S100A4 and bone morphogenetic protein-2 codependently induce vascular smooth muscle cell migration via phospho-extracellular signal-regulated kinase and chloride intracellular channel 4
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Updated: Jun 20, 2026

Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation
Published on: May 31, 2016
Edda Spiekerkoetter1, Christophe Guignabert, Vinicio de Jesus Perez
1Department of Pediatrics, Stanford University School of Medicine, Stanford, Calif 94305-5162, USA.
Rationale:
S100A4/Mts1 is implicated in motility of human pulmonary artery smooth muscle cells (hPASMCs), through an interaction with the RAGE (receptor for advanced glycation end products).
Objective:
We hypothesized that S100A4/Mts1-mediated hPASMC motility might be enhanced by loss of function of bone morphogenetic protein (BMP) receptor (BMPR)II, observed in pulmonary arterial hypertension.
Methods And Results:
Both S100A4/Mts1 (500 ng/mL) and BMP-2 (10 ng/mL) induce migration of hPASMCs in a novel codependent manner, in that the response to either ligand is lost with anti-RAGE or BMPRII short interference (si)RNA. Phosphorylation of extracellular signal-regulated kinase is induced by both ligands and is required for motility by inducing matrix metalloproteinase 2 activity, but phospho-extracellular signal-regulated kinase 1/2 is blocked by anti-RAGE and not by BMPRII short interference RNA. In contrast, BMPRII short interference RNA, but not anti-RAGE, reduces expression of intracellular chloride channel (CLIC)4, a scaffolding molecule necessary for motility in response to S100A4/Mts1 or BMP-2. Reduced CLIC4 expression does not interfere with S100A4/Mts1 internalization or its interaction with myosin heavy chain IIA, but does alter alignment of myosin heavy chain IIA and actin filaments creating the appearance of vacuoles. This abnormality is associated with reduced peripheral distribution and/or delayed activation of RhoA and Rac1, small GTPases required for retraction and extension of lamellipodia in motile cells.
Conclusions:
Our studies demonstrate how a single ligand (BMP-2 or S100A4/Mts1) can recruit multiple cell surface receptors to relay signals that coordinate events culminating in a functional response, ie, cell motility. We speculate that this carefully controlled process limits signals from multiple ligands, but could be subverted in disease.
Insights
S100A4/Mts1 and Bone Morphogenetic Protein-2 (BMP-2) promote human pulmonary artery smooth muscle cell (hPASMC) migration via a codependent mechanism involving Receptor for Advanced Glycation End Products (RAGE) and Bone Morphogenetic Protein Receptor II (BMPRII). Loss of BMPRII function in pulmonary arterial hypertension may enhance this motility.
Area of Science:
- Cellular Biology
- Molecular Biology
- Cardiovascular Research
Background:
- S100A4/Mts1 protein is known to influence the motility of human pulmonary artery smooth muscle cells (hPASMCs).
- This motility is partly mediated through interactions with the receptor for advanced glycation end products (RAGE).
- Pulmonary arterial hypertension (PAH) is characterized by the loss of function of bone morphogenetic protein receptor II (BMPRII).
Purpose of the Study:
- To investigate the hypothesis that S100A4/Mts1-mediated hPASMC motility is exacerbated by the loss of BMPRII function.
- To elucidate the molecular mechanisms underlying the interaction between S100A4/Mts1, BMP-2, RAGE, and BMPRII in hPASMC migration.
Main Methods:
- Treatment of hPASMCs with S100A4/Mts1 and BMP-2.
- Utilized anti-RAGE antibodies and BMPRII short interference (si)RNA to assess receptor involvement.
- Analyzed extracellular signal-regulated kinase (ERK) phosphorylation, matrix metalloproteinase 2 (MMP-2) activity, and intracellular chloride channel 4 (CLIC4) expression.
- Investigated the role of RhoA and Rac1 GTPases in cell motility.
Main Results:
- Both S100A4/Mts1 and BMP-2 independently induced hPASMC migration, dependent on both RAGE and BMPRII.
- ERK phosphorylation, induced by both ligands, was required for motility via MMP-2 activation, with RAGE blocking this pathway.
- BMPRII siRNA, but not anti-RAGE, reduced CLIC4 expression, affecting cytoskeletal organization and RhoA/Rac1 activation, leading to vacuole formation.
Conclusions:
- A single ligand (BMP-2 or S100A4/Mts1) can engage multiple cell surface receptors (RAGE, BMPRII) to coordinate signaling pathways.
- These coordinated signals culminate in a functional cellular response, specifically cell motility.
- This intricate signaling network, while precise, may be dysregulated in diseases like pulmonary arterial hypertension.
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