Platelet-Derived Growth Factor Receptor- Constitutive Activity Promotes Angiogenesis In Vivo and In Vitro Peetra U. Magnusson, Camilla Looman, Aive Åhgren, Yan Wu, Lena Claesson-Welsh, Rainer L. Heuchel Downloaded from http://atvb.ahajournals.org/ by guest on June 18, 2017 Objective—Knockout studies have demonstrated crucial roles for the platelet-derived growth factor-B and its cognate receptor, platelet-derived growth factor receptor- (PDGFR-), in blood vessel maturation, that is, the coverage of newly formed vessels with mural cells/pericytes. This study describes the consequences of a constitutively activating mutation of the PDGFR- (PdgfrbD849V) introduced into embryonic stem cells with respect to vasculogenesis/ angiogenesis in vitro and in vivo. Methods and Results—Embryonic stem cells were induced to either form teratomas in vivo or embryoid bodies, an in vitro model for mouse embryogenesis. Western blotting studies on embryoid bodies showed that expression of a single allele of the mutant Pdgfrb led to increased levels of PDGFR- tyrosine phosphorylation and augmented downstream signal transduction. This was accompanied by enhanced vascular development, followed by exaggerated angiogenic sprouting with abundant pericyte coating as shown by immunohistochemistry/immunofluorescence. PdgfrbD849V/⫹ embryoid bodies were characterized by increased expression of vascular endothelial growth factor (VEGF)-A and VEGF receptor-2; neutralizing antibodies against VEGF-A/VEGF receptor-2 blocked vasculogenesis and angiogenesis in mutant embryoid bodies. Moreover, PdgfrbD849V/⫹ embryonic stem cell– derived teratomas in nude mice were more densely vascularized than wild-type teratomas. Conclusion—Increased PDGFR- kinase activity is associated with elevated expression of VEGF-A and VEGF receptor-2, acting directly on endothelial cells and resulting in increased vessel formation. (Arterioscler Thromb Vasc Biol. 2007;27:2142-2149.) Key Words: PDGF 䡲 PDGF receptor 䡲 signal transduction 䡲 embryonic stem cells 䡲 endothelial cells 䡲 vasculogenesis 䡲 angiogenesis P latelet-derived growth factor (PDGF) describes a heparinbinding, heterodimerizing or homodimerizing family of polypeptide growth factors denoted A, B, C, and D with a broad range of target cells, notably mesoderm-derived cells, such as pericytes, glia cells, and mesangial cells (reviewed in References 1 and 2). The PDGF isoforms bind to 2 distinct class III receptor tyrosine kinases, PDGF receptor (PDGFR)-␣ and -, which display a nonoverlapping expression pattern (reviewed in Reference 3). Binding of dimeric ligand leads to autophosphorylation of the receptors on tyrosine residues. This, in turn, allows the docking and activation of several downstream signaling molecules, the net signaling outcome of which dictates the cellular response. For example, the binding of Grb2/Sos results in proliferation by activating the Ras/extracellular signalregulated kinase (Erk)1/2 pathway, whereas the binding of phosphatidylinositol 3-kinase activates actin cytoskeletal rearrangements (migration and contraction), mainly via the small GTPase Rac, as well as antiapoptotic signaling via the serine/ threonine kinase Akt (reviewed in Reference 1). Recently, mutations of a conserved aspartic acid residue in the activation loop of a number of class III receptor tyrosine kinases leading to ligand-independent receptor activation have been observed in several human tumors (for a review, see Reference 4 and references in Reference 5). In gastrointestinal stromal tumors, for example, mutation of the aspartic acid residue at amino acid position 842 for valine was detected in the highly homologous Pdgfra.6 With the initial goal to generate an oncogenic mouse model based on hyperactive PDGFR- signaling, we introduced the corresponding mutation (D849V) into the Pdgfrb. Embryonic stem (ES) cells carrying this mutation, however, did not even generate viable chimeric offspring, indicating a dominant lethal phenotype and the possibility that constitutive activation of the PDGFR- was incompatible with ES cell pluripotency. Pdgfb and Pdgfrb knockout experiments have pointed toward a critical role for PDGF signaling in the establishment of functional blood vessels by recruiting stabilizing mural Original received December 15, 2006; final version accepted July 13, 2007. From the Department of Genetics and Pathology, Rudbeck Laboratory (P.U.M., L.C.-W.), and Ludwig Institute for Cancer Research (C.L., A.A., R.L.H.), Uppsala University, Uppsala, Sweden; Department of Experimental Therapeutics (Y.W.), ImClone Systems Incorporated, New York, NY. P.U.M. and C.L. contributed equally to this work. Correspondence to Rainer L. Heuchel, Ludwig Institute for Cancer Research, Uppsala University, BMC, Box 595, 751 24 Uppsala, Sweden. E-mail [email protected] © 2007 American Heart Association, Inc. Arterioscler Thromb Vasc Biol. is available at http://atvb.ahajournals.org 2142 DOI: 10.1161/01.ATV.0000282198.60701.94 Magnusson et al Constitutive PDGFR- Kinase Activity in Stem Cells 2143 Downloaded from http://atvb.ahajournals.org/ by guest on June 18, 2017 cells to the developing blood vessel (reviewed in Reference 7). However, the role of PDGF/PDGFR- during early vascular development has remained unexplored. In the mouse, vascular development ensues around embryonic day 7.5 by the establishment of blood islands in the yolk sac. These structures contain common hematopoietic/endothelial precursor cells. The endothelial precursors differentiate through a process, denoted “vasculogenesis,” resulting in the formation of a primitive vascular plexus that is subsequently pruned and reorganized through angiogenesis.8 These and slightly later stages of vascular development are faithfully mimicked in aggregates