(Investigative Ophthalmology and Visual Science. 2001;42:1172-1178.)
© 2001
by The Association for Research in Vision and Ophthalmology, Inc.
Colocalization of Neuropilin-1 and Flk-1 in Retinal Neovascularization in a Mouse Model of Retinopathy
Hidenori Ishihama1,2,
Masaharu Ohbayashi3,
Nobuyuki Kurosawa1,
Takashi Kitsukawa4,
Onrai Matsuura1,5,
Yozo Miyake2 and
Takashi Muramatsu1
1 From the Departments of Biochemistry,
2 Ophthalmology, and
5 Pediatrics, Nagoya University School of Medicine;
3 Photon Medical Research Center, Hamamatsu University School of Medicine; and the
4 Laboratory of Speciation Mechanisms 1, National Institute for Basic Biology, Okazaki, Japan.
 |
Abstract
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PURPOSE. To investigate the mechanisms of the development of retinal
neovascularization, the localizations of vascular endothelial (VEGF)
receptors Flk-1 and neuropilin (NP)-1 mRNAs were examined.
METHODS. The model of retinopathy of prematurity (ROP) was produced by
ischemia-induced ocular neovascularization, by exposing postnatal day-7
mice to 75% oxygen for 5 days and then returning them to room air for
5 days. Retinal neovascularization was visualized by injection of
fluorescein-dextran. Expression of Flk-1 and NP-1 mRNAs were examined
by in situ hybridization with flatmount and serial sections of the
retina. The localization of NP-1 was also confirmed by
immunohistochemistry. Blood vessel patterns were characterized by
immunohistochemical localization of von Willebrand factor (vWF).
RESULTS. Flatmount in situ hybridization showed intense expression of NP-1 and
Flk-1 mRNAs colocalized in the area of neovascularization. In situ
hybridization of serial sections of the retina revealed that expression
of Flk-1 and NP-1 was restricted to neovascularized vessels of the
retina from ROP mice.
CONCLUSIONS. The restricted expression of Flk-1 and NP-1 on neovascularized vessels
suggests that these molecules may play important roles in retinal
neovascularization. This is the first report of the colocalization of
NP-1 and Flk-1 on neovascularized vessels of the retina from ROP
mice.
 |
Introduction
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Retinopathy of prematurity (ROP) is seen almost exclusively
in premature infants with oxygen supplementation during the postnatal
period and is a major cause of blindness in newborns.1
Damage to retinal blood vessels results in closure of retinal
capillaries, and retinal ischemia occurs.2
These
conditions induce intense proliferation of the vascular endothelium and
glial cells at the junction of avascular and vascularized portions of
the retina.2
The new vessels break through the inner
surface membrane of the retina and grow into the outer surface of the
vitreous cavity, resulting in formation of a retrolental fibrovascular
membrane that is the cause of severe vision loss in patients with
ROP.2
Retinal ischemia results in release of one or more angiogenic factors
that stimulate neovascularization. Vascular endothelial growth factor
(VEGF) has a variety of effects on vascular endothelium, acting as a
mitogen, chemotactic factor, and regulator of vascular
permeability.3
4
5
The importance of VEGF in the
pathogenesis of retinal neovascularization suggests that retinal
neovascularization is caused by release of vasoformation factor in
response to hypoxia.6
7
Indeed, the expression of VEGF
mRNA has been shown to be stimulated by hypoxia.8
9
10
VEGF
has been implicated in the pathogenesis of retinal vasculogenesis and
in the development of retinal neovascularization in ischemic
retinopathies.11
Thus, VEGF signaling is an excellent
target, not only for anti-tumor angiogenesis, but also for treatment of
proliferative diabetic retinopathy and other retinal vascular diseases.
