Reviews |
From the University of Pennsylvania Cardiovascular Institute and Department of Medicine, University of Pennsylvania, Philadelphia.
Correspondence to Michael S. Parmacek, MD, 9123 Founders Pavilion, 3400 Spruce St, Philadelphia, PA 19104. E-mail michael.parmacek{at}uphs.upenn.edu
This Review is part of a thematic series on Transcription Factors, which includes the following articles:
Regulation of Vascular Inflammation and Remodeling by ETS Factors
Myocardin-Related Transcription Factors: Critical Coactivators Regulating Cardiovascular Development and Adaptation
Role of Kruppel-Like Transcription Factors in Endothelial Biology
Forkhead Factors in Cardiovascular Biology
Notch Signaling and Angiogenesis
Mukesh Jain Guest Editor
| Abstract |
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Key Words: myocardin myocardin-related transcription factor serum response factor transcription smooth muscle cell cardiovascular development congenital heart disease
| Introduction |
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This review focuses on the recently discovered family of transcriptional coactivators known as myocardin-related transcription factors (MRTFs), which in metazoan species, include myocardin, MRTF-A, and MRTF-B.3,4 MRTFs physically associate with the MADS box transcription factor, serum response factor (SRF), and synergistically activate transcription of a subset of genes involved in cytoskeletal organization and muscle cell differentiation. This review focuses primarily on the function of MRTFs in the cardiovascular system. Because the majority of MRTF-related research performed to date has been performed in vitro or in mouse models, extrapolating these data to humans must be done with caution. Nevertheless, the genes encoding MRTF family members are conserved in humans, and the patterns of MRTF gene expression in humans generally recapitulates that observed in other vertebrate species. The reader is referred to several excellent general reviews discussing the functions of myocardin and MRTFs.59
| SRF: A Critical Modulator of Cardiovascular Growth and Differentiation |
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-cardiac actin, smooth muscle (SM)-
-actin,
-skeletal actin, and SM22
.1519 Microarray studies and a genome-wide scan uncovered more than 150 genes that appear to be direct transcriptional targets of SRF.2024 Consistent with earlier reports, the majority of these SRF-regulated genes are involved in cell growth and proliferation, cytoskeletal organization, cell migration, and muscle cell differentiation.
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In the cardiovascular system, SRF plays a critical role in regulating vascular smooth muscle cell (SMC) and cardiac myocyte differentiation and in the morphogenetic program regulating development of the heart. Functionally important CArG boxes have been identified in transcriptional regulatory elements controlling expression of sets of myogenic contractile and cytoskeletal proteins (reviewed elsewhere8,25). Of note, in cardiac and skeletal muscle cells, functionally important CArG boxes have been identified in transcriptional regulatory element controlling a relatively limited subset of myofibrillar proteins.26 By contrast, most, but not all, genes encoding SMC-restricted contractile proteins are regulated by SRF. Multiple studies have shown that an SRF-dependent transcriptional regulatory program controls SMC differentiation.16,17 Remarkably, in transgenic mice, when 4 copies of the smooth muscle element-4 nuclear protein binding site, which contains an embedded CArG box, are linked to a minimal promoter transgene expression is restricted to arterial SMCs.17 The molecular mechanism(s) that restrict and distinguish the cell lineage specificity of myogenic CArG elements remains an area of active investigation.
SRF-deficient embryonic stem (ES) cells fail to differentiate and form mesoderm and myogenic genes including cardiac- and SM-
-actin are not expressed in embryoid bodies derived from SRF/ ES cells.2729 SRF/ ES cells display severe defects in cytoskeletal organization and stress fiber formation.27 Targeted mutation of the SRF gene in mice results in embryonic lethality before gastrulation, underscoring the fundamental role SRF plays in cell spreading, adhesion, and migration.28,30 Mice in which the SRF gene was selectively ablated in cardiac myocytes survived only to between embryonic day (E) 10.5 and E13.5. They succumb to cardiac insufficiency manifest by thinning of the compact zone and defective trabeculation of the embryonic heart.29,31 Ablation of the SRF gene reduced cardiomyocyte survival and increased apoptosis was observed in the embryonic heart.29,32 It remains unclear whether the observed apoptosis is a direct result of downregulation of SRF-regulated survival genes, including BCL2 and MCL-1, or an indirect consequence. SRF mutant cardiac myocytes exhibit disorganized sarcomeres, Z-disks, and stress fiber formation.32,33 Conditional ablation of the SRF gene in the adult heart causes dilated cardiomyopathy with progressive heart failure.34 These studies demonstrate that expression of SRF in cardiac myocytes is required for cardiac morphogenesis and strongly suggest that SRF-regulated genes are critical regulators of sarcomeric organization and cardiac contractile function in the adult heart.
