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Blood, 1 February 2004, Vol. 103, No. 3, pp. 912-920. Prepublished online as a Blood First Edition Paper on October 2, 2003; DOI 10.1182/blood-2003-07-2343.
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY Activated Fps/Fes partially rescues the in vivo developmental potential of Flk1-deficient vascular progenitor cellsFrom the Mount Sinai Hospital, Samuel Lunenfeld Research Institute, Toronto, Canada; Queen's University Cancer Research Institute, Kingston, Canada; and the Research Institute for Molecular Pathology (IMP), Vienna, Austria.
Relatively little is known about the modulators of the vascular endothelial growth factor A (VEGF-A)/Flk1 signaling cascade. To functionally characterize this pathway, VEGF-A stimulation of endothelial cells was performed. VEGF-A–mediated Flk1 activation resulted in increased translocation of the endogenous Fps/Fes cytoplasmic tyrosine kinase to the plasma membrane and increased tyrosine phosphorylation, suggesting a role for Fps/Fes in VEGF-A/Flk1 signaling events. Addition of a myristoylation consensus sequence to Fps/Fes resulted in VEGF-A–independent membrane localization of Fps/Fes in endothelial cells. Expression of the activated Fps/Fes protein in Flk1-deficient embryonic stem (ES) cells rescued their contribution to the developing vascular endothelium in vivo by using ES cell–derived chimeras. Activated Fps/Fes contributed to this rescue event by restoring the migratory potential to Flk1 null progenitors, which is required for movement of hemangioblasts from the primitive streak region into the yolk sac proper. Activated Fps/Fes in the presence of Flk1 increased the number of hemangioblast colonies in vitro and increased the number of mesodermal progenitors in vivo. These results suggest that Fps/Fes may act synergistically with Flk1 to modulate hemangioblast differentiation into the endothelium. We have also demonstrated that activated Fps/Fes causes hemangioma formation in vivo, independently of Flk1, as a result of increasing vascular progenitor density.
Mesodermal progenitors known as hemangioblasts give rise to the blood islands of the yolk sac.1 Blood islands consist of elongated peripheral endothelial precursor cells called angioblasts that surround more centrally localized hematopoietic progenitors or hemoblasts.1 The coalescence of these blood islands to form primitive vascular channels is termed vasculogenesis.1 Concomitant with this initial plexus formation, the vascular endothelium proliferates and sprouts to give rise to new vessels in a process termed angiogenesis.1 These processes are repeated in the embryo proper. The immature vessels undergo further remodeling and maturational events that include the recruitment of smooth muscle cells and the development of supporting basement membranes.2-4
Vascular endothelial growth factor A (VEGF-A) signaling has been implicated in virtually all aspects of cardiovascular system formation, including heart development, hematopoiesis, vasculogenesis, angiogenesis, and endothelial survival.5,6 VEGF-A binds to 2 receptors, Flk1 (kinase domain receptor [KDR] or VEGFR-2) and Flt1 (VEGFR-1), that are members of a family of receptor tyrosine kinases that also includes the platelet-derived growth factor (PDGF) and macrophage colony-stimulating factor (M-CSF) receptors.7 Studies aimed at finding signaling molecules that act downstream of Flk1 have identified several src homology 2 (SH2) domain–containing proteins that either interact directly with this receptor and/or become tyrosine phosphorylated on VEGF-A stimulation. These putative substrates and downstream affecter molecules include the adapter protein Nck, direct p21Ras modulator proteins (Shc, Grb2, and p120GAP), phospholipase C The essential nature of VEGF-A and its receptors in cardiovascular development has been demonstrated by gene targeting studies in the mouse. Targeted deletion of a single VEGF-A allele resulted in haploinsufficiency and embryonic lethality because of abnormal blood vessel development around embryo day (E) 9 to 9.5.14,15 Flk1 receptor null embryos died at E8.5 as a result of a failure of mesodermal precursor cells to differentiate into functional vascular endothelial cells, endocardium, and hematopoietic cells.16 To further understand the role of Flk1 in vasculogenesis and hematopoiesis, the developmental potential of Flk1 