Abstract
Background: Mechanotransduction (MTD) is an important physiopathological signalling pathway associated with cardiovascular disease such as hypertension. Phosphorylation of focal adhesion kinase (FAK) is a MTD-sensing protein. This study tested the hypothesis that mTOR-FAK MTD signaling axis was crucial for focal adhesion (FA) maturation and cell proliferation. Methods: Shock-wave was adopted as a tool for MTD and mTOR-FAK signaling. Results: After demonstrating a failure in FAK phosphorylation after microfilament depolymerization, we attempted to identify the upstream regulator out of three kinases known to be activated in pressure-stimulated MTD [i.e., GSK-3β, Akt, and mTORC1 (mammalian target of rapamycin complex 1)]. Of the three specific inhibitors, only rapamycin, an inhibitor of mTORC1, was found to inhibit FAK phosphorylation, suggesting that mTORC1 is the upstream regulator in shock-wave-elicited FAK phosphorylation. Moreover, mTOR and its readout protein S6K were found to be activated by shock-wave stimulation. On the other hand, microscopic examination revealed not only MTD-induced increase in the number of actin stress fibers, but also alternative subcellular localization of mTORC1 as vesicle-like inclusions on microfilaments. Besides, rapamycin was found to destruct the granular pattern of mTORC1, while dissociation between F-actin and mTORC1 was noted after cytochalasin D administration. Since mTORC1 and FAK are essential for cell proliferation, we performed proliferation assay for mesenchymal stem cell (MSC) with and without shock-wave administration/rapamycin treatment/FAK depletion. The results demonstrated significant enhancement of cell proliferation after shock-wave stimulation but remarkable suppression after rapamycin and siFAK treatment. Conclusion: Our findings suggest not only a co-ordinated regulation of FAK phosphorylation by mTORC1 and microfilaments, but also the participation of mTORC1-FAK signalling in MSC proliferation.
Keywords: Focal adhesion kinase, shock wave, mammalian target of rapamycin complex 1, cell proliferation
Introduction
Mechanotransduction (MTD) is an important physiological and pathological signalling pathway associated with tissue morphogenesis, and cardiovascular disease such as hypertension [1,2]. When a mechanical force imposes on a cell, it passes to inside of the cell and is converted to biochemical signals [3,4]. Such force stimulation activates mechanosensitive proteins to re-organize cytoskeleton structure and program gene expressions [3,5-7]. Additionally, cytoskeleton-associated proteins are inevitably required in the regulation of cytoskeletal biological activities [8-10]. Eventually, the mechanical stimuli are extrinsically or intrinsically transformed to cellular processes, such as focal adhesion (FA), cytoskeleton remodelling, force-associated activation of ion channels, cell locomotion and peoliferation, and gene expressions [8,11-13]. The focal adhesion kinase (FAK) in FA complex is a cytoskeleton-associated protein responsible for transducing mechanical stimulations to biochemical processes [14-16]. In response to mechanical stimulation imposed on FA, FAK is phosphorylated [9,17]. After phosphorylation of FAK at Y576 and Y577 (p-FAK) in its catalytic loop 27, this active form of FAK is able to catalyze its substrates [18-20]. In cellular MTD pathway, FAK is one of the pivotal molecules involved in FA complex dynamics that is crucial for modulating cytoskeletal reorganization, regulating cell migration, managing intracellular trafficking, and programing cell proliferation [18,21-23].
To date, there is no available device that provides well-controlled condition to simulate pressure-induced mechanical force for triggering cellular MTD. It has been reported that shock-wave (SW) stimulation activates cellular MTD through transient pressure [24]. Physically, SW is an acoustic wave that can penetrate and travel through soft tissues [25]. Theoretically, SW creates hydrodynamic pressure through its cavitating effect on aqueous medium [24]. This hydrodynamic pressure creates stress on cells and initiates a cellular MTD process [26-28]. It has been reported that SW-elicited MTD is connected to the suppression of inflammation, activation of cell proliferation, and induction of angiogenesis [29-31]. In this study, SW was used as a device to mimic physiological pressure on cells as an in vitro model for studying MTD-elicited subcellular and biochemical changes. Although Akt, mTOR, and GSK-3β have been reported to be phosphorylated in response to hypertension in clinical cases and in vivo studies [32-38], such as elevated blood pressure on the vascular wall in hypertension [36,39,40], the relationships among Akt, mTOR, GSK-3β, and FAK in MTD remain unclear. Additionally, kinases are known to be upregulated in hypertension and proposed as disease markers [41,42]. Accordingly, pharmacological blocking was adopted in the present study to screen for the upstream kinase(s) responsible for SW-induced FAK activation. The results were reflected in the ratio of p-FAK/FAK after blockade of a specific kinase.
Materials and methods
Shock-wave treatment
In this study, the SW machine was designed and produced by Eva trode (Swiss), and the type of SW probe applied in SW treatment was RE005 with energy flux density (EFD) range from 0.10 to 0.15 mJ/mm2. The SW traveled through a plastic cover and 2 cm PBS layer to the cells layer. Each treatment comprised 100 impulses. Prior to the SW treatment, 5×105 cells were seeded on 100 mm Petri dish or 104 cells were seeded on 18 mm diameter round coverslip in a 12-well plate and allowed to grow for 48 hours. Twelve hours after SW treatment, the cells were harvested and cell lysates were subjected to either Western blot analysis or immunofluorescent staining.
Immunofluorescent staining and immunofluorescent microscopic imagination
The Olympus Bx-51 epifluorescence microscope (Olympus, Kyoto, Japan) equipped with X-Cite 120PC microscope laminators (Excelitas Technologies, Wiesbaden, Germany), and dual DP70 digital camera (Olympus, Kyoto, Japan) was used to observe and capture fluorescent signals. The cells were seeded on 18 mm coverslip in 12 well culture plate. Examining SW caused cell damage, the cells on coverslip subjected to shockwave treatment were immediately fixed in 4% paraformylaldehyde in CSK buffer (10 mM Pipes, 100 mM NaCl, 3 mM MgCl2, 1 mM EGTA, 300 mM sucrose, pH 6.8) for 10 minutes, and permeabilized in 0.5% Triton in CSK buffer for 5 minutes. Investigating FAK associated signaling, the cells were fixed after 12 h SW application. The antibodies used were as follows: β-tubulin (1:500, Abcam), FAK (1:500, Santa Cruz Biotechnology), p-FAK (p-FAK-Y576/577) (1:300, Cell signaling), mTORC1 (1:300, Cell Signaling), p-mTORC1 (Ser2448) (1:200, Cell Signaling), α-actinin (1:500, Santa Cruz Biotechnology), Paxillin (1:500, Santa Cruz Biotechnology), and p-Paxilllin (1:300, Santa Cruz Biotechnology). Additional reagents used were TRITC/FITC phalloidin (1:1000; Sigma-Aldrich), and DAPI (1:500, Sigma-Aldrich). Cells nuclei were stained with 0.2 μg/mL 4’,6-diamidino-2-phenylindole (DAPI; Sigma).
