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J Biol Chem, Vol. 275, Issue 18, 13802-13811, May 5, 2000
Norepinephrine Induces Vascular Endothelial Growth Factor
Gene Expression in Brown Adipocytes through a
-Adrenoreceptor/cAMP/Protein Kinase A Pathway Involving Src but
Independently of Erk1/2*
J. Magnus
Fredriksson ,
Johanna M.
Lindquist,
Gennady E.
Bronnikov§, and
Jan
Nedergaard
From The Wenner-Gren Institute, The Arrhenius Laboratories F3,
Stockholm University, SE-106 91 Stockholm, Sweden
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ABSTRACT |
To identify the signaling pathway that mediates
the adrenergic stimulation of the expression of the gene for vascular
endothelial growth factor (VEGF) during physiologically induced
angiogenesis, we examined mouse brown adipocytes in primary culture.
The endogenous adrenergic neurotransmitter norepinephrine (NE) induced
VEGF expression 3-fold, in a dose- and time-dependent
manner (EC50 90 nM). Also, the
hypoxia-mimicking agent cobalt, as well as serum and phorbol ester,
induced VEGF expression, but the effect of NE was additive to each of
these factors, implying that a separate signaling mechanism for the
NE-mediated induction was activated. The NE effect was abolished by
propranolol and mimicked by isoprenaline or BRL-37344 and was thus
mediated via -adrenoreceptors. The NE-induced VEGF expression was
fully cAMP mediated, an effect which was inhibited by H-89 and thus was
dependent on protein kinase A activity. Involvement of other adrenergic
signaling pathways ( 1-adrenoreceptors, Ca2+,
protein kinase C, 2-adrenoreceptors, and pertussis
toxin-sensitive Gi-proteins) was excluded. The specific
inhibitor of Src tyrosine kinases, PP2, markedly reduced the
stimulation by NE, which demonstrates that a cAMP-dependent
Src-mediated pathway is positively connected to VEGF expression.
However, inhibition of Erk1/2 MAP kinases by PD98059 was without
effect. NE did not prolong VEGF mRNA half-life and its effect was
thus transcriptional, and was independent of protein synthesis. These
results demonstrate that adrenergic stimulation, through
-adrenoreceptor/cAMP/protein kinase A signaling, recruits a pathway
that branches off from the NE-activated Src-Erk1/2 cascade to enhance
transcription of the VEGF gene.
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INTRODUCTION |
For the study of angiogenesis, brown adipose tissue provides a
physiologically interesting model system. In this tissue,
norepinephrine (NE),1 the
adrenergic mediator in sympathetic nerves, is the acute inducer of
thermogenesis (1). During the thermogenic process, the rate of lipid
oxidation in this tissue, and thus the demand for oxygen delivery to
the tissue, is immense. Heat production in brown adipose tissue
accounts for nearly half of the total energy expenditure in a
cold-acclimated animal in the cold, even though the tissue only
constitutes 1-2% of the total body weight (2, 3). The blood supply
needed to support the oxygen requirement under such conditions is
necessarily exceedingly high (2, 3), demanding a rich vasculature,
which is indeed increased during brown adipose tissue recruitment (2,
4).
The regulation of this angiogenesis in brown adipose tissue has so far
not been extensively investigated. Expression of the angiogenic factor
basic fibroblast growth factor, is induced in the tissue by cold
exposure (5) and by NE in cultured brown adipocytes (6). The
VEGF-related factor (vascular endothelial growth factor-B) is expressed
already during development (7), and expression of VEGF (vascular
endothelial growth factor (8)) itself is induced by NE administration
and cold exposure in brown adipose tissue (9), and VEGF expression and
secretion is stimulated by NE in cultured brown adipocytes (10, 11).
Thus, NE appears to mediate cold-induced angiogenesis in brown adipose
tissue by stimulating the expression of angiogenic factors, such as
VEGF. In this respect, the effect of NE may be connected to the general recruitment effect of NE in this tissue, i.e. increased DNA
synthesis (6, 12-14) and increased expression of the brown
adipocyte-specific mitochondrial uncoupling protein UCP1 (15-18).
The aim of the present investigation was to clarify through which
intracellular signaling mechanisms NE stimulates expression of the VEGF
gene. We conclude that NE-induced VEGF expression was exclusively
dependent on a -adrenoreceptor-mediated increase in cAMP levels and
PKA activity. The mediation involved Src tyrosine kinases, unexpectedly
and completely independently of downstream mediation via Erk1/2 MAP
kinases. We thus demonstrate a positive connection between VEGF
expression and a signaling pathway that branches off from the
NE-activated Src-Erk1/2 cascade.
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EXPERIMENTAL PROCEDURES |
Cell Isolation--
Brown adipocyte precursors were isolated
from 3-4-week-old mice of the NMRI strain, obtained from a local
supplier (Eklunds), principally as described by Néchad et
al. (19) and modified by Bronnikov et al. (14).
Briefly, the cervical, interscapular, and axillary brown adipose tissue
depots were dissected out from each mouse. The depots were pooled and
incubated in the Hepes-buffered Ringer solution detailed by
Néchad et al. (19), containing 0.2% (w/v) crude
collagenase type II (Sigma). The tissue was digested for 30 min at
37 °C, with vortexing every 5 min, after which the digest was
filtered through a 250-µm nylon screen. To allow lipid droplets and
mature adipocytes to float, the digest was put on ice for 20 min, and
the infranatant was then collected and filtered through a 25-µm nylon
screen. The cells in the filtrate were pelleted by centrifugation,
suspended in Dulbecco's modified Eagle's medium and repelleted, after
which they were suspended in culture medium and used for cell culture.
