Abstract
Tumor neo-vasculature is characterized by spatial coordination of endothelial cells with mural cells, which delivers oxygen and nutrients. Here, we explored a key role of the secreted glycoprotein YKL-40, a mesenchymal marker, in the interaction between endothelial cells and mesenchymal mural-like cells for tumor angiogenesis. Xenotransplantation of tumor-derived mural-like cells (GSDCs) expressing YKL-40 in mice developed extensive and stable blood vessels covered with more GSDCs than those in YKL-40 gene knockdown tumors. YKL-40 expressed by GSDCs was associated with increased interaction of neural cadherin/β-catenin/smooth muscle alpha actin; thus, mediating cell-cell adhesion and permeability. YKL-40 also induced the interaction of vascular endothelial cadherin/β-catenin/actin in endothelial cells (HMVECs). In cell co-culture systems, YKL-40 enhanced both GSDC and HMVEC contacts, restricted vascular leakage, and stabilized vascular networks. Collectively, the data inform new mechanistic insights into the cooperation of mural cells with endothelial cells induced by YKL-40 during tumor angiogenesis, and also enhance our understanding of YKL-40 in both mural and endothelial cell biology.
Keywords: YKL-40, N-cadherin, VE-cadherin, VEGF, endothelial cells, mural cells, vessel permeability, vessel stability, tumor angiogenesis
Introduction
Neo-vascular networks function to deliver nutrients, oxygen, and other molecules to developmental tissue or pathologic lesion, the process known to mediate vasculogenesis and angiogenesis (1, 2). The key step of this event involves the formation of the neo-vasculature wall that is primarily composed of both endothelial cells and mesenchyme-derived mural cells including smooth muscle cells and/or pericytes (3). In physiological angiogenesis (e.g. wound healing), endothelial cells initially sprout to form neo-vessels followed by recruitment of mural cells in a paracrine manner dependent on PDGFB-PDGFRβ and angiopoietin-1-Tie-2 reciprocal activation (4, 5). It is acknowledged that vasculature in the central nervous system contains the highest amount of mural cell coverage (6).
Once mural cells are recruited onto the abluminal surface of endothelial cell-based vessels, intercellular junctions between endothelial cells, mural cells, and/or endothelial-mural cells act as a central factor to render the vascular network mature and stable. A number of intercellular adhesion molecules are appreciated to regulate vessel fenestration, permeability, and stability. For instance, vascular endothelial cadherin (VE-cadherin) plays an important role in controlling endothelial-to-endothelial cell contacts (7–9), while neural cadherin (N-cadherin) mediates endothelial-to-mural cell and mural-to-mural cell communication (10–12). A key intracellular mediator of the cadherin-associated cell-to-cell contacts is β-catenin that acts as a physical link to the cytoskeleton assembly including actin (13, 14). Disruption of the complex between cadherins and β-catenin results in decreased cell-cell interactions and increased cell permeability. Other gap junction proteins such as claudins, occludin, and connexins also participate in distinct intercellular interactions (3, 6). The spatial cooperation and regulation of these cell-cell tight contacts commit endothelial cells and mural cells to orchestrate the vessel wall, which offers adequate nutrients and oxygen for tissue proliferation.
Although it remains to be clarified if different identities and/or functions of mural cells exist between tumor and normal vessels, chaotic vasculature with either abundant or insufficient coverage of mural cells is frequently observed during tumor angiogenesis (15). Deletion of mural cells in tumor-bearing mice exhibited an impaired vascular phenotype with diminished mature vessel formation and increased vessel permeability, thus retarding tumor progression (16, 17). As the most potent angiogenic factor, vascular endothelial growth factor (VEGF), also known as a vascular permeability factor, promotes endothelial permeability and destabilizes vascular integrity via interrupting VE-cadherin function in endothelial cells (18, 19). In light of VEGF activity in mural cell coverage of tumor vessels, there is strong evidence indicating that ablation of myeloid cell-derived VEGF in mice led to increased mural cell coverage of the vessels and acceleration of tumorigenesis. These findings unveil a new pathologic signature of VEGF in functional inhibition of mural cell-associated vessels (20, 21).
YKL-40 (human cartilage glycoprotein-39 or chitinase-3-like-1) is a secreted glycoprotein that was originally identified from culture medium of a human osteosarcoma cell line MG-63 (22). Human YKL-40 protein contains an open reading frame of 383 amino acids with a molecular mass of 40 kDa and it is a member of glycoside hydrolase family 18 that contains chitinases. But YKL-40 can only bind chitin-like oligosaccharides and does not have chitinase/hydrolase activity because of the substitution of an essential glutamic acid with leucine in the chitinase-3-like catalytic domain (23, 24). YKL-40 is normally expressed by different cell types such as vascular smooth muscle cells (25), macrophages (26), neutrophils (27), chondrocytes (28), and synoviocytes (29). To date, its biophysiological function in those cells including mesenchyme-derived mural cells/vascular smooth muscle cells is incompletely understood.
Multiple independent studies have shown that high serum levels of YKL-40 are correlated with metastasis and poor survival in a broad spectrum of human carcinomas including breast cancer (30), colorectal cancer (31), ovarian cancer (32), leukemia (33), lymphoma (34), and glioblastoma (35), suggesting that serum levels of YKL-40 serve as a diagnostic and prognostic cancer biomarker. We have recently demonstrated that YKL-40 acts as an angiogenic factor to stimulate vascular endothelial cell development in breast cancer and brain tumors (36, 37). YKL-40 is also known to be associated with tumor mesenchymal transition, displaying a poor prognosis (38). However, it is largely unknown how YKL-40-induced neo-vessels are stabilized to be functional and what the role of YKL-40 plays in tumor vasculogenesis characterized by communication between endothelial cells and mural cells. Here, we sought to explore the molecular mechanisms through which YKL-40 controls vascular permeability, stability, and angiogenesis mediated by mural cells in addition to vascular endothelial cells. To achieve this purpose, we took advantage of our recently established tumor cells named GSDC that are originally derived from human brain tumors and behave as vascular mural-like cells (39). This model demonstrates 1) tumors with vigorous vasculature when they are transplanted in animals; 2) a mesenchymal phenotype strongly expressing YKL-40, smooth muscle actin alpha (SMa), PDGFRβ, and vimentin; and 3) YKL-40 expressed by mural-like cells acts as a key factor regulating tumor vascularization. The current study has informed a key role of YKL-40 in both mural cell and endothelial cell biology during tumor angiogenesis.
