Background/aims-Regulation of plasmin mediated extracellular matrix degrada
tion by vascular endothelial cells is important in the development of angio
genesis. The aim was to determine whether transforming growth factor (TGF-b
eta) affected the regulation of components of the plasminogen system by hum
an retinal endothelial cells, in order to define more clearly the role of T
GF-beta in retinal angiogenesis in the context of diabetes mellitus.
Methods-Human retinal endothelial cells (HREC) were isolated from donor eye
s and used between passages 4-8. The cells were cultured in medium suppleme
nted with 2, 5, 15, or 25 mM glucose, plus or minus TGF-beta (1 ng/ml). The
concentrations of tissue plasminogen activator (t-PA), urokinase plasminog
en activator (u-PA), and plasminogen activator inhibitor type 1 (PAI-1) in
cell conditioned medium were determined by ELISA and the level of PAI-1 mRN
A was determined using northern hybridisation. Cell associated plasminogen
activity was determined using a clot lysis assay and a chromogenic assay.
Results-Under basal conditions (5 mM glucose), HREC produced PAI-1, t-PA, a
nd trace amounts of u-PA. Cell surface plasminogen activation observed by l
ysis of fibrin or by cleavage of chromogenic substrate, was mediated by t-P
A. Glucose at varying concentrations (2-25 mM) had no significant effect on
t-PA mediated clot lysis. In contrast, treatment with TGF-beta resulted in
increased synthesis of PAI-1 protein and mRNA. The increased expression of
the PAI-1 mRNAs by TGF-beta did not occur uniformly, the 2.3 kb mRNA trans
cript was preferentially increased in comparison with the 3.2 kb mRNA (p<0.
05).
Conclusions-These data demonstrate that TGF-beta increases PAI-1 and decrea
ses cell associated lysis. This is sufficient to decrease the normal lytic
potential of HREC.