Docosahexaenoic Acid Inhibits Vascular Endothelial Growth Factor (VEGF)-Induced Cell Migration via the GPR120/PP2A/ERK1/2/eNOS Signaling Pathway in Human Umbilical Vein Endothelial Cells Che-Yi Chao,†, § Chong-Kuei Lii,†, ‡,§ Siou-Yu Ye,‡ Chien-Chun Li,#, || Chia-Yang Lu,‡ Ai-Hsuan Lin,‡ Kai-Li Liu, †,#, ||,* and Haw-Wen Chen‡,* § These authors contributed equally to this study. † Department of Health and Nutrition Biotechnology, Asia University, Taichung, Taiwan ‡ Department of Nutrition, China Medical University, Taichung, Taiwan # School of Nutrition, Chung Shan Medical University, Taichung, Taiwan || Department of Nutrition, Chung Shan Medical University Hospital, Taichung, Taiwan * To whom correspondence should be addressed. H.-W.C.: Department of Nutrition, China Medical University, Taichung 404, Taiwan; telephone, +886 4 22053366, ext. 7520; fax, +886 4 2206 2891; e-mail, chenhw@mail.cmu.edu.tw. K.-L.L.: Department of Health and Nutrition Biotechnology, Asia University, Taichung 413, and School of Nutrition, Chung Shan Medical University, Taichung 402; telephone, +886 4 24730022, ext. 12136; fax, +886 4 2324 8175; e-mail, kaililiu@csmu.edu.tw ABBREVIATIONS USED COX-2, cyclooxygenase 2; DHA, docosahexaenoic acid; ECGS, endothelial cell growth supplement; eNOS, endothelial NOS; EPA, eicosapentaenoic acid; ERK, extracellular signal-regulated kinase; FBS, fetal bovine serum; GPRs, G protein-coupled receptors; HUVECs, human umbilical vein endothelial cells; MAPK, mitogen-activated protein kinase; MMP-9, matrix metalloproteinase 9; nNOS, neuronal NOS; NO, nitric oxide; OA, okadaic acid; PBS, phosphate-buffered saline; PGE2, prostaglandin E2; PI3K, phosphatidyl inositol 3-kinase; PP2A, protein phosphatase 2A; PUFAs, polyunsaturated fatty acids; SNAP, S-nitroso-N-acetyl-DL-penicillamine; VEGF, vascular endothelial growth factor. Running title: DHA, Cell Migration and the GPR120/PP2A/ERK1/2/eNOS Signaling Pathway ABSTRACT: Cell migration plays an important role in angiogenesis and wound repair. Vascular endothelial growth factor (VEGF) is an endothelial cell–specific mitogen that is essential for endothelial cell survival, proliferation, and migration. Docosahexaenoic acid (DHA), an n-3 polyunsaturated fatty acid, shows both anti-inflammatory and antioxidant activities in vitro and in vivo. In this study, we investigated the molecular mechanism by which DHA down-regulates VEGF-induced cell migration. We used HUVECs as the study model and the MTT assay, Western blot, wound healing assay, and phosphatase activity assay to explore the effects of DHA on cell migration. GPR120 is the putative receptor for DHA action. Our results showed that DHA, PD98059 (an ERK1/2 inhibitor), and GW9508 (a GPR120 agonist) inhibited VEGF-induced cell migration. In contrast, pretreatment with okadaic acid (OA, a PP2A inhibitor) and S-nitroso-N-acetyl-DL-penicillamine (an NO donor) reversed the inhibition of cell migration by DHA. VEGF-induced cell migration was accompanied by phosphorylation of ERK1/2 and eNOS. Treatment HUVECs with DHA increased PP2A enzyme activity and decreased VEGF-induced phosphorylation of ERK1/2 and eNOS. However, pretreatment with OA significantly decreased DHA-induced PP2A enzyme activity and reversed the DHA inhibition of VEGF-induced ERK1/2 and eNOS phosphorylation. These results suggest that stimulation of PP2A activity and inhibition of the VEGF-induced ERK1/2/eNOS signaling pathway may be involved in the DHA suppression of VEGF-induced cell migration. Thus, the effect of DHA on angiogenesis and wound repair is at least partly by virtue of its attenuation of cell migration. KEYWORDS: cell migration, docosahexaenoic acid (DHA), human umbilical vein endothelial cells (HUVECs), nitric oxide (NO), vascular