From www.bloodjournal.org by guest on June 18, 2017. For personal use only. Association of Smooth Muscle Cell Tissue Factor With Caveolae By Andre B. Mulder, Jan W. Smit, Victor J.J. Born, Ne1 R. Blom, Marcel H.J. Ruiters, M. Ruud Halie, and Jan van der Meer There is still no satisfactory explanation for the lowcatalytic activity of tissue factor (TF)/factor Vll(a1 complexes towards coagulation factor X, as found on the apical surface side of cell layers.It has been hypothesized that TF existsin a latent form. Layers of cultured human smooth muscle cells, constitutively expressing TF, were immunogold-labeled for TF in situ and processedfor electron microscopy. We showed that, besides internalization and accumulation in lysosomallike structures,TF remained associated with noncoated, flask-shaped microinvaginations of the plasma membrane. These invaginations were identified as caveolae. In regions in which intercellular contacts were interrupted, more TFpositive caveolae were observed. Enzymatically detached smooth muscle cells exhibited a similar enlargement of caveolar structures. Concomitantly, an increase ofcatalytic activity of apically formed TF/Vlla complexes towards factor X was found on the suspended cells. We speculate that caveolae-associatedTF may function as alatent pool of procoagulant activity, which can rapidly be activated at sites in which vessel wall integrity is lost. 0 1996 by The American Societyof Hematology. I M S , Bagsvaerd, Denmark). Human coagulation factor X was obtained from Kordia BV (Leiden, The Netherlands). Mouse monoclonal antibodies against humanTF (#4503, #4504, and #4506) were obtained from American Diagnostica Inc (Greenwich, CT). Nonimmune mouse IgGl was purchased from Becton Dickinson (Mountain View, CA). Rabbit polyclonal anticaveolin antibody was obtained from Transduction Laboratories (Lexington, KY). Nonimmune rabbit Igs were from Dakopatts A / S (Glostrup, Denmark). Goat antimouse antibodies coupledto 10-nm gold particles and goat antirabbit antibodies coupled to S-nm gold particles were obtained from Sanver TECH (Boechout, Belgium). Culture of SMCs. SMCs, which had overgrown the endothelial cultures derived from umbilical cord vessels, were cultured as described The SMCs were differentiated from endothelial cells by their spindle shape, much larger size, and reactivity with an antibody against a-smooth muscle actin, whereas no reactivity withanantibodyagainstvonWillebrandfactorwasCulture mediumconsisted of RPM1 1640(GIBCO,Paisley, UK) supplemented with 20% heat-inactivated pooled human serum, 2 mmol/L L-glutamine, S U/mL heparin, SO pg/mL EC growth factor supplement extracted from bovine hypothalamus;’ 1 0 0 p g h L streptomycin, and 100 IUlmL penicillin. Ultrastructurul studies. SMCs were cultured in Lab-tek 8 chambedslides (Miles Scientific, Naperville,IL; Mulder et al, manuscript submitted). Briefly, 30% (wt/vol) gelatin was sterilized by autoclavation and then chilled to 65°C. Subsequently, small wells of Lab-tek 8 chamber/slideswerecoated with 20 pL of theviscousgelatin solution and incubated atroom temperature for 30 minutes, followed by fixation in O S % glutaraldehydeovernight.Beforeseedingthe cells,thewellswerewashedthoroughly. For localizationofTF, confluent SMC layers were labeled with 50 pg/mL mouse anti-TF antibodies(#4S03)for 1 hour at 4°C in culturemedium and then washedandincubatedwithgold(10nm)-labeledgoatantimouse IgC (20pglmL) in culturemedium for 1hourat 4°C or 37°C. Other layers were fixed before labeling with antibodies against T F (a combinationof #4S04 and #4506) at room temperature by immersion in 0.2% glutaraldehyde plus 2% paraformaldehyde in 0.1 mol/ L phosphate buffer at 4°C overnight. To minimize nonspecific binding of the antibodies, the cells were washed in phosphate-buffered saline (PBS; 0.14 mol/L NaCL, 0.01 moUL phosphate, pH 7.4) with 0.1 S m o l L glycine for 15 minutes and subsequently in a buffer of 0.01 mol/L Tris-HC1, pH 7.4, with2% dry milk solids for 60 minutes at room temperature. In control samples, nonimmune mouse IgGl was added instead of anti-TF antibodies. For quantification ofTF labeling, the percentagesof gold particles associated with caveolae, with plasmalemma proper, or with coated pits were determined. For each labeling condition, more than S00 gold particles were scored. Additionally, the percentages of more than S00 caveolae, which were labeled, were determined. T IS GENERALLY considered that contact between plasma factorVII(a)anditsreceptorandcofactor,tissuefactor (W), is sufficient to initiatecoagulationin v ~ v o . ”TF ~ is a transmembrane glycoprotein. In the normal state, vascular TF is located on cells in the adventitia and variably on cells in the media.