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Journal of Cellular and Molecular Medicine logoLink to Journal of Cellular and Molecular Medicine
. 2008 Jul 9;13(8b):2083–2108. doi: 10.1111/j.1582-4934.2008.00415.x

A pro‐inflammatory signature mediates FGF2‐induced angiogenesis

Germán Andrés 1, Daria Leali 1, Stefania Mitola 1, Daniela Coltrini 1, Maura Camozzi 1, Michela Corsini 1, Mirella Belleri 1, Emilio Hirsch 2, Reto A Schwendener 3, Gerhard Christofori 4, Antonio Alcamì 5, Marco Presta 1,
PMCID: PMC6512373  PMID: 18624773

Abstract

Fibroblast growth factor‐2 (FGF2) is a potent angiogenic growth factor. Here, gene expression profiling of FGF2‐stimulated microvascular endothelial cells revealed, together with a prominent pro‐angiogenic profile, a pro‐inflammatory signature characterized by the up‐regulation of pro‐inflammatory cytokine/chemokines and their receptors, endothelial cell adhesion molecules and members of the eicosanoid pathway. Real‐time quantitative PCR demonstrated early induction of most of the FGF2‐induced, inflammation‐related genes. Accordingly, chick embryo chorioallantoic membrane (CAM) and murine Matrigel plug angiogenesis assays demonstrated a significant monocyte/macrophage infiltrate in the areas of FGF2‐driven neovascularization. Similar results were obtained when the conditioned medium (CM) of FGF2‐stimulated endothelial cells was delivered onto the CAM, suggesting that FGF2‐upregulated chemoattractants mediate the inflammatory response. Importantly, FGF2‐triggered new blood vessel formation was significantly reduced in phosphatidylinositol 3‐kinase‐γ null mice exhibiting defective leucocyte migration or in clodronate liposome‐treated, macrophage‐depleted mice. Furthermore, the viral pan‐chemokine antagonist M3 inhibited the angiogenic and inflammatory responses induced by the CM of FGF2‐stimulated endothelial cells and impaired FGF2‐driven neovascularization in the CAM assay. These findings point to inflammatory chemokines as early mediators of FGF2‐driven angiogenesis and indicate a non‐redundant role for inflammatory cells in the neovascularization process elicited by the growth factor.

Keywords: angiogenesis, chemokines, FGF, inflammation, macrophages

Introduction

Angiogenesis and inflammation are closely integrated processes in a number of physiological and pathological conditions, including wound healing, psoriasis, diabetic retinopathy, rheumatoid arthritis, arteriosclerosis and cancer [1, 2]. Inflammatory cells may produce angiogenic cytokines, growth factors and proteases that contribute to the formation of new vascular structures at the site of inflammation, tissue damage or tumour growth [3]. Conversely, microvascular endothelium activated by a number of cytokines and angiogenic growth factors can express pro‐inflammatory molecules involved in leucocyte recruitment and activation [4, 5]. Strikingly, neovascularization and inflammation share a number of common signalling pathways and molecular mediators, the cyclooxygenase (Cox)/prostaglandin pathway representing a paradigm of this convergence [6]. Also, various chemokines may act both as leucocyte attractants and as angiogenic inducers by acting directly on endothelial cells [7]. Moreover, a number of pro‐inflammatory cytokines [e.g. interleukin‐1α (IL‐1α), IL‐1β, IL‐6, tumour necrosis factor‐α (TNFα), high mobility group box‐1 (HMGB1) and osteopontin (Opn)] may induce blood vessel formation via direct engagement of target endothelial cells or indirectly by inducing leucocytes and/or endothelial cells to produce pro‐angiogenic mediators [8, 9, 10]. Conversely, the angiogenic factors vascular endothelial growth factor (VEGF) and angiopoietin‐1 (Ang‐1) may elicit pro‐inflammatory responses in endothelial cells by up‐regulating the expression of cell adhesion molecules and inflammatory mediators [11, 12].

Fibroblast growth factor 2 (FGF2) is a pleiotropic heparin‐binding factor that promotes growth and differentiation of a broad spectrum of cell types [13]. FGF2 triggers a complex ‘pro‐angiogenic phenotype’ in endothelial cells that recapitulates the neovascularization process and exerts a potent angiogenic response in a variety of in vivo animal models [13]. The angiogenic activity of FGF2 is mediated by its interaction with high‐affinity tyrosine kinase FGF receptors (FGFRs) and low‐affinity heparan sulphate proteoglycans and integrin receptors, leading to the activation of multiple signal transduction pathways, including phospholipase C‐γ, phosphatidylinositol 3‐kinase (PI3K) and mitogen‐activated protein kinases [13, 14].

Elevated levels of FGF2 have been implicated in the pathogenesis of several diseases characterized by a deregulated angiogenic/ inflammatory response, including cancer [13]. Inflammatory cells, including mononuclear phagocytes, T lymphocytes and mast cells, express FGF2. Moreover, FGF2 production and release from endothelial cells are triggered by inflammatory mediators (reviewed in [13]). Conversely, FGF2 may amplify the endothelial cell response to inflammatory stimuli [15] and up‐regulates the expression of Opn[10], Ccl2 chemokine [16] and Cox‐2[17] in endothelial cells. Taken together, these observations point to the existence of a tight cross‐talk between inflammatory and angiogenic responses during FGF2‐driven neovascularization.

Here, we report that FGF2 induces a pro‐inflammatory signature in murine microvascular endothelial cells. Consistently, we provide in vivo evidence about the non‐redundant role of chemokines and infiltrating monocytes/macrophages in FGF2‐driven neovascularization.

Materials and methods

Reagents and cells

Recombinant human FGF2 was purified as previously described [18]. Ketoprofen and hydrocortisone were purchased from Sigma‐Aldrich (Saint Louis, MO, USA). Recombinant M3 protein was expressed in the baculovirus system and purified by affinity chromatography [19].

Murine lung microvascular endothelial cells (1G11 cells) [20] were obtained from A. Vecchi (Istituto Scientifico Humanitas, Rezzato, Milan, Italy) and cultured in Dulbecco modified Eagle medium (DMEM) containing 20% inactivated foetal bovine serum (FBS). Cells were usually starved for 24 hrs with DMEM containing 0.5% FBS before stimulation with FGF2. In all the assays, endotoxin content was lower than 0.06 EU/ml (6 pg/ml), as determined by the Limulus amebocyte lysate method (Cambrex BioSiences, Walkersville, MD, USA).

Affymetrix genechip analysis

Three independent 1G11 cell cultures were stimulated for 10 hrs with 30 ng/ml FGF2 in DMEM supplemented with 0.5% FBS. As a control reference, duplicate samples from non‐treated cells were also analysed. RNA extraction, reverse transcription, cRNA preparation and GeneChip hybridization were performed according to the manufacturer's instructions (http://www.affymetrix.com/support/technical/manual/expression_manual.affx, Affymetrix, Santa Clara, CA, USA). Briefly, total RNA was extracted using Trizol (Invitrogen Life Technologies, Carlsbad, CA, USA) and phase lock gels (Eppendorf, Hamburg, Deutschland) and purified with Rneasy columns (Qiagen, Valencia, CA, USA). Ten micrograms of RNA were then used as a template for double‐stranded cDNA synthesis primed using a T7‐(dT)24 oligonucleotide. Double‐stranded cDNA was then transcribed using T7 RNA polymerase to produce biotin‐labelled cRNA. Resulting cRNA was fragmented and hybridized to Affymetrix GeneChip Murine Genome MOE430A oligonucleotide microarrays.

To define the transcriptional profile modulated by FGF2, raw expression measures at the probe level data were computed using robust multi‐array average. Quantile normalization was performed across all microarrays to achieve the same distribution of signal intensities for each array [21]. Data analysis was then carried out using Genespring 7.3 software (Silicon Genetics, Redwood City, CA, USA). Initial data filtering of genes with a ‘present’ detection call in at least one chip, according to Affymetrix MAS5 algorithm, was applied. Differential expression was assessed by applying a twofold change cut‐off and a Welch‐modified two‐sample t‐test. A false discovery rate of 5% was used as a cut‐off for statistical significance.

FGF2‐regulated genes were annotated by employing the web‐accessible software DAVID [22] (Database for Annotation, Visualization and Integrated Discovery; http://david.abcc.ncifcrf.gov/) and NetAffx Analysis Center (http://www.affymetrix.com/analysis/index.affx), which provides functional genomic annotations for gene ontology (GO), protein domain and biological pathways. Over‐represented signatures, based on GO terms (cellular localization, molecular function and biological process) were identified using statistical Fisher's test (P < 0.05) and the whole MOE430A gene list as the reference list. The complete, minimum information about a microarray experiment (MIAME)‐compliant dataset is available at the public repository ArrayExpress at the EBI (Hinxton, UK) (accession number E‐MEXP‐1467).

