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Tiêu đề Plasminogen Activator Inhibitor Type-1 Inhibits Insulin Signaling By Competing With Avb3 Integrin For Vitronectin Binding
Tác giả Roser López-Alemany, Juan M. Redondo, Yoshikuni Nagamine, Pura Muñoz-Cánoves
Trường học Institut de Recerca Oncològica (IRO)
Chuyên ngành Biochemistry
Thể loại báo cáo khoa học
Năm xuất bản 2003
Thành phố Barcelona
Định dạng
Số trang 8
Dung lượng 267,75 KB

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Here we report that PAI-1, in a VN-dependent manner, prevents the cooperation of avb3 integrin with insulin signaling in NIH3T3 fibroblasts, resulting in a decrease in insulin-induced pro

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P R I O R I T Y P A P E R

Plasminogen activator inhibitor type-1 inhibits insulin signaling

by competing with avb3 integrin for vitronectin binding

Roser Lo´pez-Alemany1, Juan M Redondo2, Yoshikuni Nagamine3* and Pura Mun˜oz-Ca´noves1,4*

1

Institut de Recerca Oncolo`gica (IRO), Centre d’Oncologia Molecular, L’Hospitalet de Llobregat, Barcelona, Spain;

2

C.B.M Severo Ochoa, C.S.I.C., U.A.M., Facultat de Ciencias, Madrid, Spain;3Friedrich Miescher Institute for Biomedical Research, Novartis Research Foundation, Basel, Switzerland;4Centre de Regulacio´ Geno`mica (CRG),

Programa de Diferenciacio´ i Cancer, Barcelona, Spain

Functional cooperation between integrins and growth factor

receptors has been reported for several systems, one of which

is the modulation of insulin signaling by avb3 integrin

Plasminogen activator inhibitor type-1 (PAI-1), competes

with avb3 integrin for vitronectin (VN) binding Here we

report that PAI-1, in a VN-dependent manner, prevents the

cooperation of avb3 integrin with insulin signaling in

NIH3T3 fibroblasts, resulting in a decrease in

insulin-induced protein kinase B (PKB) phosphorylation, vascular

endothelial growth factor (VEGF) expression and cell

migration Insulin-induced HUVEC migration and

angio-tube formation was also enhanced in the presence of VN and

this enhancement is inhibited by PAI-1 By using specific

PAI-1 mutants with either VN binding or plasminogen activator (PA) inhibiting activities ablated, we have shown that the PAI-1-mediated interference with insulin signaling occurs through its direct interaction with VN, and not through its PA neutralizing activity Moreover, using cells deficient for uPA receptor (uPAR) we have demonstrated that the inhibition of PAI-1 on insulin signaling is inde-pendent of uPAR-VN binding These results constitute the first demonstration of the interaction of PAI-1 with the insulin response

Keywords: plasminogen activator inhibitor type-1; vitro-nectin; insulin; angiogenesis; HUVEC

Insulin plays a central role in regulating metabolic pathways

associated with energy storage and utilization Its action is

initiated by receptor-mediated tyrosine phosphorylation of

ShcA and insulin receptor substrates (IRSs), and

recruite-ment of these molecules to the intracellular receptor domain

[1] ShcA is linked to the Ras/Erk signaling pathway while

IRS provides docking sites for several other signaling

molecules including phosphatidylinositol 3-kinase (PI3-K),

phospholipase Cc and Grb2, conveying insulin signals to

various cellular events IRS proteins couple the insulin

receptor to both the PI3-K and MAPK pathways, and ShcA (through Gab1) also couples the insulin receptor to both pathways (reviewed in [2]) Perturbations of insulin-induced metabolic responses are associated with severe health complications, such as type 2 diabetes and obesity [3] Under these pathological conditions, sensitivity of the insulin receptor to insulin is significantly reduced Insulin stimulates endothelial cell survival [4] and promotes angio-genesis in vivo [5,6] It is therefore noteworthy that type 2 diabetes is very often accompanied by cardiovascular complications, of which endothelial dysfunction is an early event [7]

