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Biglycan Intensifies ALK5–Smad2/3 Signaling by TGF‐β1 and Downregulates Syndecan‐4 in Cultured Vascular Endothelial Cells

ABSTRACT Proteoglycans are macromolecules that consist of a core protein and one or more glycosaminoglycan side chains. A small leucine‐rich dermatan sulfate proteoglycan, biglycan, is one of the predominant types of proteoglycans synthesized by vascular endothelial cells; however, the physiological functions of biglycan are not completely understood. In the present study, bovine aortic endothelial cells in culture were transfected with small interfering RNAs for biglycan, and the expression of other proteoglycans was examined. Transforming growth factor‐β1 signaling was also investigated, because the interaction of biglycan with cytokines has been reported. Biglycan was found to form a complex with either transforming growth factor‐β1 or the transforming growth factor‐β1 type I receptor, ALK5, and to intensify the phosphorylation of Smad2/3, resulting in a lower expression of the transmembrane heparan sulfate proteoglycan, syndecan‐4. This is the first report to clarify the function of biglycan as a regulatory molecule of the ALK5–Smad2/3 TGF‐β1 signaling pathway that mediates the suppression of syndecan‐4 expression in vascular endothelial cells. J. Cell. Biochem. 118: 1087–1096, 2017. © 2016 Wiley Periodicals, Inc.

V ascular endothelial cells cover the inner surface of blood vessels and are involved in the regulation of the blood coagulation-fibrinolytic system by synthesizing and secreting not only procoagulants, including tissue factor [Maynard et al., 1977] and plasminogen activator inhibitor type 1 [van Mourik et al., 1984], but also anticoagulants, including prostacyclin [Weksler et al., 1977], thrombomodulin [Esmon and Owen, 1981], and tissue plasminogen activator [Levin and Loskutoff, 1982]. The cells also synthesize and secrete anticoagulant proteoglycans, macromolecules that consist of a core protein and one or more glycosaminoglycan side chains [Ruoslahti, 1988]. Vascular endothelial cells express two types of proteoglycans. One type is the heparan sulfate proteoglycans, including a large heparan sulfate proteoglycan, perlecan [Saku and Furthmayr, 1989]; members of the syndecan family of transmembrane proteoglycans, such as syndecan-1 and syndecan-4 [Kojima et al., 1992]; and the cell-associated proteoglycan, glypican [Mertens et al., 1992]. The other type is the dermatan sulfate proteoglycans, such as small leucine-rich dermatan sulfate proteoglycans, biglycan [Yamamoto et al., 2005] and decorin [Sch€ onherr et al., 1999].
Vascular endothelial proteoglycans have various physiological functions, such as permeability, lipid metabolism, hemostasis, thrombosis, and extracellular assembly [Camejo, 1981;Berenson et al., 1984]. Proteoglycans are also involved in regulating the activity of growth factors and cytokines, such as fibroblast growth factor-2 (FGF-2) and transforming growth factor-b (TGF-b), to which some proteoglycans bind. When a monolayer of vascular endothelial cells is injured, FGF-2 leaks from the damaged cells and stimulates the migration and proliferation of cells near the damaged site to repair the monolayer [Rifkin and Moscatelli, 1989]. During repairment of the damaged endothelial monolayer, perlecan promotes the binding of FGF-2 to its receptor [Aviezer et al., 1994]. In addition, the heparan sulfate chains of endothelial heparan sulfate proteoglycans exhibit heparin-like activity and contribute to the anticoagulant properties of vascular endothelial cell monolayers [Mertens et al., 1992]. On the other hand, biglycan and decorin activate heparin cofactor II via the dermatan sulfate chains to inhibit a coagulation factor, thrombin [Whinna et al., 1993], and decorin is bound to TGF-b via the core proteins to inactivate this cytokine in vitro [Hildebrand et al., 1994]. However, the physiological functions of dermatan sulfate proteoglycans, especially biglycan, are not fully understood.
TGF-b is a multifunctional cytokine involved in various vascular events and diseases [Ruiz-Ortega et al., 2007]. The activity of TGF-b 1 is mediated by type I transmembrane serine/threonine kinase receptors that are activated by type II receptors bound to TGF-b 1 [Wrana et al., 1994]. There are two kinds of type I TGF-b receptors: one is activin receptor-like kinase 5 (ALK5), which is expressed in most cell types, and the other is activin receptor-like kinase 1 (ALK1), which is specifically expressed in vascular endothelial cells [Goumans et al., 2002]. In vascular endothelial cells, ALK5 and ALK1 transduce different signals from TGF-b 1 . Cell migration and proliferation are inhibited by the pathway mediated by transcriptional factors Smad2 and Smad3, which are phosphorylated by ALK5, whereas they are stimulated by the pathway mediated by Smad1, Smad5, and Smad8, which are phosphorylated by ALK1 [Derynck et al., 1998;Goumans et al., 2003].
The synthesis of endothelial proteoglycans is regulated by growth factors and cytokines, such as VEGF165 [Kaji et al., 2006] and connective tissue growth factor [Kaji et al., 2004]. TGF-b 1 also regulates endothelial perlecan and biglycan synthesis in a cell density-dependent manner [Kaji et al., 2000]. We hypothesized that biglycan may be involved in regulating the expression of other types of proteoglycans by TGF-b 1 in vascular endothelial cells. These data indicated that biglycan intensifies ALK5-Smad2/3 signaling with TGF-b 1 as a co-receptor and then downregulates the expression of syndecan-4 in cultured vascular endothelial cells.

