Originally published In Press as doi:10.1074/jbc.M110955200 on April 8, 2002
J. Biol. Chem., Vol. 277, Issue 24, 21237-21245, June 14, 2002
Phosphorylation of STAT-3 in Response to Basic Fibroblast Growth
Factor Occurs through a Mechanism Involving Platelet-activating Factor,
JAK-2, and Src in Human Umbilical Vein Endothelial Cells
EVIDENCE FOR A DUAL KINASE MECHANISM*
Dayanand D.
Deo
,
T. William
Axelrad
,
Everett G.
Robert
,
Victor
Marcheselli§,
Nicolas G.
Bazan§, and
Jay D.
Hunt
¶
From the
Department of Biochemistry and Molecular
Biology, Stanley S. Scott Cancer Center and § Neuroscience
Center, Louisiana State University Health Sciences Center,
New Orleans, Louisiana 70112
Received for publication, November 15, 2001, and in revised form, April 4, 2002
 |
ABSTRACT |
Platelet-activating factor (PAF) is a potent
proinflammatory phospholipid with multiple pathological and
physiological effects. We have shown that basic fibroblast growth
factor (bFGF) supplementation induces rapid proliferation of human
umbilical vein endothelial cells (HUVEC), which is reduced upon removal
of bFGF or by bFGF immunoneutralization. The PAF receptor
antagonist LAU-8080 inhibited bFGF-stimulated HUVEC
proliferation, indicating the involvement of PAF in the bFGF-mediated
signaling of HUVEC. Although FGF receptor phosphorylation was not
affected by LAU-8080, the bFGF-mediated prolonged phosphorylation, and
activation of Erk-1 and -2 were attenuated. Phosphorylation of STAT-3
was observed in the presence of PAF or bFGF, which was attenuated by
PAFR antagonists. PAF-induced STAT-3 phosphorylation observed in HUVEC
pretreated with either Src inhibitor PP1 or JAK-2 inhibitor AG-490
indicated (i) immediate (1 min) phosphorylation of STAT-3 is dependent
on Src, (ii) JAK-2-dependent STAT-3 phosphorylation occurs
after the delayed (30 min) PAF exposure, and (iii) prolonged (60 min)
STAT-3 phosphorylation may be either through Src and/or JAK-2.
Attenuation of the STAT-3 phosphorylation by the PAFR antagonists
indicated signaling through the PAF receptor. Taken together, these
findings suggest the production of PAF is important for bFGF-mediated
signaling and that a dual kinase mechanism is involved in the
PAF-mediated signal transduction cascade.
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INTRODUCTION |
PAF1
(1-O-alkyl-2-acetyl-sn-glycero-3-phosphocholine)
is an ether phospholipid second messenger that mediates a number of
biological responses, including inflammatory and immune responses,
shock, embryogenesis, and cell differentiation (for review, see Ref. 1). PAF is also a potent mediator of pathological angiogenesis associated with tumor expansion and metastasis (2, 3). Hepatocyte growth factor, tumor necrosis factor-
, and thrombopoietin have been
shown to induce angiogenesis through a mechanism involving PAF (4, 5).
Many cells produce PAF, including monocytes, endothelial cells,
neutrophils, and lymphocytes, and these cell types can themselves
become targets of PAF bioactions (6). PAF acts through a specific
G-protein-linked receptor containing seven
-helical domains that
span the plasma membrane (7) and has been localized to the plasmalemma
(8) and a large endosomal compartment on human umbilical vein
endothelial cells (HUVEC) (9). PAF also up-regulates the expression of
its own receptor in several cell types including human alveolar
macrophages (10) and rat epithelial cells (11), thus potentially
providing a positive feedback loop for PAF action.
Of the 20 members of the FGF family of growth factors, only acidic FGF
and basic FGF (bFGF) have been shown to regulate proliferation and
migration of capillary endothelial cells (for review, see Refs. 12 and
13). Although bFGF does not contain a traditional signal sequence, it
is now clear that it is secreted via a tightly regulated
non-conventional secretory pathway and is localized in the basement
membrane and extracellular matrix of numerous tissues (14). bFGF binds
to its high affinity receptor (FGFR-1 and FGFR-2) and induces their
dimerization and activation of protein-tyrosine kinase activity and
autophosphorylation. The activation of the receptor induces the
Ras-independent cascade (via activation of phospholipase C
) (15) and
the Ras-dependent cascade (initiated via Grb-2, Sos, and
Ras) (16), resulting in the activation of Raf. The
Ras-dependent pathway results in the phosphorylation of
mitogen-activated protein kinase kinase (Mek) and subsequent phosphorylation of MAP kinase (Erk) (17). Activation of Erk causes
downstream activation of phospholipase A2. Using cloned guinea pig PAF receptor stably expressed in Chinese hamster ovary cells, Honda et al. (18) have shown that PAF potentially
activates MAP kinase and both the 42- and 44-kDa Erk-1 and Erk-2 and
that PAF receptor couples to both pertussis toxin-sensitive and
-insensitive G proteins in Chinese hamster ovary cells. Like the
Ras-dependent cascade, the Ras-independent cascade also
results in the activation of phospholipase A2, which is
responsible for the hydrolysis of 1-alkyl-2-arachidonoyl-sn-glycero-3-phosphocholine to
lyso-PAF and arachidonic acid. Lyso-PAF is converted to PAF by an acetyltransferase.
It has been demonstrated that PAF receptor activation was facilitated
through both the associated G-protein and through an unknown tyrosine
kinase (19). Although the study did not identify the tyrosine kinase,
the data were consistent with a Janus kinase or Src-family kinase as
possible suspects. The Janus kinase/signal transducers and activators
of transcription (JAK/STAT) pathway is one of the major mechanisms by
which cytokine receptors transduce intracellular signals. To date, four
mammalian JAKs (JAK-1, JAK-2, JAK-3, and TYK-2) and seven STATs have
been identified and characterized (20). Both JAKs and STATs become
phosphorylated on their tyrosine residues followed by homo- or
heterodimerization, nuclear translocation, and finally transcriptional
activation of specific genes (21). Thrombopoietin induced a rapid
phosphorylation of STAT-5B (a target of JAK-1, JAK-2, JAK-3, and
TYK-2), which was inhibited by the PAF receptor antagonist WEB-2170
(22). In a recent study, Lukashova et al. (23), using
monocytic cell lines U937 and MonoMac-1, show that
G-protein-independent activation of TYK-2 occurred after activation of
the PAF receptor with PAF, which was followed by a
time-dependent activation and tyrosine phosphorylation of
signal transducers and activators of transcription (STAT-1, STAT-2,
STAT-3, and STAT-5) (23). Dhar and Shukla (24) introduced anti-v-Src antibody into rabbit platelets and found that PAF-stimulated inositol phosphate production and aggregation were significantly reduced. Furthermore, PAF caused phosphorylation of both Src and phospholipase C
in rabbit platelets and A431 cells, suggesting direct
phosphorylation of phospholipase C
by Src.