Results
Tumor vascular coverage, stability, and angiogenesis are dependent on GSDCs expressing YKL-40
To interrogate if YKL-40, a mesenchymal marker expressed by mural-like cells, GSDCs, acts as a central factor to establish vessel stability and integrity during tumor angiogenesis, we began our study by employing a gene knockdown approach utilizing a retroviral infection of shRNA against the YKL-40 gene in GSDCs. Two shRNA constructs sufficiently suppressed YKL-40 expression by over 90% compared to a shRNA scrambled control, as examined by western blotting (Supplemental Fig. 1A). Accordingly, YKL-40 gene knockdown led to decreased expression of SMa, a mural cell marker, and cell motility (Supplemental Fig. 1A–1C).
To investigate a potential role of YKL-40 in tumor vascular stability, permeability, and angiogenesis in vivo, we engaged an orthotopic xenografted tumor model by injecting GSDCs expressing scramble RNA or one of YKL-40 shRNAs (shRNA 1) into the brains of SCID/Beige mice for a 5-month observation period. After the mice were sacrificed, we examined tumor sections for angiogenesis by staining CD31, an endothelial cell marker. GSDC control tumors revealed a strong vascularized phenotype as an intense CD31-positive vessel density was found throughout the entire tumor region (Fig. 1A-a). In contrast, YKL-40 shRNA tumors displayed a significant reduction of the vessel density by approximately 60% (Fig. 1A-b & 1B). In addition, most of the vessels in the control tumors contained a visible lumen, whereas vessels in the YKL-40 shRNA tumors were collapsed and vessel diameters diminished to 30% relative to the control ones (Fig. 1A-a, b, & 1B). An analysis of mural cell coverage by co-staining CD31 and SMa indicated that over 90% of endothelial cell-based vessels in the control tumors were covered with mural cells, in comparison with less than 40% of vessels lined with mural cells in the YKL-40 shRNA tumors (Fig. 1A–c, d, & 1C). To distinguish vessels covered by the tumor-derived GSDCs from those by host-derived mural cells, we similarly injected GSDCs carrying green fluorescent protein (GFP) into different mice. The majority of endothelial cell vessels (CD31) were surrounded by GFP-positive GSDCs at the abluminal site where GFP and SMa were co-localized, while a few vessels were stained with CD31 only (Supplemental Fig. 2A–2F), suggesting that tumor-derived mural-like cells make a significant contribution to tumor vessel coverage. Consistent with this finding, YKL-40 was expressed by SMa-positive mural cells in addition to tumor cells (Supplemental Fig. 2H & 2I). Vessel permeability was measured by diffusion of fibrinogen from the blood circulation. A limited amount of fibrinogen was identified to be diffused out of capillaries in the control tumors, contrary to that in the YKL-40 shRNA tumors which contained more than 6-fold greater diffusion of fibrinogen, indicative of leakier vessels (Fig. 1A–e, f, & Fig. 1D). These in vivo data suggest that YKL-40 expressed by GSDCs mediates vascular mural cell coverage, stability, and angiogenesis.
To characterize effects of YKL-40 on tumor development, the tumors were tested for the proliferation marker Ki67. GSDC control tumors displayed positive staining of Ki67 by 3.3-fold greater than did YKL-40 shRNA tumors (Fig. 1E & 1F). Monitoring tumor cell growth in cultured condition revealed a decrease of cell proliferation by 10% in YKL-40 shRNA cells relative to counterparts (Fig. 1G), suggestive of partial contribution of YKL-40 to the cell growth. In concert with tumor growth and angiogenesis, mice receiving control cells showed a trend towards decreased overall survival as compared with YKL-40 shRNA mice over this 5-month trial (Fig. 1H). In sum, the in vivo animal models gave rise to evidence supporting our hypothesis that YKL-40 derived from mural-like cells plays a vital role in maintaining vascular permeability, stability, and angiogenesis in tumors through mural cell coverage; thus fueling tumor growth and development.
YKL-40 expression is associated with strong intercellular contacts and adhesion of GSDCs
To explore molecular mechanisms that possibly mediate intercellular contacts and vascular coverage found earlier in vivo, we examined expression and interaction of N-cadherin/β-catenin/SMa in control and YKL-40 shRNA GSDCs. While N-cadherin remained unchanged, expression of β-catenin and SMa was decreased when the YKL-40 gene was knocked down (Fig. 2A and Supplemental Fig. 1A). In control cells, VEGF production was barely detectable; but was dramatically up-regulated in YKL-40 shRNA cells. To determine if the interaction of N-cadherin with β-catenin and its downstream effector SMa was diminished due to the decreased levels of β-catenin and SMa by YKL-40 shRNA, we performed a co-immunoprecipitation assay followed by immunoblotting. Both interactions of N-cadherin with β-catenin and β-catenin with SMa in control cells were stronger than those in YKL-40 shRNA cells (Fig. 2B). Accordingly, immunocytochemical analysis confirmed about two-fold higher association of N-cadherin with β-catenin in the control cells than that in the YKL-40 shRNA cells (Fig. 2C). Likewise, the similar association patterns of β-catenin with SMa were found in these cells by immunocytochemistry (data not shown). However, the reduced association of N-cadherin and β-catenin in the YKL-40 shRNA cells could not be rescued by VEGF neutralization. These results suggest that YKL-40 expression by GSDCs is associated with the interaction of N-cadherin, β-catenin, and SMa, independent of VEGF activity.
