- •CONTENTS
- •Contributors
- •Preface
- •I Components of Angiogenic Cascades
- •1. Introduction and Historical Perspective
- •2. The Semaphorins
- •3. The Plexin Receptor Family
- •4. The Neuropilins
- •5. Vascular Endothelial Growth Factors and Their Receptors
- •6. Signal Transduction by Neuropilins
- •7. The Role of the Neuropilins in the Regulation of Vasculogenesis and Angiogenesis
- •8. Modulation of Angiogenesis by Semaphorins that Bind Directly to Plexins
- •Acknowledgments
- •References
- •1. Introduction
- •1.1. Eph receptor domain structure
- •1.2. The ephrin domain structure
- •2. Effects on Vascular Cell Behavior and Signaling Pathways
- •2.1. Ephrin-A1 and EphA2
- •2.2. Ephrin-A1 and EphA4
- •2.3. Ephrin-B and EphB
- •2.3.1. EphB forward signaling
- •2.3.2. Ephrin-B reverse signaling
- •2.4. Crosstalk with other angiogenic pathways
- •3. Endothelial Cell Fate
- •4. Angiogenic Remodeling of Embryonic Blood Vessels
- •4.1. Ephrin-A1 and EphA receptors
- •4.2. EphB4 and Ephrin-B2
- •4.3. Other EphB receptors and Ephrin-Bs
- •5. Lymphatic Vessels
- •6. Adult Vasculature
- •6.1. Quiescent vasculature
- •6.2. Physiological angiogenesis
- •6.3. Inflammation and wound healing
- •6.4. Tumor angiogenesis
- •6.4.1. Ephrin-A1 and EphA2
- •6.4.2. Ephrin-B2 and EphB4
- •8. Perspectives
- •Acknowledgments
- •References
- •1. Introduction
- •2. Molecular Mechanisms
- •3. Role in Vascular Development
- •4. FGFs in Tumor Angiogenesis
- •5. Role of FGFs in Developmental and Tumor Lymphangiogenesis
- •7. Conclusion
- •Acknowledgments
- •References
- •1. The NPY System
- •2. NPY as a Growth Factor for Vascular Cells
- •3. DPPIV: A Molecular Switch of the NPY Angiogenic System
- •4. Downstream Mediators of NPY Actions
- •5. NPY in Revascularization of Ischemic Tissues
- •6. NPY in Wound Healing
- •7. NPY in Adipose Tissue Growth and Obesity
- •8. NPY in Retinopathy
- •10. NPY in Tumor Angiogenesis
- •11. NPY-Mediated Angiogenesis and Neurogenesis
- •References
- •1. Introduction
- •2. Historical Perspective
- •3.1. The HSPG core proteins
- •3.2. The structure of the HS chain
- •3.3. The biosynthesis of HS
- •3.4. The post-synthetic processing of HSPGs
- •4. Evolution of HSPGs
- •5. HSPGs in Development
- •6. HSPG Modulation of Ligand-Receptor Interactions
- •6.2. HSPG co-receptors confer unique regulatory properties
- •6.2.1. Co-receptors engender stoichiometric control of signaling
- •6.2.2. The effects of glycanation
- •6.2.3. HS sequence motifs regulate signaling
- •7. HSPGs Enable Global Control of EC Phenotype
- •8. Future Therapeutic Directions
- •9. Conclusions
- •References
- •II Angiogenic Regulators
- •1. Introduction: Blood Vessels and Nerves Use Similar Guidance Cues
- •2. Semaphorin Signaling
- •2.1. Neuropilins
- •2.2. Plexins
- •3. Ephrins and Eph Signaling
- •3.1. Forward signaling
- •3.2. Reverse signaling
- •4. Netrin and Slit Signaling
- •5. Open Questions
- •References
- •1. Oxygen Homeostasis: Phylogeny, Ontogeny, Physiology, and Pathobiology
- •5. Control of Angiogenesis and Arteriogenesis by HIF-1
- •6. Control of Tumor Angiogenesis by HIF-1
- •References
- •1. Introduction
- •2. Reactive Oxygen Species (ROS) in the Vasculature
- •3. ROS and Angiogenesis
- •4. NAD(P)H Oxidase: A Major Source of ROS in the Vasculature
- •5. Role of NAD(P)H Oxidase in Angiogenesis
- •6. ROS as Signaling Molecules in Angiogenesis
- •8. Conclusion
- •References
- •1. Introduction
- •2. Assessing Coronary Angiogenesis and Arteriogenesis
