Review
The role of BMPs in endothelial cell function and dysfunction

https://doi.org/10.1016/j.tem.2014.05.003Get rights and content

Highlights

  • In addition to BMP2 and BMP4, BMP9 plays crucial, context-specific roles in the endothelium.

  • The recently coined ‘type III’ coreceptors interact with the type I and type II receptors and typically lead to endocytotic recycling of the BMP/BMP receptor complex.

  • BMPs activate different intracellular signaling cascades that play key roles in hypertension, vascular disorders, and atherosclerosis.

The bone morphogenetic protein (BMP) family of proteins has a multitude of roles throughout the body. In embryonic development, BMPs promote endothelial specification and subsequent venous differentiation. The BMP pathway also plays important roles in the adult vascular endothelium, promoting angiogenesis and mediating shear and oxidative stress. The canonical BMP pathway functions through the Smad transcription factors; however, other intracellular signaling cascades can be activated, and receptor complexes beyond the traditional type I and type II receptors add additional layers of regulation. Dysregulated BMP signaling has been linked to vascular diseases including pulmonary hypertension and atherosclerosis. This review addresses recent advances in the roles of BMP signaling in the endothelium and how BMPs affect endothelial dysfunction and human disease.

Section snippets

BMPs in endothelial cells

The importance of the BMP (see Glossary) pathway in vascular development has been known for years. Beyond its importance in embryonic development, crucial roles have been identified in vascular disorders including hereditary hemorrhagic telangiectasia (HHT) and peripheral arterial hypertension (PAH) [1]. However, during development the BMP pathway has functions beyond those in endothelial differentiation, venous specification, and angiogenesis [2]. Recent studies have shown that the BMP pathway

The role of BMP signaling during angiogenesis

BMPs typically promote angiogenesis by increasing and inducing endothelial motility and invasion and by promoting proliferation [2]. HUVECs express the BMP receptors BMPRII and BMPR1b at high levels, and treating HUVECs with exogenous BMP2 increases their motility and invasion [20]. Although BAECs show decreased apoptosis in response to BMP2 treatment [32], HUVECs do not show changes in apoptosis in response to BMP2 [20]. These differential responses may be explained by endothelial

The interaction between BMP signaling and oxygen in angiogenesis

Hypoxia is a major inducer of angiogenesis, and the BMP pathway mediates the endothelial response to low oxygen levels. BMP9 downregulates apelin via BMPRII and the R-Smad intracellular pathways in microvascular endothelial cells exposed to hypoxia [43]. This downregulation blocks apelin-induced endothelial proliferation and allows hypoxia-induced angiogenesis [43]. Upstream of the BMP ligands, BMPER is downregulated in response to hypoxia, and this relieves the BMPER-induced downregulation of

The role of BMP signaling in hypertension

Hypertension is the leading chronic risk factor for mortality, and despite significant efforts to control the mortality associated with hypertension, the prevalence is increasing in the USA [48]. Multiple BMP ligands have well-established roles in pulmonary hypertension, and BMP receptor mutations also affect the response to oxidative stress. BMP2/4 normally stimulate BMPRII to promote the phosphorylation and activity of endothelial nitric oxide synthase (eNOS) via protein kinase A activation,

Concluding remarks

As one of the major signaling pathways in endothelial cells, the BMP pathway is understandably complex, as highlighted by the number of ligands, the diversity of receptors, and the myriad functions and intracellular cascades that it affects. This intricate pathway is essential for endothelial homeostasis and responding to both normal stressors (e.g., laminar shear and oxidative stress) and abnormal stressors (e.g., inflammation, hypoxia, and hypertension). The BMP pathway has been implicated in

Acknowledgments

We would like to thank Andrea Portbury and Davin Townley-Tilson for critical reading of the manuscript and the National Institutes of Health (grant R01HL061656) for funding support.

Glossary

Angiogenesis
the process of generating new blood vessels from existing blood vessels; requires endothelial proliferation, sprouting and migration from existing vessels, and tube formation in the next destination.
BAECs
bovine arterial endothelial cells.
Bone morphogenetic protein (BMP)
one of the two major subfamilies of the TGF-β superfamily; regulatory growth factor.
BMP receptors (BMPRs)
a family of transmembrane serine/threonine kinases that include type I (BMPR1A) and type II receptors (BMPR1B,

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