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(The FASEB Journal. 2000;14:1775-1783.)
© 2000 FASEB

Physiological cyclic stretch directs L-arginine transport and metabolism to collagen synthesis in vascular smooth muscle

WILLIAM DURANTE*,{dagger}1, LAN LIAO*, SYLVIA V. REYNA*, KELLY J. PEYTON* and ANDREW I. SCHAFER*

* Houston VA Medical Center and the Departments of Medicine; and
{dagger} Pharmacology, Baylor College of Medicine, Houston, Texas 77030, USA

1Correspondence: Houston VA Medical Center, Bldg. 109, Room 130, 2002 Holcombe Blvd., Houston TX 77030, USA. E-mail:wdurante{at}bcm.tmc.edu


   ABSTRACT
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
Application of cyclic stretch (10% at 1 hertz) to vascular smooth muscle cells (SMC) increased L-arginine uptake and this was associated with a specific increase in cationic amino acid transporter-2 (CAT-2) mRNA. In addition, cyclic stretch stimulated L-arginine metabolism by inducing arginase I mRNA and arginase activity. In contrast, cyclic stretch inhibited the catabolism of L-arginine to nitric oxide (NO) by blocking inducible NO synthase expression. Exposure of SMC to cyclic stretch markedly increased the capacity of SMC to generate L-proline from L-arginine while inhibiting the formation of polyamines. The stretch-mediated increase in L-proline production was reversed by methyl-L-arginine, a competitive inhibitor of L-arginine transport, by hydroxy-L-arginine, an arginase inhibitor, or by the ornithine aminotransferase inhibitor L-canaline. Finally, cyclic stretch stimulated collagen synthesis and the accumulation of type I collagen, which was inhibited by L-canaline. These results demonstrate that cyclic stretch coordinately stimulates L-proline synthesis by regulating the genes that modulate the transport and metabolism of L-arginine. In addition, they show that stretch-stimulated collagen production is dependent on L-proline formation. The ability of hemodynamic forces to up-regulate L-arginine transport and direct its metabolism to L-proline may play an important role in stabilizing vascular lesions by promoting SMC collagen synthesis.—Durante, W., Liao, L., Reyna, S. V., Peyton, K. J., Schafer, A. I. Physiological cyclic stretch directs L-arginine transport and metabolism to collagen synthesis in vascular smooth muscle.


Key Words: biomechanical strain • L-proline • cationic amino acid transporter • arginase • vascular cells


   INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
L-ARGININE IS A cationic, semi-essential amino acid that mediates numerous biological responses. It is an intermediate in the urea cycle and a necessary precursor for creatine, glutamate, nitric oxide (NO), polyamine, and L-proline biosynthesis (1) . Cellular L-arginine requirements are met primarily by the uptake of extracellular L-arginine via specific membrane transporters. In vascular smooth muscle cells (SMC) the uptake of L-arginine is mediated by the system y+ carrier (2 , 3) . This Na+-independent transport system possesses high affinity for cationic amino acids and is stimulated by the presence of substrate on the opposite (trans) side of the membrane (4) . Recently, the proteins responsible for the activity of the system y+ carrier have been identified and designated as cationic amino acid transporter-1 (CAT-1), CAT-2, CAT-2A, and CAT-3 (5 6 7 8 9) . CAT-1, CAT-2, and CAT-3 are kinetically indistinguishable transporters that have a high affinity (Km{approx} 100 µM) for L-arginine (5 6 7 8) . In contrast, CAT-2A is a kinetically distinct alternate splice variant of CAT-2 that possesses low affinity (Km{approx} 1–2 mM) but high transport capacity for L-arginine (9) . Previous studies in our laboratory and others have demonstrated that SMC express only CAT-1 and CAT-2 mRNA and that specific biochemical stimuli can induce the expression of these two transporters (10 11 12 13 14) .

