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(Hypertension. 2008;51:1631.)
© 2008 American Heart Association, Inc.
Original Articles |
From the Departments of Cardiovascular Medicine (I.I., T.I., D.P., K.I., R.M., H.O., Q.T., K.Y., K.S.) and Advanced Therapeutics for Cardiovascular Diseases (T.I.), Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan.
Correspondence to Toshihiro Ichiki, Departments of Cardiovascular Medicine, Kyushu University Graduate School of Medical Sciences, 3-1-1 Maidashi, Higashi-ku, 812-8582 Fukuoka, Japan. E-mail ichiki{at}cardiol.med.kyushu-u.ac.jp
| Abstract |
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Key Words: liver X receptor angiotensin II type 1 receptor Sp1
| Introduction |
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The effects of angiotensin II (Ang II) are mediated by Ang II receptors, and so far 2 isoforms, type 1 receptor (AT1R) and type 2 receptor, have been identified.10 AT1R mediates most of the traditional effects of Ang II, such as vasoconstriction and cell proliferation. It is well known that Ang II enhances atherogenesis,11,12 and an AT1R antagonist attenuated atherogenesis in animal models.13–15
Emerging evidence has suggested that Ang II is critically involved in various aspects of inflammation.16 In line with this notion, Ang II was reported to activate nuclear factor-
B, a transcription factor involved in the regulation of many inflammation-related genes, in vascular smooth muscle cells (VSMCs) through AT1R.17 Intriguingly, an LXR agonist inhibited nuclear factor-
B activation.7 Therefore, it may be possible that the LXR and Ang II/AT1R pathways functionally antagonize in terms of the inflammatory response.
A recent study showed that GW3965, a synthetic LXR agonist, increased murine renin gene expression.18 However, the effect of LXR activation on AT1R expression has not been determined. In the present study, we tested whether LXRs are involved in the regulation of AT1R gene expression.
| Materials and Methods |
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-tubulin were purchased from Sigma Chemical Co. Rabbit polyclonal antibodies against AT1R19,20 and p16 were purchased from Santa Cruz Biotechnology. Rabbit polyclonal antibodies against Sp1 and phosphoserine were purchased from Upstate, Inc, and Chemicon International, Inc, respectively. Rabbit polyclonal antibodies against extracellular signal–regulated kinase (ERK) and phosphorylated ERK (pERK) were purchased from Cell Signaling Co. Horseradish peroxidase–conjugated secondary antibodies (antirabbit and antimouse IgG) were purchased from Vector Laboratories, Inc. Losartan was kindly provided by Merck Co. [
-32P]dCTP was purchased from Perkin-Elmer Life Sciences. Luciferase assay system was purchased from Promega Biosciences, Inc. Other chemical reagents were purchased from Wako Pure Chemicals unless mentioned specifically.
Cell Culture
VSMCs were isolated from the thoracic aorta of Sprague-Dawley rats by an explant method and maintained in DMEM supplemented with 10% FBS at 37°C in a humidified atmosphere of 95% air-5% CO2. At passage 2, >95% of cells were positive for
-smooth muscle actin. VSMCs were cultured until grown to confluence. The medium was changed to DMEM with 0.1% BSA, and the cells were cultured for an additional 2 days. Then, the VSMCs were used in the experiment. Cells between passages 4 and 13 were used.
Northern Blot Analysis
Northern blot analysis was performed as described previously.21 ActD (5 µg/mL) was used to examine the stability of AT1R mRNA. ActD was added after 6 hours of stimulation with T0901317 (10 µmol/L). In a control experiment, only ActD was added. Cells were harvested after 3, 6, 12, and 24 hours of ActD supplementation, and the expression level of AT1R mRNA was examined by Northern blot analysis.
