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Volume 271, Number 25, Issue of June 21, 1996 pp. 14910-14915
©1996 by The American Society for Biochemistry and Molecular Biology, Inc.

The Proteinase-activated Receptor 2 Is Induced by Inflammatory Mediators in Human Endothelial Cells
COMPARISON WITH THE THROMBIN RECEPTOR*

(Received for publication, January 22, 1996, and in revised form, April 1, 1996)

Sverker Nystedt Dagger §, Vanitha Ramakrishnan and Johan Sundelin Dagger

From the Dagger  Division of Molecular Neurobiology, The Wallenberg Laboratory, Lund University, Sweden and  COR Therapeutics Inc., San Francisco, California 94080

ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
FOOTNOTES
REFERENCES


ABSTRACT

The proteinase-activated receptor 2 (PAR-2) belongs to the family of seven transmembrane region receptors, and, like the related thrombin receptor, it is activated by specific proteolytic cleavage of its extracellular amino terminus. It is not known which proteinase is the physiological activator of the PAR-2, but candidates can be found among the enzymes involved in the inflammatory cascade systems. Here, we have studied the effects of various mediators on the expression of the PAR-2 and the thrombin receptor in cultured human umbilical vein endothelial cells. Stimulation with the cytokines tumor necrosis factor alpha  or interleukin-1 alpha  as well as bacterial lipopolysaccharide elevated the expression of PAR-2 in a dose-dependent manner. The time course of induction after cytokine stimulation was similar to those published for the adhesion molecules intercellular adhesion molecule-1 and vascular cell adhesion molecule-1. After 20 h of stimulation, PAR-2 mRNA and protein levels were increased to 5-10-fold basal values, and, in the continued presence of tumor necrosis factor alpha , PAR-2 mRNA expression was found to remain elevated for up to 4 days. In contrast, the thrombin receptor gene was not induced by any of these inflammatory mediators. The responses to phorbol ester treatment also differed between the two genes. Thrombin receptor mRNA levels decreased steadily up to 20 h, whereas PAR-2 mRNA levels first rose to about 3-fold basal values at 4 h before decreasing again. Cell surface protein levels of both receptors were decreased after 20 h of phorbol ester stimulation. Elevating intracellular cAMP levels by treatment with forskolin resulted in decreased expression of both receptors, and inhibition of cAMP degradation appeared to blunt the cytokine-induced increase in PAR-2 expression. The induction of the PAR-2 by cytokine treatment supports the concept of PAR-2 involvement in the acute inflammatory response.


INTRODUCTION

Endothelial cells line the inside of all blood vessels and form a dynamic element of the barrier between blood and surrounding tissues. The unperturbed endothelium opposes coagulation and does not interact with circulating cells except in special sites, e.g. the high endothelial venules of lymph nodes. In inflammation the endothelium, especially in postcapillary venules, becomes leaky and expresses molecules that promote clot formation and the adherence and subsequent transmigration of white blood cells (see Refs. 1 and 2 for reviews).

Endothelial cells can be activated by inflammatory mediators like tumor necrosis factor alpha  (TNFalpha )1 and interleukin-1alpha (IL-1alpha ) as well as by the bacterial substance lipopolysaccharide (LPS). All three substances induce the production of tissue factor and the down-regulation of thrombomodulin (3, 4, 5, 6), thus initiating coagulation by the extrinsic pathway and removing an important cofactor in the protein C anticoagulant system. Furthermore, TNFalpha , IL-1, and LPS signal endothelial cells to produce the leukocyte chemoattractants macrophage chemotactic protein-1 (7) and interleukin-8 (8) and to expose at the surface the adhesion molecules E-selectin (9), intercellular adhesion molecule-1 (ICAM-1, Ref. 10), and vascular cell adhesion molecule-1 (VCAM-1, Ref. 11), surface proteins that bind leukocyte receptors and act at different steps of white blood cell extravasation (1, 2). TNFalpha , IL-1, and LPS also cause an increased permeability to macromolecules in endothelial cell monolayers (12, 13).

The proteinase-activated receptor 2 (PAR-2; Refs. 14, 15, 16) is a G protein-coupled receptor that, like the thrombin receptor (17, 18), is activated by proteolytic cleavage of its extracellular amino terminus. Activation of this type of receptor occurs through the interaction of the new amino terminus, the ``tethered ligand,'' with some other region of the receptor (17, 19, 20). By Northern blot analysis, the PAR-2 is found in many different organs (14, 16). One particular cell type that expresses the PAR-2 is the human umbilical vein endothelial (HUVE) cell,2 which also expresses the thrombin receptor. It is not known which proteinase is the physiological activator of the PAR-2, but potential candidates can be found among the many proteinases activated and secreted in blood coagulation and inflammation.