null embryonic stem (ES) cells was studied in an ES cell-chimera approach.17 These chimeras showed that Flk1 signaling was essential for the migration of mesodermal progenitor cells from the primitive streak region to the yolk sac, where they form the blood islands.17 This in vivo work has been substantiated by in vitro differentiation studies, showing that Flk1 null ES cells could differentiate into hematopoietic and endothelial cells in vitro, although at a reduced frequency.18,19 Hematopoietic/endothelial progenitors, therefore, require Flk1 signaling for their subsequent migration and expansion and not for their initial development/differentiation. Aberrant VEGF-A/Flk1 signaling has also been implicated in pathologic conditions, including proliferative retinopathies, tumorigenesis, rheumatoid arthritis, psoriasis, as well as vascular lesions such as hemangiomas that are the most common tumors of infancy.20,21 Recently, specific mutations have been found in 2 VEGF-A receptors (KDR and Flt 4) in human hemangiomas.22 A mouse model for hemangioma formation that relied on transgenic expression of an activated form of Fps/Fes cytoplasmic tyrosine kinase (hereafter referred to as Fps) was previously reported.23 Activation of the Fps kinase was achieved by incorporating coding sequences for a Src-like amino-terminal myristoylation consensus sequence into the human fps transgene (fpsMF). The resulting tissue-specific expression of myristoylated Fps (MFps) caused widespread hypervascularity, progressing to multifocal hemangiomas.23 The fps proto-oncogene encodes a 92-kDa cytoplasmic protein tyrosine kinase that belongs to a unique tyrosine kinase subfamily composed of itself and Fer kinase (for reviews see Smithgall et al24 and Greer25). The human Fps protein tyrosine kinase is 822 amino acids in length and consists of a unique amino-terminal half, followed by an SH2 and carboxyl-terminal kinase domain.24,25 Fps is expressed at high levels in cells of the myeloid lineages and has been implicated in signaling pathways downstream from several members of the cytokine receptor superfamily.26-30 Fps has also been implicated in the regulation of survival and differentiation of granulomonocytic progenitor cells.31,32 Fps is also expressed at high levels in vascular endothelial cells23,33,34 where it might regulate FGF-2–induced chemotaxis of murine brain capillary endothelial cells35 and Angiopoietin-2–induced endothelial migration and tube formation.36 The expression of fps in angioblast progenitors33 and its ability to selectively transform the vascular endothelium23,34 has prompted us to investigate whether this kinase may also play a role in VEGF-A/Flk1 signaling. Here, we show that cellular Fps undergoes increased plasma membrane localization and exhibits increased tyrosine phosphorylation on VEGF-A stimulation of endothelial cells in vitro. An activated, plasma membrane localized MFps can functionally substitute for direct signaling events downstream of Flk1 and/or complement parallel pathways responsible for endothelial formation in vivo.
Immunofluorescence, antiphosphotyrosine blots, and Western analysis
The eEND.237 and c166 endothelial cells34 were maintained as previously described.34,38 The c166 cells were derived from yolk sacs of fpsMF transgenic mice, and they overexpress the MFps.23,34 Prior to immunofluorescence and Western analysis the eEND.2 cells were starved in Dulbecco modified Eagle medium (DMEM) with 0.5% fetal calf serum (FCS) for 48 hours, followed by a 5-minute stimulation with 10 ng/mL recombinant VEGF-A at 37°C (R&D, Vienna, Austria). Immunofluorescence analysis of cells was performed as previously described33 by using the FpsQE primary rabbit polyclonal antibody33 and a cy3-conjugated antirabbit secondary antibody (Becton Dickinson Immunocytochemistry Systems, San Jose, CA). Western analysis and antiphosphotyrosine blots were performed as described previously9,33 by using the PY20 antiphosphotyrosine antibody (Transduction Laboratories, Lexington, KY). Protein concentrations from ES cell lysates were determined by using the BCA protein assay kit (Pierce, Rockford, IL). Fps protein levels from Western blots were standardized against ES cell culture and generation of MFps-expressing ES clones