L-arginine is metabolized via two distinct pathways in vascular SMC. The inducible NO synthase (iNOS) enzyme converts L-arginine to the diatomic signaling gas NO. This enzyme is induced after stimulation with inflammatory cytokines and results in the generation of cytotoxic levels of NO (15 16 17) . Alternatively, L-arginine is catabolized to L-ornithine and urea by the enzyme arginase (18 19 20) . At least two distinct isoforms of mammalian arginase have been identified. Type I arginase is a cytosolic enzyme that is highly expressed in the liver as well as other tissues and constitutes a majority of total arginase activity (21 , 22) . In contrast, type II arginase is a mitochondrial enzyme that is expressed at lower levels in several extrahepatic tissues (22) . Finally, the arginase metabolite L-ornithine is metabolized to important regulatory molecules. Ornithine decarboxylase (ODC) converts L-ornithine to the polyamine putrescine, which plays a critical role in the mitogenic response of vascular SMC (10 , 23 , 24) . In addition, L-ornithine is catabolized by the mitochondrial enzyme ornithine aminotransferase (OAT) to pyrroline-5-carboxylate, which is further metabolized to L-proline that is essential for the synthesis of many structural proteins, including collagen (25) .

Vascular SMC are continuously exposed in vivo to cyclic stretch, which arises from the periodic change in vessel diameter as a result of pulsatile blood flow. Recent studies indicate that cyclic stretch (or strain) exerts significant effects on SMC function. The imposition of cyclical mechanical stretch alters SMC orientation and may play a fundamental role in governing SMC phenotype (26 , 27) . In addition, cyclic stretch may influence arterial remodeling by regulating SMC proliferation and extracellular matrix production (28 29 30 31 32 33 34) . Since L-arginine can be metabolized to important growth stimulatory polyamines and to the essential matrix component L-proline, the present study examined the effect of cyclic stretch on L-arginine transport and metabolism by vascular SMC. We now report that a physiologically relevant level of cyclic stretch stimulates the transport of L-arginine and specifically directs its metabolism to the integral collagen constituent L-proline and away from the formation of polyamines. Cyclic stretch mediates this effect by inducing CAT-2 and arginase I gene expression while simultaneously blocking iNOS and ODC activity. In addition, we demonstrate that the cyclic stretch-mediated increase in type I collagen formation is dependent on L-proline synthesis.


   MATERIALS AND METHODS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
Materials
L-arginine, L-canaline, formamide, urea, methanol, sodium dodecyl sulfate (SDS), sodium acetate, CsCl, MnCl2, methanol, ammonium hydroxide, ethylenediaminetetraacetic acid (EDTA), Tris, TES, HEPES, minimum essential media, ethylene glycol-bis(ß-aminoethyl ether)-tetraacetic acid (EGTA), elastase, triton X-100, leupeptin, tetrahydrobiopterin, NADPH, collagenase, penicillin, streptomycin, neomycin, guanidine isothiocyanate, phenylmethylsulfonyl fluoride (PMSF), fetal and flavin nucleotides, ascorbic acid, ß-aminopropiononitrile, bovine calf serum (BSA), and thin-layer chromatography plates were from Sigma Chemical Company (St. Louis, Mo.); dithiothreitol (DDT), Dowex resin (50W-X8, 100–200 mesh), nitrocellulose, and the Bradford protein assay were from Bio-Rad Laboratories (Hercules, Calif.); GAPDH cRNA and RNA molecular weight markers were from Ambion Inc. (Austin, Tex.); bicinchoninic acid protein assay was from Pierce (Rockford, Ill.); hydroxy-L-arginine (L-NOHA) was from Alexis Corp. (San Diego, Calif.); murine monoclonal antibody to iNOS was from Transduction Laboratories (Lexington, Ky.); rabbit anti-rat collagen type I polyclonal antibody was from Biodesign International (Kennebunk, Maine); [3H]L-arginine (58 Ci/mmol) was from American Radiolabeled Chemicals (St. Louis, Mo.); [guanido-14C]L-arginine (52 Ci/mmol), [2,3,4,5-3H]L-proline (101 Ci/mmol), and [{alpha}-32P]UTP (400 Ci/mmol) were from Amersham Life Sciences (Arlington Heights, Ill.).

SMC culture
Vascular SMC were isolated by elastase and collagenase digestion of rat thoracic aorta and characterized by immunological and morphological criteria, as described previously (35) . Cells were cultured serially in minimum essential medium containing Earle’s salts, 5.6 mM glucose, 2 mM L-glutamine, 20 mM TES-NaOH, 20 mM HEPES-NaOH, and 100 units/ml of penicillin, streptomycin, and neomycin. Subcultured strains were used between passages 4 and 29.