- •3. Pressure Overload-Induced Hypertrophy
- •4. Volume Overload-Induced Cardiac Hypertrophy
- •5. Thyroxine-Induced Hypertrophy
- •6. Hypoxia-Induced Hypertrophy
- •7. Exercise-Induced Hypertrophy
- •8. Myocardial Infarction-Induced Hypertrophy
- •9. Modulators of Angiogenesis During Hypertrophy
- •10. Stimuli of Angiogenesis During Hypertrophy
- •11. Summary
- •References
- •1. Introduction
- •2. Coronary Resistance
- •3. Regulation of Coronary Microvascular Tone
- •3.1. Intrinsic and extrinsic vasomotor control
- •3.2. Role of the endothelium
- •3.3. Role of metabolism and autoregulation
- •3.4. Flow-induced dilation
- •3.5. Neurohumoral influence on microcirculation
- •3.6. Intrinsic myogenic tone
- •3.7. Impact of extravascular and humoral factors on the coronary microcirculation
- •3.8. Role of venules in coronary resistance
- •4. Endothelial Factors in Vascular Growth and Response to Injury
- •5. Impact of Disease States on Coronary Circulation
- •6. The Coronary Microcirculation in Hypertophic States
- •7. Summary
- •References
- •III Clinical Applications
- •1. Kinase Inhibition and Tumor Angiogenesis
- •2. Major Angiogenesis Factors and Receptors
- •2.1. VEGF signaling
- •3. Further Angiogenesis-Related Signaling
- •4. Need for Selectivity of Anti-Angiogenic Kinase Inhibitors
- •5. Kinase Inhibitors in Clinical Development
- •5.1. BAY 43-9006 (Sorafenib)
- •5.2. PTK/ZK (Vatalanib)
- •5.3. SU11248 (Sunitinib)
- •5.9. BIBF 1120
- •5.10. Chir-258
- •5.12. SU5416 (Semaxinib)
- •6. Challenges and Future Directions
- •Acknowledgments
- •References
- •1. Introduction
- •2. Concepts and Rationales
- •3. Strategy
- •4. Clinical Trials
- •4.1. Growth factor-based, angiogenic approach
- •4.2. Cell therapy-based, vasculogenic and paracrine approach
- •5. Issues Regarding Current Strategy
- •5.1. Choice of biological agent
- •5.2. Pharmacokinetics and delivery mode
- •5.3. Monitoring of neovascularization
- •5.4. Study design
- •6. Emerging Concepts of Therapeutic Angiogenesis
- •6.1. Neovascularization responsiveness
- •6.2. Genetic determination of neovascularization
- •7. Future Prospective
- •8. Summary
- •References
- •1. Hepatocyte Growth Factor in Cardiovascular System
- •2. HGF Signaling in Endothelial Cells
- •3. Angiogenic Therapy for Ischemic Peripheral Arterial Diseases
- •4. Clinical Trial in PAD
- •5. HGF Gene Therapy for Myocardial Ischemia
- •6. HGF Gene Therapy for Restenosis After Angioplasty
- •7. Next Five Years Perspective — Future Direction of HGF Therapy
- •Acknowledgments
- •References
- •1. Endothelial Nitric Oxide in Health and Disease
- •1.1. Nitric oxide synthases
- •1.2. Physiological role of endothelial NO (“EDNO”)
- •1.3. Endothelial NO-deficiency in cardiovascular diseases
- •1.4. Therapeutic restoration of endothelial NO production in cardiovascular diseases
- •2. Nitric Oxide and Angiogenesis
- •2.2. Tumor angiogenesis and NO
- •2.3. Evidence in cultured endothelial cells and in rabbit cornea
- •2.4. Role of NO in post-ischemic revascularization
- •2.6. Molecular mechanisms
- •3. NOS Gene Transfer
- •3.1. Gene delivery vectors
- •3.2. NOS-III gene transfer
- •3.3. NOS-II gene transfer
- •4.1. Impaired angiogenesis and arteriogenesis in patients with critical limb ischemia
- •4.2.1. NOS-III-KO mice
- •4.2.2. NOS-III transgenic mice
- •4.2.3. Wild-type NOS-III gene transfer in normal rats
- •4.5.1. Plasmid delivery of the NOS1177D gene
- •4.5.2. Adenoviral delivery of the NOS1179D gene