Real‐time PCR analysis

Two‐step quantitative RT‐PCR (qRT‐PCR) was employed to validate microarray expression data on a selected list of genes (Table 1). Random‐primed RT was carried out with 50 ng of RNA and High‐Capacity cDNA Archive Kit (Applied Biosystems, Foster City, CA, USA). Reactions lacking enzyme were carried out in tandem for each RNA sample as negative controls. One‐fiftieth of the final RT reaction was used as template in qRT‐PCR reactions containing HPLC‐purified oligonucleotide primers (Thermo Electron, Ulm, Germany) specific for selected genes (the list of oligonucleotide primer sequences utilized in the present work are shown in Table 1). Primers were designed with Primer3 software (http://frodo.wi.mit.edu/cgi‐bin/primer3/primer3_www_slow.cgi) using the following settings: 100–200 bp PCR products, 18–22 mer primers, 60°C melting temperatures. Gene names, accession numbers and forward and reverse primer sequences are listed in Table 1 with the only exception for the Cxcl1 gene that was analysed by using a Gene Expression Assay (Mm00433859_m1) from Applied Biosystems and the manufacturer's TaqMan® PreAmp Master Mix Kit Protocol. Each primer set produced a single product, as determined by melt‐curve analysis. Real‐time PCR was carried out on a iCycler Real‐Time PCR Detection System (BioRad Richmond, CA, USA) using 25‐μl reactions containing iQ SYBR Green Supermix, 150–300 nM forward and reverse primers and 5 μl of cDNA‐diluted template. The PCR cycling profile was as follows: 3 min. at 95°C and 40 cycles for 15 sec. at 95°C, 60°C for 1 min. After PCR amplification, melting curve analysis was performed for each reaction.

Table 1.

Quantitative RT‐PCR: oligonucleotide primer sequences

Gene RefSeq Forward Reverse Amplicon
Actb NM_007393 CGTAAAGACCTCTATGCCAACA CCACCGATCCACACAGAGA 161
Ccl2 NM_011333 CTTCTGGGCCTGCTGTTCA CCAGCCTACTCATTGGGATCA 127
Ccl7 NM_013654 CCTGGGAAGCTGTTATCTTCA TTGGCTCCTAGGTTGGTTTC 159
Cx3cl1 NM_009142 CATGTGCGACAAGATGACC CTTGGACCCATTTCTCCTTC 149
Cxcl16 NM_023158 CCATTCTTTATCAGGTTCCAGT CTCGTGTCCGAAGGTGTC 200
Egr1 NM_007913 CCTGACCACAGAGTCCTTTT ATAGGTGATGGGAGGCAAC 103
IL6 NM_031168 GAGGATACCACTCCCAACAGACC AAGTGCATCATCGTTGTTCATACA 141
Jam2 NM_023844 TGCTGGAGAGTATCGCTGT CTTCTTTATCCTGGCATCGT 157
Ptgs2 NM_011198 GGTGTGAACAATCAAACAAAATG TAACATGCTTGGGTCAGTCAAT 160
Vcam1 NM_011693 GAACTGATTATCCAAGTCTCTCCA CCATGTCTCCTGTCTTTGCTT 157

Each PCR reaction was performed in triplicate on one plate and fluorescence data were recorded using iCycler software (BioRad). Relative expression ratios were calculated by use of Pfaffl equation and Relative Expression Software Tool (http://www.gene‐quantification.info). The mRNA expression levels of target genes were normalized to the levels of β‐actin gene, which, according to microarray experiments, behaves as a housekeeping gene under the tested conditions.

Endothelial cell adhesion to FGF2‐coated plastic dishes

Adhesion of 1G11 cells to FGF2‐coated plastic dishes was performed as described [23] with minor modifications. Non‐tissue polystyrene culture plastic 35‐mm dishes were incubated with 100 mM NaHCO3, pH 9.6 (carbonate buffer) containing 5 μg/ml of FGF2. After 16 hrs of incubation at 4°C, the dishes were washed with cold carbonate buffer and DMEM containing 0.5% FBS. Then, serum‐starved 1G11 cells were seeded at 100,000 cells/dish and incubated for 24 hrs in DMEM/0.5% FBS. Cells were dissociated in Trizol for RNA extraction followed by qRT‐PCR. The conditioned medium (CM) from FGF2‐stimulated cells was collected and stored at −20°C until use. For comparison, confluent cultures of 1G11 cells were treated for 24 hrs with 30 ng/ml of free human recombinant FGF2 whereas untreated cells seeded on tissue culture polystyrene plastic plates were used as negative controls.

Chemotaxis assay

Human monocytes were obtained from buffy coats of healthy blood donors by Ficoll (Lympholite‐H, Cederlane Labs, Hornly, Canada) and Percoll (GE Healthcare, Little Chalfont, UK) gradients. Chemotaxis was assayed in 96 well‐plates (Neuro Probe, Inc., Gaithersburg, MD, USA) containing a polycarbonate filter with 5‐μm pores. Briefly, monocytes were resuspended in RPMI‐1640 medium containing 1% serum, and then loaded onto inserts at 5 × 103 cells/50 μl for each well. Thirty microlitres of RPMI‐1640 medium containing the chemoattractants at the indicated concentrations were placed in the bottom compartment. After 1.5 hrs of incubation at 37°C with 5% CO2, non‐migrating cells were scraped from the upper surface of the filter. Migrating cells on the lower surface were fixed with methanol, stained with Diff‐Quik (Baxter Healthcare, Miami, FL, USA) and their number was determined by counting five microscopic fields per well at ×250 magnification. For inhibitory assays, cells and media were pre‐incubated for 30 min. with the indicated concentrations of the pan‐chemokine inhibitor M3 before loading onto Transwell inserts (Sigma‐Aldrich). Each sample was tested in triplicate.

Matrigel plug angiogenesis assay

Liquid Matrigel (10 mg/ml; 0.5 ml/mouse) was mixed at 4°C with FGF2 (1.0 μg/ml) and injected subcutaneously into the flank of 6‐week‐old C57BL/6 mice (Charles River, Calco, Italy). Matrigel with PBS alone was used as negative control. Alternatively, 5‐week‐old 129sv WT and 129sv PI3Kγ−/− mice [24] were used. On day 7 after implantation, mice were killed and plugs were removed, embedded in Tissue Tec OCT (Sigma‐Aldrich), snap‐frozen in liquid nitrogen‐cooled isopentane and stored at −80°C.

Macrophage depletion

Six‐week‐old C57BL/6 mice were injected intraperitoneally with clodronate liposomes (Clodro‐lip) or PBS liposomes (PBS‐lip) every 4 days (initial dose 1.5 mg/20 g mouse, then every fourth day 0.8 mg/20 g mouse) for 4 weeks as described [25]. During the fourth week of treatment, mice were used for the FGF2‐Matrigel assay as described above and killed by cervical dislocation 3 days after the last clodronate liposome injection.

Immunofluorescence analysis

Eight micrometres frozen sections of Matrigel plugs were fixed in ice‐cold acetone. After blocking with 10% goat serum in Tris‐buffered saline, sections were stained with rat IgG2b monoclonal antibodies raised against mouse CD45, mouse F4/80 or mouse CD11b (all at 1/100 dilution, Serotec, Martinsried/Planegg, Germany), followed by incubation with FITC‐conjugated goat anti‐rat IgG antibody (1/100 dilution, Santa Cruz, Biotechnology, Santa Cruz, CA, USA). Alternatively, to evaluate microvessel density, sections were incubated with rat IgG2a antimouse CD31 monoclonal antibody followed by incubation with biotinylated mouse anti‐rat IgG1/2a antibody (both at 1/100 dilution, BD Pharmingen, San Diego, CA, USA) and Texas red avidin (1/800 dilution, Vector Laboratories, Inc., Burlingame, CA, USA). Nuclei were counterstained by 4′,6‐diamidino‐2‐phenylindole (Sigma‐Aldrich). For imaging analysis, CD31 immunostaining was performed on F4/80‐pre‐stained sections. Images were acquired using an epifluorescence microscope (Zeiss, Inc., Jena, Germany) equipped with an Olympus N547 digital camera (Olympus, Hamburg, Germany) at ×200 magnification.

Imaging and statistical analysis

Experimental groups included at least five mice. The Matrigel regions containing the most intense CD31+ areas of neovascularization (‘hotspots’) were chosen for quantification. Five hotspots per Matrigel section and two sections per Matrigel plug were analysed. The ImagePro Plus analysis system was used to measure CD31+ and F4/80+ areas in each hotspot. Statistical analysis was performed with two‐tailed Student's t‐test. Differences were considered statistically significant at P < 0.05.

Chicken embryo chorioallantoic membrane (CAM) assay

Alginate beads (5 μl) containing the sample under test were placed on top of the CAM of fertilized White Leghorn chicken eggs at day 11 of incubation [26]. After 72 hrs, blood microvessels entering the implants within the focal plane of the CAM were counted in ovo at ×5 magnification using a STEMI SR stereomicroscope equipped with an objective f equal to 100 mm with adapter ring 475070 (Zeiss). Then, the CAMs were cut, fixed with 4% paraformaldehyde and stained May Grünwald‐Giemsa to visualize the inflammatory infiltrate. The experiments were repeated at least twice with 7–10 eggs per group.

Results

Transcriptional profiling of FGF2‐stimulated murine microvascular endothelial cells reveals a pro‐inflammatory signature

To assess the effect of FGF2 on the transcriptional profile of microvascular endothelium, confluent monolayers of mouse lung capillary endothelial 1G11 cells were stimulated for 10 hrs with 30 ng/ml FGF2 in low‐serum culture medium. The transcriptional profile was then determined by microarray analysis using Affymetrix MOE4303A genechips (consisting of 22,690 probe sets, corresponding to approximately 15,000 genes) and compared to that of unstimulated cells.

FGF2 treatment exerts a significant impact on the microvascular endothelial cell transcriptome. Indeed, 239 FGF2‐modulated genes were identified by combining twofold change filtering with statistical significance analysis. Among these genes, 146 transcripts were up‐regulated following FGF2 stimulation whereas 93 genes were down‐regulated. Most of the FGF2‐modulated transcripts correspond to annotated genes whereas 14 genes were unidentified or hypothetical (a comprehensive list of all the differentially expressed genes is provided in Table 2).

