Next Article in Journal
Bioactive 7-Oxabicyclic[6.3.0]lactam and 12-Membered Macrolides from a Gorgonian-Derived Cladosporium sp. Fungus
Next Article in Special Issue
Laminarin from Irish Brown Seaweeds Ascophyllum nodosum and Laminaria hyperborea: Ultrasound Assisted Extraction, Characterization and Bioactivity
Previous Article in Journal
Investigation of Marine-Derived Fungal Diversity and Their Exploitable Biological Activities
Previous Article in Special Issue
Seaweed Hydrocolloid Production: An Update on Enzyme Assisted Extraction and Modification Technologies
 
 
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

Fucoidan Stimulates Monocyte Migration via ERK/p38 Signaling Pathways and MMP9 Secretion

by
Elene Sapharikas
1,*,
Anna Lokajczyk
1,
Anne-Marie Fischer
2 and
Catherine Boisson-Vidal
1
1
Inserm UMR_S 1140, Faculté de Pharmacie, Université Paris Descartes, Sorbonne Paris Cité, 4 Avenue de l'observatoire Paris 75006, France
2
Inserm UMR-S 970, AP-HP, Hôpital Européen Georges Pompidou, 20 rue Leblanc Paris 75015, France
*
Author to whom correspondence should be addressed.
Mar. Drugs 2015, 13(7), 4156-4170; https://doi.org/10.3390/md13074156
Submission received: 26 May 2015 / Revised: 17 June 2015 / Accepted: 23 June 2015 / Published: 30 June 2015
(This article belongs to the Collection Marine Polysaccharides)

Abstract

:
Critical limb ischemia (CLI) induces the secretion of paracrine signals, leading to monocyte recruitment and thereby contributing to the initiation of angiogenesis and tissue healing. We have previously demonstrated that fucoidan, an antithrombotic polysaccharide, promotes the formation of new blood vessels in a mouse model of hindlimb ischemia. We examined the effect of fucoidan on the capacity of peripheral blood monocytes to adhere and migrate. Monocytes negatively isolated with magnetic beads from peripheral blood of healthy donors were treated with fucoidan. Fucoidan induced a 1.5-fold increase in monocyte adhesion to gelatin (p < 0.05) and a five-fold increase in chemotaxis in Boyden chambers (p < 0.05). Fucoidan also enhanced migration 2.5-fold in a transmigration assay (p < 0.05). MMP9 activity in monocyte supernatants was significantly enhanced by fucoidan (p < 0.05). Finally, Western blot analysis of fucoidan-treated monocytes showed upregulation of ERK/p38 phosphorylation. Inhibition of ERK/p38 phosphorylation abrogated fucoidan enhancement of migration (p < 0.01). Fucoidan displays striking biological effects, notably promoting monocyte adhesion and migration. These effects involve the ERK and p38 pathways, and increased MMP9 activity. Fucoidan could improve critical limb ischemia by promoting monocyte recruitment.

Graphical Abstract

1. Introduction

Cardiovascular disease is the leading cause of death worldwide. Peripheral arterial disease (PAD) is linked to a three- to six-fold increase in cardiovascular mortality compared to the general population [1,2,3]. With population aging, PAD has become a major public health problem [4]. Revascularization currently relies on bypass surgery or endovascular therapy (balloon angioplasty or stents) [2,5,6]. Conservative surgery is not always possible, and the affected limb must sometimes be amputated to avoid necrosis [7]. PAD is initially asymptomatic, and its diagnosis is based mainly on the ankle brachial pressure index. However, media sclerosis can interfere with this index [8], especially in older people and patients with diabetes, further delaying diagnosis and treatment in some cases [9]. Current treatments do not always avoid limb amputation or death [10,11,12]. Great hopes are being placed in gene and cell therapies. However, a large randomized placebo-controlled phase III trial in critical limb ischemia, the TAMARIS study, showed no reduction in the amputation rate in patients treated with a plasmid encoding acidic FGF (fibroblast growth factor) [13], thus failing to confirm benefits seen in phase II trials [14,15]. Protective effects have been observed with other angiogenic growth factors (FGF2 and VEGF) [16,17,18]. Several studies have shown an improvement in patients’ health status after intramuscular injection of bone marrow- or peripheral blood-derived mononuclear cells [19,20,21]. However, none of these trials showed efficient revascularization [22,23]. Endothelial progenitor cells are mononuclear cells involved in vascular and tissue remodeling. Several studies have shown the direct beneficial involvement of monocytes in PAD [24,25]. In particular, the early presence of monocytes at ischemic sites resulted in increased reperfusion in a murine model of lower limb ischemia [26]. Mobilization and recruitment of circulating monocytes from bone marrow to sites of active revascularization, where they differentiate into macrophages, is crucial for tissue regeneration after an ischemic event. The first step of monocyte recruitment involves tethering and rolling along the vessel endothelium, followed by strong adhesion and tissue entry. Several studies have shown an important role for monocyte chemoattractant protein-1 (MCP1) and its receptor CCR2 in monocyte mobilization at ischemic sites. Inhibition of this recruitment negatively affects the angiogenic process, as demonstrated in the CCR2 knock out mouse model [27,28]. During PAD, increased MCP-1 secretion leads to monocyte recruitment and is involved in the angiogenic process. Voskuil et al. showed that MCP-1 injection after femoral artery ligation in pigs stimulated collateral vessel formation [29].
Our laboratory studies a low-molecular-weight (LMW) sulfated polysaccharide extracted from brown seaweeds. Fucoidan exhibits exceptional enhancement of new blood vessel formation in animal models [30,31,32,33]. LMW fucoidan enhances the proangiogenic properties of endothelial colony-forming cells (ECFC) in vitro, by modifying both early events (proliferation and migration) and late events (differentiation into vascular cords) [31]. In a previous study, we showed that fucoidan significantly improved the beneficial effects of ECFC transplantation in a mouse model of hind limb ischemia, preventing tissue necrosis [30]. This tissue protection was associated with enhanced neoangiogenesis and a reduction in rhabdomyolysis. Fucoidan prestimulation enhanced each step of the angiogenic processes, namely cell recruitment to ischemic tissue via enhanced ECFC adhesion to activated endothelium, MMP-9 secretion, extravasation, and differentiation into a vascular network. In the present study, we investigated the mechanism of action of fucoidan on peripheral blood monocyte cells (PBMC) adhesion to gelatin and migration through an activated endothelium, as well as adhesion molecule expression and the MMP2/MMP9 secretion. We also explored the signaling pathway involved in fucoidan-induced monocyte migration.

