Review Article
Cdc42 Regulates the Restoration of Endothelial Adherens Junctions and Permeability

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The endothelial adherens junction (AJ) complex consisting of VE-cadherin and its associated catenins is a major determinant of fluid, solute, and plasma protein permeability of the vessel wall endothelial barrier. Impairment of endothelial barrier function contributes to cardiovascular diseases such as vascular inflammation and atherosclerosis. Adherens junctions disassemble in response to proinflammatory mediators, producing an increase in endothelial permeability; however, AJs also have the capacity to reassemble, leading to restoration of endothelial barrier function. Activation of Cdc42, a member of the Rho family of monomeric GTPases, is an essential signal regulating reannealing of AJs and reversal of the increase in endothelial permeability. The possibility of activating Cdc42 therapeutically represents a novel approach to prevent inflammatory diseases resulting from breakdown of the endothelial barrier. This review summarizes recent findings concerning the role of Cdc42 in restoring endothelial barrier integrity.

Section snippets

Structure of Endothelial Adherens Junctions

Adherens junctions are formed by Ca2+-dependent homotypic binding of the extracellular region of VE-cadherin to another VE-cadherin protein on the neighboring cell's plasma membrane (Figure 1A). The VE-cadherin interaction is regulated by the binding of intracellular domains of VE-cadherin to the catenin proteins (p120-catenin [p120ctn], β-catenin, and γ-catenin) (Lampugnani et al. 1995). The strength of intercellular adhesion mediated by VE-cadherin is dependent on the association of its

Role of Adherens Junctions in the Mechanism of Vascular Inflammation

Adherens junctions are responsible for the normal functioning of the endothelial barrier. Mice with deletions of either VE-cadherin or VE-cadherin's β-catenin-binding domain were embryonically lethal because of severely impaired vasculogenesis (Carmeliet et al. 1999). In adult mice, transduction of the cadherin mutant lacking the VE-cadherin extracellular domain (Broman et al. 2006), disruption of homotypic binding of cadherin proteins using anti–VE-cadherin antibody (Corada et al. 2002), and

Cdc42-Mediated Restoration of Endothelial Barrier Function

The Rho GTPase Cdc42 is particularly important in restoring endothelial junctional integrity. Studies showed that RhoA activation leads to formation of contractile stress fibers, whereas Cdc42 and, to a lesser extent, Rac1 coordinate the reorganization of actin filaments into membrane ruffles, filopodia, and lamellipodia (Hall 2005). Cdc42- and Rac1-induced actin cytoskeletal reorganization induces the apposition of AJs at the plasma membrane and promotes AJ reannealing. Both Cdc42 and Rac1

Mechanisms of Cdc42-Mediated Endothelial Adherens Junctional Repair

There is considerable speculation concerning the mechanisms of Cdc42-mediated reannealing of AJs. It is likely that repair of AJs requires the proper targeting of AJ proteins, VE-cadherin and catenins, and actin monomers at sites in the plasma membrane. Cdc42 is known to bind partitioning-defective protein 6 (Nishimura et al. 2005) and PKCζ (Plant et al. 2003), which may induce endothelial cell polarity during AJ repair. In addition, Cdc42, by interacting with vesicular trafficking proteins

Conclusions and Future Directions

Whereas the increase in endothelial permeability in response to humoral and inflammatory cells is important for host-tissue defense and tissue fluid balance, the failure to restore endothelial barrier function likely underlies the morbidity and mortality associated with vascular diseases such as ischemia-reperfusion injury, atherosclerosis, acute lung injury, septic shock, and metastasis. An understanding of the signals responsible for reversing the increase in endothelial permeability may

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