Endothelial Argininosuccinate Synthetase 1 Regulates Nitric Oxide Production and Monocyte Adhesion under Static and Laminar Shear Stress Conditions*

Laminar shear stress (LSS) is known to increase endothelial nitric oxide (NO) production, which is essential for vascular health, through expression and activation of nitric oxide synthase 3 (NOS3). Recent studies demonstrated that LSS also increases the expression of argininosuccinate synthetase 1 (ASS1) that regulates the provision of l-arginine, the substrate of NOS3. It was thus hypothesized that ASS1 might contribute to vascular health by enhancing NO production in response to LSS. This hypothesis was pursued in the present study by modulating NOS3 and ASS1 levels in cultured endothelial cells. Exogenous expression of either NOS3 or ASS1 in human umbilical vein endothelial cells increased NO production and decreased monocyte adhesion stimulated by tumor necrosis factor-α (TNF-α). The latter effect of overexpressed ASS1 was reduced when human umbilical vein endothelial cells were co-treated with small interfering RNAs (siRNAs) for ASS1 or NOS3. SiRNAs of NOS3 and ASS1 attenuated the increase of NO production in human aortic endothelial cells stimulated by LSS (12 dynes·cm−2) for 24 h. LSS inhibited monocyte adhesion to human aortic endothelial cells stimulated by TNF-α, but this effect of LSS was abrogated by siRNAs of NOS3 and ASS1 that recovered the expression of vascular cell adhesion molecule-1. The current study suggests that the expression of ASS1 harmonized with that of NOS3 may be important for the optimized endothelial NO production and the prevention of the inflammatory monocyte adhesion to endothelial cells.

Atherosclerosis is a chronic disease characterized by the accumulation of lipids and fibrous elements in the intimal lining of the large-and medium-sized arteries. Its development takes place step-by-step involving endothelial cell injury, migration of inflammatory cells, deposition of lipids and proliferation of smooth muscle cells, growth of this mass (atheroma) into the vessel lumen, and rupture of the plaque with subsequent thrombosis (1). When endothelial cells are activated by an inflammatory stimulus, they express intercellular adhesion molecule-1 (ICAM-1), vascular cell adhesion molecule-1 (VCAM-1), 2 E-selectin, and other selective adhesion molecules that mediate the heterotypic binding between leukocytes and endothelial cells, the primary event of atherosclerotic lesion formation (2). Endothelial cell senescence also increases monocyte recruitment, independently of acute inflammatory stimuli, by increasing the expression of adhesion molecules such as CD44 (3). Therefore, the "health" of endothelial cells is essential for the prevention of the initial events of atherosclerosis.
Laminar shear stress (LSS) due to pulsatile blood flow is known to provide beneficial effects on vascular health (4 -6). Indeed, the straight regions of the arteries that experience pulsatile LSS are usually protected from the formation of atherosclerotic lesions (7,8). The anti-atherogenic effects of pulsatile LSS and steady LSS (the latter does not occur in arteries in vivo but is being studied in vitro) have been attributed to their ability to increase endothelial nitric oxide (NO) production (9). For example, LSS has been shown to inhibit monocyte adhesion to endothelial cells in a NO-dependent manner (10).
The activation of endothelial nitric oxide synthase (NOS3) by Ca 2ϩ or phosphorylation on multiple sites including Ser 1177 has been identified as the primary mechanism responsible for the increased NO production under LSS conditions (11). Moreover, the protein level of NOS3 was shown to be increased by chronic LSS in cultured endothelial cells (12) and by exercise training in mice (13). NOS3 requires tetrahydrobiopterin as an essential cofactor, and recent studies demonstrated that GTP cyclohydrolase-1, a rate-limiting enzyme for de novo synthesis of tetrahydrobiopterin, was activated through the phosphorylation on serine 81 in response to LSS (14). Another study pointed out that the GTP cyclohydrolase-1 expression level was also increased by chronic LSS in cultured endothelial cells (15).