endothelial growth factor (VEGF) 1 INTRODUCTION 2 Docosahexaenoic acid (DHA, 22:6, n-3) is enriched in fatty fish and fish oil 3 supplements and is well-known for its anti-inflammatory,1 immunomodulatory,2 and 4 anti-cancer3 properties. Cancer is among the leading causes of death in both 5 economically developed countries and developing countries.4 Epidemiological studies 6 show that a diet rich in n-3 polyunsaturated fatty acids (PUFAs) is correlated with 7 reduced risk of angiogenic diseases such as cancers.5,6 DHA has been shown to inhibit 8 vascular sprout formation in retinal microvascular endothelial cells.7 However, the 9 mechanism underlying the inhibition of cell migration by DHA, which is critical for 10 11 angiogenesis and wound repair, is not fully understood. G protein-coupled receptors (GPRs) are important signaling molecules involved in 12 many cellular functions. Specific ligand binding to GPRs stimulates and induces a 13 variety of cellular responses via several second messenger pathways, e.g., regulation 14 of cAMP generation, the phospholipase C pathway, ion channels, and 15 mitogen-activated protein kinases.8-10 In a previous study, Oh et al.11 found that DHA 16 exerted potent anti-inflammatory effects through GPR120. 17 Angiogenesis, the process of formation of new blood vessels by sprouting of the 18 preexisting microvascular network, is involved in numerous physiological processes 19 including embryogenesis, tissue remodeling, and wound healing,12 and disease 20 development such as diabetic retinopathy, rheumatoid arthritis, tumor growth, and 21 growth of atherosclerotic plaques.13 Angiogenesis is controlled by vascular 22 endothelial growth factor (VEGF), a proangiogenic factor.14 VEGF-induced signal 23 transduction involves binding to tyrosine kinase receptors, which leads to endothelial 24 cell proliferation, migration, and new vessel formation.15 VEGF was reported to 25 induce a wide variety of signaling pathways, including protein kinase C, 26 phospholipase C-γ, extracellular signal-regulated kinase (ERK), p38 MAPK, 27 phospholipase C, and phosphatidyl inositol 3-kinase (PI3K)/Akt.16 Hence, it is critical 28 to understand the VEGF-activated signaling pathways that play an important role in 29 VEGF-mediated cell processes. 30 Nitric oxide (NO), which is synthesized from the amino acid L-arginine by the 31 NOS family of enzymes, is a gaseous molecule with a wide range of physiological 32 and pathophysiological activities, including the regulation of angiogenesis.17 The 33 NOS family is composed of three members: neuronal NOS (nNOS), endothelial NOS 34 (eNOS), and inducible NOS (iNOS). eNOS is constitutively expressed in endothelial 35 cells, but various physical and chemical stimuli affect eNOS levels in vivo and in 36 vitro.18 Moreover, eNOS is activated upon exposure to fluid shear stress and 37 numerous agonists via cellular events such as protein phosphorylation. 38 Protein phosphatase 2A (PP2A) is a heterotrimeric complex composed of three 39 subunits including a structural subunit (PP2A-A), a regulatory subunit (PP2A-B), and 40 a catalytic subunit (PP2A-C).19 PP2A is a crucial intracellular serine/threonine 41 phosphatase.20 In addition, PP2A plays a significant role in the regulation of specific 42 signal transduction cascades including ERK1/2,21 JNK,22 and p38 MAPK.23 In recent 43 years, PP2A was shown to have tumor suppressor activity in myeloid CML-BC 44 patient-derived mononuclear marrow cells.24 Thus, enhancement of PP2A tumor 45 suppressor activity may represent a potential therapeutic strategy for malignancy. 