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Blood, 5 February 2009, Vol. 113, No. 6, pp. 1383-1390. Prepublished online as a Blood First Edition Paper on October 23, 2008; DOI 10.1182/blood-2008-06-164210.
VASCULAR BIOLOGY Urokinase mediates endothelial cell survival via induction of the X-linked inhibitor of apoptosis protein1 Department of Vascular Biology and Thrombosis Research, Centre for Bio-Molecular Medicine and Pharmacology, and 2 Clinical Division of Oncology, Department of Medicine I and Cancer Center, Medical University Vienna, Vienna, Austria; and 3 Finsen Laboratory, Copenhagen Biocenter, Copenhagen, Denmark
Urokinase-type plasminogen activator (uPA) additionally elicits a whole array of pro-angiogenic responses, such as differentiation, proliferation, and migration. In this study, we demonstrate that in endothelial cells uPA also protects against apoptosis by transcriptional up-regulation and partially by mRNA stabilization of inhibitor of apoptosis proteins, most prominently the X-linked inhibitor of apoptosis protein (XIAP). The antiapoptotic activity of uPA was dependent on its protease activity, the presence of uPA receptor (uPAR) and low-density lipoprotein receptor-related protein (LRP), but independent of the phosphatidylinositol 3 (PI3) kinase pathway, whereas vascular endothelial growth factor (VEGF)–induced antiapoptosis was PI3 kinase dependent. uPA-induced cell survival involved phosphorylation of p21-activated kinase 1 (Pak1) and the I
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