(Hypertension. 1997;30:873-879.)
© 1997 American Heart Association, Inc.
Articles |
From the Department of Diabetes and Endocrinology, City of Hope Medical Center, Duarte, Calif.
Correspondence to Rama Natarajan, PhD, Department of Diabetes and Endocrinology, City of Hope National Medical Center, 1500 E Duarte Rd, Duarte, CA 91010. E-mail rnatarajan{at}smtplink.coh.org
| Abstract |
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Key Words: 12-lipoxygenase muscle, smooth interleukin
| Introduction |
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The interaction of cytokines with their cell surface receptors leads to a multitude of signaling events including the activation of several phospholipases, which in turn can lead to the release of arachidonic acid. Arachidonic acid has been suggested to be a potential mitogenic signal, and it is also the precursor for several eicosanoids with potent biological effects including cellular inflammation and growth.7 Arachidonic acid can be metabolized by three major pathways: the cyclooxygenase pathway, which leads to the formation of prostaglandins and thromboxane; the LO pathway, which forms hydroxyeicosatetraenoic acids (HETEs) and leukotrienes; and the cytochrome P-450 monoxygenase pathway, which leads to the formation of epoxides.8
Arachidonate 12-LO introduces molecular oxygen into the 12-position of arachidonic acid to yield 12-hydroperoxyeicosatetraenoic acid, which is an unstable intermediate and is rapidly reduced to 12-HETE. Studies show that there are at least two major isoforms of 12-LO, a platelet type and a leukocyte type.9 10 11 12 The leukocyte-type 12-LO has been detected in porcine leukocytes,13 VSMCs,14 human adrenal glomerulosa cells,15 human monocytes, and endothelial and VSMCs.16
Increasing evidence has implicated the LO enzymes and their products such as HETEs in the pathogenesis of hypertension and atherosclerosis. The LO enzyme has been suggested to mediate the oxidative modification of LDL17 and has been shown to be expressed in macrophage-rich areas of atherosclerotic lesions.18 Analysis of the lipid oxidation products in human atherosclerotic lesions revealed that the oxidation of polyunsaturated fatty acids therein was mainly mediated by the LO enzyme.19 The LO pathway has also been implicated in the vasopressor and renin inhibitory effects of angiotensin II.20 21 Furthermore, inhibition of the LO pathway could reduce blood pressure in renovascular hypertensive rats22 and in the SHR rats, which also had increased 12-LO activity compared to the nonhypertensive control rats.23 LO products have potent chemotactic effects in VSMCs, inducing VSMC migration at concentrations as low as 1 pmol/L.24
We have recently shown that angiotensin II, a potent VSMC growth factor, can increase 12-HETE formation and intracellular 12-LO activity, as well as the expression of the leukocyte-type 12-LO mRNA and protein in VSMCs.14 16 Furthermore, the hypertrophic effects of angiotensin II were attenuated by a specific LO blocker, and the 12-LO product 12-HETE had direct hypertrophic effects in VSMCs.25 We have also recently shown that platelet-derived growth factor, a potent VSMC mitogen and chemoattractant, caused marked increases in 12-LO activity and expression in VSMCs26 and that the LO pathway plays a role in the chemotactic effects of platelet-derived growth factor in VSMCs.26 In view of the cardiovascular effects of cytokines, we have now examined whether cytokines such as interleukin-1ß (IL-1), IL-4, and IL-8 have the ability to induce the 12-LO enzyme in porcine VSMCs.
Cytokines can affect several enzymes and factors that regulate vascular tone and VSMC proliferation and migration. IL-1 has mitogenic effects in VSMCs,3 and this property has also been attributed to an increase in PDGF-A chain production.27 IL-1 can induce the production of IL-1 itself as well as IL-6 in VSMCs, thus setting up an amplification loop.3 28
IL-4, mainly a product of activated T lymphocytes,5 has several properties relevant to the pathogenesis of atherosclerosis. It can induce the expression of vascular cell adhesion molecule 1 in cultured endothelial as well as VSMCs.29 30
IL-8, a product of monocytes, macrophages, and other cells,31 can induce VSMC mitogenesis as well as migration.32 Furthermore, IL-8 protein, mRNA, and bioactivity were shown to be upregulated in atherosclerotic plaques.33
The present studies show that some of the vascular effects of these cytokines may be mediated by upregulation of the 12-LO pathway.
| Methods |
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Culture of Porcine Aortic Smooth Muscle Cells
Primary cultures of PVSMC were obtained as described
earlier14 and used up to passage 6. Cells were maintained
in Dulbecco's modified Eagle's medium (DMEM) containing normal
glucose concentrations (5.5 mmol/L) and 10% FCS.