CELL CULTURE AND TREATMENT
Vascular endothelial cells were cultured in a humidified atmosphere of 5% CO 2 at 37°C in Dulbecco's modified Eagle medium supplemented with 10% fetal bovine serum and antibiotics (5,000 IU/mL penicillin and 5 mg/mL streptomycin) until confluent. The cells were transfected with siRNAs for knockdown of biglycan, TGF-b 1 , ALK1, ALK5, or both biglycan and TGF-b 1 . After this, the expression of syndecan-4 or other proteoglycans was determined by real-time reverse transcription polymerase chain reaction (RT-PCR) or Western blot analysis as described below. In another experiment, cultures of confluent cells were treated with LY364947 or TGF-b 1 and then the expression of syndecan-4 was determined by real-time RT-PCR or Western blot analysis.

REAL-TIME RT-PCR
Total RNA was extracted using an RNeasy Lipid Tissue Mini Kit (Qiagen). Complementary DNA (cDNA) was synthesized from the mRNA using a High-Capacity cDNA Reverse Transcription Kit (Applied Biosystems, Foster, CA). Real-time PCR was performed using Power SYBR Green PCR Master Mix (Applied Biosystems, Waltham, MA) with 1 ng/mL cDNA and 0.1 mM primers (Table I) on a StepOnePlus Real-Time PCR System (Applied Biosystems). Levels of biglycan, decorin, perlecan, syndecan-1, syndecan-2, syndecan-3, syndecan-4, glypican-1, and glyceraldehyde 3-phosphate dehydrogenase (GAPDH) mRNAs were quantified by the comparative CT method. The fold changes for each gene were normalized by the intensity value of GAPDH.