The Flk1-lacZ16 ES cells were maintained as previously described.39 The Flk1-green fluorescent protein (GFP)–targeted R1 cells were generated by using an essentially identical targeting strategy as was performed previously to knock lacZ in-frame into the start codon of exon 1 in the Flk1 genomic locus.16 The PCAGI-puro chicken Embryoid body formation and hemangioblast colony assays
For in vitro differentiation of ES cells into embryoid bodies, subconfluent R1 cells were trypsinized, and 5 x 106 cells were seeded into Petri dishes (VWR International, West Chester, PA) containing 10 mL ES cell media without leukemia inhibitory factor (LIF) and 20% fetal bovine serum (FBS), 1 mM monothioglycerol instead of Flow cytometry analysis Single-cell suspensions were generated by dissociation of E11.5 embryos and yolk sacs by treatment with 0.08% dispase/collagenase solution (Boehringer-Mannheim, Indianapolis, IN) in 20% FBS for 2 hours. Samples were prepared by pooling cells obtained from 3 separate nonchimeric, Flk1GFP/GFP null, or MFps Flk1GFP/GFP null chimeric embryos or yolk sacs. Samples were incubated with a phycoerythrin (PE)–conjugated anti-PECAM (platelet endothelial cell adhesion molecule) antibody (Pharmingen, San Diego, CA), PE-conjugated c-Kit antibody (Pharmingen), or a PE-conjugated nonspecific antirabbit secondary antibody (Pharmingen) for 15 minutes at 4°C in the dark. Cells were washed twice with Hanks buffered saline salt (HBSS) containing 1% FBS, strained with a 40-µm nylon mesh before analysis on an Epics cell sorter. Generation of mice by ES cell aggregation with diploid and tetraploid embryos Diploid embryo-ES cell chimeras were generated by injecting C57/BL6 blastocysts with Flk1lacZ/+ heterozygous or Flk1lacZ/lacZ null R1 ES, and Flk1GFP/+- or Flk1GFP/GFP-derived chimeras were generated by ES cell aggregation with diploid host embryos as previously described.41 Chimeras were either dissected at E11.5 to 12.5 or were allowed to develop to term. Completely ES cell–derived embryos were generated by aggregation of ES cell lines with tetraploid embryos as described39 and dissected at E7.0 to 7.5. Histology, X-gal staining, and GFP visualization Flk1lacZ ES cell–derived chimeric embryos and yolk sacs were dissected in ice-cold phosphate-buffered saline (PBS) and stained with X-gal as previously described.16 Hemangioma samples and X-gal–stained embryos were fixed overnight at 4°C in 4% paraformaldehyde (PFA). Samples for histologic analysis were dehydrated through a graded alcohol series and embedded in paraffin wax as previously described.42 Sections (7 µm) were deparaffinized and either stained with Harris hematoxylin and/or eosin. Flk1lacZ ES cell–derived embryoid bodies were X-gal stained as previously described.43 Flk1GFP ES cell–derived embryos and dispersed embryoid bodies were visualized as described.44
Wild-type Fps protein is responsive to VEGF-A–induced signaling To determine if Fps is a downstream target of Flk1, biochemical experiments were performed by using middle-T–transformed endothelial cell lines (Figure 1A-F). Middle-T–transformed endothelioma cells have been shown previously to express Flk1.45 The eEND.2 cell line, derived from an embryonic hemangioma,46 was starved and stimulated with recombinant VEGF-A protein. Fps localization in these cells was analyzed by indirect immunofluorescence. eEND.2 cells were incubated with a pre-immune rabbit serum and showed only low levels of background fluorescence (Figure 1A). With the use of the FpsQE rabbit polyclonal antibody,33 Fps protein was localized to vesicle-like structures in the cytoplasm of unstimulated cells (Figure 1B), as previously reported in several other cell types.33,47 An increased amount of Fps was observed at the plasma membrane following VEGF-A stimulation (arrows in Figure 1C-D). To determine whether VEGF-A stimulation led to increased Fps activation, eEND.2 cells were starved and then lysed before and after VEGF-A stimulation. Cell lysates were immunoprecipitated with the polyclonal FpsQE antibody followed by Western blot analysis with a monoclonal antiphosphotyrosine antibody to determine how VEGF-A stimulation changed the phosphorylation status of Fps protein. A 92- to 94-kDa phosphorylated protein was found to be present in the FpsQE immunoprecipitates following VEGF stimulation but not in unstimulated lysates (Figure 1E). This blot was stripped and reprobed with the FpsQE antibody to demonstrate that Fps protein was immunoprecipitated in both starved and stimulated eEND.2 lysates (Figure 1F).