Measurement of the LO Product 12-HETE by
Radioimmunoassay
Confluent cells in 100-mm dishes were serum depleted by placing
in DMEM/HEPES containing 0.2% BSA and 0.4% FCS for 24 hours. Just
prior to the experiment, the cells were placed in media containing
0.2% BSA only, preincubated for 20 minutes at 37°C, treated with the
cytokines, and then incubated for various time periods. Washed
cell pellets were first deacylated to obtain cell-associated esterified
HETEs as described earlier.14 HETEs released into the
medium and cell-associated HETEs in the deacylated cell pellets were
extracted as described.14 12-HETE in the supernatant
medium and cell extracts were quantitated by a specific
radioimmunoassay.14 The 12-HETE antiserum (Perseptive
Diagnostics) is specific for 12(S)-HETE, with
less than 0.1% cross-reactivity with 12(R)-HETE, 0.3% with
15-HETE, 0.2% with 5-HETE, <0.1% with thromboxane
B2, and 0.1% with arachidonic acid.
Nonspecific binding is <6%, with an assay blank of 7 pg/mL.
The sensitivity of the assay is 10 pg/mL with an intra- and
interassay variation of 7% and 10%, respectively.
Measurement of Intracellular LO Activity
PVSMCs in 100-mm dishes were serum-depleted for 24 hours and
then treated with the cytokines for 6 hours. 12-LO activity in
cell sonicates was then assayed by examining the conversion of
substrate arachidonic acid to 12-HETE as described
earlier.14 26 Briefly, the sonicates were incubated with
sodium arachidonate for 8 minutes,
extracted,14 26 and then subjected to reverse-phase HPLC
as described.26 Quantification of 12-HETE peak heights was
by a Shimadzu C-R5A integrator (Shimadzu Instrument Co). The recovery
of added [3H]12-HETE as an internal standard taken
through the entire process of extraction, HPLC, and fraction collection
was 72±3%.
Incubations for 12-LO Protein or mRNA Expression
Nearly confluent PVSMCs in 100-mm dishes were serum depleted for
24 hours by placing in DMEM/HEPES containing 0.2% BSA+0.4% FCS. This
medium was then freshly added alone or with the respective
interleukins. At the end of the incubation period, the cells were
processed for immunoblotting or RNA extraction as
described below.
Electrophoresis and Western Immunoblotting
Cell pellets were lysed, and the cytosolic protein (30- to
50-µg aliquots) was subjected to electrophoresis and
immunoblotting as described earlier.14 15
Protein blots were incubated with a polyclonal antibody (1:400) raised
to a specific 12-LO peptide with amino acid sequence 646-662 of porcine
leukocyte 12-LO.13 26 Blots were then washed and incubated
with an alkaline phosphataselabeled second antibody (1:30 000).
Detection was by the Western Light Chemiluminescent system (Tropix
Inc). Blots were quantitated with a computerized densitometer (SCISCAN
5000, United States Biochemical), and values were expressed as
arbitrary absorbance units.
12-LO cDNA, Oligonucleotide Primers, and Probes
for PCR
pUC19 plasmid with the cDNA for porcine leukocyte 12-LO was
originally a generous gift from Dr T. Yoshimoto,
Japan.13 15 All of the oligonucleotides,
including human GAPDH, were synthesized on an Applied Biosystems DNA
synthesizer at the Beckmann Research Center nucleotide
synthesis facility and were purified by polyacrylamide gel
electrophoresis. The oligonucleotide sequences are as
shown earlier14 15 and were based on known gene sequences
and selected from regions displaying the most divergence between
porcine 12- and human 15-LO sequences due to their high homology.
Amplification of Reverse-Transcribed RNA Using RT-PCR
PVSMCs that had been treated with or without cytokines
were subjected to total RNA extraction followed by RT-PCR to
specifically amplify porcine leukocyte-type 12-LO as described
earlier.14 26 GAPDH mRNA amplification was used as an
internal control for RNA quantity and amplification efficiency. Blank
reactions with no RNA template or with no reverse transcriptase were
carried out through the RT and PCR steps. Porcine leukocyte 12-LO cDNA
amplification was used as positive control. The PCR products were
then subjected to Southern blotting followed by hybridization to detect
the leukocyte-type 12-LO or GAPDH as described.14 15 The
ratio of 12-LO mRNA expression (333-bp PCR product) to the
corresponding GAPDH expression (284-bp PCR product) was calculated
in each sample. Washing and hybridization conditions were developed to
distinguish between the PCR products of human 15-LO from those of
porcine leukocyte 12-LO.15
Cellular Proliferation Studies
For [3H]thymidine incorporation studies to
evaluate DNA synthesis, PVSMCs in 24-well dishes were made quiescent by
placing them in medium containing 0.4% FCS and 0.2% BSA for 24 hours.