Argininosuccinate synthetase 1 (ASS1) is the key enzyme responsible for the provision of L-arginine, the substrate of NOS3 (16), and this enzyme might play a role in the endothelial NO production in response to LSS. In support of this notion, cDNA microarray analyses identified the ASS1 gene as one of the genes induced by LSS (17). Functional association of ASS1 with altered NO production has recently been verified in young and senescent endothelial cells under static and LSS conditions (18). Therefore, it was hypothesized that ASS1 might contribute to vascular health by playing a role in NO production in response to LSS. This hypothesis was pursued in the present study by examining whether endothelial ASS1 is required for the LSS effects of increasing NO production and decreasing monocyte adhesion.
Cultivation and Fluorescence Labeling of THP-1 Cells-THP-1 cells (human acute monocytic leukemia cell line) from the Korea Cell Line Bank (Seoul, Korea) were cultured in RPMI 1640 medium (Invitrogen) supplemented with fetal bovine serum (10%), antibiotics, and ␤-mercaptoethanol (0.05 mM). Cells were cultured in T-25 flasks (Nunc) in an upright position. For fluorescence labeling, monocytes were washed with phosphate-buffered saline (PBS) twice and suspended at 5 ϫ 10 6 cells⅐ml Ϫ1 in PBS containing 5 g⅐ml Ϫ1 2Ј,7Јbis(carboxyethyl)-5(6)-carboxyfluorescein acetoxymethyl ester (Molecular Probes, Carlsbad, CA) followed by incubation at 37°C for 45 min. The labeled cells were then harvested, washed with PBS twice, and suspended in RPMI medium to be added to endothelial cell culture.
Transfection of HUVECs with Plasmid Constructs-The full coding sequence of human ASS1 was polymerase chain reaction-amplified from a clone (IMAGE ID 30340813, the American Type Culture Collection, Manassas, VA) and inserted into the pcDNA3.1(ϩ) (Invitrogen) vector to generate the ASS1 plasmid construct (pcDNA-ASS1), as described in the previous study (18). The pcDNA-NOS3 construct encoding bovine NOS3 has been described previously (19). Transient transfection of HUVECs with plasmids was performed using NeoFectin TM (Mid-Atlantic BioLabs Inc., West Bethesda, MD). Briefly, cells at ϳ90% confluency on a 6-well plate were treated with a mixture of 1 g of DNA and 3 l of Neo-Fectin TM in 1 ml of Opti-MEM (Invitrogen) for 4 h. For cotransfection studies, cells were treated with a mixture of 1 g of DNA, 25 pmol of small interfering RNA (siRNA), and 3 l of NeoFectin TM .
Transfection of HAECs with siRNAs-Human ASS1 siRNA (catalog number 1299001, HSS100763) with the nucleotide sequences corresponding to the coding region of a human ASS1 gene transcript (National Center for Biotechnology Information (NCBI) GenBank TM accession number, NM_000050), human NOS3 siRNA (1299001, HSS107237) with nucleotide sequences corresponding to the coding region of a human NOS3 gene transcript (NM_000603.3), and a negative control oligoribonucleotide duplex (12935200) with scrambled sequences were purchased from Invitrogen. The nucleotide sequences of ASS1 siRNA and NOS3 siRNA were as follows: ASS1 siRNA, 5Ј-UCA UUG GAA UGA AGU CCC GAG GUA U-3Ј (sense) and 5Ј-AUA CCU CGG GAC UUC AUU CCA AUG A-3Ј(antisense); NOS3 siRNA, 5Ј-GAA GAG GAA GGA GUC CAG UAA CAC A-3Ј (sense) and 5Ј-UGU GUU ACU GGA CUC CUU CCU CUU C-3Ј (antisense). Transfection of HAECs with siRNAs was performed using Lipofectamine RNAiMAX (Invitrogen) according to the manufacturer's instructions. In brief, cells at ϳ50% confluency on an 100-mm culture dish were treated with a mixture of 25 nM siRNA and 1.25 l⅐ml Ϫ1 Lipofectamine RNAiMAX in 5 ml of Opti-MEM for 3 h.
LSS Treatment of HAECs-After the growth medium was changed with a fresh one, HAECs on an 100-mm culture dish were exposed to steady LSS at 12 dynes⅐cm Ϫ2 or kept under static conditions for 24 h. LSS was provided by rotating a Teflon cone (0.5°cone angle) mounted onto a culture dish, as described previously (20,21).
