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Updated: Apr 12, 2026

Evaluating Vascular Hyperpermeability-inducing Agents in the Skin with the Miles Assay
Published on: June 19, 2018
Isthmin is a novel vascular permeability inducer that functions through cell-surface GRP78-mediated Src activation
Shruthi Venugopal1, Mo Chen1, Wupeng Liao2
1Department of Biological Sciences, Faculty of Science, 14 Science Drive 4, National University of Singapore, Singapore, Singapore 117543.
Isthmin (ISM) induces vascular hyperpermeability by activating Src kinase through GRP78. This mechanism contributes to acute lung injury, suggesting GRP78 as a therapeutic target.
Area of Science:
- Cell Biology
- Physiology
- Molecular Medicine
Background:
- Isthmin (ISM) is a secreted protein known as an angiogenesis inhibitor.
- ISM interacts with cell-surface receptors, including glucose-regulated protein 78 kDa (GRP78) and αvβ5 integrin.
- αvβ5 integrin is implicated in pulmonary vascular permeability (VP), and ISM is abundant in mouse lungs.
Purpose of the Study:
- To investigate the role of Isthmin (ISM) in regulating pulmonary vascular permeability (VP).
- To elucidate the molecular mechanisms by which ISM affects VP.
- To determine ISM's contribution to acute lung injury (ALI).
Main Methods:
- In vitro studies using endothelial cell monolayers.
- In vivo experiments in mice, including intradermal and intravenous administration of recombinant ISM (rISM).
- Molecular and biochemical analyses to identify signaling pathways involved, including Src activation and protein interactions. Studies utilizing specific chemical inhibitors and antibodies.
Main Results:
- Recombinant ISM (rISM) dose-dependently increased endothelial monolayer permeability in vitro and dermal VP in mice.
- Systemic rISM administration caused significant lung vascular hyperpermeability.
- ISM-GRP78 interaction activated Src kinase, leading to adherens junction protein disruption and enhanced VP. Apoptosis contributed indirectly.
- ISM was upregulated in LPS-induced ALI mouse lungs, and anti-GRP78 antibody treatment attenuated lung vascular hyperpermeability.
Conclusions:
- Isthmin (ISM) is a novel inducer of vascular permeability (VP).
- ISM functions via GRP78-mediated Src activation and apoptosis induction.
- ISM contributes to the pulmonary vascular hyperpermeability observed in LPS-induced ALI.
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