Cyclic stretch
SMC were plated onto six-well, flexible-bottomed plates coated with type I collagen (Flexercell Corp. McKeesport, Pa.). The thickness of the silicon elastomer on the bottom of the plates varies along the diameter of the wells such that a near-homogeneous strain profile is obtained throughout the membrane. When cells reached confluence, the culture media were replaced with serum-free media containing BSA (0.1%) for 24 h. Cells were then subjected to mechanical deformation with the Flexercell Strain Unit (FX 3000, Flexercell Corp.). This stress unit is a modification of the unit initially described by Banes et al. (36) and consists of a computer-controlled vacuum unit and a baseplate to hold the culture dishes. Vacuum is repetitively applied to the bottom of the dishes via the baseplate, which is placed in a humidified incubator with 5% CO2 at 37°C. The computer system controls the frequency of deformation and the negative pressure applied to the culture plates. SMC were exposed to an equiaxial stretch of 10% at a frequency of 1 Hz.

L-arginine transport
L-arginine transport was determined by measuring the influx of radiolabeled L-arginine into SMC (3) . Cells were washed with HEPES buffer (140 mM choline chloride, 5.6 mM D-glucose, 5.0 mM KCl, 1.0 mM MgCl2, 0.9 mM CaCl2, and 25 mM HEPES, pH 7.4) and incubated for 45 s in HEPES buffer containing [3H]L-arginine (50 µM, 1 µCi). Transport activity was terminated by aspirating the media and washing the cells in ice-cold HEPES buffer. Cell-associated radioactivity was extracted with 0.2% SDS in 0.2 N NaOH and then assayed by liquid scintillation spectrometry. To correct for nonspecific uptake, cells were incubated in parallel with HEPES buffer containing 10 mM unlabeled L-arginine and the fraction of the radioactivity of the cells was determined; this fraction was then subtracted from each data point.

Arginase activity
Arginase activity was determined by monitoring the formation of [14C]urea from [guanido-14C]L-arginine (13) . SMC were scraped in ice-cold phosphate-buffered saline (PBS), centrifuged at 1000 g for 5 min at 4°C, and sonicated in Tris buffer (10 mM, pH 7.4) containing Triton X-100 (0.4%), leupeptin (10 mg/ml), and aprotinin (10 mg/ml). An aliquot of the cell lysate (100 µg protein) was then added to an equal volume of Tris buffer (10 mM, pH 7.4) containing MnCl2 (10 mM) and arginase was activated by heating for 10 min at 56°C. The arginase reaction was initiated by adding Tris buffer (10 mM, pH 9.6) containing L-arginine (10 mM) and [guanido-14C]L-arginine (0.25 Ci), and samples were incubated at 37°C for 30 min. Reactions were terminated by adding ice-cold sodium acetate (250 mM, pH 4.5) containing urea (100 mM). [14C]Urea was separated from basic amino acids by Dowex chromatography and [14C]urea formation was quantified by scintillation counting.

iNOS expression
The expression of iNOS by SMC was assessed by monitoring iNOS protein expression and measuring iNOS activity. iNOS protein levels were determined by Western blotting using anti-mouse iNOS IgG, as described previously (37) . For iNOS activity, SMC were collected in Tris buffer (50 mM, pH 7.4) containing EDTA (0.5 mM), EGTA (0.5 mM), DDT (1 mM), tetrahydrobiopterin (1 µM), leupeptin (10 mg/ml), and PMSF (50 µg/ml). Cells were lysed by sonication and the homogenates were centrifuged at 14,000 g for 15 min at 4°C. The supernatant (50 µg protein) was incubated in HEPES buffer (50 mM, pH 7.4) containing L-arginine (100 µM), [3H]L-arginine (1 µCi), CaCl2 (1.25 mM), NADPH (0.5 mM), EDTA (1 mM), flavin adenine dinucleotide (10 mM), flavin mononucleotide (5 µM), and tetrahydrobiopterin (10 µM) for 30 min at 37°C. Incubations were terminated by the addition of ice-cold HEPES buffer (20 mM, pH 5.5) and EDTA (5 mM). [3H]L-citrulline was separated from [3H]L-arginine by Dowex-50W X8 chromatography and radioactivity was quantified by scintillation counting. iNOS activity was expressed as a percentage of the maximum response obtained in each experiment.