Determining the function of SRF in the vasculature and/or in vascular SMCs in vivo has been particularly challenging because promoters that restrict activity of Cre recombinase to SMCs also induce recombination in embryonic cardiac myocytes.35 Not surprisingly, when SM22-Cre transgenic mice were intercrossed to mice containing a floxed SRF allele, informative mutant E10.5 embryos exhibited cardiac defects that were virtually identical to those observed when SRF was selectively ablated in cardiac myocytes.32 However, a marked diminution in the number of SMCs in the embryonic aorta was also observed in these mutant mice. In addition, an absence of actin/intermediate bundles was demonstrated in SRF-deficient SMCs.32 Taken together, these data demonstrate that SRF plays a critical role in the developmental program regulating vascular SMC differentiation and controls expression of most, although not all, genes encoding SMC contractile and cytoskeletal proteins.36
| Myocardin: Gene Structure, Expression, and Functional Characterization |
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The myocardin gene is expressed in a precise developmentally regulated, lineage-restricted pattern in the embryo and during postnatal development. Expression of myocardin is restricted to cardiac myocytes and SMCs.3,37 The 935-aa mouse myocardin protein isoform is expressed predominantly in the heart, whereas the 856-aa protein isoform is expressed predominantly in SMC-containing tissues.38 Although both the 935- and 856-aa myocardin isoforms function as potent SRF coactivators, only the 935-aa protein physically associates with myocyte enhancer factor-2 (MEF2) and transactivates MEF2-dependent promoters.38 In this regard, it is noteworthy that MEF2 and SRF are closely related members of the MADS box family of transcription factors. However, SRF and MEF2 bind to distinct DNA sequences and activate distinct sets of genes.38 As such, expression of tissue-restricted myocardin protein isoforms provides a potential mechanism to differentiate the function(s) of myocardin in the heart and SMCs.
As schematically depicted in Figure 1, the N terminus of myocardin contains 2 conserved RPEL domains (Figure 1, gray rectangles), which in MRTF-A and -B facilitate association with monomeric G-actin.9,39 However, the RPEL domains in myocardin have diverged from the consensus RPxxxEL sequence to the point where myocardin does not bind G-actin, and myocardin is localized exclusively in the cell nucleus.39 Therefore the capacity of myocardin to transduce Rho/actin signals may be dependent on its capacity to heterodimerize with other MRTFs through its conserved leucine zipper (LZ) domain (Figure 1, black rectangle).39,40 Myocardin binding to SRF is mediated by a 7-residue sequence called the B1 domain that is located between the conserved basic (Figure 1, black rectangle) and glutamine-rich domains (Figure 1, dark gray rectangle).3,41 Myocardin and other MRTFs contain a conserved 35-aa SAP domain (Figure 1, dark gray rectangle), named for the related factors SAF-A/B, Acinus, and PIAS. SAP domains have been shown to regulate nuclear organization, chromosomal dynamics, and apoptosis.42 However, the function of the myocardin SAP domain in vivo remains unclear. Myocardin deletion mutants lacking the SAP domain physically associate with SRF and synergistically activate transcription of some, but not all, SRF-regulated myogenic genes.3 The C terminus of myocardin contains a powerful transcriptional activation domain (TAD) (Figure 1, light gray box) that functions with heterologous promoters but shares only low-level sequence identity with the TADs in MRTF-A and MRTF-B.4
| The Myocardin Family of SRF Coactivators |
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The myocardin gene is expressed in a precise developmentally regulated pattern in the heart as well as visceral and vascular SMCs during embryonic development.37 At E9.5, the myocardin gene is expressed abundantly in the primitive heart.3,37 However, despite the fact that vascular SMCs are observed in the dorsal aorta of the mouse at E9.5, at the level of sensitivity afforded by in situ hybridization analyses, myocardin mRNA is not detectable in the dorsal aorta until E11.5, suggesting that myocardin is not absolutely required for the specification and differentiation of vascular SMCs. By contrast, before, or coincident with, the differentiation of visceral SMCs from surrounding mesenchyme, myocardin gene expression is detected in presumptive SMCs.37 Subsequently, during late fetal and postnatal development, the myocardin gene is expressed abundantly in cardiac myocytes and visceral and vascular SMCs.37
