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1 Department of Cell and Molecular Pharmacology and 2 Department of Medicine, Medical University of South Carolina, Charleston, South Carolina 29425
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ABSTRACT |
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Adenylyl cyclases present a potential focal
point for signal integration in vascular smooth muscle cells (VSMC)
influencing contractile state and cellular responses to vessel wall
injury. In the present study, we examined the influence of the
vasoactive peptide arginine vasopressin (AVP) on cAMP regulation in
primary cultures of rat aortic VSMC and in the A7r5 arterial smooth
muscle cell line. In cultured VSMC and A7r5 cells, AVP had no effect on
basal cAMP but differentially affected
-adrenergic
receptor-induced activation of adenylyl cyclase. AVP
synergistically increased (twofold) isoproterenol-stimulated cAMP
production in VSMC but inhibited the effect of isoproterenol (50%) in
the A7r5 cell line. The effects of AVP in both preparations were
blocked when cells were pretreated with a selective V1
vasopressin receptor antagonist. Moreover, the actions of AVP in both
models were dependent on release of intracellular Ca2+ and
were mimicked by elevation of Ca2+ with the ionophore
A23187, suggesting that the responses to AVP involve
Ca2+-mediated regulation of adenylyl cyclase stimulation.
Adenylyl cyclase types I, III, and VIII are stimulated by
Ca2+/calmodulin, whereas types V and VI are directly
inhibited by Ca2+. RNA blot analysis for effector isotypes
indicated that both VSMC and A7r5 cells expressed types III, V, and VI.
VSMC also expressed mRNA for type IV and VIII effectors, which could
account for the cell-specific responses to peptide hormone and
Ca2+.
arginine vasopressin; cAMP; calcium
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INTRODUCTION |
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VASCULAR SMOOTH MUSCLE
CELLS (VSMC) are regulated by a variety of neurotransmitters and
hormones that influence a network of signal transduction pathways.
Norepinephrine and the vasoactive peptides angiotensin II and arginine
vasopressin (AVP) act on cell surface receptors that couple through
heterotrimeric G proteins to stimulate phospholipase C and
produce diacylglycerol and inositol 1,4,5-trisphosphate
[Ins(1,4,5)P3] (2, 25). These
second messengers then activate protein kinase C and elevate
intracellular free Ca2+ to initiate contraction of
VSMC (28) and, in vascular injury, may promote cellular
growth (1, 9) and deposition of extracellular matrix
(15). In contrast, epinephrine, acting on
2-adrenergic receptors, and local hormones, such as
prostaglandins I2 and E2, stimulate cAMP
formation, which decreases contractility (3) and
antagonizes agonist-induced hypertrophy and matrix formation (10,
12, 32). The opposing influences of these pathways are important
in determining the functional state of VSMC, and integration of this
signaling is a key component in vascular homeostasis.
The principal control of cAMP formation occurs with the activity of the
effector enzyme adenylyl cyclase. At least nine forms of this effector
have now been identified with discrete tissue distributions and unique
regulatory properties (29). The various isozymes of
adenylyl cyclase differentially respond to activated Gs
and Gi
as well as to G
(30),
Ca2+ (16), Ca2+/calmodulin
(6, 8, 31), and phosphorylation, providing a potential
focal point within the cell for the integration of diverse stimuli. The
regulatory properties of adenylyl cyclases have been largely determined
through studies of purified enzymes expressed in Sf9 insect cells, and
it is not always clear how properties defined in vitro may function in
the intact cell to integrate coincident stimuli into a defined
response. As an approach to this question, we initially examined the
integration of multiple signals to adenylyl cyclase after stable
expression of select effector isoforms in DDT1-MF2 smooth
muscle cells (24), where integration of both stimulatory
and inhibitory inputs was found to be a dynamic process depending on
both enzyme type and phosphorylation state. The present study extends
these findings by examining signal integration in two commonly used
models of arterial smooth muscle cells, each expressing an endogenous
complement of receptors and effectors. Experiments were focused on the
interaction between stimuli affecting
Ins(1,4,5)P3 and cAMP signaling pathways. We report that the integration of these pathways is qualitatively different in the two cell models and determined by Ca2+
mobilization and the population of adenylyl cyclase isozymes expressed.
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MATERIALS AND METHODS |
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Materials.
