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Blood, 1 January 2005, Vol. 105, No. 1, pp. 207-214.
Prepublished online as a Blood First Edition Paper on September 2, 2004; DOI 10.1182/blood-2004-04-1519.
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Submitted April 21, 2004
Accepted August 23, 2004
Vascular endothelial growth factor regulation of Weibel-Palade body exocytosis
Kenji Matsushita, Munekazu Yamakuchi, Craig N Morrell, Michitaka Ozaki, Brian O'Rourke, Kaikobad Irani, and Charles J Lowenstein*
Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA
Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA; Department of Comparative Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA
Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA; Department of Pathology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA
* Corresponding author; email: clowenst{at}jhmi.edu.
Vascular endothelial growth factor (VEGF) not only regulates angiogenesis, vascular permeability, and vasodilation, but also promotes vascular inflammation. However, the molecular basis for the pro-inflammatory effects of VEGF is not understood. We now show that VEGF activates endothelial cell exocytosis of Weibel-Palade bodies, releasing vasoactive substances capable of causing vascular thrombosis and inflammation. VEGF triggers endothelial exocytosis in part through calcium and phospholipase C- (PLC- ) signal transduction. However, VEGF also modulates endothelial cell exocytosis by activating endothelial nitric oxide synthase (eNOS) production of nitric oxide (NO) which nitrosylates N-ethylmaleimide sensitive factor (NSF) and inhibits exocytosis. Thus VEGF plays a dual role in regulating endothelial exocytosis, triggering pathways that both promote and inhibit endothelial exocytosis. Regulation of endothelial exocytosis may explain part of the pro-inflammatory effects of VEGF.

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