Table 2.

FGF2‐regulated genes in microvascular 1G11 endothelial cells

FGF2‐upregulated genes (fold change > 2; P < 0.05)
Fold change Gene symbol Gene name Unigene ID Affymetrix ID
21.5 Mmp13 Matrix metallopeptidase 13 Mm.5022 1417256_at
18.5 Ptgs2 Prostaglandin‐endoperoxide synthase 2 Mm.292547 1417262_at
14.3 1417263_at
16.4 Sprr1a Small proline‐rich protein 1A Mm.331191 1449133_at
13.4 Prl2c2 Prolactin family 2, subfamily c, member 2 Mm.88796 1427760_s_at
11.1 Spp1 Secreted phosphoprotein 1 Mm.288474 1449254_at
8.4 Hbegf Heparin‐binding EGF‐like growth factor Mm.289681 1418350_at
7.1 1418349_at
8.1 Ereg Epiregulin Mm.4791 1419431_at
7.8 Sgk Serum/glucocorticoid regulated kinase Mm.28405 1416041_at
7.7 Hmga2 High mobility group AT‐hook 2 Mm.157190 1450780_s_at
7.3 1422851_at
5.8 1450781_at
7.0 Prkg2 Protein kinase, cGMP‐dependent, type II Mm.263002 1435162_at
6.0 1600029D21Rik RIKEN cDNA 1600029D21 gene Mm.29959 1423933_a_at
6.0 Cd44 CD44 antigen Mm.423621 1452483_a_at
4.9 1423760_at
6.0 Errfi1 ERBB receptor feedback inhibitor 1 Mm.318841 1416129_at
2.6 1419816_s_at
5.7 1810011O10Rik RIKEN cDNA 1810011O10 gene Mm.25775 1451415_at
5.6 Serpinb2 Serine (or cysteine) peptidase inhibitor, clade B, member 2 Mm.271870 1419082_at
5.5 Egr2 Early growth response 2 Mm.290421 1427683_a_at
4.9 1427682_at
5.0 Ivl Involucrin Mm.207365 1422222_at
4.9 Tnfrsf23 Tumour necrosis factor receptor superfamily, member 23 Mm.290780 1422101_at
4.8 Ptger4 Prostaglandin E receptor 4 (subtype EP4) Mm.18509 1424208_at
4.1 1421073_a_at
4.2 Fosl1 Fos‐like antigen 1 Mm.6215 1417487_at
3.2 1417488_at
4.2 Tnfrsf22 Tumour necrosis factor receptor superfamily, member 22 Mm.261384 1422039_at
3.1 1422038_a_at
2.1 1426095_a_at
4.1 Mgp Matrix Gla protein Mm.243085 1448416_at
4.0 Edg1 Endothelial differentiation sphingolipid G‐protein‐coupled receptor 1 Mm.982 1423571_at
3.8 Hmga1 High mobility group AT‐hook 1 Mm.4438 1416184_s_at
3.8 Il6 Interleukin 6 Mm.1019 1450297_at
3.8 Arhgap6 Rho GTPase activating protein 6 Mm.441810 1451867_×_at
2.7 1456333_a_at
2.6 1417704_a_at
3.6 Ier2 Immediate early response 2 Mm.399 1416442_at
3.6 Metrnl Meteorin, glial cell differentiation regulator‐like Mm.153566 1424356_a_at
3.5 Egr1 Early growth response 1 Mm.181959 1417065_at
3.5 Ccl2 Chemokine (C‐C motif) ligand 2 Mm.290320 1420380_at
3.5 Gfpt2 Glutamine fructose‐6‐phosphate transaminase 2 Mm.24402 1418753_at
3.4 Ccrn4l CCR4 carbon catabolite repression 4‐like (S. Cerevisiae) Mm.86541 1425837_a_at
3.4 Pvr Poliovirus receptor Mm.227506 1450295_s_at
3.3 1423905_at
2.8 1423903_at
2.7 1451160_s_at
3.3 Myc Myelocytomatosis oncogene Mm.2444 1424942_a_at
3.2 A030007L17Rik RIKEN cDNA A030007L17 gene Mm.294708 1435695_a_at
3.2 Plaur Plasminogen activator, urokinase receptor Mm.1359 1452521_a_at
3.2 Dusp6 Dual specificity phosphatase 6 Mm.1791 1415834_at
3.2 Hk2 Hexokinase 2 Mm.255848 1422612_at
3.2 Slc2a1 Solute carrier family 2 (facilitated glucose transporter), member 1 Mm.21002 1426599_a_at
3.1 1426600_at
2.8 1434773_a_at
3.1 Ccl7 Chemokine (C‐C motif) ligand 7 Mm.341574 1421228_at
3.1 Serpine1 Serine (or cysteine) peptidase inhibitor, clade E, member 1 Mm.250422 1419149_at
3.1 Gch1 GTP cyclohydrolase 1 Mm.10651 1420499_at
3.1 1429692_s_at
3.1 Vcam1 Vascular cell adhesion molecule 1 Mm.76649 1451314_a_at
2.6 1415989_at
3.1 Mmd Monocyte to macrophage differentiation associated Mm.277518 1423489_at
2.6 1423488_ats
3.1 Pdgfb Platelet‐derived growth factor, B polypeptide Mm.144089 1450414_at
2.1 1450413_at
3.0 Slc4a7 Solute carrier family 4, sodium bicarbonate cotransporter, member 7 Mm.258893 1438673_at
3.0 Slit2 Slit homolog 2 (Drosophila) Mm.289739 1424659_at
2.9 Junb Jun‐B oncogene Mm.1167 1415899_at
2.9 Nr4a1 Nuclear receptor subfamily 4, group A, member 1 Mm.119 1416505_at
2.9 Ell2 Elongation factor RNA polymerase II 2 Mm.21288 1450744_at
2.9 Tnfrsf12a Tumour necrosis factor receptor superfamily, member 12a Mm.28518 1418571_at
2.9 1418572_×_at
2.9 Rgs2 Regulator of G‐protein signalling 2 Mm.28262 1419248_at
2.6 1419247_at
2.9 Ankrd1 Ankyrin repeat domain 1 (cardiac muscle) Mm.10279 1420991_at
2.3 1420992_at
2.9 Sox9 SRY‐box containing gene 9 Mm.286407 1424950_at
2.1 1451538_at
2.8 F3 Coagulation factor III Mm.273188 1417408_at
2.8 Grem1 Gremlin 1 Mm.458492 1425357_a_at
2.8 Ifrd1 Interferon‐related developmental regulator 1 Mm.168 1416067_at
2.7 Antxr2 Anthrax toxin receptor 2 Mm.24842 1426708_at
2.7 Areg Amphiregulin Mm.8039 1421134_at
2.7 Nmt2 N‐myristoyltransferase 2 Mm.65021 1423581_at
2.7 Runx1 Runt‐related transcription factor 1 Mm.4081 1422864_at
2.4 1422865_at
2.7 Thbs1 Thrombospondin 1 Mm.4159 1450377_at
2.3 1460302_at
2.7 Lrig1 Leucine‐rich repeats and immunoglobulin‐like domains 1 Mm.245210 1449893_a_at
2.3 1434210_s_at
2.6 Car8 Carbonic anhydrase 8 Mm.119320 1427482_a_at
2.6 Clcf1 cardiotrophin‐like cytokine factor 1 Mm.347919 1437270_a_at
2.6 Tnnt2 Troponin T2, cardiac Mm.247470 1418726_a_at
2.4 1424967_×_at
2.6 Steap1 Six transmembrane epithelial antigen of the prostate 1 Mm.85429 1424938_at
2.3 1451532_s_at
2.5 Map3k6 Mitogen‐activated protein kinase kinase kinase 6 Mm.36640 1449901_a_at
2.5 Fxyd5 FXYD domain‐containing ion transport regulator 5 Mm.1870 1418296_at
2.5 Timp1 Tissue inhibitor of metalloproteinase 1 Mm.8245 1460227_at
2.5 Baiap2l1 BAI1‐associated protein 2‐like 1 Mm.18814 1424951_at
2.5 Adam19 A disintegrin and metallopeptidase domain 19 (meltrin β Mm.89940 1418403_at
2.4 1418402_at
2.5 1200016E24Rik RIKEN cDNA 1200016E24 gene Mm.332931 1435138_s_at
2.3 1453237_s_at
2.5 Ero1l ERO1‐like (S. cerevisiae) Mm.387108 1419030_at
2.1 1419029_at
2.2 1449324_at
2.4 Tec Cytoplasmic tyrosine kinase, Dscr28C related (Drosophila) Mm.319581 1460204_at
2.4 Rhoj RAS homolog gene family, member J Mm.27467 1418892_at
2.4 Lyve1 Lymphatic vessel endothelial hyaluronan receptor 1 Mm.396078 1429379_at
2.4 Slc20a2 Solute carrier family 20, member 2 Mm.323901 1434235_at
2.4 Slc25a37 Solute carrier family 25, member 37 Mm.293635 1417750_a_at
2.4 Wisp1 WNT1 inducible signalling pathway protein 1 Mm.10222 1448594_at
2.3 1448593_at
2.4 Cp Ceruloplasmin Mm.13787 1455393_at
2.1 1417495_×_at
2.1 1417496_at
2.0 1448734_at
2.4 Tes Testis‐derived transcript Mm.436548 1460378_a_at
2.1 1424246_a_at
2.3 Calcrl Calcitonin receptor like Mm.75467 1425814_a_at
2.3 Dfna5h Deafness, autosomal dominant 5 homolog (human) Mm.248361 1421534_at
2.3 Serpina3n Serine (or cysteine) peptidase inhibitor, clade A, member 3N Mm.22650 1419100_at
2.3 Tnfaip8 Tumour necrosis factor, ·‐induced protein 8 Mm.27740 1416950_at
2.3 Fgf2 Fibroblast growth factor 2 Mm.457975 1449826_a_at
2.3 Lif Leukaemia inhibitory factor Mm.4964 1421207_at
2.3 Plk2 Polo‐like kinase 2 (Drosophila) Mm.380 1427005_at
2.3 Ptpre Protein tyrosine phosphatase, receptor type, E Mm.945 1418540_a_at
2.3 Il1rap Interleukin 1 receptor accessory protein Mm.253424 1421844_at
2.3 Ctgf Connective tissue growth factor Mm.393058 1416953_at
2.3 Phlda1 Pleckstrin homology‐like domain, family A, member 1 Mm.3117 1418835_at
2.3 Oaf OAF homolog (Drosophila) Mm.246479 1424086_at
2.3 Jam2 Junction adhesion molecule 2 Mm.41758 1419288_at
2.3 1431416_a_at
2.1 1449408_at
2.3 Slc12a2 Solute carrier family 12, member 2 Mm.399997 1417622_at
2.2 1417623_at
2.3 Hsd17b7 Hydroxysteroid (17‐β) dehydrogenase 7 Mm.12882 1417871_at
2.2 1448865_at
2.3 Tnfaip2 Tumour necrosis factor, α‐induced protein 2 Mm.255332 1438855_×_at
2.1 1416273_at
2.2 Por P450 (cytochrome) oxidoreductase Mm.3863 1416933_at
2.2 Nfil3 Nuclear factor, interleukin 3, regulated Mm.136604 1418932_at
2.2 Tgfb1 Transforming growth factor, β1 Mm.248380 1420653_at
2.2 Trib2 Tribbles homolog 2 (Drosophila) Mm.266679 1426641_at
2.2 Fli1 Friend leukaemia integration 1 Mm.258908 1433512_at
2.2 Etv4 Ets variant gene 4 (E1A enhancer binding protein, E1AF) Mm.5025 1423232_at
2.2 Btg1 B‐cell translocation gene 1, anti‐proliferative Mm.272183 1426083_a_at
2.2 Tgfa Transforming growth factor α Mm.137222 1421943_at
2.2 Rai14 Retinoic acid induced 14 Mm.212395 1417401_at
2.2 Osmr Oncostatin M receptor Mm.10760 1418674_at
2.1 1418675_at
2.2 Rasa1 RAS p21 protein activator 1 Mm.259653 1426477_at
2.0 1426476_at
2.2 Gprc5b G protein‐coupled receptor, family C, group 5, member B Mm.103439 1451411_at
2.0 1424613_at
2.1 Hmgcr 3‐hydroxy‐3‐methylglutaryl‐Coenzyme A reductase Mm.316652 1427229_at
2.1 Grwd1 Glutamate‐rich WD repeat containing 1 Mm.274847 1455841_s_at
2.1 Lrrc8c Leucine‐rich repeat containing 8 family, member C Mm.319847 1423614_at
2.1 Chst11 Carbohydrate sulfotransferase 11 Mm.360747 1450509_at
2.1 Fos FBJ osteosarcoma oncogene Mm.246513 1423100_at
2.1 Tnfsf9 Tumour necrosis factor (ligand) superfamily, member 9 Mm.41171 1422924_at
2.1 Run×2 Runt‐related transcription factor 2 Mm.391013 1424704_at