In the present report we show that bFGF stimulates HUVEC proliferation,
which is antagonized by the PAF receptor (PAFR) antagonist LAU-8080.
The PAFR antagonists do not affect activation of the FGFR by bFGF, but
the downstream activation of Erk by bFGF is partially dependent on PAF.
Antagonism of the bFGF-stimulated STAT-3 phosphorylation by PAFR
antagonists suggests the importance of STAT-3 in PAF-mediated
signaling. Also, prolonged activation of STAT-3 by bFGF may be through
the production of PAF and activation of PAFR. JAK-2 and Src are both
involved in bFGF-mediated HUVEC proliferation and are also
phosphorylated upon exposure of HUVEC to bFGF. PAFR antagonists
attenuate bFGF-stimulated JAK-2 phosphorylation but have no effect on
the phosphorylation of Src by bFGF. Finally, Src is involved in the
PAF-stimulated immediate phosphorylation of STAT-3, whereas JAK-2 is
pivotal in the delayed STAT-3 phosphorylation. The prolonged
phosphorylation of STAT-3 may be either through Src and/or JAK-2.
 |
EXPERIMENTAL PROCEDURES |
Reagents--
PAF was obtained from Sigma-Aldrich, PAF receptor
antagonists CV-3988 and BN-52021 (Ginkgolide B) were obtained from
Biomol Research Laboratories Inc., Plymouth Meeting, PA, and LAU-8080 was synthesized by Prof. Julio Alvares-Builla at the Universidad de
Alcala, Madrid, Spain. Antibodies used were monoclonal mouse anti-FGF-receptor (Ab-1) and monoclonal mouse anti-bFGF (Ab-3) (Oncogene Research Products, Boston, MA), monoclonal mouse
anti-phosphotyrosine (Cell Signaling Technology, Beverly, MA), rabbit
antiserum anti-JAK-2 and rabbit polyclonal anti-human TYK-2 (Upstate
Biotechnology, Lake Placid, NY), monoclonal mouse anti-phospho-JAK-2
(Sigma-Aldrich), rabbit polyclonal anti-STAT-3, rabbit polyclonal
anti-phospho-STAT-3, horseradish peroxidase-conjugated goat anti-mouse,
and goat anti-rabbit antibodies (Cell Signaling Technology).
Phosphorylated Erk-1 and -2 were detected using rabbit polyclonal
anti-phospho-p44/42 MAP kinase, and MAP kinase activity was detected
using the nonradioactive p44/42 MAP kinase assay kit (Cell Signaling
Technology). Src-family inhibitor PP1 was from Biomol Research
Laboratories, whereas the JAK-2 inhibitor Tyrphostin AG-490 (T-9142)
(Tyrphostin B42) was from LC Laboratories, Woburn, MA. bFGF, FBS,
endothelial growth medium (EGM-2), and endothelial basal medium (EBM-2)
were from Clonetics, Walkersville, MD.
Cell Culture--
HUVEC were grown to subconfluent levels in
EGM-2 obtained from BioWhittaker, Inc., Walkersville, MD, and plated
onto 6-well culture plates (1 × 106 cells/well).
HUVEC were then washed once with EBM-2 and starved of the growth
factors by switching them to EBM-2 supplemented with 0.2% FBS
(BioWhittaker) for 16 h. Cells were again washed once with EBM-2
and then exposed to the various experimental conditions for different
time points. At the end of each time point, cells were washed with
ice-cold phosphate-buffered saline (Invitrogen), lysed in the cell
lysis buffer containing 50 mM Tris-HCl (pH 7.5), 1 m
EDTA, 1 mM EGTA, 2 mM
Na3VO4, 50 mM NaF, 70 mM 2-mercaptoethanol, 1% Triton X-100, 2% SDS, and 1 µg/ml protease inhibitor mixture. Cell lysates were used as indicated below.
Human embryonic diploid lung fibroblasts (WI-38, ATCC-CCL75) were grown
to subconfluent levels in minimum essential medium with Earle's salts
(Invitrogen) supplemented with 10% FBS (HyClone Laboratories, Logan,
UT). Aortic smooth muscle cells (ASMC) were a kind gift from Dr. Emel
Songu-Mize and were maintained on M199 medium (Sigma-Aldrich).
Proliferation Assay--
EBM-2 supplemented with 2% FBS was
added to each well of a 24-well plate and pretreated for 4 h with
either growth factors, a mixture of bFGF and monoclonal anti-bFGF Ab-3
antibody, 10 µM LAU-8080, 50 µM AG-490, or
170 nM PP1 at 37 °C in a CO2 incubator. Growth factor-starved HUVEC were then transferred to each well (2 × 104 cells/well) along with 1 µM
[3H]thymidine and incubated in the CO2
incubator. Similarly, minimum essential medium with Earle's salts
supplemented with 10% FBS or M199 medium was added to each well of a
24-well plate and pretreated with bFGF, 10 µM LAU-8080,
10 µM BN-52021, or 3 µM CV-3988
individually or in combination for 4 h at 37 °C in a
CO2 incubator. WI-38 or ASMC cells were then transferred to
each well (2 × 104 cells/well) in combination with
[3H]thymidine and incubated in the CO2
incubator. After 144 h of incubation, the cells were then washed 3 times with ice-cold saline, precipitated with 10% trichloroacetic
acid, washed with methanol, and air-dried. The labeled DNA was
dissolved in 0.05 N NaOH at 37 °C, neutralized with 0.05 N HCl, transferred to a scintillation vial containing the
scintillation mixture, and counted.
