Abstract
Matrix metalloproteinases (MMPs) have been implicated in the formation of microvessels during angiogenesis, but their role in vascular regression is poorly understood. The rat aorta model of angiogenesis was used to study the function of MMPs at different stages of the angiogenic process. Gelatin zymography and Western analysis demonstrated production of MMP-2 and MMP-9 by aortic outgrowths in serum-free collagen gel culture. MMP-2 was found in both culture medium and collagen gel, whereas MMP-9 was predominantly associated with the gel. MMP expression increased gradually during the angiogenic growth phase and stayed high when vessels regressed and collagen lysed around the aortic rings. The MMP inhibitors, batimastat and marimastat, blocked formation of microvessels when added to the culture medium at the beginning of the experiment. They, however, stabilized the microvessels and prevented vascular regression after the angiogenic growth phase. This effect was observed also under conditions of angiogenic stimulation by basic fibroblast growth factor. MMP inhibitor-mediated stabilization of microvessels was associated with inhibition of collagen lysis and accumulation of collagen fibrils in the subendothelial space. This study demonstrates that MMPs promote microvessel formation during the early stages of angiogenesis, but also contribute to the reabsorption of the neovasculature in the later stages of this process. The time-dependent divergent effects of MMPs on microvessel growth and survival may influence the in vivo activity of MMP inhibitors used to treat angiogenesis-dependent disorders.
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Introduction
Angiogenesis, the formation of new blood vessels from pre-existing vessels, plays a fundamental role in embryonal development and physiologic/reactive processes, such as the female reproductive cycle and wound healing. New vessels contribute also to the progression of cancer, rheumatoid arthritis, diabetic retinopathy, and complicated atherosclerosis (Folkman, 1995; Folkman and Klagsbrun, 1987).
One of the initial steps in the angiogenic process is the degradation of the subendothelial basement membrane and surrounding extracellular matrix (ECM). Following matrix breakdown, endothelial cells migrate and proliferate to form new capillary tubes (Ausprunk and Folkman, 1977; Moscatelli and Rifkin, 1988). This process is mediated by ECM-degrading proteolytic enzymes, including matrix metalloproteinases (MMPs), which are secreted by endothelial cells in response to angiogenic stimuli (Cornelius et al, 1995; Ray and Stetler-Stevenson, 1994; Unemori et al, 1992).
The MMPs are a family of zinc-dependent endopeptidases, which are secreted as zymogens and activated extracellularly by proteolytic cleavage. MMPs are classified into interstitial collagenases (substrate: interstitial collagen), stromelysins (substrates: laminin, fibronectin), gelatinases (substrate: type IV collagen), and membrane-type MMPs (MT-MMPs) (Ray and Stetler-Stevenson, 1994). MT-MMPs are a family of cell surface-associated enzymes that activate MMPs by proteolytic mechanisms. There is some functional overlap among the groups, because gelatinases such as MMP-2 can digest fibrillar collagen while stromelysins can digest type IV collagen. The function of the MMPs is regulated at multiple levels, including gene activation, transcription, mRNA stability, translation, secretion, binding to ECM components, and proenzyme activation and inactivation by tissue inhibitors of metalloproteinases (TIMPs) (Ray and Stetler-Stevenson, 1994).
In vitro studies have demonstrated that MMPs are involved in the formation of blood vessels. Microvascular endothelial cells cultured on Matrigel or in interstitial collagen gels penetrate the surrounding matrix and reorganize into tube-like structures. These morphogenetic changes are accompanied by endothelial secretion of proteolytic enzymes including MMPs (Haas et al, 1998; Schnaper et al, 1993). Synthetic MMP inhibitors and TIMPs block endothelial penetration of the ECM and capillary tube formation (Montesano et al, 1983; Ray and Stetler-Stevenson, 1994; Schnaper et al, 1993). Expression of MMPs by grow- ing blood vessels has been documented in vivo in a number of physiological, reactive, and pathologic conditions. Newly formed microvessels and/or surrounding stromal cells have been shown to overexpress MMP-1, MMP-2, MMP-3, and MMP-9 (Galis et al, 1994; Karelina et al, 1995; Stricklin et al, 1993; Vacca et al, 1997). In vivo gene ablation experiments have provided further evidence for the angiogenesis-promoting effect of MMPs. Knock-out mice deficient for MMP-2 display reduced tumor angiogenesis and tumor progression (Itoh et al, 1998). MMP-9 knock-out mice exhibit defective maturation of the growth plate, probably due to a failure of angiogenesis and enchondral ossification (Vu et al, 1998).