2.1 Cyb561 Cytochrome b‐561 Mm.149403 1417507_at
2.1 Mpp6 Membrane protein, palmitoylated 6 (MAGUK p55 subfamily member 6) Mm.41288 1449348_at
2.1 B4galt6 UDP‐Gal: βGlcNAc β 1,4‐galactosyltransferase, polypeptide 6 Mm.398181 1460329_at
2.1 Spred1 Sprouty protein with EVH‐1 domain 1, related sequence Mm.392726 1423161_s_at
2.1 Efnb2 Ephrin B2 Mm.209813 1449548_at
2.1 1419639_at
2.0 1419638_at
2.1 Enc1 Ectodermal‐neural cortex 1 Mm.241073 1450061_at
2.1 1420965_a_at
2.0 Snai1 Snail homolog 1 (Drosophila) Mm.2093 1448742_at
2.0 Maff v‐maf musculoaponeurotic fibrosarcoma oncogene family, protein F (avian) Mm.86646 1418936_at
2.0 Rab20 RAB20, member RAS oncogene family Mm.390014 1438097_at
2.0 Chka Choline kinase α Mm.225505 1450264_a_at
2.0 Mthfd2 Methylenetetrahydrofolate dehydrogenase (NAD+ dependent), methenyltetrahydrofolate cyclohydrolase Mm.443 1419254_at
2.0 Slc20a1 Solute carrier family 20, member 1 Mm.457995 1448568_a_at
2.0 2010002N04Rik RIKEN cDNA 2010002N04 gene Mm.273197 1423306_at
2.0 Slco3a1 Solute carrier organic anion transporter family, member 3a1 Mm.425467 1418030_at
2.0 C×3cl1 Chemokine (C‐X3‐C motif) ligand 1 Mm.103711 1415803_at
2.0 Flnb filamin, β Mm.28095 1426750_at
2.0 1810054D07Rik RIKEN cDNA 1810054D07 gene Mm.5540 1440192_at
2.0 Ifi204 Interferon activated gene 204 Mm.442561 1419603_at
2.0 Itga5 Integrin α 5 (fibronectin receptor α) Mm.16234 1423267_s_at
2.0 Klf10 Kruppel‐like factor 10 Mm.4292 1416029_at
2.0 Ier3 Immediate early response 3 Mm.25613 1419647_a_at
2.0 Spred2 Sprouty‐related, EVH1 domain containing 2 Mm.266627 1434403_at
2.0 Cyp51 Cytochrome P450, family 51 Mm.140158 1422533_at
2.0 Ier5 Immediate early response 5 Mm.12246 1417612_at
2.0 Eea1 Early endosome antigen 1 Mm.210035 1438045_at
2.0 Cdca7 Cell division cycle associated 7 Mm.270676 1428069_at
2.0 Stc2 Stanniocalcin 2 Mm.32506 1449484_at
2.0 Acsl4 Acyl‐CoA synthetase long‐chain family member 4 Mm.391337 1433531_at
2.0 Cxcl16 Chemokine (C‐X‐C motif) ligand 16 Mm.441411 1418718_at
2.0 1449195_s_at
−5.7 Mettl7a Methyltransferase like 7A Mm.220975 1434150_a_at
−5.0 1434151_at
−4.9 1454858_×_at
−4.2 1421184_a_at
−5.1 Akr1c14 Aldo‐keto reductase family 1, member C14 Mm.26838 1418979_at
−4.4 Dbp D site albumin promoter binding protein Mm.378235 1438211_s_at
−2.7 1418174_at
−3.8 Sord Sorbitol dehydrogenase Mm.371580 1426584_a_at
−2.5 1438183_×_at
−3.5 Sesn1 Sestrin 1 Mm.139418 1454699_at
−3.3 1438931_s_at
−3.0 1433711_s_at
−3.3 Sncaip Synuclein, α interacting protein (synphilin) Mm.292168 1423499_at
−3.1 Transcribed locus Mm.391736 1455582_at
−3.1 Rab40b Rab40b, member RAS oncogene family Mm.281639 1436566_at
−3.1 Angptl7 Angiopoietin‐like 7 Mm.388929 1451478_at
−3.3 Tgm2 Transglutaminase 2, C polypeptide Mm.330731 1455900_×_at
−3.1 1417500_a_at
−3.1 1433428_×_at
−3.1 1437277_×_at
−2.7 1426004_a_at
−3.0 Ptplad2 Protein tyrosine phosphatase‐like A domain containing 2 Mm.386788 1450967_at
−3.0 Mapre2 Microtubule‐associated protein, RP/EB family, member 2 Mm.132237 1451989_a_at
−3.0 Unc119 Unc‐119 homolog (C. elegans) Mm.284811 1418123_at
−3.0 AW548124 Expressed sequence AW548124 Mm.311974 1454838_s_at
−2.4 1460411_s_at
−2.9 Rasl11b RAS‐like, family 11, member B Mm.293316 1423854_a_at
−2.9 D0H4S114 DNA segment, human D4S114 Mm.407415 1436736_×_at
−2.8 1450839_at
−2.8 Bnc1 Basonuclin 1 Mm.243802 1424890_at
−2.8 Sfrp2 Secreted frizzled‐related protein 2 Mm.19155 1448201_at
−2.8 Ogn Osteoglycin Mm.4258 1419663_at
−2.5 1419662_at
−2.7 Antxr1 Anthrax toxin receptor 1 Mm.232525 1451446_at
−2.7 Trp53inp1 Transformation‐related protein 53 inducible nuclear protein 1 Mm.393018 1416926_at
−2.3 1416927_at
−2.6 Slc1a6 Solute carrier family 1 (high‐affinity aspartate/glutamate transporter), member 6 Mm.6257 1418933_at
−2.6 Fhl1 Four and a half LIM domains 1 Mm.3126 1417872_at
−2.6 Pkia Protein kinase inhibitor, α Mm.3193 1420858_at
−2.6 1420859_at
−2.6 Ddit4l DNA‐damage‐inducible transcript 4‐like Mm.250841 1451751_at
−2.4 1439332_at
−2.6 Vldlr Very low density lipoprotein receptor Mm.4141 1417900_a_at
−2.3 1434465_×_at
−2.6 Fzd2 Frizzled homolog 2 (Drosophila) Mm.36416 1418534_at
−2.1 1418532_at
−2.1 1418533_s_at
−2.5 Pdlim3 PDZ and LIM domain 3 Mm.282900 1449178_at
−2.5 Dhrs3 Dehydrogenase/reductase (SDR family) member 3 Mm.14063 1448390_a_at
−2.5 Ephx2 Epoxide hydrolase 2, cytoplasmic Mm.15295 1448499_a_at
−2.5 Gab1 Growth factor receptor bound protein 2‐associated protein 1 Mm.277409 1417694_at
−2.3 1417693_a_at
−2.4 Zfp521 Zinc finger protein 521 Mm.40325 1451332_at
−2.4 Sspn Sarcospan Mm.49689 1417644_at
−2.4 Oplah 5‐oxoprolinase (ATP‐hydrolysing) Mm.322738 1424359_at
−2.4 Mcam Melanoma cell adhesion molecule Mm.275003 1416357_a_at
−2.4 Figf C‐Fos induced growth factor Mm.297978 1438954_×_at
2.3 1438953_at
−2.3 Npr3 Natriuretic peptide receptor 3 Mm.25259 1435184_at
−2.3 Mmp11 Matrix metallopeptidase 11 Mm.4561 1417234_at
−2.3 Tek Endothelial‐specific receptor tyrosine kinase Mm.14313 1418788_at
−2.3 Wdr6 WD repeat domain 6 Mm.335454 1415770_at
−2.3 1455940_×_at
−2.2 Adamts5 A disintegrin‐like and metallopeptidase (reprolysin type) with thrombospondin type 1 motif, 5 (aggrecanase‐2) Mm.112933 1422561_at
−2.2 Pdgfra Platelet‐derived growth factor receptor, α polypeptide Mm.221403 1421917_at
−2.2 Appl2 Adaptor protein, phosphotyrosine interaction, PH domain and leucine zipper containing 2 Mm.282985 1426743_at
−2.2 Stard10 START domain containing 10 Mm.28896 1448956_at
−2.2 Fgf18 Fibroblast growth factor 18 Mm.339812 1449545_at
−2.2 Apbb1 Amyloid, (A4) precursor protein‐binding, family B, member 1 Mm.38469 1423893_×_at
−2.2 Palm Paralemmin Mm.34650 1423967_at
−2.2 Slc25a23 Solute carrier family 25 (mitochondrial carrier; phosphate carrier), member 23 Mm.23720 1419045_at
−2.2 Igf1 Insulin‐like growth factor 1 Mm.268521 1437401_at
−2.2 Serpinb9 Serine (or cysteine) peptidase inhibitor, clade B, member 9 Mm.272569 1422601_at
−2.2 Gamt Guanidinoacetate methyltransferase Mm.7329 1422558_at
−2.2 Klhl13 Kelch‐like 13 (Drosophila) Mm.224306 1448269_a_at
−2.0 1416242_at
−2.2 Acaa2 Acetyl‐Coenzyme A acyltransferase 2 (mitochondrial 3‐oxoacyl‐Coenzyme A thiolase) Mm.245724 1455061_a_at
−2.0 1428146_s_at
−2.1 Slc39a8 Solute carrier family 39 (metal ion transporter), member 8 Mm.30239 1416832_at
−2.1 Dzip1 DAZ interacting protein 1 Mm.87456 1452792_at
−2.1 Aldh1a7 Aldehyde dehydrogenase family 1, subfamily A7 Mm.14609 1418601_at
−2.1 2310002J21Rik RIKEN cDNA 2310002J21 gene Mm.375091 1456393_at
−2.1 Pmp22 Peripheral myelin protein Mm.1237 1417133_at
−2.1 Ifit3 Interferon‐induced protein with tetratricopeptide repeats 3 Mm.426079 1449025_at
−2.1 Tsc22d3 TSC22 domain family 3 Mm.22216 1425281_a_at
−2.1 6720475J19Rik RIKEN cDNA 6720475J19 gene Mm.273536 1423072_at
−2.1 Rtn1 Reticulon 1 Mm.221275 1429761_at
−2.1 Pdcd4 Programmed cell death 4 Mm.1605 1418840_at
−2.1 Cables1 Cdk5 and Abl enzyme substrate 1 Mm.40717 1422477_at
−2.1 Reck Reversion‐inducing cysteine‐rich protein with kazal motifs Mm.331573 1450784_at
−2.1 Gsta3 Glutathione S‐transferase, α3 Mm.394593 1423436_at
−2.1 Myl7 Myosin, light polypeptide 7, regulatory Mm.46514 1449071_at
−2.1 Cd200 Cd200 antigen Mm.245851 1448788_at
−2.1 1200015N20Rik RIKEN cDNA 1200015N20 gene Mm.19825 1448557_at
−2.1 Ptprd Protein tyrosine phosphatase, receptor type, D Mm.184021 1429052_at
−2.1 Dcxr Dicarbonyl L‐xylulose reductase Mm.231091 1419456_at
−2.1 Gadd45b Growth arrest and DNA‐damage‐inducible 45 β Mm.1360 1450971_at
−2.1 1449773_s_at
−2.0 Atp6v0e2 ATPase, H+ transporting, lysosomal V0 subunit E2 Mm.458098 1448211_at
−2.0 4930570C03Rik RIKEN cDNA 4930570C03 gene Mm.28955 1450410_a_at
−2.0 Sorbs1 Sorbin and SH3 domain containing 1 Mm.210815 1436737_a_at
−2.0 Add3 Adducin 3 (γ) Mm.426080 1423298_at
−2.0 Hadh Hydroxyacyl‐Coenzyme A dehydrogenase Mm.260164 1460184_at
−2.0 Oprl1 Opioid receptor‐like 1 Mm.285075 1450486_a_at
−2.0 Armcx3 Armadillo repeat containing, X‐linked 3 Mm.67949 1460359_at
−2.0 Klhl24 Kelch‐like 24 (Drosophila) Mm.392914 1451793_at
−2.0 Transcribed locus Mm.275414 1454967_at
−2.0 Zfp810 Zinc finger protein 810 Mm.306038 1451566_at
−2.0 Pdk2 Pyruvate dehydrogenase kinase, isoenzyme 2 Mm.29768 1448825_at
−2.0 Abhd14b Abhydrolase domain containing 14b Mm.335427 1451326_at
−2.0 Mxd4 Max dimerization protein 4 Mm.391777 1434378_a_at
−2.0 Marcksl1 MARCKS‐like 1 Mm.424974 1437226_x_at
−2.0 Bckdha Branched chain ketoacid dehydrogenase E1, α polypeptide Mm.25848 1416647_at
−2.0 Stk17b Serine/threonine kinase 17b (apoptosis‐inducing) Mm.25559 1450997_at
−2.0 Spag5 Sperm associated antigen 5 Mm.24250 1433893_s_at
−2.0 Aldoc Aldolase 3, C isoform Mm.7729 1451461_a_at
−2.0 Tuft1 Tuftelin 1 Mm.10214 1416689_at
−2.0 Tmem9 Transmembrane protein 9 Mm.41773 1419557_a_at
−2.0 Calml4 Calmodulin‐like 4 Mm.440576 1424713_at

