378 Effect of Carbon Dioxide and Oxygen on Endothelin Production by Cultured Porcine Cerebral Endothelial Cells Satonobu Yoshimoto, MD, DMSc; Yasuki Ishizaki, MD, PhD; Tomio Sasaki, MD, DMSc; and Sei-itsu Murota, PhD Downloaded from http://stroke.ahajournals.org/ by guest on July 31, 2017 We have previously reported the production of endothelin, a potent vasoconstrictor peptide, by porcine cerebral microvessel endothelia and suggested its important role in the regulation of local blood flow within the brain. In our present study, radioimmunoassay with anti-porcine endothelin antiserura revealed that endothelin, produced by cerebral microvessel endothelia grown on a filter, is released mainly to the basement membrane side, not the vascular lumen side. This finding suggests that endothelin constricts arterioles locally where it is produced by endothelia. We also found that cerebral microvessel endothelia produce less endothelin under low oxygen pressure and more endothelin under low carbon dioxide pressure. Our results suggest that endothelin has a role in the regulation of cerebral bloodflowin response to oxygen and carbon dioxide pressure. (Stroke 1991;22:378-383) V ascular endothelia have been suggested to play important roles in the regulation of blood flow in various tissues.1 In 1982 and 1983, De Mey and Vanhoutte2-3 reported vasoconstriction dependent on or enhanced by the endothelium. Since then, vasoconstriction dependent on endothelial cells with various chemical stimuli has also been reported. 4 - 6 In 1987, O'Brien et al7 suggested the presence of a vasoconstrictor peptide in the conditioned medium from cultured bovine aortic and pulmonary arterial endothelial cells and called it an endothelium-derived constricting factor. In 1988, Yanagisawa et al8 isolated a vasoconstrictor peptide (endothelin) from the supernatant of cultured endothelia of porcine aorta, and endothelin is now believed to be the most likely candidate for endothelium-derived constricting factor. Endothelin was found to constrict intracranial arteries in vitro and in vivo9 and is reported to have a potent microvascular constrictive effect.10 Since the work of Kety and Schmidt,11 it is believed that the brain demands a critical and constant blood supply to maintain neural function. Neural, chemical, and metabolic factors From the Department of Neurosurgery (S.Y., T.S.), Faculty of Medicine, University of Tokyo and the Section of Physiological Chemistry (Y.I., S-i.M.), Faculty of Dentistry, Tokyo Medical and Dental University, Tokyo, Japan. Address for correspondence: Satonobu Yoshimoto, MD, Department of Neurosurgery, Faculty of Medicine, University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo 113, Japan. Received April 2, 1990; accepted November 7, 1990. influence cerebral blood flow, as do changes in arterial blood pressure.12 We recently reported endothelin production by brain microvessel endothelia and suggested an important role for this substance in the regulation of local cerebral blood flow.13 In our present study, we examine the polarity (luminal versus abluminal) of endothelin release and the effect of oxygen and carbon dioxide pressure on endothelin production by cultured cerebral microvessel endothelial cells to corroborate the possibility that endothelial cells are involved in the regulation of cerebral blood flow through the production of endothelin. Materials and Methods Primary cultures of brain microvessel endothelial cells were prepared after the method of Bowman et aji4,i5 w jth slight modifications as reported previously.13 The brains of two adult pigs were transported from a slaughterhouse to the laboratory s i hour after sacrifice in ice-cold tissue culture medium containing antibiotics. After removing the choroid plexuses and diencephalon, we cleaned the cerebral cortical tissues of meninges and superficial blood vessels and minced the tissue into 1-2-mm cubes. The tissue was incubated in 400 ml minimal essential medium (MEM) (GIBCO, Grand Island, N.Y.) containing 0.5% dispase at 37°C for 3 hours. After centrifugation at l.OOOg for 10 minutes, the pellet was collected and resuspended in 200 ml MEM and centrifuged again under the same conditions. The obtained pellet was resuspended in 200 ml MEM Yoshimoto et al Cerebral Circulation and Endothelin Downloaded from http://stroke.ahajournals.org/ by guest on July 31, 2017 containing 13% dextran (Dextran T 70, Pharmacia, Uppsala, Sweden) and centrifuged at 5,800g for 10 minutes to remove the cellular debris and myelin components. The pellet was resuspended in 60 ml