Immunoprecipitation of FGFR and Erk Activity--
HUVEC were
incubated with bFGF and/or 10 µM LAU-8080 for 10 min at
37 °C. Cells were then lysed with the cell lysis buffer, and cell
lysates were incubated with anti-FGF receptor Ab-1 antibody at 4 °C
overnight and precipitated by incubation with 100 µg of protein
G-agarose for 2 h at 4 °C. After washing 3 times with lysis
buffer, complexes were dissolved in 1× loading buffer, separated by
7.5% SDS-PAGE, blotted onto a nitrocellulose membrane, incubated with
anti-phosphotyrosine antibody for 1 h at room temperature, and
detected using the chemiluminescent detection kit (Pierce). Phosphorylated Erk-1 and -2 were detected by separating the cell lysates on a 12% SDS-PAGE (40 µg protein/lane), blotting onto a
nitrocellulose membrane, incubating with anti-phospho-p44/42 Erk
antibody, and chemiluminescent detection. Erk activity in HUVEC treated
with bFGF and/or 10 µM LAU-8080 for different time points
was detected using the nonradioactive p44/42 Erk assay kit. Briefly,
200 µg of cell lysate protein was incubated with immobilized
phospho-p44/42 Erk antibody overnight at 4 °C. For the positive
control, 2 ng of active Erk was added to control cell lysate and
treated subsequently like all the other samples. The samples were
centrifuged, and the pellets were washed twice with lysis buffer
followed by kinase buffer. Pellets were then suspended in kinase buffer
and supplemented with 200 µM ATP and 2 µg of Elk-1
fusion protein. After incubation for 30 min at 30 °C, the reaction
was terminated with 3× SDS sample buffer. Samples were boiled for 5 min, separated on a 12% SDS-PAGE, blotted onto nitrocellulose
membranes, incubated with phospho-Elk-1 antibody, and detected by chemiluminescence.
Western Blot Analysis--
The growth factor-starved HUVEC were
exposed to either 10
7 M PAF, bFGF, 10 µM LAU-8080, 10 µM BN-52021, or 3 µM CV-3988 for various time points. To inhibit the Src or
JAK-2 pathways, overnight starved cells were pretreated for 30 min with
either 170 nM PP1 or 50 µM AG-490. After the
completion of each time point, cells were lysed in the cell lysis
buffer containing 0.1% w/v bromphenol blue, and samples were boiled
for 5 min and separated on a 7.5% SDS-PAGE (40 µg total
protein/lane). The separated proteins were then transferred onto
nitrocellulose membranes, blocked with Tris-buffered saline containing
5% nonfat dry milk for 1 h at room temperature, and incubated
with the antibodies against the phosphorylated proteins in
Tris-buffered saline containing 5% nonfat dry milk plus 0.5% Tween
20, overnight at 4 °C. After washing and incubation with the
horseradish peroxidase-conjugated secondary antibody, the phosphorylated proteins were revealed using the enhanced
chemiluminescent detection kit (Pierce). Membranes were stripped by
incubation in 1 M Tris-HCl (pH 6.8), 10% SDS, and 10 mM 2-mercaptoethanol for 30 min at 55 °C. After washing,
membranes were blocked with blocking buffer and reprobed with
antibodies against the non-phosphorylated proteins, respectively,
and developed as described above.
 |
RESULTS |
PAF Is Involved in the bFGF-mediated HUVEC Proliferation--
PAF
receptor antagonist LAU-8080 was used to elucidate the involvement of
PAF in HUVEC proliferation mediated by the bFGF-signaling pathway. The
basal level of HUVEC growth was achieved by an overnight incubation of
HUVEC in basal medium. After establishing the basal growth rates, bFGF,
VEGF, EGF, and IGF-1 were added individually to HUVEC maintained on
EBM-2 supplemented with 2% FBS with or without 10 µM
LAU-8080. As seen in Fig. 1A,
a small but significant reduction in HUVEC growth was observed when
LAU-8080 was included in the medium containing VEGF. However, the
addition of LAU-8080 to the medium containing bFGF resulted in a much
larger growth reduction of HUVEC. In a subsequent experiment, a mixture
of each of the above growth factors was analyzed whereby only one
growth factor was removed from the medium, and the other three remained with or without the presence of LAU-8080. Growth reduction in the
presence of LAU-8080 was observed when VEGF, EGF, and IGF were removed
from the medium, whereas the growth of HUVEC was not reduced by
LAU-8080 when bFGF was removed from the medium (Fig. 1B).
These observations suggest the involvement of PAF in the bFGF-mediated
signaling pathway, since only the bFGF-stimulated HUVEC proliferation
was affected by the PAFR antagonist LAU-8080.

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Fig. 1.
PAF is involved in the bFGF-mediated
stimulation of HUVEC proliferation. Panel A, individual
growth factors were added to the basal medium with or without 10 µM LAU-8080 (PAFR antagonist). Proliferation was measured
by the incorporation of [3H]thymidine after 144 h.
No loss of proliferation was seen when LAU-8080 was combined with IGF-1
and EGF. Only a slight loss of proliferation was observed with VEGF.
There was a significant loss of proliferation in medium containing
bFGF, indicating that PAF is involved in bFGF-mediated proliferation of
HUVEC (p < 0.05, Student's t test).
Panel B, a mixture of growth factors was added to each well
such that only one growth factor was omitted from the medium and the
other three remained, with or without LAU-8080. A loss of proliferation
is observed in every instance where bFGF remains in the medium but is
lost upon removal of bFGF. Panel C, basal medium was
pretreated individually with bFGF, monoclonal anti-bFGF Ab-3 antibody,
LAU-8080, boiled Ab-3, or with combinations of the above for 4 h
at 37 °C. Growth factor-starved HUVEC were then added and analyzed
by [3H]thymidine incorporation. Panel D,
minimum essential medium with Earle's salts supplemented with 10% FBS
or M199 medium was pretreated for 4 h with bFGF, 10 µM LAU-8080, 10 µM BN-52021, or 3 µM CV-3988 individually or in combination at 37 °C.
WI-38 or ASMC were then transferred, respectively, and proliferation
was measured by [3H]thymidine incorporation after
144 h.
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|
Attenuation of the bFGF-stimulated HUVEC proliferation was observed
after bFGF immunoneutralization using monoclonal anti-bFGF Ab-3
antibody (Fig. 1C), suggesting that the bFGF-mediated
signaling pathway stimulates HUVEC proliferation. The addition of
monoclonal antibody Ab-3 alone or the boiled antibody (used as a
negative control) had no effect on HUVEC proliferation. Attenuation in HUVEC proliferation was observed when LAU-8080 was added to HUVEC along
with bFGF. LAU-8080 alone had no effect on HUVEC proliferation as
compared with the basal level. Attenuation of HUVEC proliferation by
the PAF receptor antagonist suggests the involvement of PAF at some
point in the bFGF-mediated signaling of HUVEC. As seen in Fig.