Western Blotting-Western blotting of the cell lysates was conducted as described previously (22). Cells were lysed in a buffer (10 mM Tris-Cl, 150 mM NaCl, 5 mM EDTA, 0.1% sodium dodecyl sulfate, 1% TritonX-100, and 1% deoxycholate, pH 7.2) supplemented with 1 mM phenylmethylsulfonyl fluoride and protease inhibitor mixture (Roche Applied Science, Mannheim, Germany). Cell lysates were centrifuged at 13,000 rpm for 15 min to obtain clear supernatants. Proteins were denatured in the Laemmli sample buffer for 5 min at 95°C, electrophoresed on a 10% sodium dodecyl sulfate polyacrylamide gel, and transferred to a polyvinylidene difluoride membrane (Amersham Biosciences, Little Chalfont, UK). The membrane was incubated overnight with a primary antibody (1:1000 dilution) at 4°C and then with a secondary antibody conjugated to horseradish peroxidase (HRP) (1:3000 dilution) for 1 h at room temperature. The immunoreactive bands were detected using an ECL kit (Amersham Biosciences) and analyzed using the National Institutes of Health Image program. Mouse monoclonal antibodies for ASS1 and NOS3 were purchased from BD Transduction Laboratories. Rabbit polyclonal antibodies for Ser 1177 -phosphorylated NOS3 and inducible nitric oxide synthase (NOS2) were from Cell Signaling (Danvers, MA). Rabbit polyclonal antibody for cationic amino acid transporter 1 (CAT1) was purchased from Abcam (Cambridge, MA). Mouse monoclonal ␤-actin antibody was purchased from Sigma-Aldrich. Goat anti-mouse and anti-rabbit antibodies conjugated to HRP were purchased from Cell signaling and Santa Cruz Biotechnology (Santa Cruz, CA), respectively.
Assay of NO Production-NO production from endothelial cells was determined by measuring NO metabolites, nitrite plus nitrate, accumulated in a culture medium as described previously (23). After cells were maintained in Dulbecco's modified Eagle's medium (DMEM) (Sigma-Aldrich), with or without LSS at 12 dynes⅐cm Ϫ2 for 24 h, the conditioned medium was harvested for analysis. An aliquot (100 l) of the conditioned medium was pretreated with a solution (100 l) of 0.2 units⅐ml Ϫ1 nitrate reductase, 0.4 units⅐ml Ϫ1 glucose 6-phosphate dehydrogenase, 0.25 mM glucose 6-phosphate, and 0.2 M NADPH in 14 mM Na-PO 4 buffer (pH 7.4), to reduce nitrate to nitrite. After a 45-min incubation at room temperature, samples (50 -100 l) were added into 20 mM potassium iodide in 0.1 N sulfuric acid (10 ml) to convert nitrite to NO while monitoring the current change due to NO generation with an amperometric NO sensor (AmiNO700, Innovative Instruments, Inc., Tampa, FL). A calibration curve was generated using sodium nitrite.
Cell Adhesion Assay-After LSS treatment or incubation at a static condition, endothelial cells were either stimulated with 4 ng⅐ml Ϫ1 tumor necrosis factor-␣ (TNF-␣) for 4 h or treated with a vehicle in a growth medium. Then, the growth medium was replaced by RPMI medium, and the fluorescence-labeled THP-1 cells suspended in RPMI medium were added at a 1:1 ratio. After co-incubation of endothelial cells and THP-1 cells for 1 h, non-adherent THP-1 cells were washed out with PBS twice. Fresh RPMI medium was supplied to the remaining cells. Florescence-labeled THP-1 cells adhering to the endothelial cell surface were observed with a Nikon eclipse TE2000-U microscope. For quantification, adherent cells were lysed in 200 l of 0.1 M Tris containing 0.1% Triton X-100 and centrifuged at 13,000 rpm for 15 min to obtain the supernatant. The fluorescence intensity of supernatants was determined at an excitation wavelength of 485 nm and emission wavelength of 535 nm, using an LS 55 fluo-rescence spectrometer (PerkinElmer Life Sciences), and normalized for the number of endothelial cells.