The human homolog of the MRTF-A gene had previously been designated as MKL1 and/or MAL, because it was originally identified at a chromosomal translocation breakpoint associated with acute megakaryoblastic leukemia in infants and children.4,4547 The human MRTF-A gene is located at chromosome 22q13.2. MRTF-A is the most ubiquitously expressed mammalian MRTF. MRTF-A gene expression is observed in multiple cell lineages including undifferentiated ES cells and fibroblasts.4,40 MRTF-A is coexpressed with myocardin in the human heart and aorta.40 During embryonic development, MRTF-A is enriched in mesenchymal cells, muscle cells and epithelial cells.5 Like myocardin, MRTF-A is a remarkably potent SRF coactivator.4,40 However, in contrast to myocardin, which is localized predominantly in the nucleus of serum-starved fibroblasts, MRTF-A (and MRTF-B) is localized in the cytoplasm and translocates to the nucleus in response to serum stimulation and other signals that promote actin polymerization (see below).39
MRTF-B is expressed in a unique developmentally regulated, cell lineagerestricted pattern. The human MRTF-B gene is located at chromosome 16p13.12. In the E8.0 mouse embryo, MRTF-B gene expression is observed in the primitive heart and in rhombomeres 3 and 5, from which the cardiac neural crest is derived.48 By E9.5, MRTF-B gene expression is observed in the embryonic dorsal aorta before expression of myocardin.48 At E11.5, coincident with heart and cardiac outflow tract patterning, the MRTF-B gene is expressed in the cardiac neural crest cells that give rise to SMCs populating the cardiac outflow tract and aortic arch arteries.48 During late fetal development, MRTF-B is expressed in the epithelial cells of the lung, kidney, and testes.4 In the adult mouse, the highest levels of MRTF-B mRNA are observed in the heart and brain, although MRTF-B mRNA is also detectable in the lung, liver, kidney, and testes.4 In vitro structure/function analyses suggest that MRTF-B is not as potent a transcriptional coactivator as myocardin or MRTF-A.4 However, these in vitro studies are potentially misleading because MRTF-B contains a powerful TAD, suggesting that molecular mechanisms may have evolved to regulate the transcriptional activity of MRTF-B in vivo.4
| MRTFs: Transduction of Rho/Actin Cytoskeletal Signaling |
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In the nucleus, MRTFs physically associate with SRF, facilitating the binding of SRF to single or dual CArG boxes, activating transcription of genes encoding cytoskeletal and myogenic proteins (Figure 2).39,40,53,55,56 MRTF-A and -B heterodimerize in vitro with myocardin via conserved LZ motifs.40 However, it remains unclear whether myocardin, MRTF-A, and/or MRTF-B heterodimerize in vivo when they are coexpressed. In this regard, it is noteworthy that in SMC myocardin is constitutively nuclear. As such, it is possible that Rho/actin signals are transduced to myocardin via MRTF-A (and/or MRTF-B) via the capacity of these cofactors to heterodimerize with myocardin and form multiprotein complexes with SRF. Hydrophobic residues within the MRTF-A B1 region are essential for the association of MRTF-A with the hydrophobic groove and pocket region of the SRF DNA-binding domain.41 This is the same region of SRF that binds ternary complex factors (TCFs), and competition for binding to this common region of SRF between TCFs and MRTFs has been observed.41,57
| Myocardin: Cardiomyocyte Differentiation and Hypertrophy |
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Emerging evidence suggests that myocardin may play an important role in regulating the hypertrophic response of the heart. This is not surprising, as transcriptional coactivators have the capacity to modulate gene transcription in response to inducible stimuli. Hypertrophic stimuli induce expression and transcriptional activity of myocardin in the heart.62 In addition, adenoviral-mediated overexpression of myocardin stimulates cardiac myocyte hypertrophy in cultured neonatal rate cardiac myocytes.63 Cardiac myocyte hypertrophy is controlled primarily at the level of transcription and is inhibited by glycogen synthase kinase 3ß (GSK3ß).64,65 GSK3ß phosphorylates multiple serine residues in myocardin, inhibiting myocardin-induced atrial natriuretic factor transcription.63 Although myocardin is one of many proteins phosphorylated by GSK3ß in the heart (others include GATA-4, ß-catenin, c-myc, and CREB), these data suggest that myocardin may be involved in regulating the response of the heart to hemodynamic stress. Intriguingly, in a relatively small sample of explanted failing human hearts, myocardin mRNA was upregulated relative to the level of myocardin mRNA observed in nonfailing donor hearts.66 Ongoing experiments characterizing mice containing cardiac-selective ablation of the myocardin gene may help to elucidate the role of myocardin during cardiogenesis and in the postnatal heart. In addition, studies assessing myocardin mRNA and protein expression and activity in the hypertrophied and failing human heart in well-matched patient and control populations may provide important clinical correlations to these basic and translational observations.