The fold change, the official gene symbol and name, the Unigene cluster and the Affymetrix probe set ID number are shown. Note that various genes are interrogated by more than one probe set in the Affymetrix MOE430A genechip.

To gather biological information about the FGF2‐regulated transcriptional profile, we performed data mining on the web‐based database DAVID [22] that provides functional genomic annotations according to GO.

The most over‐represented GO terms, based on their statistical significance, were ‘extracellular space’ (cellular component), ‘receptor binding/growth factor activity’ (molecular function) and ‘blood vessel morphogenesis/angiogenesis’ (biological process) (Table 3). Accordingly, data mining on published research literature revealed a clear trend towards the process of new blood vessel formation (Table 4). Indeed, several FGF2‐upregulated genes encode for angiogenesis‐promoting extracellular factors and cytokines, including Fgf2 itself, heparin‐binding EGF‐like growth factor (Hb‐egf), prolactin family 2, subfamily c, member 2/Proliferin (Prl2c2/Plf), slit homolog‐2 (Slit2), transforming growth factorb1 (Tgfb1) and Tgfa, ephrin‐B2 (EfnB2), Drm/gremlin‐1, Ccl2, C×3cl1, C×cl16, platelet‐derived growth factor‐b (Pdgf‐b), IL‐6 and connective tissue growth factor (Ctgf). Angiogenesis‐related genes were also found in the categories of membrane receptors [anthrax toxin receptor‐2 (Antxr2), calcitonin receptor‐like receptor (Calcrl), integrin α5 (Itg5), endothelial differentiation sphingolipid G‐protein‐coupled receptor‐1 (Edg1), lymphatic vessel endothelial hyaluronan receptor 1 (Lyve1), prostaglandin E receptor 4 (Ptger4), urokinase‐type plasminogen activator receptor (Plaur), coagulation factor III (F3)], transcriptional regulators [(early growth response 1 (Egr1), runt‐related transcription factor (Runx) 1 and 2, ankyrin repeat domain 1 (Ankrd1)], cell adhesion molecules [CD44 antigen], proteases and their inhibitors [matrix metallopeptidase 13 (Mmp13), serpine1, serpinb2, tissue inhibitor of metalloproteinase 1 (Timp1)] (Table 4).