The p-FAK-Y576/Y577 stained focal adhesion size quantification
The MSC were fixed with 4% PFA and 0.5% Triton x-100 for 20 minutes, and immunofluoresently stained with antibody against p-FAK-Y576/Y577 epitose and TRITC conjugated phalloidin to defined focal adhesion at tip of actin stress fibers. Cells were imagined with Olympus Planapo 60x/1.40 ∞/0.17 Oil Microscope Objective (Olympus, Kyoto, Japan) and pictures were captured with an automated microscope stage and digital image acquisition driven by custom program cellSens software (Olympus, Japan). The areas of p-FAK-Y576/Y577 stained focal adhesion was marked by free-had-polygon a mask with the p-FAK antibody signal tagged with Alexa 488 at tip of TRITC-phalloidin stained F-actin stress fibers and high-resolution digital images analyzed by the cellSens Digital imaging software (Olympus, Japan).
FAK knockdown
FAK protein depletion in MSC was performed with the oligonucleotide transfection. The oligonucleotides were designed (5’-UCUCCAUGCCUGAUAAUACUGGCCCdtdt-3’, and 5’-GGGCCAGUAUUAUCAGGCAUGGAGAdtdt-3’) matched to rat FAK mRNA (Sigma). 2×105 cells were cultured in 35 mm Petri dish for 24 hours before transfection. For the FAK knockdown, the oligonucleotides transfection into MSC was carried out with liposfetamin transfection according to the manufacture’s manual (Invitrogen). As controls, oligonucleotides with a similar length but irrelevant sequence purchased from sigma. For the negative control siRNA, the non-Targeting siRNA, contains at least four mismatches to any human, mouse, or rat gene, was previously determined by the manufacture using Microarray. This scrambled sequence is 5’UAAGGCUAUGAAGAGAUAC-3’ (Sigma). At post-transfection 48 h, 72 h, 96 h, the cells were harvested and cells lysates were subjected to Western analysis, respectively.
Statistical analyses
Quantitative data are expressed as means ± SD. Statistical analyses were performed by ANOVA, followed by Bonferroni multiple-comparison post hoc test. SAS statistical software for Windows version 8.2 (SAS institute, Cary, NC) was utilized. A P value of less than 0.05 was considered statistically significant.
Results
Effects of SW energy flux density (EFD) of 0.12 mJ/mm2 on FAK phosphorylation at Y576/Y577
Adipose-derived MSC isolated from the adipose tissue surrounding the epididymis of adult male Sprague-Dawley (SD) rats were cultured in low-glucose DMEM medium to metabolically exclude adipocytes and fibroblasts from mesenchymal stem cell (MSC) population (Supplementary Figure 1). Besides, the phenotype of MSC population was confirmed by the positivity of CD29, CD90, and CD105 and negativity of CD34 and CD45 through flow cytometric analysis to exclude hematopoietic cell contamination (Supplementary Figure 1).
Prior to SW treatment, the cells were seeded on a 100 mm Petri dish or 18 mm diameter coverslip for 48 hours to avoid SW-elicited detachment of cells from the Petri dish. The application of SW on adherent MSC is depicted schematically in Supplementary Figure 1. The SW travels through PBS layer to reach the MSC (Supplementary Figure 1).
Firstly, to determine the optimal energy flux density (EFD) of SW for maximizing FAK phosphorylation at Y576 and Y577, EFD starting from 0.10 mJ/mm2 with progressive increment of 0.01 mJ/mm2 to 0.15 mJ/mm2 were applied to MSC growing on 100 mm Petri dish (Supplementary Figure 1). Twelve hours after SW treatment, the cells were harvested and the cell lysate was subjected to Western blotting analysis. The Western blot data from six independent experiments were statistically analyzed to obtain a stoichiometric ratio of phosphorylated FAK to non-phosphorylated FAK (i.e., p-FAK/FAK ratio) (Figure 1A) that was found to be slightly increased on elevating EFD from 0.10 to 0.12 mJ/mm2. Statistical analysis demonstrated a p-FAK/FAK ratio close to 0.7 in 0.12 mJ/mm2 SW treated cells, whereas the ratio was approximately 0.25 and 0.40 for 0-0.11 mJ/mm2 and 0.13-0.15 mJ/mm2, respectively. The results demonstrate that FAK phosphorylation is not energy-dependent (Figure 1B), suggesting that SW of EFD 0.12 mJ/mm2 is optimal for maximizing FAK phosphorylation in MSC.
Figure 1.
Verification of optimal shock-wave dosage for FAK phosphorylation (p-FAK) in rat mesenchymal stem cells (MSC). A. Identification of an optimal energy flux density (EFD) of 0.12 mJ/mm2 for p-FAK through Western blot analysis. B. Statistical analysis, showing maximal p-FAK/FAK at a shock-wave EFD of 0.12 mJ/mm2. *P<0.01 vs. other groups.
Changes in the ratio of p-FAK/FAK in MSC at different time points following SW stimulation at an EFD of 0.12 mJ/mm2 were relatively quantified by Western blot (Figure 2A). While the p-FAK/FAK ratio in MSC without SW treatment was below 0.2, the ratio was slightly increased to 0.5 from 0 h to 6 h following SW treatment. The ratio then showed a steep elevation between post- SW 6 h and 9 h from 0.6 to 1.0 and persistently increased till post-SW 12 h when the highest ratio 1.2 was reached. On the other hand, the ratio dropped drastically to 0.6 fifteen hours after cessation of SW stimulation till the end of 24 hours after initial SW administration (Figure 2B).
Figure 2.
Identification of the optimal duration of shock-wave stimulation for maximal P-FAK in rat MSC with an EFD of 0.12 mJ/mm2. A. Ratio of phosphorylated FAK (p-FAK) to FAK highest at post-shock-wave 9 h and 12 h. B. Statistical analysis on the ratio of p-FAK to FAK showing a quasi-parabolic change with peak value noted at 12 h after shock-wave treatment.
SW induces FAK translocation to focal adhesions
To trace alternative subcellular localization of FAK after 12 h post SW stimulation, antibodies recognizing FAK as well as phosphorylated Y576 and Y577 in FAK were applied in fluorescent imaging study (Figure 3A). The results demonstrated immunofluorescent staining (i.e., FAK phosphorylation) at the tips of actin stress fibers which are the positions of focal adhesions following SW administration with the optimal EFD of 0.12 mJ/mm2 (Figure 3A).
Figure 3.