DMEM and amphotericin B were purchased from GIBCO-BRL
(Grand Island, NY). Fetal bovine serum was obtained from HyClone Labs (Logan, UT). 125I-labeled 2'-O-monosuccinyl cAMP
tyrosyl methyl ester was synthesized using the method of Oehlenschlager
et al. (26).
[d(CH2)

-32P]dCTP was
purchased from DuPont-NEN (Boston, MA). The Fast Track mRNA isolation
kit was obtained from Invitrogen (San Diego, CA) and Rnazol was from
Tel-Test (Friendswood, TX). Isoproterenol, AVP,
3-isobutyl-1-methylxanthine (IBMX), penicillin, streptomycin, and
trypsin were from Sigma (St. Louis, MO). A23187 and calphostin C were
purchased from Calbiochem (San Diego, CA). All other chemicals were of
the highest purity available. Adenylyl cyclase constructs were kindly
provided as follows: types I and IV, Dr. Alfred Gilman (Department of
Pharmacology, Southwestern University, Dallas, TX); types II and III,
Dr. Randall Reed (Department of Molecular Biology and Genetics, Johns
Hopkins School of Medicine, Baltimore, MD); types V and VI, Dr.
Yoshihiro Ishikawa (Department of Medicine, Harvard Medical School,
Boston, MA); type VII, cloned from DDT1-MF2 cells; type
VIII, Dr. John Krupinski (Geisinger Research Clinic, Danfield, PA); and
type IX, Dr. Richard Premont (Duke University, Durham, NC).
Cell cultures.
A7r5 cells were obtained from the American Type Culture Collection.
Primary cultures of aortic VSMC were prepared from 3- to 4-wk-old male
Sprague-Dawley rats by the method of Ross (27) as
previously described (19). Isolates from one rat were used for each preparation of VSMC, and every experiment was performed with
at least three different populations of cells. Cells prepared with this
procedure showed the hill-and-valley growth pattern typical of VSMC and
stained positive for smooth muscle actin using a monoclonal antibody
specific for the
-isoform of actin. Once established, both A7r5
cells and VSMC were maintained in DMEM supplemented with 10% fetal
bovine serum, 2 mM glutamine, 100 U/ml penicillin, and 0.1 mg/ml
streptomycin in a humidified atmosphere of 10% CO2-90%
air at 37°C. The medium was routinely changed every 48 h, and
cells were subcultured once weekly after detachment with 0.05% trypsin
in phosphate-buffered saline.
Determination of intracellular calcium. Release of intracellular free Ca2+ was determined using a fluorometric imaging plate reader (FLIPR) system (Molecular Devices; Sunnyvale, CA) for high-throughput optical screening of cell-based fluorometric assays. The instrument simultaneously monitors all 96 wells of a microplate with kinetic updates in the subsecond range and includes a 6-W argon ion laser (Coherent; Santa Clara, CA), optical scanning system, temperature control (37 ± 0.1°C), and a charge-coupled device camera. Cells for intracellular Ca2+ measurements were subcultured into 96-well clear-bottomed black microplates (Corning Costar; Cambridge, MA). On the day of the experiment, cells were then dye loaded with 4 µM fluo 3-AM (excitation at 488 nm, emission at 540 nm, Molecular Probes; Eugene, OR) in HEPES-buffered salt solution (pH 7.4) containing 2.5 mM probenecid for 1 h at 37°C. After cells were washed four times with buffer, they were placed in the FLIPR instrument and simultaneously exposed to different test agents, and emission intensities in each well of the microplate were monitored at 1.5-s intervals over 6 min. Six wells were averaged for each treatment protocol, and experiments were performed in at least three different batches of cultured cells.
Preparation and analysis of RNA.
Total cellular RNA was isolated from freshly harvested cells or brain
cortex by guanidinium denaturation utilizing Rnazol (Tel-Test).
