(Hypertension. 1999;34:31-38.)
© 1999 American Heart Association, Inc.
Scientific Contributions |
From the Laboratório de Genética e Cardiologia Molecular e Dept Clínica Médica/LIM 13, Instituto do Coração, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Correspondence to Dr Jose Eduardo Krieger, Laboratório de Genética e Cardiologia Molecular, Instituto do Coração, Faculdade de Medicina da Universidade de São Paulo, Ave Dr Eneas C. Aguiar 44 SP, Brazil CEP 05403-000. E-mail krieger{at}incor.usp.br
| Abstract |
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Key Words: angiotensin-converting enzyme endothelium receptors, adrenergic, beta cyclic AMP luciferase
| Introduction |
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To shed light on the mechanisms of upregulation of the rat ACE gene, we developed and characterized a system of stably transfected endothelial cells carrying the rat ACE promoter as well as negative and positive control promoters. This system was used to characterize receptors and intracellular pathways of activation of the rat ACE promoter by isoproterenol (ISO) and by cAMP.
| Methods |
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Plasmid Constructions
Reporter plasmid constructions were made by subcloning promoter
fragments into the backbone of luciferase vectors. A 1273-bp fragment
of the 5' ACE region from the Wistar-Kyoto rat (ACE promoter) was
subcloned into the pGL2 basic vector (Promega). A positive control for
cAMP responsive element (CRE) stimulation, CRE thymidine kinase
luciferase (CRETKLUC) was constructed by subcloning a fragment from
pTKCAT4CRE containing 4 tandem repeats of CRE consensus linked to the
herpes simplex virus thymidine kinase (HSVTK) promoter LS
115/-10516 into pGL2 basic. A negative control for cAMP
stimulation (TATALUC) was constructed by subcloning a fragment from
branched chain aminotransferases (BCAT)17
containing the adenovirus E1b tata box into pGL2
basic. BCAT was a generous gift from Dr Trevor Williams, Yale
University.
Transient Transfections
Rabbit aortic endothelial cells
(REC)18 or human renal embryonic cells (293, Invitrogen)
were grown in 12-well plates on F12 medium (Coon modification) or DMEM,
respectively, and supplemented with 10% FBS and antibiotics
(penicillin and streptomycin). Before reaching confluence, REC or 293
were transfected (16 to 24 hours) with 3.25 µg of luciferase reporter
plasmids and 0.48 µg of a control plasmid (pSV-ß-galactosidase,
Promega) per well by the calcium phosphate method.19
Experiments with expression vectors for the peptide
inhibitor of protein kinase A (PKA) (PKI) or for its
mutated counterpart were performed with transfection of 1.78 µg of
reporter plasmids and 0.48 µg of each expression
vector17 per well. Total DNA was maintained at 3.73 µg
per well by manipulating the amount of pBluescript SK+ (Stratagene).
Control plasmid in these experiments was LTR-ß-galactosidase.
Expression vectors for PKA inhibitors (RSVPKI, RSVPKI
mutant) were generous gifts from Dr Richard A Maurer, Oregon Health
Science University.
Stable Transfections
Stably transfected cell lines harboring the luciferase reporter
constructs were made by cotransfection of 1273-bp ACE promoter CRE
thymidine kinase (CRETK), SV40 promoter and enhancer (SV40+E), with
pSV7-neo20 and selection with G418. Transfection was
performed in 60-mm tissue-culture dishes by the calcium phosphate
method.19 The ratio (in µg) between reporter construct
and pSV7-neo was 20:1. Total DNA content was 10.2 µg per dish.
Individual clones were separated with cloning rings, expanded, and
frozen. To exclude functional artifacts due to uncontrolled insertion,
4 independent clones of 1273-bp ACE, 3 independent clones of CRETK, and
2 independent clones of SV40+E were used.
Drug Treatments
Stably and transiently transfected cells were cultivated in 24-
and 12-well plates, respectively, with F12 supplemented with 10% FBS.
Before stimulation, cells were serum-starved for 16 to 24 hours on F12
supplemented with 0.5% FBS. Antagonists and blockers were
given to the cells 30 minutes before stimulation and were maintained
throughout the experiments.
Enzyme Assays
Cell extracts from stably transfected cell lines were
analyzed for luciferase activity with the use of an assay
(Promega) and for total protein with the use of the Bradford method.