ODC assay
SMC were harvested in ice-cold Tris buffer (20 mM Tris, 0.1 mM EDTA, 2 mM DDT, and 0.1 mM pyridoxal-5-phosphate, pH 7.4), sonicated, and centrifuged at 14,000 g for 20 min at 4°C. The supernatant was collected and ODC activity was determined by measuring the release of 14CO2 from [1-14C]L-ornithine, as described previously (13) .

OAT assay
SMC lysates were prepared by sonication in Tris buffer (50 mM Tris, 0.2% Triton X-100, 50 µM pyridoxal-5-phosphate, 10 mg/ml leupeptin, and 50 µM PMSF, pH 8.0) and OAT activity was determined by measuring the formation of pyrroline-5-carboxylate. Standard assay mixtures (1 ml) contained 35 mM L-ornithine, 5 mM {alpha}-ketoglutarate, 50 µM pyridoxal-5-phosphate, and cell lysate (100 µg) in Tris buffer. After incubation at 37°C for 20 min, the reaction was stopped by adding 3 N perchloric acid and 2% ninhydrin. After heating for 5 min in a boiling water bath, a reddish pigment was precipitated by centrifugation and dissolved in ethanol. Pyrroline-5-carboxylate production was determined by absorbance spectrophotometry at 510 nm using an extinction coefficient of 16.2 mM-1 · cm-1 (38) .

L-proline and polyamine production
L-proline and polyamine formation were determined by incubating SMC with [3H]L-arginine and measuring the intracellular formation of radiolabeled L-proline and putrescine, respectively (13 , 14) . SMC were incubated with [3H]L-arginine(20 µCi/mmol) and the reactions were stopped at various times by removing the media and washing the cells with ice-cold PBS. Cells were solubilized in Tris buffer (20 mM, pH 7.4) containing Triton X-100 (0.01%), spotted onto thin-layer chromatography plates, and developed in the solvent system chloroform:methanol:ammonium hydroxide:water (1:4:2:1, by volume). L-proline and putrescine were detected by ninhydrin spray and the [3H]L-arginine metabolites were identified with cochromatography with unlabeled standards. Plates were then scraped, and L-proline and putrescine generation was determined by liquid scintillation counting.

Generation of arginase probes
Arginase cDNA fragments were amplified from SMC by reverse transcriptase-polymerase chain reaction (RT-PCR) (10) . Primers were designed according to the published sequence of rat arginase I and arginase II (18 , 19) . The forward 5'-TAGAGAAAGGTCCCGCAGCAT-3' and reverse 5'-TGCTTCCAATTGCCATACTGTG-3' primers were used to amplify a 252-bp arginase I transcript while the forward 5'-CCTAGTGAAGCTGCGAACGTG-3' and reverse 5'AGAGAAAGGGGCTCCGACTACA-3' primers were used to amplify a 197-bp arginase II transcript. The cDNA was amplified in a reaction mixture containing MgCl2, dATP (0.2 mM), dTTP (0.2 mM), dGTP (0.2 mM), dCTP (0.2 mM), arginase primers (50 pmol each), Taq DNA polymerase (2.5 U/ml) in standard reaction buffer. Amplification consisted of 30 cycles of PCR [1 min at 94°C for denaturing, 40 s at 60°C for annealing, and 90 s and 5 min (final cycle) at 75°C for elongation. Products of PCR amplification were resolved by agarose gel electrophoresis, stained with ethidium bromide, visualized on an UV transilluminator, and photographed. Products of expected size were subcloned into pCRII plasmids (Invitrogen, San Diego, Calif.) and sequenced to confirm their identity and orientation.

mRNA analysis
mRNA levels were determined by ribonuclease protection assay using a commercially available kit (Ambion Inc.). Total RNA (15 µg) was hybridized with ~1 x 106 cpm of [32P]UTP-labeled antisense CAT, arginase, and GAPDH (316-bp) riboprobes. The CAT-1 (195-bp) and CAT-2 (210 bp) antisense RNA probes were prepared as described earlier (10 , 13) . Protected RNA was analyzed by electrophoresis using 6% acrylamide/8 mM urea gels. Gels were exposed overnight to X-ray film at -70°C in the presence of intensifying screens. The size of the protected nucleotide fragments was confirmed using a [32P]-labeled RNA ladder. Relative mRNA levels were quantified by scanning densitometry (LKB 2222–020 Ultrascan laser densitometer, Bromma, Sweden) and normalized with respect to GAPDH mRNA.