- •6. Conclusions
- •Acknowledgments
- •References
- •Index
156 A. Horowitz
3. Ephrins and Eph Signaling
Ephrins are membrane-bound ligands of the tyrosine kinase Eph receptors. The tissue expression patterns of Eph receptors and ephrin ligands are complementary, similar to that of semaphorin and their plexin receptors, so that each of the two types of proteins is expressed along the boundaries of apposing domains.60 Ephrins and their receptors participate in determining the body plan of the developing embryo by providing a repulsive signal during embryogenesis which prevents intermingling of structurally and functionally distinct domains. Ephrins are classified into two classes, depending on their interaction with the plasma membrane: class A ephrins (A1–A5) are GPI-anchored, while class B (B1–B3) are single-pass transmembrane proteins. The structure of the Eph receptors and ephrin ligands is described in detail in Chapter 2. Eph receptors generally, though not exclusively, bind only to one class of ephrins, and are classified accordingly (A1–A8, B1–B6). The interactions between Eph receptors and ephrin ligands within each class are promiscuous, with the exception of the EphB4 receptor in the vascular system, which binds with high affinity only to ephrin-B2. Since both receptors and ligands are attached to the plasma membrane, ephrin signaling requires cell-to-cell contact.
Similar to semaphorin and its receptors, Eph and ephrins were initially studied as neuronal guidance proteins (reviewed in Refs. 61 and 62). The role of the Eph-ephrin system in vascular morphogenesis became apparent when disruption of the mouse ephrin-B2 gene was found to result in defective arterial and venous angiogenesis and in embryonic lethality, though vasculogenesis of the major blood vessels was not affected.63 The expression pattern of ephrin-B2 was complementary to that of one of its ligands, EphB4, such that they were expressed preferentially in arteries or in veins, respectively. It was subsequently observed that EphB4 is expressed exclusively in endothelial cells, and that an EphB4 loss-of-function mutation duplicates the ephrin-B2-null phenotype.64 As discussed in more detail in Chapter 2, the reciprocal expression of ephrin-B2 and EphB4 functions as a mechanism for defining the identity of arteries and veins and for maintaining the boundary between them, as well as between blood vessels and their
Directional Cues in Angiogenesis |
157 |
surrounding tissue.63,65,66 This is similar to the function of the Eph receptor-ephrin ligand system in the nervous system, where it marks the boundary between the developing nerves and their surrounding tissue, thus constituting a guidance mechanism.61
The roles of receptor versus ligand are interchangeable in Ephephrin signaling, since ephrin also transduces intracellular signals upon engagement by Eph (reviewed in Ref. 67) (Fig. 2). Thus Eph receptors initiate forward signaling, while ephrins give rise to reverse signaling. This bidirectional signaling is similar to the interaction between plexA1 and the transmembrane semaphorin sema6D.68 Despite the absence of a cytoplasmic domain, GPI-anchored class A ephrins also transduce intracellular signals upon interaction with EphA receptors.69−72 The
Fig. 2. Forward signaling via the Eph receptor and reverse signaling via the ephrin ligand.
158 A. Horowitz
mechanism by which this signaling occurs has not been fully elucidated (see below).