Here, we have tried to address the question of PAR-2 involvement in inflammatory reactions by studying the regulation of this gene. We analyzed in some detail the effects of TNFalpha , IL-1alpha , and LPS on the expression in human endothelial cells of the PAR-2 and the thrombin receptor, and we found that the PAR-2, but not the thrombin receptor, is strongly induced by all three inflammatory mediators. The time course of induction points to a possible role for the PAR-2 in the later phases of the acute inflammatory response.


EXPERIMENTAL PROCEDURES

Materials

Cell culture medium, glutamine, and antibiotics were from Life Technologies, Inc. Calf serum was from HyClone. Endothelial cell growth supplement and heparin, as well as LPS (Escherichia coli serotype 0127:B8), phorbol 12-myristate 13-acetate (PMA), forskolin, and isobutylmethylxanthine (IBMX) were from Sigma. Recombinant human TNFalpha (1.54 × 107 units/mg) and IL-1alpha (2.38 × 108 units/mg) were purchased from Genzyme. Forskolin and PMA were dissolved in ethanol and kept as stock solutions at -20 °C. Cytokines were thawed and aliquoted upon receipt and then stored at -70 °C. LPS was dissolved in phosphate-buffered saline and kept as a stock solution at -20 °C, and IBMX was dissolved in culture medium immediately before use.

Cell Culture

Umbilical cords were obtained from the maternity ward at Lund University Hospital, and HUVE cells were prepared essentially as described by Jaffe et al. (21). Cells were grown in M199 medium supplemented with 10% fetal calf serum and 10% newborn calf serum, heparin (20 IU/ml), streptomycin (50 µg/ml), penicillin (50 units/ml), amphotericin B (2 µg/ml), and endothelial cell growth supplement (30 µg/ml). Endothelial cells were identified by their characteristic cobblestone-like appearance and by uptake of fluorescently labeled LDL particles (Biomedical Technologies). By these criteria, cultures were judged essentially pure. After isolation, cell cultures were expanded and then frozen and stored at -130 °C until use (up to a few months). All experiments were done at passage 3.

Radioactive DNA Probes

Three different DNA fragments were used in Northern blot experiments: a 1.3-kilobase human PAR-2 cDNA fragment (16), a 2.2-kilobase human thrombin receptor cDNA fragment (17). and a 0.9-kilobase human glyceraldehyde phosphodehydrogenase (GAPDH) cDNA fragment. Fragments were labeled with 32P by random priming using the Rediprime kit and [alpha -32P]dCTP from Amersham Corp.

Northern Blots

For Northern blot studies, HUVE cells were seeded in gelatin-coated 6-well tissue culture plates and grown to confluence. Cells were then incubated for an additional 24 h in medium without endothelial cell growth supplement. Stimulating agents were diluted in fresh medium without endothelial cell growth supplement and added to the cells. For the extended study on TNFalpha effects, fresh medium with cytokine was added daily. After the indicated periods of time, total RNA was prepared (22) and then separated on denaturing formaldehyde agarose gels. The total amount of RNA retrieved from one well was loaded in each lane. The gels were blotted to hybridization membranes (Hybond C Extra, Amersham) by capillary transfer in 20 × SSC (1 × SSC is 150 mM NaCl, 15 mM sodium citrate, pH 7.0). Filters were sequentially hybridized to PAR-2, GAPDH, and thrombin receptor probes. Before hybridization with the next probe, filters were stripped in 0.1% SDS at 90 °C. Hybridizations were performed at 42 °C in 50% formamide, 5 × SSPE (1 × SSPE is 150 mM NaCl, 10 mM sodium phosphate, 1 mM EDTA, pH 7.0), 10 × Denhardt's solution, 1% SDS, 100 µg/ml herring sperm DNA. Final washings were in 0.1 × SSC, 0.1% SDS at 50 °C. Blots were then exposed to a Fuji phosphoimaging screen, and signals were quantitated using equipment and software from the same manufacturer. For each sample, signals obtained with the PAR-2 and thrombin receptor probes were normalized to the GAPDH signals. The results are expressed as -fold increase over control. Statistical significance of changes in expression level was tested by analysis of variance (ANOVA).