Recent studies have shown that MMPs are overexpressed not only during angiogenesis, but also during the involution and/or breakdown of vascularized organs such as the corpus luteum, the endometrium, and the mammary gland (Ambili et al, 1998; Duncan et al, 1998; Salamonsen, 1994). These findings suggest that proteolytic enzymes may play an important role not only in the initial phases of angiogenesis, but also in the later stages of this process when microvessels no longer proliferate and are gradually reabsorbed. The contribution of enzymatic events to vascular regression is suggested also by the observation that endothelial cells of involuting microvessels round up and detach from the ECM (Modlich et al, 1996). Although these observations implicate MMPs in the reabsorption of microvessels, no studies have been performed to investigate the relationship between MMPs and vascular regression. This gap is largely due to the lack of bioassays capable of reproducing vascular regression under conditions that are suitable for mechanistic studies, quantitative evaluation, and pharmacologic manipulation.
In our laboratory we are using a vascular organ culture model to study wound healing-related angiogenesis and microvessel regression. Explants of rat aorta cultured in collagen gels under serum-free conditions generate outgrowths of microvessels (Nicosia and Ottinetti, 1990). Angiogenesis in this model is a self-limited process mediated by growth factors and other endogenous regulators secreted by aortic cells in response to the injury of the dissection procedure. Because neovessels eventually regress, this model can be used to analyze the molecular mechanisms responsible for the reabsorption of a neovasculature.
In the present study, we describe the relationship between MMP production and microvessel formation and regression in the rat aorta model of angiogenesis. Our results indicate that MMPs promote microvessel formation during the early stages of angiogenesis, but also contribute to the reabsorption of the neovasculature in the later stages of this process. This suggests that MMPs may have either angiogenic or angiolytic effects, depending on the temporal context in which they operate.
Results
Relationship between Stages of Angiogenesis and MMP Secretion in the Rat Aorta Model
Explants of rat aorta cultured in collagen gel generated microvascular outgrowths in the absence of exogenous growth factors. Microvessels increased progressively in number and then gradually regressed (Nicosia, 1998; Nicosia and Ottinetti, 1990). During the growth phase, microvessels elongated, branched, and formed anastomoses as a result of endothelial cell migration and proliferation. During the regression phase, microvessels retracted and broke down into fragments, which eventually disintegrated. This process was associated with collagen gel lysis around the aortic explants (Fig. 1).
Conditioned media and collagen gel cultures were collected and analyzed by gelatin zymography at different stages of the angiogenic process. The proenzyme and active forms of MMP-2 were detected in conditioned medium and collagen gel, whereas MMP-9 was found predominantly in the gel (Figs. 2 and 3). Western blot analysis confirmed the presence of MMP-2 in conditioned medium and collagen gel, and of MMP-9 in the gel (Fig. 4). Collagen gel extracts contained also a gelatinolytic band of low molecular weight (34 kDa, Fig. 2), which did not react with anti-MMP-2 or –MMP-9 antibodies on Western blot analysis. Densitometric evaluation of zymographic bands showed that MMP-2 activity increased gradually in both conditioned medium and gel during the angiogenic growth phase, reached peak levels around Day 10, and remained elevated through the vascular regression phase (Fig. 3). MMP-9 activity continued to increase during the second and third week of culture, reaching its highest level at Day 21, when more than 80% of the neovessels had regressed (Fig. 3). MMP-2 and MMP-9 levels were 40% and 315% higher in the gel than in the conditioned medium, respectively.
