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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.


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VASCULAR BIOLOGY

Urokinase mediates endothelial cell survival via induction of the X-linked inhibitor of apoptosis protein

Gerald W. Prager1,2, Judit Mihaly1, Patrick M. Brunner1, Yuri Koshelnick1, Gunilla Hoyer-Hansen3, and Bernd R. Binder1

1 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{kappa}B kinase {alpha} that leads to nuclear factor {kappa}B (NF-{kappa}B) p52 activation. Indeed, blocking NF-{kappa}B activation by using specific NF-{kappa}B inhibitors abolished uPA-induced cell survival as it blocked uPA-induced XIAP up-regulation. Furthermore, down-regulating XIAP expression by small interfering RNA (siRNA) significantly reduced uPA-dependent endothelial cell survival. This mechanism is also important for VEGF-induced antiapoptosis because VEGF-dependent up-regulation of XIAP was found defective in uPA–/– endothelial cells. This led us to conclude that uPA is part of a novel NF-{kappa}B–dependent cell survival pathway.


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