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Upregulationofendothelialadhesion molecules
by lysophosphatidylcholine
Involvement of G protein-coupled receptor GPR4
Yani Zou
1
, Chul H. Kim
1
, Jae H. Chung
1
,JiY.Kim
1
, Sang W. Chung
1
, Mi K. Kim
2
, Dong S. Im
1
,
Jaewon Lee
1
, Byung P. Yu
2,3
and Hae Y. Chung
1,2
1 College of Pharmacy, Pusan National University, Busan, Korea
2 Longevity Life Science & Technology Institute, Pusan National University, Busan, Korea
3 Department of Physiology, University of Texas Health Science Center, San Antonio, TX, USA
Lysophosphatidylcholine (LPC), a derivative of phos-
phatidylcholine, is generated through the hydrolytic
action of phospholipase A
2
at the sn-2 position of
phosphatidylcholine. In vivo, LPC is claimed to be the
major effective component of oxidized low-density
lipoprotein [1,2], and is found in high concentrations
Keywords
adhesion molecules; cAMP response
element-binding protein; G protein-coupled
receptor 4; lysophosphatidylcholine; nuclear
factor kappaB
Correspondence
H. Y. Chung, Longevity Life Science &
Technology Institute, College of Pharmacy,
Pusan National University, 30 Jangjun-dong,
Gumjung-gu, Busan 609-735, Korea
Fax: +82 51 518 2821
Tel: +82 51 510 2814
E-mail: hyjung@pusan.ac.kr
(Received 2 December 2006, revised 11
February 2007, accepted 15 March 2007)
doi:10.1111/j.1742-4658.2007.05792.x
Lysophosphatidylcholine induces expression ofadhesion molecules; how-
ever, the underlying molecular mechanisms of this are not well elucidated.
In this study, the intracellular signaling by which lysophosphatidylcholine
upregulates vascular cell adhesion molecule-1 and P-selectin was delineated
using YPEN-1 and HEK293T cells. The results showed that lysophos-
phatidylcholine dose-dependently induced expression of vascular cell
adhesion molecule-1 and P-selectin, accompanied by the activation of tran-
scription factor nuclear factor jB. However, the nuclear factor jB inhibitor
caffeic acid phenethyl ester (CAPE) and the antioxidant N-acetylcysteine
only partially blocked lysophosphatidylcholine-induced adhesion molecules.
Subsequently, we found that the lysophosphatidylcholine receptor G pro-
tein-coupled receptor 4 (GPK4) was expressed in YPEN-1 cells and trig-
gered the cAMP ⁄ protein kinase A ⁄ cAMP response element-binding protein
pathway, resulting in upregulationofadhesion molecules. Further evidence
showed that overexpression of human GPK4 enhanced lysophosphatidyl-
choline-induced expression ofadhesionmolecules in YPEN-1 cells, and
enabled HEK293T cells to express adhesionmolecules in response to
lysophosphatidylcholine. In conclusion, the current study suggested two
pathways by which lysophosphatidylcholine regulates the expression
of adhesion molecules, the lysophosphatidylcholine ⁄ nuclear factor-jB ⁄
adhesion molecule and lysophosphatidylcholine ⁄ GPK4 ⁄ cAMP ⁄ protein kin-
ase A ⁄ cAMP response element-binding protein ⁄ adhesion molecule path-
ways, emphasizing the importance of the lysophosphatidylcholine receptor
in regulating endothelial cell function.
Abbreviations
AC, adenylyl cyclase; ACREB, dominant-negative mutant CREB protein; AM, adhesion molecule; CAPE, caffeic acid phenethyl ester;
CRE, cAMP response element; CREB, cAMP response element-binding protein; EC, endothelial cell; ERK, extracellular signal-related kinase;
FSK, forskolin; G2A, G2 accumulation protein; GPR4, G protein-coupled receptor 4; GPR119, G protein-coupled receptor 119; hGPR4, human
GPR4 expression vector; LPC, lysophosphatidylcholine; MDL, MDL12330A; MTT, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-tetrazolium
bromide; NAC, N-acetylcysteine; NF-jB, nuclear factor-kappaB; PKA, protein kinase A; PKC, protein kinase C; TNF-a, tumor necrosis
factor-a; VCAM-1, vascular cell adhesion molecule-1.
FEBS Journal 274 (2007) 2573–2584 ª 2007 The Authors Journal compilation ª 2007 FEBS 2573
in lesional psoriatic skin [3], asthma and rhinitis [4],
and atherosclerosis lesions [5]. In addition, LPC has
been reported to induce expression of cell adhesion
molecules (AMs), which form the framework for leu-
kocyte–endothelium binding [6] and subsequent infil-
tration of leukocytes across the endothelium, the initial
step in atherosclerotic changes. The available data
indicate that LPC increases the expression of vascular
cell adhesion molecule-1 (VCAM-1) [7], intercellular
adhesion molecule-1 [8] and P-selectin [9] both in vitro
and in vivo. However, the intracellular signal pathway
of these biological effects is still not well characterized.
