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Fir High t Dsearchpar Affair m High n Www High f Www Int Affair rnal Medicine, Yamagata University School of Medicine (M. Itoh, H.T.), Japan.
Abstract
Background¡ª Vascular restenosis attributable to intimal
thickening remains a major problem after percutaneous transluminal
coronary angioplasty (PTCA).
Methods and Results¡ª Through differential-display analysis,
we have identified a novel gene whose expression was increased
after catheter injury of rabbit aorta. The gene that is expressed
predominantly in vascular smooth muscle cells encodes a novel
protein with 7 transmembrane domains, and we termed it ITR (intimal
thickness¨Crelated receptor). The ITR sequence contains
a motif common to the Rhodopsin-like GPCR (G-protein-coupled
receptor) superfamily. In vivo analyses of this gene revealed
that expression of ITR protein increased with intimal thickening
induced by cuff placement around murine femoral artery. Furthermore,
ITR-knockout mice were found to be resistant to this experimental
intimal thickening.
Conclusions¡ª ITR thus seems to be a novel receptor that
may play a role in vascular remodeling and that may represent
a good target for development of drugs in the prevention of
vascular restenosis.
Key Words: angioplasty genes restenosis
Introduction
Percutaneous transluminal coronary angioplasty (PTCA) is a widely
used therapeutic procedure for coronary artery diseases, including
angina pectoris and myocardial infarction. However, restenosis,
which occurs in 30% to 50% of patients after PTCA as a consequence
of cellular hyperplasia within the neointima, is an issue of
clinical urgency. Cell-cell interactions, cell-matrix interactions,
redox state, ligand-receptor interactions, tyrosine kinases,
and transcription factors are all involved in endothelial dysfunction
and formation of neointima.
1 However, only a few genes have
been reported in relation to this highly complex phenomenon.
Genes encoding G-protein¨Ccoupled receptors (GPCRs) represent
the largest superfamily yet identified; more than 800 of them
have been discovered to date from a wide range of species. A
characteristic motif of gene products in this superfamily is
the presence of 7 distinct hydrophobic regions, each 20 to 30
amino acids in length, that are generally regarded as the transmembrane
domains of these integral membrane proteins. There is little
conservation of amino acid sequence across the entire superfamily
of receptors, but key sequence motifs can be found within phylogenetically
related subfamilies.
2¨C6 GPCRs are excellent drug targets,
and in fact several hundred drugs launched within the past 3
decades are directed to known GPCRs.
7¨C10 Therefore, any
GPCR whose expression level is changed when vascular smooth
muscle cells (VSMCs) are multiplying would be a promising target
molecule for prevention of restenosis.
We had performed differential mRNA display analyses
11 of a rabbit
model of vascular injury to identify genes that were upregulated
or downregulated after denudation by a balloon catheter.
12 In
the present study, we report isolation and characterization
of a novel gene, designated ITR, that was upregulated in the
acute phase after balloon injury of the rabbit aorta.
Methods
Cloning of Full-Length cDNA
To isolate a full-length rabbit ITR gene, 5¡¯-RACE was performed
using the Marathon cDNA Amplification Kit (Clontech Laboratories).
Full-length cDNAs of human, mouse, and rat orthologs were cloned
by screening heart cDNA libraries of each species (Clontech).
RNA Expression of the Human ITR Gene
For Northern blot analysis, human multiple-tissue Northern blot
(CLONTECH) was hybridized to [
32P]dCTP-labeled full-length human
ITR cDNA. All blots were washed at 0.1x SSC, 65¡ãC, and exposed
to autoradiography film overnight. Total RNAs were isolated
from human umbilical vein endothelial cells, human coronary
artery endothelial cells, and human coronary artery smooth muscle
cells. Reverse transcriptase¨Cpolymerase chain reaction
(RT-PCR) was performed using a set of primers, hITR-RTF (5¡¯-TGGCATTGCAGTATTCATTG-3¡¯)
and hITR-RTR (5¡¯-CAGACT- GGCAAAGGATAACAC-3¡¯).
Chromosomal Localization of the Human ITR Gene
The human genomic cosmid clone was isolated from a human genomic
DNA library (STRATAGENE, Gebouw) using the human full-length
cDNA as a probe and used for the FISH experiment on a R-banded
metaphase spreads, as described previously.
13¨C15 More
than 100 metaphase cells were examined after in situ hybridization.
Computer Analysis and Database Search
Using the FASTA program,
16 we compared nucleotide and deduced
amino acid sequences to the respective databases (nonredundant
combination of GenBank, EMBL, and DDBJ databases for nucleotides
and the nonredundant combination of Swiss-prot, PIR, and PRF
databases plus translations of DNA sequences in GenBank for
amino acids). A motif search was done at PRINTS.
17
Generation of Mice Lacking ITR
An ITR-targeting plasmid was constructed according to a method
based on inverse-PCR described previously.
18 To isolate BAC
clones containing the mouse ITR gene, "down to the well mouse
ES BAC DNA pool" (Genome Systems Inc, St Louis, Mo) was screened
by the primer pair ITR-BACF (5¡¯-CCGATGATTGGTTACTGTCCCCG-3¡¯)
and ITR-BACR (5¡¯-CCGATGATTGGTTACTGTCCCCG-3¡¯), corresponding
to DNA sequences in exon 1. A 2-µg aliquot of isolated
BAC DNA was digested with HindIII, circularized by self-ligation
at 4¡ãC for 16 hours, and used as template for inverse-PCR.