Several lines of evidence indicate that integrin-mediated signaling processes synergize with growth factor responses [8,9] In particular, integrin avb3, the main receptor of vitronectin (VN), potentiates platelet-derived growth factor (PDGF) and insulin/insulin-like growth factor (IGF) recep-tor signaling responses [10,11] Smooth muscle cell migration

in response to IGF1 is dependent on VN occupancy of avb3 intregrin [12,13] IRS-1 binds to avb3 after insulin receptor activation in Rat1 fibroblasts, providing a potential mech-anism for the synergistic action between growth factors and extracellular matrix receptors [11] Furthermore, Persad

et al have recently shown that the integrin-linked kinase (ILK) can directly phosphorylate PKB, suggesting a role as

an upstream regulator for PKB [14]

VN occurs in the circulation as a complex with plasmi-nogen activator inhibitor-1 (PAI-1), the primary physiolo-gical inhibitor of fibrinolysis [15] PAI-1 is synthesized in an active form but is rapidly converted into an inactive form [16] Association with VN stabilizes PAI-1 and targets it to

Correspondence to P Mun˜oz-Ca´noves, Centre de Regulacio´

Geno`mica (CRG), Programa de Diferenciacio´ i Ca´ncer,

Passeig Maritim 37-49, E-08003 Barcelona, Spain.

Fax: + 34 93 224 08 99, Tel.: + 34 93 224 09 33,

E-mail: pura.munoz@crg.es

Y Nagamine, Friedrich Miescher Institute for Biomedical Research,

Maubeleerstrasse 66, CH-4058 Basel, Switzerland.

Fax: + 41 61 697 3976, Tel.: + 41 61 697 6669,

E-mail: nagamine@fmi.ch

Abbreviations: CsA, cyclosporin A; HUVEC, human umbilical vein

endothelial cells; IGF, insulin-like growth factor; IRS, insulin receptor

substrate; PAI-1, plasminogen activator inhibitor type-1; PI3-K,

phosphatidylinositol 3-kinase; PKB, protein kinase B; tPA, tissue-type

plasminogen activator; uPA, urokinase-type plasminogen activator;

uPAR, urokinase-type plasminogen activator receptor; VEGF,

vascular endothelial growth factor; VN, vitronectin.

*Both authors contributed equally to this work.

(Received 24 September 2002, revised 9 December 2002,

accepted 7 January 2003)

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specific sites in the extracellular matrix PAI-1 binds to the

N-terminal domain of VN, adjacent to the RGD sequence

(i.e the integrin binding site), preventing VN from binding

to avb3 [17] VN interacts not only with PAI-1 but also with

the urokinase receptor (uPAR) [18] PAI-1 and uPAR share

binding regions on the VN molecule and thus bind

competitively [19]

In this work, we have tested whether PAI-1 might be

modifying the cellular response to insulin We demonstrate

for the first time that PAI-1 modulates insulin signaling

by preventing the binding of VN to avb3 This results in

a decrease in insulin-induced PKB phosphorylation,

VEGF expression, endothelial cell migration and angiotube

formation

Experimental procedures

Cells

NIH3T3 cells were obtained from the American Type

Culture Collection (ATCC, Rockville, MD, USA)

HUVEC were isolated from umbilical veins and cultured

as described previously [20] All experiments were

per-formed using HUVEC between passages 3 and 6 Mouse

embryo fibroblasts (MEFs) from mice lacking

urokinase-type plasminogen receptor gene (uPAR-/–) were gently

provided by F Blasi and M Resnati (DIBIT, Milan, Italy)

