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Originally published online as doi:10.2353/ajpath.2008.070448 on March 18, 2008

Published online before print March 18, 2008
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(American Journal of Pathology. 2008;172:1127-1140.)
© 2008 American Society for Investigative Pathology
DOI: 10.2353/ajpath.2008.070448

Induction of an Epithelial Integrin {alpha}vβ6 in Human Cytomegalovirus-Infected Endothelial Cells Leads to Activation of Transforming Growth Factor-β1 and Increased Collagen Production

Takako Tabata*, Hisaaki Kawakatsu{dagger}, Ekaterina Maidji*, Takao Sakai{ddagger}, Keiko Sakai{ddagger}, June Fang-Hoover*, Motohiko Aiba§, Dean Sheppard{dagger} and Lenore Pereira*

From the Department of Cell and Tissue Biology,* and the Lung Biology Center,{dagger} University of California, San Francisco, San Francisco, California; the Department of Biomedical Engineering,{ddagger} Lerner Research Institute, Cleveland Clinic Foundation, Cleveland, Ohio; and the Department of Pathology,§ Tokyo Women’s Medical School, Tokyo, Japan

Human cytomegalovirus (CMV) infection is a major cause of morbidity in immunosuppressed individuals, and congenital CMV infection is a leading cause of birth defects in newborns. Infection with pathogenic viral strains alters cell-cell and cell-matrix interactions, affecting extracellular matrix remodeling and endothelial cell migration. The multifunctional cytokine transforming growth factor (TGF)-β1 regulates cell proliferation, differentiation, and extracellular matrix remodeling. Secreted as a latent protein complex, TGF-β1 requires activation before binding to receptors that phosphorylate intracellular effectors. TGF-β1 is activated by integrin {alpha}vβ6, which is strongly induced in the epithelium by injury and inflammation but has not previously been found in endothelial cells. Here, we report that CMV infection induces integrin {alpha}vβ6 expression in endothelial cells, leading to activation of TGF-β1, signaling through its receptor ALK5, and phosphorylation of its intracellular effector Smad3. Infection of endothelial cells was also found to stimulate collagen synthesis through a mechanism dependent on both TGF-β1 and integrin {alpha}vβ6. Immunohistochemical analysis showed integrin {alpha}vβ6 up-regulation in capillaries proximal to foci of CMV infection in lungs, salivary glands, uterine decidua, and injured chorionic villi of the placenta, demonstrating both its induction in endothelium and up-regulation in epithelium in vivo. Our results suggest that activation of TGF-β1 by integrin {alpha}vβ6 contributes to pathological changes and may impair endothelial cell functions in tissues that are chronically infected with CMV.








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