Ambient pressure upregulates nitric oxide synthase in a phosphorylated-extracellular regulated kinase– and protein kinase C–dependent manner  Angela G.

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Ambient pressure upregulates nitric oxide synthase in a phosphorylated-extracellular regulated kinase– and protein kinase C–dependent manner  Angela G. Vouyouka, MD, Yan Jiang, MS, Ruchi Rastogi, MSc, Marc D. Basson, MD, PhD  Journal of Vascular Surgery  Volume 44, Issue 5, Pages 1076-1084 (November 2006) DOI: 10.1016/j.jvs.2006.06.033 Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 1 Conditioned media from pressurized endothelial cells (EC-P) decreased the cell counts of recipient smooth muscle cell (SMC) cultures compared with conditioned media from ambient endothelial cells (EC) (P ≤ .001). Media from atmospheric (SMC) and pressurized (SMC-P) had similar effect (a). This reversed trophic effect of conditioned medium from EC-P was abolished when the donor cells were pretreated with 2.5 to 5 mM of N-nitro-L-arginine-methyl ester (L-NAME) a nitric oxide inhibitor (b). The addition of L-NAME to pressurized endothelial media after its removal from the recipient cells had no effect on the properties of the pressurized media (c). Data are expressed as ± SEM. Journal of Vascular Surgery 2006 44, 1076-1084DOI: (10.1016/j.jvs.2006.06.033) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 2 Endothelial cell (EC) protein exposed to ambient (NP) and 135 mm Hg pressure (P) was analyzed for endothelial nitric oxide synthase (eNOS). Endothelial cells were treated with dimethylsulfoxide (DMSO) (vehicle control), calphostin C (CalC) to block protein kinase C, PD98059 (PD) to block extracellular signal-regulated kinase, or N-nitro-L-arginine-methyl ester (L-NAME) to inhibit nitric oxide. A, Shows typical western blot for eNOS from EC protein from ambient and high-pressure conditions. B, Pressure increased eNOS in the control and L-NAME group (*P = .04 and **P = .02, n =12). Calphostin C and PD98509 blocked this effect, suggesting that pressurized EC exhibit increased levels of eNOS via a PKC and ERK dependent pathways. Data are expressed as ± SEM. Journal of Vascular Surgery 2006 44, 1076-1084DOI: (10.1016/j.jvs.2006.06.033) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 3 Smooth muscle cell (SMC) protein was analyzed for inducible nitric oxide synthase (iNOS). Endothelial cell (EC) coculture and pressure increased to a similar degree iNOS levels. However, the combination of the two conditions in the form of pressurized coculture had no additive effect on iNOS (*P < .01 bars 2, 3, and 4 vs first bar, n = 3 experiments). SMC/0, SMCs grown in control conditions; SMC/EC, SMCs in coculture with ECs; SMC/0P control SMCs exposed to pressure; SMC/EC-P, SMCs in pressure coculture with ECs. Data are expressed as ± SEM. Journal of Vascular Surgery 2006 44, 1076-1084DOI: (10.1016/j.jvs.2006.06.033) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 4 A, Typical Western blot analysis and summary of four such Western blots of endothelial protein exposed for 2, 4, and 6 hours to control pressure (NP) and high pressure at 130 to 135 mm Hg (P). B, Pressure in each time-point increased activated phosphorylated extracellular signal-regulated kinase (p-ERK) 1/2 content over total ERK1/2 compared with control conditions (*P < .02, analysis of variance, n = 4). Data are expressed as ± SEM. Journal of Vascular Surgery 2006 44, 1076-1084DOI: (10.1016/j.jvs.2006.06.033) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 5 Summary of 4 similar Western blot analyses for phosphorylated extracellular signal-regulated kinase (p-ERK) from endothelial cells exposed to ambient (np) and 130 to 135 mm Hg pressure (p) for 4 hours. Cells were treated with 100 nm calphostin C (Cal-C) to block protein kinase C activation. Control cells were treated with dimethylsulfoxide. Each Western blot demonstrated a similar effect: endothelial cell treatment with calphostin C does not attenuate the increase in ERK activation by pressure. Indeed, there is a fivefold increase in p-ERK in pressurized endothelial cells treated with calphostin C compared with levels of ERK activation in endothelial cells treated with calphostin C at ambient pressure (P < .05 by analysis of variance). These findings suggest that pressure-induced ERK activation is independent of protein kinase C. Journal of Vascular Surgery 2006 44, 1076-1084DOI: (10.1016/j.jvs.2006.06.033) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions