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Marius C. Staiculescu, Edgar L. Galiñanes, Guiling Zhao, Uri Ulloa, Minshan Jin, Mirza I. Beig, Gerald A. Meininger, Luis A. Martinez-Lemus, Prolonged vasoconstriction of resistance arteries involves vascular smooth muscle actin polymerization leading to inward remodelling, Cardiovascular Research, Volume 98, Issue 3, 1 June 2013, Pages 428–436, https://doi.org/10.1093/cvr/cvt034
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Abstract
Inward remodelling of the resistance vasculature is predictive of hypertension and life-threatening cardiovascular events. We hypothesize that the contractile mechanisms responsible for maintaining a reduced diameter over time in response to prolonged stimulation with vasoconstrictor agonists are in part responsible for the initial stages of the remodelling process. Here we investigated the role of vascular smooth muscle (VSM) actin polymerization on agonist-induced vasoconstriction and development of inward remodelling.
Experiments were conducted in Sprague–Dawley rat resistance vessels isolated from the cremaster and mesentery. Within blood vessels, actin dynamics of VSM were monitored by confocal microscopy after introduction of fluorescent actin monomers through electroporation and by differential centrifugation to probe globular (G) and filamentous (F) actin content. Results indicated that 4 h of agonist-dependent vasoconstriction induced inward remodelling and caused significant actin polymerization, elevating the F-/total-actin ratio. Inhibition of actin polymerization prevented vessels from maintaining prolonged vasoconstriction and developing inward remodelling. Activation of the small GTPases Rho/Rac/Cdc42 also increased the F-/total-actin ratio and induced inward remodelling, while inhibition of Rho kinase or Rac-1 prevented inward remodelling. Disruption of the actin cytoskeleton reversed the inward remodelling caused by prolonged vasoconstriction, but did not affect the passive diameter of freshly isolated vessels.
These results indicate that vasoconstriction-induced inward remodelling is in part caused by the polymerization of actin within VSM cells through activation of small GTPases.
1. Introduction
Hypertension seriously afflicts humanity. In 2006, the World Health Organization estimated that by the year 2030 almost 23 million people will die from hypertension-related cardiovascular diseases, mainly from heart disease and stroke.1 The pathophysiology of hypertension is still largely not understood, with 95% of it considered essential. However, the most common structural change observed in resistance arteries of individuals with essential hypertension is inward eutrophic remodelling.2–4 Moreover, the presence of inward eutrophic remodelling has the best predictive value for subsequent life-threatening cardiovascular events in both normotensive and hypertensive individuals.5,6
Inward euthrophic remodelling is characterized by a reduced passive luminal diameter without a change in cross-sectional area of the vascular wall.4,7 It is postulated that, in hypertension, the main stimulus inducing this remodelling is increased vascular resistance secondary to prolonged vasoconstriction.6,8 Therefore, we hypothesized that mechanisms linked to vascular smooth muscle (VSM) contraction during prolonged vasoconstriction are involved in the initial stages of inward remodelling.9
Traditionally, vasoconstriction has been ascribed to a process in which stimuli cause a rise in intracellular calcium that activates myosin light-chain kinase with the subsequent cycling of actomyosin cross-bridges in VSM.9 However, recent evidence indicates that VSM contraction is also associated with rapid actin polymerization and VSM cytoskeletal remodelling.10,11 Furthermore, experimental results12 suggest that cytoskeletal remodelling is time-dependent, with actin polymerization increasing over time as vasoconstriction persist. Prolonged vasoconstriction has also been associated with the repositioning of VSM cells within the vascular wall of resistance vessels,13 a process that should require cytoskeletal remodelling and the formation of new cellular adhesions.14 In the light of the aforementioned evidence, we investigated whether prolonged vasoconstriction of small resistance arteries resulted in VSM actin polymerization that triggered inward eutrophic remodelling.