Polyadenylated RNA [poly(A)+ RNA] was isolated from total RNA using
an oligo(dT) cellulose affinity matrix (Fast Track mRNA isolation kit,
Invitrogen). For RNA blot analysis, mRNA was subjected to
electrophoresis on 1% agarose-3% formaldehyde gels followed by
transfer to nylon membranes by capillary blotting with 10×
saline-sodium citrate. After transfer, the membrane was baked at 80°C
for 1.5 h in a vacuum oven, and RNA blot hybridizations were
performed in an aqueous phosphate buffer system according to Mahmoudi
and Lin (22). Briefly, nylon membranes were first prehybridized in phosphate buffer containing (in mM) 500 Na2HPO4 (pH 7.2), 1 EDTA (pH 8.0), 7% SDS, and
1% bovine serum albumin for 60 min at 65°C. Incubation was continued
for 12-15 h in the same solution containing
32P-labeled probes (1.6-5.7 × 106
counts · min
1 · ml
1), which
were generated by random priming (Multiprime DNA labeling system,
Amersham). The DNA fragments used for probe generation were as follows:
type I, full-length cDNA; type II, full-length cDNA; type III, nt
682-2,714; type IV, full-length cDNA; type V, nt 715-1,204;
type VI, full-length cDNA; type VII, nt 2,836-3,111; type VIII,
full-length cDNA; and type IX, nt 1-957. The fragments used for
priming were generated with the appropriate restriction enzymes and
purified using agarose gels. The hybridized blots were washed (60°C)
twice in buffer containing (in mM) 40 Na2HPO4 (pH 7.2), 1 EDTA (pH 8.0), and 5% SDS for 60 min and once in buffer containing (in mM) 40 Na2HPO4 (pH 7.5), 1 EDTA
(pH 8.0), and 1% SDS for 60 min. The blots were then dried and exposed
to Kodak XAR film using intensifying screens at
70°C for 12-48 h.
Determination of cAMP. At the end of the experiments, cells were incubated with 0.1 N HCl at 4°C for 15 min to extract intracellular cAMP as previously described (19). The acid extract was then assayed for cAMP by radioimmunoassay as described by Brooker et al. (5). No cAMP was detected in the extracellular incubation buffer.
Protein determination. The concentration of protein in each culture well was determined by the method of Lowry et al. (21) with bovine serum albumin as the standard.
Data analysis. Data are presented as means ± SE and were analyzed using analysis of variance followed by Duncan's multiple-range test for detecting differences, with P < 0.05 considered as significant. The number of observations reported represents the number of individual experiments conducted, each performed in triplicate.
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RESULTS |
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Effect of AVP on isoproterenol-stimulated cAMP accumulation in VSMC
and A7r5 cells.
The influence of AVP on agonist-stimulated cAMP formation in primary
cultures of VSMC is shown in Fig. 1.
Incubation of VSMC with AVP (0.3 µM) had no significant effect on
basal cAMP levels but synergistically enhanced isoproterenol-stimulated
cAMP accumulation. Stimulation of VSMC with isoproterenol (1 µM)
alone for 60 s increased cAMP levels by 331 ± 42 pmol/mg
protein. In comparison, simultaneous exposure of cells to isoproterenol
in combination with AVP (0.3 µM) produced an increase in cAMP of
815 ± 110 pmol/mg protein, a value over twofold greater than that
observed in cells treated only with
-agonist. Surprisingly, AVP had
a totally opposite effect on agonist-induced cAMP accumulation in A7r5
cells. Treatment of A7r5 cells with AVP (0.3 µM) again had no effect
on basal cAMP but significantly decreased isoproterenol-stimulated cAMP
levels (Fig. 1). Stimulation of A7r5 cells with isoproterenol (1 µM) increased intracellular cAMP by 454 ± 41 pmol/mg protein in
control cells. However, when cells were coincubated with isoproterenol in combination with AVP, isoproterenol-stimulated cAMP was only 243 ± 28 pmol/mg protein, a 47% decrease from the control
stimulation. In parallel experiments, pretreatment of cells with
pertussis toxin (100 ng/ml) for 24 h, which causes ADP
ribosylation of Gi, effectively disrupting G protein
coupling, did not alter the action of AVP to affect
isoproterenol-stimulated cAMP in either cell type (data not
shown).
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Role of calcium in signal integration in VSMC and A7r5 cells.
V1 receptors couple to phospholipase C and, when activated,
lead to the generation of Ins(1,4,5)P3 and
diacylglycerol (25). The effect of AVP to enhance cAMP
regulation in cultured VSMC has been previously shown to be independent
of protein kinase C activation but, instead, was related to the release
of Ca2+ from intracellular stores (36). A
similar mechanism has been found for the effect of AVP in A7r5 cells.