Effect of MMP Inhibitors on Rat Aortic Angiogenesis
The synthetic MMP inhibitors batimastat and marimastat were used to evaluate the functional role of MMPs in the angiogenic response of rat aortic rings. These inhibitors block the enzyme activity of MMPs by binding the zinc ion in the active site of the MMPs (Rasmussen and McCann, 1997). Batimastat and marimastat dose-dependently inhibited microvessel growth during the first week of culture (Fig. 5). This effect was associated with a marked reduction in periaortic collagen lysis (Fig. 6). Although reduced in number, microvessels formed in the presence of batimastat or marimastat survived longer than those of untreated controls. As a result, toward the end of the experiment, MMP inhibitor-treated cultures had a higher number of microvessels compared with the untreated controls in which microvessels were regressing at a fast rate. The angiogenic growth curve of MMP-inhibitor-treated cultures was delayed with a sustained plateau, whereas that of untreated controls exhibited a steep slope after the growth phase. To further understand the effect of MMP inhibitors on vascular regression, batimastat or marimastat was added to rat aortic cultures after the growth phase. Both compounds significantly inhibited microvessel regression (Fig. 7), as well as collagen lysis.
Effect of MMP Inhibitors on bFGF-stimulated Cultures
Although aortic rings give rise to neovessels spontaneously, they can produce a much greater response if stimulated with exogenous angiogenic factors (Nicosia et al, 1994b). This ex vivo approach mimics in vivo physiologic or pathologic conditions that are characterized by high levels of angiogenic factors and prominent angiogenesis. On this basis, bFGF-treated cultures of rat aortic rings were used to evaluate the effect of MMP inhibitors under conditions of enhanced angiogenic stimulation (Villaschi and Nicosia, 1993). Addition of 12.5 ng/ml bFGF induced a 320% stimulation of microvessel number and a 240% stimulation of microvessel length over control values. Microvessels in bFGF-stimulated cultures proliferated until Day 9 and then gradually regressed. In the presence of marimastat, bFGF-stimulated growth of microvessels was significantly delayed. Microvessels in these cultures were also much shorter than those formed in the absence of marimastat (Fig. 8). Microvessel number in marimastat-treated cultures, however, increased steadily and reached a plateau, showing no sign of regression, whereas extensive microvessel regression was observed in bFGF-stimulated cultures not treated with marimastat (Fig. 9). Vascular stabilization in marimastat-treated cultures was associated with markedly reduced collagen lysis. These results demonstrate that neovessels can be stabilized by an MMP inhibitor even under conditions of enhanced angiogenic stimulation by an exogenous growth factor. Taken together, experiments with the rat aorta model indicate that although MMP inhibitors block microvessel sprouting in the early stage of angiogenesis, they also prevent microvessel regression and have the capacity to promote vascular survival.
Stabilization of Endothelial Networks by MMP Inhibitor
Microvascular networks obtained by culturing rat aortic endothelial cells between two layers of collagen disintegrated within 3–4 days (Villaschi and Nicosia, 1994). Addition of the MMP inhibitor batimastat to the growth medium stabilized the endothelial networks (Fig. 10). After 12 days, digitizing morphometry demonstrated a 300% greater microvessel survival in cultures treated with 200 nm batimastat over untreated controls. This observation supports the idea that vascular regression in collagen gels is mediated by MMPs.
Accumulation of Subendothelial Collagen in Microvessels Stabilized by MMP Inhibitor
Ultrastructural evaluation of bFGF-induced microvessels stabilized by the MMP inhibitor marimastat demonstrated an abundant subendothelial matrix rich in collagen (Fig. 11A). The abluminal surface of the marimastat-treated endothelium was flat and tightly adherent to the underlying collagen fibrils (Fig. 11B). Endothelial cells were spread out and well differentiated. bFGF-treated microvessels without marimastat were surrounded by a halo of collagen lysis (Fig. 12A). Collagen breakdown resulted in endothelial cell detachment from the ECM and was accompanied by the formation of many abluminal blebs and vesicles (Fig. 12B). Endothelial cells disengaged from the surrounding collagen became rounded and contracted.