In order to determine if these altered cell-cell contacts lead to changes in intercellular adhesion activity, we measured cell aggregation. YKL-40 shRNA inhibited cell aggregation by 55% compared to a control level (Fig. 2D). Neutralizing N-cadherin via an anti-N-cadherin antibody in control GSDCs resembled the inhibition of YKL-40 shRNA, and combination of the N-cadherin blockade and YKL-40 shRNA slightly enhanced the inhibition on cell-cell adhesion, implying that N-cadherin may contribute a primary role to YKL-40-mediated cell to cell adhesion (Fig. 2D). Overall, these data underscore the importance of YKL-40 in the ability of GSDCs to maintain cell to cell junctions through the N-cadherin/β-catenin/SMa pathway.
GSDC-conditioned medium containing YKL-40 mediates intercellular contacts and adhesion of endothelial cells
To explore effects of YKL-40 expressed by GSDCs on intercellular junctions of vascular endothelial cells via a paracrine manner, we used conditioned media from control or YKL-40 shRNA GSDCs in the culture of human microvascular endothelial cells (HMVECs) and measured intercellular contacts of VE-cadherin and β-catenin. HMVECs expressed a stronger level of VE-cadherin than N-cadherin, suggestive of a main role of VE-cadherin in cell to cell contacts (Fig. 3A). The media from control and YKL-40 shRNA cells did not alter expression of VE-cadherin, N-cadherin, or β-catenin (Fig. 3A & Supplemental Fig. 3A). However, like GSDCs, co-immunoprecipitation studies showed that media from YKL-40 shRNA cells inhibited the interaction of VE-cadherin with β-catenin, and β-catenin with actin in HMVECs (Fig. 3B & Supplemental Fig. 3B). A minimal level of N-cadherin/β-catenin association was detected in HMVECs treated with conditioned media from either control or YKL-40 shRNA cells (data not shown). Because VEGF secretion was significantly elevated in the conditioned media from YKL-40 shRNA cells (Fig. 2A), the increased VEGF may contribute mainly to the reduced VE-cadherin/β-catenin interaction. To test this possibility, we used an anti-VEGF neutralizing antibody in the co-immunoprecipitation assay of HMVECs. VEGF blockade restored the association of VE-cadherin with β-catenin (Fig. 3B). Consistent with the co-immunoprecipitation data, HMVECs treated with conditioned medium of YKL-40 shRNA cells displayed reduced co-localization of VE-cadherin and β-catenin to 13% relative to control cell medium, and treatment with an anti-VEGF neutralizing antibody recovered the co-localization to approximately 63% of the control levels (Fig. 3C & 3D). In addition, the cell aggregation analysis unveiled the similar inhibition of cell to cell adhesion (by 46–54%) by conditioned media from YKL-40 shRNA, control cells treated with a VE-cadherin neutralizing antibody, or YKL-40 shRNA cells treated a VE-cadherin antibody (Fig. 3E). To confirm the key role played by YKL-40 in endothelial cell to cell interaction, we also treated conditioned medium of the control GSDCs expressing YKL-40 with a neutralizing YKL-40 antibody (mAY) (40). The conditioned medium containing mAY abolished the interaction between VE-cadherin and β-catenin relative to the control mIgG medium (Fig. 3F). Accordingly, the control GSDC medium in the presence of mAY suppressed HMVEC aggregation by 60% compared to the aggregation in the presence of mIgG (Fig. 3G). While neither the neutralizing anti-VEGF antibody nor mAY altered expression of VE-cadherin, N-cadherin and β-catenin in HMVECs (data not shown), treatment of control GSDCs with mAY inhibited YKL-40 expression; in contrast, the anti-VEGF antibody in YKL-40 shRNA GSDCs induced VEGF (Supplemental Fig. 3C), suggestive of distinct responses of mural cells to individual inhibitors. Collectively, these data suggest that YKL-40 may induce the VEcadherin/β-catenin/actin pathway and cell to cell adhesion in endothelial cells, and that YKL-40 blockade inhibits these effects, which is largely dependent on VEGF.
YKL-40, in contrast to VEGF, stimulates interaction of VE-cadherin with β-catenin in HMVECs
In order to investigate the roles that YKL-40 and VEGF play individually in the association between VE-cadherin and β-catenin in HMVECs, we treated the cells with recombinant protein of VEGF or YKL-40. Treatment of HMVECs with YKL-40 or VEGF did not alter protein expression of VE-cadherin, N-cadherin, or β-catenin (data not shown). However, YKL-40 induced the interaction between VE-cadherin and β-catenin; in contrast, VEGF inhibited their association (Fig. 4A). The immunocytochemical analysis validated this result that YKL-40 significantly increased co-localization of VE-cadherin and β-catenin by 60% relative to the control, while VEGF treatment decreased their co-localization by 43% (Fig. 4B & 4C). In a trial using different concentrations of these proteins, VEGF (10 ng/ml) and YKL-40 (200 ng/ml) at the pathologic levels were found to have more effects on these adhesion molecule interactions than other concentrations (data not shown). The results indicate that YKL-40, in contrast to VEGF, induces the interaction of VE-cadherin and β-catenin in HMVECs, further supporting the earlier findings using GSDC-conditioned media expressing YKL-40.
