The quiescent RPE cell rests on a collagen type IV and
laminin containing basement membrane on the inner aspect of Bruch’s
membrane, and it does not normally divide or migrate away from this
layer.
5 Although in this report we chose to study collagen
type IV as the representative Bruch’s membrane component, it is likely
that laminins, as the major noncollagenous components of Bruch’s
membrane, also play an important role in RPE adhesion to the
collagenous framework of Bruch’s membrane.
5 In PVR, RPE
cells are stimulated by inflammatory cytokines and chemotactic factors,
such as TNF-α and PDGF, to migrate away from monolayer into a
provisional ECM where they participate in epiretinal membrane
formation.
1 4 In the early stage of PVR, provisional ECM
components including collagen type I and fibronectin are synthesized
and deposited on the retinal surfaces.
33 Movement of an
individual cell from a resting ECM substrate to a provisional ECM
requires initial cell attachment to the new matrix, followed by cell
spreading, stable attachment, and then migration.
34 35 In
the absence of TNF-α, control RPE do not demonstrate any significant
preference for provisional ECM, providing little incentive for
migration from the monolayer.
4 In the presence of TNF-α,
however, RPE cells attach more strongly and spread more prominently
than untreated control cells on provisional ECMs, but this effect does
not occur when cells are grown on collagen type IV. These TNF effects
are likely to be cell type– and ECM-specific because previous studies
have shown that on collagen, TNF stimulates B-cell spreading but
inhibits fibroblast spreading.
36
After RPE cells establish adhesion, migration through a retinal hole
into the vitreous is a critical stage of PVR formation. Previously, we
reported that PDGF is a strong chemotactic factor for RPE cells in the
presence of fibronectin.
19 37 In this study we provided
evidence that pretreatment of RPE with TNF-α results in a significant
increase in the ability of PDGF to stimulate RPE cell migration on
provisional ECM. This suggests that TNF-α is upregulating a factor
important for PDGF-induced migration because short-term treatment of
RPE with TNF has little effect on RPE migration (results not shown).
Chemotactic migration is a complex phenomenon involving adhesion to
ECM, cell motility, and the effects of chemotactic
factors.
38 39 40 Spreading also plays a critical role in
migration with particular relevance to the speed of
migration.
41 Multiple mechanisms are involved in control
of the migratory response including growth factor receptor activation
of downstream signaling pathways, alterations in cytoskeletal elements
and motors, and alterations in the expression and activation of
integrins. In other cell types, TNF-α stimulation is associated with
activation of small GTP-binding proteins, phosphorylation of paxillin
and focal adhesion kinase, and reorganization of the actin
cytoskeleton.
42 43
Integrins are a class of heterodimeric transmembrane proteins
that play essential roles in many cellular processes involving
cell–ECM and cell–cell interactions.
11 We found that
unstimulated RPE cells expressed α1, α3, and α5 integrin subunits
and that expression was strongest for α5. The α1 and α3 integrin
subunits are primarily used for attachment to collagen, whereas α5
provides attachment to fibronectin. After treatment with TNF-α, the
pattern of integrin expression was dramatically modified. The RPE cells
showed a significant increase in α1 and α5 subunits but not in α3
subunit. This predicts and supports our finding that TNF-α–treated
cells show increased affinity to fibronectin and collagen 1 but not
collagen IV, based on the receptor specificity. An increase in integrin
expression in other cell types stimulated by TNF-α is associated with
increased cell migration in neutrophils, monocytes, and
fibroblasts.
16 The subunit partner of the alpha integrins
is generally the β1 subunit, which has a unique distribution in the
basal domain of RPE cells and participates in RPE cell migration during
PVR.
44
The specific roles of integrins in RPE cell migration were
confirmed by blocking experiments with antiadhesion antibodies forα
1, α3, and α5. Those antibodies only partially inhibited
migration on specific ECMs, which suggests that migration on
fibronectin and collagen may be dependent on the simultaneous activity
of several integrins or a coexistent nonintegrin adhesion molecule or
receptor. The inhibition of migration by antibodies to integrins
demonstrates that RPE cell motility is strongly integrin-dependent on
the substrates used. In fact, a disintegrin (Arg-Gly-Asp containing
peptides from viper venom) was effective in suppressing RPE
cell–induced tractional retinal detachment in the rabbit
eye.
45
Because TNF-α plays a critical role in regulating integrin
expression, resulting in increased attachment, spreading, and migration
to provisional ECM, we investigated the mechanisms by which TNF-α may
alter RPE cell surface integrin expression. Although TNF-α has been
shown to activate a number of second- and third-messenger pathways in
various human cell types,
46 47 48 translation of these
findings to our model is difficult because signaling mechanisms are
highly dependent on the cell type. Because RPE cells predominantly
express p55 TNFR, it is a good model to use for investigating signaling
mechanisms activated through this receptor.
15 To determine
whether MAPK might influence integrin expression, we used an inhibitor
(PD98095) that specifically inhibits ERK kinase (MEK).
22 We found that blocking the MAPK pathway by PD98059 inhibited
TNF-induced α1 and α5 integrin expression. TNF-α has been shown
to activate MAPK by two pathways, a ras-raf-mek pathway and a
ras-independent pathway mediated through PKC.
49 In
contrast to MAPK inhibition, PKC inhibition using calphostin C did not
inhibit TNF-induced integrin expression (data not shown). Although PKC
was found to be important in cell spreading, PKC-independent MAPK
activation appears to be a more significant pathway in TNF activation
of RPE cells. In conjunction with the role of MAPK in adhesion and
migration, the MAPK pathway appears to be a central regulating pathway
in the relationship of TNF-stimulated RPE to the ECM.
The downstream substrates of activated MAPK are largely unknown but
include a variety of nuclear and cytoplasmic targets such as
transcription factors, cytoskeletal elements, inflammatory mediators,
and other Ser/Thr kinases.
50 51 52 Although it is not clear
which of these targets is involved in the upregulation of integrins,
myosin light chain kinase (MLCK) has been implicated as a possible
target of MAPK activation in cell migration.
53
Thus, TNF-α is a major regulator of RPE activation responses,
including cell attachment, spreading, chemotaxis, and migration. This
regulation appears to be mediated through differential expression of
distinct integrins that determine the matrix attachment of RPE to
Bruch’s membrane or provisional matrices during diseases. The MAPK
pathway plays a critical role in the regulated expression of these
integrins and in the downstream activation of RPE by TNF. These results
suggest that both TNF-α and MAPK may be potential therapeutic targets
in disorders such as PVR in which cytokine activation of RPE plays a
central role.
The author thanks Beatriz Parra for advise on semiquantitative
RT-PCR, Ernesto Barron and Chris Spee for technical assistance, and
Susan Clarke for editorial assistance.