Discussion
The angiogenic response of the rat aorta is a self-limited process characterized by a growth phase followed by a regression phase during which neovessels are gradually reabsorbed. In this paper we report that the reabsorbtion of the aorta-derived neovasculature is regulated by MMPs. This interpretation is based on the following observations: (1) angiogenesis in the rat aorta model is associated with secretion of MMP-2 and MMP-9 by the aortic explant and its outgrowth; (2) MMP levels, which increase steadily during angiogenesis, remain elevated during vascular regression; (3) vascular regression correlates with perivascular collagen lysis; (4) synthetic MMP inhibitors not only block rat aortic angiogenesis and collagen lysis, but also stabilize the aorta-derived microvessels and prevent vascular regression; (5) inhibition of MMPs results in the survival of microvascular networks formed by isolated endothelial cells in serum-free collagen gel culture. Based on these observations, we propose that MMPs have a time-dependent dual function in angiogenesis. They promote the formation of microvessels, but also contribute to the reabsorption and regression of the neovasculature.
The ex vivo angiogenic response of the rat aorta is akin to the in vivo neovascular responses of injured tissues during wound healing and represents a model of physiologic/reactive angiogenesis. The morphologic changes of regressing microvessels in rat aorta cultures are similar to changes that have been described during vascular regression in vivo. In the rat aorta model, endothelial cells of regressing microvessels detached from the underlying collagen, which was lysed. In addition, regressing microvessels retracted and broke down into fragments. Detachment of endothelial cells from the basement membrane has been observed in the vasculature of the corpus luteum during its involution (Modlich et al, 1996). A similar process was reported by Clark and Clark (1939), who noticed that vessels formed during wound healing in the transparent rabbit ear chamber regressed by endothelial retraction if they failed to anastomose with other vessels and were not perfused with blood. The observation that vascular regression is associated with endothelial cell rounding and detachment from the underlying matrix supports the idea that this process is due to unbalanced pericellular proteolysis, which disrupts endothelial cell adhesion to the ECM. The formation of numerous cytoplasmic blebs at the abluminal surface of the endothelium of regressing vessels in the rat aorta model is consistent with this interpretation, because cytoplasmic blebbing is typically seen in cells that are detached from culture substrates by proteolytic enzymes (Bereiter-Hahn et al, 1990). Thus, continuous MMP activity after vessels have formed results in progressive loss of the ECM scaffold that is critical for vascular integrity. Without an adequate substrate, endothelial cells, which are anchorage-dependent (Boudreau et al, 1996; Stromblad and Cheresh, 1996), fail to survive and the neovessels are gradually reabsorbed.
Evidence for a role of MMPs in the proteolytic events of vascular regression can be found in studies that describe the temporal expression of these enzymes in tissues with active angiogenic responses. For example, MMP-9 activity peaks in both early and late luteal phases and MMP-2 activity is maximal in the late corpus luteum, when vessels are regressing (Duncan et al, 1998). A similar observation was made in the endometrium, in which MMPs are overexpressed during the late menstrual phase, when hemorrhage occurs as a result of vessel breakdown (Salamonsen, 1994). MMP up-regulation has been implicated also in the involution of the mammary gland (Ambili et al, 1998).
We previously reported that aorta-derived microvessels survived longer if cultured in collagen gels supplemented with high doses of basement membrane molecules (Nicosia et al, 1994a). We also found that disruption of endothelial cell-ECM interactions with RGD-containing peptides caused disintegration of neovessels (Nicosia and Bonanno, 1991; Nicosia et al, 1993a). The results of the present study are consistent with these observations, because they indicate that preservation of the ECM scaffold around the endothelium through inhibition of MMP activity results in prolonged vessel survival.
Our observation that synthetic MMP inhibitors dose-dependently block the angiogenic response of the rat aorta indicates that these enzymes play also an important role in promoting microvessel formation during the early stages of angiogenesis. This is consistent with reports by other laboratories that have emphasized the importance of ECM proteolysis in the initiation of angiogenesis. MMPs, which have been localized by in situ labeling techniques in developing microvessels (Karelina et al, 1995; Stricklin et al, 1993; Vacca et al, 1997) are believed to be necessary for angiogenesis because neutralization of MMP activity inhibits formation of capillaries from isolated endothelial cells (Haas et al, 1998; Qian et al, 1997; Schnaper et al, 1993). In addition, MMP-2 knock-out mice display reduced tumor angiogenesis (Itoh et al, 1998), and MMP-9 knock-out mice have been reported to have defective maturation of the growth plate, probably due to a failure of angiogenesis (Vu et al, 1998).