46 The anti-tumor effect of DHA has been studied in MCF-7 human breast cancer 47 cells by induction of heme oxygenase 1 and inhibition of TPA-induced matrix 48 metalloproteinase 9 (MMP-9) expression.3 Moreover, DHA was reported to have a 49 potent anti-angiogenic effect.25 The pro-angiogenic effect of VEGF and NO has also 50 been demonstrated.15 In this study, therefore, we investigated whether DHA has an 51 opposing effect on cell migration that is associated with angiogenesis and wound 52 repair and the possible mechanisms involved. 53 54 MATERIALS AND METHODS 55 56 Reagents. Medium 199 (M199), Dulbecco’s modified Eagle’s medium, 0.25% 57 trypsin-EDTA, and penicillin-streptomycin-amphotericin solution were from 58 GIBCO-BRL (Grand Island, NY); endothelial cell growth supplement (ECGS) was 59 from Upstate Biotechnology (Lake Placid, NY); fetal bovine serum (FBS) was from 60 HyClone (Logan, UT); DHA was from Cayman Chemical (Ann Arbor, MI); 61 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide, sodium bicarbonate, 62 heparin, gelatin, S-nitroso-N-acetyl-DL-penicillamine (SNAP, NO donor), LY294002 63 (PI3K kinase inhibitor), GW9508 (GPR120 agonist), and antibody against β-actin 64 were from Sigma-Aldrich (St. Louis, MO); VEGF was from Peprotech (Rocky Hill, 65 NJ); okadaic acid (OA) was from Millipore (Darmstadt, Germany); PD98059 66 (ERK1/2 inhibitor) was from TOCRIS (Ellisville, MO); and antibodies against 67 ERK1/2, phospho-ERK1/2, eNOS, and phospho-eNOS were from Cell Signaling 68 Technology (Danvers, MA). 69 Cell Cultures. The human umbilical vein endothelial cell line (HUVEC; CC-2517) 70 was obtained from Clonetics (San Diego, CA) and was cultured on gelatin-coated cell 71 culture dishes in M199 supplemented with 2.2 g/L sodium bicarbonate (NaHCO3), 0.1 72 g/L heparin, 37.5 mg/L ECGS, 20% FBS, 100,000 units/L penicillin, 0.25 mg/mL 73 amphotericin, and 100 mg/L streptomycin at 37oC in a 5% CO2 humidified incubator. 74 DHA Preparation. DHA samples were prepared as described previously.1 75 Cell Viability Assay. Cell viability was assessed by the MTT assay. The MTT assay 76 measures the ability of viable cells to reduce a yellow 77 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide to a purple formazan 78 by mitochondrial succinate dehydrogenase. HUVECs were grown to 80% to 90% 79 confluence and then treated with various concentrations of DHA (0-200 μM) and 80 GW9508 (1-10 μM) with or without VEGF (50 ng/mL) for 8 h in M199 containing 81 2% FBS. Finally, the medium was removed and the cells were washed with 82 phosphate-buffered saline (PBS). The cells were then incubated with MTT (0.5 83 mg/mL) in M199 medium at 37oC for an additional 3 h. The medium was removed 84 and 2-propanol was added to dissolve the formazan. After centrifugation at 10000g 85 for 5 min, the supernatant of each sample was transferred to 96-well plates, and 86 absorbance was read at 595 nm in an ELISA reader. The absorbance in the control 87 group was regarded as 100% cell viability. 88 Western Blotting Analysis. After each experiment, cells were washed twice with 89 PBS and were harvested with 150 μL lysis buffer (10 mM Tris-HCl, pH 8.0, 0.1% 90 Triton X-100, 320 mM sucrose, 5 mM EDTA, 1 mM PMSF, 1 mg/L leupeptin, 1 mg/L 91 aprotinin, and 2 mM DTT). Cell homogenates were centrifuged at 14000g for 20 min 92 at 4oC. The resulting supernatant was used as a cellular protein for Western blotting 93 analysis. The total protein was analyzed by use of the Coomassie Plus protein assay 94 reagent kit (Pierce Biotechnology Inc., Rockford, IL). Equal amounts of cellular 95 proteins were electrophoresed in a sodium dodecyl sulfate (SDS)-polyacrylamide gel, 96 and proteins were then transferred to polyvinylidene fluoride membranes (Millipore 97 Corp., Bedford, MA). Nonspecific binding sites on the membranes were blocked with 98 5% nonfat milk in 15 mM Tris/150 mM NaCl buffer (pH 7.4) at room temperature for 99 2 h. Membranes were probed with anti-ERK1/2, anti-phospho-ERK1/2, anti-eNOS, 100 anti-phospho-eNOS, and anti-β-actin. The membranes were then probed with the 101 secondary antibody labeled with horseradish peroxidase. The bands were visualized 102 by using an enhanced chemiluminescence kit (PerkinElmer Life Science, Boston, MA) 103 and were scanned by use of a luminescence image analyzer (LAS-4000, FUJIFILM, 104 Japan). The bands were quantitated with ImageGauge software (FUJIFILM). 