Earlier studies have suggested several possible mech-
anisms for LPC’s effects. LPC activates the redox-
sensitive transcription factors nuclear factor-kappaB
(NF-jB) [10] and activator protein-1 [11] through the
mitogen-activated protein kinase and protein kinase C
(PKC) pathways. LPC is also known to enhance
cAMP response element-binding protein (CREB) ⁄
activating transcription factor activity in endothelial
cells (ECs) [12]. However, it is still unclear precisely
how LPC triggers these signals. Recent studies demon-
strated that low-concentration LPC regulates activa-
tion of G protein-coupled receptors [13], including
G protein-coupled receptor G2 accumulation protein
(G2A), G protein-coupled receptor 4 (GPR4) [14], and
G protein-coupled receptor 119 (GPR119) [15], thus
providing new molecular insights into the effects of
LPC on various signaling activities.
In the present study, we attempted to elucidate the
mechanism by which LPC triggers the expression of the
AMs VCAM-1 and P-selectin in the rat EC line. It was
found that YPEN-1 was activated to express AMs by
both the NF-jB-mediated and GPR4-mediated path-
ways. This finding highlights the biological role of LPC
and provides new molecular insights into the activation
mechanism of LPC in the cellular signaling pathway.
Results
Upregulated expression of AMs by LPC
Previous reports have shown that LPC induces the
expression of AMs in ECs [7]; however, the underlying
mechanism was not known. Our earlier study showed
that rat endothelial YPEN-1 cells express AMs in
response to proinflammatory cytokines, such as tumor
necrosis factor-a (TNF-a) [16]. In this study, YPEN-1
was used to explore the underlying mechanisms of
LPC-induced expression of AMs. The expression of
VCAM-1 and P-selectin induced by LPC in YPEN-1
cells was measured by western blot analysis (Fig. 1).
When YPEN-1 was incubated with LPC at increasing
concentrations from 3.12 lm to 25 lm for 12 h,
expression of VCAM-1 and P-selectin was dose-
dependently upregulated, peaking at 12.5 lm (Fig. 1A).
Moreover, LPC triggered expression of both AMs in a
time-dependent pattern (Fig. 1B). When the transcrip-
tional regulation of AMs by LPC was analyzed,
mRNA levels of both AMs were found to be increased
in a time-dependent fashion, which is comparable to
TNF-a-induced activation of AMs (Fig. 1C), confirm-
ing the transcriptional regulation of AMs by LPC.
To discriminate the cytotoxic effects of LPC, cell
viability was examined. The result showed that under
the present experimental conditions (i.e. cells were
maintained in DMEM medium containing 1% fetal
bovine serum when they were challenged by LPC), no
significant cell death was observed even at a high con-
centration (25 lm) of LPC (Fig. 1D).
Contribution of NF-jB to LPC-induced activation
of AMs
To define the molecular mechanism of LPC-induced
upregulation of AMs, the influence of LPC on NF-jB
activation was investigated in YPEN-1 cells. This is
because the predominant regulatory role of NF-jBis
upregulation of VCAM-1 and P-selectin in ECs [17–19].
Western blot analyses were performed to examine the
nuclear translocation of NF-jB components p65 and
p50. As shown in Fig. 2A, p65 and p50 translocated
from the cytosol into nuclei in response to LPC as
early as 10 min. This procedure was correlated with
increased phosphorylation of cytosolic jB inhibitor
(IjBa) (Fig. 2A), implying the activation of NF-jBby
LPC. To uncover the interaction between LPC-induced
activation of NF-jB and upregulationof AMs, NF-jB
luciferase reporter (NF-jB-Luc) and AM gene promo-
ters (VCAM-1 gene promoter and P-selectin gene
promoter) were transfected into YPEN-1 cells. The
luciferase activity was assessed 8 h after treatment of
YPEN-1 cells with LPC (12.5 lm), with or without
preincubation of the NF-jB inhibitor CAPE (10 lm).
As shown in Fig. 2B, LPC increased the activation of
NF-jB, as well as the promoter activities of P-selectin
and VCAM-1. After preincubation with CAPE (10 lm)
for 1 h, activation of NF-jB signaling was significantly
blocked (P £ 0.05) and the promoter activity of
VCAM-1 was reduced (P £ 0.05). Although the data
are not shown, we made certain that these observations
did not result from cell death. To verify this finding,
western blot analysis was carried out, and showed that
increased nuclear translocation of p65 was prevented
(Fig. 2C), and also that VCAM-1 expression was parti-
ally reduced by preincubation with CAPE (Fig. 2C).
GPR4 contributes to LPC-induced AMs Y. Zou et al.
2574 FEBS Journal 274 (2007) 2573–2584 ª 2007 The Authors Journal compilation ª 2007 FEBS
Partial blockage of LPC-induced AMs by the
antioxidant N-acetylcysteine
Given the close association between oxidative stress and
the activation of NF-jB, inhibitory effects of antioxi-
dants on LPC-induced upregulationof AMs could be
expected. Thus, the well-known antioxidant N-acetyl-
cysteine (NAC) [20] was used to treat YPEN-1 cells that
were transfected with AM promoter reporters or
NF-jB-Luc. After 1 h of preincubation with NAC
(1 mm), LPC was added to induce activation in YPEN-1
cells. The results showed that although NAC almost
completely blocked NF-jB activity (P £ 0.05), it only
partially suppressed the activation of VCAM-1 promo-
ter (P £ 0.05) (Fig. 3). Considering these results and the
above findings on the NF-jB inhibitor CAPE, it was
suspected that other signal transduction pathways might
participate in LPC-induced AM expression.