“6 Quiescent endothelium does not show detectable ~ ~ , 2 , 4 , although .5 induction of endothelial TF has been it is Besides regulation at the transcriptional thought that TF activity is modulated by either alterations in the phospholipid composition of the surface in the proximity of the TF protein’”-” or specific inhibiti~n.’~.” However, there is still no satisfactory explanation for the low catalytic activity of TF/factor VII(a) complexes, as found on the apical surface side of cell layer^.".'^ It has been hypothesized that TF exists in a latent form.”.” In this study, we show that TF, constitutively expressed on layers of cultured human smooth muscle cells (SMCs)?’” is associated withnoncoated microinvaginations of the plasma membrane that are identified as caveolae. Detachment of cells leads to a more open status of these structures, concomitantly with an increase of TF activity. MATERIALS AND METHODS Materials. Ovalbumin(grade V), a-chymotrypsin(frombovine pancreas, type 11), and gelatin were obtained from Sigma Chemical CO (St Louis, MO). HEPES was obtained from Biorad Laboratories (Richmond, CA). Heparin was obtained from Leo Pharmaceutical Products B.V. (Weesp, The Netherlands). Recombinant human factor VITa was generously providedby Dr T. Jorgensen (Novo-Nordisk From the Department of Haematology, Division of Haemostasis, Thrombosis and Rheology, the Central Luboratory of Clinical Haematology, University Hospital, and the Centre for Biomedical Technology, University .f Groningen, The Netherlands. Submitted October 26, 1995; accepted March 28, 1996. Addressreprintrequeststo Andre‘ B. Mulder,MD,Division of Haemostasis, Thrombosis and Rheology, Department of Haematology, University Hospital Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands. The publication costs of this article were defrayedin part by page chargepayment. This article must thereforebeherebymarked “advertisement” in accordance with 18 U.S.C. section I734 solely to indicate this fact. 0 1996 by The American Society of Hematology. 0006-497l/96/8804-0010$3.00/0 1306 Blood, Vol 88,NO4 (August 15). 1996: pp 1306-1313 From www.bloodjournal.org by guest on June 18, 2017. For personal use only. ASSOCIATION OF SMC-TF WITH CAVEOLAE 1307 For colocalizationof TF with caveolin, unfixed SMC layers were It was excluded that TF was clustered in and around ca(#4503) at37"C,as immunogold-labeledwithanti-TFantibodies veolae only asa result of cross-linking antibodies:' because described above. The layers were then fixed with 3.5% formaldehydewhen cells were fixed (2% paraformaldehyde and 0.2%gludilutedinPBSOvernightat4"C,followedbypermeabilizationin taraldehyde) before labeling, gold particles could still be 0.2% Triton X-100 for 10 minutes at room temperature. After washfound associated with caveolae (Fig 2). However, caveolae ing three times for 5 minutes each withPBS and once with 0.2% 1) and label were labeled to a much lesser extent (Table bovine serum albumin in PBS (PBSIBSA) for 10 minutes, the cells was more often located around instead of physically within were labeled with 5 pg/mL rabbit antibodies against caveolin for60 caveolae in fixed cells. Therefore, we cannot exclude any minutes at room temperature in PBSIBSA, washed, and then incueffect of immunolabeling on caveolar localization of TF in bated with gold (5 nm)-labeled goat antirabbit IgG (20 pg/mL) for 60 minutes in PBS/BSA. In control samples, nonimmune rabbit IgG unfixed cells, although alternativemechanisms, including was added instead of the anticaveolin antibody. lower accessibility of (immunogold-conjugated) antibodies A modification of a method described for lymphocyte^^^ was used to caveolar located TF, might have been responsible for the to examine the cells' ultrastructure. Before embedding, in