Cell Culture--
The cells were cultured either in Costar
6-well plates (growth area 9.4 cm2 per well, with cells
obtained from 2.5 animals inoculated per plate in 2 ml of culture
medium per well) or in Costar 12-well plates (growth area 3.83 cm2 per well, with cells obtained from 2 animals inoculated
per plate in 1 ml of culture medium per well). The culture medium
consisted of Dulbecco's modified Eagle's medium (routinely Life
Technologies, Inc., without L-glutamine with 4 nM L-glutamine (Life Technologies, Inc.)
added), supplemented with 10% newborn calf serum (PAN Systems), 4 nM insulin (Actrapid Human, Novo), 10 mM Hepes
(Life Technologies, Inc.), and with 50 IU penicillin, 50 µg of
streptomycin (Life Technologies, Inc.), and 25 µg of sodium ascorbate
(Kebo) per ml, at 37 °C in a water-saturated atmosphere of 8%
CO2 in air in a Heraeus CO2 auto-zero B5061
incubator. On day 1, the cultures were washed with prewarmed
Dulbecco's modified Eagle's medium, and fresh prewarmed medium was
then added. Medium was then changed every other day until the day of
experimentation, which was routinely day 6.
Cultures under serum-free conditions were cultured for 5-6 days in the
above medium, after which they were washed and the same culture medium
as described above, without newborn calf serum, but with 0.5% (w/v)
albumin (fraction V, fatty acid free; Roche Molecular Biochemicals)
added. The experiments were performed after approximately 20 h in
this medium.
RNA Isolation and Determination of mRNA Levels for VEGF and
UCP1--
On the indicated day of culture (day 6 if not otherwise
indicated) and after stimulation, the culture medium was discarded and
the cells were dissolved in 0.8 ml of an Ultraspec solution (Biotecx),
and the manufacturer's procedure for RNA isolation was followed. The
RNA concentration was measured on a Beckman DU 50 spectrophotometer
with readings at 260 and 280 nm; the 260/280 nm ratio was routinely
1.7-1.8. 10 µg of total RNA was separated by electrophoresis in an
ethidium bromide-containing agarose-formaldehyde gel, as described by
Bronnikov et al. (20). The intensity of the 18 S and 28 S
rRNA bands under UV light was routinely checked to verify that all
samples were equally loaded and that no RNA degradation had occurred.
The RNA was blotted overnight from the gel to a Hybond-N membrane,
cross-linked, and hybridized as described by Bronnikov et
al. (20). The Hybond-N membrane was then washed three times in
0.1 × SSC, 0.2% SDS at 50 °C for 20 min. The membrane was
sealed in a plastic envelope and exposed to a PhosphorImager screen for 1 day. The screen was analyzed on a Molecular Dynamics PhosphorImager and the overall VEGF mRNA signal was quantified with the ImageQuant program. When the same Hybond-N membrane was analyzed for both VEGF and
UCP1 mRNA, the previous probe was removed by putting the membrane
in 0.2% SDS solution at 100 °C and allowing this solution to cool
down to room temperature.
cDNA Probes--
The VEGF cDNA was a gift from Dr. Georg
Breier, Max-Planck Institute, Bad Nauheim, Germany. It contained the
580-base pair mouse VEGF164 cDNA, which encodes the
VEGF164 isoform (21). This cDNA had been cloned into
the EcoRI-BamHI cloning sites of a pBluescript KS
vector. The vector was amplified by transformation of a TG-1
Escherichia coli strain and the cDNA was isolated. The UCP1 cDNA was that earlier used (18). The probes were labeled with
[ -32P]dCTP with a Random Primed DNA Labeling Kit
(Roche Molecular Biochemicals), according to the manufacturer's instructions.
cAMP Analysis--
On day 6 in culture and after stimulation,
the culture medium was aspirated after the indicated time and the cells
were treated principally as described by Bronnikov et al.
(20). Briefly, 0.8 ml of 75% ethanol with 1 mM EDTA was
added to each well, and after 10 min, cells were harvested by scraping.
Ethanol was removed by SpeedVac centrifugation and pellets were
suspended in 0.5 ml of 4 × TE buffer and sonicated 5 s.
After centrifugation, a 25-µl supernatant aliquot from each sample
was used for determination of cAMP levels with the Cyclic AMP Assay
System (Amersham Pharmacia Biotech), according to the manufacturer's instructions.
Erk1/2 Phosphorylation Analysis--
On day 6 in culture and
after stimulation, the culture medium was discarded and the cells were
harvested and analyzed for Erk1/2 phosphorylation as described earlier
(22). Briefly, proteins were separated on 12% polyacrylamide gels.
Electrotransfer to Hybond-C Extra nitrocellulose membranes (pore size
0.45 µm; Amersham Pharmacia Biotech) was carried out in a semidry
electroblotter. After transfer, the membranes were allowed to soak in
Tris-buffered saline for 5 min followed by quenching (5% non-fat dry
milk, 0.1% Tween 20 in Tris-buffered saline) of nonspecific binding
for 1 h at room temperature. The membranes were incubated with
primary antibodies, an Erk1/2 phosphospecific antibody (human Thr(P)
202/Tyr(P) 204; New England Biolabs) or an Erk1/2 antibody (New England
Biolabs) overnight at 4 °C. The primary antibody was detected with a
secondary horseradish peroxidase-conjugated goat anti-rabbit antibody
(New England Biolabs) and enhanced chemiluminescence (ECL; Amersham Pharmacia Biotech). The blots were exposed to Kodak X-Omat RP films and
quantified on a Molecular Dynamics densitometer. Erk1/2 phosphorylation
was routinely expressed as the ratio of phosphorylated Erk1/2 to total
Erk1/2.
Chemicals--
The following chemicals were used: norepinephrine
(( )-arterenol bitartrate), DL-propranolol, prazosin,
isoprenaline, clonidine, A23187,
12-O-tetradecanoylphorbol-13-acetate (TPA), genistein, wortmannin, pertussis toxin, actinomycin D, cycloheximide,
8-bromo-cAMP, and forskolin (all from Sigma), CGP-12177 (CGP-12177A;
Ciba-Geigy), BRL-37344 (SmithKline Beecham), cirazoline, and
1,9-dideoxy-forskolin (RBI), UK 14304 (Tocris Cookson), PD98059 (New
England BioLabs), H-89 and PP2 (Calbiochem). Dimethyl sulfoxide
(Me2SO) was used to dissolve A23187, TPA, forskolin,
PD98059, genistein, and PP2; final concentration per assay was
maximally 0.5%. Ethanol (50%) was used to dissolve prazosin and
actinomycin D; final concentration per assay was maximally 0.5%.