Given the importance in the involvement of VEGF signaling in ocular
diseases, the spatial and temporal patterns of VEGF mRNA and protein
expression have been well studied.11
12
However, little is
known about the involvement of its receptors in retinal
neovascularization.2
The interactions of VEGF with their receptors provide the signals for
cell migration, proliferation, and differentiation, but these signals
are complex.13
14
Five isoforms of human VEGF, differing
in biologic properties, are produced by alternative splicing from a
single VEGF gene.13
The various VEGF isoforms bind two
type 1 transmembrane protein-tyrosine kinase receptors,
Flt-115
and Flk-1.16
Flt-1 and Flk-1 are
expressed in endothelial cells but have somewhat different functions.
Gene knockout experiments of these molecules indicate that Flk-1 plays
central roles in endothelial cell proliferation and
differentiation,17
whereas Flt-1 regulates cell
migration.18
Recent studies have revealed that NP-1, a
semaphorin receptor for chemorepulsive axon
guidance,19
20
21
22
23
24
plays an important role in VEGF signaling
by binding to VEGF165 and enhances its binding to Flk-1.25
NP-2, which is closely related to NP-1, may also be involved in VEGF
signaling.26
27
Furthermore, heparan sulfate proteoglycans
mediate the storage or release of VEGF145, VEGF165, and VEGF189 in
response to tissue damage.13
To understand the mechanisms underlying retinal neovascularization and
to develop better drugs or therapeutic regimens to block abnormal
endothelial cell proliferation, we focused on two molecules, Flk-1 and
NP-1.
 |
Materials and Methods
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Mouse Model
This study was performed in accordance with the ARVO Statement
for the Use of Animals in Ophthalmic and Vision Research. To produce
retinal neovascularization, litters of 7-day-old C57BL/6J mice with
nursing dams were exposed to 75% oxygen for 5 days and then returned
to room air at P12 for 5 days, as described
previously.12
28
Mice of the same age kept in room air
were used as control animals. To examine the retinal vasculature, mice
were deeply anesthetized with pentobarbital sodium and perfused through
the left ventricle with a 50-mg/ml solution of high-molecular-weight
fluorescein-dextran, as described previously.12
28
In Situ Hybridization
cDNA fragments of mouse NP-1 (619 bp) and mouse Flk-1 (285 bp)
were generated from mouse brain total RNA by reverse
transcriptionpolymerase chain reaction (RT-PCR). The primers used
were TCAGGACCATACAGGAGATGG and TGACATCCCATTGTGCCAAC for NP-1 and
GTGATCCCAGATGACAGCCA and GGTGAGCTGCAGTGTGGTCC for Flk-1. The amplified
DNA fragments were subcloned into the EcoRV site of a vector
(pBlueScript SK+; Stratagene, La Jolla, CA) and sequenced.
Digoxygenin-labeled RNA probes in either antisense or sense orientation
were synthesized using T3 or T7 RNA polymerase, as reported
previously.29
Mice were deeply anesthetized with pentobarbital sodium and the eyes
enucleated, embedded in optimal-temperature cutting compound (OCT;
Miles, Elkhart, IN), and frozen in dry ice-acetone. Four-micrometer
sections were placed on aminopropyltriethoxysilane-coated slides and
air dried for 30 minutes. The sections were postfixed in 4%
paraformaldehyde for 20 minutes and treated as described
previously.29
Hybridization was performed at 72°C.
Flatmounted retina in situ hybridization was performed by a method
described previously.29
Immunohistochemistry
For immunostaining of blood vessels, sections were postfixed
with acetone for 10 minutes and treated with 100% methanol containing
0.03% hydrogen peroxide to inactivate endogenous peroxidase. The
sections were incubated with horseradish peroxidase (HRP)-conjugated
anti-von Willebrand factor (vWF) polyclonal antibody (Dako, Kyoto,
Japan) for 1 hour at room temperature followed by three washes with
phosphate-buffered saline (PBS). For immunostaining of NP-1, sections
were incubated with anti-mouse NP-1 polyclonal antibody22
(a kind gift from Hajime Fujisawa; 1:500 dilution of stock
solution [1 mg/ml] with 1% bovine serum albumin in Tris-buffer [pH
7.4]) overnight at 4°C, washed with PBS, and then incubated with
HRP-labeled goat-anti-rabbit IgG (Histofine Simplestain kit; Nichirei,
Tokyo, Japan) for 30 minutes at room temperature. Immunoreactivity was
visualized with diaminobenzidine (DAB). Serial sections were stained
with anti-vWF antibody, anti-NP-1 antibody or nonimmune rabbit IgG as a
control. The specimens were observed with a microscope equipped with a
Nomarski differential interference-contrast system (Olympus, Tokyo,
Japan).