Cell extracts from transient transfections were analyzed for
luciferase and ß-galactosidase in a luminometer according to the
manufacturer's instructions (Monolight 2010, Analytical
Luminescence Lab).
REC were grown to confluence on F12 supplemented with 10% FBS in 12-well plates. Cell extracts were analyzed for ACE activity with a fluorometric assay described by Santos et al,21 and data were expressed as ACE activity in nmol His-Leu · mg-1 · h-1.
Gel-Shift Binding Assay
Nuclear proteins of REC were extracted according to established
protocols.22 Binding of REC nuclear extracts to DNA was
assayed by gel retardation analysis.23 The DNA
used in these experiments was obtained by purification of a 142-bp
BamHI fragment of CRETK plasmid containing 4 tandem repeats
of the CREs of somatostatin. The protein-DNA complex was visualized by
labeling DNA with 32P by a filling-in reaction
with Klenow polymerase. Nuclear proteins of REC were mixed with 15 000
cpm of labeled DNA and 2 µg of poly dI-dC (Pharmacia LKB) in a
20-µL reaction. After 20 minutes at 24°C, the mixture was loaded
onto a 6.25% nondenaturing polyacrylamide gel that was
previously run for 30 minutes at 200 V. To separate the protein-DNA
complexes, the gel was run at 4°C for 120 to 240 minutes at 240
V.
Data Presentation
In stably transfected cell lines, luciferase activity was
normalized for protein concentration. To control for differences in
transfection efficiency, luciferase activity in extracts from
transiently transfected cells was normalized for ß-galactosidase
activity. Data are expressed as mean±SEM. Unless otherwise stated,
data are presented as variation from control values. Where
appropriate, results were analyzed by 2-tailed t
test or by 2-wayANOVA. Statistical significance was set at
P<0.05.
| Results |
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To characterize intracellular pathways of ACE promoter stimulation by ß-adrenergics, we developed a panel of stably transfected REC harboring the luciferase gene. First, the 1273-bp promoter from the Wistar-Kyoto rat ACE gene24 was stably transfected in REC. These cells displayed variable levels of luciferase activity (Figure 1C) and were able to reproduce modulation of the ACE promoter by cAMP in transient transfections (Figure 1D). Four independent clones were tested and all displayed similar behavior when stimulated by cAMP (Figure 1C). ACE promoter cell line 3 was selected for further studies. Positive control cell lines for cAMP pathway stimulation were obtained by stable transfection of REC with 4 tandem repeats of somatostatin's cAMP responsive elements fused to the thymidine kinase promoter (CRETK). Negative control cell lines were developed by stable transfection of REC with SV40 promoter plus enhancer (SV40+E). Three independent clones of CRETK and 2 independent clones of SV40+E were tested. CRETK cell line 2 and SV40+E cell line 0 were selected for further studies. As indicated in Figure 1D, stably transfected cell lines were chosen according to their ability to reproduce the behavior of transiently transfected constructs after stimulation with 8BrcAMP.
In preliminary experiments, ISO induced ACE promoter activity in a variable and inconsistent way (23.1±8.3% of increase in luciferase activity; range -11% to 83%; P<0.05), making necessary the addition of the phosphodiesterase inhibitor IBMX. Subsequently, ACE promoter, CRETK, and SV40+E stable cell lines were treated with ISO, 100 µm/L IBMX, ISO+100 µm/L IBMX, or 5.0 mmol/L 8BrcAMP for 4 hours. Figure 2A shows that neither ISO, nor 100 µm/L IBMX alone were sufficient to activate ACE promoter (103±2.6%; 92.7±5.5% of control, respectively). However, the combination of both agents increased luciferase activity to 228.5±9.0% of control, (P<0.01), a stimulation similar to that obtained with 5.0 mmol/L 8Br cAMP (217±16% of control, P<0.01). As positive controls for cAMP stimulation, CRETK cell lines displayed levels of induction which were similar to that obtained with ACE promoter cell lines. Figure 2A shows that ISO, 100 µm/L IBMX, ISO+100 µm/L IBMX, and 5.0 mmol/L 8BrcAMP increased luciferase activity by 103.3±3.1%; 106.7±4.5%; 188.6±16.0%, 151.0±19.0% of control, respectively (P<0.01 for ISO+IBMX and 8BrcAMP). Negative control SV40+E cell lines were not affected by the same treatments.