Enzyme-linked Immunosorbent Assay (ELISA) of VCAM-1-After HAECs were exposed to LSS and/or TNF-␣, cell surface expression of VCAM-1 was determined by ELISA (24). Cells were fixed with 4% paraformaldehyde in PBS for 10 min and blocked with 0.1% BSA in 0.3% Triton X-100/PBS for 1 h at room temperature. Cells were incubated with goat polyclonal VCAM-1 antibody (Santa Cruz Biotechnology) diluted 1:300 overnight at 4°C followed by a 1-h incubation with donkey anti-goat antibody conjugated to HRP (Santa Cruz Biotechnology) diluted 1:1000. Then, cells were washed with PBS twice and treated with a substrate for HRP, 3,3Ј,5,5Ј-tetramethyl benzidine from Sigma-Aldrich. The reaction was stopped with 2 N HCl, forming a yellow reaction product. The colorimetric conversion at 450 nm of 3,3Ј,5,5Ј-tetramethyl benzidine was determined with a Bio-Rad Model 680 microplate reader.
Statistical Analysis-Data are presented as the means Ϯ S.E. of experiments performed in triplicate. Significant differences among the groups were determined using the one-way analysis of variance. The Duncan's multiple range test was conducted if differences were identified between the groups at a significance level of p Ͻ 0.05.

Overexpression of ASS1 Increases NO Production and Inhibits Monocyte Adhesion by a NOS3-dependent Mechanism-
Endothelial NO production should be governed by the enzyme activity of NOS3 and the supply of its substrate, Larginine. To confirm the critical role of ASS1 in the intracellular L-arginine supply to NOS3 enzyme, it was first determined whether the increased expression of ASS1 can increase NO production. As shown in Fig. 1A, transfection of HUVECs with a plasmid construct encoding ASS1 (pcDNA-ASS1) increased protein levels of ASS1. The NO production was much higher in cells transfected with pcDNA-ASS1 as compared with those transfected with an empty vector (pcDNA). Transfection of cells with pcDNA-ASS1 did not alter NOS3 protein level nor the phosphorylation of Ser 1177 of NOS3 (Fig. 1A), which is known as one of the major mechanisms leading to the activation of the enzyme (11).
If NO is inhibitory against monocyte adhesion, as has been reported previously (10), ASS1, which increased NO production, should be able to inhibit monocyte adhesion. Supporting this notion, TNF-␣-stimulated monocyte adhesion was significantly reduced in cells overexpressing ASS1 (Fig. 1B). As expected, transfection of cells with a plasmid construct encoding NOS3 (pcDNA-NOS3) resulted in an increase of NOS3 protein level, an increase of NO production, and a decrease of monocyte adhesion, providing a positive control (Fig. 1, A and  B). Both pcDNA-ASS1 and pcDNA-NOS3 tended to decrease the basal monocyte adhesion in the absence of TNF-␣, although the changes were not statistically significant (Fig. 1B).
Because the overexpression of ASS1 resulted in an increase of NO production and a decrease of monocyte adhesion, it was further tested whether these two consequences are related to each other. If ASS1 inhibited monocyte adhesion through enhancing NO production, this effect of ASS1 should be dependent on the expression of NOS3. To verify this notion, cells were co-transfected with the pcDNA-ASS1 or pcDNA vector in combination with a negative control oligoribonucleotide duplex (NC) or ASS1 siRNA or NOS3 siRNA (Fig. 2).
HUVECs are one of the cells that are difficult to transfect with long nucleic acids, and thus, co-transfection conditions were optimized for plasmid constructs but not for siRNAs. As shown in Fig. 2, endogenous NOS3 was decreased by NOS3 siRNA but not fully knocked down, probably because the transfection conditions might not be optimal for siRNAs. However, the expression of ASS1, mainly of exogenous form, in the transfected cells was effectively suppressed by co-transfected ASS1 siRNA. In this Western blotting condition, the change of ASS1 expression levels in the control cells transfected with the pcDNA vector could not be definitively monitored.
ASS1 siRNA increased both basal and TNF-␣-stimulated monocyte adhesion significantly in cells transfected with the pcDNA-ASS1 or pcDNA vector, indicating that the changes of the ASS1 protein level could influence on monocyte adhesion (Fig. 2). The effects of NOS3 siRNA were also of interest because they increased monocyte adhesion in both cells; the increase of monocyte adhesion by NOS3 siRNA was reduced by ASS1 overexpression, and the decrease of monocyte adhesion by overexpressed ASS1 was reduced by NOS3 siRNA (Fig. 2). These results indicated that NOS3 might be required for the inhibitory action of ASS1 on monocyte adhesion and vice versa.