As a positive control for these stimulation studies the c166 murine endothelial cell line was used.23,34 This cell line was previously derived from the yolk sacs of fpsMF transgenic mice.23,34 The Src-like myristoylation sequence directs cotranslational fatty modification of the MFps protein, which targets it to membrane-enriched cellular compartments and increases its kinase activity, apparently as a result of its constitutive plasma membrane localisation.23,48 As a result, VEGF-A stimulation of c166 cells did not result in further observable increases in Fps plasma membrane relocalization (Figure 1G-H), as was demonstrated in the case of VEGF-A–stimulated eEND2 cells (Figure 1C-D). On the basis of these observations, we hypothesized that Fps might be a downstream mediator of Flk1 signaling which is normally recruited and activated by the VEGF-A–engaged receptor. The apparent constitutive plasma membrane localization of MFps suggested that activation of MFps might be VEGF-A–independent, and that it might, therefore, be able to rescue certain hematopoietic and/or endothelial differentiation defects in a Flk1 null genetic background. In vivo genetic complementation experiments were, therefore, performed to obtain further support for our hypothesis that Fps is a downstream modulator of VEGF-A/Flk1 signaling. Activated Fps restored migration and sprouting response to Flk1 null progenitors in vitro
A panel of MFps-expressing R1 ES cell clones was generated which was either heterozygous or homozygous null for Flk1. The Flk1 null allele was obtained by the in-frame targeting of lacZ16 or enhanced green fluorescence protein (EGFP) into the Flk1 genomic locus. The fpsMF transgene used in these experiments consisted of a full-length fps cDNA construct that contained the Src-like myristoylation sequence under the transcriptional control of the ubiquitously expressed chicken
Activated Fps partially rescues Flk1 deficiency in vivo To determine whether MFps demonstrated similar rescue potential in vivo, the Flk1-targeted ES cells with or without the fpsMF transgene were introduced into embryos either by blastocyst injection or by aggregation with 8-cell stage embryos. Ten different MFps-expressing Flk1lacZ/+ ES cell clones were found by Western blotting analysis to express the MFps protein at similar levels (data not shown), as the MFps-expressing Flk1lacZ/lac/Z ES clones seen in Figure 2B. Control Flk1lacZ/+ or Flk1lacZ/lacZ ES clones were injected into blastocytes, and the degree of ES cell chimerism was analyzed at E12.5 by X-gal staining or degree of eye pigmentation. Chimeric embryos derived in part from the Flk1lacZ/+ ES cells showed the characteristic X-gal staining in vascular endothelial cells (Figure 3A). The Flk1lacZ/lacZ ES cells were unable to contribute to the developing vasculature as was demonstrated by the lack of X-gal–stained blood vessels in chimeric E12.5 embryos (Figure 3B). When chimeras were made with MFps-expressing Flk1lacZ/+ cells, some embryos with relatively low ES cell contribution developed normally (Figure 3C) and exhibited X-gal–stained endothelial cells organized into normal vascular channels in the abdominal, intersomitic, and limb regions (boxed area in Figure 3C, black arrows in Figure 3D). Chimeric embryos with a high degree of MFps-expressing Flk1lacZ/+ ES cell contribution, as judged by the large number of X-gal–stained cells, showed signs of aberrant vascular development in the yolk sac and embryo (Figure 3E-F and data not shown). Higher-power magnification of one of these aberrant vascular structures revealed excessive vascular sprouting and regions of vascular hemorrhage (boxed area in Figure 3E, arrowhead in Figure 3F). Moderate chimeric juvenile mice-derived MFps-expressing Flk1lacZ/+ ES cells died at approximately 3 weeks of age as a result of internal hemorrhaging. Autopsies performed on these mice revealed disseminated vascular malformation and hemangiomas (Figure 3G-H). These experiments suggested a powerful biologic effect of the MFps protein on vasculogenesis and/or angiogenic processes. A summary table of representative chimeric embryo analysis and the observed phenotypes are presented in Supplemental Table S1, which is