1D, bFGF also stimulated the proliferation of the lung fibroblasts (WI-38) and ASMC, which was attenuated by the PAF receptor
antagonists LAU-8080, BN-52021, and CV-3988. This observation further
suggests that the growth promoting effect of bFGF is blocked by the PAF
receptor antagonists not only in HUVEC but also in other cell types.
Phosphorylation of FGFR and Erk--
Binding of bFGF to the FGFR
leads to its immediate activation and phosphorylation at tyrosine
residues. To elucidate the effect of PAF receptor antagonists LAU-8080
on the level of FGFR phosphorylation, HUVEC were exposed to a short (10 min) pulse of bFGF with or without 10 µM LAU-8080.
Antibodies specific for phosphotyrosine revealed the immunoprecipitated
FGFR. As shown in Fig. 2, there is no
significant difference in the level of tyrosine phosphorylation,
confirming that the PAF receptor antagonist do not antagonize FGFR
activity.

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Fig. 2.
PAF antagonism does not alter FGFR
phosphorylation. HUVEC were treated for 10 min with bFGF and/or
LAU-8080 at 37 °C. Cells were lysed, and FGFR was immunoprecipitated
with anti-FGF-receptor Ab-1 antibody, separated on a 7.5% SDS-PAGE,
blotted onto nitrocellulose membrane, and revealed using
anti-phosphotyrosine antibody. Results shown are representative of
three individual experiments.
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We hypothesized that activation of FGFR by bFGF would lead to the early
phosphorylation and activation of Erk, whereas prolonged stimulation of
Erk would be through downstream production of PAF, antagonized by
LAU-8080. To test this hypothesis, HUVEC were starved of growth factors
overnight (EBM supplemented with 0.2% FBS), after which they were
exposed to bFGF with or without 10 µM LAU-8080, and the
levels of phosphorylation (Fig.
3A) and activity (Fig. 3B) of Erk-1 and -2 were determined. As seen in Fig
3C, no phosphorylation or activity of Erk-1 and -2 were
observed until 15 min. After 15 min, phosphorylation and the activity
of Erk-1 and -2 were observed, which peaked 30 min after treatment with
bFGF and continued until 60 min after bFGF exposure. LAU-8080
attenuated the prolonged phosphorylation and activity of Erk-1 and -2 after 15 min in the cells treated with bFGF, demonstrating that
prolonged activation of Erk by bFGF involves PAF.

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Fig. 3.
PAFR antagonist LAU-8080 attenuated prolonged
Erk-1 and Erk-2 phosphorylation and activity. Panel A,
HUVEC were exposed to bFGF and/or LAU-8080 for 1-60 min. The cell
lysates obtained were separated on a 12% SDS-PAGE and blotted onto a
nitrocellulose membrane. Phosphorylated Erk-1 and Erk-2 were revealed
by incubation with phospho-p44/42 Erk antibody and chemiluminescent
detection. Panel B, Erk activity in the cells treated with
bFGF and/or LAU-8080 for different time points was revealed by
incubating the immunoprecipitated Erk with 200 µM ATP and
Elk-1 fusion protein for 30 min at 30 °C. The kinase reaction was
terminated with SDS sample buffer, separated on a 12% SDS-PAGE,
incubated with phospho-Elk-1 antibody, and detected by
chemiluminescence. Panel C, phospho-Erk-1, phospho-Erk-2,
and phospho-Elk-1 levels obtained after densitometric analysis. A
representative result of one of the three independent experiments is
shown.
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Involvement of STAT-3--
After an overnight incubation in EBM
supplemented with 0.2% FBS, HUVEC were treated with 10 µM LAU-8080, 10 µM BN-52021, or 3 µM CV-3988 in the presence of EGM-2 (containing bFGF,
VEGF, IGF-1, EGF, 2% FBS). STAT-3 phosphorylation in HUVEC stimulated with EGM-2 was investigated over time (Fig.
4A). As seen in Fig. 4B, there was a significant reduction in the level of STAT-3
phosphorylation in the presence of each of the PAF receptor antagonists
(LAU-8080, BN-52021, CV-3988) as compared with vehicle-treated cells
(Control). Because STAT-3 is phosphorylated by a number of
cytokines and growth factors, inhibition of phosphorylation in the
presence of the PAFR antagonists suggested that STAT-3 is one of the
components involved in PAF-mediated signaling.

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Fig. 4.
PAF antagonism inhibits phosphorylation of
STAT-3. Growth factor-starved HUVEC were exposed to endothelial
growth medium containing bFGF, VEGF, EGF, and IGF-1 for various time
points with or without the PAFR antagonists (10 µM
LAU-8080, 10 µM BN-52021, or 3 µM CV-3988).
Cell lysates obtained after each time point were separated on a 7.5%
SDS-PAGE and Western-blotted. Panel A, phosphorylated STAT-3
levels were obtained after incubation with phospho-STAT-3 antibody and
chemiluminescent detection. The proteins levels were verified by
stripping and reblotting with STAT-3 antibody. Panel B,
levels of phospho-STAT-3 obtained after densitometric analysis and
represented as percentage of control against time (control being set at
100%). The results of one of the three independent experiments are
shown.
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Activation of STAT-3 by bFGF and PAF--
Of the various members
of the Janus kinase family of protein kinase, we have determined that
TYK-2 and JAK-2 are expressed in HUVEC, whereas JAK-1 and JAK-3 are not
(data not shown). TYK-2 is not phosphorylated even after stimulation of
HUVEC with PAF or bFGF at all the time points (data not shown). JAK-2
is constitutively expressed in HUVEC regardless of the addition of PAF
or bFGF (data not shown). STAT-1 and STAT-3 are expressed in HUVEC, but
STAT-5a, STAT-5b, and STAT-6 are not (data not shown). HUVEC were
exposed to bFGF after an overnight exposure to basal medium devoid of growth factors. As seen in Fig. 5, a
slight increase in phosphorylation of STAT-3 was observed after 1 min
followed by a rapid increase in STAT-3 phosphorylation after 15 min of
bFGF exposure. This increased STAT-3 phosphorylation is maintained
after prolonged exposure to bFGF alone through the 30- and 60-min time
points. The PAF receptor antagonists LAU-8080, BN-52021, and CV-3988
antagonize the bFGF-stimulated STAT-3 phosphorylation at all time
points. Phosphorylation of STAT-3 in the presence of PAF is not
observed until 15 min of exposure, which peaks at the 30-min time
point. All PAF antagonists antagonize this delayed phosphorylation of STAT-3 by PAF, suggesting that PAF causes the phosphorylation of STAT-3
through PAFR-associated kinases that are blocked by the PAFR
antagonists. Exposure of HUVEC to bFGF and PAF alone results in maximal
phosphorylation of STAT-3 after 30 min, suggesting that bFGF would
induce the prolonged activation of STAT-3 through the production of PAF
and activation of PAF receptor.