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To assess whether ß-adrenergic receptors were responsible for activation of ACE promoter in the presence of IBMX, ACE promoter cell line 3 was treated with ISO, 100 µm/L IBMX, and ISO+100 µm/L IBMX, in the presence or absence of 1.0 µm/L propranolol. As shown in Figure 2B, propranolol 1.0 µm/L completely blocked ISO-induced potentiation of 100 µm/L IBMX. This result indicates that ß-adrenergic receptors are the only receptors participating in the stimulatory effect of ISO in the presence of IBMX.
Next, we used a pharmacological approach to test the involvement of downstream elements of the ß-adrenergic signaling pathway in the regulation of the ACE promoter. In stably transfected REC, cholera toxin 10 mU/L increased activity of the ACE promoter by 2.55-fold, a level of induction that is not different from that obtained with ISO +100 µm/L IBMX (2.19-fold; Figure 3A). Direct stimulation of adenylyl cyclase by 10.0 µmol/L forskolin reproduced ACE promoter stimulation (1.62-fold), albeit at levels lower than those obtained with cholera toxin. As demonstrated in Figure 2A, 5.0 mmol/L 8BrcAMP stimulated ACE promoter (2.42-fold) to levels similar to those achieved with ISO+100 µm/L IBMX or with cholera toxin (Figure 3A). Figure 3A also shows that PMA up to 100 nmol/L neither induces the ACE promoter nor potentiates the response to cAMP stimulation.
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ACE promoter stimulation by drugs acting on the cAMP pathway suggests
that protein phosphorylation by PKA is specifically
required. To further clarify this point, we tested whether the effect
of ISO+100 µm/L IBMX could be blocked by PKA
inhibitors. As shown in Figure 3A, H89, an
inhibitor of cyclic nucleotide protein kinases,
completely blocked stimulation by ISO+IBMX. Although H89 is
10 times
more effective as a PKA inhibitor than as a protein kinase
G (PKG) inhibitor,25 selectivity may be
compromised at the concentration we used. However, ISO-induced
stimulation of the ACE promoter is mimicked by 5.0 mmol/L 8BrcAMP
but not by 5.0 mmol/L 8BrcGMP (Figure 3A). In addition,
cotransfection of an expression vector for the peptide
inhibitor of PKA (PKI) completely abolished stimulation of
the ACE promoter by ISO+IBMX, whereas cotransfection of a mutated PKI
was not effective (Figure 3B). These results provide compelling
evidence that ß-receptor stimulation in REC activates the ACE
promoter solely through the cAMP/PKA pathway. Treatment with cAMP
results in a concentration-dependent activation of the ACE promoter;
peak levels were attained after 4 hours of stimulation (Figure 4A and 4B, respectively). These
characteristics place rat ACE-responsive elements in the rapid category
of cAMP regulating sequences.26 Rapid cAMP inducible genes
have 1 or sometimes 2 different classes of cAMP-responsive elements
represented by CRE and activating protein-2 (AP2) consensus
sequences.26 To test whether typical CRE mechanisms
operate in REC, we stimulated ACE promoter cell lines with 5.0
mmol/L 8BrcAMP and 500 µm/L IBMX, alone or in combination, in
the presence and absence of okadaic acid. Okadaic acid is an
inhibitor of PP1 phosphatases that have been shown to
control the extent of activation of CRE regulated genes by
dephosphorylation of CRE binding protein
(CREB).27 Figure 5 shows
that okadaic acid (1.0 µmol/L) influenced neither basal nor
500 µm/L IBMX-induced activation of the ACE promoter. However,
5.0 mmol/L 8BrcAMP induction was slightly potentiated (19%), and
the induction by 5.0 mmol/L 8BrcAMP plus 500 µm/L IBMX was
increased by 63.6%. These results suggest that ACE promoter activation
by cAMP is controlled by phosphatases acting on the CRE pathway.
Additional support for the presence of a functional CRE pathway in REC
is provided by Figure 6. As can be seen,
a 32P-labeled 142-bp BamHI fragment
containing 4 tandem repeats of the CRE of somatostatin forms at least 2
complexes with nuclear proteins of REC, which clearly supports the
presence of CRE-binding proteins in REC.