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RESULTS |
Mouse Brown Adipocytes Constitutively Express the VEGF Gene
To examine the regulation of VEGF expression in mouse brown
adipocytes, we first investigated the ability of these cells to express
the VEGF gene constitutively. Total RNA isolated from differentiated
mouse brown adipocytes (on day 6 in culture) was analyzed by Northern
blot analysis. The 580-base pair mouse VEGF164 cDNA
probe (21) was used. On the Northern blot (Fig.
1A), a major band at
approximately 4 kilobases was observed (top arrow), and 4 further bands at lower molecular weight were distinguishable on
densitometric analysis. This Northern blot pattern was similar to that
observed in other cells, tissues, and species (9, 21, 23, 24),
including rat brown adipose tissue (9). During the different treatments
used in this study, the intensity of these bands varied in parallel,
and the total signal was therefore that used for analysis.

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Fig. 1.
Effect of norepinephrine on VEGF gene
expression in brown adipocytes at different stages of
differentiation. Brown adipocytes were isolated and cultured for
3-7 days as described under "Experimental Procedures" and treated
as indicated. Total RNA was isolated and used for Northern blotting.
A, upper panel is a Northern blot of VEGF mRNA in day 6 cultures. Two left lanes, control levels (C);
two right lanes, stimulated with 10 µM NE for
1 h. The sizes of 28 S and 18 S rRNA are indicated to the
left. Right side arrows indicate bands as identified on
densitometric analysis. The lower panel shows ethidium
bromide (EtBr) staining of 28 S rRNA, as visualized under UV light.
B, UCP1 mRNA levels in brown adipocytes on day 3-7 in
culture, with or without 10 µM NE for 1 h. The
values are mean ± S.E. of three experiments with single wells. In
each experiment, the mRNA level in NE-treated day 5 cultures was
set to 1. (The relative increase was lower than that seen earlier (18)
as only 1 h of NE treatment was used.) C, the same
experiments as in B analyzed for VEGF mRNA levels.
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To investigate whether the expression of VEGF is a differentiation
characteristic, we followed VEGF expression during cell differentiation. Brown adipocytes in primary culture proliferate until
confluence is reached, which occurs at approximately day 5-6 after
inoculation (14, 19, 20, 25, 26). At this time, differentiation
spontaneously occurs. This is verified in Fig. 1B where the
ability of NE to induce expression of the brown adipocyte-specific
differentiation marker, mitochondrial uncoupling protein-1 (UCP1), is
analyzed. As seen, rather high levels of UCP1 mRNA were induced by
NE from day 5 (Fig. 1B, black bars), indicating that brown
adipocyte differentiation had occurred. As seen in Fig. 1C
(gray bars), VEGF was constitutively expressed already in
undifferentiated cells, and basal VEGF mRNA levels were similar in
all stages of differentiation. This is in contrast to VEGF expression
observed in 3T3-F442A adipocytes, which was fully
differentiation-dependent (27). Thus, the state of
differentiation is not crucial for basal VEGF expression in brown adipocytes.
Norepinephrine Induces VEGF Gene Expression
To investigate the effect of NE on VEGF expression, we treated the
cultures with NE for 1 h. VEGF mRNA levels increased
approximately 3-fold after NE stimulation (Fig. 1A, two rightmost
lanes), which is in accordance with observations in cultured rat
brown adipocytes (11). The stimulation by NE was observed at all stages
of brown adipocyte differentiation, from proliferating to fully
differentiated cells, and was of similar relative magnitude (Fig.
1C, black bars).
When brown adipocytes were stimulated with increasing concentrations of
NE, VEGF mRNA levels increased monophasically, following simple
Michaelis-Menten kinetics, to 4-fold control levels, obtained with 10 µM NE; the EC50 was 70 ± 22 nM (Fig. 2A).
Analysis of mean points from four similar experiments yielded a 3-fold
increase, with similar kinetics; EC50 93 ± 27 nM (not shown).

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Fig. 2.
Dose and time response curves for
norepinephrine-induced VEGF gene expression. Brown adipocytes were
isolated and cultured for 6 days, and stimulated as indicated, and VEGF
mRNA levels were analyzed principally as described in the legend to
Fig. 1A. A, VEGF mRNA levels after 1 h stimulation
with the indicated concentrations of NE. The values are mean ± S.E. of quadruplicate wells from one experiment. The mean control value
was set to 100%. Curve was drawn according to simple Michaelis-Menten
kinetics, yielding an EC50 of 70 ± 22 nM,
with a maximal level of 432 ± 21% of control. B, time
course for NE-stimulated VEGF expression. 10 µM NE was
added at time 0. The points are mean ± S.E. of three experiments
with single wells. Zero time values were set to 100% in each
experiment. , NE treated; , untreated controls.
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In the maintained presence of NE, the VEGF mRNA levels were
elevated only during the first few hours and had returned to control levels after 6 h (Fig. 2B). An independent experiment
with 30 min NE stimulation of brown adipocytes resulted in only a 30% elevation of VEGF mRNA levels (not shown); thus maximum levels occurred at about 1 h of stimulation. The rapid disappearance of
the mRNA signal in these experiments implies a short half-life of
VEGF mRNA (see also below). This transient increase in expression is in principal agreement with the time course of VEGF expression induced in rat brown adipose tissue in situ by cold
exposure: the expression peaked at 4 h, and had decreased down to
control levels within 24 h (9). Based on these experiments,
further experiments were performed with 10 µM NE and
analyzed after 1 h of stimulation.