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Fig. 5.
bFGF and PAF phosphorylate STAT-3 though a
mechanism involving the PAF receptor. Panel A, HUVEC,
incubated overnight in basal medium, were exposed to bFGF or
10 7 M PAF individually or in combination with 10 µM LAU-8080, 10 µM BN-52021, or 3 µM CV-3988 for different time points. The cell lysates
obtained after each time point were separated by 7.5% SDS-PAGE,
blotted onto nitrocellulose membrane, incubated with phospho-STAT-3
antibody, and revealed by chemiluminescence. The membranes were
stripped and reprobed with STAT-3 antibody to verify the protein levels
in each lane. Panel B, phospho-STAT-3 levels were obtained
by densitometric analysis and represented as a percentage of control
against time (control being set at 100%). Shown is a representative of
three independent experiments.
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JAK-2 and Src Are Involved in the Growth-promoting Effects of bFGF
on HUVEC--
JAK-2 inhibitor AG-490 and Src inhibitor PP1 were used
to elucidate the involvement of JAK-2 and Src in bFGF-mediated HUVEC proliferation. After establishing basal growth rates, HUVEC were exposed to bFGF, AG-490, or PP1 individually or in combination. As seen
in Fig. 6, bFGF-stimulated HUVEC
proliferation was attenuated by both AG-490 and PP1. Attenuation of
bFGF-mediated proliferation was greater in the presence of AG-490 than
PP1 and was comparable with that of AG-490 alone (without
supplementation with bFGF). PP1 alone attenuated HUVEC proliferation,
but this effect was to some extent overcome by stimulation of HUVEC by
bFGF. These observations suggest that although signaling through JAK-2
is critical for HUVEC proliferation, both JAK-2 and Src are involved in
bFGF-mediated HUVEC growth.

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Fig. 6.
JAK-2 and Src inhibitors attenuate
bFGF-stimulated HUVEC proliferation. Basal medium was pretreated
with bFGF, 50 µM AG-490, or 170 nM PP1
individually or in combination for 4 h at 37 °C. Growth
factor-starved HUVEC were then added, and proliferation was measured by
the incorporation of [3H]thymidine after 144 h.
Stimulation of HUVEC proliferation by bFGF was antagonized by both
AG-490 (JAK-2 inhibitor) and PP1 (Src inhibitor).
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Effect of bFGF on the Phosphorylation of JAK-2 and Src--
Growth
factor-starved HUVEC were exposed to bFGF with or without the PAFR
antagonists, and the level of JAK-2 and Src phosphorylation was
investigated at different time intervals. Phospho-JAK-2 and JAK-2
levels are shown in Fig. 7A.
As seen in Fig. 7C, phosphorylation of JAK-2 was observed
after 1 min of bFGF exposure and was maintained through the
30-min time point and decreased slightly after 60 min of bFGF
stimulation. The PAFR antagonists LAU-8080, BN-52021, and CV-3988
attenuated this bFGF-stimulated JAK-2 phosphorylation at all time
points, suggesting that the PAF-PAFR pathway is involved in the
bFGF-mediated JAK-2 phosphorylation in HUVEC. Levels of phospho-Src and Src are shown in Fig. 7B. bFGF alone did not
induce phosphorylation of Src until 15 min and was followed by a rapid phosphorylation at the 30-min time point (Fig. 7D). The PAFR
antagonists did not antagonize this bFGF-stimulated phosphorylation of
Src, suggesting that Src is also a component of the bFGF-signaling pathway, and its stimulation by bFGF is independent of the
PAF-PAFR pathway.

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Fig. 7.
PAFR antagonists show differential regulation
of bFGF-stimulated phosphorylation of JAK-2 and Src. HUVEC, devoid
of growth factors by an overnight exposure to basal medium, were
exposed to bFGF alone or in combination with the PAFR antagonists (10 µM LAU-8080, 10 µM BN-52021, or 3 µM CV-3988) for various time points. Cell lysates
obtained after each time point were separated on a 7.5% SDS-PAGE and
Western-blotted, and the phosphorylated (P) proteins were
revealed by incubating with phospho-JAK-2 antibody (panel A)
or phospho-Src antibody (panel B) followed by
chemiluminescent detection. The membranes were stripped and reprobed
with the respective proteins antibodies to verify the protein levels.
Panel C, densitometric analysis of phospho-JAK-2 levels,
represented as percentage of control. Panel D, phospho-Src
levels, represented as percentage of control against time after
densitometric analysis (control being set at 100%). Results shown are
representative of three separate experiments.
|
|
STAT-3 Phosphorylation via JAK-2 and Src--
To further elucidate
the involvement of JAK-2 and Src in the phosphorylation of STAT-3,
HUVEC were pretreated for 30 min in the presence of the JAK-2 inhibitor
AG-490 and/or Src inhibitor PP1 to obtain the base-line phosphorylation
of STAT-3. After this pretreatment, HUVEC were stimulated with PAF with
or without the PAFR antagonists for different time intervals. Control
cells were exposed to PP1 and AG-490 for the duration of the
experiment. As seen in Fig.
8B, JAK-2 was not
phosphorylated in the presence of AG-490 but was unaffected by PP1.
Phosphorylation of JAK-2 occurred in PP1-pretreated HUVEC cells after
15 min of PAF stimulation (Fig. 8E), reached maximal levels
after 30 min, and dropped to the base line after 60 min of PAF
exposure. PAF receptor antagonists LAU-8080, BN-52021, and CV-3988
attenuated JAK-2 phosphorylation below the base-line level at all time
points. Phosphorylation of Src was observed in the AG-490-pretreated
HUVEC cells but was inhibited in the presence of PP1 (Fig.
