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(American Journal of Pathology. 2004;164:1275-1292.)
© 2004 American Society for Investigative Pathology

Increased Expression Levels of Integrin {alpha}vß5 on Scleroderma Fibroblasts

Yoshihide Asano, Hironobu Ihn, Kenichi Yamane, Masahide Kubo and Kunihiko Tamaki

From the Department of Dermatology, Faculty of Medicine, University of Tokyo, Tokyo, Japan

Integrin {alpha}vß5 is a receptor for vitronectin, a plasma glycoprotein that is also distributed in extracellular matrix of various tissues. Matrix-bound vitronectin has the potential to stabilize the active form of plasminogen activator inhibitor-1, resulting in the inhibition of the plasmin-mediated pericellular proteolytic cascade. In this study, we compared the levels of {alpha}vß5 and matrix-bound vitronectin between normal and scleroderma fibroblasts and investigated the association with fibrosis. We demonstrated that {alpha}vß5 was up-regulated on scleroderma fibroblasts. The up-regulated {alpha}vß5 contributed to the increase in vitronectin-binding ability in scleroderma fibroblasts, which led to the vitronectin-dependent activation of plasminogen activator inhibitor-1. In immunohistochemistry, the {alpha}v and ß5 subunits were stained strongly on scleroderma fibroblasts and the amount of vitronectin was increased in the pericellular matrix of those cells. The transient overexpression of {alpha}vß5 on normal fibroblasts enhanced the human {alpha}2(I) collagen promoter activity through Sp-1 and Smad3 as well as the vitronectin-dependent plasminogen activator inhibitor-1 activity. This effect on the promoter activity was also observed in the absence of vitronectin and completely disappeared in the presence of anti-{alpha}vß5 antibody. These results indicate that the up-regulated {alpha}vß5 may contribute to the phenotypical alteration of scleroderma fibroblasts, while at the same time suppressing the plasmin-mediated pericellular proteolytic cascade.





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