Immunofluorescent microscopic identification of focal adhesion (FA) complex in rat MSC following treatment with shock-wave (SW) of different energies. A. Staining with antibodies against phosphorylated FAK (p-FAK) (green) and phalloidin for F-actin (red), illustrating progressive increase in p-FAK translocation to cell membrane as SW energy increased from an EFD of 0 to 0.12 mJ/mm2, but substantial reduction noted after treatment with energy of 0.14 mJ/mm2. B. Magnification of FA shown at the corner of each figure. Enlargement of paxilin representing FA remodelling after SW treatment. Paxillin phosporylation at tyrosine 31 in focal contact after 0.12 mJ/mm2 shock wave application. C. The presence of the p-paxillin in FA colocalizes with α-actinin. Translocation of α-actinin from stress fibers (Control) to FA after SW treatment, indicating adhesion maturation. D. SW-enriched p-FAK presentation in FA complex compared to barely identifiable p-FAK in the controls. E. Co-localization of α-actinin and p-FAK in merged image after SW treatment, suggesting the formation of complex from the two proteins. F. Quantification of FA areas with p-FAK following stimulation with different SW energies. *P<0.0001 vs. 0 mJ/mm2; †P<0.0001 vs. 0.1 mJ/mm2; ‡P<0.0001 vs. 0.14 mJ/mm2. G. Quantification of FA areas with p-Paxillin following stimulation with SW at an EFD of 0.12 mJ/mm2. *P<0.0001 vs. 0 mJ/mm2. Scale bars represent 20 µm.
Plotting the average p-FAK-based focal adhesion size against SW energy of 0, 0.10, 0.12, and 0.14 mJ/mm2 demonstrated a mean area of approximately 0.5, 0.5, 4 μm2, and 1 μm2, respectively (Figure 3F). The results are consistent with those from Western blotting that also identified an EFD of 0.12 mJ/mm2 as the optimal energy level for inducing the maximal p-FAK/FAK ratio of 0.7 and also the largest mean p-FAK-based focal adhesion size of 4 μm2 (Figures 1A, 3A, 3F).
SW enhanced tyrosine 31 phosphorylation of paxillin
To corroborate enzymatic function of FAK in phosphorylating paxillin at focal adhesions, Western blot and immunostaining with antibody specifically recognizing p-Y31 paxillin were carried out with or without SW stimulation. The results showed that, although there was no significant change in paxillin expression (Figure 3B), phosphorylation of paxillin was notably increased from 0.5 μm2 to 5 μm2 after SW stimulation (Figure 3C, 3G). Consistent elevation in p-paxillin expression was noted in Western blotting after SW stimulation at an EFD of 0.12 mJ/mm2 (Figure 6E).
Figure 6.
Role of mTORC1 and F-actin in p-FAK in rat MSC. A. Inhibition of GSK-3β, Akt, and mTORC1with lithium chloride, LY294002, and rapamycin, respectively, in rat MSC before SW stimulation (0.12 mJ/mm2). Note the remarkable interruption of p-FAK after rapamycin pretreatment and substantial enhancement of p-FAK expression after SW stimulation. B. Progressive elevation in phosphorylation at S2448 of mTOR (p-mTOR) on increasing EFD of shock-wave from 0 to 0.14 mJ/mm2. Similar elevations noted in phosphorylation of S6K at T389 (mTOR activation readout protein) on increasing SW energy. Significantly enhanced FAK phosphorylation only after SW stimulation at an energy level of 0.12 mJ/mm2. C. Quantification of protein expression of p-mTOR on increasing SW energy. D. Quantification of protein expression of phosphorylated p70 ribosomal S6 kinase (p-S6K) on increasing SW energy from results of western blotting. *P<0.05 vs. SW energy 0 mJ/mm2. E. Demonstration of p-FAK and its substrate, paxillin, by SW stimulation at different energy levels which was abolished after rapamycin treatment. Note highest p-FAK and p-paxillin levels after SW stimulation at an EFD of 0.12 mJ/mm2.
SW induces focal adhesion maturation and α-actinin redistribution to focal adhesions
To confirm SW-activated focal adhesion maturation, antibodies against p-FAK, p-paxillin, and α-actinin were employed in immunostaining that demonstrated colocalization of p-paxillin and α-actinin (Figure 3D) and that of p-FAK and α-actinin (Figure 3E) at focal adhesions after SW stimulation at an EFD of 0.12 mJ/mm2.
SW of EFD higher than 0.12 mJ/mm2 causes cytoskeletal damage
To investigate the phenomenon from a morphological point of view, we found that while cell morphology is mostly preserved on Nomaski contrast interference microscopy when MSC are subjected to SW stimulation of EFD 0.12 mJ/mm2, cell deformity becomes evident following SW administration of EFD over 0.13 mJ/mm2 and remarkable deformation is noted (e.g. cellular round-up) after application of SW of EFD 0.14 mJ/mm2 (Figure 4A).
Figure 4.
Examination of SW-induced damage in rat MSC. A. Nomarski microscopy examination showing absence of cellular structural damage following SW treatment with an EFD of 0.12 mJ/mm2. Cellular damage evident after treatment with SW of EFD 0.15 mJ/mm2, as reflected in nuclear round-up, nuclear shrinkage and conspicuous rounding up of the treated cells, respectively. B. Immunofluorescent staining with TRITC-conjugated phalloidin and anti-β-tubulin for staining of F-actin (red) and microtubule green), respectively, showing absence of notable changes in cytoskeleton after SW treatment of EFD up to 0.12 mJ/mm2. Marked cytoskeletal damage presenting as debris of filamentous actin and mircotubules (i.e., fluorescent granules) peripherally distributed because of their attachment to cell membrane after SW treatment with an EFD of 0.14 mJ/mm2. C. Analytical results of the number of cell damage, P<0.0001 on ANOVA analysis. Scale bars represent 20 µm.
When the force of SW is over the mechanical strength of cytoskeletons (i.e., EFD = 0.13 mJ/mm2), distorted cytoskeletal structure with altered cell shape is noted (Figure 4B). When SW of EFD 0.10 mJ/mm2 was applied on the cells, the microtubules lost its astral organization (Figure 4B). Severe cytoskeletal destruction in MSC became apparent when SW of EFD 0.14 mJ/mm2 or higher was imposed on the cells. The results, therefore, suggest that the mechanical strength of microfilaments and microtubules can withstand a SW of EFD approximately 0.12 mJ/mm2.
When SW of EFD 0.13 mJ/mm2 was applied to the MSC, shrinkage of cells from destruction of peripheral microfilaments and microtubules was evident on phase contrast microscopy (Figure 4B). On immunofluorescent examination, damaged microfilaments presented as phalloidin-positive F-actin debris in the peripheral region of the cells, instead of depolymerized G-actin that cannot be stained by phalloidin (Figure 4B). When SW of intensity over 0.12 mJ/mm2 was applied (i.e., 0.13 mJ/mm2), there was a substantial increase in the number of damaged cells which was as high as 50% after treatment with SW of EFD 0.15 mJ/mm2 (Figure 4C).