2. Methods
2.1 Animals and vessels
All animal procedures complied with the Guide for the Care and Use of Laboratory Animals published by the US National Institutes of Health (NIH Publication, 8th Edition, 2011), and were approved by the Animal Care and Use committee at the University of Missouri-Columbia. Male Sprague–Dawley rats (150–250 g) were anaesthetized with pentobarbital sodium (100 mg/kg). Anaesthesia was confirmed by loss of spinal nociceptive reflexes. First-order segments of the cremaster-feed arterioles were isolated and cannulated as described previously.15 Isolated arterioles were electroporated with Actin-Alexa-488, cannulated, and pressurized in an isolation chamber, and subsequently examined for Actin-Alexa-488-dependent fluorescence with a confocal microscope. Euthanasia was induced by pneumothorax and exsanguination while under anaesthesia.
2.2 Experimental protocols
To determine the effects of prolonged vasoconstriction on actin dynamics, we exposed electroporated arterioles to norepinephrine (NE, 10−5.5 M) + angiotensin-II (Ang-II, 10−7 M) for 4 h and measured the fluorescence intensity of Actin-Alexa-488 within individual VSM cells over time. We also determined the effects of preventing actin polymerization on Actin-Alexa-488-dependent fluorescence using electroporated arterioles exposed to cytochalasin-D (500 nM) for 20 min and then to NE + Ang-II while in the presence of cytochalasin-D for 4 h. Confocal images were taken before the addition of the vasoconstrictor agonists, every hour during exposure to NE + Ang-II, and immediately after washing off the agonists. In additional experiments, arterioles not electroporated were first dilated with 10−4 M adenosine and then exposed to calcium-free physiological saline solution (PSS) to obtain maximal passive diameter. Subsequently, vessels were allowed to regain tone in PSS with calcium and then exposed to 500 nM cytochalasin-D for 20 min followed by a 4 h exposure to NE + Ang-II. After this, vessels were washed with PSS for 30 min and then exposed to adenosine followed by calcium-free PSS. In these experiments, vascular diameter was continuously recorded using video microscopy.16
In vitro experiments were also conducted to determine the effects of Actin-Alexa-488 polymerization on its fluorescence intensity. Experiments were conducted in mini-well slides placed on a confocal microscope using the same objective and excitation/emission parameters as when imaging arterioles. Actin-Alexa-488 (1 µg/µL) was exposed to actin polymerization or control buffer, and images were taken every 30 s for 10 min. Subsequently, mycalolide-B (2 μM) was added and images taken every 30 s for 10 min.
To determine the effects of Rho/Rac/Cdc42 activation on actin polymerization and inward remodelling, arterioles were exposed to 1 µg/mL CN04 for 4 h. As in the previous protocols, a maximal passive diameter was obtained before and after the prolonged exposure to CN04. Actin polymerization was measured as the ratio of F-/total-actin by differential ultracentrifugation using a commercially available kit17 in rat mesenteric arterioles exposed to NE + Ang-II, jasplakinolide, CN04 (1 µg/mL), or vehicle control for 4 h. To determine the effects of Rho-associated protein kinase (ROCK) or Rac-1 inhibition on vasoconstriction-induced inward remodelling, isolated cremaster arterioles were exposed to 10 µM Y27632 or 100 µM NSC23766 for 20 min prior to and during a 4 h exposure to NE + Ang-II. As described above, the maximal passive diameter was obtained before and after the prolonged exposure to agonists.
2.3 Immunohistochemistry
To determine the effects of cytochalasin-D and mycalolide-B on the structure of VSM stress fibres, cannulated and pressurized arterioles were exposed to cytochalasin-D (10 µM), mycalolide-B (2 µM), or vehicle control for 1 h and then fixed with 4% paraformaldehyde. Vessels were incubated with a combination of phalloidin, anti-tubulin antibodies, and 4′,6-diamidino-2-phenylindole (DAPI) in order to stain stress fibres, microtubules, and nuclei, respectively. Vessels were washed and imaged on a confocal microscope.
2.4 Statistics
Data are presented as means ± SE. Statistical comparisons were made using paired or unpaired t-tests, or one-way ANOVA followed by Tukey's test for multiple comparisons as appropriate. Values of P ≤ 0.05 were considered significant. (See extended Methods in Supplementary material online.)
