Summary
Background: Vascular endothelial growth factor (VEGF), produced in response to hypoxia or some proinflammatory cytokines, is a fundamental regulator of angiogenesis.
Methods: In this review we describe the reciprocal relationships between VEGF, endothelial nitric oxide synthase (eNOS), and haem oxygenase-1 (HO-1) pathways.
Results: Proangiogenic activities of VEGF depend on the enhanced generation of nitric oxide (NO), a downstream mediator of VEGF signalling in endothelial cells. Additionally, NO can operate upstream of VEGF, inducing its synthesis and producing a positive NO/VEGF feedback involved in regulation of angiogenesis. NO also activates HO-1, the stress inducible enzyme, metabolizing haem to iron, carbon monoxide (CO), and biliverdin. Haem oxygenase generates both inducer (CO) and inhibitor (iron) of VEGF synthesis and can be suggested as an important modulator of NO- and VEGF-mediated activities.
Conclusions: Further studies should elucidate to what extent the by-products of HO activity play a protective or a detrimental role in pathological angiogenesis.
Zusammenfassung
Grundlagen: Der Vascular Endothelial Growth Factor (VEGF) wird als Reaktion auf Hypoxie und einige proinflammatorische Zytokine gebildet und ist ein grundlegender Regulator der Angiogenese.
Methodik: Anhand einer Übersicht werden die verschiedenen Verbindungen zwischen VEGF, eNOS und Hämoxygenase-1 (HO-1)-Stoffwechselwegen beschrieben.
Ergebnisse: Die proangiogenetische Aktivität des VEGF ist von einer verstärkten Bildung von Stickoxid (NO), einem Mediator von VEGF, abhängig. NO kann auch VEGF regulieren, indem es seine Synthese induziert, und eine positive Rückkopplung, die an der Regulation der Angiogenese beteiligt ist, zwischen NO und VEGF entsteht. NO aktiviert auch HO-1, stressinduzierbare Enzyme und metabolisiert Häm zu Eisen, Kohlenmonoxyd und Biliverin. Hämoxygenase bildet sowohl einen Agonist (CO) als auch einen Inhibitor (Eisen) der VEGF-Synthese und könnte deshalb ein wichtiger Modulator der NO- und VEGF-mediierten Vorgänge sein.
Schlußfolgerungen: Weitere Studien werden zeigen, inwieweit Nebenprodukte der HO-Aktivität förderlich oder nachteilig auf eine gestörte Angiogenese wirken.
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References
Carmeliet P: Mechanisms of angiogenesis and arteriogenesis. Nat Med 2000;6:389–395.
D’Amato RJ, Loughnan MS, Flynn E, Folkman J: Thalidomide is an inhibitor of angiogenesis. Proc Natl Acad Sci USA 1994;91:4082–4085.
Diket AL, Pierce MR, Munshi UK, Voelker CA, Eloby-Childress S, Greenberg SS, Zhang XJ, Clark DA, Miller MJ: Nitric oxide inhibition causes intrauterine growth retardation and hind-limb disruptions in rats. Am J Obstet Gynecol 1994;171:1243–1250.
Dimmeler S, Fleming I, Fisslthaler B, Hermann C, Busse R, Zeiher AM: Activation of nitric oxide synthase in endothelial cells by Akt-dependent phosphorylation. Nature 1999;399:601–605.
Dulak J, Józkowicz A, Dembinska-Kiec A, Guevara I, Zdzienicka A, Florek I, Zmudzinska-Grochot D, Wójtowicz A, Szuba A, Cooke JP: Nitric oxide induces the synthesis of vascular endothelial growth factor by rat vascular smooth muscle cells. Arterioscler Thromb Vasc Biol 2000;20:659–666.
Dulak J, Jozkowicz A, Dichtl W, Alber H, Schwarzacher SP, Pachinger O, Weidinger F: VEGF synthesis in vascular smooth muscle cells is enhanced by 7-ketocholesterol and lysophosphatidylcholine independently of their effect on nitric oxide generation. Atherosclerosis 2001;159:325–332
Dulak J, Jozkowicz A, Guevara I, Dembinska-Kiec A: Gene transfer of vascular endothelial growth factor and endothelial nitric oxide synthase-implications for gene therapy in cardiovascular diseases. Pol J Pharmacol 1999;51:233–241.