Treatment of A7r5 cells with the phorbol ester phorbol 12-myristate
13-acetate (PMA; 0.1 µM) for 10 min did not alter either basal or
stimulated cAMP levels, and inhibition of protein kinase C activation
with calphostin C (0.1 µM) also had no effect on the action of AVP to
inhibit isoproterenol stimulation (data not shown). However, the action of AVP in A7r5 cells was found to be totally dependent on intracellular Ca2+ mobilization. To address this, A7r5 cells were
incubated in either normal Ca2+ buffer (control) or
Ca2+-free buffer or treated with the intracellular chelator
1,2-bis(2-aminophenoxy)ethane-N,N,N',N'-tetraacetic acid (BAPTA) to attenuate Ca2+-dependent agonist
effects. The influence of each intervention on AVP-induced free
Ca2+ transients is shown in Fig.
3A. In control buffer,
exposure of A7r5 cells to AVP evoked a sharp release of intracellular
Ca2+, which peaked within seconds, followed by a decline
and then a secondary phase generally associated with influx from the
extracellular media. Consistent with this interpretation, removal of
extracellular Ca2+ failed to alter the initial peak of
Ca2+ elevation but essentially eliminated the delayed phase
of influx, and free intracellular Ca2+ returned to basal
levels by 2 min. In turn, loading of cells with BAPTA predictably
attenuated both phases of AVP-induced free Ca2+ elevation.
The comparative effects of these interventions on cAMP stimulation are
illustrated in Fig. 3B. In this series, incubation of
control cells with AVP (0.3 µM) reduced isoproterenol-stimulated cAMP
levels to 60 ± 5% of those produced in cells incubated with only
isoproterenol. In Ca2+-free buffer, AVP remained effective
and decreased isoproterenol-stimulation to 46 ± 6% of that
observed with
-agonist alone, a value that was not significantly
different from the effect of AVP in control cells. In contrast,
pretreatment of cells with BAPTA-AM (30 µM) for 30 min eliminated the
effect of AVP to attenuate agonist-induced cAMP production. In cells
pretreated with BAPTA, isoproterenol-stimulated cAMP formation in the
presence of AVP was 97 ± 4% of that observed in cells exposed
only to isoproterenol. The composite of these data suggests for both
A7r5 cells and cultured VSMC that AVP elevates intracellular free
Ca2+, which then differentially modulates the response of
adenylyl cyclase to
-adrenergic receptor stimulation.
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Differential expression of adenylyl cyclases in A7r5 cells and
VSMC.
The qualitatively different signal integration observed in A7r5 cells
and VSMC may reflect the adenylyl cyclase isoforms expressed by the two
different models. To examine this possibility, each cell type was
characterized in terms of the population of adenylyl cyclase
transcripts expressed. Poly(A)+-enriched RNA from A7r5 cells and VSMC
was evaluated by high-stringency RNA blot hybridization using probes
for effector enzyme types I-IX. RNA isolated from the brain was
used as a positive control for blot analysis because each of the
adenylyl cyclase isoforms is expressed in the brain. Types I, II, VII,
and IX were evident in the brain but were not detected in either A7r5
cells or VSMC (data not shown). Types III, V, and VI were expressed in
A7r5 cells and VSMC (Fig. 6). In both
cell groups, the level of type V transcript was relatively low and
required increased exposure of the film for detection. Interestingly,
adenylyl cyclases types IV and VIII were expressed in VSMC but were not
detected in A7r5 cells (Fig. 6). These results clearly indicate a
differential expression of adenylyl cyclase isozymes in the two
different models. Most notably, A7r5 cells express transcripts encoding
types III, V, and VI, whereas VSMC express types III, V, and VI but
also the type IV and VIII forms of the effector, each of which
possesses unique regulatory properties that could distinguish VSMC in
regard to the integration of AVP signaling and cAMP regulation.
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DISCUSSION |
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VSMC process multiple external stimuli that influence the contractile state of blood vessels and the response of the vascular wall to injury. This myriad of external signals must be integrated by the cell to produce the desired physiological response. Variations in signal processing may contribute to the manifestations of vascular disease, and an understanding of the components of signal integration in the cell could present new avenues of intervention. In the present study, we examined the influence of the vasoactive peptide AVP on cAMP regulation in primary cultures of VSMC and in A7r5 cells, a cell line derived from the rat thoracic aorta (18). AVP had no effect on basal cAMP but differentially modified the response to isoproterenol in the two cell models.