This medium was then freshly replaced, and the cells were preincubated
with 2.5 µmol/L indomethacin
(cyclooxygenase blocker). The cytokines
were then added, and cells were incubated for 36 hours with
[3H]thymidine (1 µCi/mL) added during the last 18
hours. In some experiments, the cells were also preincubated for 15
minutes with the LO inhibitor baicalein or the
corresponding vehicle (0.1% DMSO) before cytokine addition. At
the end of the incubation period, the cells were washed with PBS,
followed by cold 10% trichloroacetic acid two times. Washed cells were
then solubilized with 0.5 mL 0.3N NaOH. Radioactivity in the resulting
solutions was quantitated by scintillation counting.
For experiments examining effects of the cytokines on cell proliferation, PVSMCs were plated in 6-well dishes (15 000 cells per well) for 48 hours in DMEM+10% FCS. The cells were then placed in fresh medium containing 0.2% BSA and 0.4% FCS for 24 hours. This medium was then freshly replaced along with the cytokines with or without indomethacin (2.5 µmol/L). Medium along with fresh additions were replaced every 48 hours. After 6 days, cells were trypsinized, and cell numbers were quantified on a Coulter counter (Coulter Corp).
Data Analyses
Western immunoblots and
autoradiograms of Southern blots were analyzed
with a computerized densitometer (SCISCAN 5000, United States
Biochemical). The values are obtained as arbitrary absorbance units.
The other results are expressed as mean±SEM from combined experiments
as noted in the corresponding legend. Student's t tests and
ANOVA with Dunnett or Tukey-Kramer multiple comparison tests were used
to analyze the data using the INSTAT software (Graphpad
Software Inc).
| Results |
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Effect of IL-1ß, IL-4, and IL-8 on 12-LO Enzyme Activity in
PVSMCs
We next examined whether these interleukins can alter
intracellular 12-LO enzyme activity in the VSMCs, ie, the conversion of
exogenously added cold arachidonate to 12-HETE by crude
enzyme in cell sonicates. Fig 2a
shows
the HPLC tracings of extracts of sonicates of cells that had been
treated with or without IL-1 for 24 hours. The first panel depicts the
retention times of the authentic cold standards, 12-HETE and 15-HETE.
The second panel shows the HPLC tracing of 12-LO activity in control
cells, where a distinct peak with the same retention time as 12-HETE is
seen. Furthermore, in the next panel, it is seen that treatment of the
cells with IL-1 caused an increase in 12-LO activity of 1.6-fold over
control. An enzyme blank seen in the last panel on the right was run as
a control for nonspecific, nonenzymatic oxidation of the substrate
arachidonic acid. Under these conditions, there does
not seem to be any increase in the 15-HETE peak. The identity of the
12-HETE peak in the HPLC tracings in this assay was confirmed by (1)
comigration with authentic cold standard; (2) observing a quantitative
increase in the 12-HETE peak height when a known amount of authentic
cold 12-HETE (5 ng) was injected along with a sample; and (3) by
radioimmunoassay of the 12-HETE fraction obtained after HPLC
separation.
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Fig 2b
and 2c
show the representative results
obtained with cells treated with IL-4 and IL-8, respectively. Similar
to IL-1, both these cytokines also caused increases in 12-LO
activity (1.5- and 1.3-fold over control, respectively).
The Table
shows cumulative results of the
effects of these three interleukins on 12-LO enzyme activity from
several experiments. 12-LO activity is represented as
height of the 12-HETE peak in reverse-phase HPLC as fold over control.
All three cytokines induced significant increases in the
12-HETE peak height when used at 5 ng/mL each.
