(Hypertension. 2001;38:261.)
© 2001 American Heart Association, Inc.
Scientific Contributions |
From the Université de Montréal, Departemént de Physiologie, et lInstitut de Cardiologie de Montréal, Montréal, Québec, Canada.
Correspondence to Angelino Calderone, lInstitut de Cardiologie de Montréal, 5000 rue Belanger est, Montréal, Québec, Canada H1T 1C8. E-mail calderon{at}icm.umontreal.ca
| Abstract |
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Key Words: nitric oxide cyclic GMP fibroblasts RNA, messenger transforming growth factors angiotensin II
| Introduction |
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NO is an inorganic free radical gas synthesized from L-arginine via the action of the enzyme NO synthase.10,11 The family of NO synthases consists of 3 isoforms, of which isoforms I and III are constitutively expressed in a wide variety of tissue and regulated by calcium/calmodulin.10,11 By contrast, isoform II is not constitutively expressed but is induced by various factors, including cytokines and bacterial lipopolysaccharide, and its activation occurs via a calcium/calmodulin-independent process.10,11 The immediate second messenger is cGMP, synthesized following NO activation of the enzyme soluble guanylate cyclase.10 In numerous cell types, including fibroblasts, the exogenous administration of NO, acting via the recruitment of cGMP-dependent pathways, has been shown to exert a potent antiproliferative action.12,13 Moreover, in vivo and in vitro studies have demonstrated that NO can negatively regulate the expression of extracellular matrix protein expression.14,15 However, the mechanism attributed to these latter effects remains unknown. Thus, because of the putative profibrotic role of the TGF-ß family, the following study examined the potential modulation of these peptide growth factors by NO. Second, the recent observation that angiotensin (Ang) II induced TGF-ß mRNA expression in cardiac fibroblasts supports the premise that this family of peptide growth factors may, via an autocrine pathway, mediate the well-documented effects of Ang II on fibroblast growth and extracellular matrix protein expression. In this regard, parallel experiments examined the effect of NO on Ang II-stimulated cardiac fibroblast growth and TGF-ß mRNA expression.
| Methods |
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Protein Synthesis Experiments
Cardiac fibroblasts were plated at a density of 100 to 200 cells per square millimeter in 24-well plates for 24 to 36 hours in DMEM containing 7% FBS and subsequently washed and maintained in serum-free DMEM containing insulin (5 µg/mL), transferrin (5 µg/mL), and sodium selenite (5 ng/mL) (Collaborative Biomedical) for 48 hours before the experimental protocol. Fibroblasts were treated with either the NO donor S-nitroso-N-acetyl-penicillamine (SNAP) (100 µmol/L; Calbiochem) or 8-bromo-cGMP (1 mmol/L; Sigma) for 15 to 30 minutes before the addition of Ang II (1 µmol/L; Calbiochem). The growth response was permitted to continue for 24 hours, and protein synthesis was determined by the addition of 2 µCi/mL of [3H]leucine (ICN Biomedicals Inc). After completion of the experimental protocol, fibroblasts were washed twice with PBS (4°C), and cold 5% trichloroacetic acid was added for 30 minutes to precipitate protein. The precipitates were washed twice with cold water and resuspended in 0.4 mol/L NaOH. Aliquots were counted in a scintillation counter.
Measurement of cGMP Levels
Cardiac fibroblasts (100 to 200 cells per square millimeter) were treated with 0.5 mmol/L 3-isobutyl-1-methylxanthine (IBMX, Sigma) for 15 minutes before treatment with SNAP (100 µmol/L) and incubated for an additional 30 minutes at 37°C. The reaction was stopped by the addition of 0.1 mol/L HCl, the plates were placed on ice for 30 minutes, and the supernatant was collected and titrated to pH 7.4 with 2.5 mol/L sodium acetate (pH 5.8) and 5 mol/L NaOH. cGMP levels were quantified with a standard radioimmunoassay kit (Biomedical Technologies, Inc). NaOH (0.2 mol/L) was subsequently added to the plates for 30 minutes, the cells were scraped, and the protein content was measured by the Bradford technique (Bio-Rad Laboratories Canada Ltd) with BSA as a standard.