105 Cell Migration Assay. An in vitro wound healing assay was used to measure 106 directional endothelial cell migration. HUVECs were seeded onto gelatin-coated 107 6-well plates and allowed to form a confluent monolayer. Monolayers were wounded 108 by using a sterile 200-μL pipette tip, washed with PBS to remove floating cells, and 109 photographed (time 0). Cells were then cultured in M199 medium containing 2% FBS 110 and 50 ng/mL of VEGF. Meanwhile, the cells were treated with various 111 concentrations of DHA (0-100 μM) with or without SNAP (20 μM) or OA (10 nM) 112 for 8 h. In addition, the cells were treated with GW9508 (10 μM) for 8 h. Cells were 113 then photographed (100x magnification) to monitor cell migration into the wounded 114 area, and the width of the cell-free zone (distance between the edges of the injured 115 monolayer) was calculated. 116 PP2A Activity Assay. PP2A activity was determined by use of a Ser/Thr phosphatase 117 assay kit according to the instructions of the manufacturer (Upstate, Darmstadt, 118 Germany). After treatment, cells were scraped with lysis buffer (10 mM tris/Triton 119 X-100, 0.32 M sucrose, 5 mM EDTA) and protease inhibitors, sonicated for 10 s, and 120 centrifuged at 2000g for 5 min. Thereafter, phosphopeptide (K-R-pT-I-R-R) was 121 added to the cell lysate, followed by incubation at room temperature for 15 min, and 122 then Malachite Green phosphate was added and the reaction was allowed to proceed 123 at room temperature for another 15 min for color development. The relative 124 absorbance was measured at 650 nm in a microplate reader (Bio-Rad). 125 Statistical Analysis. Data were analyzed by using analysis of variance (SAS Institute, 126 Cary, NC, USA). The significance of the difference between mean values was 127 determined by one-way analysis of variance followed by Tukey’s test. p values < 0.05 128 were taken to be statistically significant. 129 130 RESULTS 131 132 Effect of DHA and GW9508 on Cell Viability in the Presence or Absence of 133 VEGF. As measured by the MTT assay, the cell viabilities of HUVECs treated with 134 VEGF alone; 50, 100, or 200 M DHA; or VEGF and 50, 100, or 200 M DHA were 135 110.5%6.6%, 92.9%1.2%, 92.4%2.7%, 12.1%2.5%, 103.6%7.4%, 136 98.5%7.8%, and 11.8%0.8%, respectively, compared with the unstimulated 137 controls (100%). Thus, there were no adverse effects on the growth of cells up to a 138 concentration of 100 M DHA in the presence or absence of 50 ng/mL of VEGF, 139 which was used to induce cell migration. The highest concentration of DHA used in 140 the present study was 100 M. 141 The cell viabilities of HUVECs treated with VEGF alone, 1 or 10 M GW9508, 142 or VEGF and 1 or 10 M GW9508 were 116.3%5.8%, 97.6%3.5%, 99.1%2.5%, 143 107.6%4.5%, and 107.0%7.3%, respectively, compared with the unstimulated 144 controls (100%). Thus, there were no adverse effects on the growth of cells up to a 145 concentration of 10 M GW9508 in the presence or absence of 50 ng/mL of VEGF. 146 DHA Inhibits VEGF-Induced Cell Migration of HUVECs. Endothelial cell 147 migration is necessary to angiogenesis and wound repair. In addition to activation by 148 chemotactic, hepatotactic, and mechanotactic stimuli, angiogenesis involves 149 degradation of the