of differentiating stem cells called embryoid bodies.9,10 Both vasculogensis and angiogenesis require the function of vascular endothelial growth factor (VEGF)-A and its receptors VEGF receptor (VEGFR)-1 and -2 in vivo and in vitro (reviewed in Reference 11). Gene inactivation of Vegfa as well as Vegfr2 leads to a halt in vascular development and embryonic death. A similar requirement for intact VEGF-A/VEGFR-2 function has been demonstrated in differentiating embryoid bodies.9,12,13 In the present study, we show that ES cells carrying a single allele of the constitutive active D849V PDGFR- are biased toward increased vessel development in vitro and in vivo. Methods Knock-In of D849V Into ES Cells For detailed information on the construction of the targeting vector containing the codon exchange for amino acid 849 from aspartic acid to valine and the generation of targeted ES cells, please see the Supplemental Data online at http://atvb.ahajournals.org. ES Cell Culture and Analyses ES cells were cultured on mitomycin-C–treated feeders in the presence of leukemia inhibitory factor. Differentiation was induced by removal of leukemia inhibitory factor and aggregation of cells in hanging drops. Embryoid bodies were flushed down on day 4 and used for continued culture on glass slides or in collagen gels, followed by immunohistochemical or immunofluorescent staining. For detailed description of methodology, please refer to the Supplemental Data. Generation and Analysis of Teratomas Vasculogenic and angiogenic properties of wild-type and mutant ES cells were examined after teratoma formation of ES cells in nude mice. Animal handling was performed with ethical permission approved by the Uppsala University Board of Animal Experimentation. For further details, please refer to the Supplemental Data. Results Introduction of a Gain of Function Mutation Into Pdgfrb by Gene Targeting A gain-of-function mutation was introduced into the activation loop of the Pdgfrb by changing the highly conserved aspartic acid at amino acid position 849 for valine (D849V) using the targeting vector depicted in Figure 1. The linearized targeting construct was electroporated into GS-1 ES cells. Correctly recombined clones were identified, and the presence of the point mutation was confirmed by DNA sequencing of PCR-amplified genomic DNA (data not shown). Two independent PdgfrbD849V/⫹ ES cell clones (D/V-1 and D/V-2) were used for repeated blastocyst injections. In total, Figure 1. Characterization of the D849V PDGFR- in differentiated ES cells. A, The intron/exon structure of the mouse Pdgfrb is schematically represented before (A⬘) and after (C⬘) homologous recombination using the targeting vector depicted in B⬘. *D849V point mutation in exon 17. B, PDGFR- protein levels and extent of phosphorylation at tyrosine 856 determined from a wild-type (Wt) and 2 PdgfrbD849V/⫹ clones (D/V-1 and D/V-2) in the absence (Basal) or presence of 50 ng/mL of PDGF-BB for 10 minutes before lysis. Values above lanes indicate the specific phosphorylation of the PDGFR- (pPDGFR-/PDGFR-). -Actin was used as a loading control. C, Analyses of Erk1/2 phosphorylation levels in wild-type and mutant embryoid bodies (D/V-1 and D/V-2) under basal or stimulated conditions as in B. The data in B and C are representative for 1 of at least 4 individually performed experiments. 345 blastocysts injected with either of the 2 mutant ES cell lines (290 D/V-1 or 55 D/V-2) were transferred into foster mothers without generating viable coat chimeras (data not shown). A correctly targeted (neo cassette in the correct position) but otherwise wild-type ES cell clone from the same electroporation as the 2 mutant clones was injected in parallel and resulted in germline transmission at high frequency. This proved the high quality of the original ES cell line and indicated that introduction of the activating D849V mutation into 1 Pdgfrb allele alone was incompatible with embryonic development. The D849V Mutation Confers Increased PDGFR- Kinase Activity In Vitro Because the PdgfrbD849V/⫹ ES cells did not generate viable coat chimeras, we decided to use the well-established in vitro 2144 Arterioscler Thromb Vasc Biol. October 2007 Downloaded from http://atvb.ahajournals.org/ by guest on June 18, 2017 differentiation of ES cells into embryoid bodies for further studies (reviewed in Reference 14 and Jakobsson et al.). This system elegantly allows the investigation of otherwise lethal mutations with respect to early embryonic development and biochemical consequences. First, the expression of PDGFR- protein, as well as the receptor activity, estimated by the extent of tyrosine autophosphorylation, was compared between the mutant and wild-type ES cell clones. For this purpose, ES cells were aggregated in the absence of leukemia inhibitory factor to create embryoid bodies that were cultured for 8 days before analysis. Under basal conditions, there was a 4- to 5-fold increase in the level of tyrosine-phosphorylated PDGFR- in the mutant embryoid bodies (Figure 1B). Both mutant and wild-type embryoid bodies retained responsiveness to exogenous short-term stimulation with PDGF-BB as demonstrated by a further increase in receptor phosphorylation (Figure 1B). To test whether the ligand-independent activity of the D849V receptor affected the basal activity level (ie, in the absence of exogenous growth factor) of known downstream targets, we analyzed the phosphorylation status of Erk1/2. As shown in Figure 1C, Erk1/2 phosphorylation was increased by 2-fold in the PdgfrbD849V/⫹ embryoid bodies compared with wild-type embryoid bodies. Moreover, mutant embryoid bodies responded to exogenous PDGF-BB with a further increase in phosphorylation of Erk1/2, the final levels of which were similar to