Dulak J, Motterlini R, Huk I, Pachinger O, Weidinger F, Józkowicz J: Carbon monoxide and iron, by-products of heme oxygenase, modulate vascular endothelial growth factor synthesis in vascular smooth muscle cells. In: Physiology and Pathology of Heme Oxygenase. Kluwer Publishing, in press.
Fantel AG, Nekahi N, Shepard TH, Cornel LM, Unis AS, Lemire RJ: The teratogenicity of N(omega)-nitro-L-ariginine methyl ester (L-NAME), a nitric oxide synthase inhibitor, in rats. Reprod Toxicol 1997;11:709–717.
Foresti R, Motterlini R: The heme oxygenase pathway and its interaction with nitric oxide in the control of cellular homeostasis. Free Radic Res 1999;31:459–475.
Frank S, Madlener M, Pfeilschifter J, Werner S: Induction of inducible nitric oxide synthase and its corresponding tetrahydrobiopterin-cofactor-synthesizing enzyme GTP-cyclohydrolase I during cutaneous wound repair. J Invest Dermatol 1998;111:1058–1064.
Fulton D, Gratton JP, McCabe TJ, Fontana J, Fujio Y, Walsh K, Franke TF, Papapetropoulos A, Sessa WC: Regulation of endothelium-derived nitric oxide production by the protein kinase Akt. Nature 1999;399:597–601.
Gregg AR, Schauer A, Shi O, Liu Z, Lee CG, O’Brien WE: Limb reduction defects in endothelial nitric oxide synthase-deficient mice. Am J Physiol 1998;275:H2319–2324.
Huang LE, Willmore WG, Gu J, Goldberg MA, Bunn HF: Inhibition of hypoxia-inducible factor 1 activation by carbon monoxide and nitric oxide. Implications for oxygen sensing and signaling. J Biol Chem 1999;274:9038–9044.
Inoue M, Itoh H, Tanaka T, Chun TH, Doi K, Fukunaga Y, Sawada N, Yamshita J, Masatsugu K, Saito T, Sakaguchi S, Sone M, Yamahara Ki, Yurugi T, Nakao K: Oxidized LDL regulates vascular endothelial growth factor expression in human macrophages and endothelial cells through activation of peroxisome proliferator-activated receptor-gamma. Arterioscler Thromb Vasc Biol 2001;21:560–566.
Isner JM: Local delivery of vascular endothelial growth factor accelerates reendothelialization and attenuates intimal hyperplasia in balloon-injured rat carotid arteries. Circulation 1995;91:2793–2801.
Jozkowicz A, Cooke JP, Guevara I, Huk I, Funovics P, Pachinger O, Weidinger F, Dulak J: Genetic augmentation of nitric oxide synthase increases the vascular generation of VEGF. Cardiovasc Res 2001;51:773–783.
Jozkowicz A, Huk I, Nigisch A, Weidinger F, Dulak J: Effect of prostaglandin-J2 on the VEGF synthesis depends on the induction of heme oxygenase-1. Antioxidant Redox Signalling, in press.
Jozkowicz A, Pankiewicz J, Dulak J, Partyka L, Wybranska I, Huk I, Dembinska-Kiec A: Nitric oxide mediates mitogenic effect of insulin and vascular endothelial growth factor but not leptin in endothelial cells. Acta Biochim Pol 1999;46:703–715.
Kimura H, Weisz A, Kurashima Y, Hashimoto K, Ogura T, D’Acquisto F, Addeo R, Makuuchi M, Esumi H: Hypoxia response element of the human vascular endothelial growth factor gene mediates transcriptional regulation by nitric oxide: control of hypoxia-inducible factor-1 activity by nitric oxide. Blood 2000;95:189–197.
Kruse FE, Joussen AM, Rohrschneider K, Becker MD, Volcker HE: Thalidomide inhibits corneal angiogenesis induced by vascular endothelial growth factor. Graefes Arch Clin Exp Ophthalmol 1998;236:461–466.
Kuroki M, Voest EE, Amano S, Beerepoot LV, Takashima S, Tolentino M, Kim RY, Rohan RM, Colby KA, Yeo K-T, Adamis AP: Reactive oxygen intermediates increase vascular endothelial growth factor expression in vitro and in vivo. J Clin Invest 1996;98:1667–1675.
Lee PC, Salyapongse AN, Bragdon GA, Shears LL II, Watkins SC, Edington HD, Billiar TR: Impaired wound healing and angiogenesis in eNOS-deficient mice. Am J Physiol 1999;277:H1600–1608.
