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Hypertension. 1998;31:582-588

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(Hypertension. 1998;31:582-588.)
© 1998 American Heart Association, Inc.


Scientific Contributions

Estrogens Increase Transcription of the Human Endothelial NO Synthase Gene

Analysis of the Transcription Factors Involved

Hartmut Kleinert; Thomas Wallerath; Christian Euchenhofer; Irmgard Ihrig-Biedert; Huige Li; ; Ulrich Förstermann

From the Department of Pharmacology, Johannes Gutenberg University, Mainz, Germany.

Correspondence and reprint requests to Dr Ulrich Förstermann, Department of Pharmacology, Johannes Gutenberg University, Obere Zahlbacher Strasse 67, D-55101 Mainz, Germany. E-mail ulrich.forstermann{at}uni-mainz.de

Abstract—Estrogens have been found to reduce the incidence of cardiovascular disease that has been ascribed in part to an increased expression and/or activity of the vasoprotective endothelial NO synthase (NOS III). Some reports have shown that the level of expression of this constitutive enzyme can be upregulated by estrogens. The current study investigates the molecular mechanism of the NOS III upregulation in human endothelial EA.hy 926 cells. Incubation of EA.hy 926 cells with 17ß-estradiol or the more stable 17{alpha}-ethinyl estradiol enhanced NOS III mRNA and protein expression up to 1.8-fold, without changing the stability of the NOS III mRNA. There was no enhancement of NOS III mRNA after incubation of EA.hy 926 cells with testosterone, progesterone, or dihydrocortisol or when 17{alpha}-ethinyl estradiol was added together with the estrogen antagonist RU58668, indicating a specific estrogenic response. Nuclear run-on assays indicated that the increase in NOS III mRNA is the result of an estrogen-induced enhancement of NOS III gene transcription. In transient transfection experiments using a 1.6 kb human NOS III promoter fragment (which contains no bona fide estrogen-responsive element, ERE), basal promoter activity was enhanced 1.7-fold by 17{alpha}-ethinyl estradiol. In electrophoretic mobility shift assays, nuclear extracts from estrogen-incubated EA.hy 926 cells showed no enhanced binding activity either for the ERE-like motif in the human NOS III promoter or for transcription factor GATA. However, binding of transcription factor Sp1 (which is essential for the activity of the human NOS III promoter) was significantly enhanced by estrogens. These data suggest that the estrogen stimulation of the NOS III promoter could be mediated in part by an increased activity of transcription factor Sp1.


Key Words: 17{alpha}-ethinyl estradiol • 17ß-estradiol • nitric oxide synthase • transcription factor Sp1




