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AT2 Receptor and Vascular Smooth Muscle Cell Differentiation in Vascular Development Hiroyuki Yamada, Masahiro Akishita, Masaaki Ito, Kouichi Tamura, Laurent Daviet, Jukka Y.A. Lehtonen, Victor J. Dzau, Masatsugu Horiuchi Downloaded from http://hyper.ahajournals.org/ by guest on August 3, 2017 Abstract—The angiotensin II type 2 (AT2) receptor is transiently expressed at late gestation in the fetal vasculature, but its expression rapidly declines after birth. We have previously demonstrated that the expression of this receptor mediates decline in vascular DNA synthesis that occurs at this stage of vascular development. To examine further the role of the AT2 receptor in vasculogenesis, we have focused on the effect of the AT2 receptor on vascular smooth muscle cell (VSMC) differentiation. In this study, we examined the time-dependent expression of differentiation markers for VSMCs in the aorta of wild-type and AT2 receptor–null mice. a-Smooth muscle actin was expressed at the early stage of differentiation and exhibited unchanged expression before and after the peak of AT2 receptor expression, which was observed at embryonic day 20, neonatal day 1, and thereafter. No difference in a-smooth muscle actin expression was observed between the wild-type and AT2 receptor–null mice. In contrast, the mRNA levels for calponin, expressed in the late stage of VSMC differentiation, were significantly higher in the wild-type mouse aorta as compared with the AT2 receptor–null mice, which correlates with expression of the AT2 receptor. Moreover, the protein levels of calponin and high-molecular-weight caldesmon (h-caldesmon) showed lower expression in the aorta of AT2 receptor knockout mice at 2 and 4 weeks after birth. Taken together, our results suggest that the AT2 receptor promotes vascular differentiation and contributes to vasculogenesis. (Hypertension. 1999;33:1414-1419.) Key Words: angiotensin n cell differentiation n receptors, angiotensin II n muscle, smooth, vascular n human development A and remodeling in late gestation. Indeed, pharmacological blockade of the vascular AT2 receptor by use of the specific antagonist PD123319 in the rat fetus during rat embryonic days 16 to 21 (E16-E21) has resulted in decreased aortic DNA synthesis, which supports a contribution of the AT2 receptor to vascular development. We and others have obtained, by use of a homologous recombination, AT2 receptor knockout mouse strains that exhibit enhanced pressor response to acute Ang II infusion as compared with the wild-type strain.7,8 Because the vascular AT2 receptor is minimally expressed at the time the blood pressure and Ang II infusion studies were performed, the data suggest that the transient and developmentally regulated AT2 receptor expression exerts a long-term effect on blood pressure, possibly through its influence on vascular structure and/or function. These results support the notion that the AT2 receptor modulates the growth of the developing blood vessel and thus contributes to vascular remodeling in late gestation. Little is known about the ability of the AT2 receptor to modulate VSMC differentiation. Recent studies suggest that AT2 receptor activation may enhance differentiation in PC12W cells, a rat pheochromocytoma cell line,9 –11 and ngiotensin II (Ang II), a key regulator of cardiovascular homeostasis, exerts various actions in its diverse target tissues, that controls vascular tone, hormone secretion, tissue growth, and neuronal activity. Two major isoforms of the Ang II receptor, type 1 (AT1) and type 2 (AT2), have been defined on the basis of their ligand selectivity. Most of the known effects of Ang II in the adult tissues are attributable to the AT1 receptor. The AT2 receptor is abundantly and widely expressed in fetal tissues,1–3 and its expression declines rapidly after birth, which suggests that the AT2 receptor is involved in growth, development, and/or differentiation. The expression of the AT2 receptor in rat fetal blood vessel is “turned on” at late gestation (embryonic days 16 to 21) and in the early neonatal period but decreases rapidly to very low levels in the adult vessel.4,5 We have demonstrated that this receptor exerts growth-modulatory effects in vascular smooth muscle cells (VSMCs) such as the inhibition of DNA synthesis and the induction of apoptosis.4,6 The spatial and temporal patterns of the rat vascular AT2 receptor expression, together with the growth modulatory action, have led us to hypothesize that this receptor plays an important role in vascular development Received September 21, 1998; first decision