Table 3.

Over‐represented GO terms for FGF2‐upregulated genes in murine microvascular 1G11 cells

GO term Number of genes % Statistical significance
Molecular function
Receptor binding 34 12.1 1.0E‐07
Growth factor activity 18 6.4 1.1E‐07
Cytokine activity 19 6.8 2.5E‐06
Cellular component
Extracellular space 69 24.6 2.5E‐04
Extracellular region 71 25.4 5.8E‐04
Basolateral plasma membrane 6 2.1 6.0E‐03
Extracellular matrix 10 3.6 5.2E‐02
Biological process
Blood vessel morphogenesis 19 6.8 2.2E‐09
Angiogenesis 16 5.7 4.5E‐08
Ossification 13 4.6 2.0E‐07
Bone mineralization 8 2.9 3.8E‐05
Regulation of bone remodelling 7 2.5 2.7E‐05
Inflammatory response 12 4.3 4.4E‐04

FGF2‐upregulated genes (see Table 2 for the detailed list of these genes) were classified in terms of their associated GO molecular functions, cellular components and biological processes. The most over‐represented GO terms, the number and percentage of genes belonging to each category, and the statistical significance are shown.

Table 4.

FGF2‐upregulated genes in murine microvascular 1G11 endothelial cells related to angiogenesis, bone formation, and inflammation

Growth factors, cytokines and chemokines Symbol Biological Process Fold change
Chemokine (C‐C motif) ligand 7 Ccl7 I 3.1
Chemokine (C‐X3‐C motif) ligand 1 Cx3cl1 A/I 2.0
Chemokine (C‐X‐C motif) ligand 1 Cxcl1 A/I 2.0
Chemokine (C‐X‐C motif) ligand 16 Cxcl16 A/I 2.0
Connective tissue growth factor Ctgf A/B 2.3
Ephrin B2 Efnb2 A/B 2.1
Fibroblast growth factor 2 Fgf2 A/B/I 2.3
Gremlin 1 Grem1 A 3.1
Heparin‐binding EGF‐like growth factor Hbegf A 8.4
Interleukin 6 Il6 A/B/I 3.8
Leukemia inhibitory factor Lif B/I 2.3
Platelet‐derived growth factor, B polypeptide Pdgfb A 3.2
Prolactin family 2, subfamily c, member 2/Proliferin Prl2c2/Pfl A 13.5
Secreted phosphoprotein 1/osteopontin Spp1/Opn A/B/I 12.2
Slit homolog 2 (Drosophila) Slit2 A/I 3.0
Thrombospondin 1 Thbs1 A/B/I 2.7
Transforming growth factorα Tgfa A 2.2
Transforming growth factor, β1 Tgfb1 A/B/I 2.2
Tumor necrosis factor, α‐induced protein 2 Tnfaip2 A 2.3
Membrane receptors and adhesion molecules Symbol Biological Process Fold change
Anthrax toxin receptor 2 Antxr2 A 2.7
Calcitonin receptor‐like Calcrl A/B 2.3
CD44 antigen Cd44 A/I 6.1
Coagulation factor III F3/Tf A/I 2.9
Endothelial differentiation sphingolipid G‐protein‐coupled receptor 1 Edg1 A 4.1
Integrin α5 (fibronectin receptor α) Itga5 A 2.0
Interleukin 1 receptor accessory protein Il1rap I 2.3
Junction adhesion molecule 2 Jam2 I 2.3
Lymphatic vessel endothelial hyaluronan receptor 1 Lyve1 A 2.4
Oncostatin M receptor Osmr A/B/I 2.2
Plasminogen activator, urokinase receptor Plaur A/B/I 3.2
Prostaglandin E receptor 4 (subtype EP4) Ptger4 A/B/I 4.9
Tumor necrosis factor receptor superfamily, member 12a Tnfrsf12a A/B/I 2.9
Vascular cell adhesion molecule 1 Vcam1 I 3.1
Transcriptional regulators Symbol Biological Process Fold change
Early growth response 1 Egr1 A 3.4
Early growth response 2 Egr2 B 5.6
Runt‐related transcription factor 1 Runx1 A/B 2.8
Runt‐related transcription factor 2 Runx2 A/B 2.1
Ankyrin repeat domain 1 (cardiac muscle) Ankrd1 A 3.6
Others Symbol Biological Process Fold change
Matrix Gla protein Mgp B 4.1
Matrix metallopeptidase 13 Mmp13 A/B 22.1
Prostaglandin‐endoperoxide synthase 2 Ptgs2/Cox‐2 A/B/I 18.5
Serine (or cysteine) peptidase inhibitor, clade E, member 1 Serpine1 A/I 3.0
Serine (or cysteine) peptidase inhibitor, clade B, member 2 Serpinb2 A 5.6
Tissue inhibitor of metalloproteinase 1 Timp1 A/I 2.5

Selected FGF2‐upregulated genes (fold change > 2, P < 0.05, see Table 2) were classified in terms of their association with angiogenesis (A), bone formation (B) and inflammation (I) processes, according to the GO database and bibliographic searching.

A second enriched biological category within the FGF2‐modulated gene list was related to the bone formation process (GO terms ‘ossification’, ‘bone mineralization’, ‘regulation of bone remodelling’) (Table 3), a process in which FGF2 has been shown to play a relevant role [27, 28]. Genes of this functional cluster include master regulators of osteoblast development and function as Tgfb1 and the transcriptional factor Runx2. Other genes related to bone remodelling were the prostaglandin receptor Ptger4, the transcriptional factor Egr2, the protease Mmp13 and downstream TGFb1/Run×2 target genes like the bone matrix components Opn and Mgp (Table 4).

Interestingly, a third prominent group of FGF2‐induced genes was related to the inflammatory response (Table 3). As shown in Table 4, FGF2 up‐regulates the expression of a number of chemokines involved in the recruitment of different inflammatory cells such as monocytes/macrophages (Ccl2, Ccl7, C×3cl1, Opn), neutrophils (C×cl1), NK cells (C×3cl1) and T lymphocytes (C×cl16, C×3cl1). Also, FGF2‐induced genes include inflammatory cytokines [IL‐6, leukaemia inhibitory factor (Lif), Opn] and cytokine receptors [oncostatin M receptor (Osmr), tumour necrosis factor receptor superfamily member 12a (Tnfrsf12a)/Tweak‐receptor, interleukin 1 receptor accessory protein (IL1rap)], cell adhesion molecules related to leucocyte recruitment and transendothelial migration [vascular cell adhesion molecule 1 (Vcam1), junctional adhesion molecule 2 (JAM2)], as well as key inflammatory mediators like the cyclooxygenase Ptgs2/Co×‐2 and the prostaglandin E2 receptor Ptger4.

It must be pointed out that, given the tight interplay among angiogenesis, bone formation and inflammation, the role exerted by various genes mentioned above (e.g. Opn) is not limited to a single biological process (Table 4).

Real‐time PCR analysis of FGF2 up‐regulated genes

The qRT‐PCR was used to confirm the up‐regulation of a number of selected inflammation‐related genes (IL‐6, Ccl2, Ccl7, C×3cl1, C×cl1, C×cl16, Egr1, Jam2, Ptgs2/ Co×‐2, Vcam1) in FGF2‐treated endothelial 1G11 cells. Time‐course analysis demonstrated the up‐regulation of all the genes examined (Fig. 1), showing an early up‐regulation for most of them (1 hr after treatment), thus indicating that the induction of a pro‐inflammatory signature represents an early event in FGF2‐driven endothelial cell activation. Also, dose–response experiments showed that the selected genes Ccl2, Ccl7 and Ptgs2/Co×‐2 were all significantly up‐regulated in 1G11 cells when tested at FGF2 concentrations ranging from 1.0 to 30 ng/ml. Moreover, qRT‐PCR analysis confirmed the up‐regulation of the inflammation‐related genes Ccl2, Ccl7, C×3cl1 and Ptgs2/Co×‐2 in FGF2‐stimulated murine brain microvascular endothelial 10027 cells [29], supporting the notion that the induction of a pro‐inflammatory signature represents a general feature of the FGF2‐mediated response in endothelium.

Figure 1.

Figure 1

qRT‐PCR time course analysis of selected inflammation‐related genes in FGF2‐stimulated endothelial cells. Serum starved 1G11 endothelial cells were stimulated with 30 ng/ml of FGF2 for 0, 1, 2, 4, 8, 12 and 24 hrs. Total RNA from each time‐point was reverse transcribed to cDNA and analysed by qRT‐PCR. Data (mean values ± SD, n= 3) represent the expression ratio of each target gene relative to the untreated control. Expression levels were normalized to β‐actin gene.

FGF2 induces inflammatory cell recruitment in the areas of neovascularization

The above results led us to investigate the presence of FGF2‐triggered inflammatory cues in two different in vivo models of angiogenesis, the chick embryo CAM assay and the murine Matrigel plug assay.

As shown in Fig. 2, an alginate pellet containing FGF2 triggered a potent angiogenic response when applied on the top of the chick embryo CAM. May Grünwald‐Giemsa staining of the FGF2‐treated CAMs revealed the presence of an inflammatory cell infiltrate in the stroma among the newly formed blood vessels (Fig. 2). However, the lack of specific antibodies and the early stage of development of the chick embryos did not allow a characterization of the inflammatory cells infiltrating the CAM. Next, the anti‐inflammatory drugs hydrocortisone and ketoprofen were used to assess the overall impact of the inflammatory response on FGF2‐induced angiogenesis in the CAM assay. As shown in Fig. 2, both drugs were able to inhibit the angiogenic response triggered by FGF2, thus implicating inflammatory cells/mediators in FGF2‐dependent neovascularization.

