Volume 50, Issue 10 pp. 3275-3285
Research Article

Matrix metalloproteinase 12–dependent cleavage of urokinase receptor in systemic sclerosis microvascular endothelial cells results in impaired angiogenesis

Silvia D'Alessio

Silvia D'Alessio

University of Florence, Florence, Italy

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Gabriella Fibbi

Gabriella Fibbi

University of Florence, Florence, Italy

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Marina Cinelli

Marina Cinelli

University of Florence, Florence, Italy

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Serena Guiducci

Serena Guiducci

University of Florence, Florence, Italy

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Angela Del Rosso

Angela Del Rosso

University of Florence, Florence, Italy

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Francesca Margheri

Francesca Margheri

University of Florence, Florence, Italy

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Simona Serratì

Simona Serratì

University of Florence, Florence, Italy

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Marco Pucci

Marco Pucci

University of Florence, Florence, Italy

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Bashar Kahaleh

Bashar Kahaleh

Medical College of Ohio, Toledo

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Pansheng Fan

Pansheng Fan

Medical College of Ohio, Toledo

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Francesco Annunziato

Francesco Annunziato

University of Florence, Florence, Italy

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Lorenzo Cosmi

Lorenzo Cosmi

University of Florence, Florence, Italy

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Francesco Liotta

Francesco Liotta

University of Florence, Florence, Italy

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Marco Matucci-Cerinic

Marco Matucci-Cerinic

University of Florence, Florence, Italy

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Mario Del Rosso

Corresponding Author

Mario Del Rosso

University of Florence, Florence, Italy

Professor of General Pathology, Department of Experimental Pathology and Oncology, Viale G. B. Morgagni, 50, Florence 50134, ItalySearch for more papers by this author
First published: 08 October 2004
Citations: 114

Abstract

Objective

Defective angiogenesis, resulting in tissue ischemia, is particularly prominent in the diffuse form of systemic sclerosis (SSc). The present study was undertaken to identify possible differences between normal and SSc microvascular endothelial cells (MVECs) in the expression of the cell-associated urokinase-type plasminogen activator (uPA)/uPA receptor (uPAR) system, which is critical in the angiogenic process.

Methods

MVECs were isolated from the dermis of healthy individuals and from the dermis of patients with diffuse SSc. The uPA/uPAR system was examined at the protein and messenger RNA levels. Angiogenesis was assayed on Matrigel-coated porous filters and plates to evaluate cell proliferation, invasion, and capillary morphogenesis. Cleavage of uPAR and the activity of matrix metalloproteinase 12 (MMP-12) were evaluated by Western blotting.

Results

Compared with MVECs from healthy skin, MVECs from SSc patients showed higher expression of uPAR. However, in SSc MVECs, uPAR undergoes truncation between domain 1 and domain 2, as shown by flow cytometry, enzyme-linked immunosorbent assay, and Western blotting, a cleavage that is known to impair uPAR functions. These properties of SSc MVECs were associated with poor spontaneous and uPA-dependent invasion, proliferation, and capillary morphogenesis. The uPAR cleavage occurring in SSc MVECs was associated with overexpression of MMP-12. SSc MVEC–conditioned medium impaired uPA-dependent proliferation and invasion as well as capillary morphogenesis in normal MVECs in vitro. Both a general hydroxamate inhibitor of MMP activity and anti–MMP-12 antibodies restored this SSc MVEC–induced impaired functioning.

Conclusion

Overproduction of MMP-12 by SSc MVECs accounts for the cleavage of uPAR and the impairment of angiogenesis in vitro and may contribute to reduced angiogenesis in SSc patients.

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