extracellular matrix by matrix metalloproteinases (MMPs) to 150 enable progression of the migrating cells.26 Moreover, at least 10 MMPs are 151 up-regulated during wound healing by epidermal, dermal, fibroblast, and blood cells 152 in mammals.27 To determine the effect of DHA on endothelial cell migration in vitro, 153 confluent monolayers of HUVECs were scratched and cultured with M199 medium 154 containing 2% FBS plus 50 ng/mL of VEGF alone or in addition to 100 M DHA. As 155 shown in Figure 1, VEGF significantly induced cell migration, whereas co-culture 156 with DHA inhibited the VEGF-induced cell migration (p < 0.05). 157 Phosphorylation of ERK1/2 and eNOS Is Involved in VEGF-Induced Cell 158 Migration. VEGF has been shown to induce a wide variety of signaling pathways 159 that transduce the physiological or pathophysiological activities of VEGF. ERK1/2 is 160 one such pathway. It has been shown that there is a relationship between ERK1/2 161 phosphorylation and eNOS activation in rat sinusoidal endothelial cells.28 Thus, we 162 determined the effect of VEGF on both ERK1/2 and eNOS phosphorylation. As 163 shown in Figure 2A, VEGF stimulated the phosphorylation of ERK1/2 and eNOS, 164 and this activation was abolished by the ERK1/2 inhibitor PD98059. However, 165 VEGF showed no effect on Akt phosphorylation (data not shown). VEGF stimulated 166 cell migration and this effect was dependent on ERK1/2 (Figure 2B). These results 167 suggested that VEGF stimulation of cell migration is mediated by the ERK1/2/eNOS 168 169 pathway. Inhibition of VEGF-Induced Cell Migration by DHA Is Associated with the 170 Induction of PP2A Enzyme Activity and the Inhibition of ERK1/2 and eNOS 171 Phosphorylation. Tumor metastasis, the spreading of the primary tumor to distant 172 organs, is recognized to be one of the major causes of failure in the treatment of 173 cancer.29 Thus, intervention in a key step in the metastatic process, such as 174 angiogenesis, is an effective mechanism for cancer therapy. VEGF plays a critical role 175 in tumor angiogenesis and has been shown to phosphorylate eNOS on Ser1177 in 176 glomerular endothelial cells.30 NO produced by activation of eNOS regulates 177 angiogenesis. Dephosphorylation of phosphorylated eNOS is mediated by protein 178 phosphatase 2A (PP2A).31 In the present study, the role of DHA in VEGF-induced cell 179 migration was studied by using a wound healing assay. As shown in Figure 3A, DHA 180 inhibited VEGF-induced cell migration and this inhibition was abolished by treatment 181 with the PP2A inhibitor OA. These results suggested that DHA inhibition of 182 VEGF-induced cell migration is likely associated with activation of PP2A enzyme 183 activity. 184 Recently, it was shown that PP2A has tumor suppressor activity in myeloid 185 CML-BC patient-derived mononuclear marrow cells.24 We used the Ser/Thr 186 phosphatase assay to measure PP2A enzyme activity. As shown in Figure 3B, DHA 187 significantly stimulated PP2A enzyme activity compared with that in the control 188 group and this activation was attenuated by treatment with OA. We next examined 189 whether OA reversed the DHA inhibition of VEGF-induced ERK1/2 and eNOS 190 phosphorylation. As shown in Figure 3C, VEGF induced phosphorylation of ERK1/2 191 and eNOS and pretreatment with DHA attenuated this induction. Nevertheless, 192 pretreatment with OA reversed the inhibition of eNOS phosphorylation by DHA. OA 193 also reversed the attenuation of VEGF-induced ERK1/2 phosphorylation by DHA, 194 although this effect was not significant. 