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Molecular and Cellular Biology, July 2006, p. 5015-5022, Vol. 26, No. 13
0270-7306/06/$08.00+0 doi:10.1128/MCB.02419-05
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Autotaxin, a Secreted Lysophospholipase D, Is Essential for Blood Vessel Formation during Development
Laurens A. van Meeteren,1
Paula Ruurs,1
Catelijne Stortelers,1
Peter Bouwman,2
Marga A. van Rooijen,3
Jean Philippe Pradère,4
Trevor R. Pettit,5
Michael J. O. Wakelam,5
Jean Sébastien Saulnier-Blache,4
Christine L. Mummery,3
Wouter H. Moolenaar,1* and
Jos Jonkers2
Division of Cellular Biochemistry and Center for Biomedical Genetics,1
Division of Molecular Biology, The Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX Amsterdam, The Netherlands,2
Hubrecht Laboratory, Netherlands Institute for Developmental Biology, 3584 CT Utrecht, The Netherlands,3
INSERM U586, Unité de Recherches sur les Obésités, 31432 Toulouse, France,4
CRUK Institute for Cancer Studies, Birmingham University, Birmingham B15 2TT, United Kingdom5
Received 20 December 2005/
Returned for modification 13 March 2006/
Accepted 20 April 2006

ABSTRACT
Autotaxin (ATX), or nucleotide pyrophosphatase-phosphodiesterase
2, is a secreted lysophospholipase D that promotes cell migration,
metastasis, and angiogenesis. ATX generates lysophosphatidic
acid (LPA), a lipid mitogen and motility factor that acts on
several G protein-coupled receptors. Here we report that ATX-deficient
mice die at embryonic day 9.5 (E9.5) with profound vascular
defects in yolk sac and embryo resembling the G
13 knockout phenotype.
Furthermore, at E8.5, ATX-deficient embryos showed allantois
malformation, neural tube defects, and asymmetric headfolds.
The onset of these abnormalities coincided with increased expression
of ATX and LPA receptors in normal embryos. ATX heterozygous
mice appear healthy but show half-normal ATX activity and plasma
LPA levels. Our results reveal a critical role for ATX in vascular
development, indicate that ATX is the major LPA-producing enzyme
in vivo, and suggest that the vascular defects in ATX-deficient
embryos may be explained by loss of LPA signaling through G
13.

INTRODUCTION
Autotaxin (ATX), also known as ectonucleotide pyrophosphatase-phosphodiesterase
2, belongs to the nucleotide pyrophosphatase (NPP) family of
ectoenzymes and exoenzymes, originally defined by their ability
to hydrolyze nucleotides in vitro (
8,
15,
44). Full-length ATX
is cleaved along the classical export pathway and secreted as
a catalytically active glycoprotein (
21,
52). ATX was initially
isolated as an autocrine motility factor for melanoma cells
(
45) and later found to promote metastasis and tumor vascularization
in nude mice as well as eliciting an angiogenic response in
Matrigel assays (
31,
32). Hence, ATX may contribute to tumor
progression by providing an invasive and/or angiogenic microenvironment
for both malignant and stromal cells, a notion supported by
growing evidence that ATX expression is upregulated in various
invasive and metastatic cancers (
4,
18,
22,
28,
43,
55).
The physiological substrate of ATX had remained elusive until it was discovered that ATX is identical to lysophospholipase D (lysoPLD), a secreted enzyme present in plasma and conditioned media that converts lysophosphatidylcholine (LPC) into bioactive lysophosphatidic acid (LPA) (11, 47, 48). LPA stimulates cell proliferation, migration, and survival by acting on specific G protein-coupled receptors (GPCRs) that are linked to multiple G proteins, including Gq/11, Gi/o, and G12/13 (20, 30). LPA promotes wound healing in vivo and has been implicated in tumor progression, inflammation, vascular disease, and neural development (5, 23, 28, 42, 51). It has now become clear that LPA production, rather than nucleotide metabolism, accounts for the growth factor-like effects of ATX observed in cell culture. Strikingly, the other NPP family members lack intrinsic lysoPLD activity despite the similarity between their catalytic domain and that of ATX (14), implying that ATX/NPP2 is a unique lysoPLD with no functional redundancy within the NPP family.