PROTEOGLYCAN CORE PROTEIN EXTRACTION AND WESTERN BLOT ANALYSIS
Proteoglycans that accumulated in the cell layer and conditioned medium of vascular endothelial cells were extracted under dissociative conditions. Specifically, the conditioned medium was harvested and solid urea was added at a concentration of 8 M. The cell layer was washed twice with Ca 2þ -and Mg 2þ -free phosphatebuffered saline and lysed with 8 M urea cell extract solution (pH 7.5) containing 120 mM 6-aminohexanoic acid, 12 mM benzamidine, 10 mM N-ethylmaleimide, 2 mM EDTA, 0.1 M phenylmethanesulfonyl fluoride, 0.1 M NaCl, 50 mM Tris base, and 2% Triton X-100. The extracts were applied to DEAE-Sephacel (0.3 mL of resin) columns and washed four times with 0.25 M NaCl 8 M urea buffer (pH 7.5), containing 2 mM EDTA, 0.5% Triton X-100, and 50 mM Tris base. Proteoglycans were eluted with 0.9 mL 3 M urea buffer (pH 7.5) containing 2 mM EDTA, 0.5% Triton X-100, and 50 mM Tris base, and precipitated with 3.5 volumes of 1.3% potassium acetate in 95% ethanol for 2 h at À20°C; this precipitation step was repeated three times. Precipitated proteoglycans were digested with heparinase II/ III in 100 mM Tris-HCl buffer (pH 7.0) containing 10 mM calcium acetate and 18 mM sodium acetate or with chondroitinase ABC in 50 mM Tris-HCl buffer (pH 8.0) containing 1 mg/mL bovine serum albumin and 3 mM sodium acetate for 3 h at 37°C to determine core proteins of syndecan-4 and biglycan, respectively. Separately, total proteins from vascular endothelial cells were prepared by lysis in sodium dodecyl sulfate (SDS) sample buffer (50 mM Tris-HCl buffer solution containing 2% SDS and 10% glycerol, pH 6.8) followed by incubation at 95°C for 10 min. The protein concentration was determined using a BCA Protein Assay Kit (Thermo Scientific, Waltham, MA) before addition of 2-mercaptoethanol and bromophenol blue to the samples. The proteoglycans or cellular proteins were separated by SDS-polyacrylamide gel electrophoresis on a 10% polyacrylamide gel and then transferred onto a polyvinyl difluoride membrane (Immobilon-P, Millipore, Billerica, MA, USA) at 2 mA/ cm 2 for 1 h. Membranes were blocked with 5% skim milk in 20 mM Tris-HCl buffer solution (pH 7.5) containing 150 mM NaCl and 0.1% Tween 20, and then incubated overnight with a primary antibody against biglycan, syndecan-4, ALK1, ALK5, Smad2/3, or phosphorylated Smad2/3 at 4°C. The membranes were washed and then incubated with HRP-conjugated secondary antibodies for 1 h at room temperature. Immunoreactive bands were visualized using enhanced chemiluminescence Western blotting detection reagents (Chemi-Lumi One L, Nacalai, Kyoto, Japan) and scanned with a LAS 3000 Imager (Fujifilm, Tokyo, Japan). Representative blots are shown from three independent experiments.

Ni 2þ PULL-DOWN ASSAY
To prepare 6 Â His-tagged biglycan, the pDEST26-BGN (NM_001711.3) plasmid vector was constructed using a Mammalian Expression System with Gateway Technology, and the vector was transfected into vascular endothelial cells with Lipofectamine LTX and PLUS reagent. One microgram per microliter of plasmid vector and PLUS reagent in Opti-MEM and Lipofectamine LTX in Opti-MEM were prepared in separate tubes and mixed; the mixture was then incubated for 5 min at room temperature. Vascular endothelial cells at about 80% confluence were incubated in the mixture for 1 h at 37°C; the final concentration of the vector, PLUS reagent, and Lipofectamine RNAiMAX were 1.7 mg/mL, 0.17%, and 0.35%, respectively. The pDEST26 vector was used as a control. After incubation, the medium was changed to Dulbecco's modified Eagle medium supplemented with 10% fetal bovine serum and the cells were further incubated for 24 h. After incubation, proteoglycans that had accumulated in the conditioned medium were extracted, concentrated, and digested with chondroitinase ABC as described above in "Proteoglycan core protein extraction and Western blot analysis." The binding of biglycan to either TGF-b 1 or ALK5 was analyzed by a Ni 2þ pulldown assay as follows: 40 mL of His Mag Sepharose Ni was equilibrated with a binding/wash buffer, 25 mM Tris-HCl containing 150 mM NaCl, and 5 mM imidazole (pH 7.5). Chondroitinase ABC-digested proteoglycans were mixed with either 500 ng recombinant human TGF-b 1 or 50 mg of membrane proteins extracted from endothelial cells using the ProteoExtract Native Membrane Protein Extraction Kit (Merck KGaA, Darmstadt, Germany) and incubated with the beads for 30 min. After incubation, the beads were washed four times with binding/ wash buffer and boiled with elution buffer, 50 mM Tris-HCl containing 8% glycerol, 2% SDS, 5% 2-mercaptoethanol, 0.005% bromophenol blue, and 500 mM imidazole (pH 6.8) at 95°C for 3 min. The supernatant was collected and used to determine complexes of biglycan with TGF-b 1 or ALK5 by Western blot analysis.

STATISTICAL ANALYSIS
Data were tested for statistical significance by analysis of variance and Student's t-test or Tukey's method, as appropriate. P values of less than 0.05 were considered statistically significant differences.