those of the PDGF-BB-treated wild-type embryoid bodies. A similar although weaker tendency was also seen for Akt, with slightly increased basal phosphorylation in the mutant embryoid bodies and a further increase in response to PGDF-BB (data not shown). Collectively, these data demonstrated that the D849V mutation of the PDGFR- conferred increased kinase activity and enhanced downstream signal transduction in the absence of exogenous ligand in differentiating mouse ES cells. Increased PDGFR- Kinase Activity Is Coupled With Increased Vascularization of Embryoid Bodies To examine the influence of increased PDGFR- kinase activity on vascular development, embryoid body cultures were kept under basal conditions, or supplemented with the exogenous growth factors VEGF-A or PDGF-BB, as indicated, for 8 days. Interestingly, staining for expression of the vascular marker CD31 identified abundant vessel formation in the mutant clones even in the absence of exogenous growth factors (basal; Figure 2A). In contrast, the wild-type embryoid bodies lacked clear vessel structures and contained only poorly developed central blood islands, as one would expect in the absence of vasculogenic/angiogenic growth factors. The quantification of the length of vessel structures and vessel area in wild-type and PdgfrbD849V/⫹ (D/V-1 and D/V-2) embryoid bodies under basal and growth factor–induced conditions (Figure 2B and 2C) indicated that the mutant ES cell clones were characterized by a very high inherent vasculogenic activity, which could not be further increased by PDGF-BB stimulation. Moreover, whereas addition of VEGF increased the vessel area nearly 4-fold in wild-type embryoid bodies, there was no further increase recorded for the D/V-1 and -2 mutant embryoid bodies compared with respective basal. Vessel length increased 3-fold with the VEGF addition to wild-type embryoid bodies; there was also a slight further increase in the mutant embryoid bodies. These data demonstrated that expression of only 1 copy of the D849V receptor was sufficient to initiate vascular development and formation of vessels in this in vitro differentiation system. Differentiating PdgfrbD849V/ⴙ Embryoid Bodies Are Characterized by Increased Expression of VEGF-A, VEGFR-2, and RGS5 To find a molecular explanation for the increased vasculogenesis and angiogenesis conferred by the D849V receptor, the expression levels of the hematopoietic markers CD41 and Tal-1, the vascular/endothelial markers CD31, VEGFR-2, VE-cadherin, and VEGF-A, as well as the mural cell markers RGS5, ␣-SMA, and PDGFR-, were analyzed. A striking consequence of the PDGFR- mutation was the increase in Vegfa and Rgs5 transcript levels (Figure 3A). Moreover, the mRNA levels of Tal-1 and Cd41 were markedly decreased in differentiating PdgfrbD849V/⫹ ES cells. In contrast, introduction of the D849V Pdgfrb did not affect the transcript levels of Cd31, VE-cadherin, Vegfr2, ␣-SMA, and the Pdgfrb itself. These data indicated that the production of endogenous VEGF-A and RGS5 were increased as a result of the activating mutation of the PDGFR- and, furthermore, that the mutation also affected mesodermal differentiation as judged from the decrease in Tal-1 and CD41 transcript levels. The expression of a number of receptors, including VEGFR-2, have been found to be positively regulated by its corresponding ligand.15,16 We, therefore, analyzed the expression of VEGFR-2 in lysates from wild-type and PdgfrbD849V/⫹ embryoid bodies at day 8. The relative protein levels of VEGFR-2 were slightly increased in the PdgfrbD849V/⫹ embryoid bodies, whereas the relative protein levels of VE-cadherin were unchanged (Figure 3B). Furthermore, VEGFR-2 protein expression may be stabilized in a manner dependent on the presentation of VEGF, which could contribute to the relative increase in VEGFR-2 expression in PdgfrbD849V/⫹-mutant cells.17 The elevated expression of the endothelial mitogen VEGF-A and its cognate receptor VEGFR-2 could be a plausible mechanism to explain the provascular phenotype of the PdgfrbD849V/⫹ embryoid bodies. In agreement with this idea, we found that neutralizing antibodies against VEGF-A or VEGFR-2 essentially attenuated vascularization of the PdgfrbD849V/⫹ embryoid bodies (Figure 3C and 3D). Increased Angiogenic Sprouting and Pericyte Coating by PdgfrbD849V/ⴙ ES Cells We and others have previously described that embryoid bodies cultured in 3D collagen gels respond to exogenous VEGF-A by forming angiogenic, pericyte-covered sprouts invading 3D collagen gels.17–19 The extent of sprouting of the PdgfrbD849V/⫹ embryoid bodies, exemplified by the clone D/V-1, was ⬇3-fold increased compared with wild-type embryoid bodies (Figure 4). Pdgfrb gene inactivation results in decreased pericyte coating in vivo20,21 and in vitro.22 We, therefore, examined Magnusson et al Constitutive PDGFR- Kinase Activity in Stem Cells 2145 Downloaded from http://atvb.ahajournals.org/ by guest on June 18, 2017 Figure 2. Increased vessel formation in PdgfrbD849V/⫹ embryoid bodies. A, Embryoid bodies created from wild-type (Wt) and PdgfrbD849V/⫹ES cell clones (D/V-1 and D/V-2) were stained for expression of CD31 to visualize endothelial vessel formation in the absence (Basal) or presence of VEGF-A (30 ng/mL) or PDGF-BB (20 ng/mL) at day 8. Inserts show details of vessel structures at a higher magnification. Bars, 100 m. Quantification of CD31-positive length (B) and area (C) in wild-type and PdgfrbD849V/⫹ (D/V-1 and D/V-2) embryoid bodies under basal and growth factor–induced conditions. All of the calculated values are set in relation to wild-type at the respective condition * and ** indicate significant difference (P⬍0.005) and (P⬍0.0001), respectively, between wild-type and D/V-mutant clones at the corresponding