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To investigate whether ACE promoter activity is stimulated by cAMP pathways outside the context of REC, we used human renal embryonic cells 293, which show ACE activity and express ACE mRNA (not shown). The cells were transiently transfected with ACE promoter and CRETK. The table indicates that 293 cells support ACE promoter activity and upregulation by 10.0 µmol/L forskolin. The CRE positive control CRETK is also upregulated by forskolin, indicating that cAMP pathway induction of ACE and of CRE positive controls coexist in the 293 cells. This result shows that ACE promoter is also induced by cAMP pathway stimulation in other cell types expressing ACE.
| Discussion |
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It is generally accepted that primary cultures of endothelium display poor growth characteristics,28 an inability to maintain expression of endothelial markers, and resistance to transfection.29 Therefore, endothelial cells of heterologous origin have been used to study regulation of endothelium-specific promoters.29 30 This approach can be criticized because promoter regulation can be specific in each species. However, heterologous transfections of the rat endothelin-1 promoter into bovine aortic endothelial cells and of human ACE promoter into rabbit endothelial cells have been used successfully to model conserved mechanisms of gene regulation.29 30 As shown by studies in bovine4 12 13 and human cells,31 cAMP-dependent regulation of somatic ACE is conserved between mammals. Therefore, we used REC18 to establish cAMP regulation of the rat ACE promoter.
Using stable transfections, we could study ACE promoter regulation in endothelial cells at higher densities and for times longer than with transient transfections. This was important because ACE production by endothelial cells is remarkably influenced by growth and confluence.3 32 Moreover, stably transfected cell lines carry chromosome-integrated copies of the reporter. This enabled us to study regulation of the ACE gene in the context of normal chromatin organization, which modulates both gene accessibility and the response to various activators and repressors,33 in a more realistic scenario than that obtained with transient transfections.
Both the 1273-bp ACE promoter and a positive control for CRE (CRETK) were stimulated similarly by cAMP, but cAMP did not affect luciferase expression driven by SV40+E. These results indicate that cAMP regulation of 1273 ACE is selective and that CREs in the ACE promoter have the same inducibility of 4 tandem repeats of canonical CREs. One could argue that cAMP responsiveness is nonspecific because of cryptic CREs in the vector backbone34 and that SV40+E resistance to cAMP induction is only apparent because the SV40 enhancer is already maximally activated in the basal state. We find this hypothesis untenable because a very low activity promoter such as the enhancer-trap adenovirus E1b tata box was not activated by cAMP when fused to the luciferase backbone (from 0.05±0.02 to 0.045±0.017 ß-galactosidase-normalized luciferase units). Adenovirus E1b tata box resistance to cAMP was not the result of luciferase activity being too low to measure, because it was 3 to 5 times greater than background (not shown). ISO treatment alone did not stimulate 1273-bp ACE promoter consistently, which suggests that ß-adrenergic receptor density in REC membranes is too low to produce activation of the ACE promoter. Alternatively, ISO may act through ß2 receptors and shut down adrenergic signaling through coup-ling to a Gi protein in a negative feedback loop previously demonstrated in cardiac cells.35 36 Treatment with ISO plus IBMX in sublimiar doses (100 µmol/L) was associated with levels of induction similar to those obtained with 5.0 mmol/L 8BrcAMP, which suggests that, when cyclic nucleotide degradation is blocked by phosphodiesterase inhibitors such as IBMX, stimulation of ß-adrenergic receptors by ISO raises intracellular cAMP concentration to a level sufficient for ACE promoter activation. This view is supported by propranolol blockade of ISO + IBMX, which indicates that REC possesses functional ß-adrenergic receptors. The need to use IBMX to obtain ACE promoter activation by ISO raises the issue of physiological significance. However, as noted above, the patterns of ACE promoter activation by ß-adrenergic stimulation can be complex. In addition, our results clearly show that integral links exist between surface ß-adrenergic receptor stimulation and ACE promoter activity in REC and that stimulation of every step in the pathway leads to promoter activation. Moreover, evidence exists that ß-adrenergic and cAMP regulation of the rat ACE promoter described here in vitro can have pathophysiological relevance in vivo. In rats, selective ß-adrenergic stimulation by ISO induces hypertrophy15 and increases ACE activity.37 Transfections of the 1273 bp rat ACE promoter into hearts of living rats showed that the construct is activated by ISO in doses that consistently induce cardiac hypertrophy.37 These data indicate that the 1273 bp rat ACE promoter is activated by ISO either in vitro or in vivo.