Measurement of AT1R Gene Promoter Activity
Five deletion mutants of the AT1A gene promoter were prepared by digestion with restriction endonucleases and ligated to the luciferase gene. The AT1R promoter-luciferase construct with mutation in the GC-box–related sequence (wild-type: TGCAGAGCAGCGACGCCCCCTAGGC; mutant: TGCAGAGCAGCGACGTTTCCTAGGC) was a generous gift from Dr Akira Sugawara (Tohoku University, Sendai, Japan).22
Confluent VSMCs were split by trypsin/EDTA solution, and cells were prepared in a 6-cm tissue culture dish. At 80% confluence, 5 µg of AT1 promoter-luciferase fusion DNA and 2 µg of β-galactosidase gene (LacZ) were introduced to VSMCs by the DEAE-dextran method according to the manufacturers instruction (Promega Corporation). AT1R promoter/luciferase DNA construct with a mutation in the GC box (Sp1 binding site) was also introduced to VSMCs with the LacZ expression plasmid. VSMCs were cultured in DMEM with 10% FBS for 18 hours, washed twice with PBS, cultured in DMEM with 0.1% BSA for 24 hours, and then stimulated with T0901317 (10 µmol/L) for 12 hours. The luciferase activity was measured as described previously.21
Western Blot Analysis
Western Blot analysis was performed as described previously.21
Immunoprecipitation
VSMCs were lysed in a Nonidet P-40 lysis buffer (0.5% Nonidet P-40; 10 mmol/L of Tris-HCl [pH 7.5]; 150 mmol/L of NaCl; 2.5 mmol/L of KCl; 20 mmol/L of β-glycerol phosphate; 50 mmol/L of NaF; 1 mmol/L of Na3VO4; 1% aprotinin; 0.5% leupeptin; and 1 mmol/L of dithiothreitol), and the lysates were subjected to immunoprecipitation with an anti-Sp1 antibody as described previously.23 Western blot analysis was performed with the antiphosphoserine antibody as described previously.23 The intensity of the bands was quantified with a MacBAS bioimaging analyzer (Fujifilm).
Statistical Analysis
Statistical analysis was performed with either 1-way ANOVA or 2-way ANOVA and Fishers test, if appropriate. Statistical significance was designated as P<0.05. Values are expressed as means±SEMs.
| Results |
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T0 Inhibits AT1R Expression at the Transcriptional Level
Deletion mutants of AT1 promoter/luciferase fusion DNA were used to determine the specific promoter region responsible for T0901317-induced AT1R suppression. Luciferase activity was suppressed in all of the DNA constructs (Figure 3A). The DNA construct with mutation in Sp1 binding site (AT1R promoter region from –58 to –34 bp) showed reduced basal luciferase activity compared with wild type (–61 bp) luciferase construct (data not shown), as reported previously, and stimulation with T0901317 (10 µmol/L) did not affect the luciferase activity in the Sp1 mutant luciferase construct (Figure 3A). Therefore, we suppose that Sp1 is a positive regulatory element in the AT1R gene promoter and that T0901317 induced suppression of AT1R gene expression by inhibiting Sp1 function.
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T0901317 did not affect the degradation rate of AT1R mRNA (Figure 3B). These data suggest that T0901317 inhibits AT1R gene transcription and does not affect AT1R mRNA stability.
De Novo Protein Synthesis Is Required for T0901317-Induced Downregulation of AT1R Expression
We used CHX (10 µg/mL, 1 hour), a protein synthesis inhibitor, to examine whether T0901317-induced downregulation of AT1R expression depended on de novo protein synthesis. Incubation with CHX alone did not affect AT1R mRNA expression. CHX, however, inhibited the T0901317-induced AT1R mRNA downregulation (Figure 4A). These data suggest that downregulation of AT1R mRNA by LXR requires de novo protein synthesis.
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Histone Deacetylase Activity Is Not Involved in T0901317-Induced Downregulation
It has been reported that the recruitment of histone deacetylase (HDAC) is necessary for gene regulation by a LXR agonist.25 We used TSA (1 µmol/L), an HDAC inhibitor, to examine the involvement of HDAC in the process. Preincubation with TSA for 24 hours had no effect on T0901317-induced AT1R mRNA suppression (Figure 4B). It is, therefore, suggested that HDAC is not required for T0901317-induced AT1R downregulation.
T0901317 Increased p16 Expression and Suppressed Sp1 Phosphorylation
Previously, Wang et al26 reported that p16 inhibited Sp1-mediated gene transcription by suppression of cyclin A expression and phosphorylation of Sp1 at the serine residue. We examined the effect of T0901317 (10 µmol/L) on p16 expression and the Sp1 phosphorylation level. T0901317 increased p16 expression and decreased the phosphorylation level of Sp1 at the serine residue. (Figure 4C and 4D).