Microfilaments, but not microtubules, play an important role in FAK activation
To elucidate the two possible causes that hamper FAK phosphorylation, namely, depolymerization of microfilament and/or microtubules, chemical depolymerization was performed by pre-treating MSC with cytochalasin D (i.e., an actin-depolymerizing factor) and colchicine (i.e., a microtubule-perturbing agent) for 2 hours before treatment with SW of EFD 0.12 mJ/mm2. Western blot analysis on the p-FAK/FAK ratio showed that, while the administration of colchicine did not interrupt FAK phosphorylation, pre-treatment with cytochalasin D substantially diminished FAK phosphorylation (P<0.05) (Figure 5A, 5B). This finding, therefore, highlights the important role of microfilaments, but not microtubules, in SW-induced MTD for FAK phosphorylation (Figure 5B). Consistently, immunofluorescent study on phosphorylated FAK showed that pre-treatment with colchicine has no significant impact both on FAK phosphorylation level and FAK translocation at focal adhesion compared with the positive controls (Figure 5C). Statistical analysis of focal adhesion areas with cytochalasin D and colchicine pretreatment before SW stimulation showed highly significant reduction in the former but substantial elevation in the latter (Figure 5D).
Figure 5.
Effects of microfilament and microtubule depolymerization on p-FAK in rat MSC. A. Western blot analysis of p-FAK of rat MSC after pretreatment with either cytochalasin D (CD) or colchicine (Col) for 2 hours before treatment with SW of energy 0.12 mJ/mm2, showing substantial enhancement of P-FAK after SW stimulation but remarkably interrupted after CD pretreatment. B. Statistical analysis on the ratio of p-FAK to FAK demonstrating consistent results. With respect to SW: *P = 0.0195 vs. 0 mJ/mm2; †P = 0.0228 vs. CD; ‡P<0.05 vs. Col; §P = 0.024 vs. SW + CD; P = 0.06 vs. SW + Col. C. Immunofluorescent microscopic examination of plasma membrane translocation of p-FAK (green) to tip of F-actin (red) with either CD or Col pretreatment before SW stimulation, highlighting (small squares) the enhancement of P-FAK after SW treatment but inhibited by CD pretreatment. Inhibition not noted after Col pretreatment. D. Statistical analysis of FA areas with either CD or Col pretreatment before SW stimulation. With respect to SW: *P<0.0001 vs. 0 mJ/mm2; †P<0.0001 vs. 0.1 mJ/mm2; ‡P<0.0001 vs. 0.14 mJ/mm2.
mTORC1 is an upstream kinase regulating FAK phosphorylation after SW triggered MTD
We test the hypotheses that (1) SW creates a hydrodynamic effect on MSC equivalent to that of blood pressure on cardiomyocytes, thereby activating GSK-3β, Akt, and mTORC1, and (2) GSK-3β, Akt, and mTORC1 are upstream kinases governing FAK Y576/Y577 phosphorylation. After pre-treatment of MSC with lithium chloride (GSK-3β inhibitor), LY294002 (PI3K-Akt signaling inhibitor), or rapamycin (mTORC1 inhibitor) for 12 hours, 2 hours, 12 hours, respectively, before delivery of SW of EFD 0.12 mJ/mm2, Western blot analysis showed that rapamycin treatment effectively abolishes FAK phosphorylation, while lithium chloride treatment partially reduces and LY294002 administration has no notable effect on FAK phosphorylation following SW stimulation. The results, therefore, indicate that mTORC1, but not GSK-3β or Akt, is an upstream kinase for SW-elicited FAK phosphorylation (Figure 6A).
SW induces mTORC1 phosphorylation as reflected in S6K phosphorylation
After SW application, the MSC were harvested at 12 h post- SW and the cells lysate was subjected to polyacrylamide gradient gel electrophoresis for Western blot analysis. The Western blots from three independent experiments were statistically analyzed to compare the stoichiometric ratio of phosphorylated mTORC1 to non-phosphorylated mTORC1 (Figure 6B, 6C). To further confirm the involvement of mTORC1 signalling, the mTORC1 activation readout protein S6K was also examined by Western blot analysis (Figure 6B, 6D). The results showed that, unlike the SW-induced FAK phosplorylation that peaks at 0.12 mJ/mm2, the p-mTORC1/mTORC1 ratio progressively increases on applying SW of increasing energies from 0 to 0.15 mJ/mm2 to MSC despite the above finding of microfilamentous and microtubular destruction when subjected to SW of EFD over 0.13 mJ/mm2. The result implies that mTORC1 phosphorylation is not affected by structural integrity of microfilaments or microtubules.
Rapamycin abolishes SW-induced FAK activation and subsequent paxillin phosphorylation
To confirm the role of mTOR in regulating FAK phosphorylation, prior to SW application, the MSC were treated with or without rapamycin. SW of EFD ranging from 0.1 to 0.15 mJ/mm2 was applied to MSC that were harvested 12 hours later for Western blot analysis. The results were consistent with those from former experiments that SW of energy 0.12 mJ/mm2 induced maximal FAK phosphorylation and kinase activity but the capacity was abolished after rapamycin treatment (Figure 6E). To examine the enzymatic activity of p-FAK, the Western blotted membranes were probed with antibody against p-Y31 paxillin. Similarly, paxillin was found to be phosphorylated at tyrosine 31 in MSC treated with SW of energy 0.12 mJ/mm2, but phosphorylation of FAK is abrogated in the rapamycin-pretreated MSC. This result indicates that paxillin phosphorylation is dependent on the SW-activated catalytic function of mTOR and FAK (Figure 6E).
Co-ordinated regulation of FAK activation by mTORC1 and microfilaments
Immunofluorescent staining showed that mTOR was distributed in a punctuated pattern dispersed in the cytoplasm without SW treatment (Figure 7A), whereas mTOR was assembled in vesicle-like inclusions associated with the actin stress fibers after SW treatment. The finding suggests that SW induces a subcellular translocation of mTOR.
Figure 7.
Effects of SW on mTOR and p-FAK subcellular distribution in rat MSC. A. Note the random punctate distribution of mTOR (green) around nucleus without SW stimulation (control) compared with vesicle-like inclusions associated with actin stress fibers (red) after SW application. Diminished punctuated pattern of mTOR associated with actin stress fibers in MSC with rapamycin pre-treatment for mTORC1inhibition before SW treatment. Peri-nuclear punctuated pattern of mTOR with dissociation from actin stress fibers after actin depolymerization with cytochalasin D before SW stimulation. B. Absence of plasma membrane translocation of FAK (green) without SW stimulation compared to membrane localization of FAK associated with actin stress fibers (red) after SW treatment. Neither FAK translocation nor its association with actin stress fibers noted after pre-treatment with rapamycin or cytochalasin D before SW stimulation.
On the other hand, mTOR exhibited a punctuated pattern associated with actin stress fibers after rapamycin pretreatment before SW application instead of vesicle-like inclusions, while mTOR granules lost its association with actin stress fibers in cells pretreated with cytochalasin D before SW stimulation (Figure 7A). The results, therefore, indicate a co-ordinated regulation of FAK phosphorylation by mTORC1 and microfilaments, which are important for the formation of vesicle-like mTOR inclusions and their association with microfilaments, respectively.