MEM and filtered through 300-/im nylon mesh. From the filtrate, microvessels were collected by centrifugation at l.OOOg for 10 minutes. The microvessels were then incubated in 4 ml medium containing 1 mg/ml collagenase/dispase (Boehringer Mannheim, Mannheim, FRG) for 10 hours to remove the basement membrane and most pericytes. Microvessels were centrifuged at l,000g for 10 minutes, and the pellet was resuspended in 2 ml medium. The suspension was then layered on 8 ml Percoll (Pharmacia) gradient that had been prepared previously by centrifugation at 26,000g for 1 hour; the layer of berry-like groups of endothelia were obtained by centrifugation at 600g for 10 minutes. The cells were resuspended in 10 ml medium and collected by centrifugation at l,000g for 10 minutes. The cells were seeded on 2.0 cm2x24-well culture dishes or on collagen-coated filters (Intercell, 0.45 //.m, Kurabo, Osaka, Japan) placed in 24-well culture dishes and were incubated at 37°C in MEM containing 10% fetal bovine serum (FBS) (Whittaker Bioproducts, Walkersville, Md.), 100 /ig/ml penicillin, 100 ^.g/ml streptomycin, 2.5 /ig/ml amphotericin B, and 20 units/ml heparin in a 95%/5% mixture of atmospheric air and CO2. After 4-6 days, a confluent cell monolayer was obtained. The cells were identified by their incorporation of acetylated low density lipoprotein labeled with l,l'-dioctadecyl-3,3,3',3'tetramethylindocarbocyanine perchlorate (Paesel, Frankfurt, FRG). 16 The conditioned medium of the primary cultured cells after confluence was used for radioimmunoassay. To determine the polarity of endothelin release, we used endothelia cultured on the collagen-coated filters.17 After confluence, the cells were placed in new dishes. To equalize the hydrostatic pressure of both sides when 150 p\ medium was put into each side, 600 /i\ of the lower part was replaced by Bio-Resin (Pile B) (Shofu, Kyoto, Japan), which is nontoxic and is made for dental splints or artificial surgical bone. The cells were then placed in the incubator for 2 hours. This incubation time was chosen in an attempt to allow production of enough endothelin and to minimize the nonspecific movement of endothelin through the cell-filter complex. The medium on each side of the cell-filter complex was collected and subjected to radioimmunoassay for endothelin. Tightness of the cell-filter complex was certified by examining spectrophotometrically the permeability of a 0.1 g/ml bovine serum albumin (Wako, Osaka, Japan)-0.02% Evans blue complex1* placed on the upper side. The amount of Evans blue filtered was about Vu of that applied to the upper side. (The mean±SEM value of the upper side was 781 ±56.78 [n=4] and that of the lower side was 60.5±2.54 after 2 hours' incubation.) 379 For the low-oxygen experiments, confluent endothelia from the culture dishes were used. After medium exchange with 200 jil culture medium, the cells were cultured under 25-30 mm Hg (approximately 4%) O2 or 80 mm Hg (approximately 10%) O2 for 0-6 hours; 20% (approximately 155 mm Hg) O2 was used as the control. The actual oxygen content of the conditioned medium was measured using a blood gas analyzer (Acid-Base Laboratory 4, Radiometer, Copenhagen, Denmark) immediately after sampling. For the 4% O2 experiment, two chamber boxes (Modular Incubator Chamber, St. Hart Container Corp., Cleveland, Ohio) were used. Each chamber has an airtight cavity, which can be opened, and two clampable rubes. Through the inlet tube, the chamber was flushed with a 2.5 1/min 5%/95% CO2/N2 gas mixture for 15 minutes. After both tubes were clamped, the chambers were placed in the incubator at 37°C. Before the experiment, the oxygen content was checked and the PO2 was verified to be 25-30 mm Hg at 3, 6, and 12 hours' incubation after clamping at the same condition. After medium exchange, the culture dishes were placed in the chamber. After closing the chamber, it was flushed as above and placed in the incubator. Media were collected 3, 6, and 12 hours after medium exchange and were subjected to radioimmunoassay for endothelin. In a separate experiment, 1 and 2 hours' incubations were performed with 20% O2 as the control. At the end of each experiment, cell viability was checked by the dye exclusion method using erythrosin B, and almost no cells were dyed at 4% O2. Endothelin production by the microvessels themselves was also measured. Microvessels taken from half of each porcine brain before treatment with collagenase/dispase were incubated in 5 ml MEM containing 10% FBS under 4% or 20% O2. After 19 hours' incubation, the media were collected