Figure 2.

Figure 2

FGF2 induces angiogenic and inflammatory responses in the chick embryo CAM assay. (A) Alginate beads containing vehicle (PBS) or 150 ng of FGF2 (FGF2) were implanted on top of chick embryo CAMs at day 11 of development. After 3 days, CAMs were assessed for new vessel formation (upper panels) using a stereomicroscope (original magnification, ×5) and for inflammatory cell infiltration (lower panels) by May Grünwald‐Giemsa staining of paraffin‐embedded sections (original magnification, ×40). Note the strong presence of inflammatory cells (arrowheads) in the areas of FGF2‐induced neovascularization, as shown in the enlarged lower right panel. Alginate implant (AI, dotted line), vessels (v). (B) Alginate implants containing vehicle or 150 ng of FGF2 were assessed for their angiogenic capacity in the absence or presence of 50 μg of hydrocortisone or 50 μg of ketoprofen. Data (7–10 eggs per group) represent the number of vessels converging towards the alginate implant and are expressed as mean ± SD. *, statistically different from the ‘FGF2 plus vehicle’ group, P < 0.05.

In a second set of experiments, FGF2‐embedded Matrigel plugs were implanted subcutaneously in mice and examined hystologically at day 7 after implantation (Fig. 3). Haematoxylin/eosin staining revealed the presence of numerous blood vessels and of an abundant cellular infiltrate in FGF2‐embedded pellets when compared to PBS‐embedded control implants. Immunofluorescence analysis confirmed the presence of a potent neovascular response in FGF2‐embedded plugs, as shown by the presence of numerous CD31+ endothelial cells, which was accompanied by a consistent CD45+ leucocyte infiltrate. The characterization of the leucocyte subsets revealed that the inflammatory cell infiltrate consists mainly of CD11b+ monocytes and F4/80+ macrophages. Only rare Gr‐1+ neutrophils and CD8+ or CD4+ T‐lymphocytes and no CD19+ B‐lymphocytes, NK1.1+ natural killer or CD11c+ dendritic cells were instead detectable (Fig. 3 and Table 5). A time‐course analysis of the cellular populations infiltrating the FGF2‐embedded Matrigel plugs revealed that monocytes/macrophages are already detectable within the plug at day 2 after implantation whereas a significant CD31+ neovascular response becomes evident on day 4 (data not shown). Thus, macrophage recruitment precedes neovascularization in FGF2‐driven angiogenesis.

Figure 3.

Figure 3

Inflammatory cells infiltrate the areas of FGF2‐induced neovascularization in Matrigel plugs. Matrigel pellets containing PBS or 150 ng of FGF2 were implanted subcutaneously in mice and examined at day 7 by haematoxylin and eosin staining and immunofluorescence analysis with antibodies specific to the indicated antigens. Note the presence in the implanted FGF2‐Matrigel plugs of numerous CD31+ endothelial cells and of CD45+ infiltrating leucocytes, mainly consisting of CD11b+ monocytes and F4/80+ macrophages. Only scarce Gr‐1+ neutrophils, CD8+ and CD4+ T‐lymphocytes and no CD19+ B‐lymphocytes, NK1.1+ natural killer or CD11c+ dendritic cells are instead detectable. Nuclei are shown by DAPI counterstaining. Original magnification: a–j, ×200; k–o, ×100.

Table 5.

Immunoistochemical characterization of the inflammatory infiltrate in FGF2‐Matrigel plugs

Treatment CD31+ CD45+ CD11b+ F4/80+ GR‐1+ CD4+ CD8+
PBS 1074 ± 748 7682 ± 3220 7002 ± 601 2316 ± 186 61 ± 63 0 0
FGF2 12,228 ± 2024 37,467 ± 5900 13,469 ± 2372 17,401 ± 7187 82 ± 115 154 ± 169 654 ± 834

Eight μm frozen sections of Matrigel plugs containing PBS or FGF2 (five plugs per group) were immunostained for the indicated antigens. Then, the corresponding immunoreactive areas were analysed in five microscopic fields per Matrigel section (two sections per Matrigel plug) using the ImagePro Plus software. Analysis was performed on plugs on day 7 after implantation. Data (mean ± SD) are expressed as μm2 of immunoreactive area per microscopic field (0.38 mm2).

Impairment of macrophage recruitment reduces FGF2‐induced angiogenesis

The above observations support the notion that inflammatory cells are relevant to FGF2‐dependent neovascularization. To further investigate this hypothesis, we evaluated the capacity of FGF2 to trigger an angiogenic response in the Matrigel plug assay under conditions that impair the recruitment of inflammatory cells.

Proper migration of leucocytes to chemotactic agonists in inflammatory sites is dependent on PI3Kγ activity [24]. To investigate the potential role of infiltrating inflammatory cells in the modulation of FGF2‐dependent angiogenesis, FGF2‐embedded Matrigel plugs were implanted subcutaneously in PI3Kγ−/− mice and examined by immunostaining at day 7 after implantation. Computerized image analysis of the immunofluorescence signals demonstrated a significant reduction of the F4/80+ cell infiltrate (–60%) and, importantly, of CD31+ neovessels (–40%) in PI3Kγ−/− mice when compared to wild‐type control animals (Fig. 4).

Figure 4.

Figure 4

Defective macrophage recruitment impairs FGF2‐induced angiogenesis. (A) Immunohistochemical analysis of FGF2‐Matrigel pellets from wild‐type (wt) or PI3Kγ−/− SV129 mice and from C57Bl/6 mice that underwent PBS‐lips or Clodro‐lips pre‐treatment. Matrigel sections were double‐stained with anti‐CD31 (red) and anti‐F4/80 (green) monoclonal antibodies. Original magnification, ×200. (B) Quantitative analysis of infiltrating CD31+ endothelial cells and F4/80+ macrophages in FGF2‐Matrigel plugs on day 7 after implantation. Data (mean ± SD) represent the percentage of CD31+ (red bars) or F4/80+ (green bars) immunopositive areas of Matrigel sections from PI3Kγ−/− or Clodro‐lip‐treated mice relative to their respective wt and PBS‐lip‐treated controls. *, P < 0.05.

In a second set of experiments, FGF2‐induced angiogenesis was evaluated after macrophage depletion following intraperitoneal pre‐treatment with clodronate liposomes (Clodro‐lip) [30]. Again, immunofluorescence analysis demonstrated a 72% reduction of the F4/80+ macrophage infiltrate and a 40% decrease of the CD31+ areas of neovascularization in FGF2‐embedded Matrigel plugs implanted in Clodro‐lip‐treated animals when compared to control animals injected with PBS‐containing liposomes (PBS‐lip) (Fig. 4). Taken together, these results point to a role for pro‐inflammatory macrophages in FGF2‐induced angiogenesis in vivo.

The conditioned medium from FGF2‐stimulated microvascular cells is chemotactic for monocytes and promotes chemokine‐dependent angiogenesis in vivo

Gene expression data indicate that FGF2 up‐regulates the production of various chemokines that may serve to recruit monocytes in the neovascularized areas. To test this hypothesis, we evaluated the ability of the CM from FGF2‐stimulated microvascular 1G11 cells to induce monocyte chemotaxis in vitro. To avoid the possibility that exogenously added FGF2 may interfere with the biological activity of the CM from FGF2‐treated cells, 1G11 cells were seeded on FGF2 immobilized to plastic dishes where it retains a full biological activity [31]. Following a 24‐hr stimulation, cells extracts and CM were analysed for gene expression and monocyte chemotactic activity, respectively. The concentration of human FGF2 in the CM was typically lower than 1.0 ng/ml, as assessed by ELISA. As controls, 1G11 cells cultured for 24 hrs on non‐coated dishes or stimulated with soluble FGF2 (30 ng/ml) were analysed in parallel. As shown in Fig. 5, both immobilized and free FGF2 induced the up‐regulation of selected chemotactic factors, thus confirming the ability of substratum‐bound FGF2 to activate endothelial cells.

Figure 5.

Figure 5

qRT‐PCR analysis of selected chemokines in endothelial cells stimulated by immobilized or soluble FGF2. Microvascular 1G11 cells were incubated for 24 hrs on FGF2‐coated dishes (immobilized FGF2) or stimulated for 24 hrs with 30 ng/ml of FGF2 (soluble FGF2) onto non‐coated dishes. Total RNA was reverse transcribed to cDNA and analysed by real‐time PCR. Data are presented as the expression ratio of each target gene relative to an untreated control. Expression levels were normalized to β‐actin gene. The bars show mean values ± SD (n= 3).

On this basis, the CM from control and FGF2‐stimulated 1G11 cells were tested in a Boyden chamber assay for the capacity to induce a chemotactic response in freshly isolated human monocytes (Fig. 6A). The CM from FGF2‐stimulated 1G11 cells exerted a dose‐dependent chemotactic response whereas the CM from control cells was ineffective. Importantly, the chemotactic response was inhibited in a dose‐dependent manner when the CM from FGF2‐stimulated 1G11 cells was pre‐incubated with the pan‐chemokine inhibitor M3 (Fig. 6B), a murine gammaherpesvirus 68 protein antagonist for human and mouse CC, CXC and CX3C chemokines [19]. At variance, M3 did not affect the capacity of FGF2 to trigger in vitro endothelial cell proliferation and sprouting (data not shown). Taken together, these observations indicate that FGF2‐activated endothelium expresses and secretes biologically active chemokine(s) that represent a chemotactic stimulus for human monocytes.