Interaction between Norepinephrine and Other Inducers of VEGF
Gene Expression
As demonstrated above, NE is a potent inducer of VEGF expression
in mouse brown adipocytes. In various other cell types, other factors
such as hypoxia, cobalt (as a hypoxia-mimicking agent), serum, growth
factors, and phorbol esters have been demonstrated to induce VEGF
expression (27-31). We have therefore investigated whether NE is an
exclusive inducer of VEGF expression in brown adipocytes, or whether
the classical factors mentioned above could induce expression also in
these cells. These experiments may also reveal initial information on
the intracellular pathway mediating the NE signal, as non-additivity
between the NE-induced VEGF expression and that induced by other
factors would imply distinct signaling pathways.
Hypoxia (Cobalt)--
The hypoxia-mimicking agent cobalt was not
able to elevate VEGF expression after 1 h of treatment (not
shown), but after 6 h, a 3-fold increase could be seen (Fig.
3A). The elevated VEGF mRNA levels persisted for at least 24 h (not shown). Thus,
hypoxia is probably an inducer of VEGF expression also in brown
adipocytes. The effect of NE was additive to that of cobalt (Fig.
3A). Thus, NE and hypoxia (cobalt treatment) utilize
separate pathways for the induction of VEGF expression.

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Fig. 3.
Interactions between norepinephrine and
classical inducers of VEGF gene expression. VEGF expression was
analyzed in brown adipocytes principally as described in the legend to
Fig. 1A. A, brown adipocytes were stimulated for 6 h
with 100 µM cobalt chloride (Co); controls
(C) received 100 µM magnesium chloride. After
5 h, some cultures received 10 µM NE, and 1 h
later, VEGF mRNA levels were analyzed in all cultures. The values
are mean ± S.E. of two experiments with quadruplicate or
triplicate wells. Mean control values (C) were set to 100%
in each experimental series; p < 0.001 (two-way ANOVA
with replicates) comparing cobalt to cobalt + NE. B, after 6 days in culture, the medium was discarded and replaced with the
serum-free medium detailed under "Experimental Procedures." After
24 h, newborn calf serum (S) was added as indicated to
a concentration of 10%, with or without 10 µM NE. The
cultures were harvested 1 h later. The values are mean ± S.E. of four experiments with duplicate wells for each treatment. Mean
control values (C) were set to 100%; p < 0.001 (two-way ANOVA with replicates) comparing serum to serum + NE.
C, brown adipocytes were treated for 1 h with either
500 ng/ml TPA (T) or vehicle (Me2SO), with or
without 10 µM NE. Values are mean ± S.E. from one
experiment with quadruplicate wells for each treatment. Mean control
value (C) was set to 100%; p < 0.001 (one-way ANOVA) comparing TPA to TPA + NE.
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Serum--
To investigate the effect of serum factors, serum was
removed from the brown adipocyte cultures. When readded the next day, serum induced VEGF expression 4-fold (Fig. 3B). The effect
of serum lasted longer than that of NE (>6 h; not shown). NE was able
to induce VEGF expression, also in the absence of serum factors (Fig.
3B). The effect of NE was additive to that of serum (Fig. 3B), and thus the signaling pathway mediating the NE effect
would also seem to be different from pathways utilized by serum factors.
Phorbol Esters--
The phorbol ester TPA was also a potent
inducer of VEGF expression (4-fold) (Fig. 3C), implying that
protein kinase C (PKC)-activated pathways can stimulate VEGF expression
in brown adipocytes. NE gave a marked increase of VEGF mRNA in
addition to that induced by TPA alone (Fig. 3C). Thus, the
pathway mediating the NE effect on VEGF expression appears not to
involve PKC activation (see also below). Thus, also the classical
inducers of VEGF expression, hypoxia (cobalt), serum, and phorbol
ester, induced VEGF expression in brown adipocytes, but NE utilized a
distinct signaling pathway.
Mediation of Norepinephrine-induced VEGF Gene Expression
To investigate which adrenergic receptors mediate the NE effect on
VEGF expression in brown adipocytes, adrenoreceptor agonists and
antagonists were used (Fig.
4A). The
1-adrenoreceptor antagonist prazosin had no significant
effect on NE-induced VEGF expression, but the -adrenoreceptor
antagonist propranolol completely abolished it. In accordance with
this, the 1-adrenoreceptor agonist cirazoline had no
inducing effect (Fig. 4A), nor had the
2-adrenoreceptor agonists clonidine (10 µM) or UK14304 (10 µM) (not shown), whereas the -adrenoreceptor agonist isoprenaline was an equally potent inducer as was NE (Fig. 4C). Thus, only -adrenoreceptors
mediated the NE-induced VEGF expression.

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Fig. 4.
Mediation of the norepinephrine-induced VEGF
gene expression. VEGF expression was analyzed in brown adipocytes
principally as described in the legend to Fig. 1A. A, VEGF
mRNA levels after 1 h treatment as indicated: NE,
0.1 µM norepinephrine; Praz, 10 µM prazosin; Prop, 10 µM
propranolol; Cira, 1 µM cirazoline;
A23, 1 µM A23187; Frsk, 10 µM forskolin. Antagonists were added 5 min before NE. The
values are mean ± S.E. of three experiments with duplicate wells
for each treatment. Mean control values were set to 100%.
B, VEGF mRNA levels after 20 h with 500 ng/ml TPA
or vehicle (Me2SO) pretreatment, followed by 1 h acute
500 ng/ml TPA (T) and/or 10 µM NE. The values
are mean ± S.E. of two experiments with duplicate wells for each
treatment. Mean control values (C) were set to 100%.
C, VEGF mRNA levels after 1.5 h pretreatment with
or without 200 ng/ml PTX, followed by 10 µM NE or 10 µM isoprenaline (Iso) for 1 h. The values
are mean ± S.E. from one experiment with quadruplicate wells.
Mean control value (C) was set to 100%.