BIGLYCAN SUPPRESSES SYNDECAN-4 EXPRESSION
To examine the effects of biglycan knockdown on the expression of messenger RNAs (mRNAs) coding for other types of proteoglycans, either a negative control siRNA (siCont) or bovine biglycan siRNA-1 (siBGN-1) was transfected into vascular endothelial cells, and then the mRNA expression levels were analyzed (Fig. 1). Suppression of biglycan mRNA expression resulted in the induction of mRNAs for decorin (1.50-fold), syndecan-1 (1.65-fold), and syndecan-4 (1.90-fold). An siRNA for bovine biglycan, siBGN-2, also induced the expression decorin and syndecan-4 mRNAs, but failed to induce syndecan-1 mRNA expression (data not shown). We have investigated the relationship between the expression of biglycan and that of syndecan-4 in vascular smooth muscle cells and found that siRNAmediated knockdown of biglycan expression results in a higher expression of syndecan-4 mRNA (Fig. S1). This suggests that biglycan suppression of syndecan-4 expression occurs in not only vascular endothelial cells but also vascular smooth muscle cells.
Since the expression level of syndecan-4 in vascular smooth muscle cells was much lower than that in vascular endothelial cells, we could not show the expression of syndecan-4 core protein.
When the cells were transfected with siBGN-1, the level of biglycan mRNA consistently decreased during a 24-h incubation ( Fig. 2A, upper panel), while the syndecan-4 mRNA level increased during a 6-h incubation ( Fig. 2A, lower panel). Expression of syndecan-4 increased with suppression of biglycan expression during a 24-h incubation (Fig. 2B). These results suggest that biglycan suppresses the expression of syndecan-4 in vascular endothelial cells.

TGF-b 1 SUPPRESSES THE EXPRESSION OF SYNDECAN-4
We next examined the effects of exogenous TGF-b 1 on the expression of syndecan-4 in vascular endothelial cells (Fig. 3), because an interaction between biglycan and TGF-b 1 has been reported [Hildebrand et al., 1994]. TGF-b 1 elevated the expression levels of syndecan-4 mRNA after a 3-h treatment at 1 and 5 ng/mL or after a 6-h treatment at 5 ng/mL (Fig. 3A). The expression of syndecan-4 increased after a 6-h incubation (Fig. 3B) and then decreased after a 24-h incubation with TGF-b 1 at 5 ng/mL (Fig. 3C). A nonspecific band observed at the top of the images in Figure 3B did not increase and that in Figure 3C did not decrease by TGF-b 1 , suggesting that the cytokine specifically modulates the expression of syndecan-4.
To determine the effects of endogenous TGF-b 1 on endothelial syndecan-4 expression, we assessed the expression of syndecan-4 in vascular endothelial cells in which the expression of TGF-b 1 was suppressed by bovine TGF-b 1 siRNA (siTGFB1). As shown in Figure 4, both siBGN-1 and siBGN-2 suppressed the expression of biglycan mRNA in the presence or absence of siTGFB1. Similarly, siTGFB1 suppressed the expression of TGF-b 1 in the presence or absence of siBGN-1/siBGN-2 (Fig. 4A). The expression of syndecan-4 mRNA was elevated by siBGN-1, siBGN-2, and siTGFB1; such an elevation was also observed at the protein level (Fig. 4B), suggesting that endogenous biglycan and TGF-b 1 each suppress syndecan-4 expression. The effect of siBGN-1/siBGN-2 and siTGFB1 on sydecan-4 expression was additive, indicating that not only endogenous biglycan but also endogenous TGF-b 1 suppresses syndecan-4 expression in vascular endothelial cells.