Northern Hybridization
Cardiac fibroblasts were plated at a density of 200 cells per square millimeter in p100 plates for 7 days in DMEM containing 7% FBS; the medium was changed twice during this time. The cells were subsequently washed, and the medium was replaced with serum-free DMEM containing insulin (5 µg/mL), transferrin (5 µg/mL), and sodium selenite (5 ng/mL). The cells were maintained in serum-free DMEM for 48 hours before the experimental protocol. Fibroblasts were treated with either the NO donor SNAP (100 µmol/L) or 8-bromo-cGMP (1 mmol/L) for 4 and 24 hours. In parallel experiments, SNAP or 8-bromo-cGMP was added for 15 to 30 minutes before the addition of Ang II (1 µmol/L), and stimulation proceeded for an additional 4 hours. Total RNA was isolated by a modification of the technique of Chomczynski and Sacchi.16 A 0.985-kb fragment of rat TGF-ß1 (American Type Culture Collection [ATCC]), a 1.2-kb fragment of mouse TGF-ß3 (ATCC), and a 2-kb fragment of rat GAPDH (ATCC) were labeled with [32P]dCTP (NEN) to a specific activity of 1 to 2x106 cpm/ng cDNA by the random hexamer (Pharmacia) priming method and hybridized to nylon membranes (Gene screen-plus; NEN Life Sciences) for 18 to 24 hours at 42°C, as previously described.12 The filters exposed to the cDNA probes were washed twice (15 minutes, room temperature) with 300 mmol/L NaCl/30 mmol/L trisodium citrate and 0.1% SDS and twice (15 minutes, 45°C) with 30 mmol/L NaCl/3 mmol/L trisodium citrate and 0.1% SDS. Nylon membranes were subsequently exposed to Kodak XAR film with an intensifying screen at -70°C, and films were scanned with a laser densitometer (Chemilmager 4000 I v4.04 software; Alphan Innotech Corp). All levels of mRNA reported in this article are normalized to the level of GAPDH mRNA.
Assessment of Half-Life of SNAP-Mediated Decrease of TGF-ß3
The data of the SNAP-mediated decrease of TGF-ß3 mRNA were fit by a straight line defined by the relationship ln RT/R0=-kdt, where R0 is the level of TGF-ß3 mRNA before exposure to SNAP, RT is the level of TGF-ß3 mRNA at time t of SNAP treatment, and kd is the apparent decay constant. The half-life (t1/2) of TGF-ß3 mRNA was taken as 0.693/k, where k is the slope of ln RT/R0 versus time t calculated by linear regression.17
Statistical Analysis
Data are presented as mean±SEM. Statistical analysis was performed by Students unpaired t test (2-tailed), and a value of P<0.05 was considered significant.
| Results |
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SNAP Treatment Increased cGMP Synthesis, and This Response Was Impaired After Chronic Exposure to SNAP
A 30-minute stimulation with 100 µmol/L SNAP increased intracellular cGMP levels (basal=3.9±0.9 versus SNAP=55±13 pmol/mg protein per minute; n=6; P=0.01) in cardiac fibroblasts. These latter data and the action of 8-bromo-cGMP support the role of a cGMP-dependent pathway in SNAP-mediated decrease in the steady state mRNA levels of TGF-ß3. However, TGF-ß3 mRNA levels returned to untreated levels after a 24-hour treatment with SNAP, thereby suggesting a possible desensitization of soluble guanylate cyclase responsiveness. To assess this premise, cardiac fibroblasts were exposed to 100 µmol/L SNAP (in the absence of IBMX) for a period of 4 and 24 hours, and the subsequent production of cGMP was assessed with an additional 30-minute treatment with SNAP. A 4-hour pretreatment with SNAP caused a significant decrease in cGMP production in response to a subsequent challenge to SNAP, thereby supporting a process of desensitization of soluble guanylate cyclase (Figure 2). After a 24-hour exposure to SNAP, the production of cGMP in response to the readministration of SNAP remained significantly impaired; this responsiveness was lower than that with the 4-hour exposure but did not reach statistical significance (P=0.07) (Figure 2).