8C). Rapid phosphorylation of Src occurred after 1 min of
PAF stimulation in AG-490-pretreated cells (Fig. 8F). Src
phosphorylation decreases with time, reaching nadir at 30 min, and was
rephosphorylated after 60 min of PAF exposure. Attenuation of the Src
phosphorylation was observed at all time points in the presence of the
PAF receptor antagonists LAU-8080, BN-52021, and CV-3988.
Phospho-STAT-3 and STAT-3 levels are shown in Fig 8A. When
JAK-2 was inhibited by AG-490, STAT-3 was rapidly phosphorylated at 1 min after exposure to PAF (Fig. 8D). The level of STAT-3
phosphorylation then decreased with time through the 30-min time point.
Phosphorylation of STAT-3 was again observed after prolonged exposure
to PAF (60 min). However, as seen in Fig. 8D, when Src was
inhibited by PP1, profound phosphorylation of STAT-3 was observed only
after 30 min of PAF stimulation and was maintained through 60 min.
STAT-3 phosphorylation was attenuated at all time points by the PAF
receptor inhibitors, suggesting the involvement of the PAF
receptor.

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|
Fig. 8.
PAF phosphorylates STAT-3 through JAK-2 and
Src. HUVEC, starved of growth factors overnight, were pretreated
for 30 min with 50 µM AG-490 or 170 nM PP1
and exposed to 10 7 M PAF individually or in combination
with 10 µM LAU-8080, 10 µM BN-52021, or 3 µM CV-3988 for various time points. Cell lysates were
separated on a 7.5% SDS-PAGE, Western-blotted, and incubated with
phospho-STAT-3 antibody (panel A), phospho-JAK-2 antibody
(Panel B), or phospho-Src antibody (panel C).
Phosphorylated proteins were revealed by chemiluminescence. The same
membranes were stripped and reblotted with respective protein
antibodies to verify the proteins levels. Control represents cells were
exposed to 50 µM AG-490 or 170 nM PP1 alone.
Panel D, phospho-STAT-3 levels are represented as percentage
of control after densitometric analysis. Panel E, levels of
phospho-JAK-2 in PP1 pretreated cells, represented as percentage of
control. Panel F, phospho-Src levels as percentage of
control in AG-490-pretreated cells. (the control was set at 100%).
Results of an individual experiment are shown that are representative
of three separate experiments.
|
|
The above observations taken together suggest that the immediate (1 min) PAF-mediated phosphorylation of STAT-3 is independent of JAK-2 and
may be dependent on Src, since phosphorylation of Src as well as STAT-3
are observed to be maximal at this time point in the AG-490-pretreated
cells. PP1 pretreatment caused an attenuation of both Src as well as
STAT-3 phosphorylation after 1 min of PAF exposure, further supporting
the immediate Src-dependent phosphorylation of STAT-3.
Maximal phosphorylation of STAT-3 occurred at 30 min following
stimulation by PAF, corresponding to maximal JAK-2 phosphorylation in
the PP1-pretreated cells. The presence of the JAK-2 inhibitor AG-490
caused complete attenuation of both JAK-2 and STAT-3 phosphorylation at
this time point, suggesting that at 30 min, STAT-3 phosphorylation is
dependent upon JAK-2. The prolonged (60 min) phosphorylation of STAT-3
observed in both AG-490- and PP1-pretreated cells suggests that the
signaling of the PAF receptor upon binding PAF may be through both
JAK-2 and/or Src.
 |
DISCUSSION |
PAF is now considered as a major lipid second messenger in the
regulation of a number of biological responses including tumor expansion and angiogenesis (25, 26). PAF induces endothelial cell
proliferation (27) and migration through the basement membrane by
inducing the production of plasminogen activator protein and DNA
synthesis (28, 29). There are data to suggest that the production of
PAF may result through the binding of many different pro-angiogenic
protein growth factors to their tyrosine receptors. Therefore, the
production of PAF may be an important signaling event for many growth
factors (30). Although PAF is known to be involved in a number of
biological functions, the mechanisms involving PAF-mediated action have
yet to be identified. Results presented in this report indicate the
possible PAF-mediated signal transduction mechanism involved in the
stimulation of HUVEC.
Members of the FGF family of growth factors are potent inducers of
angiogenesis. Cellular responses mediated by FGFs include cell
migration, proliferation, and differentiation (31). The FGF family
consists of at least 20 factors, which are ~30-70% identical in
their primary amino acid sequences, of which FGF-1 (acidic FGF) and
FGF-2 (bFGF) are the most extensively studied (13). The cellular
effects of FGFs are mediated via specific binding to the high affinity
tyrosine kinase receptors (14) and the low affinity FGF receptors
consisting of heparan sulfate proteoglycans on the cell surface (32),
resulting in the dimerization and autophosphorylation of the FGF
receptors (see Fig. 9A). We found that stimulation of HUVEC with bFGF resulted in their rapid proliferation as compared with VEGF, IGF-1, or EGF, whereas bFGF deprivation significantly reduced their growth. Furthermore,
attenuation of bFGF-stimulated HUVEC growth was observed in the
presence of the PAF receptor antagonist LAU-8080, whereas there was no
appreciable difference in growth when bFGF was removed from the medium
containing LAU-8080 or when bFGF was immunoneutralized as compared
with the cells treated with LAU-8080 alone. This led us to the
conclusion that bFGF is a key growth factor responsible for the
proliferation of HUVEC and that PAF is involved in the bFGF signal
transduction pathway. This phenomenon was also observed in lung
fibroblasts (WI-38) and ASMC, since the PAF receptor antagonists
LAU-8080, BN-52021, and CV-3988 attenuated the growth-promoting effect
of bFGF in these cells. The level of tyrosine phosphorylation of the
FGFR in HUVEC remained the same in the presence of LAU-8080, suggesting
that PAF might be acting at a downstream level in the bFGF signal
transduction pathway (Fig. 9A).

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Fig. 9.