conditions. sprouts from wild-type and PdgfrbD849V/⫹ embryoid bodies with a mixture of antibodies directed against 3 different vascular smooth muscle cell markers (␣-SMA, NG2, and desmin). Angiogenic sprouts from the PdgfrbD849V/⫹ embryoid bodies were, to a large extent, associated with mural cells with a morphology resembling that of pericytes, whereas the coverage was 2-fold lower in the wild-type embryoid body– derived sprouts (Figure 5). Thus, the gain-of-function phenotype (enhanced PDGFR- activity correlated with a more dense pericyte coating) corroborated the previously described loss-of-function phenotype of Pdgfrb knockout animals (loss of PDGFR- activity correlated with reduced pericyte coating). Teratomas Generated From PdgfrbD849V/ⴙ ES Cells Display a Significantly Increased Vascularization The subcutaneous injection of ES cells into nude mice results in the formation of benign tumors (teratomas) containing differentiated structures of endodermal, mesodermal, and ectodermal origin, as expected from such ectopic anatomic placement of ES cells.23,24 We used this strategy to investigate the influence of the D849V PDGFR- on the differentiation potential of ES cells in a complex in vivo environment. No qualitative differences between wild-type and PdgfrbD849V/⫹ ES cells, with respect to their differentiation into tissues derived from the 3 germ layers, were detected (Figure S1). However, morphometric analysis identified a 2-fold larger vessel area (vessel area per millimeter squared) in PdgfrbD849V/⫹ ES cell– derived teratomas compared with wild-type ES cell– derived teratomas (Figure 6). Discussion In the present work, we describe the effects of a gain-offunction mutation (D849V) of the PDGFR-. ES cells heterozygous for this mutation were unable to develop into 2146 Arterioscler Thromb Vasc Biol. October 2007 Downloaded from http://atvb.ahajournals.org/ by guest on June 18, 2017 Figure 3. Transcript and protein levels in embryoid bodies and effects of neutralizing antibodies against VEGF-A and VEGFR-2. A, mRNA expression profiles of hematopoietic and vascular marker genes assessed by real-time RT-PCR in unstimulated embryoid bodies at day 8 of differentiation. The ratio of test transcript/-actin transcript levels from wild-type embryoid bodies was set to 1. B, Quantification of endothelial markers VEGFR-2 and VE-cadherin by immunoblotting. -Catenin was used as internal control for equal protein loading/quantification. One representative of 4 experiments is shown. C, PdgfrbD849V/⫹ embryoid bodies under basal conditions were treated with rat IgG control serum or neutralizing antibodies against VEGF-A (␣-VEGF-A) or VEGFR-2 (␣-VEGFR-2) between day 6 and 8 of differentiation. Inserts show details of vessel structures at a higher magnification. Bars, 100 m. D, Quantification of the CD31positive area of control and neutralizing antibody–treated PdgfrbD849V/⫹ embryoid bodies. *Significant difference between control and VEGF-A/VEGFR-2 neutralization (P⫽0.0042 for VEGF-A and P⬍0.0001 for VEGFR-2). viable coat chimeras after blastocyst injection, indicating a dominant lethal effect of the mutant allele. The consequences of this hyperactive mutation on early embryonic development are unclear at this moment (Looman et al). In the highly related Pdgfra, the homologous mutation has recently been identified in gastrointestinal stromal tumors, where it resulted in ligand-independent activity of the receptor.6 Interestingly, this particular mutation was never found as a germline mutation, indicating that it is probably not compatible with embryonic development, similar to what we experienced with the corresponding mutation in the Pdgfrb. It is, thus, conceivable, that the mutation restricts the differentiation potential of the otherwise pluripotent ES cells. To analyze the effect of the D849V mutation, we differentiated mutant ES cells into embryoid bodies, which undergo a program of differentiation reminiscent of early embryogenesis. In cell lysates of nonstimulated PdgfrbD849V/⫹ embryoid bodies, we observed a significantly increased tyrosine phosphorylation of the major autophosphorylation site (Y856) indicative of increased PDGFR- kinase activity. This property translated into elevated Erk1/2 phosphorylation under these conditions but not when PDGF-BB–stimulated wildtype and PdgfrbD849V/⫹ embryoid bodies were compared, emphasizing especially the increased basal activity of the mutant PDGFR- kinase (Figure 1B and 1C). Similar observations have been made in patient material from gastrointestinal stromal tumors carrying the corresponding D842V Pdgfra.6 This indicates that the exchange of the conserved Magnusson et al Constitutive PDGFR- Kinase Activity in Stem Cells Downloaded from http://atvb.ahajournals.org/ by guest on June 18, 2017 Figure 4. Enhanced invasion of angiogenic sprouts in collagen gel by PdgfrbD849V/⫹ embryoid bodies. Wild-type (Wt) embryoid bodies (A) cultured in collagen I from day 4 to day 10 in the presence of VEGF-A showed fewer CD31-positive sprouts (red) invading the collagen gel compared with PdgfrbD849V/⫹ (D/V-1) embryoid bodies (B). Right panel shows details of CD31-positive sprouts at higher magnification. Bars, 100 m. C, Quantification of CD31-positive sprouts in wild-type and D/V-1 embryoid bodies. *P⫽0.008. aspartic acid for valine in the activation loop of the kinase domain transforms both the PDGFR-␣ and the PDGFR- into ligand-independent tyrosine kinases with augmented downstream signaling. Interestingly, Erk1/2, as well as Akt, which also showed increased basal phosphorylation in mutant embryoid bodies (data not shown), have both been found to induce VEGF-A expression in Ras-transformed fibroblasts and epithelial cells, respectively.25 VEGF-A and its cognate