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Notch-1 mediates hypoxia-induced angiogenesis in rheumatoid arthritis.

AbstractOBJECTIVE:
To examine the effect of hypoxia on Notch-1 signaling pathway components and angiogenesis in inflammatory arthritis.
METHODS:
The expression and regulation of Notch-1, its ligand delta-like protein 4 (DLL-4) and downstream signaling components (hairy-related transcription factor 1 [HRT-1], HRT-2), and hypoxia-inducible factor 1α (HIF-1α) under normoxic and hypoxic conditions (1-3%) were assessed in synovial tissue specimens from patients with inflammatory arthritis and controls and in human dermal microvascular endothelial cells (HDMECs) by immunohistology, dual immunofluorescence staining (Notch-1/factor VIII), Western blotting, and real-time polymerase chain reaction. In vivo synovial tissue oxygen levels (tissue PO2) were measured under direct visualization at arthroscopy. HDMEC activation under hypoxic conditions in the presence of Notch-1 small interfering RNA (siRNA), the γ-secretase inhibitor DAPT, or dimethyloxalylglycine (DMOG) was assessed by Matrigel tube formation assay, migration assay, invasion assay, and matrix metalloproteinase 2 (MMP-2)/MMP-9 zymography.
RESULTS:
Expression of Notch-1, its ligand DLL-4, and HRT-1 was demonstrated in synovial tissue, with the strongest expression localized to perivascular/vascular regions. Localization of Notch-1 to synovial endothelium was confirmed by dual immunofluorescence staining. Notch-1 intracellular domain (NICD) expression was significantly higher in synovial tissue from patients with tissue PO2 of <20 mm Hg (<3% O2) than in those with tissue PO2 of >20 mm Hg (>3% O2). Exposure of HDMECs to 3% hypoxia induced HIF-1α and NICD protein expression and DLL-4, HRT-1, and HRT-2 messenger RNA expression. DMOG directly induced NICD expression, while Notch-1 siRNA inhibited hypoxia-induced HIF-1α expression, suggesting that Notch-1/HIF-1α signaling is bidirectional. Finally, 3% hypoxia-induced angiogenesis, endothelial cell migration, endothelial cell invasion, and proMMP-2 and proMMP-9 activities were inhibited by Notch-1 siRNA and/or the γ-secretase inhibitor DAPT.
CONCLUSION:
Our findings indicate that Notch-1 is expressed in synovial tissue and that increased NICD expression is associated with low in vivo tissue PO2. Furthermore, Notch-1/HIF-1α interactions mediate hypoxia-induced angiogenesis and invasion in inflammatory arthritis.
AuthorsWei Gao, Catherine Sweeney, Mary Connolly, Aisling Kennedy, Chin Teck Ng, Jennifer McCormick, Douglas J Veale, Ursula Fearon
JournalArthritis and rheumatism (Arthritis Rheum) Vol. 64 Issue 7 Pg. 2104-13 (Jul 2012) ISSN: 1529-0131 [Electronic] United States
PMID22275240 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2012 by the American College of Rheumatology.
Chemical References
  • NOTCH1 protein, human
  • Receptor, Notch1
  • Vascular Endothelial Growth Factor A
  • Matrix Metalloproteinase 2
  • Matrix Metalloproteinase 9
Topics
  • Arthritis, Rheumatoid (metabolism)
  • Cell Movement (physiology)
  • Endothelial Cells (metabolism)
  • Female
  • Humans
  • Hypoxia (metabolism)
  • Knee Joint (metabolism)
  • Male
  • Matrix Metalloproteinase 2 (metabolism)
  • Matrix Metalloproteinase 9 (metabolism)
  • Neovascularization, Pathologic (metabolism)
  • Receptor, Notch1 (metabolism)
  • Synovial Membrane (metabolism)
  • Vascular Endothelial Growth Factor A (metabolism)

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