3. Results
3.1 Prolonged exposure to NE + Ang-II decreased Actin-Alexa-488-fluorescence within VSM cells of electroporated arterioles
As an approach to quantify changes in actin polymerization, we measured the changes in fluorescence intensity of VSM cells over time in arterioles electroporated with Actin-Alexa-488 (Figure 1A). We found that the fluorescence intensity was inversely proportional to the degree of actin polymerization. Cellular fluorescence intensity decreased 42% after 4 h of exposure to NE + Ang-II. After removing the vasoconstrictor agonists, the fluorescence intensity increased by 9%. In comparison, cells in control vessels not exposed to NE + Ang-II experienced no significant change in fluorescence intensity over time (Figure 1B). In arterioles treated with cytochalasin-D to inhibit actin polymerization, exposure to NE + Ang-II for 4 h caused only a 16% decrease in fluorescence intensity (Figure 1B). Consequently, the slope of the regression line representing the reduction in fluorescence intensity in arterioles exposed for 4 h to NE + Ang-II was significantly greater than that of control arterioles or vessels exposed to NE + Ang-II in the presence of cytochalasin-D (P ≤ 0.05) (Figure 1B).
3.2 Polymerization of Actin-Alexa-488 in vitro decreases its fluorescence
To confirm that the changes in Actin-Alexa-488-dependent fluorescence were related to actin polymerization, we performed a series of experiments in which Actin-Alexa-488 was polymerized in vitro. Exposure of Actin-Alexa-488 to general actin buffer (control) caused an overall 29% reduction in fluorescence after 10 min due to dilution effects (Figure 2A). In comparison, Actin-Alexa-488 exposed for 10 min to actin polymerization buffer resulted in an overall 61% reduction in fluorescence intensity (P ≤ 0.05 vs. control) (Figure 2B). Subsequent addition of mycalolide-B caused a further reduction in fluorescence in actin exposed to control buffer and a fluorescence increase in actin previously exposed to polymerization buffer (Figure 2).
3.3 Cytochalasin-D caused the vasoconstriction induced by NE + Ang-II to wane over time
Exposure of arterioles to cytochalasin-D (20 min) caused a paradoxical tendency to increase the level of tone without preventing the initial (within 5 min) vasoconstriction induced by exposure to NE + Ang-II (Figure 3A). Thereafter, cytochalasin-D prevented NE + Ang-II from maintaining vasoconstriction over time. Vessels dilated to diameters approaching maximal passive diameter despite the presence of NE + Ang-II for 4 h. The removal of cytochalasin-D and the vasoconstrictors by washing the vessels for 30 min caused a small but insignificant reduction in diameter. Subsequent exposure to adenosine and calcium-free solution confirmed that the vessels did not remodel (Figure 3A). Vessels treated with only cytochalasin-D lost myogenic tone over time, but at a lesser rate and smaller extent than the loss of constriction associated with exposure to NE + Ang-II (Figure 3B). In comparison, vessels exposed 4 h to NE + Ang-II without cytochalasin-D remained constricted throughout exposure to the agonists and developed inward remodelling characterized by a reduced passive luminal diameter and an increased wall to lumen ratio (Figure 3C and see Supplementary material online, Figure S2).
3.4 Actin depolymerization reversed the inward remodelling caused by 4 h of vasoconstriction
Consistent with a previous report,18 our current data indicated that prolonged exposure to agonist-induced vasoconstriction promoted actin polymerization. To determine whether polymerized actin played a role in the initial stages of the inward remodelling process, remodelled arterioles were treated 1 h with actin-depolymerizing agents under calcium-free passive conditions. As shown in Figure 4A, arterioles exposed 4 h to NE + Ang-II underwent inward remodelling with a reduction in the passive diameter of 9.07 ± 0.36 μm. Exposure of these remodelled arterioles to mycalolide-B reversed the inward remodelling by 76% (Figure 4B). In comparison, remodelled arterioles maintained 1 h under calcium-free conditions with vehicle control or cytochalasin-D had no significant changes in the diameter. Immunofluorescence showed that compared with controls, arterioles exposed to cytochalasin-D had only a partial and patchy disruption of VSM actin fibres, whereas arterioles exposed to mycalolide-B had an almost complete disruption of the actin cytoskeleton (Figure 4C). Freshly isolated arterioles unexposed to NE + Ang-II showed no changes in passive diameter when exposed for 1 h to actin-depolymerizing agents (data not shown).