In addition to converting LPC into LPA, ATX can also hydrolyze sphingosyl-phosphorycholine (SPC) to yield sphingosine 1-phosphate (S1P) (7), a lipid mediator with signaling properties similar to those of LPA, while acting on distinct GPCRs. The physiological significance of the SPC-to-S1P conversion is doubtful, however, since plasma levels of SPC are >1,000-fold lower than those of LPC (26) and ATX hydrolyzes SPC less efficiently than LPC (7); in fact, S1P production can be accounted for entirely by the action of sphingosine kinases, with no need to invoke a role for ATX/lysoPLD activity, as revealed by the analysis of sphingosine kinase knockout mice (29).
ATX is widely expressed, with highest mRNA levels detected in brain, placenta, ovary, and intestine (12, 25, 46), but its in vivo functions remain unknown. In development, ATX is prominent in the floor plate of the neural tube at midgestation (3). To assess the biological importance of ATX and its relationship to downstream LPA signaling, we disrupted the ATX-encoding gene (Enpp2) in mice. We show that ATX deficiency leads to embryonic lethality at midgestation due to impaired vessel formation in the yolk sac and embryo proper, strongly reminiscent of the G
13 knockout phenotype (34). Our results suggest a key role for ATX-mediated LPA production and downstream G-protein signaling in vascular development.

MATERIALS AND METHODS
Construction of the Enpp2 targeting vector.
To generate a conditional
Enpp2F targeting construct, genomic
PAC clones encompassing
Enpp2 were obtained by screening high-density
filters of the RPCI-21 mouse PAC library with a cDNA probe containing
Enpp2 exons 6 to 8. Primers with AscI, PvuI, and SbfI restriction
sites were designed to amplify a 5.2 kb 5' flanking fragment,
a 1.4 kb central fragment (containing
Enpp2 exons 6 to 7), and
a 5 kb 3' flanking fragment, respectively. PCR amplification
was performed with a proofreading DNA polymerase (
Pwo polymerase;
Roche) for 12 cycles to prevent introduction of mutations. After
cloning of PCR products in a Zero Blunt TOPO cloning vector
(Invitrogen), fragments were excised using the appropriate restriction
sites and cloned into the pFlexible targeting vector (
49).
Generation of Enpp2F/+ ES cells and mice.
The targeting construct (Fig. 1A) was linearized with NotI and introduced into 129Ola-derived E14-IB10 embryonic stem (ES) cells by electroporation followed by selection of puromycin-resistant ES clones. Southern blot analysis of ApaI-digested DNA from 192 drug-resistant colonies with a 3' external probe (probe I) yielded 11 correctly targeted ES clones (Fig. 1B). The presence of the 5' LoxP site was determined by Southern blot analysis of HindIII-digested ES DNA with the 5' internal probe P2 (data not shown). Out of seven positive clones, three were used to remove the puro
TK marker by transient FLP recombinase expression (39). Ganciclovir-resistant colonies were analyzed by PCR using primers 1F and 1R to detect deletion of the puro
TK cassette and the presence of the 3' LoxP site. Two independent clones with normal karyotypes were injected into C57BL/6 blastocysts. Chimeric mice born from these embryos were crossed to FVB/N females to produce heterozygous mutant F1 offspring. All mouse strains used were maintained on a FVB genetic background.
DNA analysis.
DNA was isolated from mouse tissues and tail-tip DNA using the
Wizard Genomic DNA purification kit (Promega). Southern analysis
was performed with 10 µg of genomic DNA digested with
the appropriate restriction enzymes. Presence of the LoxP sites
and deletion of the floxed exons was determined by Southern
analysis of PstI-digested DNA with probe 3 (Fig.
1C). PCR analysis
of genomic DNA was performed with primers 1F and 1R or primers
2F and 1R. Primer set 1F and 1R yields 441 and 540 bp products
for the wild-type (wt) and floxed alleles, respectively. Primer
set 2F and 1R yields a product of 380 bp for the deleted allele
(Fig.
