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Blood, 15 March 2002, Vol. 99, No. 6, pp. 2060-2069
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
The tumor vascular targeting agent combretastatin A-4-phosphate
induces reorganization of the actin cytoskeleton and early membrane
blebbing in human endothelial cells
Chryso Kanthou and
Gillian
M. Tozer
From the Tumour Microcirculation Group, Gray Cancer
Institute, Middlesex, United Kingdom.
Combretastatin A-4-phosphate (CA-4-P) is a tubulin-binding
compound currently in clinical trial as a tumor vascular-targeting agent. In endothelial cells, CA-4-P is known to cause microtubule depolymerization, but little is known about its subsequent effects on
cell morphology and function. Here, we demonstrate that within minutes
of endothelial cell exposure to CA-4-P, myosin light chain (MLC) was
phosphorylated, leading to actinomyosin contractility, assembly of
actin stress fibers, and formation of focal adhesions. These
cytoskeletal alterations appeared to be a consequence of Rho
activation, as they were abolished by either the Rho inhibitor C3
exoenzyme or Rho-kinase inhibitor Y-27632. In response to CA-4-P, some
cells rapidly assumed a blebbing morphology in which F-actin accumulated around surface blebs, stress fibers misassembled into a
spherical network surrounding the cytoplasm, and focal adhesions appeared malformed. Blebbing was associated with decreased cell viability and could be inhibited by Rho/Rho-kinase inhibitors or by
blocking the CA-4-P-mediated activation of stress-activated protein
kinase-2/p38. The extracellular-regulated kinases 1 and 2 (ERK-1/2)
were shown to protect against blebbing since blebbing was attenuated on
ERK-1/2 stimulation and was up-regulated by specific inhibition of
ERK-1/2 activation. The use of MLC kinase (MLCK) and myosin adenosine
triphosphatase inhibitors led us to propose a role for MLCK and myosin
activity independent of MLC phosphorylation in regulating the blebbing
process. CA-4-P-mediated contractility and blebbing were associated
with a Rho-dependent increase in monolayer permeability to dextrans,
suggesting that such functional changes may be important in the rapid
response of the tumor endothelium to CA-4-P in vivo.

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