Collagen synthesis
Collagen synthesis was determined by the collagenase-digestible method of Peterkofsky and Diegelman (39) . SMC were pulsed with [2,3,4,5-3H]L-proline (2 µCi/ml) in the presence of ascorbic acid (50 µg/ml) and ß-aminopropiononitrile (80 µg/ml) for 24 h. Culture media were then removed and added to an equal volume of cold Tris buffer (0.1 mM, pH 7.4) containing 0.65 mM NaCl, 5.0 mM CaCl2, 2.5 mM N-ethylmaleimide, and 100 µg/ml BSA. Trichloroacetic acid (10%) was then added to an aliquot of the sample and the material was allowed to flocculate for 30 min at 4°C. The sample was then centrifuged at 14,000 g for 10 min at 4°C and the pellet was washed twice with cold 95% ethanol, dried, dissolved in 0.2% SDS in 0.2 N NaOH, and assayed by liquid scintillation counting. A second aliquot was digested with highly specific collagenase form III (10 U/ml) for 90 min at 37°C and then treated identically as the nondigested aliquot.

Type I collagen formation
For type I collagen determination, culture media were collected, concentrated using centricon YM30 filters (Amicon Inc., Beverly, Mass.), and proteins were solubilized with electrophoresis buffer [125 mM Tris-HCl (pH 6.8), 2% SDS, 12.5% glycerol, 1% ß-mercaptoethanol, and trace bromphenol blue]. Samples were boiled for 10 min and proteins were separated by SDS-polyacrylamide gel electrophoresis using 6% gels. Gels were then electrophoretically transferred to nitrocellulose membranes, blocked for 1 h at room temperature in Tris buffer (50 mM, pH 7.4) containing 1% BSA, and incubated with rabbit anti-collagen type I antibody (1 µg/ml) for 1 h. Membranes were then washed in Tris buffer, incubated for 1 h at room temperature with anti-rabbit horseradish peroxidase conjugated antibody (1:5,000 dilution), and incubated with chemoluminescence reagents. Type I collagen levels were quantified by scanning densitometry.

Statistics
Results are expressed as the means ± SE. Statistical analysis was performed with the use of a Student’s two-tailed t test and an analysis of variance when more than two treatments were compared. Values of P<0.05 were considered to be statistically significant.


   RESULTS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
Exposure of vascular SMC to a physiological level of cyclic stretch (10% at 1 Hz) stimulated the transport of L-arginine in a time-dependent manner (Fig. 1 ). A significant increase in transport activity (compared to nonstretched static SMC) was observed after 24 h of mechanical stretch and was maintained during 72 h of cyclic stretch. Figure 2 shows a representative Eadie-Hofstee plot demonstrating that saturable, high-affinity uptake of L-arginine by vascular SMC was mediated by a single carrier. Data from several experiments (n=5) indicated that this transporter had a Michaelis constant (Km) of 41.2 ± 5.2 µM and a maximum transport velocity (Vmax) of 545 ± 48 pmol/mg protein/45 s. Imposition of cyclic stretch for 72 h significantly (P<0.05) increased both the Km (72.4±8.8 µM) and Vmax (905±102 pmol/mg protein/45 s) of L-arginine transport by vascular SMC.



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Figure 1. Effect of cyclic stretch (10% at 1 Hz) on L-arginine transport by vascular SMC. Cyclic stretch-induced L-arginine transport is expressed at each time point as percent increase over static (nonstretched) SMC. Results are means ± SE of 6 separate experiments, each performed in triplicate. *Statistically significant effect of cyclic stretch.



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Figure 2. Representative Eadie-Hofstee plot of saturable L-arginine transport in vascular SMC. Specific transport of [3H]L-arginine (5–500 µM) was measured in static control SMC ({circ}) and in SMC subjected to cyclic stretch for 72 h (•). Similar findings were made in 5 separate experiments.

Ribonuclease protection assays demonstrated low levels of CAT mRNA expression in control static SMC (Fig. 3 ). However, application of cyclic stretch markedly elevated CAT-2 mRNA levels. A peak sixfold increase in CAT-2 mRNA was observed after 2 h of cyclic stretch and CAT-2 message remained elevated throughout the 72 h of mechanical strain (Fig. 3) . In contrast, cyclic stretch had no effect on the expression of CAT-1 mRNA (Fig. 3) .