YKL-40 expressed by GSDCs mediates the cadherin/catenin complexes in co-culture of GSDCs and HMVECs
To monitor the interaction of cadherin and catenin between endothelial cells and mural cells that may recapitulate their functional relationship in vessels in vivo, we undertook an immunocytochemical approach probing the co-localization of either VE-cadherin/β-catenin or N-cadherin/β-catenin in a cell co-culture system with GSDCs and HMVECs. Intense co-staining of VE-cadherin/β-catenin was found in HMVECs mixed with control GSDCs, but this co-localization was decreased by 58% in HMVECs when co-cultured with YKL-40 shRNA GSDCs (Fig. 5A), in which HMVECs were distinguished from GSDCs by positive staining of VE-cadherin as indicated with white asterisks (Fig. 5A). This is indicative that YKL-40 expressing cells are crucial to VE-cadherin/β-catenin interaction in HMVECs.
Next, to determine the interaction between the N-cadherin and β-catenin in this co-culture system, we labeled GSDCs only with nuclear staining DAPI prior to mixing with HMVECs, because both cell types express N-cadherin and β-catenin. By this approach, we could discern GSDCs (DAPI-positive) from HMVECs (DAPI-negative), and analyzed individual GSDC-GSDC, HMVEC-HMVEC, and GSDC-HMVEC contacts (Fig. 5B, top & bottom left). Membrane co-localization of N-cadherin and β-catenin between control GSDCs was found around 38% of GSDC population, but this co-staining between YKL-40 shRNA GSDCs was reduced to 23% (around 40% reduction compared with the control) (Fig. 5B, bottom right). However, there was no appreciable difference of their co-localizations in other cell types. In line with the findings earlier using the single cell type system, the data suggest that YKL-40 mediates VE-cadherin/β-catenin association in HMVECs and N-cadherin/β-catenin complex in GSDCs.
YKL-40 expression by GSDCs is associated with restricted permeability of HMVECs and GSDCs
To further evaluate permeability of HMVECs and GSDCs, one of the key vascular functions, we utilized a permeability method that assays the ability of cells to be permeable to Dextran conjugated with FITC. First, we treated HMVECs with either conditioned media from control or YKL-40 shRNA GSDCs, and we found that control medium-treated HMVECs restricted the permeability that allowed FITC-Dextran to cross through the cells 30% less than did YKL-40 shRNA medium-treated cells (Fig. 6A, top graph). In order to verify the functional role of VE-cadherin in HMVEC permeability, we added a VE-cadherin neutralizing antibody to the media. While mIgG, as a control, did not have an impact in the permeability treated with control or YKL-40 shRNA media, a VE-cadherin antibody increased cell permeability in control medium-treated HMVECs (Fig. 6A, middle graph). However, this VE-cadherin neutralization in YKL-40 shRNA medium-treated cells failed to enhance the permeability induced by YKL-40 shRNA, consistent with HMVEC-HMVEC adhesion found earlier (Fig. 3E). This implies that VE-cadherin plays a key role in the elevated permeability of HMVECs treated with YKL-40 shRNA media. In order to determine the effect of VEGF on permeability, as VEGF mediated the disassociation of β-catenin from VE-cadherin (Fig. 3B–3D), we treated the HMVECs with an anti-VEGF neutralizing antibody. The anti-VEGF antibody fully reversed the GSDC YKL-40 shRNA medium-induced permeability to the level treated with GSDC control media (Fig. 6A, bottom graph). As expected, the anti-VEGF antibody did not have effects on the permeability of control medium-treated HMVECs because of the considerably lower level of VEGF in the control media. To validate this endothelial cell permeability restrained by YKL-40, we treated HMVECs with mAY in the presence of GSDC control medium and found that mAY induced HMVEC permeability by 51% (Supplemental Fig. 4A). These results suggest that YKL-40 maintains HMVEC permeability and that YKL-40 blockade destabilizes the permeability probably through VE-cadherin activation.
Next, we assessed impacts of YKL-40 on GSDC permeability. GSDCs expressing YKL-40 shRNA exhibited a much higher permeability than control GSDCs, as the permeability of YKL-40 shRNA GSDCs was increased by up to 58% at 4 hr (Fig. 6B, top graph). Inhibition of N-cadherin using an anti-N-cadherin neutralizing antibody resulted in a 25% and 20% elevation in the permeability of control and YKL-40 shRNA GSDCs, respectively, compared with mIgG treatment over the 4-hr observation (Fig. 6B, middle graph). Unlike an anti-VE-cadherin antibody in HMVECs (Fig. 6A, middle panel), blocking N-cadherin in YKL-40 shRNA GSDCs enhanced cell permeability (by 20% compared with YKL-40 shRNA), analogous with the adhesion result (Fig. 2D), suggesting that other cell adhesion factors, in addition to N-cadherin, may also participate in YKL-40-mediated cell adhesion and permeability. For example, inhibition of integrins αVβ3 or αVβ5 partially increased cell leakage relative to N-cadherin inhibition (Supplemental Fig. 4B). To further validate that VEGF contributes to HMVEC, but not GSDC, permeability, we treated GSDCs with an anti-VEGF antibody. As expected, this anti-VEGF antibody failed to have an effect on the permeability of control or YKL-40 shRNA GSDCs that express strong VEGF (Fig. 6B, bottom graph). These results suggest that YKL-40 stabilizes GSDC permeability in a manner mainly dependent on N-cadherin.