Proteins

Murine vitronectin and recombinant murine PAI-1 in an

active conformation were from Molecular Innovations

(Royal Oak, MI) Mutants of PAI-1 were gently provided

by D Lawrence (American Red Cross, Rockville, MD,

USA): PAI-1 containing a mutation of Gln123 to Lys

(PAI-1K) has a specific defect in VN binding; PAI-1 containing

a mutation of Arg340 to Ala (PAI-1A) binds VN with

wild-type affinity but does not inhibit plasminogen activation

[21] Insulin from bovine pancreas was from Sigma

Western-blot analysis

Cells were grown to subconfluency and then kept overnight

in serum-free medium After treatments, cells were lysed in

20 mMTris HCl pH 8, 150 mMNaCl, 2 mMEDTA, 100 lM

Na3VO4, 10 mM NaF, 25 lM b-glycerophosphate, 1%

Triton X-100 and 100 mMphenylmethanesulfonyl fluoride

Phosphorylated PKB was detected with an

anti-(phospho-PKB Ser473) polyclonal Ig (New England Biolabs) Cell

lysates and conditioned media were collected and tested, for

intracellular VEGF and secreted VEGF, respectively, with a

polyclonal anti-VEGF Ig (sc-152, Santa Cruz

Biotech-nology, Santa Cruz, CA, USA)

Migration assay

Cell migration assays were performed on Transwells (8-lm

pore size), coated with Matrigel (Beckton and Dickinson,

Bedford, MA, USA; 1 : 20 dilution in serum free medium)

After blocking with 1% (w/v) BSA, Transwells were

incubated with 5 lgÆmL)1murine VN (Molecular

Innova-tions, Royal Oak, MI, USA) or 5 lgÆmL)1collagen type IV

(Sigma) Cells (4· 104) were added to the upper chamber of the Transwell Insulin (170 nM), 100 nMPAI-1, echistatin (100 nM) or decorsin (100 nM) were added to the media in the upper and lower chamber of the Transwell After incubation at 37C, cells on the underside of the Transwell were fixed in methanol/acetic acid (75 : 25, v/v) and stained with 5% Trypan blue The number of cells per high-power field that had migrated across the Matrigel were counted, after 16 h for NIH3T3 cells and uPAR–/– MEFs, and after

4 h for HUVEC Data are presented as the mean values from at least five high-power fields

Proliferation assay Cells (1.0· 104cells per well) were seeded on 96-well plates previously coated with VN (5 lgÆmL)1) or collagen (5 lgÆmL)1) After 24 h of culture, complete medium was replaced by medium containing 1% (v/v) fetal bovine serum, 0.5% (w/v) BSA, 170 nM insulin and 0.2 lCi [3H]thymidine per well (Amersham), and cells were cultured for a further 24 h for NIH3T3 cells or for 72 h for HUVEC Cells were precipitated by the addition of 5% cold trichloroacetic acid and precipitates solubilized in 1M NaOH Radioactivity (c.p.m.) in the lysate was detected

by liquid scintillation counting Each experimental point was determined five times

In vitro angiogenesis assay HUVEC (2.0· 104 cells per well) were resuspended in OPTI-MEM (Life Technologies) supplemented with 1% (v/v) fetal bovine serum Cells were treated with 100 nM PAI-1, 30 nM VN or 200 ngÆmL)1 cyclosporin A (CsA, from Sandoz) for 2 h at 37C Matrigel was meanwhile diluted 1 : 2 in cold serum-free RPMI 1640 without growth factors and plated into 96-well plates and allowed to gel for 1–2 h at 37C before seeding The cell suspension was then stimulated with 170 nMinsulin or 50 ngÆmL)1recombinant human VEGF165(PeproTech), and plated onto the surface

of the Matrigel After 12 h at 37C, cells were photo-graphed with a ZEISS inverted phase-contrast photomicro-scope Capillary tubes were defined as cellular extensions linking cell masses or branch points, and tube formation was quantified from photographs of standardized fields from triplicate wells

Statistical analysis ANOVA test was used to determine whether there were significant (P < 0.05) differences in cell migration, cell proliferation and angiotube formation under different treatments