A model for the production of PAF after
signaling through the FGF receptor includes a dual kinase mechanism for
the activation of STAT-3. Panel A, after the activation
of the FGFR by bFGF, Ras-dependent and Ras-independent
cascades were initiated, resulting in the activation of phospholipase
A2 (PLA2). Phospholipase A2
hydrolyzes
1-alkyl-2-arachidonoyl-sn-glycero-3-phosphocholine to
lyso-PAF and arachidonic acid. Production of PAF through acetylation of
lyso-PAF leads to the activation of the PAFR (panel B). Our
results suggest that the binding of PAF to its receptor leads to
differential activation of both JAK-2 and Src. Src may be activated
through the G-protein or through protein kinase A
(PKA). Activation of Src by the PAFR may lead to further
production of PAF as modeled. Activation of STAT-3 likely leads to
endothelial cell proliferation, migration, and invasion. The
abbreviations used are: PIP2, phosphatidylinositol
bisphosphate; DAG, diacylglycerol; PKC,
protein kinase C; IP3, inositol triphosphate;
PC, 1- alkyl2arachidonoyl-sn-glycero-3-phosphocholine.
|
|
The activation of the FGFR induces the Ras-independent and
Ras-dependent signal transduction cascades. The
Ras-independent cascade is induced through the activation of
phospholipase C
(15), which results in the activation of
phosphatidylinositol turnover, protein kinase C, and Raf (reviewed by
Shukla in Ref. 33). The release of inositol triphosphate results in the
mobilization of Ca2+, activation of phospholipase
A2, hydrolysis of alkylarachidonylphosphotidylcholine to
arachidonic acid and lyso-PAF (34-36). The Ras-dependent
pathway is initiated through the binding of adaptor proteins (Grb2,
Sos) and the activation of Ras and Raf (16). Thus, the activation of
Raf represents a convergence of the Ras-independent and
Ras-dependent pathways (see Fig. 9A). The
resulting phosphorylation of MAP kinase kinase (Mek) and subsequent
phosphorylation of MAP kinase (Erk) results in another convergence of
the Ras-independent and Ras-dependent pathways.
Interestingly Erk is a candidate for upstream regulators of PAF-induced
mitogenesis in lymphocytes (37) and differentiation of neuronal cells
(38). PAF reportedly causes phosphorylation of the 42-kDa Erk-2 in
human neutrophils (39) and sheep platelets (40). Stimulation of B cell
lines with PAF induced tyrosine phosphorylation of a protein identified
as MAP-2 kinase (41). PAF has been demonstrated to activate Mek and Erk
in corneal epithelial cells (42). More recently, PAF has been shown to
stimulate Erk activation in primary hippocampal neurons in a process
that can be blocked by PAFR antagonists (43). Our results indicate that although there is no immediate stimulation of Erk-1 and -2 upon bFGF
exposure to HUVEC, maximum stimulation was observed after 30 min of
exposure, which continued for 60 min, suggesting that treatment of
HUVEC with bFGF induced a delayed activation of Erk through a
Ras-dependent pathway. Attenuation of Erk phosphorylation and activity by the PAF receptor antagonist LAU-8080 suggested that PAF
was being produced after stimulation of HUVEC with bFGF and was
influencing the activity of Erk. Given that the
Ras-dependent and Ras-independent pathways induced by bFGF
could lead to the production of PAF after hydrolysis by phospholipase
A2, it is not surprising that PAFR antagonism affected
bFGF-induced Erk phosphorylation.
PAF-signaling mechanisms are complex and are not clearly understood
(Fig. 9B). The PAF receptor has been cloned and sequenced (44). As with the cytokine receptors, PAF receptors have no intrinsic
catalytic activity. Previous data indicate that it belongs to the super
family of G-protein-coupled receptors, suggesting that PAF might elicit
its effects through G-protein mediation (45, 46). One of the major
signaling pathways activated by the ligand-coupled receptors is the
JAK/STAT pathway. Studies using interferons and growth hormones
indicate that specific Janus kinases may be preferentially activated
depending on the type of the receptor that is being activated (47, 48).
The activated Janus kinase phosphorylates the tyrosine residue of a
novel group of transcription factors named STAT (49). Reddy et
al. (50) and Darnell (49) observe that the nature of the STATs
that are activated depend on the cell line that is used in the study
rather than the nature of the JAK activated by the ligand/receptor
interaction. Recently, the peptide hormone bradykinin has been shown to
activate TYK-2 after binding to its receptor, resulting in the tyrosine phosphorylation of STAT-3 in the bovine aortic endothelial cells (51).
As mentioned earlier, PAF receptor antagonist WEB-2170 inhibited the
thrombopoietin-induced phosphorylation of STAT-5B (22). More recently,
PAF receptor has been shown to activate TYK-2 upon binding to PAF and,
later, to activate various STAT proteins, bypassing the G-protein in
the monocytic cell lines U937 and MonoMac-1 (23).
Our studies have demonstrated that simultaneous exposure of HUVEC to
VEGF, bFGF, EGF, and IGF-1 induced phosphorylation of STAT-3 through a
mechanism involving PAF, since the PAF receptor antagonists LAU-8080,
BN-52021, and CV-3988 all reduced STAT-3 phosphorylation. Stimulation
of delayed and prolonged STAT-3 phosphorylation by bFGF alone, and its
antagonism by the PAF receptor inhibitors further implicates the
involvement of PAF in the bFGF-signaling cascade. PAF itself caused a
delayed phosphorylation of STAT-3 that peaked after 30 min of exposure.
Given that the PAFR has no intrinsic kinase activity, this delayed
action of PAF demonstrates the involvement of another kinase
responsible for STAT-3 phosphorylation. Although PAF itself maximally
stimulated STAT-3 phosphorylation after 30 min of exposure, bFGF alone
was able to prolong the phosphorylation of STAT-3 for 60 min,
suggesting that bFGF induced the production of PAF and activation of
PAF receptor to cause the prolonged STAT-3 phosphorylation.