To study the roles of actin stress fibers and mTORC1 in FAK subcellular localization, the cells were also stained with antibody against FAK and TRITC-tagged phalloidin after being pretreated with rapamycin and cytochalasin D, respectively, before SW application (Figure 7B). The results indicated neither FAK translocation nor its association with actin stress fibers after pretreatment with rapamycin (an mTORC1 inhibitor) or cytochalasin D (CD, an actin depolymerizing factor) before SW stimulation. Accordingly, the findings indicated a combined regulation of actin stress fiber and mTORC1 in SW-induced FAK activation and translocation to focal adhesions.
SW activates mTORC1 signaling for cell proliferation
To verify the significance of mTORC1 and mTORC1-FAK signaling axis in MSC proliferation, MSC were cultured with FAK pre-depleted by siRNA and mTORC1 inhibited by rapamycin in serum-free conditions to abolish the effects of serum or potential nutrients/growth factors on mTORC1 phosphorylation before SW treatment at an EFD of 0.12 mJ/mm2.
At post-SW 24 h, 48 h, 72 h and 96 h, exponential multiplication was noted in the cultured cells without FAK siRNA or rapamycin treatment in serum-free medium with a growth rate comparable to that of cells cultured in medium containing 10% FBS (Figure 8). At the other end of the spectrum, cells pretreated with rapamycin exhibited the poorest growth despite SW treatment. On the other hand, cells with FAK depletion before SW treatment and those cultured in serum-free medium showed significantly suppressed cell growth compared to cells receiving pure SW treatment and those cultured in 10% FBS. The results indicate that SW-based MTD activates the mTORC1-FAK axis for promoting cell proliferation.
Figure 8.
FAK depletion using siFAK and the effects of SW, FAK depletion, and mTOR inhibition on proliferation of rat MSC. A. FAK depletion using different concentrations (i.e., 20, 50, and 100 nM) of siFAK after 48, 72, and 96 hours of treatment, showing substantial suppression of FAK protein expression compared with non-targeting oligo-nucleotides (scramble). B. Note significant suppression of cell proliferation after rapamycin (Rapa) treatment and abolishment of SW-elicited cell proliferative effect after FAK depletion with siFAK. *P<0.05 vs. Serum-free group, **P<0.005 vs. Serum-free group.
Discussion
Since FAK phosphorylation has been reported to represent SW-elicited MTD in different cell types [25,31,43,44], the p-FAK/FAK ratio can theoretically identify the upstream regulators of FAK phosphorylation. Our results suggest that microfilament is an essential cellular component mediating SW-stimulated FAK phosphorylation at Y576 and Y577, and that SW of EFD above 0.13 mJ/mm2 results in collapse of microfilaments and deregulation of FAK phosphorylation independent of mTOR activation. In addition to biomechanics, the microfilaments can withstand SW energy of 0.12 mJ/mm2 which is also the optimal energy level for promoting FAK phosphorylation.
In our model, the net energy directly acting on the plasma membrane of MSC was actually lower than 0.12 mJ/mm2, after taking into account the plastic cover and thickness of buffer. In this way, our results identified SW energy of 0.12 mJ/mm2 as an optimal level for FAK phosphorylation and that an energy level above 0.13 mJ/mm2 is detrimental to cytoskeleton. Our result is supported by the finding of another study that demonstrated a level between 0.10 mJ/mm2 and 0.13 mJ/mm2 as the optimal energy for minimizing apoptosis in rat bone marrow-derived endothelial progenitor cells [45].
Microfilament is an essential component mediating SW-triggered FAK phosphorylation
The results of the present study demonstrated that both mechanical destruction and chemical depolymerization of cytoskeleton can interrupt SW-induced FAK phosphorylation in MSC, highlighting the pivotal role of microfilaments in SW-based MTD in the FAK signalling axis. Consistently, it has previously been shown that a pulling force on integrin causes FAK activation in neuronal cells [14]. In that study, a traction force of >60pN applied on integrin of extending axon results in FAK phosphorylation at Y396, Y576 and Y577, suggesting that actin filaments and actomyosin contraction are mediators of MTD for FAK phosphorylation [14]. In support of our hypothesis that SW can trigger FAK phosphorylation by mechanical transduction through microfilaments, the results of the present study demonstrated that chemical depolymerization and mechanical destruction of microfilaments by high-energy SW disrupt FAK phosphorylation. On the other hand, consistent with the finding of a previous study showing an important role of microtubules in dissembling of FAK-associated focal adhesions [46], colchicine-induced depolymerizaton of microtubules in the current study causes a significant upregulation of FAK phosphorylation and increase in size of focal adhesions (Figure 5A-D).
Shock-wave induces mTORC1 phosphorylation
In the present study, SW intensity-dependent phosphorylation of mTORC1 supports the role of mTOR as a pressure-sensing protein. Besides, progressive phosphorylation beyond an energy level of 0.13 mJ/mm2 at which the microfilaments and microtubules were disrupted also indicates that mTOR phosphorylation is independent of the integrity of cytoskeleton because of its nature as a membrane-associated protein [47]. However, SW does affect subcellular localization of mTOR in our experimental model. The proposal of SW-induced activation of mTOR is rational with the knowledge that both subcellular localization of mTOR and mTOR phosphorylation are prerequisites for its biological activity [48,49].
Coordinated regulation of FAK activation by actin cytoskeleton and mTORC1 and its translocation to focal adhesions
Although subcellular localization of mTOR has been demonstrated to be critical for the activation of its downstream effectors and allocation to different subcellular compartments in response to different forms of stress [37,48,49], the role of actin in regulating mTOR dynamics and the effect of altered localization of organelles (e.g., lysosomes) on mTORC1 activity remain unclear [48]. In the present study, we found that SW, which is an external mechanical stress, causes subcellular translocations of mTOR as vesicle-like inclusions associated with actin stress fiber on reacting with antibody against mTOR and TRITC-phalloidin against microfilament (Figure 7B). Since physical destruction of F-actin with high-energy SW and chemical inactivation of mTORC1 with rapamycin are able to interrupt the assembling of the vesicle-like inclusions or their association with the actin stress fibers (Figure 7A), our results showed, for the first time, that the phosphorylation of FAK and its subcellular translocation to focal adhesions require the co-ordination of mTORC1 activation and microfilament remodeling. Taken together, based on immunofluorescent observation and Western blot analysis, we demonstrated that SW-induced FAK activation involves a coordinated regulation by actin filaments and phosphorylated mTORC1 (Figures 6B, 6E, 7B).
mTORC1-FAK signaling axis
The principal finding of the present study is that TORC1 activates FAK through phosphorylation at Y576/Y577 with its translocation to focal adhesions (Figure 6A-E). mTORC1-mediated FAK phosphorylation and translocation to focal adhesion has been reported in tumor cells by type I insulin-like growth factor (IGF) stimulation [50]. Here we report the mTORC1-FAK signaling axis as a novel signaling pathway of MTD in MSC.