all cases, different distribution of gold label in fixed cells. layers were washed thoroughly and fixed in2% glutaraldehyde. Thin Further, in line with previously reported data,29 we found sections werefinallystainedwithuranyl acetatehethy1 cellulose in regions of labeled SMC layers in which intercellular conand lead citrate for examination in a Philips 201 electron microscope tacts were interrupted more TF-positive caveolae (Fig 3A). (Philips, Eindhoven, The Netherlands). Occasionally, label was present in coated pits or coated vesiTF activity. LayersofSMCsweregrowntoconfluencein24cles at these sites. well culturedishes(Costar,Cambridge,MA).FactorVIIa(final Subcellular localization of TFin suspended SMCs. To concentration, 10 nmol/L) and X (final concentration, 50 nmol/L) were added in assay buffer (10 mmol/L HEPES, 137 mmol/L NaCI, further support the detachment-related phenomena, as de4 mmol/L KCI, 1l mmoVL a,D-glucose,5 mg/mL of ovalbumin and scribed above, we examined cells in suspension. After immu2.5 mmoln CaCI2, pH 7.45). Serial subsamples were subsequently nogold-labeling of TF at the apical side of SMC layers at withdrawn from the reaction mixture at 2-minute intervals to mea37"C, cells were washed in isotonic PBS and detached by surefactor X activation spectroph~tometrically.~'.~~ After 10 mintreatment with 0.05 mg/mL chymotrypsin in PBS for 5 minutes, the cells were washed in assay buffer, detached by brief treatutes at 37°C. Subsequently, the cells wereimmediately fixed ment with 0.05 mg/mL chymotrypsin for 5 minutes, centrifugated, and processed for electron microscopy (Fig 3B). Accordand resuspended in assay buffer. Subsequently factor X (50 nmol/ ingly, suspended cells exhibited extensive dilated caveolaeL) was added and factor Xa generation was measured, with or withlike structures thatwere preferentially associated with apparout adding additional factor VIIain the assay. Controls consistedof layers preincubated with inhibitory anti-TF antibodies (50 pg/mL) ently intracellular located tubular and vesicular structures. for 30 minutes at 37°C. The viability of the detached cells, tested Frequently,clusters of caveolaewere seen tosurround a by lightmicroscopicmeasurementoftrypanblueexclusion,was central vacuole, a profile characteristic for caveolar enlarge98% L 1%. Cell counts were determined using a Coulter counter. n~ent.~' These apparently intracellular located, TF-positive, Additionally, possible effects of chymotrypsin treatment on the accaveolae-like structures were further characterized by colotivity of TF/factor VIIa complexes were examined. SMC layers were calization of caveolin3' (Fig 4). apicallyincubatedwith factorVIIa,washed,andliftedfromthe Factor Xa generation by TFJactor Vlla complexes on the dishes either by chymotrypsin treatment, as described above, or by surface of layers and suspended SMCs. To determine the scraping. After centrifugation, cells were lysedby three freezekhaw functional consequences of cell detachment for TF, layers cycles (-8OoC/37"C) in assaybufferandsubsequentlytestedfor factor X activation activity without adding additional factor VIIa in of SMCs wereincubated with factor VIIa andX and generathe assay. tion of activated factor X (Xa) was measured (Fig5). Subsequently, these layers were washed and detached, and cells RESULTS were resuspended in assay buffer. After the addition offactor Subcellular localization of TFin layers of SMCs. On adherent SMCs immunogold-labeled for TF at 4°C and processed insitu for electron microscopy, we found that, besides Table 1. Quantitative Analysis of SMC Plasmalemma-Associated, presence on plasmalemma proper and within coated pits,25 Immunogold-LabeledTF Distribution particles were located within or nearby smaller, noncoated No. of Gold Particles Bound (Yo) invaginations of the plasma membrane (Fig 1A). Morphologically, the noncoated invaginations were recognized as caPlasmalemma Coated Caveolae veolae(alsoknownasplasmalemma vesicles) by their ProperCaveolae Pits (96 labeled) characteristic 50- to 60-nm size and flask shape.26,27When 46.6 4°C 7.2 46.2 57.3 labeling was performed at 37"C, we observed that, besides 37°C 0.4 73.2 26.4 69.2 internalization,gold-labeled TF remained associatedwith 21.3 Fixed 1.3 77.4 