1D). Primer sequences were as follows: for 1F, 5'-CAT
TTC CAT TCC CTG CTC C-3'; for 1R, 5'-ACA GAC TTC TCT GAA GCT
GAC-3'; and for 2F, 5'-GCA CAT ACC TTT AAT TCC AGC AC-3'.
DNA probes.
Probe 1 was a 280-bp fragment of Enpp2 intron 8, produced by PCR amplification with primers 5'-GCATCTGCTGATCTCCGGAG-3' and 5'-CCAAGCATTGTAAAGGCACA-3'. Probe 2 was a 290-bp fragment of Enpp2 intron 5, produced by PCR amplification with primers 5'-GCATCTGCTGATCTCCGGAG-3' and 5'-CCAAGCATTGTAAAGGCACA-3'. Probe 3 was a 425-bp fragment of Enpp2 intron 5, produced by PCR amplification with primers 5'-GTGTTTAGATATCTTTATTTTTCC-3' and 5'-GAATATGTGAGTAATGTATG-3'.
Quantitative RT-PCR.
Embryos dissected free of decidua were snap frozen in liquid nitrogen, and total RNA was extracted. First-strand cDNA was synthesized with Superscript II reverse transcriptase (RT) (Invitrogen) and oligo(dT) primers. Real-time RT-PCR was carried out using 6.25 to 12.5 ng cDNA and 300 nM of each oligonucleotide in 25 µl of 1x SYBR green PCR master mix (Applied Biosystems). PCR conditions were 2 min at 50°C and 10 min at 95°C followed by 50 cycles of 15 s at 95°C and 1 min at 60°C. Product sizes were verified by collecting a melting curve from 55°C to 95°C after final amplification. HPRT (hypoxanthine phosphoribosyltransferase) and glyceraldehyde-3-phosphate dehydrogenase were used for data normalization. Standard curves were produced with serial dilutions of a cDNA mix of embryonic day 9.5 (E9.5) and E10.5 wt embryos. The sequences of the primers used were as follows: for Atx-F, 5'-GACCCTAAAGCCATTATTGCTAA-3'; for Atx-R, 5'-GGGAAGGTGCTGTTTCATGT-3'; for Vegfa-F, 5'-TGTACCTCCACCATGCCAAGT-3'; for Vegfa-R, 5'-TGGAAGATGTCCACCAGGGT-3'; for Hprt-F, 5'-CTG GTGAAAAGGACCTCTCG-3'; and for Hprt-R, 5'-TGAAGTACTCATTATAGTCAAGGGCA-3'. Primer sequences for mouse LPA receptor genes have been described previously (17).
Immunohistochemistry.
Vascular endothelial cells were visualized by immunohistochemistry using rabbit anti-CD31 (PECAM-1) monoclonal antibody (PharMingen) as described previously (6).
ATX activity and quantification of plasma LPA and S1P levels.
Blood was collected and allowed to clot at 37°C for 1 h. Serum was collected by centrifugation at 1,100 x g (10 min) followed by centrifugation at 10,000 x g (2 min). Serum was incubated overnight at 37°C with 2 µM CPF4, and the decrease in the fluorescent resonance energy transfer (FRET) ratio was measured as described previously (52). LPA was butanol extracted from heparin-treated mouse plasma and quantified using a radioenzymatic assay (38). S1P levels were determined by liquid chromatography-mass spectrometry as described previously (4).

RESULTS
Generation of conditional ATX knockout mice.
ATX is encoded by the
Enpp2 gene. We used the Cre-loxP system
to generate
Enpp2F/+ mice carrying a conditional
Enpp2 null
allele in which exons 6 and 7, encoding the active center of
ATX, are flanked by
loxP sites (Fig.
1). Intercrossing of heterozygous
Enpp2F/+ mice produced homozygous
Enpp2F/F animals that were
phenotypically normal, indicating that insertion of the
loxP sites did not disrupt essential functions of ATX. To induce
germ line inactivation of ATX,
Enpp2F/F mice were mated to mice
carrying a Cre transgene driven by the ß-actin promoter.
Cre-mediated deletion of
Enpp2 exons 6 and 7 introduces an early
stop codon and removes most of the ATX protein sequence.