195 Effect of GPR120 Agonist on VEGF-Induced Phosphorylation of ERK1/2 and 196 eNOS As Well As Cell Migration. GPR120 is a physiological receptor for long-chain 197 fatty acids, in particular n-3 fatty acids, such as -linolenic acid, eicosapentaenoic 198 acid (EPA), and DHA.11,32 To determine the role of GPR120 in DHA’s inhibition of 199 cell migration, we used the GPR120 agonist GW9508. As shown in Figure 4A, 200 GW9508 had an effect similar to that of DHA on the VEGF-induced phosphorylation 201 of ERK1/2 and eNOS. Moreover, the inhibitory effect of DHA on VEGF-induced cell 202 migration was replicated by GW9508 (Figure 4B). These results suggested that the 203 effects of DHA were highly associated with binding to GPR120. 204 205 SNAP Reverses DHA Inhibition of VEGF-Induced Cell Migration. VEGF activates eNOS and stimulates the release of NO from HUVECs.33 206 Endothelium-derived NO is critical regulator of endothelial cell migration, survival, 207 and angiogenesis.34 To determine the effect of the NO donor SNAP on endothelial 208 cell migration in vitro, confluent monolayers of HUVECs were scratched and cultured 209 in M199 medium containing 2% FBS plus vehicle, 50 ng/mL of VEGF, 100 M DHA 210 and 50 ng/mL of VEGF, or 100 M DHA, 20 M SNAP, and 50 ng/mL of VEGF, 211 respectively. As shown in Figure 5, SNAP reversed DHA inhibition of VEGF-induced 212 cell migration. 213 214 215 DISCUSSION Cancer has attracted considerable attention in the past decades because it is among 216 the leading causes of death globally.4 Protection against cancer by DHA is attributed 217 to the anti-angiogenic activity of DHA.35 However, the mechanisms by which DHA 218 inhibits angiogenesis are still not fully clarified. In this study, we explored the 219 inhibition of HUVEC cell migration by DHA and the possible mechanisms involved. 220 We demonstrated that DHA inhibits VEGF-induced HUVEC cell migration and that 221 this suppression is likely associated with binding to GPR120, activation of PP2A 222 enzyme activity, and inhibition of the ERK1/2/eNOS signaling pathway. 223 Several mechanisms have been proposed to demonstrate the inhibitory role of 224 DHA in angiogenesis, including induction of apoptosis and reduction of cell 225 proliferation.36-38 Rose and Connolly36 proposed that the inhibition of breast cancer 226 cell proliferation by DHA was related to the reduced production of series 2 227 eicosanoids. Although DHA may prevent the occurrence of angiogenic diseases, it has 228 potential side effects on subjects receiving revascularization therapy because of its 229 inhibition of cell migration.39 In recent years, EPA and DHA have been shown to 230 inhibit angiogenesis, possibly by regulating the production or activation of various 231 pro-angiogenic factors such as eNOS, VEGF, cyclooxygenase 2 (COX-2)-derived 232 prostanoids, and MMP-9.7,40,41 Moreover, EPA and DHA dose-dependently inhibit 233 ERK1/2 phosphorylation and this is likely associated with reduced PGE2 and VEGF 234 production by EPA and DHA in HT-29 human colorectal cells.40 235 VEGF has been shown to induce eNOS phosphorylation and cell migration in 236 HUVECs, and this activation is abolished by DHA.42 Moreover, DHA has been 237 demonstrated to inhibit TPA-induced MMP-9 expression and cell migration and 238 invasion in MCF-7 breast cancer cells.3 Consistent with the results of these previous 239 studies, our data showed that DHA exerted an inhibitory effect on VEGF-induced cell 240 migration in HUVECs (Figure 1). Cell migration is essential for angiogenesis. Thus, 241 the results of the present study suggest that DHA is a potential anti-angiogenic agent. 242 ERK1/2 is known to play an important role in cell proliferation, and protein 243 phosphatases are generally identified as inhibitors of cell proliferation via 244 dephosphorylation of ERK1/2.21 Activation of the Akt/eNOS43 or ERK1/2/eNOS30 245 pathways is reported to be involved in VEGF-induced NO release. In the present 246 study, VEGF activated phosphorylation of ERK1/2 but not of Akt (data not shown). 