Results

Vitronectin induction of insulin signaling is inhibited

by PAI-1 Integrin-mediated signaling processes synergize with growth factor responses [8,9] In this work, we first examined whe-ther VN was able to potentiate insulin-mediated responses

in NIH3T3 cells As shown in Fig 1A, insulin-induced PKB

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phosphorylation was augmented when cells were

preincu-bated with VN Echistatin, a specific avb3 antagonist,

prevented VN enhancement of insulin-induced PKB

phos-phorylation In contrast, decorsin, a structurally distinct

disintegrin with high affinity for the IIb/IIIa platelet integrin

but low affinity for avb3, had no effect (Fig 1B), suggesting

that the VN enhancement of insulin signaling is dependent

on avb3 integrin

To assess the potential role of PAI-1 in the

VN-mediated induction of insulin signaling, PAI-1 was

included in preincubations with VN There was a

significant decrease in insulin/VN-induced

phosphoryl-ation of PKB in the presence of PAI-1 (Fig 1C),

suggesting that PAI-1 might be competing with avb3

for VN binding Moreover, we observed that

urokinase-type plasminogen activator (uPA), which prevents PAI-1/

VN complex formation [22], was able to reverse the

PAI-1-mediated inhibition of PKB phosphorylation in

response to insulin/VN (Fig 1C)

To determine whether the PAI-1 effect on the insulin response was dependent on its binding to VN or on its plasminogen activator inhibiting activity, two different mutants of PAI-1 were used A mutant of PAI-1 (PAI-1A) that binds to VN normally, but does not inhibit plasminogen activators, inhibited phosphorylation of PKB

in response to insulin/VN, in a manner identical to that of wild-type PAI-1 In contrast, a second PAI-1 mutant (PAI-1K) that inhibits plasminogen activators normally, but has a significantly reduced affinity for VN, did not inhibit insulin/

VN phosphorylation of PKB (Fig 1D) These results indicate that PAI-1 binding to VN is sufficient to block

VN binding to avb3, and that the inhibition of insulin signaling by PAI-1 is independent of the antiproteolytic activity of PAI-1

VN interacts not only with PAI-1 but also with the urokinase receptor (uPAR) [18] PAI-1 and uPAR share binding regions on the VN molecule and thus bind competitively [19] We hypothesized that the interference

of PAI-1 with avb3 integrins leading to the inhibition of the insulin response might occur via uPAR, in a uPA dependent

or independent manner To test this hypothesis we used mouse embryonic fibroblasts (MEFs) derived from uPAR-deficient mice As seen in Fig 1E, PAI-1 has the same inhibitory effect on PKB phosphorylation induced by insulin/VN in uPAR-devoid MEFs than in NIH3T3 fibroblast cells, indicating that uPAR does not play a role

in the inhibition of insulin/VN signaling by PAI-1

To further assess the functional relevance of PAI-1/VN interaction on insulin signaling, we analyzed the expres-sion of an insulin-inducible gene, the VEGF gene Insulin induces VEGF expression and secretion in a variety of cell types [23,24], including NIH3T3 cells, via the PI3-K/ PKB signaling cascade [25] Western analysis of cell lysates demonstrated that VN enhanced insulin-stimulated VEGF expression in NIH3T3 cells, and this induction was inhibited by pretreatment with PAI-1 (Fig 2A) Additionally, echistatin was also able to inhibit this enhancement, while decorsin had no effect Moreover, VEGF secretion to the media, which was only detectable when cells were treated with insulin in the presence of

VN, was inhibited by PAI-1 or echistatin, but not by decorsin (Fig 2B) Furthermore, when the effect of mutants of PAI-1 were tested, only PAI-1A was able to inhibit VEGF secretion, as wild-type PAI-1, while mutant PAI-1K had no inhibitory effect (Fig 2C) Taken together, these results indicate that PAI-1 can inhibit insulin signaling through a mechanism involving VN, and this inhibition is independent on its ability to inhibit plasminogen activation

PAI-1 inhibits cell migration in response to insulin/VN

It has been reported that insulin stimulates migration of different cell types including NIH3T3 and human umbi-lical vein endothelial cells (HUVEC) [4,13,26] Based on the above results, we tested the effect of PAI-1 on insulin-induced cell migration In VN-containing Matrigel, NIH3T3 cell migration in response to insulin was increased twofold, and this was blocked when PAI-1 was added to the media (Fig 3A) In contrast, PAI-1 had

no effect on insulin-stimulated NIH3T3 cell migration on

Fig 1 Inhibition of insulin/VN induced PKB phosphorylation by PAI-1.