ATX-deficient mice die at midgestation with severe vascular defects.
Heterozygous Enpp2+/ knockout mice were healthy and fertile. However, no homozygous Enpp2/ offspring was found among 118 newborn mice from heterozygous intercrosses (Table 1), suggesting that ATX deficiency is lethal at the embryonic stage. To investigate this, embryos were genotyped at different development stages. At E9.5, ATX-deficient embryos could be recovered at the expected Mendelian frequency (Table 1), but all of them showed severe vascular defects in the yolk sac and were retarded in their development. By E10.5, most ATX-deficient embryos were resorbed.
Strikingly, blood vessels in the yolk sac of ATX-deficient embryos
were poorly developed compared to their wt and heterozygous
littermates at E9.5. Between E8.5 and E9.5, extraembryonic endothelial
cells normally remodel into a vascular network that connects
with the embryo proper; the yolk sac then functions as the primary
source of nutrients. At E9.5, blood appeared dispersed in the
ATX-deficient yolk sac rather than in a vascular network as
in wt and ATX heterozygous yolk sacs (Fig.
2A). Mutant yolk
sacs showed patched cavities surrounded by endothelial cells
and filled with blood cells, while the mesothelial cells on
the inner aspect of the yolk sac were rounded rather than flattened
(Fig.
2B).
Vessels of ATX-deficient embryos within the nonvascularized
yolk sac were strikingly enlarged, particularly in the head
region, compared to those of wt and heterozygote embryos at
E9.5; however, mutant embryos were not hemorrhagic (Fig.
2C, D, and E and data not shown). To determine whether endothelial cells
had differentiated from early angioblasts, we used an antibody
to CD31/PECAM, a marker for mature endothelial cells. CD31-positive
cells were readily detected in both yolk sac and embryo proper,
indicating that ATX deficiency did not impair the differentiation
of progenitor cells into endothelial cells (Fig.
2D). Cardiac
development appeared to be normal, as judged from heart beating,
but was not examined in detail. We conclude that ATX-deficient
mice die around E9.5, with circulatory failure being the most
likely primary cause of death.
Additional abnormalities in ATX-deficient embryos.
A number of additional abnormalities were observed in ATX-deficient embryos at E8.5 and E9.5, as summarized in Table 2. At E9.5, the large majority (85%) of mutant embryos had not initiated axial turning (Fig. 2E), which could reflect generally retarded development. In about 40% of the ATX-deficient embryos analyzed, at E8.5 there was abnormal development of the allantois, which appeared swollen and failed to fuse to the chorion (Fig. 2F). Furthermore, in >80% of the E8.5 mutant embryos, the neural headfold (i.e., the future forebrain) was asymmetric due to enlargement of one of the folds, which showed extremely large cavities or effusions (Fig. 3A and B). Further down the neural axis, we observed large effusions on the dorsal side (Fig. 2E), which displayed massive apoptosis as detected by terminal deoxynucleotidyltransferase-mediated dUTP-biotin nick end labeling assays (data not shown). Such effusions are indicative of osmotic imbalance as a consequence of disrupted circulation.
ATX deficiency also led to malformation of the neural tube in
the majority of the mutant embryos analyzed: the neural tube
had not closed properly at E9.5 and, furthermore, appeared kinked
and undulated over its entire length at E8.5, as opposed to
the straight neural tube observed in wt embryos (Fig.
2C and D and Fig.
3C and D). Given the prominence of ATX in the floor
plate of the neural tube (
3), these defects are most likely
due to local ATX deficiency and not secondary to circulatory
failure or growth retardation. A kinked neural tube is also
observed in fibronectin-deficient embryos at this stage (
13),
suggesting that the neural tube defect associated with ATX deficiency
could be due to insufficient extracellular matrix support.
Expression of ATX and LPA receptors during vascular development.