RT-PCR Analysis
Five neovascularized and five control retinas were isolated the
mice, and total RNA was prepared by the acid guanidinium
isothiocyanate-phenol-chloroform extraction method. Semiquantitative
RT-PCR was performed as reported previously.30
The PCR
profile consisted of denaturation at 94°C for 30 seconds, annealing
at 55°C for 30 seconds, and extension at 72°C for 40 seconds; 35
cycles for NP-1, 30 cycles for Flk-1, and 25 cycles for
glyceraldehye-3-phosphate dehydrogenase (G3P). The primers used for the
amplification of NP-1 and Flk-1 were the same as described earlier. The
primers for G3P amplification were GACCACAGTCCATGCCATCAC and
GTAGCCGTATTCATTGTCATACC.
 |
Results
|
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To examine the possibility of the involvement of VEGF receptors
(VEGFRs) on neovascularization in the ROP retina, the levels of Flk-1
and NP-1 mRNA expression were analyzed by RT-PCR. The levels of
expression of these two genes in the retina were comparable between
normal and ROP mice (Fig. 1)
. This result suggested that the expression of VEGFRs was not grossly
affected by hypoxia. To examine the expression of Flk-1 and NP-1 in the
ROP retina in more detail, flatmount in situ hybridization was
performed (Figs. 2
3)
. Exposure of postnatal day (P)7 mice to 75% oxygen for 5 days
followed by return to room air resulted in retinal neovascularization.
The pattern of vascular development and neovascularization could be
seen readily in retinal flatmounts after fluorescein-dextran perfusion
(Figs . 2, 3). The vessels of the normal retina extended from the optic
nerve to the periphery and formed a fine radial branching pattern in
the superficial retinal layer. However, in the ROP retina, neovascular
tufts occurred in the midperiphery at the junctional area between the
perfused and nonperfused retina.

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Figure 1. Expression of NP-1 and Flk-1 mRNAs in normal and neovascularized
retina. Total RNA was isolated from whole retinas of normal and ROP
mice, and the expression levels of NP-1 and Flk-1 mRNAs were quantified
by semiquantitative RT-PCR. G3P mRNA was amplified as an internal
control for the integrity of the RNA. The amounts of NP-1 and Flk-1
mRNAs in the whole retina were similar between the control (C) and
neovascularized (N) retinas.
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Figure 2. Aberrant and restricted expression of NP-1 mRNA in
neovascularized retina. In situ hybridization for NP-1 mRNA was
performed in fluorescein-dextranperfused flatmount retina
preparations of ROP (A through F) and normal mice
(G through J). Blood vessels were visualized with
fluorescein-dextran by fluorescein angiography (A,
D, G, and J). Hybridization with
antisense probe in the ROP retina showed intense signals in the ROP
retina (B) but not in the normal control retina
(H). Control hybridization with sense probe did not show any
signals (E and K). Fluorescein angiographs were
changed to pseudocolor and merged with the results of in situ
hybridization (C, F, I, and
L). Bar, 300 µm.
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Figure 3. Aberrant and restricted expression of Flk-1 mRNA in the neovascularized
retina. In situ hybridization for Flk-1 mRNA was performed in
fluorescein-dextranperfused flatmount retina preparations from ROP
(A through F) and normal mice (G
through J). Blood vessels were visualized with
fluorescein-dextran by fluorescein angiography (A,
D, G, and J). Hybridization with
antisense probe in the ROP retina showed intense signals in the ROP
retina (B), but not in the normal control retina
(H). Control hybridization with sense probe showed only
background signals (E and K). Fluorescein
angiographs were changed to pseudocolor and merged with the results of
in situ hybridization (C, F, I, and
L). Bar, 300 µm.