available on the Blood website. (See the Supplemental Data link at the top of the online article.) To determine whether MFps could modify the vasculogenic or hematopoietic phenotypes in Flk1-deficient cells, similar in vivo chimera experiments were performed with the MFps-expressing Flk1lacZ/lacZ ES cell clones (Figure 3I-N). Similar to the chimeras derived from MFps-expressing Flk1lacZ/+ ES cells, high chimerism and ubiquitous expression of the MFps protein in the absence of Flk1 expression led to cardiovascular and craniofacial abnormalities and to aberrant vascular structures in the yolk sac (Figure 3L-N and Supplemental Figure S1). These abnormalities are reminiscent of the developmental defects previously documented in transgenic mice expressing the viral Gag-Fps protein.49-50 In embryos that demonstrated a lower degree of MFps-expressing Flk1lacZ/lacZ chimerism, X-gal–stained, Flk1-null endothelial cells were found in vascular channels in the embryo proper (Figure 3I) and in the yolk sac vasculature (Figure 3J-K). Closer morphologic and histologic analysis revealed that these aberrant vascular structures were hemangiomas consisting of blood-filled lesions lined by X-gal–stained endothelial cells derived from MFps-expressing Flk1lacZ/lacZ cells (arrowheads in Figure 3M-N). Certain chimeric embryos also showed increased amounts of X-gal–staining cells localized at specific intraembryonic hematopoietic sites (Supplemental Figure S1), as compared with chimeras generated with Flk1lacZ/lacZ cells (Figure 3B). Representative chimeric embryo analysis and their observed phenotypes are summarized in Supplemental Table S2. To independently confirm the endothelial rescue potential of the MFps protein, ES cell clones in which the Flk1 locus was targeted with the EGFP reporter were then used to facilitate lineage analysis by flow cytometry by using endothelial-specific markers. A similar number of Flk1GFP embryos were examined, and similar results were obtained as in the Flk1lacZ chimeras presented in Supplemental Tables S1 and S2. Control chimeras generated using Flk1GFP/+ ES cells showed endothelial-specific EGFP expression (Figure 4A), whereas chimeras generated with Flk1GFP/GFP ES cells once again showed no contribution of Flk1 null ES cells to the vascular endothelial lineage, as judged by EGFP expression (Figure 4B). However, we did observe strong contribution and EGFP expression of the Flk1GFP/GFP ES cells to the developing heart (asterisk in Figure 4B). Moderate to high chimerism of MFps-expressing Flk1GFP/GFP ES cells was once again associated with vascular hemorrhage in the chimeric embryos and hemangioma formation in the yolk sac vasculature (arrows in Figure 4C and arrowheads in Figure 4G-H). PECAM-positive cells were seen in both embryos and yolk sacs from Flk1GFP/GFP chimeras, but very few EGFP single-positive or PECAM/EGFP double-positive cells were observed (Figure 4I-J, middle panels). In contrast, there were higher levels of PECAM/EGFP double-positive cells in both embryos and yolk sacs from MFps-expressing Flk1GFP/GFP chimeras (Figure 4I-J, right panels). In terms of the percentage of labeled cells present in the yolk sac there was 7.5% PECAM-positive cells in the MFps-expressing Flk1GFP/GFP-derived samples. Of the 7.5% PECAM positive cells, 1.16% was also EGFP-positive. Therefore, 15.5% of the PECAM-positive population in the yolk sac also expressed EGFP. In the MFps-expressing Flk1GFP/GFP-derived chimeric embryonic samples, 3.76% of the cells were PECAM labeled, and of this 0.16% were also EGFP-positive (4% of PECAM-positive cells were also EGFP-positive). This finding is in contrast to the negative control Flk1GFP/GFP ES cell–derived chimeras that had only 0.5% EGFP-positive cells of the PECAM-positive population (0.05% of 9.34%) in the yolk sac and virtually no double-positive cells in the embryo proper. The higher percentage of MFps-expressing Flk1GFP/GFP-derived PECAM/EGFP double-positive cells present in the yolk sac compared with the embryo proper was consistent with the higher numbers of X-gal–stained cells observed in the yolk sacs compared with embryos in the MFps-expressing Flk1lac-Z/lac-Z–derived chimeras (Figure 3 and data not shown).