Not Only NOS3 but Also ASS1 Are Required for the Regulatory Action of LSS on NO Production and Monocyte Adhesion-
The importance of ASS1 in endothelial NO production was further examined under LSS conditions. HAECs were chosen for this experimental purpose because they are normally exposed to a high level of LSS in vivo. As shown in Fig. 3A, chronic LSS (12 dynes⅐cm Ϫ2 for 24 h) increased the mRNA levels of ASS1 and NOS3 in HAECs, but these changes were significantly inhibited in cells pretreated with their siRNAs. The protein levels of ASS1 and NOS3 were also significantly increased by LSS (Fig. 3B) and decreased by siRNAs of ASS1 and NOS3, respectively. LSS increased the phosphorylation of Ser 1177 of NOS3 as expected, and phosphorylation was not affected by ASS1 siRNA (Fig. 3B). Of course, the phosphorylated form of NOS3 was not detected in NOS3-depleted cells.
The mRNA and protein levels of CAT1 were also examined because this protein is known to be involved in the transport of L-arginine (25). The results showed that its mRNA and protein levels were unaltered by the exposure to LSS or the treatments with siRNA of NOS3 or ASS1 (Fig. 3, A and B).
LSS also increased NO production by 2-fold in the NCtreated cells (Fig. 3C). However, pretreatment of cells with either ASS1 siRNA or NOS3 siRNA reduced the NO production levels by half under both static and LSS conditions (Fig.  3C). These results indicated that ASS1 actively participates in the regulation of endothelial NO production in response to LSS by providing L-arginine to NOS3. Potentially ASS1 could supply L-arginine to other NOS enzymes including NOS2. However, NOS2 protein could not be detected in HAECs un-

Endothelial Argininosuccinate Synthetase 1
der static and LSS conditions (Fig. 3B). In contrast, NOS2 protein was clearly detected in THP-1 cells stimulated with TNF-␣ (Fig. 3B). Thus, it was indicated that ASS1 may not be functionally associated with NOS2 in the endothelial cells.
It was then examined whether ASS1 contributes to the inhibition of monocyte adhesion by LSS. HAECs were pretreated with ASS1 or NOS3 siRNA (25 nM), exposed to LSS (12 dynes⅐cm Ϫ2 ), and stimulated with TNF-␣ (4 ng⅐ml Ϫ1 ) prior to co-incubation with the fluorescence-labeled monocytes. The experiments included several lines of control cells treated with NC instead of a siRNA, those without LSS exposure, and those without TNF-␣. As shown in Fig. 4, A and B, exposure of HAECs to LSS decreased monocyte adhesion in the absence and presence of TNF-␣. In addition, these changes were abrogated by ASS1 siRNA as well as NOS3 siRNA. These results indicated that the expression of NOS3 and ASS1 is a necessary condition for inhibition of monocyte adhesion.
The effects of NOS3 and ASS1 siRNAs on the cell surface expression of VCAM-1 were also examined because this cell adhesion molecule is known to be most consistently downregulated by LSS and NO (10,24). The results showed that LSS decreased the cell surface expression of VCAM-1 in endothelial cells in the absence and presence of TNF-␣ (Fig. 4C). Of special interest, VCAM-1 expression in LSS-exposed cells was maintained high if the cells were pretreated with siRNA of ASS1 or NOS3 (Fig. 4C).

DISCUSSION
The inhibitory action of LSS on monocyte binding, an initial event involved in the development of atherosclerosis, has been attributed to NO, which inhibits the gene expression of certain adhesion molecules (10). Chronic LSS is known to increase endothelial NO production through the up-regulation of NOS3 protein expression and activity (11). By providing evidence that the ASS1 expression is required for the increase of NO production and the inhibition of monocyte adhesion by LSS (Figs. 3 and 4), the current study established a sequential event occurring in response to LSS: LSS 3 increase of ASS1 3 increase of NO production by NOS3 3 suppression of cell surface expression of VCAM-1 3 inhibition of monocyte adhesion. The current study also demonstrated that overexpression of ASS1 alone led to an increase of NO production without altering NOS3 protein expression or phosphorylation (Fig. 1A) and a decrease of monocyte adhesion (Fig. 1B). The latter effect of ASS1 was quite dependent on the presence of NOS3 (Fig. 2). Also, NOS2 was not induced by LSS in HAECs (Fig. 3) Therefore, ASS1 is considered to be functionally associated with NOS3, providing an effective way to improve vascular health.