3.5 Prolonged vasoconstriction or Rho/Rac/Cdc42 activation increased F-/total-actin in arterioles
To explore the mechanisms associated with prolonged vasoconstriction-induced actin polymerization and inward remodelling, we first corroborated that arteriolar exposure to NE + Ang-II resulted in a nearly 10% increase in F-/total-actin using a differential centrifugation assay (Figure 5). Exposure to jasplakinolide for 4 h increased the F-/total-actin nearly 20% vs. control (Figure 5). As exposure to vasoconstrictor agonists activates cytoskeletal remodelling pathways and the small GTP-binding proteins Rho, Rac, and Cdc42,19 we examined the effects of the Rho/Rac/Cdc42 activator-I, CN04, on isolated arterioles. Exposure for 4 h to CN04 induced a 14.8% increase in F-/total-actin compared with controls (Figure 6A) and caused an overall constriction of 13% (data not shown). Subsequent exposure to calcium-free solution revealed that arterioles exposed to CN04 had a small but significantly reduced (6.2%) passive diameter compared with control arterioles unexposed to CN04 (Figure 6B). Arterioles exposed 4 h to jasplakinolide showed no signs of inward remodelling (data not shown).
3.6 Inhibition of ROCK or Rac-1 prevented vasoconstriction-induced inward remodelling
During agonist-induced vasoconstriction, Rho-mediated ROCK activation causes calcium sensitization of contractile proteins and the phosphorylation of LIM domain kinase1 (LIMK1), which translates into cofilin inactivation, actin polymerization, and actin filament stabilization.15 To determine the role of ROCK on vasoconstriction and inward remodelling, we incubated arterioles with the ROCK inhibitor Y27632 (10 µM) 20 min before and during exposure (4 h) to NE + Ang-II. The initial 20 min exposure to Y27632 resulted in a nearly 19% dilation from myogenic tone (Figure 6C). Y27632 did not prevent NE + Ang-II from inducing an initial constriction, but prevented NE + Ang-II from maintaining vasoconstriction over time (Figure 6C). Removal of NE + Ang-II and Y27632 for 30 min caused further dilation, and exposure to adenosine 10−4 M and calcium-free solution showed that these vessels did not remodel (Figure 6C). In comparison, inhibition of Rac-1 with NSC23766 (100 µM) caused an initial reduction in vascular diameter, did not prevent NE + Ang-II from maintaining vasoconstriction for 4 h, but prevented these vessels from remodelling (Figure 6D).
4. Discussion
The primary finding of this study was that prolonged exposure of isolated arterioles to vasoconstrictor agonists induced VSM actin polymerization, which in turn was, in part, responsible for the development of inward remodelling in these vessels.
First, in isolated arterioles electroporated with Actin-Alexa-488, we observed that actin-dependent fluorescence diminished over time in response to prolonged agonist-induced vasoconstriction. Control arterioles not exposed to the agonists did not show significant changes in fluorescence. Therefore, we associated the process of agonist-induced vasoconstriction with reduction in G-actin-dependent fluorescence and interpreted the decrease in fluorescence as increased actin polymerization. It is likely that the Actin-Alexa-488 electroporated into arterioles had not reached an equilibrium between monomeric and fibrillar actin at the beginning of each experiment. Therefore, the fact that vasodilation did not fully restore fluorescence intensity does not necessarily mean that a quantitatively different depolymerization occurred between the constriction and relaxation events. In vitro, we confirmed that the reduction in Actin-Alexa-488 fluorescence was indeed associated with actin polymerization. The overall fluorescence of Actin-Alexa-488 decreased upon exposure to actin polymerization buffer. Subsequent exposure to the actin depolymerization agent mycalolide-B20 caused an increase in fluorescence. In contrast, exposure of Actin-Alexa-488 to control buffer followed by mycalolide-B caused only slight reductions in fluorescence due to dilution effects. The significant reduction in fluorescence caused by actin polymerization is likely the result of fluorescence quenching caused by the nucleation of actin monomers to form F-actin.
