GAS6, the product of a growth arrest specific (GAS) gene, is the ligand of the tyrosine kinase receptor Axl. GAS6 and Axl are both expressed in endothelial cells, where they are involved in many processes such as leukocyte transmigration through capillaries and neointima formation in injured vessels. Here
IntroductionAxl is a 140-kDa protein which belongs to a subfamily of tyrosine kinase receptor (RTK) that includes also Mer and Rse. These receptors are characterized by the presence of 2 immunoglobulinlike domains and 2 fibronectin-type III domains in the extracellular region and a distinctive intracellular kinase domain. 1-3 Axl was first isolated from the DNA of patients with chronic myelogenous leukemia, but subsequently its expression was demonstrated in mammalian cells of vascular, immune, and reproductive systems. 1,[4][5][6] Axl is involved in cell-cell aggregation, 7 in the maintenance of a wide variety of cell types in adult tissues, 6 and in homeostatic regulation of immune system. 8 GAS6, a protein codified by a growth arrest specific gene, is a member of the vitamin K-dependent protein family. GAS6 has 42% amino acid identity to protein S, a serum protein that negatively regulates blood coagulation. GAS6 is composed of characteristic structural motifs: a ␥-carboxylated aminoterminus domain followed by 4 epidermal growth factor-like domains and by a set of tandem G domains similar to those of sex hormone binding globulin. 9 GAS6 binds with different affinities and activates the kinase activity of each Axl family member. 10-12 GAS6 shows the higher affinity for Axl, and its interaction generally triggers antiapoptotic signals, resulting in an augmented cell survival. In some cell types it regulates homotypic and heterotypic adhesion, 4,13 promotes proliferation, 5,14 survival, [15][16][17][18] and motility 19,20 and amplifies the activity of extracellular stimuli. 21,22 Vasculature may be a target of GAS6/Axl axis, being both molecules expressed by endothelial cells (ECs), 4,9 pericytes, 23 and smooth muscle cells. 24 GAS6/Axl interaction is involved in leukocyte transmigration through capillaries, 4,8 in neointima formation in injured vessels, 24 and in EC survival after tumor necrosis factor ␣ (TNF-␣) treatment or acidification. 16,18 Mice lacking the 3 tyrosine kinase receptors, which bind GAS6, show alteration in vasculature survival. 6 By activating specific and partially overlapping genetic programs, ECs play key roles in many processes, as regulation of vascular tone, lipid metabolism, hematopoiesis, inflammation, antigen recognition, thrombosis, hemostasis, and angiogenesis. 25 Angiogenesis refers to the remodeling and maturation of the primitive vascular plexus formed by vasculogenesis during the development and to the sprouting and subsequent stabilization by pericytes of new capillaries from preexisting ones in adult life. 26 Physiologic angiogenesis results from a fine-tuning balance between inducers and inhibitors and achieves a network hierarchically and spatially organized to provide a...