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Originally published In Press as doi:10.1074/jbc.M105336200 on November 1, 2001

J. Biol. Chem., Vol. 277, Issue 2, 1047-1057, January 11, 2002
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Stretch-induced Retinal Vascular Endothelial Growth Factor Expression Is Mediated by Phosphatidylinositol 3-Kinase and Protein Kinase C (PKC)-zeta but Not by Stretch-induced ERK1/2, Akt, Ras, or Classical/Novel PKC Pathways*

Izumi SuzumaDagger , Kiyoshi SuzumaDagger , Kohjiro UekiDagger , Yasuaki Hata§, Edward P. FeenerDagger , George L. KingDagger , and Lloyd Paul AielloDagger ||**Dagger Dagger

From the Dagger  Research Division and || Beetham Eye Institute, Joslin Diabetes Center, Boston, Massachusetts 02215, the § Department of Ophthalmology, Kyushu University, Faculty of Medicine, Fukuoka 606-8507, Japan, the  Department of Medicine, Brigham & Women's Hospital, Boston, Massachusetts 02215, and the ** Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts 02215

Stretch-induced expression of vascular endothelial growth factor (VEGF) is thought to be important in mediating the exacerbation of diabetic retinopathy by systemic hypertension. However, the mechanisms underlying stretch-induced VEGF expression are not fully understood. We present novel findings demonstrating that stretch-induced VEGF expression in retinal capillary pericytes is mediated by phosphatidylinositol (PI) 3-kinase and protein kinase C (PKC)-zeta but is not mediated by ERK1/2, classical/novel isoforms of PKC, Akt, or Ras despite their activation by stretch. Cardiac profile cyclic stretch at 60 cpm increased VEGF mRNA expression in a time- and magnitude-dependent manner without altering mRNA stability. Stretch increased ERK1/2 phosphorylation, PI 3-kinase activity, Akt phosphorylation, and PKC-zeta activity. Signaling pathways were explored using inhibitors of PKC, MEK1/2, and PI 3-kinase; adenovirus-mediated overexpression of ERK, PKC-alpha , PKC-delta , PKC-zeta , and Akt; and dominant negative (DN) mutants of ERK, PKC-zeta , Ras, PI 3-kinase and Akt. Although stretch activated ERK1/2 through a Ras- and PKC classical/novel isoform-dependent pathway, these pathways were not responsible for stretch-induced VEGF expression. Overexpression of DN ERK and Ras had no effect on VEGF expression in these cells. In contrast, DN PI 3-kinase as well as pharmacologic inhibitors of PI 3-kinase blocked stretch-induced VEGF expression. Although stretch-induced PI 3-kinase activation increased both Akt phosphorylation and activity of PKC-zeta , VEGF expression was dependent on PKC-zeta but not Akt. In addition, PKC-zeta did not mediate stretch-induced ERK1/2 activation. These results suggest that stretch-induced expression of VEGF involves a novel mechanism dependent upon PI 3-kinase-mediated activation of PKC-zeta that is independent of stretch-induced activation of ERK1/2, classical/novel PKC isoforms, Ras, or Akt. This mechanism may play a role in the well documented association of concomitant hypertension with clinical exacerbation of neovascularization and vascular permeability.


* This work was supported in part by National Institutes of Health Grants EY-10827 (to L. P. A.), EY-5110 (to G. L. K.), and DK-48358 (to E. P. F.), the Juvenile Diabetes Research Foundation (to L. P. A.), and the Research to Prevent Blindness Dolly Green Scholarship (to L. P. A.). The Joslin Diabetes Center is the recipient of National Institutes of Health Diabetes and Endocrinology Research Center Grant 36836.The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

Dagger Dagger To whom correspondence should be addressed: Joslin Diabetes Center, One Joslin Place, Boston, MA 02215. Tel.: 617-732-2427; Fax: 617-735-1960; E-mail: lpaiello@joslin.harvard.edu.


Copyright © 2002 by The American Society for Biochemistry and Molecular Biology, Inc.
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