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Hybridization of flatmounted ROP retina with antisense RNA probe for
NP-1 elicited an intense signal in the area of neovascularization (Fig. 2B)
. NP-1 mRNA expression in other regions including normal vessels was
below the level of detection by in situ hybridization. In the normal
retina, no strong signals for NP-1 mRNA were detected (Fig. 2H)
. Sense
probe for NP-1 revealed signals at low background levels throughout the
retinas (Figs. 2E
2K)
. Intense signal for Flk-1 mRNA was also detected
in the area corresponding to neovascularization of the flatmounted
retina from ROP mice, whereas signals in other regions including normal
vessels were below the level of detection (Fig. 3B)
. as previously
reported in a cat model.2
No strong signals for Flk-1 mRNA
were detected in the control retina (Fig. 3H)
. Hybridization with a
sense probe showed signals only at low background levels in both ROP
and normal retinas (Figs. 3E
3K)
.
To determine whether expression of NP-1 and Flk-1 mRNAs is colocalized
in neovascular vessels, serial sections were prepared for in situ
hybridization (Fig. 4)
. The localization of neovascularized and normal vessels was determined
by immunohistochemical staining of vWF (Figs. 4A 4F)
. Neovascularized
vessels were identified in a tuft- or lumplike pattern extended into
the vitreous cavity. Intense signals for NP-1 and Flk-1 mRNA expression
were detected in neovascularized vessels of the ROP retina, but not in
normal vessels of either the ROP or normal retina (Figs. 4B
4D)
. Sense
probe hybridization controls for NP-1 and Flk-1 demonstrated uniformly
low backgrounds in the inner nuclear layer and outer nuclear layer
(Figs. 4C
4E
4H
4J)
.

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Figure 4. In situ hybridization of serial sections showing the colocalization of
NP-1 and Flk-1 mRNA expression in neovascularized vessels. Serial
sections from ROP (A through E) or normal retina
(F through J) were hybridized with anti-vWF
antibody (A, F), antisense RNA probe for NP-1
(B, G), sense probe for NP-1 (C,
H), antisense probe for Flk-1 (D, I),
and sense probe for Flk-1 (E, J). Normal
blood vessels were located between the inner nuclear layer and ganglion
cell layer, whereas neovascularized vessels extended into the vitreous
cavity in a lumplike pattern (A, F). Intense
signals for NP-1 and Flk-1 mRNAs were observed in neovascularized
vessels, but not in normal vessels of the ROP retina (A,
D). No signals were observed with either the antisense or
sense probes for NP-1 or Flk-1 mRNA in sections from the normal retina.
Bar, 100 µm.
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NP-1 protein expression in neovascularized vessels was further
confirmed on sections of the retina. Strong immunoreactivity against
NP-1 was detected in neovascularized vessels, but not in normal vessels
of the ROP retina (Figs. 5A
5B
), consistent with the results of the in situ hybridization
studies. No apparent signals of NP-1 protein expression were detected
on any vessels of the normal mouse retina (Figs. 5C
5D)
.

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Figure 5. Immunohistochemical localization of NP-1 in neovascularized vessels.
Serial sections were treated with the antibody against vWF
(A, C) or NP-1 (B, D).
Arrows: neovascularized vessels; arrowheads:
normal vessels. Strong immunoreactivity for NP-1 was observed in
neovascularized vessels of ROP retina (A, B) but
not in the normal retina (C, D). Very weak
signals were observed in the ganglion cell layer and inner nuclear
layer of the neovascularized (B) and normal retinas
(D). Bar, 100 µm.
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Discussion
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In this study, we demonstrated that VEGFR Flk-1 and
coreceptor NP-1 were expressed in spatial and temporal association with
retinal neovascularization. The intense Flk-1 and NP-1 mRNA
signals were completely colocalized to neovascularized vessels
characterized by their morphology and location on in situ
hybridization. The levels of NP-1 protein also correlated with its mRNA
levels.