If L-arginine is not sufficiently provided, NOS3 reaction might be uncoupled to produce reactive oxygen species instead of NO. This notion has been experimentally demonstrated in a previous study using HEK 293 cells stably transfected with rat neuronal nitric oxide synthase (NOS1) and stimulated with a calcium ionophore (26). In the present study, the possibility of NOS3 uncoupling was examined by monitoring intracellular reactive oxygen species production with an oxidant-sensitive probe, dihydrorhodamine 123 (15,27). The results indicated that reactive oxygen species formation in cultured HAECs was not significantly altered by LSS or ASS1 siRNA treatments (supplemental Fig. S1). Therefore, it was considered that limited L-arginine supply might not cause significant NOS3 uncoupling in normal cells unless they were stimulated to a supraphysiological level.
Although normal levels of L-arginine in endothelial cells (Ͼ800 M) (28) are far higher than the reported Michaelis-Menten constant (K m ) of purified NOS3 for L-arginine (ϳ2.9 M) (29), the endothelial NOS3 activity still appears to be dependent on the extracellular availability of L-arginine in vivo (30). This phenomenon, termed the "arginine paradox" (31), has led to a hypothesis that L-arginine is compartmentalized in cytosol and that its local concentration in the vicinity of NOS3 may be much lower than the mean value of the entire cell (25). According to this hypothesis, the arginine paradox has been explained in part by the regulated uptake of extracellular L-arginine into a compartment that contains NOS3 and that is segregated from the bulk cytosolic L-arginine (32). The arginine paradox has also been explained by other mechanisms including the antagonistic competition between supplemented L-arginine and endogenous asymmetric dimethylarginine, an inhibitor of NOS (33).
In accordance with the "compartmentalization" hypothesis, NOS3, CAT1, and L-arginine regeneration enzymes are all co-localized at caveolae in endothelial cells (25,34,35). Caveolae are small invaginations of the plasma membrane found in many cell types (36). ASS1 catalyzes the ATP-dependent condensation reaction between L-citrulline and L-aspartic acid, producing L-argininosuccinate that is in turn used by FIGURE 3. Not only NOS3 but also ASS1 regulates the NO production stimulated by LSS in HAECs. Cells transfected with ASS1 siRNA or NOS3 siRNA or NC were cultured in a growth medium for 24 h and then exposed to LSS at 12 dynes⅐cm Ϫ2 for 24 h in DMEM. Control cells were kept under static conditions. In A, the mRNA levels of ASS1, NOS3, CAT1, and GAPDH were monitored by RT-PCR analysis using the gene-specific primers. In B, the protein levels of ASS1, NOS3, Ser 1177 -phosphorylated NOS3 (pSer 1177 -NOS3), CAT1, ␤-actin, and NOS2 were monitored by Western blotting of cell lysates. For NOS2, the lysates of THP-1 cells treated with TNF-␣ or not were used as positive and negative controls, respectively. In C, NO production was determined by measuring nitrite plus nitrate accumulated in the conditioned medium. Bar graphs represent means Ϯ S.E. (n ϭ 3). Data not sharing the same letter are significantly different from each other (p Ͻ 0.05).
argininosuccinate lyase to produce L-arginine; the L-arginine produced in this way can be directed to NO synthesis by NOS3 (16). Supporting the presence of this citrulline-NO cycle, L-citrulline could increase cellular NO production as effectively as L-arginine (37). Thus, both L-arginine and L-citrulline are expected to provide beneficial effects on vascular health (38).