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Effect of SNAP on TGF-ß3 mRNA Stability
A reduction in the steady state level of a transcript can occur either via a decrease in transcription and/or an increase in mRNA degradation (mRNA destabilization). The following experiments examined the role of destabilization as a mechanism of SNAP-mediated decrease of TGF-ß3 mRNA levels. To address this issue, a standard approach involves determining the half-life of mRNA loss in the presence of the transcriptional inhibitor actinomycin D. The treatment of cardiac fibroblasts with actinomycin D (5 µg/mL) did not appreciably decrease the basal expression of TGF-ß3 mRNA over a period of 8 hours (Figure 3). This concentration of actinomycin D inhibited 3H[thymidine] uptake by >95% (data not shown). In contrast, the exposure to SNAP (100 µmol/L) resulted in a time-dependent decrease of TGF-ß3 mRNA levels (Figure 3). The data for the SNAP-mediated decrease of TGF-ß3 mRNA were fit by a straight line (r=0.9979; P<0.01) defined by the relationship ln RT/R0=-kdt (see Methods) (Figure 2). The Kd determined by this approach was 0.214±0.014 (n=4) and yielded an apparent t1/2 of 3.3±0.2 hours (n=4) according to the relationship t1/2=0.693/kd (see Methods). Analogous to SNAP, the treatment with 1 mmol/L 8-bromo-cGMP caused a temporal decrease in the steady state mRNA level of TGF-ß3, which yielded an apparent t1/2 of 2.8 hours (n=2) (Figure 3). To determine whether the SNAP-mediated decrease of TGF-ß3 mRNA required the transcription of a trans-acting factor, actinomycin D (5 µg/mL) was added 30 minutes before the administration of SNAP. The treatment (4 hours) with actinomycin D did not appreciably decrease TGF-ß3 mRNA levels (Figure 3), although the pretreatment (30 minutes) with actinomycin D attenuated the subsequent SNAP-mediated decrease of TGF-ß3 mRNA by 71% (SNAP=58±3%
versus SNAP+actinomycin D=17±6%
; P<0.01 versus SNAP; n=3) (Figure 3).
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SNAP Treatment Inhibited Ang II-Stimulated Protein Synthesis and TGF-ß3 mRNA Expression in Cardiac Fibroblasts
A 24-hour treatment of cardiac fibroblasts with Ang II (1 µmol/L) caused 61±7% increase in [3H]leucine uptake (n=7; P<0.01 versus basal) (Figure 4), and this effect was blocked by the selective angiotensin type 1 (AT1) receptor antagonist irbesartan (data not shown). Consistent with previous data, a 4-hour treatment with Ang II (1 µmol/L) caused a 2.6±0.6-fold increase (n=5; P<0.01 versus basal) in the steady state mRNA levels of TGF-ß1 and remained elevated at 24 hours (1.7±0.1-fold increase; n=2) (Figure 1). Moreover, a concomitant 1.7±0.4-fold increase (n=6; P<0.01 versus basal) in the steady state mRNA of TGF-ß3 mRNA was also observed at 4 hours and remained elevated at 24 hours (1.9±0.3-fold; n=5; P<0.05 versus basal) (Figures 1 and 4).The 24-hour exposure of cardiac fibroblasts to SNAP (100 µmol/L) caused a modest nonsignificant reduction in basal [3H]leucine uptake (Figure 4). Likewise, a 24-hour exposure to 8-bromo-cGMP (1 mmol/L) had no effect on [3H]leucine uptake (n=4; data not shown). However, a 15- to 30-minute pretreatment of cardiac fibroblasts with SNAP attenuated the subsequent increase in [3H]leucine uptake by Ang II (1 µmol/L) (Figure 4). Similarly, the pretreatment with 8-bromo-cGMP attenuated Ang II-stimulated [3H]leucine uptake by 66±4% (n=4; P<0.01 versus Ang II). In parallel experiments, the pretreatment with either SNAP or 8-bromo-cGMP attenuated Ang II-stimulated TGF-ß3 mRNA expression by 96±8% (n=3; P<0.01) and 78±22% (n=3; P<0.05), respectively (Figure 4).
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| Discussion |
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The underlying mechanism implicated in the transient decrease of TGF-ß3 mRNA by the NO donor SNAP remains to be defined. Both in vivo and in vitro studies have described a phenomenon of tolerance after the continuous administration of organic nitrates.20,21 Although the underlying mechanism responsible for nitrate tolerance is multifactorial, a desensitization and/or downregulation of soluble guanylate cyclase has been found to contribute in part to this process.22,23 On the basis of these observations, the transient regulation of TGF-ß3 mRNA is consistent with a SNAP-mediated desensitization and/or downregulation of soluble guanylate cyclase. Indeed, the chronic exposure of cardiac fibroblasts to SNAP significantly reduced the subsequent production of cGMP after the reexposure to the NO donor, thereby supporting a process of desensitization of soluble guanylate cyclase. Lastly, consistent with these latter data, the 24-hour exposure to 8-bromo-cGMP, an agent that acts downstream of soluble guanylate cyclase, caused a sustained decrease of TGF-ß3 mRNA.