247 Pretreatment with the ERK1/2 inhibitor PD98059 abolished VEGF-induced 248 phosphorylation of ERK1/2 and eNOS in HUVECs (Figure 2A). These results suggest 249 that eNOS is the downstream target of ERK1/2. Moreover, DHA was shown to inhibit 250 VEGF-induced cell migration via suppression of the ERK1/2/eNOS signaling 251 pathway (Figure 3A and Figure 3C). Similar to DHA treatment, the ERK1/2 inhibitor 252 PD98059 abolished cell migration (Figure 2B). Furthermore, as shown in Figure 5, 253 SNAP reversed the DHA inhibition of VEGF-induced cell migration. These results 254 strongly suggest that the DHA inhibition of VEGF-induced cell migration is through 255 the ERK1/2/eNOS-mediated signaling pathway. 256 Reversible protein phosphorylation plays an important role in many cellular 257 processes.20 In general, cells use protein phosphorylation to alter enzyme properties 258 such as activity and cell distribution of key regulatory proteins involved in specific 259 pathways. Through the use of specific PP2A inhibitors and gene silencing technique, 260 PP2A has been shown to play a key role in the regulation of cell cycle, cell 261 morphology, and development. In addition, PP2A was demonstrated to be a tumor 262 suppressor and can be a target for cancer therapy.44 For example, it is reported that 263 conjugated linoleic acid inhibits the proliferation of MCF-7 human breast cancer cells 264 and that the working mechanisms include activation of PP2A and inhibition of 265 ERK1/2 activation.21 Pretreatment with the PP2A inhibitor OA reverses the effect of 266 conjugated linoleic acid on both increased PP2A expression level and 267 dephosphorylation of ERK1/2. This result strongly suggests that dephosphorylation of 268 ERK1/2 is mediated by PP2A. 269 270 Phosphorylated eNOS is also a substrate of PP2A.31 It is reported that endostatin inhibits endothelial cell migration and angiogenesis by down-regulating the 271 phosphorylation of eNOS at Ser1177 via PP2A, which results in a decrease in NO 272 synthesis.45,46 In the present study, we demonstrated that DHA activated PP2A 273 enzyme activity, which was inhibited by OA pretreatment (Figure 3B). Pretreatment 274 with OA reversed the inhibitory effect of DHA on VEGF-induced cell migration and 275 phosphorylation of ERK1/2 and eNOS (Figure 3A and Figure 3C). These results 276 indicate that PP2A participates in the DHA inhibition of VEGF-induced 277 ERK1/2/eNOS phosphorylation and cell migration. Activation of PP2A by DHA is by 278 an as yet unidentified signaling pathway. 279 DHA exerts anti-inflammatory effects, but the mechanisms of these effects are not 280 fully understood. It has been shown that GPR120 functions as an n-3 PUFA receptor.11 281 In an in vitro study using RAW 264.7 cells and primary intraperitoneal macrophages, 282 stimulation of GPR120 with n-3 PUFAs or the chemical agonist GW9508 causes a 283 wide range of anti-inflammatory effects. All of these effects are abolished by GPR120 284 knockdown. Therefore, we hypothesize that DHA inhibits VEGF-induced cell 285 migration through binding with GPR120. We used the GPR120 agonist GW9508 to 286 simulate the activation of GPR120 by DHA in the suppression of VEGF-induced cell 287 migration. The results showed that GW9508 significantly inhibited VEGF-induced 288 cell migration, and the inhibitory effect was similar to that of DHA (Figure 4B). In 289 addition, GW9508 significantly suppressed VEGF-induced phosphorylation of 290 291 ERK1/2 and eNOS (Figure 4A), which is critical to cell migration. Our findings in the present study are presented schematically in Figure 6. In 292 conclusion, DHA significantly inhibits VEGF-induced phosphorylation of ERK1/2 293 and eNOS and cell migration via binding to GPR120 and induction of PP2A enzyme 294 activity in HUVECs. Treatment with the NO donor SNAP reverses the DHA 295 inhibition of VEGF-induced cell migration. Taken together, these results support an 296 opposing role of DHA in cell migration, which is implicated in its anti-cancer and 297 anti-wound repair properties. 