2. Results and Discussion

2.1. Fucoidan Pretreatment Enhances Monocyte Adhesion, Migration and Transmigration

The first step of monocyte recruitment is their adhesion to the endothelium, followed by migration and transmigration through the endothelium. We first investigated the effect of fucoidan on monocyte adhesion to gelatin (Figure 1A). Fucoidan treatment for 24 h enhanced monocyte adhesion by 1.5-fold (Figure 1A,B, p < 0.05). As shown in Figure 1C, fucoidan enhanced PBMC migration in a concentration-dependent manner (data not shown). Monocytes pretreated with fucoidan were 5-fold more motile than control cells towards 100 ng/mL MCP-1 (p < 0.05, Figure 1D). As shown in Figure 1E, pretreatment of PBMC with fucoidan led to a 2.5-fold increase in transmigration across an activated monolayer of HUVEC (Figure 1F, p < 0.01). These results showed that, ex vivo, fucoidan enhanced all the major steps of monocyte recruitment to ischemic sites.
Figure 1. Fucoidan enhances monocyte adhesion to gelatin, and their migration. (A) Representative results obtained with PBMC after 30 min, with or without 24 h of fucoidan pretreatment; (B) Monocyte adhesion (in white, control monocytes, in black, monocytes incubated with 10 μg/mL fucoidan; (C) Representative results for migration of isolated PBMC treated with or without fucoidan (4 h) towards 100 ng/mL MCP-1; (D) Migratory cell numbers in five independent fields; (E) Representative monocyte transmigration (18 h) with or without fucoidan pretreatment (30 min); (F) Transmigratory cell numbers in five independent fields. Three to five independent donors. * p < 0.05; ** p < 0.01.
Figure 1. Fucoidan enhances monocyte adhesion to gelatin, and their migration. (A) Representative results obtained with PBMC after 30 min, with or without 24 h of fucoidan pretreatment; (B) Monocyte adhesion (in white, control monocytes, in black, monocytes incubated with 10 μg/mL fucoidan; (C) Representative results for migration of isolated PBMC treated with or without fucoidan (4 h) towards 100 ng/mL MCP-1; (D) Migratory cell numbers in five independent fields; (E) Representative monocyte transmigration (18 h) with or without fucoidan pretreatment (30 min); (F) Transmigratory cell numbers in five independent fields. Three to five independent donors. * p < 0.05; ** p < 0.01.
Marinedrugs 13 04156 g001

2.2. Fucoidan Stimulation of Monocyte Adhesion and Migration Is not Due to Modulation of Integrin Expression or CCR2 Receptor Expression

As fucoidan-treated PBMC showed a striking increase in adhesion and migration, we examined whether fucoidan modulated the expression of integrins involved in these processes. As engagement of monocyte integrins αMβ2 (VLA4) and α4β1 (MAC-1) by endothelial ICAM-1 and VCAM, respectively, is critical for monocyte extravasation, we examined the effect of fucoidan on the expression levels of these integrins after 30 min or 24 h of fucoidan exposure. As shown in Figure 2, neither exposure time affected PBMC integrin expression (Figure 2A–D). MCP-1 receptor (CCR2) expression was not modulated by fucoidan after 20 min of incubation (Figure 2E). Surprisingly, however, CCR2 expression was downregulated after 24 h, in the presence or absence of fucoidan (Figure 2E), possibly because CCR2 is involved in the early phase of recruitment of monocytes, whereas CXCR1 takes over during the second phase [34,35]. Finally, fucoidan did not affect the expression of CD44 or CD87, two receptors involved in monocyte migration and actin cytoskeleton rearrangement involved in cell motility (data not shown).
Figure 2. Impact of fucoidan on adhesion molecule and CCR2 receptor expression: PBMC were treated for 30 min or 24 h with (black bars) or without fucoidan (white bars). (A) Percentage of monocytes positive for alpha M expression; (B) Percentage of beta 2-positive cells; (C) Percentage of alpha 4-positive cells; (D) Percentage of beta 1-positive cells; (E) Percentage of CCR2-positive cells (4 independent donors).
Figure 2. Impact of fucoidan on adhesion molecule and CCR2 receptor expression: PBMC were treated for 30 min or 24 h with (black bars) or without fucoidan (white bars). (A) Percentage of monocytes positive for alpha M expression; (B) Percentage of beta 2-positive cells; (C) Percentage of alpha 4-positive cells; (D) Percentage of beta 1-positive cells; (E) Percentage of CCR2-positive cells (4 independent donors).
Marinedrugs 13 04156 g002

2.3. Fucoidan Enhances PBMC MMP9 Activity

As fucoidan-treated monocytes showed no change in integrin or CCR2 receptor expression, we explored the possible role of matrix metalloproteinases in fucoidan-enhanced migration and adhesion. Extracellular MMPs are involved in monocyte migration: macrophage adhesion to fibronectin via α5β1 integrin in vitro is associated with increased MMP9 secretion [36]. Furthermore, we have shown that fucoidan increases MMP9 activity in HUVEC and ECFC cells [30,31]. Here, MMP9 and MMP2 activities were quantified by gelatin zymography (Figure 3A). We observed a significant increase in MMP9 activity in conditioned media of fucoidan-treated PBMC (Figure 3B, p < 0.05). MMP2 activity was unaffected (Figure 3C). This effect of fucoidan on MMP9 secretion is unlikely to be sole mechanism underlying the observed effect of fucoidan on monocyte migration and adhesion.
Figure 3. Impact of fucoidan on monocyte MMP9 expression (gelatinolytic activity): (A) Representative gelatin zymography of culture supernatant of monocytes treated with or without fucoidan for 30 min; (B) MMP9 gelanitolytic activity; (C) MMP2 gelatinolytic activity. Three independent donors; * p < 0.05
Figure 3. Impact of fucoidan on monocyte MMP9 expression (gelatinolytic activity): (A) Representative gelatin zymography of culture supernatant of monocytes treated with or without fucoidan for 30 min; (B) MMP9 gelanitolytic activity; (C) MMP2 gelatinolytic activity. Three independent donors; * p < 0.05
Marinedrugs 13 04156 g003