Hornberger and other investigator demonstrated that mTORC1 and FAK are mechanosensing proteins involved in cell proliferation in an ex vivo study of skeletal muscle stretching [33,37,51,52]. That study showed that MTD from stretching activates mTORC1 and FAK in an Akt signaling-independent fashion [33,37]. The finding is in concert with that of the current study in which inhibition of PI3-Akt signaling by LY294002 does not negatively affect SW-induced mTORC1 and FAK phosphorylation (Figure 6A). Additionally, we further demonstrated that mTOR regulates phosphorylation of FAK as reflected in an increase in size of focal adhesions (Figures 6E, 7B).
A previous study showed that FAK over-expression in transgenic mice resulted in cardiac hypertrophy that was significantly alleviated after rapamycin treatment, highlighting a unique role of FAK in regulating the signaling mechanisms governing myocyte growth [34,53,54]. Although the authors suggest that FAK activation may control the activity of pI3K/AKT/mTOR pathway and could be important for the adaptive response to increase in cardiac afterload, the upstream regulator was not characterized [40,55,56]. Importantly, our results revealed that FAK activation is regulated by mTOR, which acts as the upstream regulator instead of PI3K and AKT. The present study is the first to disclose the significance of the mTOR-FAK axis in MTD -elicited modification of focal adhesion maturation. The finding, therefore, may warrant further study in the hypertension setting. Of particular importance was that mTOR activation after SW application was the first report by our present study. Accordingly, the present study is the first to delineate the molecular-cellular signal pathway underlying the effect of shock-wave on focal adhesion complex. The proposed mechanism based on our findings is schematically illustrated in Figure 9.
Figure 9.
Remodeling of FA complex in response to SW-elicited mechanical force. SW-induced mechanotransduction (green arrow) triggers p-mTOR. The p-mTOR) then becomes associated with F-actin. Not only does p-mTOR mediate the phosphorylation of FAK leading to its translocation to FA, but it also phosphorylates ribosomal protein S6 kinase (S6K, an mTOR readout protein) causing cell proliferation.
In conclusion, the present study not only demonstrated an essential co-ordinated regulatory pathway of FAK phosphorylation by mTORC1 and microfilaments, but also identified the participation of mTORC1-FAK signalling in MSC proliferation.
Acknowledgements
The study was supported by a grant from Chang Gung Memorial Hospital, Chang Gung University (Grant number: CMRPG8B1361, CMRPG8B1362 and CMRPG8B1363).
Disclosure of conflict of interest
None.
Authors’ contribution
CMY, RF, YTC, JJS, YLC, and CJW conducted experiments and analyzed the data. FYL, YYZ, CKS, and HKY conceived the study, analyzed, and interpreted the data and wrote the manuscript.
Supporting Information
References
- 1.Copland IB, Reynaud D, Pace-Asciak C, Post M. Mechanotransduction of stretch-induced prostanoid release by fetal lung epithelial cells. Am J Physiol Lung Cell Mol Physiol. 2006;291:L487–495. doi: 10.1152/ajplung.00510.2005. [DOI] [PubMed] [Google Scholar]
- 2.Ingber DE. Mechanobiology and diseases of mechanotransduction. Ann Med. 2003;35:564–577. doi: 10.1080/07853890310016333. [DOI] [PubMed] [Google Scholar]
- 3.DuFort CC, Paszek MJ, Weaver VM. Balancing forces: architectural control of mechanotransduction. Nat Rev Mol Cell Biol. 2011;12:308–319. doi: 10.1038/nrm3112. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4.Orr AW, Helmke BP, Blackman BR, Schwartz MA. Mechanisms of mechanotransduction. Dev Cell. 2006;10:11–20. doi: 10.1016/j.devcel.2005.12.006. [DOI] [PubMed] [Google Scholar]
- 5.Kuo JC. Mechanotransduction at focal adhesions: integrating cytoskeletal mechanics in migrating cells. J Cell Mol Med. 2013;17:704–712. doi: 10.1111/jcmm.12054. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Nadruz W Jr, Corat MA, Marin TM, Guimaraes Pereira GA, Franchini KG. Focal adhesion kinase mediates MEF2 and c-Jun activation by stretch: role in the activation of the cardiac hypertrophic genetic program. Cardiovasc Res. 2005;68:87–97. doi: 10.1016/j.cardiores.2005.05.011. [DOI] [PubMed] [Google Scholar]
- 7.Zhou D, Herrick DJ, Rosenbloom J, Chaqour B. Cyr61 mediates the expression of VEGF, alphav-integrin, and alpha-actin genes through cytoskeletally based mechanotransduction mechanisms in bladder smooth muscle cells. J Appl Physiol (1985) 2005;98:2344–2354. doi: 10.1152/japplphysiol.01093.2004. [DOI] [PubMed] [Google Scholar]
- 8.Anwar MA, Shalhoub J, Lim CS, Gohel MS, Davies AH. The effect of pressure-induced mechanical stretch on vascular wall differential gene expression. J Vasc Res. 2012;49:463–478. doi: 10.1159/000339151. [DOI] [PubMed] [Google Scholar]
- 9.Colombelli J, Besser A, Kress H, Reynaud EG, Girard P, Caussinus E, Haselmann U, Small JV, Schwarz US, Stelzer EH. Mechanosensing in actin stress fibers revealed by a close correlation between force and protein localization. J Cell Sci. 2009;122:1665–1679. doi: 10.1242/jcs.042986. [DOI] [PubMed] [Google Scholar]
- 10.Hoffman BD, Grashoff C, Schwartz MA. Dynamic molecular processes mediate cellular mechanotransduction. Nature. 2011;475:316–323. doi: 10.1038/nature10316. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 11.Arnoczky SP, Tian T, Lavagnino M, Gardner K. Ex vivo static tensile loading inhibits MMP-1 expression in rat tail tendon cells through a cytoskeletally based mechanotransduction mechanism. J Orthop Res. 2004;22:328–333. doi: 10.1016/S0736-0266(03)00185-2. [DOI] [PubMed] [Google Scholar]
- 12.Balasubramanian L, Ahmed A, Lo CM, Sham JS, Yip KP. Integrin-mediated mechanotransduction in renal vascular smooth muscle cells: activation of calcium sparks. Am J Physiol Regul Integr Comp Physiol. 2007;293:R1586–1594. doi: 10.1152/ajpregu.00025.2007. [DOI] [PubMed] [Google Scholar]