19.1 1B). thenoncoatedplasmamembraneinvaginations(Fig SMC layers were labeled at 4°C with anti-TF antibodies (#4503), Even an increase in the relative number of gold particles washed, and subsequently incubated with gold-labeled antibodies associatedwithcaveolaecould be observed(Table l). against anti-TF antibodies, either at 4°C or 37°C. Other layers were Coated pits were consistently devoidof label. Incubation of fixed overnight with 2% paraformaldehyde and 0.2% glutaraldehyde layers with nonimmune, mouse IgGinstead of specific antiat 4°C before immunogold labeling of TF (#4504 and #4506) at room TF antibodies gave no labeling (Fig 1C). temperature. From www.bloodjournal.org by guest on June 18, 2017. For personal use only. MULDER ET AL 1308 , -. -". -. . ..- -. ". - Fig 1. Subcellular localization of TF in SMC layers. SMC layers were incubated with mouse anti-TF antibodies (#4503) at 4°C. followed by incubation with gold-labeled goat antimouse antibodies for 1 hour at 4°C (A) or 37°C (B and C). (A) Afterlabeling at 4°C. gold particles were associated with coated (arrowhead) as well as with noncoated, flask-shaped invaginations of the apical cell membrane (arrow). (B) Besides internalization and distributionin lysosomal-like structures(L) and perinuclear regions (arrowhead), gold-labeled TF remained associated with the noncoated microinvaginations of the apical plasma membrane (arrow) after labeling at 37'C. No labeling of coated pits Icp) was observed. MC-TF From www.bloodjournal.org by guest on June 18, 2017. For personal use only. ASSOCIATION OF WITH CAVEOLAE 1309 Fig 1. (cont'dl. (C) Control layers were incubated with nonimmune, mouse lgGl instead ofspecific anti-TF antibodies. Scale bar indicates 100 nm. X, generation of factor Xa was measured with or without adding additional factor VIIa in the assay. Increased activity of apically formed TF/factor VIla complexes could be observed after detachment of the cells, which could be apically inhibited with anti-TF antibodies. A further increase of TF activity by adding additional factor VIIa in the assay of detached cells showed free TF sites that might have been inaccessible to factor VIIa on the apical side or located on the abluminal surface side of the cell layers. Mixing experiments, as described by Rao et a13' indicated that no unbound factor VIIa or antibody was present after washing of the cells (data not shown). We also excluded the possibility that the increase of activity of the TF/factor VIIa complexes could have resulted from removal of a cell-associated inhibitor of the TF pathway by chymotrypsin treatment. Lysate of cells apically incubated with factor VIIa showed a TF/factor VIIa activity of 3.56 2 0.19 nmolXa/min/lO" cells (means 5 SEM of triplicate determinations) when cells were liftedfromthe dish by scraping versus 3.16 2 0.06 nmolXa/min/lOh cells when cells were detached by chymotrypsin treatment. DISCUSSION Previous studies have shown submaximal catalytic activity of TF/factor VII(a) complexes on the intact apicalsurface side of cell layers.'".'' Increase of activity can be induced by various conditions, including exposure of cells to membrane perturbing agents, such as hydrogen peroxide33or activated Fig 2. Localization of TF on fixed SMC layers. (A) SMC layers were fixed in 2% paraformaldehyde plus 0.2% glutaraldehyde before immunogold-labeling with antibodies against TF W4504 plus #4506; arrows) or (B) with nonimmune mouse IgG1. Scale bar indicates 100 nm. From www.bloodjournal.org by guest on June 18, 2017. For personal use only. 1310 MULDER ET AL J Fig 3. Localization of TF on partlydetached SMCs and SMCs in suspension. (A) In regions of SMC layers in which intercellularcontacts were disrupted, more TF (#4503) -positive caveolae were observed (arrows). (6) After immunogold-labeling of TF (#4503) at theapical side of SMC layers at 37°C. cells were washed three times, detached by brief treatment with chymotrypsin, and centrifugated. Subse quently, the cells were immediately fixed and processed for electron microscopy. Clusters of caveolae were seen t o surround a central vacuole (asterisks), a profile characteristic for caveolar Scale bar indicates l 0 0 nm. From www.bloodjournal.org by guest on June 18, 2017. For personal