2.4. Fucoidan Enhancement of PBMC Migration Is Countered by ERK and p38 Pathway Inhibition

The MAPK ERK and p38 pathways have been shown to be involved in monocyte migration. We used Western blot to analyze the phosphorylation levels of ERK1/2 and p38 in starved and re-stimulated monocytes, treated with or without fucoidan, in the presence of specific inhibitors of these kinases (Figure 4A). Fucoidan-treated monocytes showed a two-fold increase in ERK phosphorylation, and this increase was inhibited by the ERK inhibitor PD98059 (Figure 4B). Fucoidan treatment also increased p38 phosphorylation to a lesser extent, an effect also inhibited by the p38-specific inhibitor SB203580 (Figure 4C). Finally, we explored the role of the ERK and p38 pathways in PBMC migration towards MCP-1 (Figure 4D). As expected, ERK and p38 inhibition abrogated the ability of fucoidan to enhance monocyte migration. Although neither pathway seemed to be involved in monocyte migration nor in control conditions, ERK and p38 inhibition reduced the migration of fucoidan-treated monocytes by 2.5-fold (Figure 4E), highlighting the prominent role of these pathways in fucoidan-enhanced monocyte migration.
Figure 4. ERK and p38 signaling pathway involvement in fucoidan-treated monocyte migration: (A) Representative Western blot illustrating phosphorylation of ERK1/2 and P38 when PBMC were treated with or without fucoidan (in the presence or absence of PD98059 or SB203580) for 30 min; (B) Quantitative analysis of ERK phosphorylation; (C) Quantitative analysis of p38 phosphorylation. Results are represented relative to the corresponding control, with with independent donors; (D) Representative fields showing migratory cells treated as in A; (E) Migratory cell numbers in five independent fields. * p < 0.05; ** p < 0.01; *** p < 0.001 compared to control. Four independent donors.
Figure 4. ERK and p38 signaling pathway involvement in fucoidan-treated monocyte migration: (A) Representative Western blot illustrating phosphorylation of ERK1/2 and P38 when PBMC were treated with or without fucoidan (in the presence or absence of PD98059 or SB203580) for 30 min; (B) Quantitative analysis of ERK phosphorylation; (C) Quantitative analysis of p38 phosphorylation. Results are represented relative to the corresponding control, with with independent donors; (D) Representative fields showing migratory cells treated as in A; (E) Migratory cell numbers in five independent fields. * p < 0.05; ** p < 0.01; *** p < 0.001 compared to control. Four independent donors.
Marinedrugs 13 04156 g004

3. Discussion

We provide new evidence for a major effect on fucoidan on monocyte migration. We found that fucoidan did not modulate integrin or receptor expression on the monocyte cell membrane. However, fucoidan enhanced monocyte migration towards MCP-1, an effect associated with ERK and p38 signaling pathway activation and with MMP9 secretion (Figure 5).
Figure 5. Schematic overview of the effect of fucoidan on monocyte migration. Fucoidan bound to the cell membrane enhances MCP-1 interaction with its receptor CCR2. This interaction leads to phosphorylation of ERK1/2 and p38 and activates MM9 secretion. PD98059 and SB203580 inhibit this phosphorylation, leading to reduced monocyte migration.
Figure 5. Schematic overview of the effect of fucoidan on monocyte migration. Fucoidan bound to the cell membrane enhances MCP-1 interaction with its receptor CCR2. This interaction leads to phosphorylation of ERK1/2 and p38 and activates MM9 secretion. PD98059 and SB203580 inhibit this phosphorylation, leading to reduced monocyte migration.
Marinedrugs 13 04156 g005
In response to diverse pro-inflammatory signals released from damaged tissue, circulating blood monocytes attach transiently to the activated vascular endothelium and resist shear stress before crossing the vessel wall [37]. Several studies have highlighted the importance of monocyte recruitment for tissue and vessel repair [28,38,39]. Here we show that PBMC pretreatment with fucoidan enhanced their adhesion to gelatin. Elsewhere, fucoidan-treated ECFC have been found to adhere more efficiently to activated endothelium in flow conditions [30]. We also found that fucoidan enhanced monocyte migration towards MCP-1 as chemoattractant, and also favored monocyte transmigration on a monolayer of activated endothelial cells. This increased response of PMBC to MCP-1 may have therapeutic relevance, as this chemoattractant has been shown to be involved in monocyte recruitment, particularly during neovessel formation. Vein graft intimal hyperplasia is associated with MCP-1 upregulation, leading to monocyte recruitment. Furthermore, macrophage depletion with liposome clodronate diminishes MCP-1 and TGF beta 1 expression, an effect associated with reduced vein graft healing in rats [40]. Schepers and collaborators confirmed these results with anti-MCP-1 in mice, as did Tatewaki et al. using adenoviral gene transfer to block MCP-1 expression in dogs [41,42]. Our results indicate that fucoidan promotes the early phase of monocyte recruitment to activated endothelium and, subsequently, new vessel formation.
The precise mechanism of action of fucoidan on PBMC is not fully understood. We have previously demonstrated that GAG abrasion on the cell surface hinders ECFC migration, and that fucoidan treatment restores this migration [30]. Like glycosaminoglycans, fucoidan, by its ionic structure, is able to bind adhesion proteins [43], growth factors [44] and cytokines [45]. The activity of fucoidan is due mainly to its sulfatation: desulfated fucoidan loses its proangiogenic properties in vitro and in vivo, and is unable to recruit hematopoietic stem cells [46]. As fucoidan interacts with adhesion proteins, we examined whether fucoidan treatment enhanced PBMC expression of integrins involved in monocyte migration. Fucoidan had no effect on the expression of integrins or CCR2, the main MCP-1 receptor. Interestingly, αM/β2 integrin expression was reduced after 24 h of culture, while α4 integrin expression was increased, but these changes occurred irrespective of fucoidan treatment.
Fucoidan treatment increased the phosphorylation of ERK 1/2 and p38, two signaling pathways involved in monocyte migration and transmigration [47,48]. Surprisingly, we found that these two signaling pathways were not involved in monocyte chemoattraction ex vivo, as their inhibition did not inhibit the migration of monocytes not treated with fucoidan. This discrepancy with previous reports may be explained by the use of different models, as most published studies used monocytic cell lines such as THP1. Ashida et al. reported that the ERK pathway is involved in monocyte adhesion, while the p38 pathway would be involved in cell migration [49]. In contrast, and in accordance with our findings, it has been shown that the ERK and p38 pathways are not involved in the migration of fresh PBMC [50]. Our results support a direct role of ERK and p38 in fucoidan-enhanced monocyte migration. Indeed, inhibition of either pathway abolished the effect of fucoidan. Finally, we found that fucoidan enhancement of ex vivo monocyte migration was associated with MMP9 secretion. It has been shown that monocyte migration is specifically associated with MMP9 activity, through ERK activation [48,51]. Fucoidan was also reported to be an antitumor compound inhibiting migration, invasion and MMP-2/-9 activities in human fibrosarcoma cells (HT1080), human lung cancer cells (A549) and mouse hepatocarcinoma cells lines (Hca-F) [52,53,54]. This biological effect varies with species and fucoidan’s molecular weight [55]. Indeed, fucoidan of over 30 kDa or high concentration of LMWF may deplete the medium from growth factors and thus interfere with their activities [56,57]. This sequestration by fucoidan on growth factor could explain the inhibition of MMP-2 and -9 secretions.
Interestingly, in the absence of growth factors, cytokines or serum in the culture medium, fucoidan had no effect on the activation of the ERK 1/2 or p38 signaling pathways (data not shown). Being a glycosaminoglycan, fucoidan behaves as a heparin sulfate and binds to the cell surface. Fucoidan would appear to facilitate the interaction between MCP-1 and its receptor CCR2. We have previously demonstrated that fucoidan potentiates the activity of specific factors like FGF-2 on blood vessel formation in vitro [58] and in vivo [30]. Overall, our results help to explain the effects of fucoidan on monocyte adhesion and migration and support the therapeutic potential of fucoidan in chronic limb ischemia.