and subjected to radioimmunoassay for endothelin. For the 10% O2 experiment, the incubator, which can control oxygen content, was used. After medium exchange the culture dishes were placed in the incubator, and conditioned media were obtained 1, 2, 3, and 6 hours later and subjected to radioimmunoassay for endothelin. All procedures were undertaken in the incubator. For the low-carbon dioxide experiments, two incubators, which can control both carbon dioxide and oxygen contents, were used. Media were placed in each incubator for 24 hours before the experiment (incubator 1: 5% CO2 and 19% O2 [normal control]; incubator 2: 2.5% CO2 and 19% O2). After medium exchange with 200 /xl culture medium, confluent endothelia from the culture dishes were placed in each incubator. Conditioned media were obtained after 15, 30, 60, and 120 minutes' incubation. Amersham's Endothelin-1,2 [125I]Assay System (Amersham, U.K.), by which the concentration of endothelin-1,2 can be measured in the range 0.5-64 fmol/tube, was used as the manufacturer recommends. Briefly, 100 jtl of each conditioned medium 380 Stroke Vol 22, No 3 March 1991 FIGURE 1. A: Phase-contrast micrograph of cultured endothelium of porcine brain microvessel B: Almost all cells were identified as endothelial cells by incorporation of acetylated low density lipoprotein. Downloaded from http://stroke.ahajournals.org/ by guest on July 31, 2017 was pipetted into tubes, 100 /AI endothelin-1,2 antiserum was added to every tube, and the tubes were incubated for 24 hours at 4°C. Then, 100 /xl [125I]endothelin-1,2 was added to all tubes, and they were incubated for 24 hours at 4°C. Then, 250 /AI of a second antibody was added to each tube, and they were incubated for 10 minutes at room temperature. The pellet, which contained the second antibodybound fraction, was obtained after centrifuging at l,500g for 10 minutes and subjected to gamma scintillation counting. Results are given as mean±SEM. We compared endothelin production under different oxygen and carbon dioxide pressures using the t test. Results The cells used are shown in Figure 1A. Almost all cells incorporated acetylated low density lipoprotein and thus were identified as endothelial cells (Figure IB). When the cells were grown on a filter (Figure 2), endothelin was released both apically and basally, but endothelin release from the basal side was about twice than from the apical side (apical endothelin release: 25.3±1.0 fmol/ml; basal endothelin release: 48.9±6.9 fmol/ml; n=4). The background level of endothelin in culture medium containing 10% FBS was 51.8±1.9 fmol/ml (n=3). Endothelin production under 4% O2 and 20% O2 was proportionate to the incubation time, and production under 4% O2 was always significantly lower (p<;0.01) than that under 20% O2 (Figure 3). Endothelin production under 4% O2 was significantly lower after as little as 1 hour's incubation (Figure 3, 150//! (Lower) 150/// (Upper) 25.3±1.0fmo|/roi 600/// of Bio Resin 48.9±6.9fmol/m* endothelin (mean±SE)(n=4) FIGURE 2. Schema of cultured cell-filter complex. Same volume of medium (150 \d) was placed into both sides; 600 ul Bio-Resin was placed to equalize hydrostatic pressure of both sides. Mean±SEM endothelin concentration in apical side was 25.3+1.0 fmol/ml and that in basal side was 48.9±6.9 fmoll ml Similar result was obtained in another experiment using different cell line. Yoshimoto et al Cerebral Circulation and Endothelin 381 2 hours FIGURE 3. Graph of the mean ±SEM endothelin production/200 \d medium/1.5x10' endothelia under 4% O2 (x) and 20% O2 (•). Similar results were obtained in three other experiments using different cell lines. 15001200900- Downloaded from http://stroke.ahajournals.org/ by guest on July 31, 2017 6003000 12 hours inset). Contrary to this, endothelin production under 10% O2 was similar to that under 20% O2 from 1 through 6 hours (data not shown). The amount of endothelin in medium conditioned by the microvessels themselves after 19 hours' incubation was 83.8 fmol/ml under 4% O2 (n=2) and 186.3 fmol/ml under 20% O2 (n=2). The background level of endothelin in culture medium containing 10% FBS was 54.9±1.8 fmol/ml (n=3). Judging from this result, microvessels themselves produced less endothelin under 4% O2 than under 20% O2. Endothelin production under 2.5% and 5% CO2 was examined from 15 through 120 minutes. Production was almost proportionate to the incubation time (Figure 4). However, endothelin production under 2.5% CO2 was significantly higher than that under 5% CO2 at 60 and 120 minutes (p^O.Ol). All these results differed slightly among cell lines, but the same tendencies were observed in all cell lines. Discussion Recently, the presence of three isopeptides of endothelin, the "classical" endothelin (ET-1), [Trp«,Leu7]endothelin (ET-2), and [Thr2, Phe4,Tyr*, Lys7,Tyr14] endothelin (ET-3), has been suggested by analysis of the human genome.19 To date, however, only the presence of ET-1 has been confirmed by its isolation from the conditioned medium of cultured aortic endothelial cells.8 It is also reported that vascular endothelial cells express only ET-1. 