Activation of FGF receptor by ligand binding has been implicated in
regulation of Src kinase activity (52). Klint et al. (53)
observe that Immortomice brain endothelial cells (a capillary endothelial cell line) showed an inhibition of FGF-2 induced tube formation when treated with the Src family inhibitor PP1. However, FGF-2-induced cell survival was not affected upon treatment with PP1,
and there was only a modest stimulatory effect on Src activity by FGF-2
in these cells. Ligation of the bFGF receptor failed to induce JAK
activity in AIDS-derived Kaposi's sarcoma cells (54). In contrast to
the above observations, our results indicate that inhibition of JAK-2
or Src attenuates bFGF-stimulated HUVEC proliferation, thus
demonstrating the importance of these proteins in the growth of HUVEC
mediated by bFGF. Stimulation of cells with bFGF could not overcome the
growth attenuation by the JAK-2 inhibitor, suggesting that signaling
through JAK-2 was indispensable for cell survival. bFGF induced the
phosphorylation of JAK-2, which was attenuated by the PAFR antagonists,
implicating the involvement of PAF-PAFR pathway in bFGF-stimulated
JAK-2 phosphorylation. bFGF also stimulated the phosphorylation of Src
in a time-dependent manner. However, the PAFR antagonists
did not antagonize the Src phosphorylation at any time point,
demonstrating that Src is a member of the bFGF-signaling pathway, and
its phosphorylation induced by bFGF is independent of the PAF-PAFR pathway.
STAT-3 is a target of phosphorylation by both Janus kinases (22) and
p60Src. We hypothesized that in HUVEC, both JAK and
p60Src are activated by PAF binding, suggesting the
involvement of a dual kinase regulatory mechanism for the PAF-mediated
signal transduction pathway (Fig. 9B). We have used a
specific JAK-2 inhibitor AG-490 and Src inhibitor PP1 to elucidate the
phosphorylation of STAT-3 through both of these pathways. Our results
demonstrate that inhibition of the Src pathway by PP1 does not affect
the phosphorylation of JAK-2, which peaks at 30 min upon exposure to
PAF. Inhibition of JAK-2 by AG-490 allows phosphorylation of Src to
occur after 1 min of PAF stimulation, after which it decreases with
time to 30 min but is rephosphorylated after 60 min in the presence of PAF. Attenuation of JAK-2 and Src phosphorylation by the PAF receptor antagonists suggests that their activation by PAF is specific to the
PAF receptor.
When STAT-3 phosphorylation was observed in HUVEC pretreated with
AG-490, we found that PAF induced a significant amount of STAT-3
phosphorylation at 1 and 60 min of exposure, whereas phosphorylation of
STAT-3 was drastically attenuated at 30 min of PAF stimulation. This
pattern of STAT-3 phosphorylation is similar to that of Src phosphorylation observed in cells pretreated similarly, suggesting that
the immediate (1 min) and prolonged (60 min) STAT-3 phosphorylation is
dependent on Src activation by PAF through its specific PAF receptor.
However, this STAT-3 phosphorylation profile is drastically different
from that observed when HUVEC were exposed to PAF alone without any
pretreatment of cells with inhibitors. In the absence of any inhibitor,
both JAK-2 and Src are active and aid in transferring the signal to
activate STAT-3 after the stimulation of cells with PAF.
Furthermore, STAT-3 phosphorylation peaked at 30 min of PAF exposure
when Src was inhibited by PP1. This delayed (30 min) activation of
STAT-3 by PAF is specifically mediated through JAK-2, which itself gets
maximally phosphorylated at this time point upon binding of PAF to its
receptor. The attenuation of STAT-3 phosphorylation at all time points
by the PAF receptor antagonists in both PP1- and AG-490-pretreated
cells suggests the involvement of the PAF receptor in STAT-3
phosphorylation through PAF. Prolonged (60 min) phosphorylation of
STAT-3 in PP1-pretreated cells suggests that JAK-2 may be involved in
STAT-3 activation along with Src as noted previously. Thus, there
appears to be a loss of dependence on either JAK-2 or Src in the
prolonged PAF-mediated STAT-3 phosphorylation in HUVEC.
Studies using Src-transformed NIH-3T3 cells showed that v-Src can bind
to STAT-3 and phosphorylate it in vitro (55). Chaturvedi et al. (56) observe that although STAT-5 required
interaction with JAK-2 to mediate its phosphorylation, STAT-3
phosphorylation could be independent of JAK activation but in turn be
dependent on interaction with c-Src for its activation. Phosphorylation of Src and phospholipase C
by exposure to PAF has been shown in
rabbit platelets and A431 cells (24). In these studies, PAF-stimulated inositol production and the aggregation of cells was significantly reduced. Given our current data, it is unclear if activation of Src
occurs through the coupled G-protein or through activation of protein
kinase A.
In conclusion, we propose a dual kinase activation of STAT-3 upon
binding of PAF to its PAF receptor in HUVEC. After the binding of PAF
to its G-protein-associated seven-transmembrane domain receptor, a
Src-family kinase is immediately activated, which further
phosphorylates STAT-3. Continued stimulation of the PAF receptor by PAF
results in the phosphorylation and activation of associated JAK-2.
Activated JAK-2 then phosphorylates STAT-3 protein, with concomitant
dephosphorylation of JAK-2. After STAT-3 activation, phosphorylated
STAT-3 protein will localize in the nucleus and induce transcription of
genes, leading to increased invasion, migration, and proliferation of
HUVEC. Activation of the Src-family kinase by the PAF receptor might
activate Ras, leading to the activation of Erk, which in turn might
activate phospholipase A2, resulting in the production of
lyso-PAF and then PAF by HUVEC. Thus HUVEC could stimulate the
production of endogenous PAF, resulting in the prolonged stimulation
and activation of the PAF receptor and, thus, activation of STAT-3 protein.
 |
FOOTNOTES |
*
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: Louisiana State
University Health Sciences Center, Stanley S. Scott Cancer Center, 533 Bolivar St., CSB-4-18, New Orleans, LA 70112. Tel.: 504-568-4734; Fax:
504-599-1014; E-mail: jhunt@lsuhsc.edu.
Published, JBC Papers in Press, April 8, 2002, DOI 10.1074/jbc.M110955200
 |
ABBREVIATIONS |
The abbreviations used are:
PAF, 1-O-alkyl-2-acetyl-sn-glycero-3-phosphocholine or
platelet-activating factor;
PAFR, PAF receptor;
HUVEC, human umbilical
vein endothelial cells;
FGF, fibroblast growth factor;
bFGF, basic FGF;
FGFR, FGF receptor;
STAT, signal transducers and activators of
transcription;
JAK, Janus kinase;
VEGF, vascular endothelial growth
factor;
EGF, epidermal growth factor;
IGF-1, insulin-like growth
factor-1;
MAP, mitogen-activated protein;
Erk, extracellular
signal-regulated kinase;
Ab, antibody;
EGM, endothelial growth medium;
EBM, endothelial basal medium;
FBS, fetal bovine serum;
ASMC, aortic
smooth muscle cells.
 |
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