4. Experimental

4.1. Reagents

Fetal bovine serum, PBS −/−, HBSS +/+ and RPMI 1640 culture medium were from Gibco (Life Technologies, Saint-Aubin, France). Calcein-AM and PD98059 were from Calbiochem (Merck KGaA, Darmstadt, Germany). Giemsa, bovine serum albumin, gelatin and saponin were from Sigma Aldrich (Saint-Quentin-en-Yvelines, France). SB203580 was a kind gift from Bachelot-Loza (Inserm UMR_S 1140, Faculty of Pharmacy, Paris Descartes University, France). pERK was from Cell Signaling (Ozyme, Saint-Quentin-en-Yvelines, France), pP38 was from Promega (Lyon, France), αM-PE, α4-PE and CCR2-APC were from BD Biosciences (Le Pont de Claix, France), β1-FITC, ERK and GAPDH were from Santa Cruz (Heidelberg, Germany), β2 was from Chemicon-Europe (Merck KGaA, Darmstadt, Germany), and MCP-1 was from R&D systems (Bio Techn Lille, Lilie, France). LMW fucoidan was obtained by radical depolymerization of high-molecular-weight fucoidan extracted from Ascophylum nodosum, using procedures adapted from Nardella et al. [59]. The molecular weight average mass was 4 ± 1 kDa and characterized by high-performance steric chromatography (HPSEC) in 0.15 M NaCl, 0.005 M NaH2PO4 at pH 7.0, using two columns connected in series (Licrospher Si300 diol and Hema Sec Bio 40 columns) (Merck S.A., Molsheim, France) calibrated using narrow cut heparin fractions as described in Mulloy et al. [60]. The chemical composition was as follows: 34% fucose, 4% galactose, 3% xylose, 3% uronic acid and 32.2% sulfate. The human monocyte isolation kit II was from Miltenyi Biotec (Paris, France) and Histopaque solution from Sigma (Saint Quentin Fallavier, France).

4.2. Monocyte and HUVEC Isolation

Monocytes were isolated from healthy donor blood purchased from Etablissement Français du Sang (EFS, convention number: 13/EFS/064). Mononuclear cells were isolated by density-gradient centrifugation using 1.077 g/mL Histopaque solution and then negatively purified following the manufacturer’s procedure. Human umbilical vein endothelial cells (HUVEC) were isolated from cord blood with the mothers’ consent, as described by Zemani et al. [31].

4.3. Cell Adhesion Assay

Ten thousand monocytes were treated with fucoidan 10 μg/mL for 24 h and seeded on Millicell EZ slides (from Millipore, Merck KGaA, Darmstadt, Germany) coated with 0.2% gelatin. They were allowed to adhere for 30 min and then washed with PBS to detach non-adherent cells. Adherent cells were fixed with paraformaldehyde for 10 min at room temperature, then washed with PBS and permeabilized with 0.5% saponin. Cell nuclei were stained with TOPRO for 10 min. The slides were then coverslipped with Ibidi mounting medium and examined with a confocal fluorescence microscope.

4.4. Cell Migration Assay

Boyden chambers were used for migration assays with 8-μm pore-size inserts (BD Biosciences, Le Pont de Claix, France) in 24-well plates. Six hundred microliters of RPMI 1640 medium-1% FBS with 100 ng/mL MCP-1 was placed in the lower chamber. Seventy-five thousand monocytes treated with 10 μg/mL fucoidan were placed in the upper chamber in RPMI 1640 medium-0.1% BSA. After 4 h of migration, the inserts were fixed and stained with Giemsa (Sigma-Aldrich, Saint-Quentin-en-Yvelines, France). Migratory cells were counted in 10 randomly selected fields (200× magnification).

4.5. Transmigration Assay

HUVEC were seeded at 60,000 cells per Transwell chamber coated with 0.5% gelatin for 2 days. They were then activated for 4 h with 10 ng/mL TNFα, and 75,000 monocytes treated with 10 μg/mL of fucoidan were stained with 5 M calcein-AM at 37 °C for 20 min before being added to HUVEC. After 18 h of transmigration, the upper part of the insert was cotton-swabbed to remove non-migrated cells. The remaining cells were fixed, then the Transwell inserts were cut out, placed on slides and coverslipped with Ibidi mounting medium. The lower side of the insert was examined with a confocal fluorescence microscope. Labeled monocytes were counted in 10 randomly selected fields (200× magnification).

4.6. Western Blot

Total protein was prepared from monocytes treated with lysis buffer (Tris 50 mM, NaCl 150 mM, 1% Triton X100, PMSF 1 mM, Na3VO4 1 mM) supplemented with a protease and phosphatase inhibitor cocktail (Sigma Aldrich, Saint-Quentin-en-Yvelines, France) for 20 min on ice, then centrifuged for 10 min at 14,000× g. Supernatants were fractionated by SDS-PAGE 4%–12% (NuPAGE® Bis-Tris Pre-Cast gels, Life Technologies, Saint-Aubin, France), transferred to nitrocellulose membranes, and incubated with the following primary antibodies: phosphor ERK, phosphor p38 and GAPDH (all at 1/300 in 0.1% milk/TTBS 1×) and then incubated for 10 min with SNAP i.d.® (Millipore, Merck KGaA, Darmstadt, Germany). Secondary antibodies were either anti-mouse or anti-rabbit Dylight fluor 680 or 800 conjugated antibodies (Thermo Fisher Scientific, Villebon-sur-Yvette, France) (1/3000). Images of the blots were scanned with the Odyssey Infra-Red Imaging System (Li-Cor Biotechnology Eurobio, Courtaboeuf, France). Phosporylation was quantified with ImageJ software (National Institutes of Health, Bethesda, MD, USA).