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Figure 3. Effect of cyclic stretch on the expression of CAT mRNA in vascular SMC. Ribonuclease protection analysis of CAT-1, CAT-2, and GAPDH mRNA from static control SMC (C) and SMC subjected to cyclic stretch. Data are representative of 3 separate independent experiments.

Exposure of vascular SMC to cyclic stretch also modulated L-arginine metabolism. A significant increase in arginase activity was detected within 2 h of cyclic stretch and was maintained during 72 h of cyclic stretch (Fig. 4 ). Ribonuclease protection analysis revealed that cyclic strain induced an increase in arginase I mRNA levels that peaked after 6 h (30-fold) of cyclic stretch, then decaying to basal levels by 48 h (Fig. 5 ). Ribonuclease protection assays failed to detect arginase II mRNA in either static or stretched cells (data not shown).



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Figure 4. Effect of cyclic stretch on arginase activity in vascular SMC. Cyclic stretch-induced arginase activity is expressed at each time point as percent increase over static (nonstretched) SMC. Results are means ± SE of 5 separate experiments. *Statistically significant effect of cyclic stretch.



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Figure 5. Effect of cyclic stretch on the expression of arginase I mRNA in vascular SMC. Ribonuclease protection assay of arginase I and GAPDH mRNA from static control (0) SMC and SMC subjected to cyclic stretch. Data are representative of 3 independent experiments.

Incubating SMC with interleukin-1ß for 24 h induced the expression of iNOS protein and activity in a concentration-dependent manner (Fig. 6 ). However, the application of cyclic stretch markedly reduced the cytokine-mediated induction of iNOS protein and activity (Fig. 6) . In the absence of interleukin-1ß, cyclic strain had no effect on iNOS protein or activity (Fig. 6) .



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Figure 6. Effect of cyclic stretch on iNOS protein (A) and activity (B) in vascular SMC. SMC were treated with interleukin-1ß (0–30 ng/ml) for 24 h in the absence (- or {square}) or presence (+ or {blacksquare}) of cyclic stretch. The iNOS immunoblot is representative of three separate experiments; iNOS activity is expressed as the means ± SE of 4 separate experiments. *Statistically significant effect of cyclic stretch.

In addition to stimulating L-arginine transport and L-arginine metabolism to L-ornithine, cyclic stretch exerted differential effects on L-ornithine metabolism. The application of cyclic stretch for up to 48 h had no effect on ODC or OAT activity (data not shown). However, 72 h of cyclic stretch significantly decreased ODC activity but had no effect on OAT activity (Fig. 7 ). Cyclic stretch also increased the capacity of SMC to generate L-proline from extracellular L-arginine in a time-dependent manner (Fig. 8A ). The latter experiments were based on the rationale that [3H]L-arginine must be converted to [3H]L-ornithine by arginase and then metabolized to [3H]L-proline and [3H]putrescine by the enzymes OAT and ODC, respectively. The stimulatory effect of cyclic stretch on L-proline synthesis was inhibited by the cationic amino acid transport inhibitor L-NMA (10 mM) (3) , by the arginase inhibitor L-NOHA (1 mM) (40) , and by the specific OAT inhibitor L-canaline (100 µM) (41) (Fig. 8B ). In contrast, cyclic stretch inhibited the production of polyamines from L-arginine in a time-dependent manner (Fig. 8C ).



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Figure 7. Effect of cyclic stretch (72 h) on aminotransferase (OAT) (A) and ornithine decarboxylase (ODC) (B) activity in vascular SMC. Results are means ± SE of between 3 and 4 separate experiments. *Statistically significant effect of cyclic stretch.



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Figure 8. Effect of cyclic stretch on the formation of L-proline and putrescine from L-arginine in vascular SMC. A) SMC were subjected to cyclic stretch in the presence of 1 mM [3H]L-arginine. B) SMC were subjected to cyclic stretch for 72 h in media containing 1 mM [3H]L-arginine in the presence or absence of methyl-L-arginine (L-NMA; 10 mM), hydroxy-L-arginine (L-NOHA; 1 mM), or L-canaline (100 µM). C) SMC were subjected to cyclic stretch in the presence of 1 mM [3H]L-arginine. Results are means ± SE of 4 separate experiments. *Statistically significant increase from static control cells.