3.1. Forward signaling
Ephrin-stimulated forward signaling via Eph receptor requires clustering of the ephrins on the surface of the apposing cell.73,74 Based on structural studies, it was proposed that the Eph signaling unit is a tetramer.75 Eph tetramers undergo autophosphorylation on multiple tyrosines,76 both in the juxtamembrane region, the kinase domain and the carboxy-terminus region. The phosphorylation of the juxtamembrane region releases its steric inhibition of the kinase domain,77,78 and facilitates interaction with phosphotyrosines-binding proteins. Most of these interactions are mediated by Src homology 2 (SH2) domains of the Eph binding partners, and among others, include Src family kinases (SFK), the p85 regulatory unit of phosphatidylinositol 3-kinase, p120RasGAP, and several adaptor proteins (reviewed in Ref. 76). One of the proteins interacting with the cytoplasmic domain of EphA and EphB receptors via an SH2 domain is the non-receptor tyrosine kinase Abl.79 Recent results indicate that EphB4 stimulation by the ephrin-B2 ligand activates Abl, which then phosphorylates the adaptor protein Crk on Tyr221 and consequently uncouples it from the Crk-associated substrate p130(CAS).80 In turn, dissociation of Crk from P130 (CAS) inhibits cell migration.81
The carboxy-termini of all Eph receptors conform to the PDZbinding motif consensus sequence VXV,82 and interact with the PDZ domains of several adaptor proteins (reviewed in Ref. 83). Some of these PDZ ligands, PICK1, syntenin and GRIP1,82 are adaptor proteins that contain between 1 (PICK1) to 7 (GRIP1) PDZ domains. PICK1 clusters and becomes phosphorylated upon binding to EphB2, though the functional significance of this phosphorylation is not known. Eph receptors of both class A and class B bind and phosphorylate AF-6,84 a large adaptor protein which binds Ras. By analogy to Bcr, another AF-6 tyrosine kinase,85 AF-6 phosphorylation by Eph receptors may facilitate Ras binding to AF-6, thus segregating it away from its effector Raf-1 and consequently downregulating the Raf/MEK/ERK pathway.82,84
Directional Cues in Angiogenesis |
159 |
Similar to plexins, the main effectors of the Eph receptors are cytoskeleton and cell adhesion proteins. The functions of these proteins are regulated by the Eph receptors via several signaling pathways. The kinase domain of the EphA receptors binds ephexin, a RhoA, Rac1 and Cdc42-activating GEF,86 and upon stimulation by the ephrin-A ligand activates ephexin via tyrosine phosphorylation by Src.87,88 This phosphorylation increases the specificity of EphA-activated ephexin towards RhoA, resulting in relative inhibition of Cdc42 and Rac1. The coupling of RhoA activation and inhibition of Cdc42 and Rac1 facilitates cell collapse, similar to the effects of semaphorin. Additional RhoGEFs mediate Eph-induced rearrangement of the cytoskeleton.89−92 Of these, the vascular smooth muscle-expressed ephexin homologue Vsm-RhoGEF, is specific to the vascular system and binds EphA receptors.90 Similar to ephexin, Vsm-RhoGEF is activated by tyrosine phosphorylation upon EphA stimulation, subsequently activating RhoA and inducing stress fiber assembly. While most of the evidence suggests that Eph regulation of Rho-GTPases involves a tyrosine phosphorylation cascade, it appears that this is not always the case, as Cdc42 and Rac1 were inhibited even in cells expressing kinase-dead EphB3.93 The manner in which the inhibition occurred was not determined, however, and a mechanism involving the activation of endogenous ephrin-B by the kinase-dead EphB3 could not be ruled out. Signaling via the ephrin ligand appears to play a role in the vascular system — overexpression of kinase-dead EphB4 was sufficient to alter the normal developmental program of the vascular system in the mouse,94 suggesting that ephrin-B2 can function as a signaling receptor. Instead of the typical angiogenic patterning where a vascular network forms upon the emergence and interconnection of new vessels, the pre-existing blood vessels increased in diameter without sprouting new capillaries. This growth pattern was observed in developing and postnatal angiogenesis, as well as in tumors and normal growth. Given that the EphB4 receptor exerts a repulsive signal via ephrin-B2, it is possible that when the normal angiogenic program was suppressed by the expression of kinase-dead EphB4, endothelial cell proliferation, which is also activated by ephrin-B2,95 was diverted into circumferential enlargement of the initial vascular network.