To determine the effects of inhibiting actin polymerization on prolonged vasoconstriction and inward remodelling, we treated isolated arterioles with cytochalasin-D before and during a prolonged exposure to NE + Ang-II. Cytochalasin-D binds to the barbed end of actin filaments and inhibits the association of new actin subunits. Cytochalasin-D at 500 nM inhibits actin polymerization without affecting the initial phase of agonist-induced vasoconstriction.21–23 In accordance, cytochalasin-D did not prevent the initial contractile response of vessels exposed to NE + Ang-II, but resulted in their inability to maintain constriction over time. The addition of cytochalasin-D in the absence of NE + Ang-II also caused the loss of myogenic tone over time, a result consistent with those of other laboratories indicating that myogenic constriction requires actin polymerization.24–26 After 4 h of exposure to NE + Ang-II with cytochalasin-D, vessels dilated and showed no signs of inward remodelling. Similar results were observed when latrunculin, an agent that binds actin monomers and inhibits actin polymerization, was used (data not shown). These results suggest that VSM actin polymerization is needed for the basal maintenance of myogenic tone and for maintenance of agonist-induced vasoconstriction as well as for the development of vasoconstriction-induced inward remodelling in arterioles.
The bimodal response of vessels to NE + Ang-II in the presence of cytochalasin-D suggests that two mechanisms are involved in the onset and maintenance of constriction during prolonged exposure to agonists. The mechanism likely responsible for the initial response to NE + Ang-II is mainly based on the calcium-dependent actomyosin interaction and cross bridge cycling controlled through the phosphorylation of myosin light chain. Our results indicate that actin polymerization does not affect this mechanism, as vessels had similar acute constrictions to NE + Ang-II in the presence or absence of cytochalasin-D. The second mechanism involved in maintaining vasoconstriction appears contingent on actin polymerization, as it was sensitive to the presence of cytochalasin-D or latrunculin.
Actin polymerization has been shown to be critical in the acute phase of smooth muscle contraction in tracheal tissues.11,27,28 Through processes involving the phosphorylation of paxillin, the activation of small GTP-binding proteins, and conformational changes within focal adhesion sites,29–31 contractile agonists increase the incorporation of G-actin into F-actin stress fibres and stiffen the cytoskeleton. Studies in blood vessels also indicate that inhibition of actin polymerization blocks the development or maintenance of full contractile force in arteries.12,21–23,25,26,32–34 However, a number of studies suggest that in blood vessels inhibition of actin polymerization interferes with agonist-induced vasoconstriction in a time-dependent manner.12,23,33 In those studies, cytochalasin used at low concentrations did not affect the maximal acute (within seconds) constriction of arteries. In addition, the phosphorylation of paxillin and the formation of F-actin fibres occurred during the sustained phase of vasoconstriction, between 10 and 20 min after the initial exposure to vasoconstrictor stimuli. At that time actin polymerization strengthened and stiffened the cytoskeleton, stiffening the cell over time and increasing the mechanical efficiency of the cell for the transmission of force.12 This cellular stiffening or ‘cellular solidification’ occurs concomitantly to paxillin phosphorylation and F-actin formation. We have previously shown that intracellular calcium during prolonged vasoconstriction is reduced to pre-constriction levels at timeframes similar to those reported for the increase in paxillin phosphorylation and F-actin formation.35 Results from the present study demonstrate, for the first time, that actin polymerization continues, as vessels remain exposed to vasoconstrictor agonists for 4 h. They also indicate that actin remains polymerized under passive conditions after the removal of the vasoconstrictor agonists and in the presence of adenosine and calcium-free PSS. This is supported by our observation that mycalolide-B reversed vasoconstriction-induced inward remodelling (Figure 4). To corroborate that mycalolide-B indeed disrupted the actin cytoskeleton; we determined that 1 h exposure with the toxin almost completely destroyed all actin fibres detectable by phalloidin staining in isolated arterioles. In comparison, incubation with vehicle or cytochalasin-D (10 μM) for 1 h did not significantly disrupt actin fibres and failed to reverse vasoconstriction-induced inward remodelling.