receptor VEGFR-2 are both essential for vascular development in vivo and in vitro.9,10,26 –28 It was, therefore, surprising that embryoid bodies derived from PdgfrbD849V/⫹ ES cells developed abundant vascular plexi in the absence of VEGF-A stimulation, which was essential for vascularization of wild-type embryoid bodies (Figure 2).9,22 We identified elevated Vegfa mRNA expression and increased levels of VEGFR-2 protein in mutant embryoid bodies as candidates to explain the increased vasculogenic propensity of the PdgfrbD849V/⫹ ES cells (Figure 3A and 3B). This notion was strongly supported by the effects of neutralizing antibodies against VEGF-A or VEGFR-2, which dramatically reduced the ability of mutant ES cells to develop a vascular plexus (Figure 3C and 3D). Interestingly, blocking VEGFR-2 had a much more complete effect than blocking VEGF-A. This might be a result of blocking the 2147 Figure 5. Angiogenic sprouts from PdgfrbD849V/⫹ embryoid bodies cultured in collagen I display increased pericyte coverage. A, Pericytes were visualized using a mixture of antibodies recognizing the pericyte markers ␣-SMA, NG2, and desmin (green). Endothelial cells appear in red (CD31 staining) and nuclei in blue (4⬘,6-diamidino-2-phenylindole). Bars, 25 m. B, The amount of ␣-SMA/NG2/desmin-positive cells associated with CD31positive sprouts was significantly increased (*P⬍0.0001) in the PdgfrbD849V/⫹ embryoid bodies. effects of several ligands to VEGFR-2, such as VEGF-C and -D, which, in their processed forms, may bind to VEGFR-2 (reviewed in Reference 11). Furthermore, VEGF-C has been shown to induce heterodimers between VEGFR-2 and Figure 6. Teratomas derived from PdgfrbD849V/⫹ ES cells are characterized by increased vascularization. A, Sections from PDGFR- wild-type (Wt) and PdgfrbD849V/⫹ (D/V-1) teratomas were immunostained with antibodies against CD31 to visualize the blood vessel compartment. B, The total area covered by vessels and the number of vessels was significantly increased in PdgfrbD849V/⫹ teratomas (*P⬍0.05 in both cases), whereas the average vessel perimeter was slightly decreased compared with wild-type teratomas (*P⬍0.05). 2148 Arterioscler Thromb Vasc Biol. October 2007 Downloaded from http://atvb.ahajournals.org/ by guest on June 18, 2017 VEGFR-3,29 which also would be blocked as a consequence of VEGFR-2 neutralization. As expected from the increased VEGF-A/VEGFR-2 expression, we found enhanced angiogenic activity of the mutant ES cells in a 3D collagen assay for vascular sprouting (Figure 4). Moreover, sprouts from mutant embryoid bodies were more densely covered by mural cells/pericytes (Figure 5). In accordance, the transcript level for Rgs5, a member of the RGS family of GTPase-activating proteins, was 2-fold increased in mutant embryoid bodies (Figure 3A). RGS5 has been identified as a marker for differentiating pericytes, which is dramatically downregulated in pericyte-deficient Pdgfb and Pdgfrb null embryos.30 The increased vasculo/angiogenic activity might, however, not only be based on the increased production of VEGF-A. We demonstrated recently that PDGF-BB stimulation of PDGFR-– expressing early hematopoietic/endothelial precursor cells (hemangioblasts) resulted in increased endothelial cell lineage commitment and restricted differentiation of hematopoietic precursors.22 Using a mouse model with a similar but weaker and, thus, viable activating mutation in the Pdgfrb (D849N), we observed increased vascular remodeling and reduced numbers of CD41-positive hematopoietic cells in homozygous mutant yolk sacs compared with wild-type yolk sacs.5,22 We, therefore, suggest that also the ligandindependent activity of the D849V PDGFR- leads to a developmental shift toward endothelial cell commitment at the expense of hematopoietic differentiation. This hypothesis is strongly supported by the fact that expression of D849V PDGFR- was accompanied by marked decrease in expression of Tal-1 and Cd41 (Figure 3A). Tal-1, a basic helixloop-helix transcription factor expressed in erythroid, myeloid, megakaryocytic, and hematopoietic stem cells, is critical in embryonic hematopoietic development, and its gene inactivation leads to developmental arrest at the hemangioblastic stage. CD41 (corresponding with the ␣ subunit of the ␣IIb3 intergrin complex), a putative target gene for Tal-1, is a classical megacaryocyte/platelet-specific marker.31–33 The PDGFR- has been identified as an important drug target in tumor therapy because of the fact that PDGF-BB is secreted by many solid tumors, PDGFR- is expressed on endothelial cells of certain tumors, and capillaries in most solid tumors are surrounded by PDGFR- expressing tumor pericytes (reviewed in Reference 34). To address the consequence of the hyperactive D849V PDGFR- in an embryonic tumor model, ES cells were grown subcutaneously in nude mice to create teratomas. We found that teratomas induced by PdgfrbD849V/⫹ ES cells displayed a significantly increased vascularization (Figure 6), supporting our in vitro data. However, in contrast to these, we did not observe increased pericyte coating of vessels in PdgfrbD849V/⫹ teratomas, nor did we detect increased Vegfa mRNA levels in PdgfrbD849V/⫹ versus wild-type teratoma tissues (data not shown). The mechanistic interpretation of increased vascularization in mutant teratomas is complicated by the fact that vessels in the tumors are likely of mixed origin (ie, both host and ES cell derived). In general, teratomas are highly complex structures made up of many different cell and tissue types compared with the relatively well-defined in vitro culture system of embryoid bodies. Interestingly however, we found slightly increased Cd31, ␣-SMA, and Rgs5 mRNA levels and ⬎5-fold decreased levels of Cd41 mRNA in