Amplification was performed by the primer pair ITR-KI5¡¯ (5¡¯-ACGCGTTTAATTAAGTCGGCAGCAGAGGGCGGG-
GCGGGACTTAG-3¡¯) and ITR-KI3¡¯ (5¡¯-ACGCGTGCGGCCGCGCAT- TCGAGCCCTGTGGTTATGAGTGGATG-3¡¯).
After digesting both ends of PCR product with NotI and PacI,
the DNA fragment was cloned into p1108 vector and linearized
by HindIII digestion before transfection. Targeting of the ITR
gene and generation of knockout mice using E14.1 embryonic stem
(ES) cells (129/SVJ) were performed by essentially standard
techniques.
19 Animals considered to be chimeric on the basis
of their coat colors were mated with 129/SVJ or C57BL/6J mice.
DNA samples were isolated from tails of ES cell-derived animals
for genotyping. ES cells and F1 mice were analyzed for the presence
of a disrupted ITR gene by Southern blot analysis. F2 mice genotyping
was done by PCR using tail genomic DNA as a template and the
following three primers: primer 1 specific for wild-type allele
(5¡¯-CCGTTTCCATTTCCCCGAC- AC-3¡¯), primer 2 specific for recombinant
allele (5¡¯-CTCCAAAAAAGC- CTCCTCACT-3¡¯), and primer 3 for both
alleles (5¡¯-CGGTCTTAC- AAACAACAGGGA-3¡¯).
Preparation of Anti-ITR Monoclonal Antibody
COS7 cells were transfected with pFLAG-CMV-1 vector to design
to express N-terminal portion of rat ITR (rN-ITR) corresponding
to the extracellular domain, and the induced protein was purified
with anti-FLAG affinity column. Anti-ITR monoclonal antibody
(Mab) was prepared by immunizing female BALB/c mice (Shizuoka
Laboratory Animal Center, Shizuoka, Japan) every seventh day
with a footpad injection of purified rN-ITR. The booster injection
was made into the footpad 2 days before fusion. Popliteal lymph
node cells were fused with mouse myeloma cells, PAI, using PEG4000
(Life Technologies, Inc), and the resulting hybridomas were
screened according to their ability to stain ITR transfectants.
Cuff-Induced Intimal Thickening of the Murine Femoral Artery
Adult male mice (n=10) lacking ITR and 10- to 12-week-old WT
male mice (n=9) from the same genetic background were housed
under climate-controlled conditions with a 12-hour light/dark
cycle, with room temperature kept at 25¡ãC. They were given
a standard diet (MF, Oriental Yeast Co Ltd) and water ad libitum.
The experimental protocol was approved by the Animal Studies
Committee of Ehime University. Surgery to place polyethylene
cuffs (2-mm long PE-90; Becton-Dickinson) and to obtain artery
samples was performed according to methods described previously.
20¨C23 Excised arterial tissues were fixed in 10% formalin overnight,
dehydrated, and embedded in paraffin.
The middle segment of artery from each mouse was cut into 3
subserial cross sections of 5-µm thickness at intervals
of 0.3 mm. The sections were stained by Elastica van Gieson
staining to investigate overall morphology and photography.
The areas covered by neointima and media were measured using
image-analyzing software (NIH image). Neointima was defined
as the area between the vessel lumen and the internal elastic
lamina. Media was defined as the area between the internal and
external elastic lamina. The average of 3 sections was taken
as the value for each animal.
The artery samples were taken 7 days after cuff placement, and
bromodeoxyuridine (BrdU, Sigma) was injected 100 mg/kg SC and
30 mg/kg IP at 18 hours before euthanasia and then 30 mg/kg
IP at 12 hours before euthanasia.
20,21 The sections were prepared
in the same manner as morphometric analysis. Immunohistochemistry
using anti-BrdU antibody was performed according to the manufacturer¡¯s
protocol (BrdU Staining Kit; Zymed Laboratories). After the
sections were counterstained with hematoxylin, we calculated
the BrdU index (the ratio of BrdU-positive nuclei versus total
nuclei). The average index of 3 sections was taken as the value
for each animal. Statistical analyses were performed using two-way
ANOVA. When a significant effect was found, post-hoc analysis
was done to detect the difference between the groups. P<0.05
was considered statistically significant.
Immunohistochemical Staining of ITR
ITR in the cuffed artery was stained with mouse-to-mouse staining
kit (M.O.M. Immunodetection kit, Vector Laboratories) using
formalin-fixed, paraffin-embedded sections. Endogenous peroxidase
was blocked by 0.3% hydrogen peroxide in methanol. Primary antibody
was applied to the sections and incubated for 16 to 24 hours
at 4¡ãC. Positive staining was visualized using diaminobenzidine,
and counterstained nuclei with hematoxylin.
Results
Cloning and Characterization of the ITR Gene
Using a differential mRNA display method, we isolated a novel
cDNA fragment that was upregulated early after injury of the
rabbit aorta. Because the clone covered only part of the 3¡¯-untranslated
region, 5¡¯ and 3¡¯ rapid amplification of cDNA ends (RACE) experiments
were performed to isolate the full-length cDNA, which we named
ITR. RT-PCR showed that expression of this rabbit mRNA was significantly
elevated 2 or 4 days after injury of the aorta and declined
afterward (). This result was confirmed by a similar
procedure using carotid arteries from rats (data not shown).
fig.ommitted
. Expression of ITR mRNA in rabbits after balloon injury, examined by RT-PCR. Numerals indicate days after injury, and C denotes intact aorta. Glyceraldehyde-3-phosphate dehydrogenase (GAPDH) was used as an internal control.
Human, mouse, and rat counterparts of the rabbit ITR were isolated
from cDNA libraries of the respective species. Alignment of
human, mouse, rabbit, and rat amino acid sequences deduced from
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