TGF-b 1 RECEPTOR TYPE-I, ALK5, INHIBITS THE EXPRESSION OF SYNDECAN-4
To identify the TGF-b receptor involved in the suppression of syndecan-4, siALK1, and siALK5 were transfected into vascular Fig. 1. Effects of siRNA-mediated knockdown of biglycan on the expression of proteoglycan mRNAs in vascular endothelial cells. Bovine aortic endothelial cells were transfected with siCont or siBGN-1 for 24 h and the expression of biglycan, decorin, perlecan, glypican-1, syndecan-1, syndecan-2, syndecan-3, and syndecan-4 mRNAs was analyzed by real-time RT-PCR. Values are means AE SE of three independent experiments performed in duplicate. Significantly different from the corresponding siCont, Ã P < 0.01. endothelial cells and the expression of syndecan-4 was evaluated (Fig. 5). The expression of ALK1 and ALK5 was suppressed by siALK1 and siALK5, respectively ( Fig. 5A and B, left and middle panels), but was not influenced by siALK5 and siALK1 (data not shown). Under such conditions, the expression of syndecan-4 mRNA was elevated by either siALK1 or siALK5 (Fig. 5A, right panel); however, the expression of syndecan-4 core protein was increased by siALK5 but not by siALK1 (Fig. 5B), suggesting that ALK5 is involved predominantly in negative regulation of syndecan-4 expression by endogenous TGF-b 1 . In fact, a selective inhibitor of ALK5, LY364947, increased the expression of syndecan-4 at both the mRNA and protein levels ( Fig. 5C and D).

BIGLYCAN CORE PROTEIN IS BOUND TO EITHER TGF-b 1 OR ALK5
Since the data suggested that TGF-b 1 -ALK5 signaling negatively regulates the expression of syndecan-4 in vascular endothelial cells, we analyzed the interaction of biglycan with either TGF-b 1 or ALK5. As shown in Figure 6A, biglycan core protein appeared after digestion with chondroitinase ABC, suggesting that the cells synthesized biglycan as a proteoglycan molecule that bears chondroitin/dermatan sulfate chains. The band of TGF-b 1 that had been pulled down by the His-tagged biglycan core protein was detected when recombinant human TGF-b 1 reacted with biglycan core protein after digestion with chondroitinase ABC, suggesting that TGF-b 1 is bound to biglycan core protein, as previously reported  by Hildebrand et al. [1994]. Figure 6B shows the interaction of biglycan core protein with ALK5. The ALK5 band was identified by Western blot analysis as an immunoreactive band that was decreased by siRNA-mediated knockdown. ALK5 was increased only when the receptor reacted with the His-tagged biglycan core protein obtained from the conditioned medium of the cells and prepared by digestion with chondroitinase ABC. This suggests that ALK5 is also bound to biglycan core protein. Taken together, these results suggest that the biglycan core protein potentiates TGF-b 1 -ALK5 signaling by binding to both TGF-b 1 and ALK5.

BIGLYCAN ENHANCES PHOSPHORYLATION OF Smad2/3
TGF-b 1 is bound to ALK5 and phosphorylates the Smad2/3 C-terminus, which transduces the TGF-b 1 signal to the nucleus. The effect of siBGN-1/2 on the phosphorylation of Smad2/3 was examined to clarify the significance of the formation of a complex of biglycan with TGF-b 1 and ALK5. Although Smad2/3 phosphorylation was observed when the cells were treated with TGF-b 1 , phosphorylation was not detected in either siCont-or siBGN-1/2-transfected cells in the absence of TGF-b 1 . When the cells were stimulated with TGF-b 1 at 1 ng/mL for 30 min, Smad2/3 phosphorylation was detected. This phosphorylation decreased with siBGN-1/2 (Fig. 7), indicating that biglycan potentiates TGF-b 1 -ALK5 signal transduction by activating Smad2/3 phosphorylation.