4.7. Flow Cytometry

Monocytes treated with fucoidan for 30 min or 24 h were collected in HBSS containing 10% FBS. Cells were then labeled for 30 min at 4 °C with the following antibodies: αM-PE, α4-PE, CCR2-APC or β1-FITC. For β2 staining, cells were incubated for 30 min with anti-β2 then washed with HBSS–10% FBS and incubated with FITC-conjugated secondary antibodies for 30 min. Fluorescence was quantified in a BD Accuri C6 flow cytometer (BD Biosciences, Le Pont de Claix, France).

4.8. Zymography

One hundred five monocytes were seeded in 22.6-mm-diameter culture dishes starved overnight before being treated with fucoidan for 30 min. The culture supernatant was collected and 20 μL was analyzed as described by Sarlon et al. [30].

4.9. Statistical Analysis

Data are expressed as mean and S.E.M. Data were analyzed by one-way ANOVA followed by Turkey’s multiple comparisons test or Student’s t test. A p value < 0.05 was considered to denote statistical significance. GraphPad Prism software version Prism 5 (GraphPad, Sandiego, CA, USA) was used for all analyses.

Acknowledgments

We thank the nursing services of Hôpital St Louis for providing umbilical cord blood samples. E. Sapharikas received grants from Fondation pour la Recherche Médicale and Ministère de l’enseignement Supérieur et de la Recherche. CNRS pays the salary of C. Boisson-Vidal.

Author Contributions

E.S. conceived, designed and performed the experiment, analyzed the data and wrote the paper; A.L. performed the experiments; A.-M.F. contributed to finding funding; and C.B.-V. found funding, supervised the work and wrote the paper.

Conflicts of Interest

The authors declare no conflict of interest.