October 15, 1998; revision accepted February 2, 1999. From Cardiovascular Research, Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, Mass. Correspondence to Masatsugu Horiuchi, MD, PhD, Department of Medical Biochemistry, Ehime University School of Medicine, Sigenobu, Onsen-gun, Ehime 791-0295, Japan. E-mail [email protected] © 1999 American Heart Association, Inc. Hypertension is available at http://www.hypertensionaha.org 1414 Yamada et al Downloaded from http://hyper.ahajournals.org/ by guest on August 3, 2017 NG 108-15 cells.12 The middle-sized neurofilament subunit expression was reduced in PC12W cells by AT2 receptor stimulation.10 In quiescent PC12W cells, AT2 receptor stimulation upregulated microtubule components and polymerized b-tubulin and MAP2, but downregulated MAP1B protein levels and, in PC12W cells differentiated by nerve growth factor, AT2 receptor stimulation elevated polymerized b-tubulin and reduced MAP1B.11 The morphological changes of AT2 receptor–mediated neurite outgrowth in NG 108-15 cells were correlated with an increase in the level of polymerized tubulin and in the level of the microtubule-associated protein.11 These results suggest a specific role of AT2 receptors in neuronal cell differentiation through regulation of the cytoskeleton. Thus it is conceivable that the AT2 receptor exerts a similar effect on smooth muscle cell differentiation. The AT2 receptor–null mouse model provides a unique opportunity to address the physiological role of the AT2 receptor. According to this hypothesis, activation of the AT2 receptor would facilitate VSMC differentiation in the wild-type animal, whereas the disruption of the AT2 receptor in the knockout animals will result in the delayed differentiation of VSMCs. Methods Animals Female mice heterozygous for the AT2 receptor mutant allele7 were mated with WT FVB/N male mice (Jackson Laboratory, Bar Harbor, Maine). Pregnant mice were killed with an overdose of anesthesia, and the fetuses were dissected from uterine decidua. The day when a vaginal plug was observed was considered E1. In addition, postnatal and 2-week-old, 4-week-old, and 8-week-old male mice, which were obtained by the same mating as the fetuses, were used. These fetuses and postnatal mice, back-crossed for 6 generations into the FVB/N background, had 98% FVB/N and 2% 129/SV background. Animal genotyping was performed as previously described,7 with the use of body or tail genomic DNA samples. The animals were housed in a room in which light was controlled (12 hours on, 12 hours off) and room temperature was kept at 22°C. They were given standard diet and water ad libitum. All experimental procedures were approved and carried out in accordance with the guideline of the Harvard Medical Area Standing Committee on Animals. Immunoblot Analysis Mice were anesthetized with an intraperitoneal injection of ketamine (70 mg/kg) and xylazine (4 mg/kg); the thorax was opened and the aorta was removed. The connective tissues around the thoracic aorta were carefully dissected away in ice-cold phosphate-buffered saline (pH 7.40) under stereomicroscopy. Tissue samples were homogenized in 50 mmol/L Tris-HCl buffer, pH 7.5, which contained 150 mmol/L NaCl, 1% Nonidet P-40, 0.5% sodium deoxycholate, 0.1% SDS, 1 mmol/L PMSF, 1.5 mmol/L aprotinin, 5.5 mmol/L leupeptin, and 5.5 mmol/L pepstatin A. Tissue lysates were centrifuged at 10 000g for 20 minutes, boiled in Laemli loading buffer for 3 minutes, resolved by 8% SDS-PAGE, electroblotted onto nitrocellulose membrane, and immunoblotted with antibodies against highmolecular-weight caldesmon (h-caldesmon) (clone C21),13 calponin (clone hCP),14 or a-smooth muscle actin (a-SM actin) (clone 1A4)15 (Sigma Chemical Co). Antibodies were detected by horseradish peroxidase–linked secondary antibody with the use of an enhanced chemiluminescence system (Amersham Life Science Inc). Densitometric analysis was performed by scanning densitometer (GS300, Hoeffer) and NIH image software. June 1999 1415 Reverse Transcription–Polymerase Chain Reaction Pregnant mice were anesthetized with an intraperitoneal injection of ketamine (70 mg/kg) and xylazine (4 mg/kg) at 13, 15, 18, and 20 days of gestation (E13, E15, E18, and E20). Fetuses were removed and their thoracic aortas were carefully excised under stereomicroscopy, frozen in liquid nitrogen, and kept at 280°C before use. Aortas were also prepared from mice at 1, 7, 14, and 28 days after birth. Total RNA was prepared from 4 to 7 pooled thoracic aortas for each group with the use of TRIzol reagent (GIBCO BRL). Total RNA was first treated with RNAse-free DNAse (0.02 U/mL). After