DISCUSSION
The physiological functions of biglycan in vascular endothelial cells are not fully understood. The present data, however, indicate that (1) the expression of endothelial biglycan induces lower levels of syndecan-4 expression, (2) both exogenous and endogenous TGF-b 1 downregulate syndecan-4 expression, (3) syndecan-4 downregulation is mediated by TGF-b 1 -ALK5 signaling, (4) biglycan is bound to both TGF-b 1 and ALK5, and (5) biglycan potentiates the phosphorylation of Smad2/3, which is induced by TGF-b 1 . Taken together, these results indicate that biglycan acts as a co-receptor in the TGFb 1 -ALK5-Smad2/3 system and is involved in the downregulation of syndecan-4 expression in vascular endothelial cells. Biglycan has been reported to bind not only TGF-b 1 [Hildebrand et al., 1994] but also other cytokines such as tumor necrosis factor-a [Tufvesson and Westergren-Thorsson, 2002] and receptors [Schaefer et al., 2005]. The present study, for the first time, revealed that biglycan serves as a co-receptor in TGF-b signaling and this signaling downregulates the expression of syndecan-4 in vascular endothelial cells.
Biglycan and TGF-b 1 were shown to suppress the expression of syndecan-4 via the TGF-b 1 -ALK5 signaling pathway. Activation of the TGF-b 1 -ALK5 pathway induces phosphorylation of not only Smad2/3, part of the canonical Smad pathway, but also ERK1/2, JNK1/2/3, and p38 MAPK in a non-Smad pathway. Although the involvement of the non-Smad pathway in the downregulation of endothelial syndecan-4 expression cannot be excluded, the present results indicate that the Smad pathway is certainly involved in this downregulation. There are previous examples of phosphorylated Smads inhibiting gene expression through the formation of complexes with transcription factors E2F4 and DP1 to stabilize the TGF-b inhibitory element (TIE) [Chen et al., 2002;Suzuki et al., 2004], which includes a TTGG sequence [Kerr et al., 1990;Chen et al., 2001]. There are consensus TTGG sequences about À1.5 kb from the promoter regions of the syndecan-4 gene in humans, mice, and bovines, according to NCBI data. These TTGG sequences may serve as TIE elements, and some of them are involved in the downregulation of endothelial syndecan-4 expression.
The syndecan family is a group of transmembrane-type heparan sulfate proteoglycans. In this family, syndecan-4 is a type of syndecan that is essential for focal adhesion; the core protein of syndecan-4 forms focal adhesions and stress fibers in fibronectin Fig. 6. Binding of biglycan core protein to TGF-b 1 and ALK5.
[A] Binding of endothelial biglycan core protein to TGF-b 1 . Bovine aortic endothelial cells transfected with the pDEST26 (C) or pDEST26-BGN (B) plasmid vector were incubated at 37°C for 24 h to obtain 6 Â His-tagged biglycan. The conditioned medium was concentrated and dermatan sulfate chains of biglycan were digested with chondroitinase ABC (þ, digested; À, not digested). The biglycan core proteins were subjected to a Ni 2þ pull-down assay (þ, performed; À, not performed) with (þ) or without (À) recombinant human TGF-b 1 (rhTGF-b 1 ). Western blot analysis (left panel) and its quantitative analysis (right panel).
[B] Binding of endothelial biglycan core protein to ALK5. Bovine aortic endothelial cells were transfected with siCont at 37°C for 24 h, and the membrane proteins were extracted. Separately, the cells were transfected with the pDEST26 (C) or pDEST26-BGN (B) plasmid vector to obtain 6 Â His-tagged biglycan. The conditioned medium was concentrated and dermatan sulfate chains of biglycan were digested with chondroitinase ABC (þ, digested; À, not digested). The membrane proteins and the biglycan core proteins were subjected to a Ni 2þ pull-down assay (þ, performed; À, not performed). The position of ALK5 was confirmed by siRNA-mediated knockdown of ALK5 (þ, siALK5; À, siCont). Western blot analysis (left panels) and its quantitative analysis (right panels). Values are means AE SE of three experiments performed in duplicate. Significantly different from without chondroitinase ABC, # P < 0.05. Fig. 7. Effects of siRNA-mediated knockdown of biglycan on the phosphorylation of Smad2/3 by TGF-b 1 in vascular endothelial cells. Bovine aortic endothelial cells were transfected with or without siCont, siBGN-1, or siBGN-2 at 37°C for 24 h and then incubated with or without TGF-b 1 at 1 ng/mL for 30 min.