0 2 4 6 8 12 (h)
VCAM-1
P-selectin
β
β
-Actin
LPC (6.25
μ
M)
B
y
ti
li
b
ai
vl
l
e
C
)h0talortnoCfo%(
D
control
6.25 μ
M
12.5 μM
25 μM
0 6 12
(h)
60
100
80
120
140
160
60
80
100
120
140
160
03.126.2512.525
VCA M-1
P-selectin
0talortnoCfo%
μ
M
(
μ
M)
*
*
*
60
80
100
120
140
0246812
VCAM-1
P-selectin
h0ta
l
ortn
o
Cfo%
LPC (
μ
M)
0 3.12 6.25 12.5 25
VCAM-1
P-selectin
β
-actin
A
*
**
*
*
0 2 4 6 8 8 (h)
LPC (25
μ
M)
β
-Actin
P-selectin
VCAM-1
C
TNF-
α
Fig. 1. LPC-induced expression of AMs in YPEN-1 cells. (A) Expression of AMs induced by LPC in YPEN-1 cells at different concentrations
after a 12 h challenge was examined by western blot analysis. The quantitative analysis is shown. (B) Expression of AMs induced by
6.25 l
M LPC at different time points. Cells were treated with LPC maintained in 1% fetal bovine serum-containing medium. One representa-
tive result is shown from three experiments that yielded similar results, and the quantitative analysis is shown. (C) mRNA of AMs induced
by 25 l
M LPC was analyzed by RT-PCT at different time points. TNF-a was used as the positive control for monitoring the expression of
AMs. One representative result is shown. (D) Cell viability after treatment with LPC at different concentrations was measured by an MTT
assay. Data were generated from triplicate experiments, and the results are presented as percentage of control at 0 h. Statistical signifi-
cance: *P £ 0.05, **P £ 0.01 versus cells without LPC treatment.
Y. Zou et al. GPR4 contributes to LPC-induced AMs
FEBS Journal 274 (2007) 2573–2584 ª 2007 The Authors Journal compilation ª 2007 FEBS 2575
Cont. 10 20 40 60 120 240 (min)
LPC (6.25 μ
μ
M)
p65
p50
Histone H1
pI
κ
B
α
(cytosol)
A
p65
p50
pIkB
nim 0 ta lortnoC fo %
Cont. 10 20 40 60 120 240 (min)
**
**
*
*
**
LPC (6.25
μ
M)
Cont. none CAPE
VCAM-1
β
-actin
p65
(nucleus)
C
UTC
TC
LPC
LPC +
CAPE
NF-
κ
B luciferase reporter
P-selectin gene promoter
VCAM-1 gene promoter
050100 250200
B
Relative RLU (% of TC)
150
*
*
Fig. 2. LPC-induced activation of NF-jB in YPEN-1 cells. (A) LPC-induced activation of NF-jB was detected by measuring the nuclear translo-
cation of NF-jB components p65 and p50, as well as the phosphorylation of the NF-jB inhibitor, IjBa. The levels of p65 and p50 in the nuc-
leus were examined by western blot analysis using the cell nuclear fraction after challenge with LPC at different time points. Histone H1
was used as the nuclear fraction internal calibration. The phosphorylation of IjBa was monitored by western blot analysis in the cytosol frac-
tion. One representative result is shown, and the quantitative analysis is shown beneath it. *P £ 0.05, **P £ 0.01 versus control. Cont., con-
trol. (B) Effects of LPC on NF-jB activation, P-selectin promoter activity and VCAM-1 promoter activity in transfected YPEN-1 ECs were
detected by luciferase assay. Cells were transfected with NF-jB luciferase reporter or P-selectin or VCAM gene promoter plasmids, which
contain tandem jB-binding site or murine P-selectin or human VCAM-1 promoters, respectively. Twenty-four hours after transfection, cells
were treated for 8 h with various reagents, and lysed for determination of luciferase activity. UTC, untransfected control; TC, transfected
and untreated cells; LPC, transfected cells challenged with 12.5 l
M LPC; LPC + CAPE, transfected cells preincubated with the NF-jB inhib-
itor CAPE, 10 l
M, for 1 h before challenge with 12.5 lM LPC for an additional 7 h. Each value is expressed as the mean ± SE from three
independent experiments. *P £ 0.05 versus TC in the same group. RLU, relative light unit. (C) LPC-induced expression of VCAM-1 through
NF-jB activation was detected by applying the NF-jB inhibitor CAPE. YPEN-1 cells were preincubated with CAPE (10 l
M) for 1 h before
challenge with 6.25 l
M LPC. Western blot analysis was carried out to detect the level of VCAM-1 in the cytosol fraction after 12 h of treat-
ment with LPC, and the level of p65 in the nucleus was assessed 4 h after treatment with LPC. One representative result is shown. None,
without inhibitor.
GPR4 contributes to LPC-induced AMs Y. Zou et al.
2576 FEBS Journal 274 (2007) 2573–2584 ª 2007 The Authors Journal compilation ª 2007 FEBS
Expression of the LPC receptor GPR4 in YPEN-1
cells
To investigate the additional signaling responsible for
LPC upregulationof AMs, the involvement of LPC
receptors was examined. To date, several G protein-
coupled receptors, namely G2A, GPR4, and GPR119,
have been suggested as receptors for LPC and to elicit
various biological effects. These receptors show more
specific functions and trigger biological effects at rela-
tively low concentrations of LPC.