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Proliferating brown preadipocytes only express the
1-adrenoreceptor subtype whereas fully differentiated
brown adipocytes also express the 3-adrenoreceptor
subtype which, at this stage of differentiation, is the only
-adrenoreceptor subtype coupled to adenylyl cyclase (20). Thus, the
NE-induced VEGF expression observed in proliferating undifferentiated
brown preadipocytes (days 3-4, Fig. 1B) is most likely
mediated by 1-adrenoreceptors. In differentiated brown
adipocytes, the 3-adrenoreceptor agonist BRL-37344
induced VEGF expression to the same extent as did NE (not shown). The
3-adrenoreceptor agonist CGP-12177 (32) (which is a
1- and 2-adrenoreceptor antagonist) also
induced VEGF expression in these cells (not shown). Thus, both
1- and 3-adrenoreceptors were able to
mediate NE-induced VEGF expression in these cells, the coupling
depending on the differentiation stage. To identify which second
messengers had the ability to induce VEGF expression, we examined the
intracellular second messenger systems involved in
adrenoreceptor-mediated signaling: Ca2+ and PKC (from
1-adrenoreceptors), the proposed
3-adrenoreceptor/Gi-protein signaling
pathway (33), and cAMP (from -adrenoreceptors).
The Ca2+ ionophore A23187, which increases intracellular
Ca2+ levels and through this, e.g. induces
c-fos expression (34), had no effect on VEGF mRNA levels
(Fig. 4A). Concerning PKC activation, it was shown above
that the phorbol ester TPA induced a marked elevation of VEGF
expression (Fig. 3C), but it was concluded that the NE
effect appeared to be independent of PKC, because of the additivity of
the effects. To substantiate this, PKC was inactivated prior to NE
stimulation, by prolonged exposure to TPA, a treatment that inactivates
TPA-sensitive PKC isoforms (35, 36). After TPA pretreatment, no
remaining elevation of VEGF mRNA levels was observed (Fig.
4B), and the acute effect of TPA on VEGF mRNA levels was
abolished (Fig. 4B). Thus, TPA pretreatment effectively
inactivated PKC. However, the NE-induced VEGF expression was not
altered by TPA pretreatment (Fig. 4B) and was thus not
mediated through a TPA-sensitive PKC pathway.
To investigate the possible involvement of the suggested
cAMP-independent 3-adrenoreceptor signaling through
pertussis toxin (PTX)-sensitive G-proteins, i.e.
Gi-proteins (33, 37, 38), we pretreated brown adipocytes
with PTX. PTX augmented 3-adrenoreceptor-stimulated cAMP
production,2 confirming that
Gi proteins were active. However, NE- or
isoprenaline-induced VEGF expression was not affected by PTX, and PTX
had no effect in itself (Fig. 4C). Thus, no adrenergic
stimulation of VEGF expression was mediated through PTX-sensitive
Gi proteins in a cAMP-independent process.
To investigate the ability of cAMP to induce VEGF expression, brown
adipocytes were treated with forskolin to activate adenylyl cyclases.
Forskolin induced VEGF expression to the same extent as did NE (Fig.
4A). This effect was not altered by increased levels of
intracellular Ca2+ (Fig. 4A). The forskolin
analogue 1,9-dideoxy-forskolin, which does not activate adenylyl
cyclases, had no effect (not shown). The cAMP analogue 8-bromo-cAMP (1 mM for 1 h) also induced VEGF expression 3-fold (not
shown). Thus, increased levels of cAMP are potent stimulators of VEGF
expression in brown adipocytes and may mediate the NE effect.
cAMP Is the Mediator of the Norepinephrine-induced VEGF
Expression
To establish that cAMP not only is able to induce VEGF expression,
but also is the actual mediator of the NE effect, we first investigated
the correlation between cAMP levels and VEGF expression in brown
adipocytes treated with different doses of forskolin. The elevation of
cAMP levels was dose-dependent (Fig.
5A), as was the elevation of
VEGF mRNA levels (Fig. 5B). However, nearly maximal
induction of VEGF expression occurred already at approximately 50 pmol
of cAMP/well (Fig. 5C). Thus, the ability of cAMP to induce VEGF expression was saturated at this cAMP level.

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Fig. 5.
Correlation between VEGF gene expression and
intracellular cAMP levels. VEGF expression was analyzed in brown
adipocytes principally as described in the legend to Fig.
1A, and cells from parallel cultures were harvested for cAMP
analysis as described under "Experimental Procedures."
Curves were drawn according to simple Michaelis-Menten
kinetics. A, cAMP levels after 20 min with the indicated
concentrations of forskolin. The values are the means from one
experiment with duplicate wells for each concentration. B,
VEGF mRNA levels after 1 h with the indicated concentrations
of forskolin. The values are means from the same experiment as that
used for A, with parallel duplicate wells for each
concentration. Mean VEGF mRNA control value was set to 100%.
C, forskolin-induced VEGF mRNA levels as a function of
cAMP levels. The values are the results from A and B. D, cAMP levels after 20 min stimulation with the indicated
concentrations of NE. The values are means of quadruplicate wells from
the same experiment as that shown in Fig. 2A.
Curve was drawn according to simple Michaelis-Menten
kinetics, yielding an EC50 of 66 ± 15 nM.
E, VEGF mRNA levels as a function of cAMP levels.
Curve was that drawn based on results of forskolin (Frsk)
stimulation in C. The black dots derive from the
results of NE stimulation. Values are mean from two experiments with
quadruplicate wells (VEGF mRNA) versus those in
D (cAMP). F, VEGF mRNA levels after forskolin
treatment for 1 h, with or without NE co-treatment. C,
control; NE, 10 µM norepinephrine;
F, 10 µM forskolin. The values are mean ± S.E. from one experiment with hexaplicate wells for each treatment.
Mean control value was set to 100%.
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To compare the ability of NE- and forskolin-derived cAMP to induce VEGF
expression, we measured the cAMP levels induced by NE (Fig.