References

  1. Golomb, B.A.; Dang, T.T.; Criqui, M.H. Peripheral arterial disease: Morbidity and mortality implications. Circulation 2006, 114, 688–699. [Google Scholar] [CrossRef] [PubMed]
  2. Norgren, L.; Hiatt, W.R.; Dormandy, J.A.; Nehler, M.R.; Harris, K.A.; Fowkes, F.G.R.; Rutherford, R.B. TASC II Working Group Inter-society consensus for the management of peripheral arterial disease. Int. Angiol. J. Int. Union Angiol. 2007, 26, 81–157. [Google Scholar]
  3. Shanmugasundaram, M.; Ram, V.K.; Luft, U.C.; Szerlip, M.; Alpert, J.S. Peripheral arterial disease—What do we need to know? Clin. Cardiol. 2011, 34, 478–482. [Google Scholar] [CrossRef] [PubMed]
  4. Fowkes, F.G.R.; Rudan, D.; Rudan, I.; Aboyans, V.; Denenberg, J.O.; McDermott, M.M.; Norman, P.E.; Sampson, U.K.A.; Williams, L.J.; Mensah, G.A.; et al. Comparison of global estimates of prevalence and risk factors for peripheral artery disease in 2000 and 2010: A systematic review and analysis. Lancet 2013, 382, 1329–1340. [Google Scholar] [CrossRef]
  5. Rastan, A.; Krankenberg, H.; Baumgartner, I.; Blessing, E.; Müller-Hülsbeck, S.; Pilger, E.; Scheinert, D.; Lammer, J.; Beschorner, U.; Noory, E.; et al. Stent Placement vs. Balloon Angioplasty for Popliteal Artery Treatment: Two-Year Results of a Prospective, Multicenter, Randomized Trial. J. Endovasc. Ther. Off. J. Int. Soc. Endovasc. Spec. 2015, 22, 22–27. [Google Scholar] [CrossRef] [PubMed]
  6. Varol, C.; Mildner, A.; Jung, S. Macrophages: Development and tissue specialization. Annu. Rev. Immunol. 2015, 33, 643–675. [Google Scholar] [CrossRef] [PubMed]
  7. McGinigle, K.L.; Kalbaugh, C.A.; Marston, W.A. Living in a medically underserved county is an independent risk factor for major limb amputation. J. Vasc. Surg. 2014, 59, 737–741. [Google Scholar] [CrossRef] [PubMed]
  8. Lau, J.F.; Weinberg, M.D.; Olin, J.W. Peripheral artery disease. Part 1: Clinical evaluation and noninvasive diagnosis. Nat. Rev. Cardiol. 2011, 8, 405–418. [Google Scholar] [CrossRef] [PubMed]
  9. Aerden, D.; Massaad, D.; von Kemp, K.; van Tussenbroek, F.; Debing, E.; Keymeulen, B.; van den Brande, P. The ankle-brachial index and the diabetic foot: A troublesome marriage. Ann. Vasc. Surg. 2011, 25, 770–777. [Google Scholar] [CrossRef] [PubMed]
  10. Weinberg, M.D.; Lau, J.F.; Rosenfield, K.; Olin, J.W. Peripheral artery disease. Part 2: Medical and endovascular treatment. Nat. Rev. Cardiol. 2011, 8, 429–441. [Google Scholar] [CrossRef] [PubMed]
  11. Novo, S.; Coppola, G.; Milio, G. Critical limb ischemia: Definition and natural history. Curr. Drug Targets Cardiovasc. Haematol. Disord. 2004, 4, 219–225. [Google Scholar] [CrossRef] [PubMed]
  12. Bertelè, V.; Roncaglioni, M.C.; Pangrazzi, J.; Terzian, E.; Tognoni, E.G. Clinical outcome and its predictors in 1560 patients with critical leg ischaemia. Chronic Critical Leg Ischaemia Group. Eur. J. Vasc. Endovasc. Surg. Off. J. Eur. Soc. Vasc. Surg. 1999, 18, 401–410. [Google Scholar] [CrossRef] [PubMed]
  13. Baumgartner, I.; Chronos, N.; Comerota, A.; Henry, T.; Pasquet, J.-P.; Finiels, F.; Caron, A.; Dedieu, J.-F.; Pilsudski, R.; Delaère, P. Local gene transfer and expression following intramuscular administration of FGF-1 plasmid DNA in patients with critical limb ischemia. Mol. Ther. J. Am. Soc. Gene Ther. 2009, 17, 914–921. [Google Scholar] [CrossRef] [PubMed]
  14. Hiatt, W.R.; Hirsch, A.T.; Creager, M.A.; Rajagopalan, S.; Mohler, E.R.; Ballantyne, C.M.; Regensteiner, J.G.; Treat-Jacobson, D.; Dale, R.A.; Rooke, T. Effect of niacin ER/lovastatin on claudication symptoms in patients with peripheral artery disease. Vasc. Med. Lond. Engl. 2010, 15, 171–179. [Google Scholar] [CrossRef] [PubMed]
  15. Nikol, S.; Baumgartner, I.; van Belle, E.; Diehm, C.; Visoná, A.; Capogrossi, M.C.; Ferreira-Maldent, N.; Gallino, A.; Wyatt, M.G.; Wijesinghe, L.D.; et al. TALISMAN 201 investigators Therapeutic angiogenesis with intramuscular NV1FGF improves amputation-free survival in patients with critical limb ischemia. Mol. Ther. J. Am. Soc. Gene Ther. 2008, 16, 972–978. [Google Scholar] [CrossRef] [PubMed]
  16. Belch, J.; Hiatt, W.R.; Baumgartner, I.; Driver, I.V.; Nikol, S.; Norgren, L.; van Belle, E. TAMARIS Committees and Investigators Effect of fibroblast growth factor NV1FGF on amputation and death: A randomised placebo-controlled trial of gene therapy in critical limb ischaemia. Lancet 2011, 377, 1929–1937. [Google Scholar] [CrossRef]
  17. Lederman, R.J.; Mendelsohn, F.O.; Anderson, R.D.; Saucedo, J.F.; Tenaglia, A.N.; Hermiller, J.B.; Hillegass, W.B.; Rocha-Singh, K.; Moon, T.E.; Whitehouse, M.J.; et al. TRAFFIC Investigators Therapeutic angiogenesis with recombinant fibroblast growth factor-2 for intermittent claudication (the TRAFFIC study): A randomised trial. Lancet 2002, 359, 2053–2058. [Google Scholar] [CrossRef]
  18. Rajagopalan, S.; Mohler, E.R.; Lederman, R.J.; Mendelsohn, F.O.; Saucedo, J.F.; Goldman, C.K.; Blebea, J.; Macko, J.; Kessler, P.D.; Rasmussen, H.S.; et al. Regional angiogenesis with vascular endothelial growth factor in peripheral arterial disease: A phase II randomized, double-blind, controlled study of adenoviral delivery of vascular endothelial growth factor 121 in patients with disabling intermittent claudication. Circulation 2003, 108, 1933–1938. [Google Scholar] [PubMed]
  19. Tateishi-Yuyama, E.; Matsubara, H.; Murohara, T.; Ikeda, U.; Shintani, S.; Masaki, H.; Amano, K.; Kishimoto, Y.; Yoshimoto, K.; Akashi, H.; et al. Therapeutic Angiogenesis using Cell Transplantation (TACT) Study Investigators Therapeutic angiogenesis for patients with limb ischaemia by autologous transplantation of bone-marrow cells: A pilot study and a randomised controlled trial. Lancet 2002, 360, 427–435. [Google Scholar] [CrossRef]
  20. Ishida, A.; Ohya, Y.; Sakuda, H.; Ohshiro, K.; Higashiuesato, Y.; Nakaema, M.; Matsubara, S.; Yakabi, S.; Kakihana, A.; Ueda, M.; et al. Autologous peripheral blood mononuclear cell implantation for patients with peripheral arterial disease improves limb ischemia. Circ. J. Off. J. Jpn. Circ. Soc. 2005, 69, 1260–1265. [Google Scholar] [CrossRef]
  21. Huang, P.; Li, S.; Han, M.; Xiao, Z.; Yang, R.; Han, Z.C. Autologous transplantation of granulocyte colony-stimulating factor-mobilized peripheral blood mononuclear cells improves critical limb ischemia in diabetes. Diabetes Care 2005, 28, 2155–2160. [Google Scholar] [CrossRef] [PubMed]
  22. Fadini, G.P.; Agostini, C.; Avogaro, A. Autologous stem cell therapy for peripheral arterial disease meta-analysis and systematic review of the literature. Atherosclerosis 2010, 209, 10–17. [Google Scholar] [CrossRef] [PubMed]
  23. Moazzami, K.; Majdzadeh, R.; Nedjat, S. Local intramuscular transplantation of autologous mononuclear cells for critical lower limb ischaemia. Cochrane Database Syst. Rev. 2011, 12, CD008347. [Google Scholar] [PubMed]
  24. Silvestre, J.-S.; Smadja, D.M.; Lévy, B.I. Postischemic revascularization: From cellular and molecular mechanisms to clinical applications. Physiol. Rev. 2013, 93, 1743–1802. [Google Scholar] [CrossRef] [PubMed]
  25. Magri, D.; Vasilas, P.; Muto, A.; Fitzgerald, T.N.; Fancher, T.T.; Feinstein, A.J.; Nishibe, T.; Dardik, A. Elevated monocytes in patients with critical limb ischemia diminish after bypass surgery. J. Surg. Res. 2011, 167, 140–150. [Google Scholar] [CrossRef] [PubMed]
  26. Capoccia, B.J.; Shepherd, R.M.; Link, D.C. G-CSF and AMD3100 mobilize monocytes into the blood that stimulate angiogenesis in vivo through a paracrine mechanism. Blood 2006, 108, 2438–2445. [Google Scholar] [CrossRef] [PubMed]
  27. Heil, M.; Ziegelhoeffer, T.; Pipp, F.; Kostin, S.; Martin, S.; Clauss, M.; Schaper, W. Blood monocyte concentration is critical for enhancement of collateral artery growth. Am. J. Physiol. Heart Circ. Physiol. 2002, 283, H2411–H2419. [Google Scholar] [CrossRef] [PubMed]
  28. Heil, M.; Ziegelhoeffer, T.; Wagner, S.; Fernández, B.; Helisch, A.; Martin, S.; Tribulova, S.; Kuziel, W.A.; Bachmann, G.; Schaper, W. Collateral artery growth (arteriogenesis) after experimental arterial occlusion is impaired in mice lacking CC-chemokine receptor-2. Circ. Res. 2004, 94, 671–677. [Google Scholar] [CrossRef] [PubMed]
  29. Voskuil, M.; van Royen, N.; Hoefer, I.E.; Seidler, R.; Guth, B.D.; Bode, C.; Schaper, W.; Piek, J.J.; Buschmann, I.R. Modulation of collateral artery growth in a porcine hindlimb ligation model using MCP-1. Am. J. Physiol. Heart Circ. Physiol. 2003, 284, H1422–H1428. [Google Scholar] [CrossRef] [PubMed]
