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Blood, 1 October 2009, Vol. 114, No. 14, pp. 3117-3126.
Prepublished online as a Blood First Edition Paper on August 6, 2009; DOI 10.1182/blood-2009-02-203372.


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VASCULAR BIOLOGY

Interleukin-33 induces angiogenesis and vascular permeability through ST2/TRAF6-mediated endothelial nitric oxide production

Yeon-Sook Choi1, Hyun-Jung Choi1, Jeong-Ki Min2, Bo-Jeong Pyun1, Yong-Sun Maeng1, Hongryeol Park1, Jihye Kim1, Young-Myeong Kim3, and Young-Guen Kwon1

1 Department of Biochemistry, College of Life Science and Biotechnology, Yonsei University, Seoul; 2 Therapeutic Antibody Research Center, Korea Research Institute of Bioscience and Biotechnology, Daejeon; and 3 Vascular System Research Center, Kangwon National University, Chunchon, Republic of Korea

Interleukin-33 (IL-33), a member of the IL-1 cytokine family, is emerging as a new regulator of immune responses and inflammatory vascular diseases. Although IL-33 and its cognate receptor ST2 appear to be expressed in vascular cells, the precise role of IL-33 in the vasculature has not been determined. In this study, we report a novel role of IL-33 as a potent endothelial activator, promoting both angiogenesis and vascular permeability. IL-33 increased proliferation, migration, and morphologic differentiation of human endothelial cells, consistently with increased angiogenesis in vivo. IL-33 also increased endothelial permeability with reduced vascular endothelial–cadherin-facilitated cell–cell junctions in vitro and induced vascular leakage in mouse skin. These effects of IL-33 were blocked by knockdown of ST2. Ligation of IL-33 with ST2 rapidly increased endothelial nitric oxide (NO) production through TRAF6-mediated activation of phosphoinoside-3-kinase, Akt, and endothelial NO synthase. Moreover, pharmacologic or genetic blockage of endothelial NO generation resulted in the inhibition of angiogenesis and vascular hyperpermeability induced by IL-33. These data demonstrate that IL-33 promotes angiogenesis and vascular leakage by stimulating endothelial NO production via the ST2/TRAF6-Akt-eNOS signaling pathway. These findings open new perspectives for the role of IL-33 in the pathogenesis of angiogenesis-dependent and inflammatory vascular diseases.


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