The endothelium plays a pivotal role in vascular inflammation. Here we study bone morphogenetic protein (BMP) signaling in endothelial inflammation and in particular the role of BMPER, an extracellular BMP modulator that is important in vascular development and angiogenesis. Using the BMP antagonist dorsomorphin or BMP2 as an agonist we show that BMP signaling is essential for the inflammatory response of vascular endothelial cells as demonstrated by intravital microscopy. We found that BMPER is decreased in inflammation similar to vascular protective genes like KLF2 and eNOS. Using in vitro and in vivo models we show that BMPER is down-regulated through the TNF␣-NFB-KLF2 signaling pathway. Functionally, lack of BMPER induced by siRNA or in BMPER ؉/؊ mice confers a proinflammatory endothelial phenotype with reduced eNOS levels and enhanced expression of adhesion molecules leading to increased leukocyte adhesion and extravasation in ex vivo and in vivo experiments. Vice versa, addition of BMPER exerts endothelium protective functions and antagonizes TNF␣ induced inflammation. Mechanistically, we demonstrate that these effects of BMPER are dependent on BMP signaling because of enhanced NFB activity. In conclusion, the BMP modulator BMPER is a new protective regulator of vascular inflammation that modulates leukocyte adhesion and migration in vitro and in vivo. (Blood. 2011;118(18):5040-5049)
IntroductionThe endothelium plays a pivotal role in the response to vascular inflammation. Inflammatory stimuli such as TNF␣ induce endothelial dysfunction and confer a proadhesive endothelial phenotype. 1 These events are important under physiologic conditions in wound healing as well as in inflammatory diseases like sepsis or atherosclerosis. Endothelial dysfunction initiates a cascade of events with leukocyte adhesion in a central position. It is of outstanding importance to understand the underlying molecular mechanisms of this process and to identify new mediators of a proadhesive endothelial phenotype.In endothelial dysfunction hundreds of genes are induced but inhibition of genes is a relatively rare event. 1 Among these few genes Kruepple like factor 2 (KLF2) and endothelial NO synthase (eNOS) are well characterized examples. 2 Consistent with downregulation in endothelial dysfunction KLF2 is up-regulated by laminar (physiologic) flow conditions or statin therapy. 3,4 KLF2 then up-regulates the expression of protective endothelial factors, such as eNOS. 5 ENOS and NO attenuated inflammatory response via inhibition of endothelial adhesion molecules VCAM-1 and ICAM-1 in vitro and in vivo. 6,7 Vice versa reduction of eNOS and endothelial NO caused endothelial dysfunction at the vascular wall reflected by proinflammatory endothelial phenotype with increasing leukocyte endothelial interaction. [7][8][9] Bone morphogenetic proteins (BMPs) are important regulators in blood vessel formation and vascular disease. 10 BMPs are expressed in atheroprone regions of blood vessels and are down-regulated in the endothelium under protec...