5D). The NE-induced cAMP levels reached the saturating levels for VEGF expression (approximately 50 pmol of cAMP/well), and
the dose-response kinetics were very similar to those for NE-induced
VEGF expression (Fig. 2A). Indeed, when NE-derived results
were plotted into the forskolin curve (Fig. 5E), they did
not deviate from the forskolin results. These results suggest that
NE-induced VEGF expression is exclusively dependent on cAMP. To confirm
this, we treated brown adipocytes with NE at forskolin concentrations
sufficient to saturate cAMP-induced VEGF expression. Under these
conditions, NE did not affect forskolin-induced cAMP levels (not
shown), nor did it affect forskolin-induced VEGF expression (Fig.
5F). This lack of additivity implies that cAMP is the common mediator of NE- and forskolin-induced VEGF expression (contrast the
additivities in Fig. 3).
The Signaling Pathway Downstream of cAMP Is Mediated via PKA and
Src but Not via Erk1/2
To identify the further signaling pathway involved in mediating
the cAMP-dependent stimulation of VEGF expression, we used inhibitors of intracellular signaling factors.
The classical immediate downstream effector of cAMP, the
cAMP-dependent protein kinase (PKA), could be expected to
mediate the cAMP-dependent signaling. Therefore, we
pretreated brown adipocytes with the PKA inhibitor H-89, which had no
effect in itself, but which abolished both NE- and forskolin-induced
VEGF expression (Fig. 6). That also the
forskolin effect was inhibited demonstrated that H-89 acted by
inhibiting PKA, and not by competing with NE for
3-adrenoreceptor binding (such an effect has been
demonstrated for 1- and 2-adrenoreceptors
(39), but does not seem to apply to
3-adrenoreceptors).3 Thus, the
cAMP-dependent stimulation was mediated through a
PKA-dependent signaling pathway.

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Fig. 6.
Effect of the PKA inhibitor H-89 on
norepinephrine-induced VEGF gene expression. VEGF expression was
analyzed in brown adipocytes principally as described in the legend to
Fig. 1A. Brown adipocytes were pretreated for 40 min with or
without 50 µM H-89, followed by 10 µM NE or
10 µM forskolin (Frsk) for 1 h, after
which the cells were harvested. The values are mean ± S.E. from
one experiment with quadruplicate wells. Mean control value in
untreated cells (C) was set to 100%.
|
|
In brown adipocytes, adrenergic
activation may proceed via Src tyrosine kinases, which are activated
via 3-adrenoreceptors in a PKA-dependent
manner in these cells.4
Therefore, to investigate whether Src mediates NE-induced VEGF expression, we pretreated brown adipocytes with the specific inhibitor of Src, PP2. PP2 was fully effective as a Src inhibitor, since NE-induced Erk1/2 phosphorylation was abolished (Fig.
7A). To ensure that PP2 had no
unspecific effect on adrenergic pathways and gene expression, we first
examined whether PP2 inhibited NE-induced UCP1 expression. Clearly PP2
did not have a general inhibitory effect; rather, surprisingly, PP2
markedly potentiated the effect of NE (Fig. 7B), an effect
for which we have no explanation. Concerning the NE-induced VEGF
expression, PP2 had a marked inhibitory effect (Fig. 7C).
Thus, Src was involved in the mediation of the response, although a
Src-independent pathway also existed.

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Fig. 7.
Effect of the Src inhibitor PP2 on
norepinephrine-induced Erk1/2 phosphorylation and UCP1 and VEGF gene
expression. Brown adipocytes were cultured for 5 days after which
the cells were cultured under serum-free conditions for 20 h (to
decrease basal Erk1/2 phosphorylation (22)) as described under
"Experimental Procedures," and pretreated with 50 µM
PP2 or vehicle (Me2SO) for 1 h, followed by
stimulation as indicated. A, Erk1/2 phosphorylation
(analyzed as detailed under "Experimental Procedures") after
stimulation with 10 µM NE for 5 min as indicated. The
values are mean ± S.E. of three experiments with duplicate wells.
Mean NE values were set to 100%. C, control. B,
UCP1 mRNA levels after 1 h with 10 µM NE. The
values are mean ± S.E. of three experiments with duplicate wells
for each treatment in parallel cultures to those in A. Mean
NE values were set to 100%. C, control. C, the
same experiments as in B analyzed for VEGF mRNA levels.
Mean control values (C) were set to 100%. Two-way ANOVA
with replicates comparing NE to PP2 + NE yielded p < 0.01. (Also in three similar experiments in normal (serum-containing)
medium, PP2 inhibited NE-induced VEGF expression; p < 0.001 (two-way ANOVA with replicates).)
|
|
The MAP kinases Erk1/2 could be expected to mediate the
Src-dependent stimulation of VEGF expression. This cascade
is activated by NE in brown adipocytes in a cAMP-dependent
manner (22, 40). In other cell types, VEGF expression (induced by other
factors) has been implied to be induced via this signaling cascade (24, 30, 41-43). Therefore, we pretreated brown adipocytes with the MAP
kinase/Erk1/2 kinase (MEK1) inhibitor PD98059. In agreement with
earlier observations (22), PD98059 totally abolished NE-induced Erk1/2
phosphorylation (Fig. 8A).
However, PD98059 did not alter the NE-induced VEGF expression (Fig.
8B). Thus, despite the involvement of Src demonstrated
above, Erk1/2 did not mediate NE-induced VEGF expression in brown
adipocytes. In an attempt to characterize factors acting downstream of
Src tyrosine kinases on the stimulation of VEGF expression, we used the
general tyrosine kinase inhibitor, genistein (100 µM,
1 h pretreatment), but it decreased NE-induced VEGF expression to
a lesser extent than did PP2 (not shown).

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Fig. 8.
Effect of the MEK-1 inhibitor PD98059 on
norepinephrine-induced Erk1/2 phosphorylation and VEGF gene
expression. Brown adipocytes were cultured under conditions
identical to those in Fig. 7, followed by pretreatment with 50 µM PD98059 (PD) or vehicle (Me2SO)
for 1 h, after which the cells were stimulated as indicated.
