We analyzed the secretory dynamics of tissue plasminogen activator (tPA) in EA.hy926 cells, an established vascular endothelial cell (VEC) line producing GFPtagged tPA, using total internal reflectionfluorescence (TIR-F) microscopy. tPA-GFP was detected in small granules in EA.hy926 cells, the distribution of which was indistinguishable from intrinsically expressed tPA. Its secretory dynamics were unique, with prolonged (> 5 minutes) retention of the tPA-GFP on the cell surface, appearing as fluorescent spots in two-thirds of the exocytosis events. The rapid disappearance (mostly by 250 ms) of a domain-deletion mutant of tPA-GFP possessing only the signal peptide and catalytic domain indicates that the amino-terminal heavy chain of tPA-GFP is essential for binding to the membrane surface. The addition of PAI-1 dosedependently facilitated the dissociation of membrane-retained tPA and increased the amounts of tPA-PAI-1 high-molecularweight complexes in the medium. Accordingly, suppression of PAI-1 synthesis in EA.hy926 cells by siRNA prolonged the dissociation of tPA-GFP, whereas a catalytically inactive mutant of tPA-GFP not forming complexes with PAI-1 remained on the membrane even after PAI-1 treatment. Our results provide new insights into the relationship between exocytosed, membrane-retained tPA and PAI-1, which would modulate cell surfaceassociated fibrinolytic potential. (Blood.
2009;113:470-478)
IntroductionTissue plasminogen activator (tPA) is a 68-kDa serine protease that cleaves a single peptide bond in plasminogen to generate plasmin, which subsequently dissolves fibrin clots in the vasculature. 1 The expression of its activity is finely tuned by the amount of its specific inhibitor, plasminogen activator inhibitor-1 (PAI-1), 2,3 which is present in molar excess over tPA in human plasma. Thus, only a relatively small fraction of tPA circulates in blood in a functionally active form. Therefore, not only an elevation of plasma concentration of PAI-1 but an impairment of tPA release results in decreased fibrinolytic activity, which is regarded as a risk factor for ischemic cardiovascular events. [4][5][6] Although the enzymologic interactions of these 2 molecules in the fluid phase have been extensively studied, interactions at the interface between fluid-phase and solid-phase structures such as fibrin and the cell surface where functional fibrinolysis actually takes place are not fully elucidated. 7 In blood, tPA is secreted primarily from vascular endothelial cells (VECs) as an active single-chain enzyme, 8 in contrast to most other serine proteases involved in coagulation and fibrinolysis, which are secreted as zymogens. Facilitated secretion, therefore, is directly related to the enhancement of fibrinolytic activity, which protects the VEC surface from clot accumulation and maintains vascular patency. Clinically, impairment of acute tPA release is reported in atherosclerosis, hypertension, and cigarette smoking. 9-12 VECs secrete tPA through both constitutive and regulated pathways 13-17 from small s...