NIH3T3 cells were incubated overnight with 100 n M echistatin (Ec) or

decorsin (Dc), or for 4 h with 30 n M VN, 100 n M PAI-1 or 200 n M uPA,

prior to 5 min treatment with 170 n M insulin (I) as indicated Cell lysates

(40 lg) were subjected to Western blotting with an anti-(phospho-PKB)

or anti-PKB Ig (loading control) (A) Insulin-induced PKB

phos-phorylation is increased by VN (B) avb3 specificity in insulin/VN

signaling (C) PAI-1 inhibits insulin/VN-induced PKB

phosphoryla-tion (D) Effect of PAI-1 mutants on insulin/VN-induced PKB

phos-phorylation (E) Effect of insulin/VN/PAI-1 system in uPAR–/– MEFs.

Results are representative of at least four independent experiments.

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collagen-containing Matrigel As expected, echistatin

exerted a similar inhibitory effect on insulin-induced cell

migration, while decorsin had no effect When the

mutants of PAI-1 were tested in a migration assay, only

PAI-1A was able to inhibit insulin-induced migration on

VN, while PAI-1K had no effect (Fig 3B) Furthermore,

the migration of uPAR-deficient MEFs on VN-containing

Matrigel was also induced by insulin and inhibited by

PAI-1 (Fig 3C) indicating that the interference of PAI-1

with insulin-induced migration occurred through its

interaction with VN/avb3, independently of uPAR

Insulin stimulated also HUVEC migration whether cells

were plated on VN- or collagen-coated Transwells

However, PAI-1 inhibited insulin-stimulated cell

migra-tion only when cells were plated on VN-coated plates

(Fig 3D) These results indicate that PAI-1 was able to

block insulin-induced cell migration on VN-containing

matrices, and this inhibition was dependent on its ability

to bind to VN

Knowing that insulin also stimulates cell proliferation, we

wondered whether PAI-1 had any effect on insulin/

VN-induced NIH3T3 and HUVEC proliferation As shown

in Fig 4, insulin induced 4- and 10-fold [3H]thymidine

incorporation in NIH3T3 cells and HUVEC, respectively In

both cell types, this induction was not affected by treatment

of cells with PA1-1, either on VN or collagen matrices,

indicating that PAI-1 has no effect on insulin-induced proliferation of NIH3T3 and HUVEC proliferation

PAI-1 inhibition of endothelial cell angiogenesis induced by insulin/VN

Recently, a role for PAI-1 in angiogenesis in vivo has been proposed [21,27], but the mechanism responsible for this action has yet to be defined On the other hand, other authors have reported a role for insulin in angiogenesis by stimulating endothelial cell growth as well as tube formation through autocrine VEGF expression [24,28] We therefore investigated the effect of PAI-1 on insulin-induced angio-tube formation of HUVEC on Matrigel, an in vitro model of angiogenesis VEGF was used as a positive angiogenesis-inducing factor, and cyclosporin A (CsA) as an inhibitor of VEGF-induced angiogenesis Consistently with results pre-viously published by our group [29], VEGF induced HUVEC to form capillary-like structures (increase of 39%), while CsA inhibited this induction (Fig 5) Under identical experimental conditions, insulin induced a 59% increase in angiotube formation, which was markedly potentiated by VN (increase of 93%) PAI-1, in contrast, was able to completely inhibit the VN-mediated augmen-tation of insulin-induced angiotube formation PAI-1A inhibited angiotube formation at the same level as wild-type PAI-1, while PAI-1K had no effect Because PAI-1 is highly expressed in endothelial cells in vitro [30,31], it is tempting

to hypothesize that PAI-1 inhibition of insulin-mediated endothelial cell migration and angiotube formation can take place in vivo