298 299 Funding Sources 300 This study was supported by grants NSC-101-2313-B-039-007-MY3 and 301 CMU101-ASIA-11. 302 303 Conflict of interest statement 304 Che-Yi Chao, Chong-Kuei Lii, Siou-Yu Ye, Chien-Chun Li, Chia-Yang Lu, Ai-Hsuan 305 Lin, Kai-Li Liu, Haw-Wen Chen, no conflicts of interest. 306 307 LITERATURE CITED 308 (1) Yang, Y. C.; Lii, C. K.; Wei, Y. L.; Li, C. C.; Lu, C.Y.; Liu, K. L.; Chen, H. W. 309 Docosahexaenoic acid inhibition of inflammation is partially via cross-talk between 310 Nrf2/heme oxygenase 1 and IKK/NF-kappaB pathways. J. Nutr. Biochem. 2013, 24, 311 204-212. 312 (2) Simopoulos, A. P. Omega-3 fatty acids in inflammation and autoimmune diseases. 313 J. Am. Coll. Nutr. 2002, 21, 495-505. 314 (3) Chen, H. W.; Chao, C. Y.; Lin, L. L.; Lu, C. Y.; Liu, K. L.; Lii, C. K.; Li, C. 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Phosphorylation of ERK1/2 and eNOS is involved in VEGF-induced 460 migration of HUVECs. (A) Cells were starved in M199 containing 2% FBS for 7 h 461 and then pretreated with 20 μM of the ERK1/2 inhibitor PD98059 for 1 h followed by 462 incubation with 50 ng/mL of VEGF for another 15 min. (B) Cells were scratched and 463 were co-treated with 20 μM PD98059 and 50 ng/mL VEGF or treated with 50 ng/mL 464 of VEGF for 8 h. Values are mean ± SD, n=3. Values not sharing the same letter are 465 significantly different (p<0.05). 466 467 Figure 3. Protein phosphatase 2A (PP2A) is involved in DHA inhibition of 468 VEGF-induced phosphorylation of ERK1/2 and eNOS and cell migration. (A) 469 HUVECs were scratched and pretreated with or without 10 nM of the PP2A inhibitor 470 okadaic acid (OA) for 1 h and were then treated with 100 μM DHA along with 50 471 ng/mL of VEGF or 50 ng/mL of VEGF for another 8 h. (B) HUVECs were pretreated 472 with or without 10 nM OA for 1 h and were then treated with 100 μM DHA for 473 another 4 h. (C) HUVECs were pretreated with 10 nM OA for 1 h and were then 474 treated with 100 μM DHA for 8 h before being challenged with 50 ng/mL of VEGF 475 for another 15 min. Values are mean ± SD, n=3. Values not sharing the same letter are 476 significantly different (p<0.05). 477 478 Figure 4. Effect of GPR120 agonist on phosphorylation of ERK1/2 and eNOS and 479 cell migration induced by VEGF in HUVECs. (A) Cells were pretreated with 100 μM 480 DHA or 10 μM GW9508 for 8 h followed by incubation with 50 ng/mL of VEGF for 481 another 15 min. (B) Cells were scratched and were co-treated with 100 μM DHA or 482 10 μM GW9508 along with 50 ng/mL of VEGF for 8 h. Values are mean ± SD, n=3. 483 Values not sharing the same letter are significantly different (p<0.05). 484 485 Figure 5. SNAP reverses DHA inhibition of VEGF-induced migration in HUVECs. 486 Cells were scratched and were treated with 50 ng/mL of VEGF alone, co-treated with 487 100 μM DHA and 50 ng/mL of VEGF, or co-treated with 20 μM SNAP, 100 μM DHA, 488 and 50 ng/mL of VEGF for 8 h. Values are mean ± SD, n=3. Values not sharing the 489 same letter are significantly different (p<0.05). 490 491 Figure 6. Model showing the pathways that mediate DHA inhibition of 492 VEGF-induced cell migration in HUVECs. DHA inhibits VEGF-induced cell 493 migration via binding to GPR120, activation of PP2A, and inhibition of ERK1/2 and 494 eNOS phosphorylation. 495 496 497 498 499 500 501 502 503 504 505 506 507 508 509