Finally, application of cyclic stretch to SMC stimulated collagen synthesis (Fig. 9 ) and the secretion of type I collagen by approximately twofold (Fig. 10 ). The addition of L-canaline (100 µM) to SMC abolished the cyclic stretch-induced production of type I collagen without affecting the synthesis of collagen from static control cells (Fig. 10) .



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Figure 9. Effect of cyclic stretch on collagen synthesis by vascular SMC. Results are means ± SE of four separate experiments. *Statistically significant increase from static control cells.



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Figure 10. Effect of cyclic stretch on type I collagen synthesis by vascular SMC. A) Western blot of type I collagen secretion by SMC treated with cyclic stretch for 72 h in the presence (+) and absence (-) of L-canaline (100 µM). B) Type I collagen synthesis determined by laser densitometry. Results are expressed as means ± SE of 5 separate experiments. *Statistically significant increase in type I collagen synthesis.


   DISCUSSION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
The present study demonstrates that cyclic stretch stimulates L-proline synthesis and collagen synthesis in vascular SMC by regulating the expression of the genes that modulate the transport and metabolism of cationic amino acids (see Fig. 11 ). In particular, cyclic stretch increases the transcellular transport of L-arginine and the intracellular metabolism of L-arginine to L-ornithine by stimulating the expression of the genes for CAT-2 and arginase I while inhibiting the expression of the iNOS gene. Furthermore, cyclic stretch stimulates the intracellular metabolism of L-ornithine to L-proline and away from polyamines by inhibiting ODC activity. Moreover, cyclic stretch-mediated production of collagen by vascular SMC is dependent on L-proline synthesis. Thus, cyclic stretch coordinately promotes the availability of intracellular L-arginine substrate and selectively diverts its metabolism to collagen synthesis.



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Figure 11. Model for the regulation of L-arginine transport and metabolism by cyclic stretch in vascular smooth muscle cells. Cyclic stretch stimulates CAT-2 and arginase I but inhibits iNOS and ODC.

Cyclic stretch stimulates the transport of L-arginine in a time-dependent manner. Kinetic experiments indicate that high affinity L-arginine (Km{approx}50 µM) transport is mediated by a single carrier and that mechanical forces increase both the Vmax and Km of this transporter. These kinetic data suggest that the increase in transport activity likely arises from the de novo synthesis of additional transport proteins. Consistent with this, we found that cyclic stretch induced CAT-2 mRNA expression. The selective induction of CAT-2 by cyclic stretch is also observed after the administration of inflammatory cytokines (12 , 42) and may provide an important adaptive mechanism in elevating the intracellular levels of L-arginine during physiological conditions of biomechanical or biochemical stress.

In addition to stimulating transcellular L-arginine transport, cyclic stretch stimulates the intracellular metabolism of L-arginine to L-ornithine in vascular SMC. In this study we have found that mechanical strain induces an increase in arginase activity, which is accompanied by a selective increase in arginase I mRNA, suggesting that arginase I mediates the stretch effect. In contrast, cyclic stretch attenuates cytokine-stimulated SMC NO synthesis by inhibiting iNOS protein expression. This latter finding complements a recent study showing that cyclic stretch suppresses iNOS expression in cardiac myocytes (43) . However, it contrasts with an earlier study demonstrating that cyclic stretch stimulates the transcriptional activation of the endothelial NOS gene (44) . Thus, biomechanical strain exerts divergent isoform-specific regulatory effects on the expression of NOS. The ability of cyclic stretch to down-regulate the expression of iNOS may play an important cytoprotective role since high-output NO synthesis by the iNOS enzyme has been shown to induce SMC apoptosis (16 , 17) . In addition, the coordinate stimulation of L-arginine transport and inhibition of iNOS expression may provide a mechanism by which increased levels of substrate (L-arginine) are provided to SMC during stretch-induced activation of arginase.