treatment for 5 minutes at 94°C, the samples were subjected to reverse transcription with random hexamer primers and reverse transcriptase (GeneAmp RNA PCR Kit, Perkin Elmer). We performed other sets of reverse transcription–polymerase chain reaction (RT-PCR) without RNA samples to confirm that there was no artificial amplification caused by the contaminations in the reagents. PCR primers were as follows: calponin, 59-CACCAACAAGTTTGCCAG-39 and 59TGTGTCGCAGTGTTCCAT-3914; a-SM actin, 59-GAGAAGCCCAGCCAGTCG-39 and 59-CTCTTGCTCTGGGCTTCA-3916; AT1 receptor, 59-GGAAACAGCTTGGTGGTG-39 and 59-CTGAATTTCATAAGCCTTCTT-3917; AT2 receptor, 59-AGTGCATGCGGGAGCTG-39 and 59-GACAACAAAACAGTGAG-3918; and GAPDH, 59-ATGGTGAAGGTCGGTGTG-39 and 59-ACCAGTGGATGCAGGGAT-39.19 PCR reactions for a-SM actin, calponin, or glyceraldehyde-3-phosphate dehydrogenase (GAPDH) were performed with 25 cycles of 1 minute of denaturation at 94°C, 1 minute of annealing at 53°C, and 2 minutes of extension at 72°C followed by 10 minutes of final extension step. PCR reactions for AT1 or AT2 receptors were carried out with 30 cycles. We observed a linear increase in amplification of PCR products with an increased amount of RNA up to 2 mg and as well as the increase in PCR cycles until 30 cycles for a-SM actin, calponin, or GAPDH and until 35 cycles for AT1 and AT2 receptors. PCR products were separated by 1% agarose gel electrophoresis. To verify the identity of the PCR products, we sequenced PCR products and confirmed that the sequences of PCR products matched up to the predicted sequences. Blood Pressure Measurements Male mice were anesthetized and a PE10 tube (Becton Dickinson) was inserted into the left common carotid artery. The next day, the PE50 tube was connected to the carotid artery cannula. The other end of the tube was connected to the blood pressure transducer (model TRN050, Kent Scientific Corp), which was connected to a transducer amplifier (model ETH-400, CB Sciences, Inc) and a MacLab 4/s (Division of AD Instruments, Inc). Blood pressure and heart rate were measured with rats in a conscious, unrestrained condition. Data Analysis All values are expressed as mean6SE. Statistical significance for the developmental changes in differentiation marker expression in each strain of mice was assessed by ANOVA followed by Bonferroni test. Student’s t tests were used for statistical comparisons between 2 strains of mice. A value of P,0.05 was considered to be significant. Results To study the effect of AT2 receptor gene disruption on VSMC differentiation in the aorta, we examined the VSMC-specific contractile proteins as differentiation markers at different ages before birth and up to 8 weeks after birth. As shown in Figure 1, the protein contents of h-caldesmon and calponin increase age dependently. These protein levels were significantly lower in AT2 receptor–null mice than those in wildtype mice at 2 and 4 weeks of age (Figure 1, A, B, and C). Interestingly, at 8 weeks of age there were no differences in these marker proteins between both strains. On the other hand, there were no differences in a-SM actin expression 1416 Vascular Differentiation by Angiotensin II Downloaded from http://hyper.ahajournals.org/ by guest on August 3, 2017 Figure 1. Developmental changes in expression of h-caldesmon, calponin, and a-SM actin in thoracic aorta. Tissue lysates were prepared from thoracic aortas from AT2-null (Null) and wild-type (WT) mice at the ages of 2, 4, and 8 weeks, separated on SDS/PAGE, electroblotted on the nitrocellulose membrane, and immunoblotted with h-caldesmon, calponin, or a-SM actin antibodies. A, Representative data obtained from 8 different experiments. B, C, and D, Signal density is represented as percentage of the value obtained in wild-type mice at 8 weeks of age. Values are expressed as mean6SE obtained from 8 animals in each group. *P,0.05 vs wild-type mice at the same age. between the strains throughout development (Figure 1, A and D). Next, we examined the developmentally regulated calponin, a-SM actin, and AT1 and AT2 receptor mRNA expressions in the fetal aorta by RT-PCR. To show the linear increase of RT-PCR products with increased amounts of RNA by use of our PCR conditions described in Methods, total RNA (2, 1, or 0.5 mg of RNA) prepared from thoracic aorta of wild-type mice at the age of E20 was subjected to RT-PCR for AT1 receptor, AT2 receptor, calponin, a-SM actin, and GAPDH (Figure 2). In the following experiments shown in Figure 3, we applied 1 mg RNA to RT-PCR. The mouse AT1 receptor mRNA is expressed at relatively constant levels from the initial age tested (E13) throughout development both