A, Erk1/2 phosphorylation after 10 min with 10 µM NE. The values are mean ± S.E. from one
experiment with quadruplicate wells. Mean control value (C)
was set to 100%. B, VEGF mRNA levels after 1 h
with 10 µM NE. The values are mean ± S.E. of four
experiments with duplicate wells. Mean control values (C)
were set to 100%. (In a similar experiment in normal
(serum-containing) medium, PD98059 was also without effect.)
|
|
Phosphatidylinositol 3-kinase is a substrate for Src (44) and is a
factor implicated in the activation of VEGF expression (45). However,
wortmannin (100 nM, 1 h pretreatment), an inhibitor of
phosphatidylinositol 3-kinase, had no effect on NE-induced VEGF
expression (not shown). Thus, phosphatidylinositol
3- kinase-dependent signaling pathways did not appear to be involved.
Norepinephrine Does Not Require Induced Protein Synthesis to Induce
VEGF Gene Expression
To investigate whether synthesis of new transcription factors, or
other protein factors, were required for NE-induced VEGF expression, we
examined the effect of the translational inhibitor cycloheximide.
Cycloheximide in itself led to an induction of VEGF mRNA (Fig.
9). A similar effect has been described
in other systems (46, 47). These experiments imply either that a
short-lived protein factor may constitutively inhibit VEGF
transcription or, perhaps more likely, that such a factor may promote
VEGF mRNA degradation (in other systems, cycloheximide has been
demonstrated to stabilize VEGF mRNA (48)).

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Fig. 9.
Effect of translational inhibition on
norepinephrine-induced VEGF gene expression. VEGF expression was
analyzed in brown adipocytes principally as described in the legend to
Fig. 1A. The cells were pretreated with or without 50 µM cycloheximide (CHX) for 15 min, followed by
1 h with or without 10 µM NE. The values are
mean ± S.E. from one experiment with quadruplicate wells. Mean
control value (C) was set to 100%. p < 0.001 (one-way ANOVA) comparing cycloheximide to cycloheximide + NE.
|
|
The effect of NE was additive to that of cycloheximide (Fig. 9) and
thus not dependent on protein synthesis. Thus, although NE may induce
the gene expression of certain transcription factors (such as
hypoxia-inducible
factor-1 ),5 such induction
cannot be involved in the mediation of the NE effect. The lack of need
for protein synthesis is also in accordance with observations in other
systems, with other inducers of VEGF expression (46, 49). Thus, all
factors required for regulation of VEGF expression appeared to be
constitutively produced and present in brown adipocytes.
The Effect of Norepinephrine on VEGF Gene Expression Is
Transcriptional
The augmenting effect of NE on VEGF mRNA levels could be due
to an increase in the rate of transcription of the VEGF gene or to an
increase of VEGF mRNA half-life. Indeed, in several cell types, the
half-life of VEGF mRNA is positively affected by other agents, such
as hypoxia (50, 51), PKC activation (48), and nitric oxide (52). To
investigate whether NE functions by prolonging VEGF mRNA half-life,
we treated brown adipocytes with the transcriptional inhibitor
actinomycin D. The VEGF mRNA half-life, as measured after
actinomycin D treatment, was approximately 1.5 h (Fig.
10) (compare also the rate of
spontaneous decrease seen in Fig. 2B), which is similar to
earlier observations (51, 53). NE did not affect the half-life of VEGF
mRNA (Fig. 10). Thus, the effect of NE was probably due to a direct
increase in the rate of transcription.

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Fig. 10.
Effect of norepinephrine on VEGF mRNA
half-life. VEGF expression was analyzed in brown adipocytes
principally as described in the legend to Fig. 1A. The cells
were treated with 5 µg/ml actinomycin D (Act) (5 min
before NE), with or without 10 µM NE, for the indicated
times; C, control levels. The values are means from one
experiment with duplicate wells for each time and treatment, and mean
start control value was set to 100%. Curves were drawn according to a
simple exponential decay (Rt = R0 · exp ( k · t). For
actinomycin-treated cells, k was 0.43 ± 0.08 h 1 (corresponding to a half-life of 1.6 h); for
actinomycin + NE-treated cells, k was 0.42 ± 0.08 h 1 (corresponding to a half-life of 1.7 h); for
controls, k was 0.03 ± 0.03 h 1,
i.e. stable mRNA levels.
|
|
 |
DISCUSSION |
In the present investigation, we have demonstrated that the
adrenergic agent NE induces the expression of the gene for the potent
angiogenic factor VEGF in primary cultures of mouse brown adipocytes.
The stimulatory effect by NE occurred independently of that induced by
other factors known to induce VEGF expression in other cell systems.
Signaling was via a -adrenoreceptor-induced increase in cAMP levels,
further mediated by PKA. Downstream of cAMP/PKA, the signal was
mediated by Src tyrosine kinases and also through a Src-independent
pathway. However, the Src pathway did not involve Erk1/2 MAP kinases
(Fig. 11).

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Fig. 11.
Suggested model for the adrenergic induction
of VEGF gene expression in brown adipocytes. The
-adrenoreceptor-induced increase in cAMP activates PKA, which in
turn activates the Src tyrosine kinase-Erk1/2 MAP kinase signaling
cascade. Src further mediates the signal to stimulate VEGF expression,
independently of downstream mediation via Erk1/2. See text for
details.
|
|
Induced synthesis of protein factors was not required for mediation of
the adrenergic stimulation. The mechanism of action was not
prolongation of VEGF mRNA half-life, and was thus apparently an
increase in the rate of transcription.
Norepinephrine Stimulation of VEGF Gene Expression--
That
adrenergic stimulation of cultured rat (11) and mouse brown adipocytes
stimulated VEGF expression, indicates parenchymal localization of the
NE-induced expression observed in intact animals by Asano et
al. (9). Although NE is not generally recognized as an inducer of
VEGF expression, the effect is not exclusive for brown adipocytes,
since also in rat aortic smooth muscle cells, adrenergic stimulation
induces VEGF expression (54).