Cholera toxin, forskolin, and 8BrcAMP stimulated ACE promoter activity to levels similar to ISO+IBMX. This suggests that ß-adrenergic receptor stimulation of ACE promoter proceeds from receptor occupation to Gs protein stimulation, adenylyl cyclase activation, cAMP synthesis, and possibly, PKA stimulation. Blockade of ISO+IBMX effects by H89 or by PKI indicated that PKA stimulation is necessary and sufficient for ACE promoter activation by ß-adrenergics. ACE promoter stimulation by cAMP and by drugs that increase its intracellular concentration agrees well with earlier reports of ACE induction by the same drugs.4 12 13 38 In contrast to cAMP, cGMP did not modify ACE promoter activity (Figure 3A), a finding that is consistent with the inability of cGMP to modify ACE activity in bovine pulmonary artery endothelial cells.38
The 1273 bp rat ACE promoter has 3 potential AP2 consensus sequences and 3 CRE-like sequences contained in its sequence. In principle, any combination of putative binding sites could be responsible for cAMP induction. Our results, however, argue against regulation of the ACE promoter by AP2 mechanisms. As shown in Figure 3A, the ACE promoter is not induced by PMA and PMA failed to potentiate ACE promoter stimulation by 8BrcAMP. These results contrast with typical mechanisms of AP2 regulation26 39 and suggest that ACE regulation by ß-adrenergics and cAMP is most likely due to CRE rather than to AP2 sequences. Nevertheless, we cannot exclude the possibility of an atypical AP2 mechanism or a synergistic role of AP2 sequences in CRE regulation as demonstrated in human tissue plasminogen activator40 and proenkephalin41 promoters.
CRE and 12-O-tetradecanoyl-phorbol-13acetate responsive element (TRE) consensus sequences differ by just 1 nucleotide. TRE-like sequences mediate gene induction by phorbol esters but can also bind CRE binding proteins with reduced affinity42 and support cAMP stimulation in some promoters.43 In this sense, cAMP modulation of the ACE promoter could be due to the presence of functional TRE-like sequences rather than to CRE-like sequences. However, as shown in Figure 3, PMA up to 100 nmol/L did not induce the ACE promoter. These results indicate that in REC, the 1273 bp ACE promoter is primarily sensitive to cAMP pathway stimulation.
As shown in Figure 5, okadaic acid increased cAMP pathway stimulation of the ACE promoter, which indicates that typical mechanisms of CRE regulated expression operate in REC.27 Moreover, as indicated in Figure 6, REC displays nuclear proteins capable of binding to CRE consensus sequences, providing further evidence for a fully functional CRE pathway in REC. Taken together, our results establish ß-adrenergic/cAMP regulation and suggest that CRE mechanisms regulate the ACE promoter.
The CREB/activating transcription factor pathway of gene regulation is a critical point in the information path from the cell surface to the nucleus.26 44 CREB/activating transcription factor proteins are potential dimerization partners for TRE-binding proteins such as Jun, Fos, and Fra-142 and, when phosphorylated, bind calmodulin-binding peptide, a protein involved in the transmission of information from enhancers to the basal transcriptional machinery in the CRE, TRE, and serum-responsive element pathways,45 providing a biochemical substrate for interaction of distinct signaling pathways. The presence of functional CRE-like sequences in the ACE promoter makes it a target for convergence of multiple signal transduction pathways, uncovering a potential pathway of ACE gene activation in endothelial cells in pathophysiological situations that involve increased sympathetic neurohumoral activation such as heart failure or ß-adrenergic stimulation in ISO-induced cardiac hypertrophy.
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| Acknowledgments |
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Received January 6, 1998; first decision February 10, 1998; accepted February 26, 1999.
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J. R. Freshour, S. E. Chase, and K. L. Vikstrom Gender differences in cardiac ACE expression are normalized in androgen-deprived male mice Am J Physiol Heart Circ Physiol, November 1, 2002; 283(5): H1997 - H2003. [Abstract] [Full Text] [PDF] |
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M. L. M. Barreto-Chaves, I. Aneas, and J. E. Krieger Glucocorticoid regulation of angiotensin-converting enzyme in primary culture of adult cardiac fibroblasts Am J Physiol Regulatory Integrative Comp Physiol, January 1, 2001; 280(1): R25 - R32. [Abstract] [Full Text] [PDF] |
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