19 Therefore, the endothelin detected in our study is presumed to be ET-1. We demonstrated that endothelia secrete endothelin more into the basal side, presumed to be the ftnol/o/ 2.596CO, 300 5% CO, 200- 100- 15 30 60 120min FIGURE 4. Graph of the mean±SEM endothelin production/200 id medium/1.5xlOs endothelia under 2.5% CO2 f x) and 5% CO2 (•). Similar result was obtained in another experiment using different cell line. 382 Stroke Vol 22, No 3 March 1991 Downloaded from http://stroke.ahajournals.org/ by guest on July 31, 2017 abluminal side, than into the apical side, presumed to be the luminal side. This suggests that endothelin, which is produced locally by cerebral microvessel endothelia, is released mainly not into the vascular lumen, but to the basement membrane side. This suggests that endothelin constricts arterioles locally where it is produced by endothelia. There have been many reports that hypoxia dilates brain pial arterioles, and this effect is pronounced at low oxygen pressures in the range 20-30 mm Hg.20-22 Our results are compatible with this phenomenon. Our results are also compatible with the report that hypoxia dilates cerebral blood vessels via a local mechanism.20 When PO2 in the brain is low, endothelia produce less endothelin, resulting in less constriction of the arterioles and augmenting blood flow in the brain. This may be due simply to a low metabolic rate under low oxygen pressures. Even if this is the case, it results in less endothelin production and thus an increase in the blood flow. From our results, endothelin production under 10% and 20% O2 did not differ. This might be explained by the fact that endothelia in situ are usually under about 80 mm Hg (approximately 10%) O2; therefore 10% O2 is not hypoxic to endothelia. Endothelia produced more endothelin under 2.5% CO2 than under 5% CO2. This result is compatible with reports that hypocapnia induces cerebral arteriole constriction.22-24 Hypocapnia is usually accompanied by alkalosis. In our case, pH of the medium, which was incubated under 2.5% CO2, was 7.62 (pH of the 5% CO2 medium was 7.32). Although it remains undetermined whether the increase in endothelin release by cerebral microvessel endothelia is due to alkalosis or hypocapnia, our results may explain how cerebral arterioles constrict under hypocapnia or alkalosis. The effect of endothelin is prolonged8 while the actions of hypocapnia and hypoxia are much quicker and readily reversible in vivo.20'23 Also, our data were obtained from cultured cells; thus, they may not be directly related to the physiologic roles of endothelin. However, as the actual function, concentration, or degradation of endothelin in situ are still undetermined, our observations may reveal some aspects of the roles endothelin plays in vivo. It is said that the brain demands a critical and constant blood supply to maintain neural function. PO2 and PCO2 are two of the most important factors that control cerebral blood flow. Along this line, we suggest for the first time that endothelin has a role in the regulation of cerebral blood flow in response to oxygen and carbon dioxide pressure. Acknowledgments We thank Ms. Reiko Matsuura and Ms. Arisa Mori for their excellent technical assistance, and we thank members of Tokyo Metropolitan Slaughterhouse for giving us great facilities to get fresh samples. References 1. Furchgott RF, Zawadzki JV: The obligatory role of endothelial cells in the relaxation of arterial smooth muscle by acetylcholine. Natun 1980;288:373-376 2. De Mey JG, Vanhoutte PM: Heterogenous behavior of the canine arterial and venous wall. Ore Res 1982^1:439-447 3. De Mey JG, Vanhoutte PM: Anoxia and endotheliumdependent reactivity of the canine femoral artery. / Physiol 1983;335:65-74 4. Katusic ZS, Shepherd JT, Vanhoutte PM: Endotheliumdependent contractions to calcium ionophorc A23187, arachidonic acid, and acetylcholine in canine basilar arteries. Stroke 1988;19:476-479 5. Lamping KG, Marcus ML, Dole WP: Removal of the endothelium potentiates canine