It is possible that MMPs promote angiogenesis in the growth factor-rich milieu that surrounds the endothelium of immature microvessels and vascular regression in the growth factor deficient environment that prevails in the late stages of this process. This interpretation would explain why neovessels regress during physiologic/reactive processes, which are characterized by a gradual depletion of growth factors (Nicosia et al, 1997; Villaschi and Nicosia, 1993), but not in pathologic processes such as cancer, in which growth factors levels are constantly elevated (Hazelton et al, 1999; Li et al, 1994).
In the rat aorta model, MMP production during the angiogenic growth phase is probably stimulated by angiogenic factors. For example, bFGF, which is released by the aortic explants after injury (Villaschi and Nicosia, 1993), has the capacity to induce MMP production by isolated endothelial cells (Cornelius et al, 1995) and rat aortic explants (unpublished observations, Zhu and Nicosia). Persistent MMP production and/or activation in the absence of growth factor stimuli during the vascular regression phase may be due to cell-cell and/or cell-matrix interactions. For example, MMP-2 synthesis is modulated by interstitial collagen and intracellular calcium influx (Haas et al, 1998; Ray and Stetler-Stevenson, 1994), whereas MMP-9 can be induced by thrombospondin-1 (Qian et al, 1997). In addition, MMP-2 can be activated by cell-associated MMPs such as membrane-type-1 metalloproteinase (Haas et al, 1998; Sato et al, 1994).
The stabilizing effect on aorta-derived microvessels of synthetic MMP inhibitors such as batimastat and marimastat raises the possibility that endogenous MMP inhibitors such as TIMPs may play a role in the mechanisms of vascular survival. TIMPs are known to have anti-angiogenic effects (Murphy et al 1993; Schnaper et al, 1993), but their capacity to inhibit vascular regression through blockage of MMP function has not been investigated. Future studies should explore the effect of changes in the MMP/TIMP balance on the fate of neovascular outgrowths in physiologic, reactive and pathologic conditions. It will also be important to investigate the role of specific MMPs at different stages of microvessel development. The observation that MMP-2 and MMP-9 have different patterns of distribution in the solid and soluble phases of rat aorta cultures raises the intriguing possibility that these molecules may have distinct roles in the angiogenic process. Of particular interest is MMP-9, which tends to accumulate in the solid phase and whose expression correlates with both angiogenesis and the reabsorption of neovessels.
Understanding the mechanisms by which MMPs regulate vascular regression may have important clinical implications because the majority of patients with angiogenesis-dependent disorders become symptomatic when angiogenesis has already occurred. Antiangiogenic therapy with drugs that block formation of microvessels should prevent progression of the disease process, but a therapy designed to induce vascular regression may ultimately be needed for the curative treatment of preexisting lesions. To that end, the hypothesis that perivascular proteolysis is a mechanism of neovessel reabsorption warrants further investigation.
Materials and Methods
Rat Aorta Model of Angiogenesis
Aortic rings obtained from 5- to 10-week-old Fischer 344 male rats were embedded in collagen gels and transferred to 16-mm wells (4-well NUNC dishes) each containing 0.5 ml serum-free endothelial basal medium (EBM, Clonetics Corporation, San Diego, California) (Nicosia, 1998). The growth medium was changed 3 times a week starting from Day 3. The cultures were treated with increasing concentrations of the MMP inhibitors batimastat or marimastat (British Biotech Pharmaceutical Limited, Oxford, UK) in the presence or absence of bFGF (R and D Systems, Minneapolis, Minnesota). Controls included cultures treated with vehicle alone (dimethyl sulfoxide) and untreated cultures. MMP inhibitors were added to the medium from the beginning of the experiment or at Days 6 to 7, toward the end of the angiogenic phase, and supplemented with each feeding.
Collagen Gel Overlay Assay of Microvascular Tube Formation
Rat aortic endothelial cells isolated from tissue explants were seeded on collagen gels under serum-free conditions, allowed to attach and spread overnight, and overlaid with a second layer of collagen, as described (Nicosia et al, 1993b). Endothelial cells cultured in this manner reorganized into networks of microvascular tubes within 24 hours. Triplicate collagen gel overlay cultures were treated with the MMP inhibitor batimastat (200 nm) or left untreated.