- 13.Beurg M, Nam JH, Chen Q, Fettiplace R. Calcium balance and mechanotransduction in rat cochlear hair cells. J Neurophysiol. 2010;104:18–34. doi: 10.1152/jn.00019.2010. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14.Moore SW, Zhang X, Lynch CD, Sheetz MP. Netrin-1 attracts axons through FAK-dependent mechanotransduction. J Neurosci. 2012;32:11574–11585. doi: 10.1523/JNEUROSCI.0999-12.2012. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15.Oakes PW, Gardel ML. Stressing the limits of focal adhesion mechanosensitivity. Curr Opin Cell Biol. 2014;30:68–73. doi: 10.1016/j.ceb.2014.06.003. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16.Papusheva E, Heisenberg CP. Spatial organization of adhesion: force-dependent regulation and function in tissue morphogenesis. EMBO J. 2010;29:2753–2768. doi: 10.1038/emboj.2010.182. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17.Lim Y, Lim ST, Tomar A, Gardel M, Bernard-Trifilo JA, Chen XL, Uryu SA, Canete-Soler R, Zhai J, Lin H, Schlaepfer WW, Nalbant P, Bokoch G, Ilic D, Waterman-Storer C, Schlaepfer DD. PyK2 and FAK connections to p190Rho guanine nucleotide exchange factor regulate RhoA activity, focal adhesion formation, and cell motility. J Cell Biol. 2008;180:187–203. doi: 10.1083/jcb.200708194. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 18.Brown MC, Cary LA, Jamieson JS, Cooper JA, Turner CE. Src and FAK kinases cooperate to phosphorylate paxillin kinase linker, stimulate its focal adhesion localization, and regulate cell spreading and protrusiveness. Mol Biol Cell. 2005;16:4316–4328. doi: 10.1091/mbc.E05-02-0131. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 19.Calalb MB, Polte TR, Hanks SK. Tyrosine phosphorylation of focal adhesion kinase at sites in the catalytic domain regulates kinase activity: a role for Src family kinases. Mol Cell Biol. 1995;15:954–963. doi: 10.1128/mcb.15.2.954. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20.Zebda N, Dubrovskyi O, Birukov KG. Focal adhesion kinase regulation of mechanotransduction and its impact on endothelial cell functions. Microvasc Res. 2012;83:71–81. doi: 10.1016/j.mvr.2011.06.007. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 21.Brami-Cherrier K, Gervasi N, Arsenieva D, Walkiewicz K, Boutterin MC, Ortega A, Leonard PG, Seantier B, Gasmi L, Bouceba T, Kadare G, Girault JA, Arold ST. FAK dimerization controls its kinase-dependent functions at focal adhesions. EMBO J. 2014;33:356–370. doi: 10.1002/embj.201386399. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 22.Hanks SK, Ryzhova L, Shin NY, Brabek J. Focal adhesion kinase signaling activities and their implications in the control of cell survival and motility. Front Biosci. 2003;8:d982–996. doi: 10.2741/1114. [DOI] [PubMed] [Google Scholar]
- 23.Skalski M, Sharma N, Williams K, Kruspe A, Coppolino MG. SNARE-mediated membrane traffic is required for focal adhesion kinase signaling and Src-regulated focal adhesion turnover. Biochim Biophys Acta. 2011;1813:148–158. doi: 10.1016/j.bbamcr.2010.09.008. [DOI] [PubMed] [Google Scholar]
- 24.Peshkovsky SL, Peshkovsky AS. Shockwave model of acoustic cavitation. Ultrason Sonochem. 2008;15:618–628. doi: 10.1016/j.ultsonch.2007.07.006. [DOI] [PubMed] [Google Scholar]
- 25.Sun CK, Shao PL, Wang CJ, Yip HK. Study of vascular injuries using endothelial denudation model and the therapeutic application of shock wave: a review. Am J Transl Res. 2011;3:259–268. [PMC free article] [PubMed] [Google Scholar]
- 26.Craig DH, Haimovich B, Basson MD. Alpha-actinin-1 phosphorylation modulates pressureinduced colon cancer cell adhesion through regulation of focal adhesion kinase-Src interaction. Am J Physiol Cell Physiol. 2007;293:C1862–1874. doi: 10.1152/ajpcell.00118.2007. [DOI] [PubMed] [Google Scholar]
- 27.Olsen SM, Stover JD, Nagatomi J. Examining the role of mechanosensitive ion channels in pressure mechanotransduction in rat bladder urothelial cells. Ann Biomed Eng. 2011;39:688–697. doi: 10.1007/s10439-010-0203-3. [DOI] [PubMed] [Google Scholar]
- 28.Shim JW, Wise DA, Elder SH. Effect of Cytoskeletal Disruption on Mechanotransduction of Hydrostatic Pressure by C3H10T1/2 Murine Fibroblasts. Open Orthop J. 2008;2:155–162. doi: 10.2174/1874325000802010155. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 29.Hofmann A, Ritz U, Hessmann MH, Alini M, Rommens PM, Rompe JD. Extracorporeal shock wave-mediated changes in proliferation, differentiation, and gene expression of human osteoblasts. J Trauma. 2008;65:1402–1410. doi: 10.1097/TA.0b013e318173e7c2. [DOI] [PubMed] [Google Scholar]
- 30.Kearney CJ, Lee JY, Padera RF, Hsu HP, Spector M. Extracorporeal shock wave-induced proliferation of periosteal cells. J Orthop Res. 2011;29:1536–1543. doi: 10.1002/jor.21346. [DOI] [PubMed] [Google Scholar]
- 31.Xu JK, Chen HJ, Li XD, Huang ZL, Xu H, Yang HL, Hu J. Optimal intensity shock wave promotes the adhesion and migration of rat osteoblasts via integrin beta1-mediated expression of phosphorylated focal adhesion kinase. J Biol Chem. 2012;287:26200–26212. doi: 10.1074/jbc.M112.349811. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32.Bodine SC, Stitt TN, Gonzalez M, Kline WO, Stover GL, Bauerlein R, Zlotchenko E, Scrimgeour A, Lawrence JC, Glass DJ, Yancopoulos GD. Akt/mTOR pathway is a crucial regulator of skeletal muscle hypertrophy and can prevent muscle atrophy in vivo. Nat Cell Biol. 2001;3:1014–1019. doi: 10.1038/ncb1101-1014. [DOI] [PubMed] [Google Scholar]
- 33.Hornberger TA, Stuppard R, Conley KE, Fedele MJ, Fiorotto ML, Chin ER, Esser KA. Mechanical stimuli regulate rapamycin-sensitive signalling by a phosphoinositide 3-kinase-, protein kinase B- and growth factor-independent mechanism. Biochem J. 2004;380:795–804. doi: 10.1042/BJ20040274. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 34.Houssaini A, Abid S, Mouraret N, Wan F, Rideau D, Saker M, Marcos E, Tissot CM, Dubois-Rande JL, Amsellem V, Adnot S. Rapamycin reverses pulmonary artery smooth muscle cell proliferation in pulmonary hypertension. Am J Respir Cell Mol Biol. 2013;48:568–577. doi: 10.1165/rcmb.2012-0429OC. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 35.Lee RT, Huang H. Mechanotransduction and arterial smooth muscle cells: new insight into hypertension and atherosclerosis. Ann Med. 2000;32:233–235. doi: 10.3109/07853890009011765. [DOI] [PubMed] [Google Scholar]