use only. WITH ASSOCIATION OF SMC-TF CAVEOLAE 1311 Fig 4. Colocalization of TF and caveolin. (A) Unfixed SMC layers were immunogold-labeledwith anti-TF antibodies (#4503) at 37°C (arrows). The layers were then washed and fixed in 3.5% formaldehyde followedby permeabilization in 0.2% Triton X-100. Subsequently, the cells were washed and labeled with 5 pg/mL rabbit antibodies against caveolin followed by labeling with gold(5 nml-labeled goat antirabbt IgG (20 pg/mLl larrowheads). (B) There was negligible labeling with 5-nm gold particles when the formaldehyde-fixed cells were incubated with nonimmune rabbit Igs instead of anticaveolin antibodies (arrowhead). Scale bar indicates 100 nm. complement,” andby totalcell lyse^.'^'.'"^'^ It is generally considered that increase of procoagulant activity associated with cell surfaces can be related to a redistribution of membrane lipids, including availability of anionic phospholipids in the proximity to TF.“’.I3 Alternatively, it has been shown that surface-expressed procoagulant TF activity increases after exposure of cells to proteolytic enzymes and existence of a cryptic pool of TF has been suggested.lx.’” In this study, we showed the presence of TF constitutively expressed on layers of cultured SMCs, within or near noncoated microinvaginations of the plasma membrane, especially in regions in which cell-cell contacts hadbeen disrupted. These microinvaginations were recognized as ~aveolae.’~.”~~’’ Additionally, TF was internalized, probably through coated pits,” and accumulated in compartments, belonging to theroute of degradation, ie, lysosoma l - l’k I e Structures. We further observed in apically labeled and enzymatically detached SMCs that TF was frequently associated with an extensive, dilated caveolae-like system. a pattern comparable to thatseen in layers at sites in whichcell contacts were disrupted. Most of these caveolae-like structures were apparently located within the suspended cells. However, because these structures contained caveolin and could be found deep within SMC layers when TF labeling was performed at 4°C (data not shown), we think that these structures are most likely caveolae associated with invaginated plasmalemma regions. It canbe hypothesized that loss of all TF, through its internalization and degradation, might be prevented by excluding TF molecules from coated pits due to association with caveolar structures. Possibly different transit pathways of TF could be mediated by cross-linking antibodies, as has been suggested for GPI-linked proteins,’x or by actions of other coagulation factors andor their inhibitors. Of special interest are. besides factor VII(a), factor IX and X, because different activity profiles have been observed for the latter two factors..“ Alternatively, although the capability of caveolae to be internalized has been que~tioned.~~.~” we cannot exclude (eventual) transfer of caveolar TF to the route of degradation.3x“’Possible internalization of caveolar-associated TF may have been slowed downor prevented by release Apical surfow Total surfaw (-Vlla) Total s u b Fig 5. Factor Xa generation by TF/factor Vlla complexes on the surface of layers and suspended SMCs. Layers of SMCs were incubated with factor Vlla and X and generation of activated factor X (Xa) was measured (m; apical surface). Subsequently, these layers were washed, detached, and resuspended in assay buffer. After the addition offactor X, generation of factor Xa was measured with (total surface) or without (total surface [-Vllal) adding additional factor Vlla in theassay. Controls consisted of layers preincubated with inhibitory anti-TF antibodies (#4504; a). Means 2 SEM of triplicate determinations are shown and are representative of three different experiments. From www.bloodjournal.org by guest on June 18, 2017. For personal use only. 1312 MULDER ET AL of cell tensionin detached cells allowing visualization of abundant TF-positive caveolar structures (Fig 3). Finally, we found that catalyticactivity of TF/factor VIIa complexes, formed on theapical side of SMC layers, increased after bringing cells in suspension, which could be inhibited by antibodies at the apical side. Obviously, factor VIIa as well as antibodies against TF are accessible to T