T0901317-Induced AT1R Downregulation Reduced Cellular Response to Angiotensin II
It is well known that Ang II induces phosphorylation of ERK in VSMCs through AT1R.27 First, we confirmed the receptor isoform responsible for Ang II-induced ERK activation. Losartan, an AT1R antagonist, but not PD123319, an Ang II type 2 receptor–specific antagonist, inhibited Ang II-induced ERK phosphorylation, indicating that AT1R is responsible (Figure 5A). Next we determined whether downregulation of AT1R gene expression leads to a reduction of functional response of VSMCs to Ang II stimulation. VSMCs were pretreated with T0901317 (10 µmol/L) for 30 minutes and 3, 6, and 12 hours and then stimulated with Ang II (100 nmol/L) for 5 minutes. The phosphorylation of ERK was examined by Western blot analysis. Ang II-induced ERK phosphorylation was not affected by 30 minutes of preincubation with T0901317, suggesting that T0901317 had no direct effect on Ang II signaling. ERK phosphorylation was remarkably reduced after 6 to 12 hours of preincubation with T0901317 (Figure 5B) when AT1R expression is maximally suppressed (Figure 1A). However, phorbol ester (100 nM) increased ERK phosphorylation after incubation with T0901317 for 6 to 12 hours, suggesting that the ERK activation pathway may not be affected by T0901317 (data not shown). Thus, downregulation of AT1R consequently resulted in the attenuation of the cellular response to Ang II.
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| Discussion |
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It was reported that LXRs regulate gene transcription by 2 mechanisms. One is a DNA-dependent pathway that involves binding of liganded LXR to LXR response element of target genes after the formation of heterodimer with the retinoid X receptor.1 The other is an LXR response element–independent pathway that involves interference with other transcription factor pathways.28 Several studies reported various indirect transcriptional regulations by LXR.29,30 Transcription factors such as AP-1,31 nuclear factor-
B,28 c-Jun, and c-Fos32 are inhibited by LXR. The AT1R gene promoter region does not contain the consensus sequence of LXR response element.33 It is, therefore, suggested that the effect of LXR on AT1R downregulation may be mediated by the inhibition of other transcription factors.
Based on the deletion and mutation analysis of AT1R gene promoter, it was suggested that the Sp1 binding site located between –58 and –34 bp is crucial for T0901317-induced AT1R suppression. The basal luciferase activity of Sp1 mutant was 50% to 70% of wild-type (–61 bp) luciferase construct (data not shown), which is consistent with the previous study.22 Therefore, the Sp1 site is a positive regulatory element of the AT1R gene, and T0901317 may suppress AT1R gene expression by inhibiting Sp1 function. Wang et al26 reported the interaction between Sp1 and cyclinA in Sp1-mediated gene transcription. In this report, they concluded that p16, a cyclin-dependent kinase inhibitor, induced cyclinA/cyclin-dependent kinase downregulation, which resulted in the attenuation of phosphorylation of Sp1, and consequently suppressed Sp1-mediated gene transcription. Our results that showed increased p16 expression and a decreased phosphorylation level of Sp1 at the serine residue by T0901317 are consistent with this previous report. It is reported that T0901317 decreased platelet-derived growth factor–induced expression of cyclinA and D1 and inhibited VSMC proliferation.34 However, it has not been reported that LXR ligand upregulates p16 as far as we know. Because T0901317-induced AT1R suppression requires de novo protein synthesis, it is suggested that upregulation of p16 expression and resultant inhibition of Sp1 phosphorylation may be responsible for T0901317-induced AT1R downregulation.
A recent report showed that the LXR ligand inhibited cytokine-induced clearance of nuclear receptor corepressor complexes from the C-reactive protein gene promoter.25 It may be possible that recruitment of nuclear receptor corepressor complexes and HDAC is involved in LXR-induced AT1R downregulation. However, in our study, we found that TSA did not affect the T0901317-induced AT1R suppression, which may exclude the possible involvement of HDAC in LXR agonist-induced AT1R downregulation.