substrates [Woods and Couchman, 2001]. In fact, degradation of cell surface heparan sulfate chains with heparinase weakens cellfibronectin adhesion and reduces focal adhesions in vascular endothelial cells [Moon et al., 2005]. Heparan sulfate chains of syndecan-4 promote the construction of larger focal adhesions [Gopal et al., 2010]. Syndecan-4 is required for the alignment of vascular endothelial cells along the luminal surface of normal blood vessels, and a syndecan-4 deficiency results in the activation of atherosclerotic plaques in ldlr-/-and ApoB100/100 mice fed highfat diets [Baeyens et al., 2014]. In addition, an increase in dermatan sulfate chains together with a decrease in heparan sulfate chains is observed in atherosclerotic intima [Stevens et al., 1976]. Excess biglycan activates TGF-b 1 -ALK5 signaling and reduces syndecan-4, leading to a disturbance in the normal structure of the extracellular matrix in a vascular endothelial monolayer, which may weaken the barrier function of these cells. Therefore, it is suggested that increased biglycan downregulates endothelial syndecan-4 expression, and consequently affects the adhesion of vascular endothelial cells to the extracellular matrix in atherosclerotic vascular tissue, promoting lesions. Since TGF-b 1 induces the synthesis of biglycan with elongated dermatan sulfate chains in vascular endothelial cells [Kaji et al., 2000], and since TGF-b 1 -induced biglycan synthesis in aortic cells is involved in the progression of atherosclerosis  via lipid accumulation in the vascular wall [Hayashi et al., 2012], an assumption can be made that TGF-b 1 and biglycan participate in a positive feedback loop to enhance endothelial biglycan expression and contribute to the accumulation of lipids in the atherosclerotic vascular wall.
Neovascularization and atherosclerosis progression are interrelated. Plaque neovascularization mainly occurs in the ruptured site of atherosclerotic lesions [Moreno et al., 2004], and the inhibition of neovascularization reduces the progression of advanced atherosclerosis [Moulton et al., 2003]. In addition, cultured human umbilical vein endothelial cells highly express ADAMTS-4 (a disintegrin and metalloproteinase with thrombospondin motifs 4), an extracellular matrix metalloproteinase that digests biglycan during tube formation in the collagen gel [Melching et al., 2006]. At that time, the expression of biglycan is reduced [Obika et al., 2014], suggesting that ADAMTS-4 and its substrate biglycan are involved in angiogenesis by vascular endothelial cells. On the other hand, it has been reported that TGF-b can suppress the expression of ADAMTS-4 [Salter et al., 2011;Ashlin et al., 2013;Wang et al., 2013]. Furthermore, the present data showed that decreased biglycan expression inhibits the TGF-b signaling pathway, which can suppress ADAMTS-4 expression. Therefore, it is postulated that the TGF-b signaling pathway, which was reduced by lower expression of biglycan, mediates higher expression of ADAMTS-4 in vascular endothelial cells during angiogenesis. This positive feedback loop by biglycan, the TGF-b signaling, and ADAMTS-4 may be involved in angiogenesis by vascular endothelial cells in atherosclerotic lesions. The involvement of syndecan-4 in angiogenesis, which is increased by the inhibition of the TGF-b signaling pathway, remains to be elucidated. Cellular proliferation is promoted by decreasing syndecan-4 in vascular smooth muscle cells in atherosclerosis-susceptible pigeons [Bortoff and Wagner, 2005]. On the other hand, the effect of biglycan on proliferation depends on the cell type. For example, biglycan promotes the proliferation of vascular smooth muscle cells but not of vascular endothelial cells [Shimizu-Hirota et al., 2004]. Biglycan activates TGF-b 1 -ALK5 signaling as a co-receptor as shown in this study. Since ALK5 is ubiquitously expressed in most cell types, including vascular endothelial cells, we postulate that biglycan potentiates TGF-b 1 signaling in vascular endothelial cells as well as other cell types, although the regulation that results may depend on the cell type. Interrelated regulatory mechanisms in the synthesis of different types of proteoglycans have been suggested [Tang et al., 2014]; however, little was known about these mechanisms. The present report is the first to reveal the molecular mechanism by which the expression of one proteoglycan type influences that of another proteoglycan type. The present study provides a partial molecular explanation for the histopathological studies on atherosclerosis that show the abundance of proteoglycans varies depending on the progression of atherosclerosis. In addition, the present data suggest the significance of an excess accumulation of biglycan in atherosclerotic vascular walls. Specifically, biglycan contributes not only to the change in proteoglycan types expressed during the progression of atherosclerosis, but also to the accumulation of low-density lipoprotein that increases with biglycan [Evanko et al., 1998;O'Brien et al., 1998]. There may be crosstalk among different types of proteoglycans in vascular endothelial and smooth muscle cells. Clarification of this system is essential to understanding the complex histopathological changes associated with variation in the proteoglycan types in atherosclerotic vascular walls.