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Effect of IL-1ß, IL-4, and IL-8 on 12-LO mRNA Expression
To determine whether these interleukins can regulate the
expression of 12-LO mRNA in PVSMCs, we examined 12-LO mRNA levels using
a specific RT-PCR method in cells that had been treated for 20 hours
with the cytokines. We have shown earlier that PVSMCs express a
leukocyte-type 12-LO but not 15-LO.14 Fig 3a
shows the dose-response effect of
IL-1ß on leukocyte-type 12-LO mRNA expression in PVSMCs. The size of
the amplified product is 333 bp. The representative
Southern blot shown in Fig 3a
shows that basal expression of the 12-LO
mRNA 333-bp PCR product is very low. However, treatment with IL-1
at concentrations from 1 to 5 ng/mL led to a marked
dose-dependent increase in 12-LO mRNA expression. The positive control
for PCR, 12-LO cDNA amplification, is seen at the far right, whereas a
negative control without RNA is seen in the previous lane. The results
were normalized to the intensity of the band of the internal control
for PCR, ie, GAPDH mRNA (284-bp PCR product, lower panel of Fig 3a
).
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We similarly conducted experiments to evaluate the effects of IL-4 and
IL-8 on 12-LO mRNA expression. The representative
results, seen in the Southern blots in Figs 3b
and 3c
, respectively,
indicate that, similar to IL-1, IL-4 and IL-8 also evoke potent
dose-dependent increases in 12-LO mRNA expression.
The Table
shows combined data from several experiments depicting the
effect of these cytokines on 12-LO mRNA after normalizing for
GAPDH mRNA expression. It shows that the three cytokines can
lead to increases of 7- to 10-fold over control in 12-LO mRNA
expression in the PVSMCs.
Effect of IL-1ß, IL-4, and IL-8 on 12-LO Protein
Expression
To determine whether the cytokine-induced increases of
12-LO mRNA expression are accompanied by corresponding increases in
12-LO protein expression, we evaluated the effects of IL-1, IL-4, and
IL-8 (24-hour treatment) on leukocyte-type 12-LO expression, which we
have shown previously to be present in PVSMCs.14 Fig 4a
shows that IL-1 leads to a
dose-dependent increase in 12-LO protein expression (72 kD). Figs 4b
and 4c
depict the dose-dependent effects of IL-4 and IL-8 on 12-LO
protein expression. It is evident that these two ILs also evoke marked
increases in 12-LO protein expression at doses ranging from 2.5 to 10
ng/mL. The results suggest that these cytokines can
regulate leukocyte-type 12-LO expression at the transcriptional as well
as translational levels.
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The Table
shows a densitometric representation of the effect of
the three cytokines on 12-LO protein expression obtained from
multiple experiments and reveals a significant increase of 1.7- to
2.5-fold over control.
Growth-Promoting Effects of IL-1, IL-4, and IL-8 in PVSMCs
Evidence suggests that IL-1 can have mitogenic effects
in VSMCs, particularly in the presence of the
cyclooxygenase inhibitor
indomethacin, which serves to block the
production of growth-inhibitory prostanoids by the
cytokine. In the present study, we have examined the
functional significance of interleukin action on 12-LO in VSMCs by
first determining whether they have mitogenic effects and
then evaluating the potential role of 12-LO in these
mitogenic effects.
Fig 5
shows the effects of the
three cytokines on PVSMC DNA synthesis as evaluated by
[3H]thymidine incorporation. The experiments were
performed in the presence of 2.5 µmol/L
indomethacin. The first, third, and fifth bars indicate
that the three cytokines IL-1, IL-4, and IL-8, respectively,
lead to significant increases in thymidine incorporation, with IL-4
appearing to be the most potent of the three. In fact, this is the
first demonstration of the mitogenic effect of IL-4 in
VSMCs. To determine the potential role of the 12-LO pathway in these
growth-promoting effects, we examined the effects of a specific LO
inhibitor, baicalein at 10 µmol/L, on
cytokine-induced DNA synthesis in the presence of
indomethacin. The results of these experiments are also
seen in Fig 5
, depicted by the second, fourth, and sixth bars. Thus, in
each case, pretreatment with baicalein led to a significant attenuation
of the cytokine-induced effects. The blockade was complete
in the case of IL-1 (black shaded bars) and partial in the case of IL-4
(hatched bars) and IL-8 (square bars). Baicalein alone at this
concentration did not significantly affect basal thymidine
incorporation (bar on the extreme right). Baicalein at this dose could
also block cytokine-induced 12-HETE formation, similar to
our earlier observations.14 26
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It is, however, important to determine whether these increases in DNA
synthesis represent true mitogenic events. We
therefore evaluated changes in cell numbers after chronic exposure of
the cells to these cytokines for 6 days in medium containing
very low amounts of serum. Fig 6
shows
the results obtained both in the absence (empty bars) and the presence
(bold bars) of indomethacin. It is seen that all three
cytokines lead to significant increases in VSMC proliferation
(open bars). Fig 6
also shows that in these experiments where the VSMCs
were chronically exposed to interleukins for several days, the addition
of indomethacin did not further enhance the
mitogenic effects (closed bars). A similar observation was
also made by Libby et al3 in earlier studies with
IL-1ß.