- 36.Mejias M, Garcia-Pras E, Gallego J, Mendez R, Bosch J, Fernandez M. Relevance of the mTOR signaling pathway in the pathophysiology of splenomegaly in rats with chronic portal hypertension. J Hepatol. 2010;52:529–539. doi: 10.1016/j.jhep.2010.01.004. [DOI] [PubMed] [Google Scholar]
- 37.Philp A, Hamilton DL, Baar K. Signals mediating skeletal muscle remodeling by resistance exercise: PI3-kinase independent activation of mTORC1. J Appl Physiol (1985) 2011;110:561–568. doi: 10.1152/japplphysiol.00941.2010. [DOI] [PubMed] [Google Scholar]
- 38.Rice KM, Kinnard RS, Wright GL, Blough ER. Aging alters vascular mechanotransduction: pressure-induced regulation of p70S6k in the rat aorta. Mech Ageing Dev. 2005;126:1213–1222. doi: 10.1016/j.mad.2005.07.001. [DOI] [PubMed] [Google Scholar]
- 39.Proud CG. Ras, PI3-kinase and mTOR signaling in cardiac hypertrophy. Cardiovasc Res. 2004;63:403–413. doi: 10.1016/j.cardiores.2004.02.003. [DOI] [PubMed] [Google Scholar]
- 40.Sugimura K, Fukumoto Y, Nawata J, Wang H, Onoue N, Tada T, Shirato K, Shimokawa H. Hypertension promotes phosphorylation of focal adhesion kinase and proline-rich tyrosine kinase 2 in rats: implication for the pathogenesis of hypertensive vascular disease. Tohoku J Exp Med. 2010;222:201–210. doi: 10.1620/tjem.222.201. [DOI] [PubMed] [Google Scholar]
- 41.Chao JT, Davis MJ. The roles of integrins in mediating the effects of mechanical force and growth factors on blood vessels in hypertension. Curr Hypertens Rep. 2011;13:421–429. doi: 10.1007/s11906-011-0227-6. [DOI] [PubMed] [Google Scholar]
- 42.Koller A. Signaling pathways of mechanotransduction in arteriolar endothelium and smooth muscle cells in hypertension. Microcirculation. 2002;9:277–294. doi: 10.1038/sj.mn.7800142. [DOI] [PubMed] [Google Scholar]
- 43.Yu T, Junger WG, Yuan C, Jin A, Zhao Y, Zheng X, Zeng Y, Liu J. Shockwaves increase T-cell proliferation and IL-2 expression through ATP release, P2X7 receptors, and FAK activation. Am J Physiol Cell Physiol. 2010;298:C457–464. doi: 10.1152/ajpcell.00342.2009. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 44.Wang CJ. An overview of shock wave therapy in musculoskeletal disorders. Chang Gung Med J. 2003;26:220–232. [PubMed] [Google Scholar]
- 45.Zhang X, Yan X, Wang C, Tang T, Chai Y. The dose-effect relationship in extracorporeal shock wave therapy: the optimal parameter for extracorporeal shock wave therapy. J Surg Res. 2014;186:484–492. doi: 10.1016/j.jss.2013.08.013. [DOI] [PubMed] [Google Scholar]
- 46.Ezratty EJ, Partridge MA, Gundersen GG. Microtubule-induced focal adhesion disassembly is mediated by dynamin and focal adhesion kinase. Nat Cell Biol. 2005;7:581–590. doi: 10.1038/ncb1262. [DOI] [PubMed] [Google Scholar]
- 47.Liu X, Zheng XF. Endoplasmic reticulum and Golgi localization sequences for mammalian target of rapamycin. Mol Biol Cell. 2007;18:1073–1082. doi: 10.1091/mbc.E06-05-0406. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 48.Betz C, Hall MN. Where is mTOR and what is it doing there? J Cell Biol. 2013;203:563–574. doi: 10.1083/jcb.201306041. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 49.Partovian C, Ju R, Zhuang ZW, Martin KA, Simons M. Syndecan-4 regulates subcellular localization of mTOR Complex2 and Akt activation in a PKCalpha-dependent manner in endothelial cells. Mol Cell. 2008;32:140–149. doi: 10.1016/j.molcel.2008.09.010. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 50.Liu L, Chen L, Chung J, Huang S. Rapamycin inhibits F-actin reorganization and phosphorylation of focal adhesion proteins. Oncogene. 2008;27:4998–5010. doi: 10.1038/onc.2008.137. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 51.Gordon SE, Fluck M, Booth FW. Selected Contribution: Skeletal muscle focal adhesion kinase, paxillin, and serum response factor are loading dependent. J Appl Physiol (1985) 2001;90:1174–1183. doi: 10.1152/jappl.2001.90.3.1174. discussion 1165. [DOI] [PubMed] [Google Scholar]
- 52.Hornberger TA. Mechanotransduction and the regulation of mTORC1 signaling in skeletal muscle. Int J Biochem Cell Biol. 2011;43:1267–1276. doi: 10.1016/j.biocel.2011.05.007. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 53.Clemente CF, Xavier-Neto J, Dalla Costa AP, Consonni SR, Antunes JE, Rocco SA, Pereira MB, Judice CC, Strauss B, Joazeiro PP, Matos-Souza JR, Franchini KG. Focal adhesion kinase governs cardiac concentric hypertrophic growth by activating the AKT and mTOR pathways. J Mol Cell Cardiol. 2012;52:493–501. doi: 10.1016/j.yjmcc.2011.10.015. [DOI] [PubMed] [Google Scholar]
- 54.Teo BK, Wong ST, Lim CK, Kung TY, Yap CH, Ramagopal Y, Romer LH, Yim EK. Nanotopography modulates mechanotransduction of stem cells and induces differentiation through focal adhesion kinase. ACS Nano. 2013;7:4785–4798. doi: 10.1021/nn304966z. [DOI] [PubMed] [Google Scholar]
- 55.Hsieh HJ, Liu CA, Huang B, Tseng AH, Wang DL. Shear-induced endothelial mechanotransduction: the interplay between reactive oxygen species (ROS) and nitric oxide (NO) and the pathophysiological implications. J Biomed Sci. 2014;21:3. doi: 10.1186/1423-0127-21-3. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 56.Knoll R, Hoshijima M, Hoffman HM, Person V, Lorenzen-Schmidt I, Bang ML, Hayashi T, Shiga N, Yasukawa H, Schaper W, McKenna W, Yokoyama M, Schork NJ, Omens JH, McCulloch AD, Kimura A, Gregorio CC, Poller W, Schaper J, Schultheiss HP, Chien KR. The cardiac mechanical stretch sensor machinery involves a Z disc complex that is defective in a subset of human dilated cardiomyopathy. Cell. 2002;111:943–955. doi: 10.1016/s0092-8674(02)01226-6. [DOI] [PubMed] [Google Scholar]
- 57.Sasoh A, Ohtani T, Mori K. Pressure effect in a shock-wave-plasma interaction induced by a focused laser pulse. Phys Rev Lett. 2006;97:205004. doi: 10.1103/PhysRevLett.97.205004. [DOI] [PubMed] [Google Scholar]
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