Finally, to evaluate the overall cell permeability mediated by both GSDCs and HMVECs that would be more representative of vessel function in vivo, we loaded either control or shRNA GSDCs first for 2 hours followed by plating HMVECs on the top of the GSDCs, which simulated the vascular orientation from an “endothelial cell to mural cell” layer and encountered penetration of FITC-Dextran. Co-cultured YKL-40 shRNA GSDCs with HMVECs induced the “vascular” permeability by 25% greater than that of the system containing HMVECs and control GSDCs (Supplemental Fig. 4C). To assess the role of VEGF in cell permeability, we treated both cells with an anti-VEGF antibody. Consistent with the results found in the single HMVEC system above, VEGF abrogation suppressed the permeability of HMVECs induced by YKL-40 shRNA GSDCs to the control level (Fig. 6C). Dual treatment with VE-cadherin and N-cadherin antibodies in HMVECs with either control GSDCs or YKL-40 shRNA GSDCs led to stronger increases in the permeability than that induced by YKL-40 shRNA GSDCs in the presence of mIgG (Fig. 6D), suggesting that combined activities of VE- and N-cadherin contribute predominantly to the vessel permeability. Collectively, all the data support the notion that YKL-40 controls vascular permeability by regulating VE-cadherin and N-cadherin function in endothelial cells and mural cells, respectively.
HMVEC-formed tubules are stabilized by GSDCs expressing YKL-40
In an attempt to assess if GSDCs indeed act as mural cells to stabilize endothelial cell vessels, we employed a tube formation assay on Matrigel by co-culturing both HMVECs and GSDCs. HMVECs pre-labeled with Calcein AM (green fluorescence) were mixed with either control or YKL-40 shRNA GSDCs pre-labeled with Calcein red (red fluorescence). Stability of tubules formed by HMVECs and GSDCs was monitored over a 64-hr time course. As shown in Fig. 7A, HMVECs co-cultured with control GSDCs maintained tubules longer than did HMVECs in the presence of YKL-40 shRNA GSDCs. The breakdowns and gaps in the tube network, indicated by arrows, were significantly less in HMVECs with control GSDCs at 24 hours and 40 hours than corresponding HMVECs co-cultured with YKL-40 shRNA GSDCs (Fig. 7A & 7B). HMVECs alone maintained their own tubules only between 24–36 hr (data not shown). To further validate the individual role of VE-cadherin and N-cadherin in vascular stability, we treated this co-culture system with a VE-cadherin or N-cadherin neutralizing antibody. When HMVECs co-cultured with control GSDCs were treated with either cadherin antibody, tubule stability was decreased to the level seen in the co-culture of HMVECs and YKL-40 shRNA GSDCs (Fig. 7C & Supplemental Fig. 5). As expected in the system of HMVECs and YKL-40 shRNA GSDCs, anti-VE-cadherin and N-cadherin antibodies were unable to influence the stability because of impaired activity of VE-cadherin and N-cadherin by YKL-40 gene knockdown. To determine a role of VEGF in the co-culture system, we treated HMVECs and control GSDCs with recombinant VEGF, and we found that the addition of VEGF to the YKL-40-expressing system developed more stabilized tubules than did control counterparts (Fig. 7C & Supplemental Fig. 5). The phenotype of elevated tubes is probably due to the synergistic cooperation of these two strong angiogenic factors for the tube generation and stabilization, as the vessel-destabilized property of VEGF may be notably minimized in the presence of YKL-40. An anti-VEGF antibody partially rescued the tube stability formed by HMVECs and YKL-40 shRNA cells that express a high level of VEGF. Failure of full tubule recovery in the presence of the anti-VEGF antibody is attributed to impaired N-cad function, even when VEGF is inhibited. Thus, these data suggest that the ability of GSDCs to stabilize endothelial cell-based vasculature is reliant on YKL-40 expression that regulates VEGF, VE- and N-cadherin activity. Altogether, in coordination with tumor vasculature found in vivo, the in vitro system identifying cell-cell contacts/adhesion, permeability, and stability of vascular wall cells have provided the critical mechanisms strengthening our conclusion that YKL-40 plays a central role in mural cell-mediated tumor angiogenesis via autocrine and paracrine loops.
Discussion
We previously demonstrated that YKL-40 can induce endothelial cell angiogenesis in tumors (36). Here, we have provided substantial evidence using brain tumor-derived mural-like cells to uncover a new angiogenic role of YKL-40 in tumor vascular permeability, stability, and activity characterized by the intimate interaction between endothelial cells and mural cells. This finding was also supported by the identical mural-like characteristics of brain tumor cells from different patients (data not shown). The reason for selecting such mesenchyme-derived mural cells is because a considerable subset of brain tumors (e.g. glioblastomas) express strong YKL-40 and demonstrate poorer prognosis with a mesenchymal phenotype and vigorous vascularization (37, 38). In addition, the vasculature of the central nervous system is typically covered with abundant mural cells in angiogenesis (6). Thus, the current study has advanced our knowledge about YKL-40 in both mesenchymal mural cell and vascular endothelial cell biology during tumor vascularization. Furthermore, understanding the regulation of the intercellular junctions that mediate the interaction between endothelial cells and mural cells, rather than focusing on endothelial cells alone, has offered additional mechanistic insights into the entity of the angiogenic process induced by YKL-40 in tumor microenvironment.