Liu Y, Christou H, Morita T, Laughner E, Semenza GL, Kourembanas S: Carbon monoxide and nitric oxide suppress the hypoxic induction of vascular endothelial growth factor gene via the 5′ enhancer. J Biol Chem 1998;273:15257–15262.
Maines MD: The heme oxygenase system: a regulator of second messenger gases. Annu Rev Pharmacol Toxicol 1997;37:517–554.
Maxwell PH, Wiesener MS, Chang GW, Clifford SC, Vaux EC, Cockman ME, Wykoff CC, Pugh CW, Maher ER, Ratcliffe PJ: The tumour suppressor protein VHL targets hypoxia-inducible factors for oxygen-dependent proteolysis. Nature 1999;399:271–275.
Mayhan WG: VEGF increases permeability of the blood-brain barrier via nitric oxide synthase/cGMP-dependent pathway. Am J Physiol 1999;276:C1148-C1153.
Morbidelli L, Chang CH, Douglas JG, Granger HJ, Ledda F, Ziche M: Nitric oxide mediates mitogenic effect of VEGF on coronary venular endothelium. Am J Physiol 1996;270:H411–415.
Murohara T, Asahara T, Silver M, Bauters C, Masuda H, Kalka C, Kearney M, Chen D, Symes JF, Fishman MC, Huang PL, Isner JM: Nitric oxide synthase modulates angiogenesis in response to tissue ischemia. J Clin Invest 1998;101:2567–2578.
Papapetropoulos A, Garcia-Cardena G, Madri JA, Sessa WC: Nitric oxide production contributes to the angiogenic properties of vascular endothelial growth factor in human endothelial cells. J Clin Invest 1997;100:3131–3139.
Parenti A, Mordibelli L, Cui XL, Douglas JG, Hood JD, Granger HJ, Ledda F, Ziche M: Nitric oxide is a upstream signal of vascular endothelial growth factor-induced extracellular signal-regulated kinase-1/2 activation in postcapillary endothelium. J Biol Chem 1998;273:4220–4226.
Scalia R, Booth G, Lefer DJ: Vascular endothelial growth factor attenuates leukocyte-endothelium interaction during acute endothelial dysfunction: essential role of endothelium-derived nitric oxide. FASEB J 1999;9:1039–1046.
Sogawa K, Numayama-Tsuruta K, Ema M., Abe M., Abe H, Fuji-Kuriyama Y: Inhibition of hypoxia-inducible factor 1 activity by nitric oxide donors in hypoxia. Proc Natl Acad Sci USA 1998;95:7368–7373.
Suttner DM, Dennery PA: Reversal of HO-1 related cytoprotection with increased expression is due to reactive iron. FASEB J 1999;13:1800–1809.
Tsurumi Y, Murohara T, Krasinski K, Chen D, Witzenbichler B, Kearney M, Couffinhal T, Isner JM: Reciprocal relation between VEGF and NO in the regulation of endothelial integrity. Nature Med 1997;3:879–885.
Werner ER, Werner-Felmayer G, Mayer B: Tetrahydrobiopterin, cytokines, and nitric oxide synthesis. Proc Soc Exp Biol Med 1998;219:171–182.
Xiong M, Elson G, Legarda D, Leibovich SJ: Production of vascular endothelial growth factor by murine macrophages: regulation by hypoxia, lactate, and the inducible nitric oxide synthase pathway. Am J Pathol 1998;153:587–598.
Yancopoulos GD, Davis S, Gale NW, Rudge JS, Wiegand SJ, Holash J: Vascular-specific growth factors and blood vessel formation. Nature 2000;407:242–248.
Ziche M, Morbidelli L, Choudhuri R, Zhang HT, Donnini S, Granger HJ, Bicknell R: Nitric oxide synthase lies downstream from vascular endothelial growth factor-induced but not fibroblast growth factor induced angiogenesis. J Clin Invest 1997;999:2625–2634.
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Dulak, J., Jozkowicz, A. Nitric oxide and carbon monoxide — Two gaseous regulators of vascular endothelial growth factor synthesis. Eur. Surg. 34, 118–120 (2002). https://doi.org/10.1046/j.1563-2563.2002.02031.x
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DOI: https://doi.org/10.1046/j.1563-2563.2002.02031.x