PdgfrbD849V/⫹ teratoma tissues (data not shown). This observation would support the notion of a narrowly defined developmental shift of early hematopoietic/endothelial precursor cells toward an endothelial cell lineage commitment without affecting the general differentiation of the mutant ES cells into other cell lineages derived from the 3 germ layers (Figure S1). We, therefore, hypothesize that the increased vasculogenic/ angiogenic activity of the PdgfrbD849V/⫹ ES cells would, depending on the cellular/environmental context, result from increased angiogenic VEGF signaling or increased endothelial cell commitment because of ligand-independent, constitutive signaling by the mutant PDGFR-. Acknowledgments We thank the Uppsala and Umeå Transgenic Facilities for ES cell electroporation and blastocyst injections/transfers and ImClone for anti-VEGFR-2 antibodies. Sources of Funding This study was supported by funds from the Swedish Cancer Society (project No. 3820-B04-09XAC) and the Swedish Research Council (project No. K2005-32X-12552-08A) for L.C.-W. and by Ludwig Institute for Cancer Research for C.L., A.Å., and R.L.H. Disclosures Y.W. is an employee of ImClone Systems Inc. References 1. Heldin CH, Westermark B. Mechanism of action and in vivo role of platelet-derived growth factor. Physiol Rev. 1999;79:1283–1316. 2. Fredriksson L, Li H, Eriksson U. The PDGF family: four gene products form five dimeric isoforms. Cytokine Growth Factor Rev. 2004;15: 197–204. 3. Tallquist M, Kazlauskas A. PDGF signaling in cells and mice. Cytokine Growth Factor Rev. 2004;15:205–213. 4. Jones AV, Cross NC. Oncogenic derivatives of platelet-derived growth factor receptors. Cell Mol Life Sci. 2004;61:2912–2923. 5. Chiara F, Goumans MJ, Forsberg H, Ahgren A, Rasola A, Aspenstrom P, Wernstedt C, Hellberg C, Heldin CH, Heuchel R. 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Heuchel Arterioscler Thromb Vasc Biol. 2007;27:2142-2149; originally published online July 26, 2007; doi: 10.1161/01.ATV.0000282198.60701.94 Arteriosclerosis, Thrombosis, and Vascular Biology is published by the American Heart Association, 7272 Greenville Avenue, Dallas, TX 75231 Copyright © 2007 American Heart Association, Inc. All rights reserved. Print ISSN: 1079-5642. Online ISSN: 1524-4636 The online version of this article, along with updated information and services, is located on the World Wide Web at: http://atvb.ahajournals.org/content/27/10/2142 Data Supplement (unedited) at: http://atvb.ahajournals.org/content/suppl/2007/09/20/01.ATV.0000282198.60701.94.DC1 Permissions: Requests for permissions to reproduce figures, tables, or portions of articles originally published in Arteriosclerosis, Thrombosis, and Vascular Biology 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. Further information about this process is available in the Permissions and Rights Question and Answer document. Reprints: Information about reprints can be found online at: http://www.lww.com/reprints Subscriptions: Information about subscribing to Arteriosclerosis, Thrombosis, and Vascular Biology is online at: http://atvb.ahajournals.org//subscriptions/ Online supplement Online supplemental Figure 1. Suppl. Fig. 1 Wild-type and D/V mutant ES cell-derived teratoma display equal tissue type distributions. Equal representation of the three germ layers (mesoderm-derived muscle, endodermderived digestive and respiratory tract lining cells and ectoderm-derived nerve and skin tissue) was observed in wild-type and PdgfrbD849V/+–mutant teratoma indicating that the developmental pathways giving rise to these somatic tissues are not altered, at least in a model which does not depend on embryonic survival. Representative HE-stained sections are shown. 1 Methods Knock in of D849V in ES cells The mutation of aspartic acid 849 to valine was introduced into subcloned genomic DNA by oligonucleotide directed mutagenesis using the QuickChange Kit (Stratagene) according to the manufacturer’s recommendations. The mutation primers used were as follows: 5’-GACTTCGGCCTGGCTCGAGtCATTATGAGGGACTCAAACTACA-3’ and 5’-TGTAGTTTGAGTCCCTCATAATGaCTCGAGCCAGGCCGAAGTC-3’ (base exchange resulting in amino acid mutation indicated in lower case letters). The targeting vector consisted of a 1.7 kb EcoRV-Spel genomic 5’-fragment, followed by a PGKneobpA expression cassette flanked by loxP sites, a 5 kb Spel-XhoI genomic 3’fragment containing the point mutated exon-18 and a herpes simples virus thymidine kinase (HSV-TK) expression cassette in pBluescript SK(+) backbone. The construct was linearized (NotI) for electroporation into GS-1 ES cells (Genome Systems) and colonies were selected using G418 and gancyclovir. Homologous recombination events were screened by PCR, as described 1 , using primers for the neo gene (5’- TGGCTACCCGTGATATTGCT-3’) and genomic sequence outside the targeting construct (5’-CCGAAATGTGTACCAGTCTGAAA-3’), resulting in a 3 kb amplification product for correct integration. Positive ES cell clones were tested by Southern blot, as described 1, using a 177 bp PCR amplification product corresponding to nucleotides 1957 to 2133 of the mouse Pdgfrb cDNA, which hybridizes to genomic DNA 5’ outside the targeting construct (5.2 kb wild type allele; 6.9 kb mutant allele). The point mutation was confirmed by sequencing of a PCR-amplified DNA fragment from targeted ES cells. Two 2 PdgfrbD849V/+ ES cell clones denoted D/V-1 and D/V-2, were selected for further characterization. These clones were compared with a GS-1 ES cell clone with the neo cassette in the corresponding locus, but lacking the D849V mutation (denoted wild type). ES cell culture ES cells were grown on growth-arrested murine embryonic fibroblast feeder cells in ES cell medium composed of Dulbecco’s modified Eagle’s medium/glutamax (Invitrogen/Gibco) supplemented with 15% fetal bovine serum, 25 mM HEPES, 1.2 mM Na-pyruvate, 19 µM monothioglycerol and 1,000 U/ml recombinant leukemia inhibitory factor (LIF, Chemicon International Inc.) as described 2. Prior to differentiation, the ES cells were cultured for 1-2 passages on gelatine-coated tissue culture plastic to remove feeder cells. Differentiation of embryoid bodies started at day 0 when LIF was withdrawn from the medium. Growth factors were added as indicated from this point (30 ng/ml VEGF-A165, PeproTech Inc., or 20 ng/ml PDGF-BB; generous donation from Amgen Inc.). Formation of embryoid bodies was induced in hanging droplets and on day 4, the embryoid bodies were flushed down and plated on 8-well glass culture slides (Becton Dickinson Biosciences/Falcon) or on tissue culture plastic dishes. All analyses were performed on four or more embryoid bodies at three or more individual occasions, unless stated otherwise. Embryoid bodies in 3-dimensional collagen I gels and immunofluorescence staining Embryoid bodies were cultured as described above. Briefly, on day 0 ES cells were cultured in hanging droplets in the presence of serum with or without 30 ng/ml VEGF-A 3 (PeproTech Inc.). After 4 days, the embryoid bodies were seeded in groups of approximately 10 embryoid bodies on a layer of polymerised collagen type I solution (Ham’s F12 medium (PromoCell GmbH), 5 mM NaOH, 20 mM HEPES, 0,225% NaHCO3, 1% Glutamax-1 (Invitrogen/Gibco) and 1.5 mg/ml collagen type I (Cohesion Technologies Inc.). Immediately thereafter, a second layer of collagen solution was added on top. After the second layer had solidified, medium with or without 30 ng/ml of VEGFA was added and the culture continued for 6 or 8 days. Cultures were fixed in 4 % paraformaldehyde for 30 minutes and then blocked and permeabilized in 3 % BSA, 0.2 % Triton X-100 in phosphate buffered saline (PBS). Endothelial cells were stained with a rat anti-mouse PECAM1/CD31 antibody (Becton Dickinson Biosciences/Falcon) and pericytes were stained using a mixture of a fluorescein isothiocyanate (FITC)-conjugated mouse anti-α-SMA antibody (Sigma), a rabbit anti-NG2 chondroitin sulphate proteoglycan antibody (Chemicon International Inc.) and a mouse anti-desmin antibody (DAKO). CD31 antibodies were detected using an anti-rat Alexa 568 antibody (Invitrogen/Molecular Probes) and NG2 and desmin antibodies were detected using antirabbit and anti-mouse Alexa 488 antibodies (both from Invitrogen/Molecular Probes). All antibodies were diluted in 3 % BSA/PBS and all antibody incubations were carried out at 4 ºC over night. Nuclei were stained by DAPI (1 µg/ml) in PBS. The number of CD31positive sprouts per embryoid body (n = 11 both for wild type and D/V-1 ES cells) and the number of pericytes (desmin+, α-SMA+ or NG2+ cells) associated with CD31+ sprouts (n = 14 and 15 sprouts from wild type and mutant embryoid bodies, respectively) were counted using a Leica DM4000 B/M microscope. P values were calculated using Student’s t-test, two-sample unequal variance/two-tailed distribution. 4 In all experiments involving embryoid bodies, four embryoid bodies were analyzed per condition and genotype and repeated at least three times, if not mentioned otherwise. Western blotting Cell lysates from embryoid bodies were analyzed by western blotting to examine the activity and downstream signaling components of wild type and the mutant PDGFR-β. Embryoid bodies were plated out on day 4 in plastic tissue culture dishes to allow attachment. After indicated time points of culture in medium without LIF and exogenously added growth factors, cultures were lysed in 20 mM Tris HCl (pH 7.5), 150 mM NaCl, 10% glycerol, 1% Nonidet P40, 2 mM EDTA, 500 µM Na3VO4, 1% aprotinin, 10 µg/ml leupeptin and 1 mM phenylmethyl sulfonylfluoride. When indicated, growth factor-treated embryoid bodies were starved for 16 hours in 0.2% fatty-acid free bovine serum albumin (BSA; Sigma-Aldrich) in ES cell medium without LIF and then stimulated with PDGF-BB (50 ng/ml) for 10 minutes prior to cell lysis. Cell lysates were centrifuged for 15 minutes at 4°C and the protein concentration of the supernatant was measured using the BCA protein detection kit (Pierce Chemicals). Total cell lysates were separated by reducing SDS-polyacrylamide gel electrophoresis (SDS-PAGE) using 7% and 12% gels and transferred to Hybond C-Extra nitrocellulose membrane (Amersham Biosciences). The membranes were blocked in Tris-buffered saline /0.1% Tween 20 containing 3% BSA (TBS/BSA), for 3 hours, and then incubated with one of the following antisera: rabbit anti-mouse PDGFR-β antibody (sc432; Lot.L060; Santa Cruz Biotechnology), rabbit anti-mouse p-Akt and Akt (#9271, #9272; Cell Signaling 5 Technology), rabbit anti-mouse p-Erk1/2 and Erk1/2 (#9101; Cell Signaling Technology), rat anti-mouse VEGFR-2 antibody (Becton Dickinson Biosciences/Falcon), goat anti-mouse VE-cadherin antibody (R&D Systems) or rabbit anti-human β-catenin antibody (#9562; Cell Signaling Technology), rabbit anti-β-actin (#A-2066; Sigma) over night at 4°C. The pPDGFR-β antibody 4 used, was generated against the phosphorylated form of the major autophosophorylation site3 (Y857 in human, Y856 in the mouse) of the PDGFR-β. After vigorous washing with TBS and blocking in TBS/BSA, the membrane was incubated with peroxidase-conjugated anti-rabbit antibody, anti-rat antibody (Amersham Biosciences) or anti-goat antibody (Santa Cruz Biotechnology). Immunoreactive bands were visualized using the ECL Western blotting detection reagents (Amersham Biosciences). For digital data analyses a FUJI CCD camera LAS1000 was used in combination with Advanced Image Data Analyzer (AIDA) software, Version 3.10. Immunohistochemistry Embryoid bodies were fixed in zinc