Antibodies

Antibody 61-1 recognizes an epitope around the activating cleavage site of the human thrombin receptor and has been described previously (23). Antibody S14.8.2 was raised against a peptide corresponding to residues threonine 29 through phenylalanine 59 of the human PAR-2 amino acid sequence with an extra cysteine added to the peptide's carboxyl terminus. This antibody will be described in detail elsewhere.3 Antibody specificity was tested by fluorescence-activated cell sorting (FACS) analysis of COS-7 cells transfected with cDNAs encoding either the human PAR-2 or the human thrombin receptor. COS-7 cells were transfected by the calcium phosphate method and grown for 36 h. They were released from culture dishes by treatment with 3 mM EDTA and incubated with primary antibodies S14.8.2 or 61-1 (10 µg/ml) for 45 min, washed, and incubated for 45 min with phycoerytrin-conjugated goat anti-mouse IgG at a 1/200 dilution and then analyzed by FACS. For measurements of receptor cell surface expression in HUVE cells, antibodies were labeled with 125I by the chloramin T method to a specific activity of about 1010 cpm/mg and purified on Sephadex G-50 columns.

Immunoassays

Endothelial cells were seeded in gelatin-coated 12-well tissue culture plates and treated as for the Northern blot experiments up to and including the stimulation. After a 20-h incubation period with stimulating agents, cells were washed twice with ice-cold phosphate-buffered saline with 0.1% bovine serum albumin and then left on ice for 30 min in this buffer. Labeled antibodies were diluted to about 107 cpm/ml (approx 1 µg/ml) in phosphate-buffered saline with bovine serum albumin and added to the cells (250 µl/well). Calculating that there are roughly 105 cells in each well, this gives an approximately 100-fold molar excess of antibody over receptor even at expression levels as high as 105 receptors per cell. Cells were incubated with antibodies for 4 h at +4 °C, washed five times in ice-cold phosphate-buffered saline with bovine serum albumin, and then lysed in 0.2 M NaOH. Bound radioactivity was quantitated in a gamma -counter. Background binding in the presence of a 100-fold excess of cold antibody was around 1200 cpm/well for the PAR-2 antibody and for the thrombin receptor antibody around 4000 cpm/well. Columns in Fig. 7 represent bound radioactivity after subtraction of this background binding. Statistical significance of differences between groups was analyzed by Student's t test.


Fig. 7. Surface binding of alpha PAR-2 and alpha  thrombin receptor antibodies after stimulation. HUVE cells were stimulated with the indicated substances for 20 h, and then binding of alpha PAR-2 (A) and alpha TR antibodies (B) was determined. The concentrations of the stimulating agents are as described under ``Results.'' Each column represents the mean ± S.D. of three determinations from a single experiment. Unspecific binding, determined in the presence of a 100-fold excess cold antibody, has been subtracted. The experiment was repeated once with similar results. In A, antibody binding after treatment with forskolin/IBMX, TNFalpha , or IL-1alpha was significantly different from that to untreated control cells. Likewise, cells treated with cytokine + IBMX bound significantly less antibody than cells treated with cytokine alone. In B, cells treated with forskolin/IBMX or PMA bound significantly less antibody than untreated control cells. (t test, alpha  = 0.01, p < 0.01).


RESULTS

In a series of experiments, changes in expression of the PAR-2 and the thrombin receptor were studied at the mRNA level in cultured HUVE cells. After stimulation for various time periods, total RNA was extracted and analyzed by Northern blotting. Filters were probed with PAR-2, thrombin receptor, and GAPDH cDNAs, where the latter was used to normalize signals between samples.

Effects of PMA and Forskolin

First we tested the effects of activating two major intracellular signaling pathways. Forskolin, an activator of adenylyl cyclases, was used together with the phosphodiesterase inhibitor IBMX (10 µM and 1 mM, respectively) to study the effect of elevating intracellular cAMP concentrations. PMA, an activator of protein kinase C, was tested at 20 ng/ml. The results, shown in Fig. 1, indicate that the PAR-2 and the thrombin receptor are both down-regulated in response to an elevation in cAMP concentration. After 20 h, the levels of mRNA were down by about 50% for both receptors. Phorbol ester stimulation also caused a steady decrease over time in thrombin receptor expression, whereas PAR-2 transcript levels changed in a biphasic manner, with a near 3-fold increase at 4 h that had returned almost to base line at the last time point. RNA levels for both receptors appeared to increase over time in unstimulated cells. Exactly what causes this change is unclear, but it may be a response to the continuing growth factor deprivation.