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J. Pharmacol. Exp. Ther.Home page
J. Case and C. A. Davison
Estrogen Alters Relative Contributions of Nitric Oxide and Cyclooxygenase Products to Endothelium-Dependent Vasodilation
J. Pharmacol. Exp. Ther., November 1, 1999; 291(2): 524 - 530.
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Am. J. Physiol. Gastrointest. Liver Physiol.Home page
M. Zhang, B. Luo, S.-J. Chen, G. A. Abrams, and M. B. Fallon
Endothelin-1 stimulation of endothelial nitric oxide synthase in the pathogenesis of hepatopulmonary syndrome
Am J Physiol Gastrointest Liver Physiol, November 1, 1999; 277(5): G944 - G952.
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StrokeHome page
A. M. McNeill, N. Kim, S. P. Duckles, D. N. Krause, and H. A. Kontos
Chronic Estrogen Treatment Increases Levels of Endothelial Nitric Oxide Synthase Protein in Rat Cerebral Microvessels • Editorial Comment
Stroke, October 1, 1999; 30(10): 2186 - 2190.
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Cardiovasc ResHome page
A. Papapetropoulos, R. D. Rudic, and W. C Sessa
Molecular control of nitric oxide synthases in the cardiovascular system
Cardiovasc Res, August 15, 1999; 43(3): 509 - 520.
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HypertensionHome page
S. Kerr, M. J. Brosnan, M. McIntyre, J. L. Reid, A. F. Dominiczak, and C. A. Hamilton
Superoxide Anion Production Is Increased in a Model of Genetic Hypertension : Role of the Endothelium
Hypertension, June 1, 1999; 33(6): 1353 - 1358.
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Am. J. Physiol. Heart Circ. Physiol.Home page
C. A. D. Nascimento, K. Kauser, and G. M. Rubanyi
Effect of 17beta -estradiol in hypercholesterolemic rabbits with severe endothelial dysfunction
Am J Physiol Heart Circ Physiol, May 1, 1999; 276(5): H1788 - H1794.
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Biol. Reprod.Home page
J. Zhang, G. A. Massmann, C. P. Mirabile, and J. P. Figueroa
Nonpregnant Sheep Uterine Type I and Type III Nitric Oxide Synthase Expression Is Differentially Regulated by Estrogen
Biol Reprod, May 1, 1999; 60(5): 1198 - 1203.
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Am. J. Physiol. Heart Circ. Physiol.Home page
H. J. Knot, K. M. Lounsbury, J. E. Brayden, and M. T. Nelson
Gender differences in coronary artery diameter reflect changes in both endothelial Ca2+ and ecNOS activity
Am J Physiol Heart Circ Physiol, March 1, 1999; 276(3): H961 - H969.
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Cardiovasc ResHome page
M. L Kuroski de Bold
Estrogen, natriuretic peptides and the renin-angiotensin system
Cardiovasc Res, March 1, 1999; 41(3): 524 - 531.
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Cardiovasc ResHome page
M.A Barbacanne, J Rami, J.B Michel, J.P Souchard, M Philippe, J.P Besombes, F Bayard, and J.F Arnal
Estradiol increases rat aorta endothelium-derived relaxing factor (EDRF) activity without changes in endothelial NO synthase gene expression: possible role of decreased endothelium-derived superoxide anion production
Cardiovasc Res, March 1, 1999; 41(3): 672 - 681.
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Mol. Pharmacol.Home page
P. M. Schwarz, B. Gierten, J.-P. Boissel, and U. Förstermann
Expressional Down-Regulation of Neuronal-Type Nitric Oxide Synthase I by Glucocorticoids in N1E-115 Neuroblastoma Cells
Mol. Pharmacol., August 1, 1998; 54(2): 258 - 263.
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FASEB J.Home page
U. Förstermann, J.-p. Boissel, and H. Kleinert
Expressional control of the `constitutive' isoforms of nitric oxide synthase (NOS I and NOS III)
FASEB J, July 1, 1998; 12(10): 773 - 790.
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Am. J. Physiol. Heart Circ. Physiol.Home page
X. Wang and A. A. Abdel-Rahman
Estrogen modulation of eNOS activity and its association with caveolin-3 and calmodulin in rat hearts
Am J Physiol Heart Circ Physiol, June 1, 2002; 282(6): H2309 - H2315.
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Arterioscler. Thromb. Vasc. Bio.Home page
Y. Chu, D. D. Heistad, K. L. Knudtson, K. G. Lamping, and F. M. Faraci
Quantification of mRNA for Endothelial NO Synthase in Mouse Blood Vessels by Real-Time Polymerase Chain Reaction
Arterioscler Thromb Vasc Biol, April 1, 2002; 22(4): 611 - 616.
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Circ. Res.Home page
F. Gobeil Jr, I. Dumont, A. M. Marrache, A. Vazquez-Tello, S. G. Bernier, D. Abran, X. Hou, M. H. Beauchamp, C. Quiniou, A. Bouayad, et al.
Regulation of eNOS Expression in Brain Endothelial Cells by Perinuclear EP3 Receptors
Circ. Res., April 5, 2002; 90(6): 682 - 689.
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