Electron Microscopy
For transmission electron microscopy, collagen gel cultures of rat aorta were fixed in 3% glutaraldehyde, 0.1 M cacodylate buffer, pH 7.4. They were then postfixed in osmium tetroxide, en bloc stained with 2% aqueous uranyl acetate, embedded in EPON, thin sectioned, stained with lead citrate, and examined with a Zeiss 10A transmission electron microscope.
Measurement of Angiogenesis
The angiogenic response of aortic cultures was determined by counting the number of microvessels in the living cultures, according to published criteria (Nicosia and Ottinetti, 1990). The elongation of microvessels and the area of collagen lysis surrounding the aortic rings were measured by digitizing morphometry using Bioquant IV image analysis software (Nicosia et al, 1993). Microvascular elongation was quantified by measuring the shortest distance between the tip of the vessel to the edge of the aorta ring. Each experimental group included the 60 longest microvessels of triplicate cultures.
For the collagen gel overlay assay, cultures were measured by digitizing morphometry. Collagen gels were fixed in 10% buffered formalin, washed in distilled water, transferred to a histology glass slide, and air dried to obtain whole mounts. Each gel was rehydrated with distilled water before quantitative evaluation. Microvessels were visualized under bright field microscopy at ×4 magnification. Each culture was scored by measuring the cumulative length/field of five randomly selected microvascular networks.
Statistical Analysis
Experiments with aortic cultures included three to four cultures per group and were repeated at least three times. Collagen gel overlay experiments with isolated endothelial cells were repeated twice. Data were analyzed with GraphPad Prism statistics software (GraphPad Software Inc., San Diego, California). Student’s t test or one way ANOVA followed by Newman-Keuls multiple comparison test was used to evaluate whether differences among groups were significant. Statistical significance was set at p < 0.05.
Gelatin Zymography
Conditioned media or collagen gels each housing the aortic explant and its outgrowth were mixed with the appropriate volume of 5 × sodium dodecyl sulfate (SDS) sample buffer to obtain a final 1 × buffer concentration (0.08 M Tris-HCl pH 6.8, 1% SDS, 4% glycerol, 0.006% bromophenol blue). The samples were kept at room temperature for 20 minutes and subjected to electrophoresis in 8.5% SDS-PAGE containing 0.2% gelatin at 4° C (Kleiner and Stetler-Stevenson, 1994). The electrophoresis gels were washed in 2.5% Triton X-100 to remove SDS and developed for 24 hours at 37° C in 50 mm Tris-HCl, pH 7.4, 0.15 M NaCl, 10 mm CaCl2 and 0.02% NaN3. They were then stained with 0.1% Coomassie brilliant blue R250 solution in 10% acetic acid, washed with 30% isopropanol in 10% acetic acid, and dried. The intensity of the gelatinolytic bands corresponding to MMP-2 and MMP-9 was measured with a Personal Densitometer SI (Molecular Dynamics, Sunnyvale, California).
Western Analysis
Conditioned media and collagen gels from rat aorta cultures were subjected to SDS-PAGE, transferred to nitrocellulose membrane, immunostained with a rabbit polyclonal antibody against MMP-2 kindly provided by Dr. W.G. Stetler-Stevenson (National Cancer Institute, Bethesda, Maryland) or a monoclonal mouse antibody against MMP-9 (Oncogene, Cambridge, Massachusetts), and reacted with biotinylated secondary antibodies against IgG of the appropriate animal species. Immunoreactive bands were reacted with the ABC kit and visualized with a peroxidase substrate (Vector Laboratories, Inc., Burlingame, California).
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Zhu, WH., Guo, X., Villaschi, S. et al. Regulation of Vascular Growth and Regression by Matrix Metalloproteinases in the Rat Aorta Model of Angiogenesis. Lab Invest 80, 545–555 (2000). https://doi.org/10.1038/labinvest.3780060
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DOI: https://doi.org/10.1038/labinvest.3780060
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