We next used quantitative RT-PCR to examine the expression pattern of ATX and the four known LPA receptors (LPA1 to LPA4) in wt, heterozygous, and mutant embryos (Fig. 4A). In ATX-deficient and heterozygous embryos, the LPA receptor expression pattern was essentially similar to that in wt embryos (E9.5), although LPA3 levels were upregulated by approximately twofold in the knockouts (Fig. 4A). Of note, ATX expression in the heterozygotes was 50% of that in the wild types. We also examined the temporal expression pattern of ATX and LPA1-4 in wt embryos. ATX and LPA1-4 were expressed during early postimplantation stages (E6.5 to E8.5), prior to yolk sac vascular development (Fig. 4B). Expression increased during the stages of vessel formation and expansion (E8.5 to E10.5). ATX, LPA1, and LPA4 mRNA levels reached a maximum by E10.5, whereas LPA3 expression peaked around E8.5 (Fig. 4B). Expression of LPA1 was significantly higher than that of LPA2-4 (Fig. 4C). Expression of ATX in conjunction with all four LPA receptors during E6.5 to E10.5 supports the idea that ATX-regulated LPA production and signaling are important for development during midgestation.
Since vasculogenesis is critically dependent on vascular endothelial
growth factor (VEGF) (
54) and since LPA induces VEGF-A expression
in mouse embryonic fibroblasts (C. Stortelers, unpublished results),
we tested whether the vascular phenotype might involve VEGF
deficiency. However, VEGF mRNA levels were increased rather
than decreased in the ATX-deficient embryos (Fig.
4A). Because
VEGF is a hypoxia target gene, the observed increase in VEGF
might be due to oxygen deprivation resulting from circulatory
failure. Whatever the precise mechanism may be, the results
show that increased VEGF production does not rescue the vascular
defects resulting from loss of ATX.
Half-normal ATX activity and plasma LPA levels in heterozygous mice.
Since ATX functions as a lysoPLD, ATX deficiency should lead to loss of LPA production. Determination of LPA levels in interstitial fluids from midgestation embryos is technically quite demanding, so we compared serum ATX activity and plasma LPA levels in ATX heterozygous mice (8 to 12 weeks of age) with those in wt littermates. As shown in Fig. 5A and B, when the gene dosage of ATX is reduced by half, a 50% reduction in ATX activity and LPA levels is observed. The average plasma LPA level in wt animals was 181 ± 17 nM (n = 4), in keeping with previous results (38), versus 86 ± 14 nM (n = 4) in their heterozygous littermates (Fig. 5A). Plasma S1P levels in heterozygote and wt mice were not significantly different (about 250 nM; Fig. 5C), consistent with the notion that ATX has no major role in generating S1P. Collectively, these findings strongly suggest that ATX is the major LPA-producing enzyme in vivo and show that there is no physiological compensation for reduced ATX gene expression in the heterozygous animals.

DISCUSSION
Our results show that ATX is indispensable for embryonic development,
as ATX-deficient embryos die at E9.5 with severely impaired
vessel formation in yolk sac and embryo proper as well as other
abnormalities (Table
2). Since ATX functions as a lysoPLD, our
results suggest that loss of LPA production and downstream GPCR
signaling is responsible for the observed phenotype. While we
find that all known LPA receptors are expressed during E6.5
to E10.5 (Fig.
4B), the phenotype of individual LPA receptor
knockouts (LPA
1-3) has not so far been associated with embryonic
vascular defects (
20,
56). However, an LPA-associated vascular
phenotype may only become evident from triple or quadruple receptor
knockouts. An alternative or additional possibility is that
LPA acts on as-yet-unidentified GPCRs to influence vascular
development.
In contrast, a critical role for S1P signaling in vascular development has been well established, but S1P clearly acts at later embryonic stages than ATX. S1P is essential for the stabilization of nascent vessels by smooth muscle cells at around E12.5 rather than for vessel formation per se (27, 29). Although ATX can generate S1P from SPC in vitro (7), a physiological role for ATX in sphingolipid metabolism seems unlikely, as outlined in the introduction and supported by our finding that plasma S1P levels, unlike LPA levels, are normal in ATX heterozygous animals (Fig. 5). While it remains formally possible that ATX has an additional role in extracellular nucleotide metabolism or even a role unrelated to its catalytic activity (10), our findings are most consistent with the notion that ATX-mediated LPA production in the microenvironment of endothelial cells and subsequent GPCR signaling is essential for vascular development. Consistent with this, LPA stimulates vessel formation in a GPCR-dependent manner in the chicken embryo CAM assay (C. Rivera-Lopez and K. Lynch, personal communication); furthermore, LPA promotes vascular network formation in murine E8.5 allantois explants, albeit less efficaciously than S1P (1).