Discussion

We have demonstrated in this study that PAI-1 inhibits insulin signaling, affecting the phosphorylation of PKB, the expression of VEGF, one of key proteins in angiogenesis, and various cell activities including endothelial cell migra-tion and capillary formamigra-tion This inhibimigra-tion is exerted through the interference of PAI-1 with the VN/avb3 system The results shown here provide the first demonstration of the interaction between PAI-1 and the insulin signaling, through the ability of PAI-1 to interact with VN/avb3 system

Using different mutants of PAI-1, we have demon-strated that the inhibition of insulin-induced responses by PAI-1 is due to its ability to form a complex with VN and not to its antifibrinolytic properties Mutant PAI-1A, which binds normally to VN but lacks plasminogen activator inhibitory activity, was able to inhibit insulin/ VN-induced PKB phosphorylation, VEGF secretion, cell migration and angiotube formation, in a manner identical

to that of wild-type PAI-1 In contrast, mutant PAI-1K, which retains the ability to inhibit plasminogen activation but does not bind to VN, had no inhibitory effect in the insulin/VN induced signaling It is well known that uPAR binds VN and competes with PAI-1 for VN binding [18,19]; therefore PAI-1 could be interfering with insulin/VN through a uPAR/uPA-mediated effect Because PKB phosphorytion and cell migration in response to insulin/VN was equally inhibited by PAI-1

in uPAR-deficient fibroblasts, we concluded that uPAR

Fig 2 Inhibition of insulin/VN-induced VEGF expression by PAI-1.

After the indicated pretreatments, NIH3T3 cells were incubated or not

for 4 h with 170 n M insulin Cell lysates (A) or conditioned media

(B and C) were subjected to Western blotting with an anti-VEGF Ig.

An anti-tubulin Ig was used as loading control Results are

represen-tative of at least four independent experiments performed.

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does not play a role in the inhibition of the insulin/VN

response by PAI-1 No effect of PAI-1 was observed on

insulin/VN-induced proliferation of NIH3T3 fibroblasts

and HUVEC, suggesting that the above described effects

of PAI-1 on insulin signaling and insulin-induced

proli-feration are uncoupled As activated insulin receptor

recruits several signaling molecules, including IRS and

Shc, it is likely that insulin can activate different siganling

pathways [32] The point of divergence of the

insulin-induced intracellular responses will be deciphered in

future studies

Upon ligand binding, the insulin receptor recruits

several signaling molecules, such as IRS A number of

reports suggest that full activation of IRS-1 requires avb3

integrin, although the precise mechanism underlying this

cooperation remains to be elucidated [10,11] In type 2

diabetes, reduced insulin sensitivity is not due to the

decrease in insulin receptor number or activity, but rather

to reduced activation (tyrosine phosphorylation) of IRS-1

[1] Under these conditions, IRS-1-mediated insulin

sign-aling is impaired while IRS-1-independent signsign-aling still

functions A prominent feature of type 2 diabetic patients

is elevated blood levels of PAI-1 [3] It is therefore reasonable to propose that PAI-1 may contribute to the development of type 2 diabetes by interfering with IRS-1-dependent insulin signaling

In circulation, there is a great excess of VN over PAI-1 (estimated to be 1000–10 000-fold) VN exists both in free form and membrane-bound form; it is synthesized in the liver but it disseminates abundantly into the vessel wall from the plasma [33] Several studies have demon-strated the increase of VN and PAI-1 during the progression of the atherosclerotic plaques [34,35] Thus,

it is tempting to speculate that PAI-1 concentration could

be locally raised to a level enough to inhibit the VN/avb3 system-mediated insulin effects in the atherosclerotic plaque environment It has been reported that the concentration of active PAI-1 in the atherosclerotic vessel wall is between 25 and 50 nM [36,37], which is in the same range of concentration used in this work, and that has been able to inhibit endothelial cell migration and angiotube formation (Figs 3 and 5) Thus, the inhibition

of the insulin response by PAI-1 may well be taking place in vivo, in certain pathological conditions