The expression of AT1R returned to the control level after 12 hours of stimulation with T0901317. However, replacement of the medium with a fresh serum-free medium containing 10 µmol/L of T0901317 at 6 hours of stimulation resulted in the suppression of AT1R at 12 hours. These data suggested that recovery of the AT1R expression at 12 hours was because of degradation or metabolism of the T0901317 rather than the desensitization of AT1R gene expression to T0901317. We also showed that T0901317 reduced Ang II-induced ERK phosphorylation. Intriguingly, ERK phosphorylation was still suppressed after 12 hours of stimulation when the expression of the AT1R level returned to the control level. This may suggest that AT1R protein in the surface of VSMCs had not been fully recovered, although the mRNA or protein level of AT1R was recovered.
LXR activators are reported to prevent the development and progression of atherosclerosis in animal models.8,9 The important molecular mechanisms involve the reduction of inflammatory responses, such as cytokine production and improvement of glucose and lipid metabolism. Joseph et al7 reported that LXR activators inhibit inflammation by downregulating the expression of inducible NO synthase, cyclooxygenase-2, and interleukin-6. In contrast, the enhanced Ang II signaling pathway causes atherosclerosis,11 which results from activation of inflammatory responses, such as cytokine production, matrix deposition, and induction of adhesion molecules. Therefore, it may be possible that the antiatherosclerotic effects of the LXR activator involve AT1R downregulation.
Perspectives
Our results showing that LXRs agonists downregulate AT1R expression and attenuate the cellular response to Ang II indicate another anti-inflammatory property of LXR activators through inhibition of Ang II signaling. Ang II plays an important role in various pathological conditions and is effective through Ang II receptors. The cellular response to Ang II depends on the expression level of AT1R; thus, downregulation of AT1R can be one way to avoid the vicious effect of Ang II. Because LXRs are expressed ubiquitously, activation of LXRs may be a novel and an effective therapy to attenuate pathological effects of Ang II.
| Acknowledgments |
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This study was supported in part by Grants-in-Aid for Scientific Research from the Ministry of Education, Culture, Sports, Science, and Technology of Japan (19590867) to T.I.
Disclosures
None.
Received November 30, 2007; first decision December 22, 2007; accepted April 1, 2008.
| References |
|---|
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|
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2. Mitro N, Mak PA, Vargas L, Godio C, Hampton E, Molteni V, Kreusch A, Saez E. The nuclear receptor LXR is a glucose sensor. Nature. 2007; 445: 219–223.[CrossRef][Medline] [Order article via Infotrieve]
3. Naik SU, Wang X, Da Silva JS, Jaye M, Macphee CH, Reilly MP, Billheimer JT, Rothblat GH, Rader DJ. Pharmacological activation of liver X receptors promotes reverse cholesterol transport in vivo. Circulation. 2006; 113: 90–97.
4. Laffitte BA, Repa JJ, Joseph SB, Wilpitz DC, Kast HR, Mangelsdorf DJ, Tontonoz P. LXRs control lipid-inducible expression of the apolipoprotein E gene in macrophages and adipocytes. Proc Natl Acad Sci U S A. 2001; 98: 507–512.
5. Joseph SB, McKilligin E, Pei L, Watson MA, Collins AR, Laffitte BA, Chen M, Noh G, Goodman J, Hagger GN, Tran J, Tippin TK, Wang X, Lusis AJ, Hsueh WA, Law RE, Collins JL, Willson TM, Tontonoz P. Synthetic LXR ligand inhibits the development of atherosclerosis in mice. Proc Natl Acad Sci U S A. 2002; 99: 7604–7609.
6. Laffitte BA, Chao LC, Li J, Walczak R, Hummasti S, Joseph SB, Castrillo A, Wilpitz DC, Mangelsdorf DJ, Collins JL, Saez E, Tontonoz P. Activation of liver X receptor improves glucose tolerance through coordinate regulation of glucose metabolism in liver and adipose tissue. Proc Natl Acad Sci U S A. 2003; 100: 5419–5424.
7. Joseph SB, Castrillo A, Laffitte BA, Mangelsdorf DJ, Tontonoz P. Reciprocal regulation of inflammation and lipid metabolism by liver X receptors. Nat Med. 2003; 9: 213–219.[CrossRef][Medline] [Order article via Infotrieve]
8. Tangirala RK, Bischoff ED, Joseph SB, Wagner BL, Walczak R, Laffitte BA, Daige CL, Thomas D, Heyman RA, Mangelsdorf DJ, Wang X, Lusis AJ, Tontonoz P, Schulman IG. Identification of macrophage liver X receptors as inhibitors of atherosclerosis. Proc Natl Acad Sci U S A. 2002; 99: 11896–11901.