We analyzed the distribution of LPC receptor pro-
teins in YPEN-1 cells and selected rat spleen tissue as
the positive control, because it is known to produce
both LPC receptors, G2A and GPR4 [21]. As shown
in Fig. 4A, an interesting finding was that YPEN-1
ECs expressed GPR4 mRNA but not G2A mRNA.
This selectivity for GPR4 expression by ECs is consis-
tent with previous reports [21,22]. GPR4 is a GPRC
eliciting second messenger cAMP in several cell types
[23–25], so the levels of cAMP were determined in
LPC-challenged YPEN-1 cells. As indicated in Fig. 4B,
a 15-min incubation with LPC at increasing concentra-
tions (from 6.25 lm to 12.5 lm) caused dose-depen-
dent accumulation of cAMP in YPEN-1 cells.
To clarify the downstream signaling of LPC-induced
cAMP accumulation, activation of the transcription
factor CREB was assessed. It is well known that
cAMP binds to specific intracellular regulatory pro-
teins such as protein kinase A (PKA) [26], leading to
activation of PKA. As a consequence, activated PKA
phosphorylates Ser133 of the transcription factor
CREB, which then binds to the cAMP response ele-
ment (CRE) sequence in targeting genes [26]. In our
study, as shown in Fig. 5A, phosphorylation of nuclear
CREB was enhanced after challenge with LPC for
30 min; this activation was then sustained for a longer
period (Fig. 5A).
To delineate LPC-activated CRE signaling, a lucife-
rase reporter vector CRE-Luc, containing a CRE site
from the human COX-2 gene () 124 bp ⁄ + 59 bp), was
applied [27]. Forskolin (FSK) (10 lm), an adenylyl
cyclase (AC) activator, served as the positive control. As
shown in Fig. 5B, FSK induced significantly high luci-
ferase activity in the CRE reporter vector. CRE activity
was induced by LPC, and this elevation was reduced by
0
10
20
30
40
50
60
70
80
90
Ⴕ G2A
(602 bp)
1 2 M 3 4
GPR4
(546 bp)
1,3. YPEN-1 cDNA; 2,4. Rat spleen cDNA;
β
-actin
A
*
Control 6.25 12.5 25
LPC (
μ
M)
gm
•lom
n( PMAc
1–
)nietorp
B
*
Fig. 4. GPR4 expression and LPC-induced cAMP in YPEN-1 cells.
(A) Expression patterns of the LPC receptors GPR4 and G2A in
YPEN-1 cells were analyzed by RT-PCR, using rat spleen tissue as
positive control. Lane 1: YPEN-1 cell cDNA with GPR4 probe. Lane
2: spleen cDNA with GPR4 probe. Lane 3: YPEN-1 cell cDNA with
G2A probe. Lane 4: spleen cDNA with G2A probe. M: DNA ladder
marker (100 bp). One representative result is shown. (B) LPC-
induced accumulation of cAMP was examined by ELISA. YPEN-1
cells were incubated with LPC at different concentrations for
15 min, and cells were then lysed as described in Experimental pro-
cedures. cAMP in cell lysate was extracted and detected with a
cAMP ELISA kit. Data are presented as average ± SE from tripli-
cate experiments. Statistical significance: *P < 0.05 versus control.
0
20
40
60
80
100
120
140
160
180
200
mp1379
VCAM
)CT fo %( ULR evitaleR
TC LPC LPC + NAC
VCAM-1 promoter
P-selectin promoter
NF-
κ
B reporter
*
Fig. 3. Partial blockage of LPC-induced AMs by NAC. Effects of the
antioxidant NAC on LPC-induced NF-jB activation, and P-selectin
and VCAM-1 promoter activities, in YPEN-1 cells were evaluated by
luciferase assay. Cells were transfected with NF-jB-Luc or P-selec-
tin or VCAM gene promoter reporters, respectively, treated with
reagents for 8 h, and then lysed for determination of luciferase.
LPC + NAC, transfected cells preincubated with NAC (1 m
M) for
1 h before challenge with 12.5 l
M LPC for an additional 7 h. Each
value is expressed as the mean ± SE from six independent experi-
ments. *P £ 0.05 versus TC in the same group.
Y. Zou et al. GPR4 contributes to LPC-induced AMs
FEBS Journal 274 (2007) 2573–2584 ª 2007 The Authors Journal compilation ª 2007 FEBS 2577
the AC inhibitor MDL12330A (MDL) (10 lm)(P ¼
0.069), which prevents the production of cAMP by AC.
The PKA inhibitor H89 (10 lm) also reduced the
amount of LPC-activated CRE-Luc, implying the
involvement of PKA. Thus, the results showed that LPC
induced activation of CRE through cAMP and PKA.
Upregulation of AMs by LPC through GPR4 signal
transduction
A subsequent question is whether the GPR4 ⁄ cAMP ⁄
PKA ⁄ CREB pathway contributes to LPC-induced AM
upregulation. The effects of the AC inhibitor MDL
and the PKA inhibitor H89 on the promoter activities
of VCAM-1 and P-selectin in response to LPC were
assessed. Pretreatment of YPEN-1 cells with MDL
(10 lm) and H89 (10 lm) for 1 h suppressed LPC-
induced promoter activities of VCAM-1 and P-selectin
as well as CRE signaling (Fig. 6A). Consistent with
this result, the expression of VCAM-1 protein was
found to be blocked by MDL and H89, as compared
to cells treated only with LPC. This result was in line
with the reduced phosphorylation of CREB by MDL
and H89 (Fig. 6B).