Destabilization represents a posttranscriptional mechanism regulating the steady state levels of various mRNAs. This phenomenon has been well characterized for a number of proto-oncogenes with short half-life periods and occurs via the binding of a trans-acting factor to the 3'-untranslated region of the transcript.24 Moreover, in addition to immediate early genes, the agonist-mediated downregulation of G protein-coupled receptor transcripts has been shown to occur via a process of destabilization.25,26 In the present study the contribution of mRNA destabilization to the SNAP-mediated decrease of TGF-ß3 mRNA levels was examined. To investigate this premise, the kinetics of TGF-ß3 mRNA decrease in response to SNAP were compared with the response to the transcriptional inhibitor actinomycin D.24,25 The exposure of cardiac fibroblasts to actinomycin D for a period of at least 8 hours did not appreciably alter the steady state mRNA level of TGF-ß3 compared with untreated cells. By contrast, the treatment with SNAP caused a rapid decrease of TGF-ß3 mRNA with a t1/2 of 3.3 hours. Likewise, the treatment with 8-bromo-cGMP decreased the steady state mRNA level of TGF-ß3 with a t1/2 of 2.8 hours. On the basis of these observations, the SNAP-mediated decrease of TGF-ß3 mRNA involved a mechanism of mRNA destabilization that occurred at least in part via a cGMP-dependent pathway. In parallel experiments, the pretreatment with actinomycin D before the administration of SNAP abrogated the SNAP-mediated decrease of TGF-ß3 mRNA. Thus, these data suggest that SNAP induced the transcription of a destabilizing factor, although its identity and its cognate sequence on the TGF-ß3 transcript remain to be defined.
The increased synthesis and secretion of Ang II in human and animal models of cardiac hypertrophy and failure has been considered an integral factor in the progression of interstitial fibrosis.1 The TGF-ß family may in part contribute to the action of Ang II, since this peptide has been shown to increase TGF-ß1 levels in numerous cell types, including cardiac fibroblasts.27,28 Consistent with these findings, the present study demonstrated that angiotensin II treatment of neonatal rat cardiac fibroblasts increased TGF-ß1 mRNA levels and was associated with a concomitant increase in the steady state mRNA levels of TGF-ß3. In this regard, the Ang II-mediated increase of at least 2 TGF-ß isoforms provides an autocrine mechanism mediating in part extracellular matrix protein expression. The treatment of cardiac fibroblasts with either the NO donor SNAP or the cGMP analogue 8-bromo-cGMP inhibited Ang II-stimulated protein synthesis in cardiac fibroblasts, a finding consistent with previous studies demonstrating a growth-inhibiting action in this cell type.12,13 Moreover, SNAP pretreatment abrogated Ang II-mediated expression of TGF-ß3 mRNA, an effect mimicked by 8-bromo-cGMP. Thus, these results demonstrate that Ang II-stimulated cardiac fibroblast growth and TGF-ß3 mRNA expression are targets of NO regulation and may support in part a mechanism of NO-mediated attenuation of cardiac fibrosis.
In contrast to TGF-ß3, SNAP and 8-bromo-cGMP caused a modest significant increase in the steady state mRNA levels of TGF-ß1 mRNA after a 4-hour exposure but returned to levels observed in the untreated cells by 24 hours. These data demonstrate that the SNAP- and 8-bromo-cGMP-mediated decrease of TGF-ß3 mRNA was not due to a nonspecific degradation of mRNA. Moreover, similar observations were observed in mesangial cells and an adenocarcinoma lung cell line, as NO and atrial natriuretic peptide, acting via a cGMP-dependent pathway, increased TGF-ß1 expression.29,30 Second, the data observed in the present study further highlight a disparate pattern of TGF-ß1 and TGF-ß3 mRNA regulation. Indeed, in the volume-overloaded rat model of cardiac hypertrophy, a distinct pattern of ventricular TGF-ß isoform regulation was also observed.3 Lastly, a well-documented role of TGF-ß1 includes the suppression of NO synthase activity.31 In this regard, NO/cGMP-dependent expression of TGF-ß1 may represent a negative feedback mechanism limiting the physiological actions of NO.
In conclusion, a major new finding of the present study highlights a NO-mediated decrease of TGF-ß3 mRNA level in neonatal rat cardiac fibroblasts in part via a posttranscriptional mechanism of destabilization. By contrast, SNAP treatment caused a transient increase in TGF-ß1 expression, which may represent a negative feedback mechanism modulating the physiological actions of NO. Lastly, Ang II has been characterized as a profibrotic factor, and it has been suggested that this effect is mediated in part via the induction of the TGF-ß family of peptide growth factors. In the present study NO inhibited Ang II-stimulated protein synthesis and TGF-ß3 mRNA expression. On the basis of these observations, NO could negatively influence the progression of fibrosis via the modulation of TGF-ß3 expression in cardiac fibroblasts.
| Acknowledgments |
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Received December 28, 2000; first decision January 17, 2001; accepted January 24, 2001.
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