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| Discussion |
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Very few studies have examined the effects of cytokines on the LO pathway. It was recently shown that treatment of monocytes with IL-4 or IL-13 could activate the 15-LO pathway by inducing 15-LO mRNA as well as protein expression.34 35 The LO pathway has been implicated in the oxidation of LDL.17 18 We have recently shown that VSMC growth factors such as platelet-derived growth factor and angiotensin II are potent inducers of 12-LO activity and expression in porcine and human VSMCs.14 16 26 In addition, the LO pathway seems to play a role in the hypertrophic effects of AII and the chemotactic effects of platelet-derived growth factor in VSMC.25 26 The results indicate that LO in vascular and mononuclear cells can be induced by growth factors and cytokines and may contribute to the growth of VSMCs.
In the present study, we have shown that the three
cytokines tested, ie, IL-1, IL-4, and IL-8, can also
activate the 12-LO pathway in porcine VSMCs. Treatment of
PVSMCs with each of these cytokines led to a significant
increase in cell-associated 12-HETE levels as well as an increase in
intracellular 12-LO enzyme activity. In addition, these three
cytokines can induce the mRNA and protein expression of this
12-LO. These results further support the potential role of the LO
pathway in hypertensive and atherosclerotic processes, especially in
view of the several cardiovascular effects of LO
products. Although peak 12-LO mRNA and protein expression were
observed between 20 and 24 hours, we have noted that their levels were
upregulated as early as 6 hours. The increase in 12-LO activity seen at
the 6-hour time period (shown in Figs 1
and 2
) could, therefore, arise
either from increased substrate (arachidonic acid)
availability or from increased 12-LO expression. 12-LO activity also
remains elevated up to 24 hours.
Earlier studies have had difficulty in observing direct mitogenic effects of these interleukins in vitro with VSMC cultures, and this has been attributed to the potent stimulatory effects of these cytokines on the cyclooxygenase pathway, which leads to the formation of growth-inhibitory prostanoids. Thus, IL-1ß and IL-8 have been demonstrated to have mitogenic effects on VSMCs in the presence of the cyclooxygenase inhibitor indomethacin.3 32 The present studies have confirmed these observations in porcine VSMCs. Furthermore, we have shown for the first time that IL-4 has mitogenic effects in VSMCs and in fact was the most potent of the three. In addition, the observation that the LO inhibitor baicalein could attenuate their effects suggests that the LO pathway may, at least in part, mediate their growth effects. We have also verified that the observed increases in DNA synthesis are also accompanied by increases in cell number, thus indicating a true mitogenic response. The inflammatory effects of IL-8 have been attributed not only to its mitogenic but also to its chemotactic effects.32 Because 12-LO products such as 12-HETE are potent inducers of VSMC migration, it is also likely that they mediate the chemotactic effects of these cytokines. Thus, it is possible to envision an imbalance between activation of the LO and cyclooxygenase pathway in pathological situations, leading to an increased accumulation of inflammatory, chemotactic, and growth-promoting LO products.
The mechanisms by which LO products mediate basal or cytokine-induced VSMC growth and migration have not been evaluated in these studies, but evidence indicates that they can initiate several growth-related signaling events such as activation of oncogenes, protein kinase C, and mitogen-activated protein kinase.36 The present results suggest that LO enzymes activated by cytokines in vascular and inflammatory cells can form products that have several actions, including potent growth, chemotactic, and inflammatory effects, which therefore implicate them in the pathogenesis of diseases such as atherosclerosis, hypertension, and diabetes. We have recently developed a specific molecular technique to block 12-LO mRNA by using a specific ribozyme or catalytic RNA, which efficiently cleaves porcine leukocyte-type 12-LO.37 Hence, pharmacological as well as molecular strategies using ribozyme or antisense technology to efficiently block these pathways may serve as novel approaches to combat cardiovascular disease.
| Selected Abbreviations and Acronyms |
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| Acknowledgments |
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Received December 5, 1996; first decision January 23, 1997; accepted April 10, 1997.
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