  30. Sarlon, G.; Zemani, F.; David, L.; Duong van Huyen, J.P.; Dizier, B.; Grelac, F.; Colliec-Jouault, S.; Galy-Fauroux, I.; Bruneval, P.; Fischer, A.M.; et al. Therapeutic effect of fucoidan-stimulated endothelial colony-forming cells in peripheral ischemia. J. Thromb. Haemost. JTH 2012, 10, 38–48. [Google Scholar] [CrossRef] [PubMed]
  31. Zemani, F.; Silvestre, J.-S.; Fauvel-Lafeve, F.; Bruel, A.; Vilar, J.; Bieche, I.; Laurendeau, I.; Galy-Fauroux, I.; Fischer, A.M.; Boisson-Vidal, C. Ex vivo priming of endothelial progenitor cells with SDF-1 before transplantation could increase their proangiogenic potential. Arterioscler. Thromb. Vasc. Biol. 2008, 28, 644–650. [Google Scholar] [CrossRef] [PubMed]
  32. Boisson-Vidal, C.; Zemani, F.; Caligiuri, G.; Galy-Fauroux, I.; Colliec-Jouault, S.; Helley, D.; Fischer, A.-M. Neoangiogenesis induced by progenitor endothelial cells: Effect of fucoidan from marine algae. Cardiovasc. Hematol. Agents Med. Chem. 2007, 5, 67–77. [Google Scholar] [CrossRef] [PubMed]
  33. Luyt, C.-E.; Meddahi-Pellé, A.; Ho-Tin-Noe, B.; Colliec-Jouault, S.; Guezennec, J.; Louedec, L.; Prats, H.; Jacob, M.-P.; Osborne-Pellegrin, M.; Letourneur, D.; et al. Low-molecular-weight fucoidan promotes therapeutic revascularization in a rat model of critical hindlimb ischemia. J. Pharmacol. Exp. Ther. 2003, 305, 24–30. [Google Scholar] [CrossRef] [PubMed]
  34. Nahrendorf, M.; Swirski, F.K.; Aikawa, E.; Stangenberg, L.; Wurdinger, T.; Figueiredo, J.-L.; Libby, P.; Weissleder, R.; Pittet, M.J. The healing myocardium sequentially mobilizes two monocyte subsets with divergent and complementary functions. J. Exp. Med. 2007, 204, 3037–3047. [Google Scholar] [CrossRef] [PubMed]
  35. Geissmann, F.; Jung, S.; Littman, D.R. Blood monocytes consist of two principal subsets with distinct migratory properties. Immunity 2003, 19, 71–82. [Google Scholar] [CrossRef]
  36. Hartney, J.M.; Brown, J.; Chu, H.W.; Chang, L.Y.; Pelanda, R.; Torres, R.M. Arhgef1 regulates alpha5beta1 integrin-mediated matrix metalloproteinase expression and is required for homeostatic lung immunity. Am. J. Pathol. 2010, 176, 1157–1168. [Google Scholar] [CrossRef] [PubMed]
  37. Nourshargh, S.; Alon, R. Leukocyte migration into inflamed tissues. Immunity 2014, 41, 694–707. [Google Scholar] [CrossRef] [PubMed]
  38. Bergmann, C.E.; Hoefer, I.E.; Meder, B.; Roth, H.; van Royen, N.; Breit, S.M.; Jost, M.M.; Aharinejad, S.; Hartmann, S.; Buschmann, I.R. Arteriogenesis depends on circulating monocytes and macrophage accumulation and is severely depressed in op/op mice. J. Leukoc. Biol. 2006, 80, 59–65. [Google Scholar] [CrossRef] [PubMed]
  39. Arras, M.; Ito, W.D.; Scholz, D.; Winkler, B.; Schaper, J.; Schaper, W. Monocyte activation in angiogenesis and collateral growth in the rabbit hindlimb. J. Clin. Invest. 1998, 101, 40–50. [Google Scholar] [CrossRef] [PubMed]
  40. Wolff, R.A.; Tomas, J.J.; Hullett, D.A.; Stark, V.E.; van Rooijen, N.; Hoch, J.R. Macrophage depletion reduces monocyte chemotactic protein-1 and transforming growth factor-beta1 in healing rat vein grafts. J. Vasc. Surg. 2004, 39, 878–888. [Google Scholar] [CrossRef] [PubMed]
  41. Schepers, A.; Eefting, D.; Bonta, P.I.; Grimbergen, J.M.; de Vries, M.R.; van Weel, V.; de Vries, C.J.; Egashira, K.; van Bockel, J.H.; Quax, P.H.A. Anti-MCP-1 gene therapy inhibits vascular smooth muscle cells proliferation and attenuates vein graft thickening both in vitro and in vivo. Arterioscler. Thromb. Vasc. Biol. 2006, 26, 2063–2069. [Google Scholar] [CrossRef] [PubMed]
  42. Tatewaki, H.; Egashira, K.; Kimura, S.; Nishida, T.; Morita, S.; Tominaga, R. Blockade of monocyte chemoattractant protein-1 by adenoviral gene transfer inhibits experimental vein graft neointimal formation. J. Vasc. Surg. 2007, 45, 1236–1243. [Google Scholar] [CrossRef] [PubMed]
  43. Haroun-Bouhedja, F.; Lindenmeyer, F.; Lu, H.; Soria, C.; Jozefonvicz, J.; Boisson-Vidal, C. In vitro effects of fucans on MDA-MB231 tumor cell adhesion and invasion. Anticancer Res. 2002, 22, 2285–2292. [Google Scholar] [PubMed]
  44. Sadir, R.; Baleux, F.; Grosdidier, A.; Imberty, A.; Lortat-Jacob, H. Characterization of the stromal cell-derived factor-1alpha-heparin complex. J. Biol. Chem. 2001, 276, 8288–8296. [Google Scholar] [CrossRef] [PubMed]
  45. Thorlacius, H.; Vollmar, B.; Seyfert, U.T.; Vestweber, D.; Menger, M.D. The polysaccharide fucoidan inhibits microvascular thrombus formation independently from P- and l-selectin function in vivo. Eur. J. Clin. Invest. 2000, 30, 804–810. [Google Scholar] [CrossRef] [PubMed]
  46. Frenette, P.S.; Weiss, L. Sulfated glycans induce rapid hematopoietic progenitor cell mobilization: Evidence for selectin-dependent and independent mechanisms. Blood 2000, 96, 2460–2468. [Google Scholar] [PubMed]
  47. Cambien, B.; Pomeranz, M.; Millet, M.A.; Rossi, B.; Schmid-Alliana, A. Signal transduction involved in MCP-1-mediated monocytic transendothelial migration. Blood 2001, 97, 359–366. [Google Scholar] [CrossRef] [PubMed]
  48. Ge, H.; Yuan, W.; Liu, J.; He, Q.; Ding, S.; Pu, J.; He, B. Functional Relevance of Protein Glycosylation to the Pro-Inflammatory Effects of Extracellular Matrix Metalloproteinase Inducer (EMMPRIN) on Monocytes/Macrophages. PLoS ONE 2015, 10, e0117463. [Google Scholar] [CrossRef] [PubMed]
  49. Ashida, N.; Arai, H.; Yamasaki, M.; Kita, T. Distinct signaling pathways for MCP-1-dependent integrin activation and chemotaxis. J. Biol. Chem. 2001, 276, 16555–16560. [Google Scholar] [CrossRef] [PubMed]
  50. McGilvray, I.D.; Tsai, V.; Marshall, J.C.; Dackiw, A.P.B.; Rotstein, O.D. Monocyte adhesion and transmigration induce tissue factor expression: Role of the mitogen-activated protein kinases. Shock 2002, 18, 51–57. [Google Scholar] [CrossRef] [PubMed]
  51. Liao, C.-C.; Ho, M.-Y.; Liang, S.-M.; Liang, C.-M. Recombinant protein rVP1 upregulates BECN1-independent autophagy, MAPK1/3 phosphorylation and MMP9 activity via WIPI1/WIPI2 to promote macrophage migration. Autophagy 2013, 9, 5–19. [Google Scholar] [CrossRef] [PubMed]
  52. Ye, J.; Li, Y.; Teruya, K.; Katakura, Y.; Ichikawa, A.; Eto, H.; Hosoi, M.; Hosoi, M.; Nishimoto, S.; Shirahata, S. Enzyme-digested Fucoidan Extracts Derived from Seaweed Mozuku of Cladosiphon novae-caledoniae kylin Inhibit Invasion and Angiogenesis of Tumor Cells. Cytotechnology 2005, 47, 117–126. [Google Scholar] [CrossRef] [PubMed]
  53. Lee, H.; Kim, J.-S.; Kim, E. Fucoidan from Seaweed Fucus vesiculosus Inhibits Migration and Invasion of Human Lung Cancer Cell via PI3K-Akt-mTOR Pathways. PLoS ONE 2012, 7, e50624. [Google Scholar] [CrossRef] [PubMed]
  54. Teng, H.; Yang, Y.; Wei, H.; Liu, Z.; Liu, Z.; Ma, Y.; Gao, Z.; Hou, L.; Zou, X. Fucoidan Suppresses Hypoxia-Induced Lymphangiogenesis and Lymphatic Metastasis in Mouse Hepatocarcinoma. Mar. Drugs 2015, 13, 3514–3530. [Google Scholar] [CrossRef] [PubMed]
  55. Fitton, J.H. Therapies from fucoidan; Multifunctional marine polymers. Mar. Drugs 2011, 9, 1731–1760. [Google Scholar] [CrossRef] [PubMed]
  56. Ustyuzhanina, N.E.; Bilan, M.I.; Ushakova, N.A.; Usov, A.I.; Kiselevskiy, M.V.; Nifantiev, N.E. Fucoidans: Pro- or antiangiogenic agents? Glycobiology 2014, 24, 1265–1274. [Google Scholar] [CrossRef] [PubMed]
  57. Matsubara, K.; Xue, C.; Zhao, X.; Mori, M.; Sugawara, T.; Hirata, T. Effects of middle molecular weight fucoidans on in vitro and ex vivo angiogenesis of endothelial cells. Int. J. Mol. Med. 2005, 15, 695–699. [Google Scholar] [CrossRef] [PubMed]
  58. Zemani, F.; Benisvy, D.; Galy-Fauroux, I.; Lokajczyk, A.; Colliec-Jouault, S.; Uzan, G.; Fischer, A.M.; Boisson-Vidal, C. Low-molecular-weight fucoidan enhances the proangiogenic phenotype of endothelial progenitor cells. Biochem. Pharmacol. 2005, 70, 1167–1175. [Google Scholar] [CrossRef] [PubMed]
  59. Nardella, A.; Chaubet, F.; Boisson-Vidal, C.; Blondin, C.; Durand, P.; Jozefonvicz, J. Anticoagulant low molecular weight fucans produced by radical process and ion exchange chromatography of high molecular weight fucans extracted from the brown seaweed Ascophyllum nodosum. Carbohydr. Res. 1996, 289, 201–208. [Google Scholar] [CrossRef]
  60. Mulloy, B.; Gee, C.; Wheeler, S.F.; Wait, R.; Gray, E.; Barrowcliffe, T.W. Molecular weight measurements of low molecular weight heparins by gel permeation chromatography. Thromb. Haemost. 1997, 77, 668–674. [Google Scholar] [PubMed]