Exposure of A7r5 cells to AVP decreased isoproterenol-stimulated cAMP accumulation in a concentration-dependent manner. A 50% reduction in agonist-stimulated cAMP was observed in cells treated with 300 nM peptide. Because all experiments were performed in the presence of the phosphodiesterase inhibitor IBMX, AVP appears to have an action to reduce production of cAMP by the effector enzyme adenylyl cyclase. The effect of AVP to diminish isoproterenol-stimulated cAMP formation was not altered in A7r5 cells that were pretreated with pertussis toxin. Consequently, this effect of the peptide cannot be attributed to an action on the inhibitory guanine nucleotide-binding protein Gi. The results suggest that AVP activates a signal pathway in A7r5 cells to yield second messenger molecules, which then attenuate the effectiveness of receptor-mediated adenylyl cyclase activation.
The V1 subtype of the AVP receptor is coupled to
phospholipase C and, upon activation, promotes the formation of
Ins(1,4,5)P3 and diacylglycerol
(25). In aortic smooth muscle cells, including the A7r5
cell, the V1 receptor is the predominant subtype expressed (4, 33). Consistent with this observation, pretreatment of A7r5 cells with the selective V1 receptor antagonist
[d(CH2)
Activation of protein kinase C with phorbol esters has varying effects on different isoforms of adenylyl cyclase. Basal or stimulated activities of adenylyl cyclase types I, II, and V are enhanced by protein kinase C stimulation (14, 17, 35) and, in one report (20), agonist activation of type VI was decreased. The type VI effector was found to be expressed in A7r5 cells, and, conceivably, stimulation of protein kinase C by diacylglycerol produced in response to AVP could contribute to the effect of the peptide on agonist-induced cAMP formation. However, direct activation of protein kinase C with PMA failed to alter either basal or isoproterenol-stimulated cAMP levels in A7r5 cells. Furthermore, inhibitors of protein kinase C activation did not diminish the action of AVP to reduce cAMP production. Such observations argue against a role for protein kinase C in this action of the peptide. In contrast, the ability of AVP to mobilize Ca2+ appears to be key to its effect on adenylyl cyclase activation. Removal of Ca2+ from the extracellular buffer did not alter AVP inhibition of isoproterenol-stimulated cAMP in A7r5 cells. However, pretreatment of cells with BAPTA to chelate and buffer AVP-induced elevation of intracellular free Ca2+ eliminated the action of the peptide to attenuate agonist-stimulated cAMP production. In addition, elevation of intracellular Ca2+ with the calcium ionophore A23187, like AVP, effectively decreased isoproterenol-stimulated cAMP formation.
The basic mechanism of AVP signaling in cultured VSMC is the same as that described for A7r5 cells. However, when VSMC were incubated with AVP in combination with isoproterenol, AVP synergistically increased, rather than decreased, cAMP production. This effect was again blocked by pretreatment of cells with a V1 receptor antagonist and is consistent with previous reports (19, 36) where both angiotensin II and AVP have been shown to enhance agonist-stimulated cAMP formation in cultured VSMC and in freshly isolated strips of the rat aorta. For each peptide, the effect was found to be independent of protein kinase C activation but directly related to the mobilization of intracellular Ca2+. In the present study, the importance of Ca2+ was emphasized further when VSMC were treated with the calcium ionophore A23187. Incubation of VSMC with A23187 alone appeared to activate adenylyl cyclase activity and increased cAMP above the basal levels found in untreated control cells. Moreover, when cells were incubated with A23187 in combination with isoproterenol, cAMP production was greater than that observed with either agonist alone, although the interaction was only slightly greater than additive. The absence of the marked synergism observed when isoproterenol is combined with AVP may reflect the pool of Ca2+ mobilized when cells are activated with AVP compared with the more generalized effects of an ionophore in that some studies have suggested that specific Ca2+ sources may be linked to different effector isoforms (7, 11). The differential time course of Ca2+ elevation by A23187 compared with AVP may also contribute to the difference observed. Alternatively, peptide hormones may have an additional action that may be key to the synergistic enhancement of adenylyl cyclase stimulation.
In both cultured VSMC and A7r5 cells, AVP activates V1
receptors to elevate intracellular Ca2+. However, elevation
of Ca2+ in the two cell populations has opposite effects on
the increase in cellular cAMP elicited by cell surface receptors
coupled to Gs. This difference may be attributable to the
adenylyl cyclase isoforms expressed by the two different preparations.