Adrenergic stimulation of VEGF expression in brown adipose tissue is
physiologically meaningful in that also the oxygen-demanding thermogenic processes are adrenergically stimulated. However, the
transient induction of VEGF expression, demonstrated here in cultured
brown adipocytes, where elevated VEGF mRNA levels were observed
only for the first few hours during chronic stimulation, may be thought
to imply that adrenergic stimulation of VEGF expression may not be of
major significance in regulating physiological angiogenesis. VEGF
expression induced by the hypoxia-mimicking agent cobalt was maintained
for a longer period of time, and thus could be considered more
physiologically relevant, as hypoxic conditions may be generated in
brown adipose tissue in the cold-exposed animal, due to the extensive
oxygen consumption by the adrenergic thermogenic processes (2, 3).
However, in brown adipose tissue in cold-exposed rats (9) and
mice,6 cold-induced VEGF
expression is also transient and thus, in this respect, very similar to
our observations in NE-stimulated cultured brown adipocytes. Thus, it
is likely that NE is the physiological inducer of VEGF expression and
thereby of cold-induced angiogenesis. Apparently, an initial short
elevation of VEGF expression is sufficient to support angiogenesis
during brown adipose tissue recruitment.
-Adrenoreceptors, cAMP, PKA, and Src but Not Erk1/2 Mediate the
Norepinephrine-induced VEGF Gene Expression--
The classical
-adrenoreceptor pathway, cAMP and PKA, was fully responsible for the
mediation of the NE effect. In several cell types, forskolin and/or
cAMP-analogues have earlier been demonstrated to induce VEGF expression
(27, 46, 54-62). In most of these cell types, as yet only an ability
of cAMP to induce VEGF expression has been demonstrated, but it has
been implied that the relevant physiological activator also in these
cells induces VEGF expression via cAMP. Further mediation has, however, not been clarified.
It is in this context especially noteworthy that in brown adipocytes,
Src tyrosine kinases are activated via a
3-adrenoreceptor/cAMP/PKA pathway.4 This is
of relevance because Src earlier has been demonstrated to mediate
hypoxia-induced VEGF expression (41) and has been suggested to be
involved in tumor-induced angiogenesis by mediating enhanced VEGF
expression (63, 64). Indeed, in brown adipocytes we found that specific
inhibition of Src tyrosine kinases, by PP2 treatment, markedly reduced
VEGF expression in brown adipocytes stimulated by NE; in agreement with
observations in hypoxia-treated cell lines (41), this inhibition was
only partial. Thus, in brown adipocytes, Src tyrosine kinases appear to
be involved in the mediation of NE-induced VEGF expression.
In glioblastoma U87 and fibrosarcoma HT1080 cells,
Src-dependent VEGF expression is further mediated via
Erk1/2 MAP kinases (41, 43), and the Src-Erk1/2 signaling cascade
appears to be important for the enhanced VEGF expression in other tumor
cell types (42). However, the Erk1/2 MAP kinases were not involved in
mediating the NE-induced VEGF expression in brown adipocytes. The
unexpected lack of involvement of Erk1/2 demonstrates the existence of
a cAMP-induced Src-mediated signaling pathway, positively connected to
VEGF expression, which is not dependent on downstream mediation via
Erk1/2.
Src has numerous substrates involved in various cellular processes
(44), but the factors mediating the adrenergic stimulation of VEGF
expression downstream of Src are presently unknown. As the effect of NE
does not involve prolongation of VEGF mRNA half-life, an increase
in the rate of transcription of the VEGF gene is to be expected.
Furthermore, as the NE induction of VEGF expression is not dependent of
protein synthesis, the transcription factor involved must be
constitutively expressed. The Src-dependent NE-induced VEGF
expression may involve the transcription factor Sp1, which can mediate
Src-dependent gene expression (65) and PDGF-induced VEGF
expression (66). Also NF B may mediate Src-dependent gene expression (44) and thus may be involved. For these transcription factors, putative binding sites (consensus sequences) exist in the VEGF
promoter (67, 68).
In conclusion, we have here demonstrated that adrenergic stimulation of
VEGF expression in brown adipocytes is exclusively mediated by a
-adrenoreceptor/cAMP/PKA signaling pathway. This pathway can utilize
a Src-dependent pathway that branches off from the
Src-Erk1/2 signaling cascade to stimulate expression of the VEGF gene.
 |
ACKNOWLEDGEMENTS |
We thank Professor Barbara Cannon for
valuable discussions and Dr. Georg Breier for kindly providing the VEGF
cDNA clone.
 |
FOOTNOTES |
*
This work was supported by a grant from the Swedish Cancer
Foundation and by the Swedish Natural Science Research Council.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. Tel.: 46-8-164130;
Fax: 46-8-156756; E-mail: mf@zoofys.su.se.
§
On leave from the Institute of Cell Biophysics, Russian Academy of
Sciences, 142 292 Pushchino, Russia.
2
J. M. Fredriksson, J. M. Lundquist, and J. Nedergaard, unpublished observations.
4
J. M. Lindquist, unpublished observations.
5
J. M. Fredriksson, H. Nikami, and J. Nedergaard, unpublished observations.
6
H. Nikami J. M. Fredriksson, and J. Neergaard, unpublished observations.
3
J. M. Fredriksson, H. Thonberg, K. B. E. Ohlson,
B. Cannon, and J. Nedergaard, unpublished observations.
 |
ABBREVIATIONS |
The abbreviations used are:
NE, norepinephrine;
Erk1/2, extracellular-signal regulated kinase 1/2;
MAPK, mitogen-activated protein kinase;
PKA, protein kinase A;
PKC, protein
kinase C;
PTX, pertussis toxin;
TPA, 12-O-tetradecanoylphorbol-13-acetate;
VEGF, vascular
endothelial growth factor;
UCP1, uncoupling protein-1.
 |
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