High levels of Flk-1 and NP-1 mRNA expression have been observed in
endothelial cells during embryonic vasculogenesis and
angiogenesis.17
31
Indeed, gene targeting of these
molecules demonstrates their crucial roles in the formation of blood
vessels.17
31
32
Furthermore, enhanced expression of VEGFR
is found during tumor neovascularization.33
Very recently,
the significance of NP-1 in tumor angiogenesis has been suggested by
transfecting NP-1 cDNA into rat prostate carcinoma
cells.34
It is of interest that despite aberrant levels of
NP-1 and Flk-1 expression in neovascularized vessels, the levels of
expression of these molecules in normal, differentiated, and quiescent
endothelial cells was below the limits of detection.13
It
has been reported that angiogenesis, which is upregulated in pathologic
conditions, is similar to physiological angiogenesis or vasculogenesis
during embryogenesis.13
These findings suggest that
immature or proliferating endothelial cells in neovascularized vessels
express high levels of Flk-1 and NP-1 mRNA in the ROP retina.
Furthermore, the high levels of Flk-1 and NP-1 mRNA expression in
neovascularized vessels together with the aberrant VEGF production from
astrocytes may be the major causes of deregulated growth of blood
vessels. Regulation of Flk-1 and NP-1 expression in immature or
proliferating endothelial cells is an important subject for future
study. So far, little is known about the control of NP-1 expression in
normal and pathologic angiogenesis. Recently, decreased NP-1 expression
in human astrocytoma under hypoxic condition has been reported, but the
mechanisms of the gene regulation remain unknown.35
Flk-1
promoter does not contain elements in contrast with the presence of
this element in the promoter region of the Flt-1 gene.36
However, in vitro experiments have revealed that the Flk-1 protein
level is increased under hypoxic conditions,37
suggesting
the presence of a posttranscriptional regulatory mechanism of Flk-1
expression.
Our RT-PCR experiment showed that the expression levels of NP-1 and
Flk-1 mRNA in the whole retina were not grossly affected by hypoxia,
but in situ hybridization clearly showed that the expression of Flk-1
and NP-1 mRNAs in neovascularized vessels was strongly induced by
hypoxia. These apparently contradictory results can be resolved by
considering that Flk-1 and NP-1 mRNAs are expressed in many other
retinal cells at low levels. Our immunohistochemical analysis for NP-1,
as well as previous reports regarding Flk-1, revealed the low levels of
expression of these molecules in the inner nuclear layer, which
contains a large proportion of retinal cells.38
The signals of VEGF, which regulates cell migration, proliferation, and
differentiation, is received by molecular complex of the transmembrane
tyrosine kinases, a coreceptor (NP-1 or NP-2), and a modulator (a
heparan sulfate proteoglycan).13
14
Although the precise
roles of these molecules in neovascularization have not been
established, further analyses are essential for the successful
development of better treatment regimens and prevention of ROP and
other retinal vascular diseases.
 |
Footnotes
|
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Submitted for publication September 26, 2000; revised January 12, 2001;
accepted January 24, 2001.
Commercial relationships policy: N.
The publication costs of this article were defrayed in part by page
charge payment. This article must therefore be marked
"advertisement" in accordance with 18 U.S.C.
1734
solely to indicate this fact.
Corresponding author: Hidenori Ishihama, Department of Biochemistry,
Nagoya University School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya
466-8550,
Japan. ishihama{at}tsuru.med.nagoya-u.ac.jp
 |
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N. Nagai, K. Noda, T. Urano, Y. Kubota, H. Shinoda, T. Koto, K. Shinoda, M. Inoue, T. Shiomi, E. Ikeda, et al.
Selective Suppression of Pathologic, but Not Physiologic, Retinal Neovascularization by Blocking the Angiotensin II Type 1 Receptor
Invest. Ophthalmol. Vis. Sci.,
March 1, 2005;
46(3):
1078 - 1084.
[Abstract]
[Full Text]
[PDF]
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