In physiological angiogenesis, bone marrow-derived progenitor cells or myofibroblastic precursors are appreciated as the primary mesenchymal origin capable of differentiating into mural cells that involve vessel maturation (41–43). However, in tumor angiogenesis, transplanted tumor cells expressing mesenchymal markers YKL-40, SMa, and vimentin were found to serve as a major component of mesenchymal mural cells. This is the first time in our knowledge to provide evidence indicating that tumor-derived mural-like cells may functionally substitute host-derived mesenchymal mural cells that are presumably deregulated in the scenario of highly vascular proliferation. Therefore, the evidence enhances our understanding of potential functional and genetic differences in different mural cell identities such as mesenchymal tumor-derived mural cells vs. host mesenchyme-differentiated mural cells. YKL-40 supports vessel stability and maintains vascular integrity mainly through activation of the N-cadherin/β-catenin/SMa and VE-cadherin/β-catenin/Actin pathway in mural-to-mural cell and endothelial-to-endothelial cell contacts, respectively. YKL-40 gene knockdown impaired these junctions, leading to vessel collapse and leakage, as a schematic model is illustrated in Fig 8. To further support this model, an additional study in vivo assaying vessel perfusion and oxygenation by injection of a hypoxia probe will be essential. By this approach, dysfunction of tumor perfusion and oxygenation ascribed to YKL-40 gene knockdown can be visualized. Thus, the characterization of tumor vascular development in vivo, in context with the present findings from vascular permeability and stability models using the co-culture systems, demonstrates that elevated YKL-40 mediates vascular mural cell coverage, stability, and angiogenesis; ultimately fostering tumor cell proliferation. These findings underscore a key role of YKL-40 in the establishment of tumor angiogenesis mediated by the coordination of mural cells with endothelial cells. Indeed, focusing on mural cell-mediated vessel coverage and stabilization has recently received significant attention in tumor neo-vascularization, the event that renders tumor cells evasive during the conventional anti-angiogenic therapy. For example, melanoma deficient of mural cells exhibited a leakier vascular phenotype and were more sensitive to an anti-VEGF drug Bevacizumab than the tumors that harbored mural cell-covered vessels (44), highlighting a protective role of mural cells in exposure to an anti-angiogenic drug. Whether or not YKL-40-stabilized vessels play the identical role in the drug resistance remains to be clarified, as it may hold therapeutic promise in patients who do not respond to angiogenesis-blocking agents.
VEGF, a strong permeability factor, stimulates angiogenesis and tumor growth through enhancing endothelial cell migration, proliferation, survival as well as vessel permeability or destabilization of endothelial-to-endothelial cell contacts (45, 46). VEGF-induced vessel permeability is associated with VE-cadherin tyrosine phosphorylation and degradation. VEGF binds its membrane tyrosine kinase receptor 2 (Flk-1) and induces Flk-1 tyrosine phosphorylation and activity that can activate VE-cadherin by Src-dependent tyrosine phosphorylation (47–49). Subsequently, the activated VE-cadherin disassociates from Flk-1 and β-catenin, and is internalized to the cytoplasm where it is degraded. Thus, VE-cadherin phosphorylation leads to the loss of cell-cell junctions and the increase in cell permeability (50–52). Our current studies have provided multiple relevant results supporting this mechanism. For example, stimulation of endothelial cells with VEGF reduced the association between VE-cadherin and β-catenin, and treatment with an anti-VEGF antibody in YKL-40 shRNA cells over-expressing VEGF facilitated the interaction of VE-cadherin with β-catenin. VE-cadherin blockade led to increased endothelial cell permeability, the effect identical to treatment of these cells with YKL-40 shRNA medium expressing high levels of VEGF. In addition, this VE-cadherin neutralization failed to enhance endothelial cell permeability induced by YKL-40 shRNA medium, suggesting that functional loss of VE-cadherin mediates VEGF-induced cell permeability. It is emerging that VEGF exhibits distinct impacts on endothelial cells and mural cells. Although we did not find effects of VEGF on GSDC permeability, there is evidence demonstrating inhibitory effects of VEGF on mural cell coverage of the vessels, thereby suppressing tumor development (20, 21). We also interestingly found that expression of β-catenin and SMa, in contrast to VEGF, was down-regulated in YKL-40 shRNA cells, suggesting that YKL-40 differentially regulates their expressions. Intracellular pathways mediating SMa and VEGF expression involve PI3K and/or MAPK signaling, as a PI3K inhibitor Wortmannin or MAPK inhibitor PD98059 blocked their expression in GSDCs (Supplemental Figure 6). This finding is consistent with our previous reports that PI3K-Akt and MAPK Erk-1 and Erk-2 mediate YKL-40 signaling in the regulation of angiogenesis and cell survival in U87 cells and GSDCs (37, 39–40). It is also interesting to interrogate if a membrane receptor specific for YKL-40 mediates the activation and expression of these molecules, as it is likely that the YKL-40 receptor interacts and coordinates with its adjacent cadherins to induce intracellular signaling pathways.
We utilized GSDCs derived from a glioblastoma patient and found this population participates in the vascular stability and permeability, functioning as mural cells. YKL-40 shRNA led to induction of VEGF, which seems to conflict with our previous findings in which YKL-40 up-regulates VEGF in glioblastoma cells U87, a commercially available tumor cell line (37). A number of possibilities might account for this discrepancy observed in the different studies. First, the heterogeneity of tumor could contribute to the difference of VEGF expression and its regulation by YKL-40, as glioblastomas contain several cell subpopulations such as astrocytes, neurons, and oligodendrocytes, in addition to other vascular cells and immune cells. Expression of VEGF is higher in U87 cells than that in GSDCs and another glioblastoma cell line SNB-75 (data not shown). Indeed, YKL-40 and VEGF expression vary in individual glioblastoma patients (37). Second, the elevation of VEGF in GSDCs expressing YKL-40 shRNA may represent a compensating effect in angiogenic responses during a chronic course of YKL-40 blockade, the event resembling the neutralization of VEGF in U87 cells that also increased YKL-40 expression (37). Neutralizing VEGF in YKL-40 shRNA GSDCs led to induction of VEGF expression, although the neutralized VEGF is not functional, supporting the compensating responses of the cells to their severely impaired angiogenic activities. Thus, those two vascular promoting factors coordinate and regulate each other to render tumors vascularized. Supporting this speculation, VEGF induced by YKL-40 in U87 cells stimulated endothelial cell tube formation, while in this study we primarily focused on VEGF in endothelial cell permeability, these different events cooperative for angiogenesis. In addition, adding VEGF to the co-culture system of YKL-40-expressing control GSDCs and HMVECs induced and stabilized vascular tubes (Fig. 7C). It is currently unknown which factor expressed differentially by U87 and GSDCs plays a key role in the regulation of VEGF that divergently induces angiogenesis through the different cells. HIF-1α is not a core factor to contribute to the differential expression of VEGF in both cells (data not shown). Finally, even though it is currently unknown if U87 cells also mediate vascular stability via VEGF expression controlled by YKL-40, it is conceivable that multiple molecular mechanisms are involved in YKL-40-induced vascular stability and integrity, not limited to VEGF only. In the present study, we found that vascular stability contributed by GSDCs is dependent on N-cadherin, in contrast to endothelial cell-mediated permeability that depends on activation of VEGF-VE-cad. Therefore, the regulation between YKL-40 and VEGF in tumor vascularization relies on the function of individual cell populations that orchestrate tumor mass, vascular endothelium, and/or mural cell (vessel supporting) network.