in AT2 receptor–null and wild-type mice (Figure 3A). The AT2 receptor mRNA expression was observed at E13, increased thereafter, and rapidly declined after birth (Figure 3A). As shown in Figure 3B, the mRNA expression of calponin in wild-type mice was observed at E13, associated with the onset of AT2 receptor mRNA expression, and increased thereafter. The expression and the developmental increase in calponin mRNA expression in AT2 receptor–null mice were significantly delayed. Aortic calponin mRNA expression in the wild-type and AT2 receptor–null mouse appeared to be similar at 14 and 28 days after birth (Figure 3C). In contrast, a-SM actin mRNA level did not differ throughout development between the 2 strains. Discussion AT2 receptor is expressed in fetal aorta during late gestation; its expression decreases rapidly after birth, and the AT2 receptor is reexpressed in vascular injury.4 We have demonstrated that pharmacological blockade of the AT2 receptor in fetal rats E16 to E21 by use of the specific antagonist PD123319 has resulted in decreased DNA synthesis of the developing aorta.4 Accordingly, we have hypothesized that the AT2 receptor is involved with vascular development. In this study we examined the possibility that the AT2 receptor modulates VSMC differentiation and plays a role in vasculogenesis. Our data demonstrated that the protein levels of h-caldesmon and calponin in VSMC in thoracic aorta of AT2 receptor–null mice were significantly lower than those in wild-type mice up to 4 weeks of age, whereas the expression of a-SM actin did not show any difference between the 2 strains. Expressions of h-caldesmon and calponin as well as a-SM actin are developmentally regulated in VSMC.20 –22 a-SM actin appears in the early stage in vasculogenesis, whereas the expressions of h-caldesmon and calponin begin later and have been used as markers of VSMC differentiation in the late stage of vasculogenesis. To examine the relation of AT2 receptor expression with VSMC differentiation, we examined h-caldesmon, calponin, a-SM actin, and AT2 receptor expression in fetal and neonatal mice. Consistent with previous data on the rat,4,5 we demonstrated that mouse AT2 receptor mRNA expression is low during early development (E13-E15) but Yamada et al June 1999 1417 Downloaded from http://hyper.ahajournals.org/ by guest on August 3, 2017 Figure 2. RT-PCR showing semiquantitative evaluation of mRNAs for AT1 receptor, AT2 receptor, calponin, a-SM actin, and GAPDH. Total RNA was prepared from thoracic aorta of wild-type mice at the age of E20; 2 mg (lane 1), 1 mg (lane 2), or 0.5 mg (lane 3) of RNA was subjected to RT-PCR. M, 100-bp ladder DNA marker. increases significantly during later stage of development (E18-E20) and in the neonate (1 day after birth), whereas the AT1 receptor is constantly expressed through early embryonic stage after birth. The mRNA expression of calponin in wild-type mice aorta was “switched on” at E13 to E15 in both strains of mouse. The level of calponin mRNA increased rapidly thereafter in wild-type mouse aorta, whereas calponin mRNA in the AT2 receptor–null mouse was significantly lower and reached similar levels of calponin mRNA in the wild-type mouse at 14 days after birth. These results suggest that the level of expression of calponin is closely associated with the AT2 receptor expression in the fetal aorta. Moreover, we demonstrated that the protein levels of calponin and h-caldesmon are significantly higher in the AT2 receptor–null mouse aorta up to 4 weeks after birth. In contrast, we did not observe any significant difference in a-SM actin mRNA expression in aorta between the 2 strains during development. a-SM actin expression was already observed at E13, when the AT2 receptor was not expressed, which suggests that a-SM actin is not regulated by the AT2 receptor. These findings suggest strongly that the AT2 receptor plays a role in the phenotypic differentiation of VSMC, especially in the late stage of gestation. We did not directly measure VSMC differentiation or vasculogenesis. h-caldesmon and calponin, thin filament– associated proteins, have been suggested to modulate smooth muscle contractility.23–26 Binding of h-caldesmon and calponin to actin inhibits actomyosin ATPase, which is necessary for initiation of contraction of VSMC and appears to be involved in vascular contraction in vivo.27–29 Moreover, h-caldesmon and calponin have been reported to inhibit contraction by providing a basal resting inhibi- Figure 3. Developmental changes in mRNA expression of (A) AT1 and AT2 receptors, (B) calponin, a-SM actin, and AT2 receptor, and (C) calponin in mouse