Objective-LL-37, the unique cathelicidin expressed in humans, in addition to acting as an endogenous antibiotic, is an important cell-signaling molecule upregulated in ovarian, breast, and lung tumors. However, the role of LL-37 in tumor microenvironment and its specific actions on the endothelial compartment remain elusive. Prostanoids are key regulators of inflammation, and cyclooxygenases (COXs) display proangiogenic activity in vitro and in vivo, mediated principally through prostaglandin E 2 (PGE 2 ). Here, we provide evidence for a novel proangiogenic role of LL-37, exerted via activation of endothelial cells and subsequent PGE 2 biosynthesis. Approach and Results-LL-37 triggers PGE 2 synthesis in endothelial cells in a dose-dependent manner with maximal induction after 4 hours. Endothelial PGE 2 biosynthesis was dependent on COX-1, rather than COX-2, as judged by pharmacological inhibition and gene silencing. In vitro matrigel assays supported these findings because LL-37-induced cord formation was abolished by COX-1, but not COX-2, small interfering RNA, and the angiogenic phenotype could be rescued by addition of exogenous PGE 2 . We find that LL-37 acts on endothelial cells as a potent calcium agonist, inducing phosphorylation and activation of cytosolic phospholipase A 2 (cPLA 2 ), promoting a cPLA 2 →COX-1→PGE 2 biosynthetic pathway and subsequent signaling via PGE 2 receptor EP3. Moreover, cathelicidin-related antimicrobial peptide, which is the murine ortholog of LL-37, induced prostaglandin-dependent angiogenesis in vivo, which could be blocked by aspirin. Conclusions-Our results identify a novel proangiogenic role of LL-37, suggesting that the axis LL-37/COX-1/PGE 2 followed by EP3 signaling is amenable to therapeutic intervention in pathological angiogenesis, for instance by aspirin. 16 However, the role of LL-37 in tumor microenvironment and its specific actions on the endothelial compartment, an essential player in the angiogenic process, remain elusive.Here, we investigate the angiogenic role of LL-37 in human primary ECs. Our findings indicate that LL-37 elicits angiogenic responses via COX-1-derived PGE 2 , which triggers EP3 signaling. These results provide new insights to the molecular basis of LL-37 proangiogenic properties that could help develop novel antiangiogenic therapies.
Results
LL-37 Induces PGE 2 Biosynthesis in ECsLL-37 stimulation triggers PGE 2 synthesis by EC in a dosedependent manner with a maximal induction at 60 µg/mL of peptide ( Figure 1A). At this LL-37 concentration, the PGE 2 production reached its plateau after 4 hours of stimulation ( Figure 1B). At 60 µg/mL, we did not detect any cytotoxic effects of LL-37 on human umbilical vein endothelial cells (HUVECs), as assessed by Trypan blue exclusion. On the contrary, this dose induced a moderate, but statistically significant, increase of cell viability after 4 and 8 hours of treatment ( Figure 1C). Biosynthesis of prostacyclin and thromboxane was also modestly increased by LL-37 but only at the highest concentration ...