)CTfo%(ULRevitaleR
B
UTC TC LPC LPC+MDLLPC+H89 FSK
0
100
200
300
400
500
600
**
*
0
20
40
60
80
100
120
140
160
nim0talortnoCfo%
Cont. 10 30 60 120 240 (min)
*
*
*
Histone H1
A
Cont. 10 30 60 120 240 (min)
LPC (6.25 µ
M)
pCREB
(nucleus)
Fig. 5. LPC-induced cAMP ⁄ PKA ⁄ CREB signaling in YPEN-1 cells.
(A) LPC-induced downstream signaling of cAMP was examined by
the phosphorylation of CREB. YPEN-1 cells were incubated with
LPC (6.25 l
M) for different times, and nuclear fractions were then
used for western blot analysis. The quantitative analysis is shown
under the blot. Statistical significance: *P £ 0.05 versus control. (B)
The effects of LPC on cAMP ⁄ PKA ⁄ CREB signaling were evaluated
by luciferase assay. Cells were transfected with CRE luciferase
reporter (CRE-Luc) plasmids that contain the CREB-binding site.
LPC + MDL, transfected cells preincubated with MDL (10 l
M) for
1 h before challenge with 12.5 l
M LPC for an additional 7 h;
LPC + H89, transfected cells preincubated with H89 (10 l
M) for 1 h
before challenge with 12.5 l
M LPC for an additional 7 h. FSK,
10 l
M, was used as positive control. Each value is expressed
as the mean ± SE from six independent experiments. *P £ 0.05
versus TC.
β
β
-Actin
pCREB
(nucleus)
VCAM-1
Cont. none MDL H89
LPC (12.5
μ
M
)
B
TC
LPC
LPC
+
MDL
Relative RLU (% of TC)
LPC
+ H89
A
60 80 100 120 140 160 180
CRE luciferase reporter
P-selectin gene promoter
VCAM gene promoter
Fig. 6. Activation of AMs by LPC through the cAMP ⁄ PKA pathway.
(A) Effects of LPC on CREB activation, P-selectin and VCAM-1 pro-
moter activities in transfected YPEN-1 ECs were detected by lucif-
erase assay. Cells were transfected with CRE luciferase reporter or
P-selectin gene promoter or VCAM gene promoter plasmids, which
contain CREB-binding site or murine P-selectin or human VCAM-1
promoters, respectively. LPC + MDL, transfected cells preincubat-
ed with MDL (10 l
M) for 1 h before challenge with 12.5 lM LPC
for an additional 7 h; LPC + H89, transfected cells preincubated
with H89 (10 l
M) for 1 h before challenge with 12.5 lM LPC for an
additional 7 h. Each value is expressed as the mean ± SE from
three independent experiments. (B) The contribution of cAMP and
PKA activation to LPC-induced CREB activation and expression of
VCAM was detected by applying the AC inhibitor MDL and the
PKA inhibitor H89. YPEN-1 cells were preincubated with MDL
(10 l
M) or H89 (10 lM) for 1 h before challenge with 12.5 lM LPC.
Western blot analysis was carried out to detect the level of VCAM-
1 in the cytosol fraction after 12 h of treatment with LPC. One rep-
resentative result is shown.
GPR4 contributes to LPC-induced AMs Y. Zou et al.
2578 FEBS Journal 274 (2007) 2573–2584 ª 2007 The Authors Journal compilation ª 2007 FEBS
The role of CREB in LPC-triggered transactivation
of AMs was then further examined by utilizing a con-
struct encoding a dominant-negative mutant CREB
protein, ACREB. ACREB was constructed by fusing a
designed acidic amphipathic extension to the N-termi-
nus of the CREB leucine zipper domain [28]. The aci-
dic extension of ACREB interacts with the basic
region of CREB, forming a coiled-coil extension of the
leucine zipper, and thus prevents the basic region of
wild-type CREB from binding to DNA [28,29]. As
shown in Fig. 7, cotransfection of ACREB with the
VCAM-Luc and P-selectin gene promoters completely
abolished LPC-induced AM promoter activation; in
contrast, the ACREB control vector (ACREB con) did
not significantly affect the activation of AMs by LPC.
The involvement of GPR4 in LPC-induced AM
upregulation was confirmed in YPEN-1 cells
that were transfected with human GPR4 expression
vector (hGPR4). An expression vector for hGPR4
(NM_005282) was prepared using pcDNA3.1(+) ⁄
myc-His [23]. It was found that the basal level of
VCAM-1 was significantly increased after transfection
with hGPR4, and that it was further elevated by the
LPC challenge (Fig. 8A). To avoid the potential effects
of endogenous GPR4, the hGPR4 expression vector
was further transfected into HEK293T cells. Following
transfection of hGPR4, the HEK293T cells gained the
ability to induce activation of CRE signaling as well as
activation of the VCAM-1 gene promoter, and these
activations were further enhanced by LPC challenge
(Fig. 8B).