fix (0.1 M Tris HCl, pH 7.5, 3 mM calcium acetate, 23 mM zinc acetate and 37 mM zinc chloride) over night at 4°C. Quenching of endogenous peroxidase activity was performed by 3% H2O2 in methanol during 30 minutes followed by blocking in TBS/BSA. Samples were incubated with rat anti-mouse CD31 antibody (Becton Dickinson Biosciences/Falcon) diluted in blocking buffer and incubated over night at 4°C. The primary antibody incubation was followed by washes and incubation for one hour at room temperature with secondary biotinylated goat anti-rat antibody (Vector Laboratories Inc.) diluted in blocking buffer and finally, a 30-minutes 6 incubation with streptavidin-HRP (Vector Laboratories Inc.). Immune reactivity was visualized by the use of the chromogen substance (AEC kit from Vector Laboratories Inc.). Slides were mounted with Ultramount aqueous mounting medium (DAKO) and photographed in a Nikon Eclipse E1000 microscope. Quantification of the area or length of CD31 staining (n=5 for each ES cell line and condition) was performed with Easy Image Analysis software (Rainfall). Compensation for background was performed to avoid quantification of unspecific staining. Statistical analysis was done by unpaired Student’s t-test using the Stat View computer program. Real-time RT-PCR analysis Total RNA was extracted from day 8 wild type, D/V-1 and D/V-2 embryoid bodies. Contaminating genomic DNA was digested with DNase I (Amersham Biosciences) and 1 µg total RNA was used for first strand cDNA synthesis using oligo dT primer and the Advantage RT-for-PCR-Kit (Clontech Laboratories, Inc.). Primers used are listed in Table 1. β-actin was used as endogenous reference and non-reverse transcribed RNA was used as a negative control. The PCR samples, containing cDNA, primers (0.25 µM final concentration) and 2x SYBR Green PCR master mix (Applied Biosystems), were run in triplicate on an ABI Prism 7700 Sequence Detection System instrument (Applied Biosystems) with an initial 10-minute activation at 95°C, followed by 45 cycles at 95°C for 15 seconds and 60°C for 1 minute. The threshold cycle (CT) value was calculated for each sample by the ABI Prism 7700 instrument. Transcript levels were then normalized against β-actin levels and changes in transcript levels were expressed as relative values. 7 For each gene transcript and genotype single samples were run in triplicate from three different embryoid body preparations. One such representative result is shown. Generation and analysis of teratomas and immunofluorecsence staining 1 x 106 of wild type or PdgfrbD849V/+ ES cells diluted in 100 µl PBS were injected subcutaneously on the dorsal side of female NMRI-nu mice (M&B Animal Models) and teratomas were grown until they reached a size of approximately 1 cm3 (24 - 46 days). Acetone-fixed frozen 6 µm sections were used for fluorescent staining for the endothelial marker CD31. The sections were blocked in 3 % BSA in PBS and incubated with rat antimouse CD31 antibody (Becton Dickinson Biosciences/Falcon) for 1 hour at room temperature followed by incubation with goat anti-rat Alexa 568 (Molecular Probes), both diluted in 3 % BSA/PBS. Nuclei were stained by Hoechst 33342 (1 µg/ml) in PBS. Results were analyzed using a Nikon Eclipse E1000 microscope. For morphometric analysis, 7 µm sections from paraformaldehyde-fixed, paraffin-embedded teratomas were used for chromogenic staining for the endothelial marker CD31. Sections were deparaffinized and pre-treated in 10 mM citrate buffer (pH 6.0) for 2 x 7 minutes at 750 W in a microwave oven for antigen retrieval. Following quenching of tissue peroxidase activity in 3 % H2O2 in PBS for 10 minutes and blocking in 20 % rabbit serum, the sections were incubated with goat anti-mouse CD31 antibody (Santa Cruz Biotechnology) at 4 °C over night. CD31 antibodies were detected using biotinylated rabbit anti-goat antibodies and visualized by Vectastain ABC-AP kit (Vector Laboratories). Five wild type and five P d g f r bD849V/+ teratomas were used for 8 morphometric analysis. Images were captured using a Leica DM4000 B/M microscope equipped with a Leica 40X PH2 objective. The Leica Qwin V3 software was used to measure the density of blood vessels (average number of vessels/mm2), average blood vessel perimeter, and total blood vessel area (vessel area/ mm2). The teratomas were analyzed pattern wise by 19 to 29 microscopy fields covering the total vascularized section area and an average value was calculated for each tumor. P values were calculated using Student’s t-test, two-sample unequal variance/two-tailed distribution. We did not observe any difference in the relative contribution from the three embryonic germ lineages between wild type and PdgfrbD849V/+ teratomas. Table 1 Real-time RT-PCR primers Gene product Accession No Sense primer (5’-3’) Antisense primer (5’-3’) α−SMA X13297 CTGACAGAGGCACCACTGAA AGAGGCATAGAGGGACAGCA β-actin XD3765 CACTATTGGCAACGAGCGG TCCATACCCAAGAAGGAAGGC CD31 NM_008816 TACTGCAGGCATCGGCAAA GCATTTCGCACACCTGGAT CD41 NM_010575 TGGCATGTTTCCAACCAGC TCCCCGGTAACCATCGAA PDGFR-β NM_008809 GTGGTGAACTTCCAATGGACG GTCTGTCACTGGCTCCACCAG RGS5 NM_009063 TCATTTCAATCCTGCCCTTC TGACAGGAGGCATCTGAGTG Tal-1 NM_011527 GGCAGACAGAGACTGATCCTG AGAAGCAAACACAGCTTTGGA VE-cadherin X83930 AGGACAGCAACTTCACCCTCA AACTGCCCATACTTGACCGTG VEGF-A NM_009505 AAGGAGAGCAGAAGTCCCATGA CTCAATTGGACGGCAGTAGCT VEGFR-2 X59397 ACAGACCCGGCCAAACAA TTCCCCCCTGGAAATCCTC 9 References 1. Heuchel R, Berg A, Tallquist M, Ahlen K, Reed RK, Rubin K, Claesson-Welsh L, Heldin CH, Soriano P. Platelet-derived growth factor beta receptor regulates interstitial fluid homeostasis through phosphatidylinositol-3' kinase signaling. Proc Natl Acad Sci U S A. 1999;96:11410-11415. 2. 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