large coronary artery constrictor responses to 5-hydroxytryptamine in vivo. Ore Res 1985;57: 46-54 6. Luscher TF, Vanhoutte PM: Endothelium-dependent contractions to acetylcholine in the aorta of the spontaneously hypertensive rat. Hypertension 1986;8:344-348 7. O'Brien RF, Robbins RJ, McMurtry IF: Endothelial cells in culture produce a vasoconstrictor substance. / Cell Physiol 1987; 132:263-270 8. Yanagisawa M, Kurihara H, Kimura S, Tomobe Y, Kobayashi M, Mitsui Y, Yazaki Y, Goto K, Masaki T: A novel potent vasoconstrictor peptide produced by vascular endothelial cells. Nature 1988;332:411-415 9. Ide K, Yamakawa K, Nakagomi T, Sasaki T, Saito I, Kurihara H, Yoshizumi M, Yazaki Y, Takakura K: The role of endothelin in the pathogenesis of vasospasm following subarachnoid hemorrhage. Neurol Res 1989;11:101-104 10. Brain DS, Tippins JR, Williams TJ: Endothelin induces potent microvascular constriction. BrJ Pharmacol 1988;95:1005-1007 11. Kety SS, Schmidt CF: The determination of cerebral blood flow in man by the use of nitrous oxide in low concentrations. Am J Physiol 1945;143 J3-66 12. Heistad DD, Kontos HA: in Shepherd JT, Abboud FM, Geiger SR (eds): Handbook of Physiology. Bethesda, Md, American Physiological Society, 1983, sec 2, vol 3, ch 5, pp 137-182 13. Yoshimoto S, Ishizaki Y, Kurihara H, Sasaki T, Yoshizumi M, Yanagisawa M, Yazaki Y, Masaki T, Takakura K, Murota S: Cerebral microvessel endothelium is producing endothelin. Brain Res 1990^08:283-285 14. Bowman PD, Betz AL, Ar D, Wolinsky JS, Penney JB, Shivers RR, Goldstein GW: Primary culture of capillary endothelium from rat brain. In Vitro Cell Dcv Biol 1981;17:353-362 15. Bowman PD, Ennis SR, Rarey KE, Betz AL, Goldstein GW: Brain microvessel endothelial cells in tissue culture: A model for study of blood-brain barrier permeability. Ann Neurol 1983;14:396-402 16. Voyta JC, Via DP, Butterfield CE, Zetter BR: Identification and isolation of endothelial cells based on their increased uptake of acetylated-low density lipoprotein. / Cell Biol 1984; 99:2034-2040 17. Moore SA, Spector AA, Hart MN: Eicosanoid metabolism in cerebromicrovascular endothelium. Am J Physiol 1988;254: C37-C44 18. Janzer RC, Raff MC: Astrocytes induce blood-brain barrier properties in endothelial cells. Nature 1987;325:253-257 19. Inoue A, Yanagisawa M, Kimura S, Kasuya Y, Miyauchi T, Goto K, Masaki T: The human endothelin family: Three structurally and pharmacologically distinct isopeptides predicted by three separate genes. Proc Nat! Acad Sci USA 1989;86:2863-2867 20. Kontos HA, Wei EP, Raper AJ, Rosenblum WI, Navari RM, Patterson JL Jn Role of tissue hypoxia in local regulation of cerebral microcirculation. Am J Physiol 1978;234:H582-H591 21. Wei EP, Ellis EF, Kontos HA: Role of prostaglandins in pial arteriolar response to CO2 and hypoxia. Am J Physiol 1980; 238:H226-H230 Yoshimoto et al Cerebral Circulation and Endothelin 22. Wolff HG, Lennox WG: The effect on pial vessels of variations in the oxygen and carbon dioxide content of the blood. Arch Neurol Psychiatry 1930-32:1097-1120 23. Raper AJ, Kontos HA, Patterson JL Jr: Response of pial precapillary vessels to changes in arterial carbon dioxide tension. Ore Res 1971;28:518-523 383 24. Wei EP, Kontos HA, Patterson JL Jr: Dependence of pial arteriolar response to hypercapnia on vessel sizc.AmJPhysiol 198O;238:H697-H703 KEY WORDS cerebral blood flow endothelin Pigs Downloaded from http://stroke.ahajournals.org/ by guest on July 31, 2017 Effect of carbon dioxide and oxygen on endothelin production by cultured porcine cerebral endothelial cells. S Yoshimoto, Y Ishizaki, T Sasaki and S Murota Stroke. 1991;22:378-383 doi: 10.1161/01.STR.22.3.378 Downloaded from http://stroke.ahajournals.org/ by guest on July 31, 2017 Stroke is published by the American Heart Association, 7272 Greenville Avenue, Dallas, TX 75231 Copyright © 1991 American Heart Association, Inc. All rights reserved. Print ISSN: 0039-2499. Online ISSN: 1524-4628 The online version of this article, along with updated information and services, is located on the World Wide Web at: http://stroke.ahajournals.org/content/22/3/378 Permissions: Requests for permissions to reproduce figures, tables, or portions of articles originally published in Stroke can be obtained via RightsLink, a service of the Copyright Clearance Center, not the Editorial Office. Once the online version of the published article for which permission is being requested is located, click Request Permissions in the middle column of the Web page under Services. 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