LPC
ACREB
- + + +
- - + -
+
ACREB (con)
**
*
ULRevitaleR
)sllecdetcefsnartnoc-BERCAfo%(
0
40
80
120
160
200
VCAM gene promoter
P-selectin gene promoter
Fig. 7. Abolition of LPC induction of AMs by cotransfection of
ACREB. The involvement of CREB in LPC-induced AM activation
was evaluated by cotransfection with the CREB dominant negative
vector ACREB. Cells were transfected with ACREB expression vec-
tor, ACREB control vector luciferase reporter, P-selectin gene pro-
moter or VCAM-1 gene promoter plasmids as indicated. After
incubation for 30 h, cells were treated with LPC (12.5 l
M) for an
additional 8 h, and lysed for determination of luciferase activity.
Each value is expressed as the mean ± SE from six independent
experiments. Statistical significance: *P<0.05, **P < 0.01 versus
cells transfected with ACREB control vector and not challenged
with LPC.
LPC
- + - +
+ + - -
- - + +
hGPR4
hGPR4 (con)
A
ULR evitaleR
)lortnoc detcefsnart noc-4RPGh fo %(
0
#
**
200
400
600
800
1000
1200
VCAM gene promoter
P-selectin gene promoter
B
LPC
- + - +
+ + - -
- - + +
hGPR4
hGPR4 (con)
ULR evi
taleR
)lortnoc detcefsnart no
c-4RPGh fo %(
##
**
**
0
50
100
150
200
250
300
350
400
450
VCAM gene promoter
CRE luciferase reporter
Fig. 8. Enhancement of LPC-induced AM activation by transfection
of GPR4. The effect of GPR4 on LPC-induced AM activation was
evaluated by transfection of human GPR4 expression vector
(hGPR4) to YPEN-1 cells (A) and HEK293T cells (B) before treat-
ment with LPC (12.5 l
M). Cells were transfected with hGPR4 vec-
tor, hGPR4 control vector, P-selectin gene promoter or VCAM-1
gene promoter plasmids as indicated. Thirty hours later, after
transfection, cells were treated with LPC (12.5 l
M) for an addi-
tional 8 h, and lysed for determination of luciferase. Each value is
expressed as the mean ± SE from six independent experiments.
Statistical significance: **P<0.01 versus cells transfected with
hGPR4 control vector without LPC challenge.
#
P < 0.05 versus
cells transfected with hGPR4 expression vector without LPC
challenge.
Y. Zou et al. GPR4 contributes to LPC-induced AMs
FEBS Journal 274 (2007) 2573–2584 ª 2007 The Authors Journal compilation ª 2007 FEBS 2579
Discussion
The current study revealed the molecular mechanisms
underlying the effects of LPC on the upregulation of
AMs. Our data suggested the existence of two path-
ways, through NF-jB or through GPR4, emphasizing
the involvement of GPR4 in LPC-induced AMs,
thereby providing a new insight into the molecular
mechanism of LPC’s role in the expression of AMs
in ECs.
The LPC-induced increase of NF-jB DNA-binding
activity was reported previously [30–32]; however, the
upstream signal is not known, although PKC [10] is
suggested to be involved. From the current data, the
onset of NF-jB activation by LPC in ECs seems to be
immediate, as indicated by the rapid nuclear transloca-
tion of p65, 10 min after challenge with LPC
(Fig. 2A); therefore, an early PKC (5 min) response
would be expected [33]. Detailed information on the
activation of NF-jB signaling by LPC was not sought
in the present study, but we were able to confirm the
activation of NF-jB in ECs by LPC and its important
role in the induction of VCAM-1 and P-selectin by
LPC. It is worth mentioning the involvement of react-
ive oxygen species in NF-jB activation. NF-jB, being
redox-sensitive, has been shown to be influenced by an
increase in reactive oxygen species that would disrupt
the redox balance [34]. Thus, it remains to be deter-
mined whether LPC influences NF-jB activity by
increased reactive oxygen species production, e.g.
through various oxidases [35–37] or by other pathways
such as PKC [10].
What is new in the current study are our data show-
ing the involvement of LPC-activated CREB signaling
in the upregulationof AMs. LPC-induced activation
of CREB [38–40] and an elevation in the level of
cAMP in neutrophils [41] have been reported. Rikitake
et al. suggest that both p38 and ERK may function as
upstream signaling pathways capable of activating
CREB and activating transcription factor-1 with subse-
quent induction of cyclooxygenase-2 expression by
LPC [12]. However, here we did not find that the p38
inhibitor SB 203580 or the ERK inhibitor PD98059
influenced LPC-induced expression of AMs (data not
shown).
In the current study, we found that GPR4 played an
important role in LPC-induced expression of AMs in
ECs. Our findings on the expression of GPR4 but not
G2A in ECs, shown in Fig. 5, are in agreement with a
recent finding of a critical role of GPR4 in endothelial
cell function, reported by Kim et al. [22]. As shown in
Fig. 8A, the overexpression of GPR4 enhanced the
response of YPEN-1 cells to LPC, leading to addi-
tional activation of VCAM-1. More convincing evi-
dence shows that after transfection with the GPR4
gene, HEK293T cells gain the ability to respond to
LPC by expressing VCAM-1 and activating CRE sign-
aling, as shown in Fig. 8B. Taken together, these
results strongly indicate the existence of receptor-medi-
ated signaling in LPC-induced AMs. In a recent study,
GPR119 was shown to regulate LPC-induced upregu-
lation of cAMP in pancreatic b-cells, resulting in the
secretion of insulin [15]. We are currently examining
the possible participation of GPR119 in LPC-induced
AM expression.
