin
polymerization of Eln-/- vascular smooth muscle cells is
pertussis toxin sensitive. Control experiments demonstrate that the B protomer
of pertussis toxin does not inhibit actin polymerization. Together, these
experiments indicate that tropoelastin regulates vascular smooth muscle cells
through a pertussis toxin-sensitive G-protein signaling pathway. (E) Cholera
toxin (ctxn) and forskolin (frskln) increase the baseline levels of cAMP in
Eln-/- vascular smooth muscle cells by constitutive
activation of the Gs pathway. In the presence of tropoelastin and
forskolin, there is a marked decrease in cAMP. A similar decrease in cAMP
levels is observed when tropoelastin is added to cholera toxin pretreated
cells. The reduction in cAMP was blocked by pertussis toxin and not B-protomer
indicating a Gi specific pathway. These experiments indicate that
tropoelastin activates a receptor that signals through Gi to
inhibit adenylate cyclase, and reduce cAMP levels. (F) Tropoelastin activates
RhoA in a pertussis toxin-sensitive manner. Co-immunoprecipitation experiments
demonstrate that tropoelastin treatment of Eln-/- cells
results in a marked elevation of activated RhoA. This response is pertussis
toxin sensitive and B-protomer insensitive indicating that tropoelastin
activation of the Rho pathway requires Gi activity. (G) Proposed
molecular mechanism for tropoelastin-mediated actin polymerization in vascular
smooth muscle cells.
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Fig. 5. Elastin therapy reduces vascular smooth muscle cell accumulation and
arterial obstruction in vivo. (A) Scanning electron micrographs of elastin
sheaths. Scale bar: 10 µm. (B) Elastin matrix sheath covering an expanded
metal stent. (C,D) Representative cross-sections taken from control arteries
(n=14) display the development of a thick fibrocellular neointima
(C), whereas the neointima is substantially decreased in elastin sheath
(arrows) treated arteries (n=13) with the same injury score (D).
(E,F) Over a range of injury, the percent lumen stenosis (E) and mean
neointimal thickness (F) were significantly reduced (both
P<0.0001) in injured porcine coronary arteries treated with
elastin sheath-stents compared with control stents.
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Fig. 6. Model of elastin-vascular smooth muscle cell interactions in development
and disease. (A) During normal development, vascular smooth muscle cells
synthesize and secrete elastin polymers that form concentric rings of elastic
lamellae around the arterial lumen. Elastin provides mechanical support to the
vessel wall, and signals vascular smooth muscle cells to localize around the
elastic lamellae and remain in a quiescent, contractile state. (B) In the
absence of elastin, this morphogenic signal is lost resulting in pervasive
subendothelial migration and proliferation of vascular smooth muscle cells
that occludes the vascular lumen. (C) This leads us to propose that the focal
disruption and/or destruction of elastin in the mature artery by vascular
injury releases smooth muscle cells to dedifferentiate, migrate and
proliferate, and contributes to neointimal formation.
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