How might LPA signaling govern vascular development? Impaired vascular development causing embryonic death around E9.5 has been observed in several other mutant mice, including those lacking genes involved in receptor tyrosine kinase signaling, G protein signaling, cell adhesion, migration, and oxygen sensing (for a review, see references 2 and 9), so comparison to other knockouts may provide a clue. Considering that LPA is a potent upstream activator of G
13 (and presumably G
12) (24, 30), the most relevant phenotype in this context is that of G
13 knockout and G
12/G
13 double-knockout mice (16, 34). As seen with ATX-deficient mice, the G
13 knockouts die around E9.5 due to impaired blood vessel formation in both yolk sac and embryo, with enlarged vessels in the head region (34). This phenotype is rescued by endothelium-specific reexpression of G
13 (37), demonstrating that G
13 signaling in endothelial cells is essential for vascular development. Combined deficiencies of G
13 and G
12 yield a somewhat earlier and more severe phenotype that includes headfold malformation, a short allantois, and unclosed and sometimes kinked neural tubes (16). G
13, probably in cooperation with G
12, links GPCRs to guanine nucleotide exchange factors for RhoA, a key regulator of the actin cytoskeleton (40), and to other effectors (36). Through its ability to regulate cell shape and adhesion, RhoA activity is fundamental to cell migration. Indeed, cells deficient in either G
13 or RhoA activity fail to migrate towards LPA (16, 50), underscoring the importance of the LPA-G
13-RhoA pathway for cell motility. LPA has multiple effects on endothelial cells, including stimulation of cell migration and invasion (35, 53), which are critical events during angiogenesis, and an increase in endothelial monolayer permeability (33, 41). LPA also exerts migratory and contractile effects on vascular smooth muscle cells (30). Thus, ATX-mediated LPA production and subsequent LPA signaling through G
13, in cooperation with G
12 and other G proteins, may contribute to vascular development by stimulating endothelial cell migration and invasion as well as by regulating adhesive interactions with the extracellular matrix and smooth muscle cells. Consistent with this, the vascular defects observed in ATX- and G
13-deficient mice resemble those in mice lacking genes involved in cell migration and adhesion such as fibronectin and focal adhesion kinase (13, 19). Further insight into the mechanistic basis of the ATX-deficient phenotype awaits the generation and analysis of endothelium- and/or smooth muscle-specific ATX and LPA receptor knockout mice as well as transgenic rescue studies. Tissue-specific ATX knockouts will also allow assessment of how the present findings in the embryo extrapolate to the adult, where ATX and the LPA/LPA receptor axis have been implicated in several disorders, including cancer (28).
In the meantime, an interesting finding of the present study is that ATX heterozygous mice possess half as much plasma LPA as their normal littermates, consistent with ATX being the major LPA-producing enzyme in vivo and, furthermore, indicating that ATX activity is not upregulated to compensate for the Enpp2 null allele. ATX heterozygous mice have not shown any obvious abnormalities until now and thus offer an opportunity to test several potential roles of LPA in vivo, including tumor progression, wound healing, and neurophysiological functions.

ACKNOWLEDGMENTS
We thank Junken Aoki, Richard Proia, and Kevin Lynch for sharing
unpublished results; Stefan Offermanns and Mathieu Bollen for
helpful discussions; and Trudi Hengeveld, Jeroen Korving, Rahmen
Bin Ali, and John Zevenhoven for experimental assistance.
This work was funded by the Dutch Cancer Society (W.H.M. and J.J.) and the Wellcome Trust (M.J.O.W. and T.R.P.).

FOOTNOTES
* Corresponding author. Mailing address: Division of Cellular Biochemistry, The Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX Amsterdam, The Netherlands. Phone: 31-20-512-1971. Fax: 31-20-512-1989. E-mail:
w.moolenaar{at}nki.nl.


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Molecular and Cellular Biology, July 2006, p. 5015-5022, Vol. 26, No. 13
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