To induce actin cytoskeletal remodelling through mechanisms consistent with those activated by vasoconstrictor agents, we exposed isolated arterioles to CN04, an activator of the small Rho family GTPases Rho/Rac/Cdc42. These small GTPases have been shown to be key regulators of the actin cytoskeleton in diverse cell lines.36–38 For example, Rho activation results in the formation of stress fibres as well as in calcium sensitization through pathways involving its downstream target ROCK. In comparison, Rac regulates the formation of lamellipodia and membrane ruffles, and its activation leads to the reorganization of the actin cytoskeleton.39,40 Cdc42, the third GTPase activated by CN04, is required for the extension of filopodia, and its activation during agonist-induced contraction of tracheal smooth muscle has been shown to regulate active tension development and actin polymerization.30 In the present study, 4 h exposure of resistance vessels to CN04 resulted in constriction and inward remodelling. Vessels treated with CN04 also had greater F-/total-actin ratios than controls. In comparison, exposure of arterioles to jasplakinolide failed to induce inward remodelling (data not shown) in spite of increasing the ratio of F-/total-actin. Jasplakinolide induces actin polymerization and the stabilization of actin fibres in part through the incorporation of G-actin into disordered amorphous masses of F-actin, which sequesters monomeric actin and makes it unavailable for the remodelling of cellular stress fibres.41 This may explain the inability of jasplakinolide to induce inward remodelling under our experimental conditions. Moreover, it suggests that stabilization of stress fibres is not enough to induce inward remodelling. Vessels appear to require the specific cytoskeletal remodelling induced by activation of the small Rho family of GTPases.
To begin exploring the role of these GTPases on the remodelling process, we determined the effect of ROCK or Rac-1 inhibition on vasoconstriction-induced inward remodelling. Exposure of arterioles to Y27632 or NSC23766 prevented the NE + Ang-II-induced inward remodelling. However, the mechanisms involved in preventing inward remodelling by these inhibitors may or may not be related to their capacity to affect actin polymerization pathways. Y27632 is an inhibitor of ROCK, which is implicated in calcium sensitization as well as in actin polymerization pathways. In cerebral resistance arteries, ROCK predominantly affects actin polymerization rather than calcium sensitization.42 Therefore, it is likely that ROCK inhibition in the present study prevented inward remodelling by inhibiting actin polymerization, but this remains to be experimentally corroborated. Consistent with our results, in vivo inhibition of the Rho-ROCK pathway has been shown to ameliorate hypertension and vascular remodelling.43–45
In comparison with ROCK, Rac-1 is involved in actin polymerization pathways responsible for the formation of lamellipodia, as well as the production of superoxide as part of the NAD(P)H oxidase enzymes.46,47 Similar to our previous findings that NAD(P)H oxidase inhibition with apocynin prevented the development of inward remodelling without affecting agonist-induced vasoconstriction,48 NSC23766 also prevented inward remodelling without affecting the constriction caused by 4 h of exposure to NE + Ang-II. As inhibition of actin polymerization prevented NE + Ang-II from maintaining vasoconstriction over time, these results suggest that Rac-1 inhibition prevents inward remodelling by inhibiting NAD(P)H oxidase superoxide production rather than by inhibiting lamellipodia formation. Consistent with these findings, transgenic overexpression of Rac-1 in VSM cells of mice caused hypertension dependent on the overproduction of superoxide anion.49
In conclusion, results from the present study indicate that actin polymerization induced by prolonged vasoconstriction is in part responsible for the development of arteriolar inward eutrophic remodelling. Our results also suggest that actin polymerization participating in the initial stages of the remodelling process is not a mere stabilization of stress fibres, but likely a specific type of actin polymerization induced by the activation of small Rho family GTPases, in particular RhoA and its downstream effector ROCK. Further studies are required to determine the specific characteristics of the actin structures formed and their temporal or permanent role on reducing the passive diameter of the remodelled vessels.
Supplementary material
Supplementary material is available at Cardiovascular Research online.
Conflict of interest: none declared.
Funding
This work was supported by the National Institutes of Health(HL088105 to L.A.M-L., P01HL095486 to G.A.M.) and the American Heart Association(0530031N to L.A.M-L.).
References
Author notes
M.C.S. and E.L.G. contributed equally to this work.
Present address: University of New South Wales, School of Medical Sciences, Randwick, NSW 2052, Australia.