The data from the present study indicated that
downstream signaling following LPC-induced GPR4
activation was via the cAMP ⁄ PKA ⁄ CRE pathway.
These findings are consistent with previous reports
showing that GPR4 elicits cAMP in Swiss 3T3
cells [23], activates the cAMP ⁄ PKA pathway in Cryp-
tococcus neoformans [25], and stimulates CRE-driven
transcription [42]. The role of CREB in LPC-induced
AMs was previously unknown. An early study repor-
ted the inability of LPC to induce transcription of
VCAM-1 in HUVECs [43], probably because the
reporter plasmid that the authors used was encoded
with a partial promoter region of VCAM-1
(0 ⁄ ) 755 bp) without a CRE () 1420 bp) site,
although it did contain NF-jB- and AP-1-binding
sites. In contrast, our present study clearly showed
that LPC induced AM expression though CREB. The
expression of CREB’s dominant-negative control,
ACREB, was able to abolish LPC-induced activation
of AMs (Fig. 7). Therefore, the participation of
LPC ⁄ GPR4 ⁄ cAMP ⁄ PKA signaling in ECs may well
contribute to AM expression through activation of
the CRE site.
One question left unresolved in the present study is
whether the LPC ⁄ NF-jB ⁄ AM and LPC⁄ GPR4 ⁄
cAMP ⁄ PKA ⁄ CREB
⁄ AM pathways work equally, one
pathway works preferentially over the other, or a there
is cross-talk between the two pathways. Further studies
should be able to answer this question, and elucidate
other factors that may regulate the oxidative stress-
induced and receptor-mediated pathways.
In conclusion, from the current study, we were
able to document two pathways by which LPC
regulates the expression of AMs ) the LPC ⁄ NF-
jB ⁄ AM and LPC ⁄ GPR4 ⁄ cAMP ⁄ PKA ⁄ CREB ⁄ AM
pathways. Our new findings emphasize the import-
ance of the LPC receptor in regulating EC function,
and highlight the potential critical roles of LPC in
modulating many pathophysiologic processes,
including atherosclerosis.
GPR4 contributes to LPC-induced AMs Y. Zou et al.
2580 FEBS Journal 274 (2007) 2573–2584 ª 2007 The Authors Journal compilation ª 2007 FEBS
Experimental procedures
Materials
LPC (synthetic palmitoyl-LPC 16:0) was purchased from
Avanti Polar Lipid Inc. (Alabaster, AL, USA) CAPE was
purchased from BioMol (Plymouth Meeting, PA, USA).
NAC, MDL, H89, isobutylmethylxanthine and FSK were
obtained from Sigma Chemical Co. (St Louis, MO, USA).
Cells
Cell culture
The rat endothelial cell line YPEN-1 was obtained from the
American Tissue Culture Collection (ATCC, Manassas, VA,
USA). Cells were grown in DMEM (Gibco, Grand Island,
NY, USA) containing 10% heat-inactive fetal bovine serum
(Mediatech, Herndon, VA, USA), glutamine 233.6 mgÆmL
)1
,
penicillin–streptomycin 72 mgÆmL
)1
, and amphotericin B
0.25 mgÆmL
)1
, and were adjusted to pH 7.4–7.6 with
NaHCO
3
in a CO
2
incubator with an atmosphere of 5% CO
2
at 37 °C. Before treatment, cells were exchanged into fresh
DMEM containing 1% fetal bovine serum.
For transfection experiments with hGPR4 expression vec-
tor, HEK293T cells were obtained from the ATCC and
maintained in DMEM supplemented with 10% fetal bovine
serum and other supplements as described above.
Cell viability assay
Cell viability was tested using a 3-(4,5-dimethylthiazol-2-yl)-
2,5-diphenyl-tetrazolium bromide (MTT) assay, which is a
sensitive, quantitative colorimetric assay that measures cell
viability on the basis of the ability of mitochondrial succinyl
dehydrogenase in living cells to convert the yellow substrate
MTT into a dark blue formazan product. For the assay, the
medium was removed, and a solution containing 0.01%
MTT was added to each well; this was followed by incuba-
tion at 37 °C for 4 h, and the formazan was dissolved in
ethanol ⁄ dimethylsulfoxide (1 : 1, v ⁄ v). The plate was shaken
for 5 min, and the absorbance was measured at 560 nm.
Cell sample preparation
Following incubation for 12 h or where indicated, cells
were harvested and lysed in lysis buffer A (10 mm Tris,
pH 8.0, 1.5 mm MgCl
2
,1mm dithiothreitol, 0.1% Nonidet
P-40, and protease inhibitors). After centrifugation at
13 000 g for 15 min (Mega 17R, Hanil Science Industrial
Co. Ltd., Inchon, Korea, A1.55-24), the supernatant was
regarded as the cytosol fraction for assays. The pellets were
resuspended in 10 mm Tris (pH 8.0), with 50 mm KCl,
100 mm NaCl, and protease inhibitors, incubated on ice for
30 min, and then centrifuged at 13 000 g at 4 °C for 30 min
(Mega 17R, Hanil, A1.55-24). After that, supernatants were
used as the nuclear fraction.