Fig. 1. Effects of forskolin and PMA on the expression of the PAR-2 and the thrombin receptor mRNAs. HUVE cells were stimulated with forskolin/IBMX (10 µM/1 mM) or PMA (20 ng/ml) or left untreated, and PAR-2 (A) and thrombin receptor (B) mRNA levels were determined at the indicated times after addition of drugs. Receptor mRNA signals have been normalized to GAPDH signals, and the results are expressed as -fold increase compared with mean signal at time 0. Each column represents the mean ± S.D. of three to six determinations from two separate experiments. Below the plots, representative examples are shown of the Northern blot signals. The identities of the different bands are indicated at left. Messenger RNA levels for both the PAR-2 and the thrombin receptor changed significantly over time after treatment with either forskolin/IBMX or PMA (ANOVA, alpha  = 0.01, p < 0.01).

Induction by Cytokines and by LPS

Stimulation with IL-1alpha or TNFalpha (both 10 ng/ml) or LPS (200 ng/ml) had dramatically different effects on the expression of the two receptors. PAR-2 was strongly induced by all three substances (Fig. 2). At 20 h the mRNA levels had increased to 6-10 times basal values. In contrast, thrombin receptor expression remained largely unaffected by these treatments. In consequence of this, the remaining Northern blot studies were limited to the examination of changes in PAR-2 mRNA levels.


Fig. 2. Effects of cytokines and LPS on PAR-2 and thrombin receptor mRNA levels. HUVE cells were stimulated with TNFalpha (10 ng/ml), IL-1alpha (10 ng/ml), or LPS (200 ng/ml), and PAR-2 (A) and thrombin receptor (B) mRNA levels were determined at the indicated time points. Results were calculated as described in the legend to Fig. 1. Each column represents the mean ± S.D. of four determinations from two separate experiments. Below the plots representative examples are shown of the Northern blot signals. The identities of the different bands are given at left. Messenger RNA levels changed significantly over time for the PAR2 after treatment with either cytokine or LPS and for the thrombin receptor after treatment with IL-1alpha (ANOVA, alpha  = 0.01, p < 0.01).

Dose-Response Relationships

To support the above results on PAR-2 gene induction, we examined the effects of increasing concentrations of IL-1alpha , TNFalpha , or LPS. Cells were stimulated for 4 h, and then mRNA was extracted and analyzed. Responses to both cytokines reached a plateau level around 0.1 ng/ml, whereas LPS concentrations had to be considerably higher, about 0.1 µg/ml (Fig. 3).


Fig. 3. Dose dependence of the PAR-2 mRNA induction by cytokines and LPS. HUVE cells were stimulated for 4 h with the indicated concentrations of TNFalpha , IL-1alpha , or LPS, and then the PAR-2 mRNA levels were determined. The PAR-2 signals were normalized to the GAPDH signals, and the results are expressed as -fold increase compared with unstimulated cells. Each column represents the mean ± S.D. of two determinations from a single experiment. Representative Northern blot hybridizations are shown below the diagram. The identities of the RNA bands are given at left.

Blocking Effect of a Phosphodiesterase Inhibitor

It has been shown that agents that elevate intracellular concentrations of cAMP antagonize many of the proinflammatory actions of cytokines on endothelial cells (24, 25, 26). It was therefore tested if the phosphodiesterase inhibitor IBMX on its own could antagonize the effects of IL-1alpha (1 ng/ml), TNFalpha (10 ng/ml), or LPS (200 ng/ml) on PAR-2 expression. The results are displayed in Fig. 4. IBMX (1 mM) appeared to block completely the increase in PAR-2 mRNA at earlier time points. The block was partially overcome at 20 h. It was not investigated whether this is because IBMX only slows down the rate of induction or if the increase at the last time point reflects degradation of the phosphodiesterase inhibitor.


Fig. 4. Effect of IBMX on the induction of the PAR-2 mRNA by cytokines and LPS. HUVE cells were stimulated with TNFalpha (10 ng/ml), IL-1alpha (1 ng/ml), or LPS (200 ng/ml) in the absence (filled columns) or presence (open columns) of 1 mM IBMX, and PAR-2 mRNA levels were determined at the indicated time points. Results were calculated as described in the legend to Fig. 1. Each column represents the mean ± S.D. of two determinations from a single experiment.