9. Levin N, Bischoff ED, Daige CL, Thomas D, Vu CT, Heyman RA, Tangirala RK, Schulman IG. Macrophage liver X receptor is required for antiatherogenic activity of LXR agonists. Arterioscler Thromb Vasc Biol. 2005; 25: 135–142.
10. Chiu AT, Herblin WF, McCall DE, Ardecky RJ, Carini DJ, Duncia JV, Pease LJ, Wong PC, Wexler RR, Johnson AL, Timmermans PBMWM. Identification of angiotensin II receptor subtypes. Biochem Biophys Res Commun. 1989; 165: 196–203.[CrossRef][Medline] [Order article via Infotrieve]
11. Daugherty A, Cassis L. Chronic angiotensin II infusion promotes atherogenesis in low density lipoprotein receptor–/– mice. Ann N Y Acad Sci. 1999; 892: 108–118.[CrossRef][Medline] [Order article via Infotrieve]
12. Daugherty A, Manning MW, Cassis LA. Angiotensin II promotes atherosclerotic lesions and aneurysms in apolipoprotein E-deficient mice. J Clin Invest. 2000; 105: 1605–1612.[Medline] [Order article via Infotrieve]
13. Hayek T, Attias J, Coleman R, Brodsky S, Smith J, Breslow JL, Keidar S. The angiotensin-converting enzyme inhibitor, fosinopril, and the angiotensin II receptor antagonist, losartan, inhibit LDL oxidation and attenuate atherosclerosis independent of lowering blood pressure in apolipoprotein E deficient mice. Cardiovasc Res. 1999; 44: 579–587.
14. Keidar S, Attias J, Smith J, Breslow JL, Hayek T. The angiotensin-II receptor antagonist, losartan, inhibits LDL lipid peroxidation and atherosclerosis in apolipoprotein E-deficient mice. Biochem Biophys Res Commun. 1997; 236: 622–625.[CrossRef][Medline] [Order article via Infotrieve]
15. Vaughan DE. AT(1) receptor blockade and atherosclerosis: hopeful insights into vascular protection. Circulation. 2000; 101: 1496–1497.
16. Mehta PK, Griendling KK. Angiotensin II cell signaling: physiological and pathological effects in the cardiovascular system. Am J Physiol Cell Physiol. 2007; 292: C82–C97.
17. Sahar S, Reddy MA, Wong C, Meng L, Wang M, Natarajan R. Cooperation of SRC-1 and p300 with NF-kappaB and CREB in angiotensin II-induced IL-6 expression in vascular smooth muscle cells. Arterioscler Thromb Vasc Biol. 2007; 27: 1528–1534.
18. Morello F, de Boer RA, Steffensen KR, Gnecchi M, Chisholm JW, Boomsma F, Anderson LM, Lawn RM, Gustafsson JK, Lopez-Ilasaca M, Pratt RE, Dzau VJ. Liver X receptors alpha and beta regulate renin expression in vivo. J Clin Invest. 2005; 115: 1913–1922.[CrossRef][Medline] [Order article via Infotrieve]
19. Calegari VC, Bezerra RM, Torsoni MA, Torsoni AS, Franchini KG, Saad MJ, Velloso LA. Suppressor of cytokine signaling 3 is induced by angiotensin II in heart and isolated cardiomyocytes, and participates in desensitization. Endocrinology. 2003; 144: 4586–4596.
20. Fraccarollo D, Galuppo P, Hildemann S, Christ M, Ertl G, Bauersachs J. Additive improvement of left ventricular remodeling and neurohormonal activation by aldosterone receptor blockade with eplerenone and ACE inhibition in rats with myocardial infarction. J Am Coll Cardiol. 2003; 42: 1666–1673.
21. Imayama I, Ichiki T, Inanaga K, Ohtsubo H, Fukuyama K, Ono H, Hashiguchi Y, Sunagawa K. Telmisartan downregulates angiotensin II type 1 receptor through activation of peroxisome proliferator-activated receptor gamma. Cardiovasc Res. 2006; 72: 184–190.
