title: Adrenomedullin augments the release and production of tissue factor pathway inhibitor in human aortic endothelial cells.
abstract: OBJECTIVE
  Adrenomedullin (AM) is a hypotensive and vasodilative peptide. It has been reported that AM plays several biological roles in cardiovascular and endocrine systems, however, effects on the blood coagulation system have not been examined. In this study, we examined its effect on tissue factor pathway inhibitor (TFPI), which is a potent inhibitor of tissue factor/factor VIIa complex-induced coagulation cascade, and is synthesized and constitutively secreted by endothelial cells (ECs). The aim of this study was to elucidate the effects of AM on release and production of TFPI in ECs.
  
  
  METHODS
  Cultured human aortic ECs were incubated with AM (10(-14)-10(-6) M), and the antigen levels and activity of the free and total form of TFPI after AM exposure were measured in culture media using ELISA. Furthermore, receptor interaction and cellular signaling of AM were investigated.
  
  
  RESULTS
  AM augmented TFPI release and production in a dose-dependent manner. The effect on TFPI production was inhibited by AM receptor antagonist (AM22-52), the monoclonal antibody against C-terminal region of AM, MAPKK inhibitor, and cAMP antagonist.
  
  
  CONCLUSIONS
  These findings indicate that AM might play an important role in the modulation of anticoagulant properties in blood circulation.
authors.affiliation: First Department of Pathology, Miyazaki Medical College, 5200 Kihara, Kiyotake, Miyazaki, Japan. kmaru@post.miyazaki-med.ac.jp
authors.forename: Kousuke
authors.initials: K
authors.lastname: Marutsuka
authors.forename: Kinta
authors.initials: K
authors.lastname: Hatakeyama
authors.forename: Atsushi
authors.initials: A
authors.lastname: Yamashita
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Sato
authors.forename: Akinobu
authors.initials: A
authors.lastname: Sumiyoshi
authors.forename: Yujiro
authors.initials: Y
authors.lastname: Asada
mesh_terms: D053607:Adrenomedullin; D000911:Antibodies, Monoclonal / Q000494:pharmacology; D001011:Aorta; D002478:Cells, Cultured; D000242:Cyclic AMP / Q000037:antagonists & inhibitors; D004305:Dose-Response Relationship, Drug; D004730:Endothelium, Vascular / Q000187:drug effects / Q000378:metabolism*; D004791:Enzyme Inhibitors / Q000494:pharmacology; D005419:Flavonoids / Q000494:pharmacology; D006801:Humans; D008074:Lipoproteins / Q000378:metabolism*; D019331:NG-Nitroarginine Methyl Ester / Q000494:pharmacology; D009281:Naphthalenes / Q000494:pharmacology; D019001:Nitric Oxide Synthase / Q000037:antagonists & inhibitors; D010455:Peptides / Q000276:immunology / Q000494:pharmacology*; D058265:Receptors, Adrenomedullin; D018000:Receptors, Peptide / Q000037:antagonists & inhibitors; D013268:Stimulation, Chemical; D014665:Vasodilator Agents / Q000494:pharmacology*
chemical_list: D000911:Antibodies, Monoclonal; D004791:Enzyme Inhibitors; D005419:Flavonoids; D008074:Lipoproteins; D009281:Naphthalenes; D010455:Peptides; D058265:Receptors, Adrenomedullin; D018000:Receptors, Peptide; D014665:Vasodilator Agents; C061465:calphostin complex; C051928:lipoprotein-associated coagulation inhibitor; D053607:Adrenomedullin; D000242:Cyclic AMP; D019001:Nitric Oxide Synthase; C093973:2-(2-amino-3-methoxyphenyl)-4H-1-benzopyran-4-one; D019331:NG-Nitroarginine Methyl Ester