aorta. Total RNA (1 mg) was prepared from thoracic aortas of AT2 receptor–null (Null) and wildtype (WT) mice at the ages of E13, E15, E18, E20, N1, 1, 2, and 4 weeks and subjected to RT-PCR. Results show representative data of 3 separate experiments. GAPDH was used as internal control42, 43 to standardize the amount of total RNA used. tion of vascular tone in smooth muscle cells.24,26 To examine the possibility that delayed expression of h-caldesmon and calponin in AT2 receptor–null mice influences the resting vascular tone and blood pressure, we measured blood pressure and heart rate in conscious mice at 4 and 8 weeks of age. Basal mean blood pressure in 4-week-old AT2 receptor–null mice was significantly higher than that in wild-type mice (105.264.5 versus 87.563.9 mm Hg, n510, P,0.05), whereas there was no difference in blood pressure at 8 weeks of age (109.265.7 versus 107.764.8 mm Hg, n510). There were no significant differences in heart rate between both strains. Mean blood pressure of AT2 receptor–null mice was significantly higher compared with wild-type mice at the age of 4 weeks, when h-caldesmon and calponin contents are lower in AT2 receptor–null mice. Along with the increase in h-caldesmon and calponin in AT2 receptor–null mouse aorta, the blood pressure difference disappeared at age 8 weeks. These results suggest the possibility that the 1418 Vascular Differentiation by Angiotensin II Downloaded from http://hyper.ahajournals.org/ by guest on August 3, 2017 delayed expression of these VSMC markers in AT2 receptor null–mice plays some role in vasculogenesis and influence vascular contractility. We have demonstrated that the AT2 receptor exerts antigrowth and proapoptotic effects in VSMC in vitro and in vivo.4,6,30 The antigrowth effect of the AT2 receptor in endothelial cells and cardiomyocytes have also been reported.31,32 In this report, we postulate that the AT2 receptor enhances the differentiation of VSMC in aorta. Indeed, it has been reported that the AT2 receptor promotes differentiation of neuronal cells through regulation of cytoskeletal proteins.9 –12 The AT2 receptor has been reported to stimulate protein tyrosine phosphatase (PTPase) activity,4,6,33–37 which plays an essential role in hematopoietic cell differentiation.38 We have reported that the intracellular third loop of the AT2 receptor is important for its PTPase activation.30 Interestingly, recent studies suggest that dopamine receptors, which have a similar amino acid motif in the intracellular third loop,39 promotes morphogenesis of developing neurons.40,41 These findings suggest a possible mechanism whereby AT2 receptor– regulated PTPase is involved in the differentiation of VSMC. Our results also suggest that AT2 receptor stimulation did not modify the expression of housekeeping genes such as GAPDH.42,43 In summary, our results suggest that the AT2 receptor participates in mouse vasculogenesis. Acknowledgments This work was supported by National Institutes HL-46631, HL-35252, HL-35610, HL-48638, HL-58616 and a grant from the Longwood Translational Research. Dr Dzau is a recipient Award HL-35610. of Health grants HL-07708, and Foundation for of NIH MERIT References 1. Grady EF, Sechi LA, Griffin CA, Schambelan M, Kalinyak JE. Expression of AT2 receptors in the developing rat fetus. J Clin Invest. 1991;88:921–933. 2. Tsutsumi K, Stromberg C, Viswanathan M, Saavedra JM. Angiotensin-II receptor subtypes in fetal tissues of the rat: autoradiography, guanine nucleotide sensitivity, and association with phosphoinositide hydrolysis. Endocrinology. 1991;129:1075–1082. 3. Millan MA, Jacobowitz DM, Aguilera G, Catt KJ. Differential distribution of AT1 and AT2 angiotensin II receptor subtypes in the rat brain during development. Proc Natl Acad Sci U S A. 1991;88:11440 –11444. 4. Nakajima M, Hutchinson H, Fujinaga M, Hayashida W, Morishita R, Zhang L, Horiuchi M, Pratt RE, Dzau VJ. 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Downloaded from http://hyper.ahajournals.org/ by guest on August 3, 2017 AT2 Receptor and Vascular Smooth Muscle Cell Differentiation in Vascular Development Hiroyuki Yamada, Masahiro Akishita, Masaaki Ito, Kouichi Tamura, Laurent Daviet, Jukka Y. A. Lehtonen, Victor J. Dzau and Masatsugu Horiuchi Downloaded from http://hyper.ahajournals.org/ by guest on August 3, 2017 Hypertension. 1999;33:1414-1419 doi: 10.1161/01.HYP.33.6.1414 Hypertension is published by the American Heart Association, 7272 Greenville Avenue, Dallas, TX 75231 Copyright © 1999 American Heart Association, Inc. All rights reserved. Print ISSN: 0194-911X. 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