In the present study, expression of effector isoforms in the two cell
models was evaluated by RNA blot hybridization using specific probes for adenlyl cyclase types I-IX. Because the mRNA level is not necessarily a direct predictor of protein expression, no attempt was
made to make quantitative comparisons of adenylyl cyclase transcripts
in the two cell models. Nonetheless, qualitative differences in the
transcripts expressed were quite revealing. A7r5 cells were found to
express transcripts encoding adenylyl cyclase types III, V, and VI , each of which may be influenced by Ca2+. Type III adenylyl
cyclase is stimulated by high concentrations of
Ca2+/calmodulin when examined in cell-free membrane
preparations (8) but, when expressed in intact cells,
appears to be inhibited by Ca2+ elevation
(34). Consequently, the physiological regulation of this
form of the effector remains unclear. However, types V and VI are
readily inhibited by physiological concentrations of Ca2+
(16) and likely are the predominant effector isoforms
inhibited by AVP signaling in the A7r5 cell. Cultured VSMC were
observed to also express transcripts for adenylyl cyclase types III, V, and VI. Whereas types V and VI are inhibitable by Ca2+,
this effect clearly is not dominant in the cultured cell preparation, perhaps reflecting the amount of these enzymes actually produced by the
cell or, alternatively, selective coupling of receptor and effector
isoforms. On the other hand, cultured VSMC also express adenylyl
cyclase types IV and VIII, which were not detected in A7r5 cells. Type
IV adenylyl cyclase can be activated by the 
-subunit of
dissociated heterotrimeric guanine nucleotide-binding proteins, and
this effect is synergistic with activated Gs
(13,
30). The 
effect usually emanates from pertussis
toxin-sensitive G proteins, however, and does not appear to play a role
in the cell-specific influence of AVP on cAMP regulation in the present study. Of particular interest is the type VIII enzyme, which can be
activated by Ca2+/calmodulin in the absence of other
stimuli and is stimulated synergistically by
Ca2+/calmodulin in the presence of activated
Gs
(6, 29). It may be the presence of the
type VIII effector that allows Ca2+-mobilizing peptides to
enhance agonist-induced adenylyl cyclase stimulation in VSMC. A more
direct test of these ideas must await the development of
isoform-specific inhibitors or appropriate "knockout" models.
The integration of Ca2+ signaling with cAMP regulation has significant implications related to vascular homeostasis. Elevation of intracellular Ca2+ by peptide hormones initiates contraction of VSMC and, in instances of vascular injury, may promote cell growth and deposition of extracellular matrix (1, 9, 15). These responses to Ca2+ mobilization are modulated, in turn, by the counterregulatory action of local hormones (such as prostaglandin I2) that stimulate cAMP production, which then serves to relax vascular smooth muscle, attenuate vascular hypertrophy, and decrease synthesis of matrix proteins (3, 10, 12). Consequently, a process wherein acute elevation of intracellular Ca2+ amplifies the response of VSMC to agonists that activate adenylyl cyclase should facilitate feedback modulation of the effects of vasoactive peptides. Conversely, an effect of Ca2+ to attenuate adenylyl cyclase stimulation should compromise the effectiveness of this feedback. The final readout of such cross-talk for a specific cell population and set of conditions will likely depend on the profile of adenylyl cyclases expressed.
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ACKNOWLEDGEMENTS |
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We thank Dr. Alfred Gilman (Department of Pharmacology, Southwestern University, Dallas, TX) for adenylyl cyclase types I and IV cDNA, Dr. Randall Reed (Department of Molecular Biology and Genetics, Johns Hopkins School of Medicine, Baltimore, MD) for types II and III cDNA, Dr. Yoshihiro Ishikawa (Department of Medicine, Harvard Medical School, Boston, MA) for types V and VI cDNA, Dr. John Krupinski (Geisinger Research Clinic, Danfield, PA) for type VIII cDNA, and Dr. Richard Premont (Duke University, Durham, NC) for type IX cDNA.
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FOOTNOTES |
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This study was supported in part by National Institutes of Health Grants HL-48565 (to J. G. Webb), NS-24821 (to S. M. Lanier), MH-59931 (to S. M. Lanier), and S10 RR-13005 (to J. R. Raymond) and by an American Heart Association (Mid-Atlantic Affliate) grant (to J. G. Webb).
Address for reprint requests and other correspondence: J. G. Webb, Dept. of Cell and Molecular Pharmacology, College of Medicine, Medical Univ. of South Carolina, 173 Ashley Ave., Charleston, SC 29425 (E-mail: webbj{at}musc.edu).
The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
Received 15 August 2000; accepted in final form 2 July 2001.
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