F at the apical surface side, despite the submaximal catalytic activity of the TF/factor VIIa complexes towards factor X. These results are consistentwithpriorfindings" showing two functionally distinct classesof TF/factor VIIa complexes on intact cell layers, ie, a small number of complexes exhibiting activity towards factor X and a large number of complexes only showing activity towards factor X after lysis of the cells. Le et allh also showed thatinthe layer setting both classes exhibited activity towards a peptidyl substrate. Furthermore, more recent data have also indicated that release of cell tension coincided with increase of T F a ~ t i v i t y . ~ ' It remains to be answered whether caveolar location of TF has functional consequences. Of special interest in this context is its possiblecolocalization with othercaveolar structures, such as a calcium or tyrosine kinases.s.l~46 On the other hand, specific absence of molecules, such as, for instance, heparan sulphates4' bearing the inhibitors TF pathway i n h i b i t ~ r ' ~and . " antithrombin III,4xmay have implications for TF activity at caveolar sites. We further speculate that the increase of TF/factor VIIa catalytic activity towards factorX, after detachmentof cells, may be related to enlargementof caveolar structures. For instance, opening of TF-positive caveolar structures may result in an enhanced accessibility of factor X to TFNIIa complexes. Additionally, the presence of anionicsitesis important, because factor X needs interaction with anionic phospholipids forefficient activation by TF/factor VIIa comp l e x e ~ . ~ ~Because -" caveolae are devoid of anionic sites," it could be possible that flattening of TF-positive caveolae achieves presence of anionic sites in the proximity of the TFlfactor VIIa complexes. In conclusion, we showed that TF, expressed on layers of cultured human smooth muscle cells, is associated with caveolae. Furthermore, an enlargement of TF-positive caveolae concomitantly with an increase of activity of apically formed TF/factor VIIa complexeswas seen after detachment of the cells. We speculate thatcaveolae-associated TF mayfunction as a latent pool of procoagulant activity, which can rapidly be activated at sites in which vessel wall integrity is lost. ACKNOWLEDGMENT We thank Roelie van Wijk for technical assistance and Peter van de Sijde and Dick Huizinga for preparing the photomicrographs. 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Ruf W, Rehemtulla A, Momssey JH, Edgington TS: Phospholipid-independent and -dependent interactions required for tissue factor receptor and cofactor function. J Biol Chem 266:2158, 1991 50. Krihnaswamy S, Field KA, Edgington TS, Momssey JH, Mann KG: Role of the membrane surface in the activation of human coagulation factor X. J Biol Chem 267:26110, 1992 51. Fiore M, Neuenschwander PF, Monissey JH: The biochemical basis for the apparent defect of a soluble mutant tissue factor in enhancing the proteolytic activities of factor VIIa. J BiolChem 269:143, 1994 52. Simionescu N, Simionescu M, Palade GE: Differentiated microdomains on the luminal surface of the capillary endothelium. I. Preferential distribution of anionic sites. J Cell Biol 90:614, 1981 From www.bloodjournal.org by guest on June 18, 2017. For personal use only. 1996 88: 1306-1313 Association of smooth muscle cell tissue factor with caveolae AB Mulder, JW Smit, VJ Bom, NR Blom, MH Ruiters, MR Halie and J van der Meer Updated information and services can be found at: http://www.bloodjournal.org/content/88/4/1306.full.html Articles on similar topics can be found in the following Blood collections Information about reproducing this article in parts or in its entirety may be found online at: http://www.bloodjournal.org/site/misc/rights.xhtml#repub_requests Information about ordering reprints may be found online at: http://www.bloodjournal.org/site/misc/rights.xhtml#reprints Information about subscriptions and ASH membership may be found online at: http://www.bloodjournal.org/site/subscriptions/index.xhtml Blood (print ISSN 0006-4971, online ISSN 1528-0020), is published weekly by the American Society of Hematology, 2021 L St, NW, Suite 900, Washington DC 20036. 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