Long-term Induction by TNFalpha

The expression of PAR-2 was also followed over several days of treatment with 10 ng/ml TNFalpha . The medium with cytokine was changed daily to ensure a continuing stimulation. As shown in Fig. 5, mRNA levels increased steadily to a peak of about 14 times control values at 48 h and remained elevated over the following 2 days.


Fig. 5. Time course of the induction of the PAR-2 mRNA by TNFalpha . HUVE cells were stimulated with TNFalpha (10 ng/ml) for the indicated times, and then PAR-2 mRNA levels were determined. Results were calculated as described in the legend to Fig. 1. Each column represents the mean ± S.D. of four determinations from a single experiment. Representative Northern blot hybridizations are shown below the diagram. The identities of the RNA bands are given at left.

Parallel Effects at the Level of the Receptor Protein

The different responses to cytokine stimulation displayed by the two receptor genes do not necessarily reflect differences in the amounts of receptor mobilized to the cell surface. The results are also compatible with a model where the PAR-2 and the thrombin receptor genes are regulated at different levels, the PAR-2 being primarily controlled by its rate of transcription and mRNA degradation. It was therefore also investigated whether stimulation resulted in increased amounts of receptor protein at the cell surface. This was especially pertinent in view of reports about the existence of an intracellular storage pool of preformed thrombin receptor (27, 28, 29). To measure receptor protein on the cell surface, we used antibodies raised against peptides made from the receptor amino-terminal sequences. Antibody specificity was analyzed by FACS of COS-7 cells that had been transfected with cDNAs encoding either the PAR-2 or the thrombin receptor (Fig. 6). HUVE cells, stimulated as above for 20 h with various substances, were incubated with radioiodinated antibodies to either the PAR-2 or the thrombin receptor. Bound radioactivity was quantitated after washings. The results are summarized in Fig. 7. Binding of antibodies against either receptor was decreased after stimulation with forskolin + IBMX (10 µM and 1 mM, respectively) or PMA (2 ng/ml). The effects of cytokine treatment mirrored those seen at the mRNA level. Stimulation with TNFalpha (10 ng/ml) or IL-1alpha (0.5 ng/ml) increased binding of PAR-2 antibodies about 5-fold, with no appreciable change in thrombin receptor antibody binding. Addition of IBMX (1 mM) with the cytokines caused a diminished increase in PAR-2 antibody binding. In a single experiment, the appearance of PAR-2 protein was followed at earlier time points after stimulation with TNFalpha . The time course was similar to that seen at the mRNA level (data not shown).


Fig. 6. Antibody specificity. COS-7 cells were transiently transfected with cDNAs encoding either the PAR-2 (COS7-PAR2) or the thrombin receptor (COS7-TR). After 36 h, cells were stained with antibodies against either the PAR2 (S14.8.2, hatched areas) or the thrombin receptor (61-1, open areas) and analyzed by FACS.


DISCUSSION

The first proteinase-activated receptor to be described, the thrombin receptor, is widely expressed with a preference for mesenchymal tissues (30). The distribution of the PAR-2 is being investigated, and it appears to have an almost complementary distribution, being expressed mainly in various epithelial linings of the body.4 In endothelial cells, the two receptors are present together. Why do endothelial cells express both of these receptors, likely to be important only in emergency situations? Do they serve redundant functions and just respond to different agents, or do they act at different stages of tissue responses to injury?

Although endothelial cells differ between tissues and between segments of the vascular tree, it appears that many types of endothelial cells have a similar set of responses to inflammatory stimuli. In this study, we used primary cultures of HUVE cells, partly because these cells are easily available but also because they are an established model system for the study of endothelial function, especially in inflammation, which faithfully reflects many endothelial responses known from studies on living animals.

Stimulation of HUVE cells with forskolin caused down-regulation of the PAR-2 and the thrombin receptor alike, both at the mRNA and the protein levels. Phorbol ester treatment, on the other hand, appeared to detect a difference in the regulation of the two receptor genes. Thrombin receptor mRNA levels decreased steadily with PMA stimulation, whereas the amount of PAR-2 mRNA first rose to almost 3-fold the basal value before starting to decrease. After 20 h of PMA stimulation, protein levels of both receptors were decreased. For the thrombin receptor, the results agree with earlier observations from experiments with human mesangial cells (31). Whether the differential responses to phorbol ester treatment are physiologically relevant will have to be investigated.