Fig 3 PAI-1 inhibits insulin-induced cell migration on VN (A) Effect of PAI-1 on insulin-induced NIH3T3 cell migration Transwells were coated with Matrigel containing collagen or VN The extent of NIH3T3 cell migration through Matrigel is shown with and without 100 n M PAI-1 or disintegrins, in the presence of 170 n M insulin Cells that had crossed the Matrigel membrane were counted after 16 h migration (B) Effect of mutants of PAI-1 on insulin-induced NIH3T3 cell migration on VN (C) Effect of PAI-1 on insulin-induced uPAR–/– MEFs migration (D) Effect

of PAI-1 on insulin-induced HUVEC migration Transwells were coated with 5 lgÆmL)1collagen, 5 lgÆmL)1VN or BSA The extent of HUVEC migration is shown through Transwells induced by 50 ngÆmL)1VEGF, 170 n M insulin (± 100 n M PAI-1) and PAI-1 alone Cells that had crossed the Transwell membrane were counted after 4 h of migration The data represent the average of four experiments *P < 0.05 compared to the value

vs control **P < 0.05 compared to the value corresponding to insulin.

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The interference of PAI-1 with the VN/avb3 system and

its consequences on insulin signaling, shown in this work,

may constitute a general mechanism by which PAI-1, the

main fibrinolytic regulator, could influence insulin-induced

responses, providing a potential explanation for the

fre-quently observed positive correlation between impairment

of the fibrinolytic system and insulin resistance syndrome in

diabetes and obesity Indeed, PAI-1 is highly expressed in

diabetic and obese patients and amelioration of

insulin-resistance is achieved by diet leading to the reduction of

fat tissues, the main source of PAI-1 [38]

PAI-1 has been recognized as a marker of endothelial

dysfunction in diseases associated with impaired

angio-genesis, including atherosclerosis and diabetic

vasculo-pathy [39] Although regulation of in vitro and in vivo

angiogenesis by PAI-1 has been reported, it is not clear

whether PAI-1 affects angiogenesis via its antiproteolytic

activity or by interacting with VN [21,27] Our observa-tion that PAI-1 can inhibit insulin-induced HUVEC migration and angiotube formation by interfering with the VN/avb3 system suggests that the latter mechanism is likely Given that PAI-1 and VN are highly expressed in the atherosclerotic plaques, it is tempting to propose that

Fig 5 PAI-1 inhibits insulin/VN-induced angiotube formation HUVEC were preincubated with and without CsA (200 ngÆmL)1) or PAI-1, PAI-1A or PAI-1K (100 n M ), and then seeded in 96-well plates pre-coated with Matrigel containing or not 5 lgÆmL)1VN Next, cells were stimulated with 50 ngÆmL)1VEGF or 170 n M insulin as indicated Tube formation was quantified 6 h after plating on Matrigel by counting the number of tubular structures in four to six fields (A) Fold-increase of tubes formed in comparison with the control Each column represents the mean value ± SD of four different experiments *P < 0.05 compared to the value vs insulin; **P < 0.05 compared to the value insulin + VN (B) Representative photographs (original magnification · 100) of four different fields corresponding to the experiment showed in (A) Results are representative of at least four independent experiments performed.

Fig 4 PAI-1 has no effect on insulin/VN induced cell proliferation The

effect of PAI-1 on insulin-induced NIH3T3 cells (A) and HUVEC (B)

proliferation Cells were seeded on VN or collagen-coated plates, and

incubated in the absence or presence of 170 n M insulin or 100 n M PAI-1.

Cell proliferation was determined by [ 3 H]thymidine incorporation after

24 h of incubation for NIH3T3 cells and after 72 h of incubation for

HUVEC The data represent the average of three experiments.

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PAI-1 can contribute to the development of vascular

complications associated with diabetes, such as diabetic

retinopathy, impaired wound healing, and cardiovascular

complications

Acknowledgements

We want to thank Dr D Lawrence for the generous gift of

PAI-mutants, and Drs F Blasi and M Resnati for uPAR–/– cells This work

was supported by grants from the European Union (1999/C361/06),

Fundacio´ La Marato´-TV3, MCyT (SAF2001-0482) and FIS (01/1474),

PM 990116 and FIS01/218 We thank A Blanco for technical

assistance Y.N is supported partly by the Roche Research Foundation.

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