22. Sugawara A, Takeuchi K, Uruno A, Ikeda Y, Arima S, Kudo M, Sato K, Taniyama Y, Ito S. Transcriptional suppression of type 1 angiotensin II receptor gene expression by peroxisome proliferator-activated receptor-gamma in vascular smooth muscle cells. Endocrinology. 2001; 142: 3125–3134.
23. Ichiki T, Tokunou T, Fukuyama K, Iino N, Masuda S, Takeshita A. Cyclic AMP response element-binding protein mediates reactive oxygen species-induced c-fos expression. Hypertension. 2003; 42: 177–183.
24. Janowski BA, Willy PJ, Devi TR, Falck JR, Mangelsdorf DJ. An oxysterol signalling pathway mediated by the nuclear receptor LXR alpha. Nature. 1996; 383: 728–731.[CrossRef][Medline] [Order article via Infotrieve]
25. Ghisletti S, Huang W, Ogawa S, Pascual G, Lin ME, Willson TM, Rosenfeld MG, Glass CK. Parallel SUMOylation-dependent pathways mediate gene- and signal-specific transrepression by LXRs and PPARgamma. Mol Cell. 2007; 25: 57–70.[CrossRef][Medline] [Order article via Infotrieve]
26. Wang CH, Chang HC, Hung WC. p16 inhibits matrix metalloproteinase-2 expression via suppression of Sp1-mediated gene transcription. J Cell Physiol. 2006; 208: 246–252.[CrossRef][Medline] [Order article via Infotrieve]
27. Eguchi S, Matsumoto T, Motley ED, Utsunomiya H, Inagami T. Identification of an essential signaling cascade for mitogen-activated protein kinase activation by angiotensin II in cultured rat vascular smooth muscle cells. Possible requirement of Gq-mediated p21ras activation coupled to a Ca2+/calmodulin-sensitive tyrosine kinase. J Biol Chem. 1996; 271: 14169–14175.
28. Terasaka N, Hiroshima A, Ariga A, Honzumi S, Koieyama T, Inaba T, Fujiwara T. Liver X receptor agonists inhibit tissue factor expression in macrophages. Febs J. 2005; 272: 1546–1556.[CrossRef][Medline] [Order article via Infotrieve]
29. Grempler R, Gunther S, Steffensen KR, Nilsson M, Barthel A, Schmoll D, Walther R. Evidence for an indirect transcriptional regulation of glucose-6-phosphatase gene expression by liver X receptors. Biochem Biophys Res Commun. 2005; 338: 981–986.[CrossRef][Medline] [Order article via Infotrieve]
30. Blaschke F, Takata Y, Caglayan E, Collins A, Tontonoz P, Hsueh WA, Tangirala RK. A nuclear receptor corepressor-dependent pathway mediates suppression of cytokine-induced C-reactive protein gene expression by liver X receptor. Circ Res. 2006; 99: e88–99.
31. Schmuth M, Elias PM, Hanley K, Lau P, Moser A, Willson TM, Bikle DD, Feingold KR. The effect of LXR activators on AP-1 proteins in keratinocytes. J Invest Dermatol. 2004; 123: 41–48.[CrossRef][Medline] [Order article via Infotrieve]
32. Ogawa D, Stone JF, Takata Y, Blaschke F, Chu VH, Towler DA, Law RE, Hsueh WA, Bruemmer D. Liver x receptor agonists inhibit cytokine-induced osteopontin expression in macrophages through interference with activator protein-1 signaling pathways. Circ Res. 2005; 96: e59–e67.
33. Takeuchi K, Alexander RW, Nakamura Y, Tsujino T, Murphy TJ. Molecular structure and transcriptional function of the rat vascular AT1a angiotensin receptor gene. Circ Res. 1993; 73: 612–621.
34. Blaschke F, Leppanen O, Takata Y, Caglayan E, Liu J, Fishbein MC, Kappert K, Nakayama KI, Collins AR, Fleck E, Hsueh WA, Law RE, Bruemmer D. Liver X receptor agonists suppress vascular smooth muscle cell proliferation and inhibit neointima formation in balloon-injured rat carotid arteries. Circ Res. 2004; 95: e110–e123.
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