We reasoned that the capacity of cyclic stretch to stimulate arginase activity may function to direct L-arginine to L-ornithine metabolism to generate biologically relevant L-proline. In support of this hypothesis, we found that exposure of SMC to cyclic stretch resulted in a prominent increase in the capacity of SMC to generate L-proline from extracellular L-arginine. This stretch-mediated effect is blocked by the cationic amino acid transport inhibitor L-NMA, and the arginase inhibitor L-NOHA, indicating that both the transcellular transport of L-arginine and intracellular arginase activity are limiting factors that govern the ability of cyclic stretch to generate L-proline. In addition, the formation of L-proline was blocked by the OAT inhibitor L-canaline, demonstrating that OAT activity is also required for the generation of L-proline. Cyclic stretch does not directly stimulate OAT activity. However, given the low affinity ({approx}3 mM) (45) of OAT for L-ornithine, it is likely that cellular L-proline production is substrate-limited. Thus, by increasing intracellular L-ornithine synthesis and by blocking ODC activity, cyclic stretch may provide additional substrate for synthesis of L-proline. In support of this notion, the highest levels of L-proline synthesis are observed after 72 h of cyclic stretch, at which time ODC activity is inhibited.

The level of cyclic stretch (10% at 1 Hz) required to stimulate L-arginine transport and metabolism in our study may be physiologically relevant. During the cardiac cycle, the maximum stretch of the human aorta has been reported to be between 9 and 12% under normotensive conditions (46) . Similar levels of cyclic stretch are observed in other large peripheral vessels, including brachial, femoral, and pulmonary arteries (47) . However, extrapolation of these in vitro cell monolayer experiments to the more complex 3-dimensional blood vessel requires caution.

Consistent with earlier studies (32 , 33 , 34) , we demonstrated that cyclic stretch stimulates collagen synthesis and the release of type I collagen from vascular SMC. However, we also found that the OAT inhibitor L-canaline blocks cyclic stretch-mediated collagen production, suggesting that endogenous L-proline synthesis is required for collagen synthesis by cyclic strain. In addition, we found that cyclic stretch inhibits the synthesis of NO, an inhibitor of collagen formation (48) . Thus, by differentially regulating the synthesis of L-arginine metabolites, cyclic stretch may play a critical role in promoting collagen synthesis. Moreover, these cyclic stretch actions that promote collagen accumulation are further amplified by the cyclic stretch-mediated suppression of the type I collagen-degrading enzyme metalloproteinase-1 (49) . The ability of cyclic stretch to stimulate collagen synthesis and simultaneously inhibit matrix metalloproteinase expression may play an important role in stabilizing vascular lesions and preventing plaque rupture (50) .

Polyamines play an integral role in the mitogenic response of vascular SMC. Both arterial injury-induced and growth factor-mediated SMC proliferation are associated with striking increases in ODC activity and polyamine formation (10 , 14 , 24) . Moreover, inhibition of ODC activity blocks SMC proliferation both in vitro and in vivo (10 , 14 , 51) . The present study found that prolonged cyclic stretch (72 h) blocks ODC activity and polyamine synthesis, suggesting a possible role for mechanical strain in regulating SMC growth. Although studies examining the effect of cyclic stretch on SMC growth have yielded contradictory results (28 29 30 31) , we recently found that application of 10% cyclic stretch to vascular SMC markedly attenuates their proliferative response (31) . Thus, the capacity of cyclic stretch to regulate L-arginine metabolism may also play a pivotal role in maintaining vascular SMC in a quiescent nonproliferative state.

In conclusion, these studies demonstrate that a physiologically relevant level of cyclic stretch stimulates the transport and metabolism of L-arginine by stimulating the genes for CAT-2 and arginase I, respectively, while inhibiting the gene for iNOS. In addition, cyclic stretch directs the metabolism of L-ornithine from the formation of growth stimulatory polyamines to the essential collagen component L-proline by blocking ODC activity. As shown in the model in Fig. 11 , these multiple sites of action of cyclic stretch appear to be coordinately directed toward stimulating collagen synthesis and inhibiting SMC proliferation. The ability of cyclic stretch to regulate L-arginine transport and metabolism may serve to promote vascular homeostasis in both normal arteries and in arterial disease by stabilizing vascular lesions and limiting SMC proliferation.


   ACKNOWLEDGMENTS
 
This study was supported in part by National Heart, Lung, and Blood Institute Grants HL-59976, HL-62467, and HL-36045, a Grant-in-Aid from the American Heart Association, and the Veterans Affairs Merit Review Board.


   REFERENCES
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 

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