Share and Cite

MDPI and ACS Style

Sapharikas, E.; Lokajczyk, A.; Fischer, A.-M.; Boisson-Vidal, C. Fucoidan Stimulates Monocyte Migration via ERK/p38 Signaling Pathways and MMP9 Secretion. Mar. Drugs 2015, 13, 4156-4170. https://doi.org/10.3390/md13074156

AMA Style

Sapharikas E, Lokajczyk A, Fischer A-M, Boisson-Vidal C. Fucoidan Stimulates Monocyte Migration via ERK/p38 Signaling Pathways and MMP9 Secretion. Marine Drugs. 2015; 13(7):4156-4170. https://doi.org/10.3390/md13074156

Chicago/Turabian Style

Sapharikas, Elene, Anna Lokajczyk, Anne-Marie Fischer, and Catherine Boisson-Vidal. 2015. "Fucoidan Stimulates Monocyte Migration via ERK/p38 Signaling Pathways and MMP9 Secretion" Marine Drugs 13, no. 7: 4156-4170. https://doi.org/10.3390/md13074156

APA Style

Sapharikas, E., Lokajczyk, A., Fischer, A. -M., & Boisson-Vidal, C. (2015). Fucoidan Stimulates Monocyte Migration via ERK/p38 Signaling Pathways and MMP9 Secretion. Marine Drugs, 13(7), 4156-4170. https://doi.org/10.3390/md13074156

Article Metrics

Back to TopTop