ASS1 is a rate-limiting enzyme of the citrulline-NO cycle (16), and its expression may be required to maintain endothelial NO production that is essential for vascular health (39). Together with previous studies (17,18), the present study clearly demonstrated that LSS increases both NOS3 and ASS1 expression levels in endothelial cells, whereas CAT1 expression level was unchanged (Fig. 3). Certain strategies to enhance LSS may be potentially useful for the maintenance of vascular health. In this regard, frequent exercise would be one of the best choices because it can provide repeated episodes of elevated shear stress (40).
Additionally, pharmacological approaches that can mimic LSS effects would be helpful to maintain vascular health. Previous studies have shown that glutamine and glucosamine increased ASS1 gene expression by activating Sp1 transcription factor that can bind to the GC boxes in the promoter of ASS1 gene (41) and that glucosamine inhibited atherosclerosis in apoE null mice by increasing heparin sulfate proteoglycans and decreasing monocyte adhesion (42). Thus, it would be interesting to examine whether the anti-atherogenic effects of glucosamine also involve induction of ASS1 gene expression and enhanced NO production. Further studies are also warranted to examine whether Sp1 transcription factor is commonly involved in the regulation of the ASS1 gene expression in response to LSS and other stimulants known to induce ASS1 gene expression (43).
Previous studies have also revealed that Kruppel-like factor 2 (KLF2) coordinates the transcriptional program associated with the vasoprotective effects of LSS (44). KLF2 is known to be transcriptionally activated in response to LSS by myocyte enhancer binding factor 2 (MEF2), which is in turn regulated by the mitogen-activated protein kinase (MAPK) signaling cascade where MAPK kinase 5 (MEK5) and extracellular signal-regulated kinase 5 (ERK5) are involved (45). KLF2 transcription factor plays a key role in the induction of NOS3 and thrombomodulin gene expressions in response to LSS and thus contributes to the establishment of anti-inflammatory, vasodilatory, and anti-thrombotic endothelial phenotypes (46). A recent study also demonstrated that ASS1 is a common transcriptional target of KLF2 and KLF4 (47). Therefore, it may be assumed that ASS1 gene expression can be induced by LSS through a signal transduction pathway, LSS 3 MEK5 3 ERK5 3 MEF2 3 KLF2/4 3 ASS1.
The observed effects of LSS and NO on the expression of cell adhesion molecules vary between studies (10,24,48). This is not surprising because cell adhesion may require diverse adhesion molecules whose expression and interaction are coordinated in a time-and space-dependent manner. Among the cell adhesion molecules highly expressed in endothelial Cells transfected with ASS1 siRNA or NOS3 siRNA or NC were incubated in a growth medium for 24 h and then exposed to LSS at 12 dynes⅐cm Ϫ2 for 24 h or kept under static conditions. Cells were stimulated with TNF-␣ for 4 h and then co-incubated with monocytes (THP-1 cells) for 1 h followed by quantification of monocytes that adhered on the endothelial cells. In A and B, monocytes that adhered on the endothelial cells were observed under a microscope (A) and quantified fluorometrically (B). In C, cell surface expression of VCAM-1 was determined by ELISA. -Fold changes are over static control cells transfected with NC only. Bar graphs represent means Ϯ S.E. (n ϭ 3). Data not sharing the same letter are significantly different from each other (p Ͻ 0.05).

Endothelial Argininosuccinate Synthetase 1
cells stimulated by inflammatory cytokines, VCAM-1 has been observed to be commonly down-regulated by LSS and NO at the transcriptional level (10,24). The results of the current study further showed that cytokine-stimulated VCAM-1 expression was suppressed by LSS in control cells but not in ASS1 or NOS3-depleted cells (Fig. 4C), indicating that ASS1assisted NOS3-catalyzed NO production could suppress VCAM-1 expression involved in the inflammatory leukocyte recruitments. Although VCAM-1 expression levels and monocyte adhesion activities of endothelial cells appeared to correlate with each other, it should be mentioned that VCAM-1 is just an example of a cell adhesion molecule regulated by a mechanism involving ASS1, and the potential association of other cell adhesion molecules may not be excluded.
In conclusion, the current study demonstrated that endothelial ASS1 mediates the inhibitory action of LSS on monocyte adhesion by enhancing NO production. The regulated expression of ASS1 together with NOS3 should help the optimized endothelial NO production in response to LSS and the prevention of inflammatory processes leading to atherosclerosis.