Thromb Haemost 2015; 114(02): 364-378
DOI: 10.1160/TH14-09-0795
Endothelium and Angiogenesis
Schattauer GmbH

Accumulation of tissue factor in endothelial cells induces cell apoptosis, mediated through p38 and p53 activation

Azza M ElKeeb*
1   Biomedical Section, Department of Biological Sciences, Hull York Medical School University of Hull, Cottingham Road, Hull, UK
,
Mary E.W. Collier*
1   Biomedical Section, Department of Biological Sciences, Hull York Medical School University of Hull, Cottingham Road, Hull, UK
,
Anthony Maraveyas
2   Division of Cancer, Hull York Medical School University of Hull, Cottingham Road, Hull, UK
,
Camille Ettelaie
1   Biomedical Section, Department of Biological Sciences, Hull York Medical School University of Hull, Cottingham Road, Hull, UK
› Author Affiliations
Further Information

Publication History

Received: 24 September 2014

Accepted after major revision: 03 March 2015

Publication Date:
29 November 2017 (online)

Summary

We previously reported that high levels of tissue factor (TF) can induce cellular apoptosis in endothelial cells. In this study, TF-mediated mechanisms of induction of apoptosis were explored. Endothelial cells were transfected to express wild-type TF. Additionally, cells were transfected to express Asp253-substituted, or Ala253-substitued TF to enhance or prevent TF release, respectively. Alternatively, cells were pre-incubated with TF-rich and TF-poor microvesicles. Cell proliferation, apoptosis and the expression of cyclin D1, p53, bax and p21 were measured following activation of cells with PAR2-agonist peptide. Greatest levels of cell proliferation and cyclin D1 expression were observed in cells expressing wild-type or Asp253-substituted TF. In contrast, increased cellular apoptosis was observed in cells expressing Ala253-substituted TF, or cells pre-incubated with TF-rich microvesicles. The level of p53 protein, p53-phosphorylation at ser33, p53 nuclear localisation and transcriptional activity, but not p53 mRNA, were increased in cells expressing wild-type and Ala253-substituted TF, or in cells pre-incubated with TF-rich microvesicles. However, the expression of bax and p21 mRNA, and Bax protein were only increased in cells pre-incubated with TF-rich microvesicle and in cells expressing Ala253-substituted TF. Inhibition of the transcriptional activity of p53 using pifithrin-α suppressed the expression of Bax. Finally, siRNA- mediated suppression of p38α, or inhibition using SB202190 significantly reduced the p53 protein levels, p53 nuclear localisation and transcriptional activity, suppressed Bax expression and prevented cellular apoptosis. In conclusion, accumulation of TF within endothelial cells, or sequestered from the surrounding can induce cellular apoptosis through mechanisms mediated by p38, and involves the stabilisation of p53.

* AME and CE contributed equally to this study.


Current address: Department of Cardiovascular Sciences, University of Leicester, Clinical Sciences Wing, Glenfield General Hospital, Leicester, LE3 9QP, UK.


 
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