Recent pre-clinical and clinical trials have established a therapeutic paradigm complementary to the conventional vessel-blocking regimen, in which normalization of tumor vascular abnormalities impedes tumor development (15). Depletion of mural cells in animal tumor models led to diminished blood vessels, increased tumor hypoxia, and restrained tumor growth (16). PDGF over-expression in patients was found to be associated with metastasis (53) and PDGF blockade that impairs mural cell recruitment was reported to improve drug delivery and chemotherapy (54, 55). It is also noteworthy that delivery of drugs targeting both endothelial cells (e.g. VEGFR inhibitor) and mural cells (e.g. PDGFRβ inhibitor) was more effective than individual anti-angiogenic drugs, because destabilizing vessels by inhibition of mural cell function rendered endothelial cells more susceptible to endothelial cell blockers (56, 57). Despite these promising data, conflicting evidence was also documented from several animal settings and clinical trials. For instance, deletion of mural cells promotes metastasis probably due to lack of a barrier preventing tumor cells from dissemination into the circulation system (58). Analogous with these findings, decreased mural cell coverage around vessels in patients is correlated with cancer metastasis (59). Although the molecular mechanisms underlying these distinct outcomes remain to be deciphered, the data suggest that multiple regulatory pathways be involved in the formation of tumor vascular network that demonstrates spatial-temporal deregulation of the interaction between endothelial cells and mural cells. Therefore, in the evaluation of drug delivery and therapy, several important factors mediating vascular maturation and normalization should be taken into account, such as vessel coverage, permeability and stability, interstitial fluid pressure, oxygen delivery, and local blood perfusion. Nevertheless, our current findings on YKL-40 in tumor angiogenesis characterized by coupling of mural cells to endothelial cells have demonstrated a potential therapeutic target in treatment of cancer patients that produce high levels of YKL-40.
Materials and Methods
Cell Culture
GSDCs established previously were grown in DMEM supplemented with 10% FBS and penicillin/streptomycin (39). HMVECs were grown in EBM-2 (Lonza, Allendale, NJ) supplemented with 5 μg/ml hydrocortisone, 10 ng/ml hEGF, 10% FBS, and penicillin/streptomycin.
YKL-40 Gene knockdown
DNA oligos (19 bp) specifically targeting N-terminal (siRNA 1) or C-terminal (siRNA 2) region of YKL-40, were selected and then templates (64 oligo nucleotides) containing these oligos were subcloned into a retroviral pSUPER-puro-vector (OligoEngine, Seattle, WA) (40). 293T retroviral packaging cells were transfected with pSUPER siRNA constructs in the presence of pCL 10A1 vector using Fugene 6 (Roche, Indianapolis, IN). Forty-eight hours after transfection, the supernatant was harvested and filtered through 0.45-μm pore size filter and then the viral medium was used to infect targeted cells. Selection with 1 μg/ml of puromycin was started 48 hr after infection and the puromycin-resistant cell populations were used for subsequent studies.
Immunoprecipitation and immunoblotting
Cell lysate samples were processed as described previously (60). Samples were subjected to running SDS-PAGE and PVDF membranes were incubated with one of a series of primary antibodies against N-cadherin, VE-cadherin (Invitrogen, Carlsbad, CA), β-catenin (Santa Cruz Biotechnology, Santa Cruz, CA), YKL-40 (our lab), VEGF (Sigma, St. Louis, MO), SMa (Abcam, Cambridge, MA), and actin (Sigma). Membranes were then incubated with goat anti-mouse or anti-rabbit secondary antibodies (Jackson Lab, Bar Harbor, Maine). Specific signals were detected by enhanced chemiluminescence (VWR, Rockford, IL). For immunoprecipitation, cell lysates were incubated with either an anti-VE-cadherin, N-cadherin, or β-catenin antibody at 4°C overnight followed by incubation with protein G Sepharose 4 Fast Flow beads at 4°C for 4 hr. The immunocomplex was extensively washed and the samples were run for immunoblotting as described earlier.
RT-PCR
Total RNA from cells was extracted with Tri-reagent (Molecular Research Inc, Cincinnati, OH). RNA concentration and purity were determined spectrophotometrically (A260/280). cDNAs with poly A tails were subsequently synthesized through a reverse transcriptional reaction in the presence of 15-oligo (dT) (Promega, Madison, WI). A fragment of VEGF and GAPDH DNA was synthesized by a polymerase chain reaction with sense primer 5'-CTTTCTGCTGTCTTGGGTGC-3' and antisense primer 5'-GTGCTGTAGGAAGCTCATCTCTCC-3', and sense primer 5'- ATGGGGAAGGTGAAGGTCGGA-3' and antisense primer 5'-CTCCTTGGAGGCCATGT-3', respectively.
MTS Assay
Cellular proliferation was measured using Cell Titer 96 Aqueous Nonradioactive Cell Proliferation Assay Kit (Promega, Madison, WI) per the manufacturer's instructions. Briefly, GSDCs (2×103 cells) were plated onto a 96 well plate and allowed to grow overnight. The next day, the MTS reagent was added to the cells and incubated at 37° C for 1 hour. The plate was read at 490 nm absorbance to determine cell proliferation.