Figure 6.

Figure 6

The conditioned medium (CM) from FGF2‐stimulated microvascular endothelial cells is chemotactic to monocytes. (A) The migration of human monocytes towards different dilutions of the CM from non‐stimulated (Control_CM) and FGF2‐stimulated (FGF2_CM) 1G11 endothelial cells was quantified as described in ‘Materials and methods’. Data are expressed as the mean number of migrated cells per field. (B) Inhibition of the chemotactic response of 1G11 endothelial cells towards FGF2‐CM by different concentrations of the pan‐chemokine inhibitor M3. Chemotaxis was tested at the dose of FGF2_CM that induced the maximal chemotactic responses (1/300 dilution) and compared to the equivalent dilution of Control_CM. Data are expressed as the number of migrated cells per field.

Next, the CM from FGF2‐stimulated microvascular 1G11 cells was investigated for the capacity to induce neovascularization in vivo in the chick embryo CAM assay. As shown in Fig. 7A, the CM from FGF2‐stimulated endothelial cells exerted a potent angiogenic response that was significantly reduced in the presence of the pan‐chemokine inhibitor M3. Accordingly, the intense cellular infiltrate observed in the areas of neovascularization induced by the CM from FGF2‐stimulated cells was almost abolished in the presence of M3 (Fig. 7B). In keeping with these observations, the pan‐chemokine inhibitor M3 induced a significant inhibitory effect on neovascularization induced by recombinant FGF2, without affecting the basal levels of vascularization of the CAM (Fig. 8). Taken together, these findings demonstrate a relevant role for pro‐inflammatory chemokines in FGF2‐driven angiogenesis.

Figure 7.

Figure 7

The conditioned medium (CM) from FGF2‐stimulated microvascular endothelial cells promotes chemokine‐dependent angiogenesis in vivo. (A) Chick embryo CAM assay was performed with the CM from non‐stimulated (Control_CM) and FGF2‐stimulated (FGF2_CM) 1G11 endothelial cells in the absence or presence of 75 ng of the pan‐chemokine inhibitor M3. Data are expressed as the mean ± SD of the number of vessels invading the alginate area (*, statistically different from the ‘FGF2_CM’ group, P < 0.05). (B) Representative histological sections of CAMs from the different experimental groups (May Grünwald‐Giemsa staining). Note that FGF2_CM induces neovascularization and a strong inflammatory cell infiltrate within the alginate implant (AI, dotted line), both greatly reduced in the presence of M3.

Figure 8.

Figure 8

Pan‐chemokine inhibitor M3 impairs FGF2‐induced angiogenesis. CAMs were implanted at day 11 of development with alginate beads containing vehicle (PBS), 150 ng of FGF2, 75 ng of M3 or 150 ng of FGF2 added with 75 ng of M3. After 3 days, CAMs were photographed (A, original magnification ×5) and angiogenesis was quantified by counting the number of microvessels (mean ± SD) invading the alginate area (B). Note the significant reduction (*, P < 0.05) in the number of newly‐formed microvessels converging towards the FGF2 implant in the presence of the M3 inhibitor.

Discussion

Scattered experimental evidence pointed to a role for inflammatory mediators and leucocytes in mediating the neovascularization process triggered by the angiogenic growth factor FGF2 [10, 13, 15, 16, 17, 32]. In the present study, transcriptome analysis demonstrates that FGF2 activates a complex pro‐inflammatory signature in murine microvascular endothelial cells. Accordingly, we provide evidence that FGF2‐induced chemokines and infiltrating monocytes/macrophages are non‐redundant mediators of the neovascularization process elicited by the growth factor. Indeed, FGF2‐triggered angiogenesis is significantly reduced in the CAM assay by mechanistically distinct steroidal (hydrocortisone) and non‐steroidal (ketoprofen) anti‐inflammatory drugs and by the pan‐chemokine inhibitor M3. Also, FGF2 elicits a decreased angiogenic response in PI3Kγ−/− mice exhibiting defective leucocyte migration and in clodronate‐pre‐treated, macrophage‐depleted animals.

Monocytes/macrophages are active players in pathological angiogenesis [33, 34, 35]. They often precede, temporally and spatially, new vessel formation by altering the microenvironment, thus promoting vascular sprouting [36] and the recruitment of endothelial cell precursors [32]. Accordingly, we have observed that the early recruitment of mononuclear phagocytes (within 2–3 days after implantation) precedes blood vessel formation in FGF2‐driven angiogenesis in the Matrigel plug assay. The depletion of monocytes/macrophages reduces also neovascularization driven by VEGF [37], placental growth factor (PIGF) [38] and IL‐1β[39]. Thus, mononuclear phagocytes play a pivotal role in the angiogenesis process driven by various angiogenic growth factors, including FGF2.

Our observations indicate that FGF2‐driven angiogenesis is, at least in part, chemokine‐dependent. Chemotactic factors produced by FGF2‐stimulated endothelium may recruit mononuclear phagocytes that, in turn, will amplify the angiogenic response by releasing monocyte‐derived pro‐angiogenic cytokines. Also, FGF2‐induced chemoattractants may play a direct role in neovascularization by interacting with specific chemokine receptors expressed on endothelial cells [7]. Among them, the FGF2‐induced chemokines Ccl2, C×cl1, C×cl16 and C×c3l1 could act as enhancers of the neovascularization process elicited by the growth factor.

The capacity of the pan‐chemokine inhibitor M3 [19] to inhibit angiogenesis triggered by FGF2 or by the CM from FGF2‐stimulated endothelial cells is of interest. This gammaherpesvirus 68‐derived protein prevents chemokine‐mediated signal transduction and leucocyte recruitment induced by a number of chemokines and may have therapeutic potential in inflammatory conditions [40]. Our findings suggest that M3 protein may represent the basis for the design of novel angiogenesis inhibitors with therapeutic implications in angiogenesis‐dependent pathological conditions, including tumour growth and metastasis.

Taken together, our findings support the notion that monocytes/macrophages and inflammation‐related gene products actively participate in the angiogenic process elicited by FGF2 as part of a complex cascade of cellular and molecular events triggered by the growth factor on microvascular endothelium. Indeed, FGF2 up‐regulates also the expression of a variety of angiogenic growth factors in endothelial cells, including FGF2 itself (Table 4). This suggests that FGF2 is able to activate an autocrine loop of amplification of the angiogenic response that, together with the paracrine activity exerted by endothelium‐derived cytokines/chemokines on inflammatory cells, will contribute to the modulation of the neovascularization process triggered by the growth factor.

Like FGF2, also VEGF is known to up‐regulate the expression of pro‐inflammatory mediators in endothelial cells [41, 42, 43]. In our experiments, the induction of inflammation‐related genes by FGF2 represents an early event, most of these genes being up‐regulated 1 hr after treatment (see Fig. 1). This precedes the limited increase of VEGF expression induced by FGF2 in 1G11 cells that reaches a maximal twofold up‐regulation at 24 hrs after stimulation (data not shown). This observation appears to rule out the possibility that the pro‐inflammatory signature triggered by FGF2 in endothelial cells may represent an indirect, VEGF‐mediated effect. On the other hand, in parallel with a significant monocyte/macrophage infiltrate, we have observed a sixfold increase of VEGF mRNA levels in FGF2‐Matrigel plugs when compared to control implants (data not shown). Further experiments are required to fully dissect the complex cross‐talk between FGF2 and VEGF during angiogenesis (reviewed in [13]).

FGF2 expression is augmented at sites of chronic inflammation, tissue injury and in human cancer [13]. Our observations suggest that FGF2 released after tissue damage may contribute to the host defence responses by activating pro‐angiogenic and pro‐inflammatory signatures in endothelium that, by acting in concert, will lead to neovessel formation and monocyte/macrophage engagement. Accordingly, Fgf2‐null mice exhibit delayed wound repair [44] and neutralizing anti‐FGF2 antibodies inhibit angiogenesis and formation of granulation tissue in a rat model of wound healing [45]. Conversely, local application of FGF2 effectively improves wound repair [46], the healing process being accompanied by mononuclear cell infiltrate recruitment [47]. On the other hand, long‐term stimulation by FGF2 inhibits monocyte/macrophages adhesion to endothelium and the chemotactic response to various chemokines [48], suggesting that the pro‐ or anti‐inflammatory activity of FGF2 may be contextual (discussed in [13]).

In conclusion, our findings point to inflammatory chemokines as important early mediators of FGF2‐driven angiogenesis and indicate a relevant role for inflammatory cells in the neovascularization process elicited by the growth factor. Conversely, FGF2 may exert important functions at sites of inflammation and/or tissue injury not only by inducing neovascularization but also by contributing to the activation of innate immune responses.

Acknowledgements

This work was supported by grants from Istituto Superiore di Sanità (Oncotechnological Program), Ministero dell’Istruzione, Università e Ricerca (Centro di Eccellenza per l’Innovazione Diagnostica e Terapeutica, Cofin projects), Associazione Italiana Ricerca sul Cancro, Fondazione Berlucchi, NOBEL Project Cariplo, and Integrated European Commission Project STROMA to M.P. G.A. was supported by a Marie Curie Fellowship from the European Community Quality of Life Programme. A.A. was funded by the Wellcome Trust.

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