Similar experiments were performed to address the hematopoietic rescue potential of the MFps protein by using a PE-conjugated anti-c-kit antibody (specific for hematopoietic precursors). However, despite finding X-gal–stained Flk1 null cells in hematopoietic organs in certain chimeric embryos and yolk sacs (Supplemental Figure S1), no EGFP/c-Kit double-positive cells were observed in chimeric samples examined irrespective of the presence of the MFps protein (data not shown). MFps increased hemangioblast migration and differentiation
ES cells aggregated with tetraploid embryos give rise to a completely ES cell-derived embryo proper39 (hereafter, these embryos are denoted as tetraploid
Tetraploid
The ability of MFps to increase hemangioblast numbers was also assessed by using an in vitro hemangioblast colony assay (Figure 5G-H). Two independent ES cell clones of the 4 different genotypes (Flk1GFP/+, MFps-expressing Flk1GFP/+, Flk1GFP/GFP, or MFps-expressing Flk1GFP/GFP) were differentiated in methylcellulose under previously established culture conditions for hemangioblast colony formation51,52 (Figure 5G-H). The results of this analysis confirm that blast colony formation is reduced in the absence of Flk1; however, in either the presence or absence of Flk1, MFps expression led to a 5- to 10-fold increase in the number of blast colonies. Highest numbers of hemangioblast colonies were generated from MFps-expressing Flk1GFP/+ ES cells in this system (Figure 5G). This observation was consistent with the highest density of X-gal–stained mesodermal progenitors observed in tetraploid
In this study we have demonstrated that the endogenous cellular Fps protein undergoes increased plasma membrane localization on VEGF-A stimulation in endothelial cells. Concomitant with this translocation event, Fps becomes tyrosine phosphorylated and may transduce cellular signals downstream of Flk1. Although there has been no experimental evidence showing a direct interaction between Fps and Flk1 to date, there is compelling indirect evidence that these 2 proteins may activate similar downstream substrates. Viral and cellular Fps proteins have been demonstrated to interact with the Flk1 substrates p120GAP and Shc-A.53-56 Interestingly, gene inactivation studies of both Shc-A and p120GAP resulted in embryonic lethality because of cardiovascular abnormalities.57,58 More recently, Fps has been demonstrated to take part in semaphorin3A signaling that is involved in neuronal outgrowth and axonal guidance.59 In that study, Fps was shown to modulate neuropilin-1/plexinA1 complex formation and signaling. Neuropilin-1 has also been demonstrated to be a coreceptor for Flk1 in binding the VEGF-A164 isoform in endothelial and tumor cell lines.60 It is, therefore, possible that Fps might similarly modulate Flk1/neuropilin-1 signaling in endothelial cells. MFps partially rescues Flk1 vascular deficiency in vitro and in vivo
Expression of activated MFps led to enhanced migratory potential of Flk1 null progenitors and increased spouting angiogenic responses. The effect of MFps expression on ES cell–derived embryoid body development or hemangioblast colony-forming cell (BL-CFC) assays demonstrated that the activated Fps protein increased hemangioblast development regardless of the presence of Flk1. Furthermore, MFps restored the ability of Flk1 null cells to contribute to the developing vasculature. Interestingly, when the chimeric contribution of MFps-expressing cells was low to moderate, normal vascular channels developed; however, when chimerism increased, hemangioma development occurred independently of the presence of Flk1. As was demonstrated previously, Flk1 null cells do not contribute to the vasculature,17whereas MFps-expressing Flk1 null cells do contribute but at a lower frequency than that of MFps-expressing Flk1 heterozygous cells. This observation argues that MFps can at least partially restore the ability of Flk1 null cells to contribute to the vasculature; however, MFps does not completely rescue all the aspects of the vasculogenesis defects exhibited by Flk1 null cells. Furthermore, MFps increased the migratory potential of Flk1 null ES cell–derived mesodermal cells away from the primitive streak region and into the yolk sac proper in tetraploid
From a molecular perspective, transformation of fibroblasts by the MFps protein requires the activity of Ras, Rac, and cdc42, all of which have been implicated in cytoskeletal reorganization and cellular movement.61 Cellular Fps has also been demonstrated to interact with Cas (Crk-associated substrate) in macrophage cells,62 and viral Fps has been demonstrated to interact with connexin-43.63 Cas binds to FAK, tensin, and other components of focal adhesions, and connexin-43 is also involved in regulating cell-cell contacts. Flk1 activation of FAK as well as connexin-43 is believed to play a role in regulating endothelial migration and permeability.8,64 Therefore, in the absence of Flk1, MFps might rescue Flk1 precursor migration by activating these common substrates. Flk1 activation of the MAP-kinase and the PI3-kinase/AKT pathway are believed to play key roles in regulating endothelial proliferation/differentiation decisions as well as endothelial movement.7-10,13 Activated Fps constitutively activates the MAP-kinase pathway in several different cellular systems,61,65 and cellular Fps has been found to play a role in modulating endothelial tube formation through its interactions with PI3-kinase in both sonic hedgehog (Shh)– and stromal cell-derived factor 1-