Western blot
For western blotting analysis, cell samples were separated
on an SDS ⁄ PAGE mini-gel. The antibodies used in this
study were as follows: anti-(phosphorylated CREB) (anti-
pCREB) was from Upstate (Charlottesville, VA, USA), and
all other antibodies were from Santa Cruz Biotechnology
(Santa Cruz, CA, USA). Antibody labeling was detected
using an ECL detection kit (Amersham Life Science, Inc.,
Arlington Heights, IL, USA). A prestained blue protein
marker was used for molecular weight determination. The
amount of protein was measured with a Sigma protein
assay reagent kit containing bicinchoninic acid.
RT-PCR
Total RNA from cells or tissue was isolated by a previously
described method [44]. Briefly, after treatment, cells were
lysed in the presence of RNAzolB (1 mL per 100 mm dish).
Chloroform (0.1 mL per 1 mL of lysate) was added to each
dish. The samples were shaken vigorously, and then placed
on ice for 5 min. After centrifugation twice at 12 000 g at
4 °C for 15 min (Mega 17R, Hanil, A1.55-24), the superna-
tant was removed. The RNA pellet was washed with 75%
ethanol, dried, and redissolved in diethylpyrocarbonate-trea-
ted water. cDNA was synthesized using ImProm-II reverse
transcriptase (Promega, Madison, WI). PCR was carried out
using a standard protocol. Primers were designed for AMs as
follows: P-selectin, sense strand 5¢-CGA CGT GGA CCT
ATA ACT AC-3¢ and antisense strand 5¢-CCA CAC
TCT TGG ACG TAT TC-3¢; VCAM-1, sense strand
5¢-CTT GGA GAA CCC AGA TAG AC-3¢ and antisense
strand 5¢-CAG AAA ATC TCA GGA GCT GG-3¢; GPR4,
sense strand 5¢-AGC ATT GCA GAC CTG CTG TA-3¢
and antisense strand 5¢-ATG GTA AGG CGC AAA
GCA CA-3¢; G2A, sense strand 5¢-ACC AAT GCA
GCA GGA AAC ACC A-3¢ and antisense strand 5¢-AAG
CCA AAG GTG AAA CGC AGG T-3¢. Glyceraldehyde-3-
phosphate dehydrogenase was used as internal control.
Transient transfection and luciferase reporter
assay
VCAM-1 and P-selectin promoter activity induced by LPC
was examined using luciferase plasmid VCAM-Luc (provi-
ded by W Aird, Harvard Medical School, MA, USA), which
contains a human VCAM-1 promoter region spanning
) 1716 to + 119 bp, and P-selectin -Luc (R P McEver, Uni-
versity of Oklahoma Health Sciences Center, OK, USA)
containing wild-type murine P-selectin promoter. Activation
of NF-jB and CRE was measured using NF-jB luciferase
Y. Zou et al. GPR4 contributes to LPC-induced AMs
FEBS Journal 274 (2007) 2573–2584 ª 2007 The Authors Journal compilation ª 2007 FEBS 2581
reporter (Invitrogen, Carlsbad, CA, USA) and CRE luci-
ferase reporter (H. Inoue, National Cardiovascular Center
Research Institute, Osaka, Japan), respectively. Expression
vector ACREB (C Vinson, National Cancer Institute, NIH,
Rockville, MD, USA) and hGPR4 (K. Seuwen, Novartis
Institutes for BioMedical Research, Basel, Switzerland) and
their controls were used as described below.
Transient transfection was carried out using FuGene 6
(Roche Molecular Biochemicals, Indianapolis, IN, USA)
according to the manufacturer’s instructions. After transfec-
tion, cells were treated with reagents as per the experimental
design. Briefly, YPEN-1 cells were seeded into 48-well plates
(1 · 10
5
cellsÆmL
)1
, and 250 lL per well), and cultured in
DMEM containing 10% fetal bovine serum overnight. For
transfection, the cells should be over 90% confluent. For
single transfection, plasmid (0.1 lg per well) was used, and
for cotransfection, plasmids were mixed in a 1 : 1 ratio to a
total amount of 0.1 lg per well. Following transfection, cells
were cultured for 24 h, and then exposed to DMEM con-
taining 1% fetal bovine serum with ⁄ without designated rea-
gents for an additional 8 h. Luciferase activity was measured
with the Steady-Glo Luciferase Assay System (Promega)
and detected by luminometer GENios Plus (Tecan Group
Ltd, Salzburg, Austria). The obtained raw luciferase activit-
ies were normalized by protein concentration per well.
Measurement of cAMP
The accumulation of cAMP in the YPEN-1 cells was
induced by LPC at different concentrations in serum-free
medium at 37 °C for 15 min in the presence of 1 mm iso-
butylmethylxanthine. The cells were then lysed with 1 m
HCl. Quantitative determination of the cAMP concentra-
tion in cell lysates was performed using a cAMP (low pH)
immunoassay kit (R&D Systems, Minneapolis, MN, USA).
All procedures followed the user’s manual provided with
the enzyme immunoassay kit.
Statistical analysis
For western blot analysis or RT-PCR, one representative
blot was used from three independent experiments. Image
analysis was performed using the imagej (NIH, Bethesda,
MD, USA) program. anova was conducted to analyze sig-
nificant differences among all groups. Differences among
the means of individual groups were assessed by Fischer’s
Protected LSD post hoc test. Values of P<0.05 were con-
sidered to be statistically significant.
Acknowledgements
This study was supported by a grant from the Korea
Health R&D project, Ministry of Health and Welfare,
Republic of Korea (A050166). We thank the Aging
Tissue Bank for distributing the aged tissue (R21-2005-
000-10008-0).
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