TNFalpha and IL-1alpha act together to orchestrate the acute inflammatory response, and they do so mainly by inducing or reducing transcription of a large number of genes in responding cells. LPS is a bacterial substance but has been shown to have many proinflammatory effects in common with TNFalpha and IL-1alpha . All these three substances caused a marked increase in expression of the PAR-2, and the effect occurred at concentrations similar to those needed to induce other cytokine-responsive genes (3, 8, 10). The same treatments had no effect on thrombin receptor expression. When the phosphodiesterase inhibitor IBMX was added in combination with cytokines or LPS, it appeared to inhibit the induction of the PAR-2. Others have shown that TNFalpha increases the activity of cAMP-specific phosphodiesterase in endothelial cells, an effect that could be blocked by IBMX treatment, which also elevated cAMP levels (25). Cyclic AMP was not measured in the present study, but the results fit the pattern that cAMP and cytokine signaling have opposite effects on many inflammatory parameters. For example, elevation of cAMP inhibits TNFalpha -induced expression of E-selectin and VCAM-1 (24), as well as TNFalpha -induced endothelial leakage (25). On a molecular level, it has been shown that cAMP and TNFalpha competitively regulate the E-selectin promoter (26).

When compared with other proteins that are induced by treatment with TNFalpha , IL-1alpha , or LPS, the PAR-2 groups with the slow responders. In cultured HUVE cells, IL-1 and LPS induce tissue factor activity with peak expression after 4 h of stimulation (3, 4), which returns to basal values within 24 h. Induction of E-selectin by IL-1 follows a similar time-course (9). Induction of the ICAM-1 and VCAM-1 by TNFalpha or IL-1 is slower, and expression remains elevated for at least 48 h in the continued presence of cytokine (10, 11). Here, PAR-2 expression reached a plateau level by 24 h and remained elevated for 72 h with TNFalpha stimulation, a time course similar to that of the ICAM-1. Also like the ICAM-1, the PAR-2 was expressed at a low level already in unstimulated endothelium, both by Northern blotting and antibody binding.

It has been shown that, in endothelial and other cells, the thrombin receptor is stored in an endosomal compartment (27, 28, 29) from where it can be mobilized after the receptors at the cell surface have been used up. We are currently investigating whether the same is true for the PAR-2. Because of this potential difference, it was important to determine the levels of receptor protein at the cell surface in parallel with measuring the amounts of mRNA. It appears that neither cytokine nor LPS caused a net redistribution of thrombin receptor from the endosome to the cell surface, ruling out the possibility that induction of the thrombin receptor still occurred, but on a different level from that governing PAR-2 expression.

From our results, it is not possible to draw any precise conclusions as to the role or importance of the PAR-2 in inflammation. No attempts were made to determine receptor numbers or the absolute levels of PAR-2 or thrombin receptor mRNA, but the relative induction by cytokines of the PAR-2 compared with the thrombin receptor suggests that there is an increasing need for a function served by PAR-2 during the mounting of an inflammatory response. Exactly what this function is can only be answered when we know which enzyme acts on the PAR-2. Further investigations must also aim at studying the functional effects of endothelial activation mediated by PAR-2.


FOOTNOTES

*   This work was supported by the Swedish Medical Research Council (B96-13X-09467), the Alfred Österlund Trust, and the Medical Faculty, Lund University. 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.
§   To whom correspondence should be addressed: Division of Molecular Neurobiology, The Wallenberg Neurocenter, Lund University, Solvegatan 17, S-22362 Lund, Sweden. Tel.: 46 46 2220586; Fax: 46 46 2220568; E-mail sverker.nystedt{at}mphy.lu.se.
1   The abbreviations used are: TNFalpha , tumor necrosis factor alpha ; FACS, fluorescence-activated cell sorting; HUVE, human umbilical vein endothelial; IBMX, isobutylmethylxanthine; ICAM-1, intercellular adhesion molecule-1; IL-1, interleukin-1; PAR-2, proteinase-activated receptor 2; PMA, phorbol 12-myristate 13-acetate; VCAM-1, vascular cell adhesion molecule-1; ANOVA, analysis of variance; GAPDH, glyceraldehyde phosphodehydrogenase; LPS, lipopolysaccharide.
2   S. Nystedt, V. Ramakrishnan, and J. Sundelin, unpublished observations.
3   Anna-Karin Larsson et al., manuscript in preparation.
4   C. Nilsson, S. Nystedt, and J. Sundelin, unpublished results.

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