Despite observing increased MFps-induced hemangioblast colony development in vitro and increased numbers of X-gal–stained hemangioblast progenitors in tetraploid Functional consequences of constitutive Flk1 signaling
Fong et al43,72 have concluded that the endothelial alterations exhibited in embryos lacking the other principle VEGF-A receptor, Flt1, was due to increased numbers of endothelial progenitors that developed in the absence of Flt1. As a consequence of Flt1 deficiency, there may be more VEGF-A available to bind Flk1. Increased VEGF-A availability led to increased Flk1 signaling and angioblast differentiation, resulting in an increased population density of endothelial cells that ultimately resulted in aberrant vascular formation.43 Although this view of Flt1 as a "VEGF-A sink" may be an underrepresentation of the actual biologic role of this receptor, this study along with others73 has demonstrated how excessive VEGF-A signaling adversely affects vascular development and endothelial behavior. MFps expression in a Flk1 heterozygous background in E7.0 to 7.5 tetraploid Ema et al40 have recently knocked the gene encoding for the transcription factor Scl/Tal1 into the Flk1 locus to investigate whether restored Tal1 function could rescue Flk1 deficiency in vitro and in vivo. Restored Tal1 expression, under control of the Flk1 promoter, could partially rescue Flk1 null hemangioblast colony formation as well as hematopoiesis in vitro. A synergistic action of Tal1 and Flk1 in increasing endothelial numbers was also documented and shown to be VEGF-A–dependent, thereby arguing that Flk1 signaling through Tal1 regulated differentiation decisions between hematopoietic, vascular, and smooth muscle cell fates.40 We see a similar rescue potential in MFps-expressing Flk1 null ES cells in vitro, and we have documented similar synergistic effects of MFps on Flk1 signaling in terms of its effects on hemangioblast colony formation.40 We are currently using similar in vitro models to investigate whether MFps may also skew mesodermal cell fate decisions in a manner similar to that observed in Flk1/Tal1 cooperative signalling.40 Unlike the situation with the Tal1 rescue of Flk1, we observed hemangioma development in the in vivo MFps rescue. These results imply both Flk1-dependent and Flk1-independent effects of MFps. In conclusion, we have identified Fps as a biologically relevant modulator of the VEGF-A/Flk1 signaling pathway, and through our chimeric analysis of ES cells expressing the activated Fps kinase we have gained insights into the cellular mechanisms by which activated Fps causes vascular lesions. The ability of Fps to modulate hemangioblast development and potentially modulate mesodermal cell fate differentiation decisions make this kinase a putative target in designing pharmacologic strategies aimed at stimulating or inhibiting endothelial development in pathologic settings.
We thank Cheryl Smith for flow cytometry analysis.
Submitted July 10, 2003; accepted September 11, 2003.
Prepublished online as Blood First Edition Paper, October 2, 2003; DOI 10.1182/blood-2003-07-2343.
Supported in part by a National Cancer Institute of Canada (NCIC; grant 21335) and the Austrian Research Foundation (S74-MOB). J.H. is a recipient of an NCIC postdoctoral fellowship. The IMP is funded by Boehringer Ingelheim. A.N. is a senior Canadian Institutes of Health Research (CIHR) scientist.
Equal contributions were made by both the Mount Sinai Hospital Samuel Lunenfeld Research Institute and the Research Institute for Molecular Pathology.
The online version of the article contains a data supplement.
The publication costs of this article were defrayed in part by page charge payment. Therefore, and solely to indicate this fact, this article is hereby marked "advertisement" in accordance with 18 U.S.C. section 1734.
Note added in proof. During the final stages of preparation of this manuscript for submission, Kanda et al74 showed that cellular Fps becomes tyrosine phosphorylated on VEGF-A stimulation in their Flk1-expressing PAE (porcine aortic endothelial) cell line.74 As well, wild-type Fps overexpression led to enhanced capillary tube formation in vitro in a VEGF-A–independent manner.74
Reprints: Jody J. Haigh, Mount Sinai Hospital, Samuel Lunenfeld Research Institute, 600 University Ave, Toronto, Ontario, Canada M5G 1X5; e-mail: haigh{at}mshri.on.ca.
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Abstract
Introduction
(PLC
-actin levels by using a monoclonal antibody raised against 
ES cell line–derived embryos). This approach was used to eliminate the variability of ES cell contribution of Flk1-targeted vascular progenitors seen in the diploid chimera analysis. Hemangioblast colony assays were then used to substantiate the apparent increased number of Flk1-labeled progenitors seen in the diploid chimera experiments using ES cells expressing MFps. 
(SDF-1