Cell permeability
HMVECs or GSDCs (2 × 105cells) were loaded onto 0.4-μm 24-transwells pre-coated with 100 μg/ml collagen IV overnight. For cell co-culture, GSDCs (1 × 105cells) were loaded for 2 hr prior to HMVECs (1 × 105cells). 24 hr later, Dextran conjugated with FITC (0.4 mg/ml, Invitrogen) was added on the top of the wells for 4 hr. At various time points, an aliquot from the bottom of the wells was measured for absorbance at 485 μm.
Immunocytochemistry
The method was described previously (61). Briefly, cells were grown to sub-confluence and fixed with 4% paraformaldehyde for 5 min. After permeabilization with Triton 100X, the cells were incubated with an anti-N-cadherin or VE-cadherin monoclonal antibody (1:100, Invitrogen) at 4°C overnight followed by incubation with a secondary anti-mouse or rabbit Alexa Fluor 488 or Alxa Fluor 555 antibody (1:1000, Invitrogen) for 2 hr. Cell nuclei were stained with DAPI. For dual staining, after incubation of the first antibody, the samples were then incubated with a polyclonal anti-β-catenin (1:100, Santa Cruz) or SMa antibody (1:100, Abcam) as described earlier. Positive staining in a single cell was defined based on each cell recognized by nuclear staining of DAPI. The positive signal from a viewed field was quantified with software ImageJ and then normalized with total cell numbers positive for DAPI. In some of dual-cell culture staining analyses, in addition to nuclear DAPI counted for cell number, a specific cell marker (e.g. VE-cad for endothelial cells) was also used to distinguish marker-positive cells from marker-negative cells. Images were analyzed using a Nikon TE2000U inverted fluorescent microscope.
Tube formation
HMVECs (2 × 104cells) were transferred onto 96-well Matrigel (BD Bioscience, San Jose, CA). After 16 hours of incubation, tube-forming structures were analyzed. Images were analyzed with an inverted microscope. Averages of tubules were calculated from three fields in each sample. For the vascular stability assay, HMVECs (2 × 104cells) and GSDCs (2 × 103cells) pre-labeled with Calcein AM and Calcein Red (5 μg/ml, Invitrogen), respectively, were mixed and loaded onto 96-well Matrigel over 64 hours. Tubules with fluorescence were imaged and quantified at various time points.
Cell aggregation
GSDCs or HMVECs (2×106) were re-suspended in 1 mL of serum-free media containing 1mM CaCl2 and transferred to a 2-mL Eppendorf tube. The tube was placed in a shaker at 90 rpm at 37°C for 1 hour. Finally, cells were transferred to a cell culture dish for phase contrast imaging of cell aggregation. Aggregates were counted as colonies of 10 cells or more.
Scratch wound migration
GSDCs were plated at 95% confluency on a 24-well plate and allowed to grow overnight. A sterile 200 μL tip was then used to make a scratch through the middle of the well. The wells were washed gently twice with PBS to remove floating cells. Images were taken at time points 0 and 24 hr and the number of cells that migrated into the scratch was quantified.
Tumor xenografts in mice
All animal experiments were performed under the approval of Institutional Animal Care and Use Committee of the University of Massachusetts. GSDCs expressing control vector or YKL-40 shRNA (1.5 × 105) cells in 0.2 ml of PBS were injected into right striatum of SCID/Beige mice. Mice were sacrificed when mice displayed decreased locomotion.
Immunohistochemistry and immunofluorescence
Paraffin-embedded or frozen tumor tissue were cut to 6 μm thickness and processed for immunohistochemical analysis. In brief, samples were incubated with 3% H2O2 for 30 min to block endogenous peroxidase activity, followed by incubation with blocking buffer containing 10% goat serum for 1 hr. The samples then were incubated at room temperature for 2 hr with a rabbit polyclonal anti-Ki67 antibody (1:100, Invitrogen). A goat anti-rabbit secondary antibody (1: 100, Dako Inc, Carpinteria, CA) conjugated to HRP was added for one hr. Finally, DAB substrate (Dako Inc) was introduced for several minutes and after washing, methyl green was used for counterstaining. For a single and dual immunofluorescent staining, tumor specimens were incubated with a rat anti-CD31 (1: 50, BD Pharmingen, San Diego, CA) antibody for 2 hr followed by incubation with a goat anti-rat Alexa Fluor 555 secondary antibody (1: 250) for 1 hr. Then the samples were similarly incubated with a mouse anti-SMa (1:500, Dako Inc) or rabbit anti-fibrinogen antibody (1: 100, Dako Inc) followed by incubation with a goat anti-mouse or rabbit Alexa Fluor 488 antibody (1: 250) for 1 hr. Finally, DAPI was added to stain nucleus. NIH ImageJ software was used to quantify vessel density in the single staining of CD31, individual density of SMa, CD31, and fibrinogen in dual staining.
Statistics
Data are expressed as mean ± SE and n refers to the numbers of individual experiments performed. Differences among groups were determined using one-way ANOVA analysis followed by the Newman-Keuls test. The 0.05 level of probability was used as the criterion of significance.
Supplementary Material
Acknowledgments
This work was supported by NCI R01 CA120659 and CEAR grant, John Adams Innovation Institute, Massachusetts (RS).
Abbreviation
- YKL-40
human cartilage glycoprotein-39 or Chitinase-3-like-1
- N-cadherin
neural cadherin
- VE-cadherin
vascular endothelial cadherin
- VEGF
vascular endothelial growth factor
- shRNA
short-hairpin RNA gene knockdown
Footnotes
Conflict of interest: The authors declare no conflict of interest.
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