| Myocardin: A Critical Coactivator Stimulating SMC Differentiation |
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promoter, SM myosin heavy chain (SM-MyHC) promoter/enhancer, SM-
-actin promoter/enhancer, SM myosin light chain kinase promoter, and the smoothelin-A promoter.3,37,67,69,70 In addition, forced expression of a dominant-negative myocardin mutant protein or small interfering RNAinduced myocardin knockdown significantly reduced SM22
promoter activity in SMCs.37 Remarkably, forced expression of myocardin in embryonic stem (ES) cells transactivates the endogenous SM22
promoter and induces expression of multiple endogenous genes including SM22
, SM-MyHC, and SM-
-actin.37,67 Most importantly, myocardin-null embryos survive only to E10.5 and show no evidence of vascular SMC differentiation.61
The finding that forced expression of myocardin induces expression of multiple SMC-restricted genes in non-SMCs raised the question of whether myocardin functions as a master regulator of the SMC lineage, acting in a manner analogous to that of MyoD in skeletal muscle specification.59 However, this does not appear to be the case. Forced expression of myocardin in A404 SMC precursor cells does not activate the full repertoire of genes encoding SMC-restricted proteins.71 Smoothelin-B, aortic carboxypeptidase-like protein (ACLP), and focal adhesion kinaserelated nonkinase, whose promoters lack functionally important CArG boxes, are not expressed in A404 cells expressing myocardin.71 Conversely, myocardin-null ES cells contribute to the vascular SMC lineage in MYOCD//C57BL6 chimeric mice, demonstrating that myocardin is not required in a cell autonomous manner for SMC specification or differentiation.60 Taken together, these data demonstrate that myocardin functions as a critical transcriptional coactivator in the SRF-dependent transcriptional regulatory program regulating SMC differentiation. It remains possible that MRTF-A and/or MRTF-B subserve partially redundant functions with myocardin in promoting specification and/or differentiation of the SMC lineage. Consistent with this finding, forced expression of either MRTF-A or MRTF-B in undifferentiated ES cells also activates endogenous CArG box-dependent SMC genes including SM-
-actin, SM-myosin heavy chain, and SM22
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Multiple signaling pathways modulate the capacity of myocardin to stimulate SMC differentiation. RhoA-induced actin polymerization induces SRF-dependent transcription of the SM22
and SM-
-actin promoters.72 Conversely, inhibition of stress fiber formation or repression of actin polymerization suppresses transcription of genes encoding of SMC-restricted contractile and cytoskeletal proteins.72 Consistent with these findings, forced expression of MRTF-A transactivates multiple SMC-restricted transcriptional regulatory elements, whereas a dominant-negative MRTF-A mutant protein represses SMC-restricted transcriptional activity.40 In most cell lineages, MRTF-A is observed predominantly in the cytoplasm and translocates to the nucleus in response to serum or Rho/actin signaling. By contrast, in SMCs, MRTF-A is observed exclusively in the nucleus.40 Agents that disrupt actin polymerization and/or RhoA signaling cause MRTF-A to translocate to the cytoplasm, demonstrating that an active actin/Rho MRTF-mediated signaling process reinforces the contractile, differentiated SMC phenotype.40 The molecular basis of the basal Rho/actin signal has not been characterized but may be related to the extensive rib-like array of cytoskeletal elements observed in SMCs.
Insulin-like growth factor (IGF)-1 stimulates SMC differentiation, promoting the contractile SMC phenotype. In SMCs, the IGF receptor signals through phosphoinositide-3-kinase (PI3K) to Akt.73 Akt stimulates phosphorylation of multiple proteins including Foxo4, a forkhead factor that represses transcription. Foxo4 physically associates with myocardin, repressing transcription of genes encoding SMC contractile genes. Phosphorylation of Foxo4 stimulates its nuclear export, thereby potentiating myocardin-induced transcription of SMC cytoskeletal and contractile genes and promoting the contractile SMC phenotype observed in quiescent SMCs.74 Consistent with this, small interfering RNAmediated knockdown of Foxo4 mRNA in A7r5 SMCs enhances myocardin-induced SMC differentiation, upregulating expression of SM22
, SM-MyHC, and SM-calponin gene expression.74 Taken together, these data demonstrate that the SMC contractile phenotype is dependent on a basal signal emanating from the cytoskeleton, which is transduced to the nucleus via MRTFs activating expression of SRF-dependent genes encoding contractile and cytoskeletal proteins. This signal is reinforced by IGF-1/Akt signaling, which phosphorylates Foxo4 stimulating its nuclear export.
SMC differentiation is accompanied by alterations in chromatin structure, affecting transcriptional regulatory elements controlling genes encoding SMC contractile proteins.7579 The binding of SRF to SMC CArG boxes is associated with specific alterations in chromatin structure including the methylation and acetylation of histones.76,79 Myocardin-induced transcription is modulated by the acetylation of nucleosomal histones flanking SRF-binding sites in SMC-restricted genes.78 The C-terminal TAD of myocardin physically associates with histone acetyltransferases (HATs), including p300, enhancing its capacity to activate transcription of SMC-restricted genes.78 By contrast, class II histone deacetylases (HDACs) suppress myocardin-induced transcription of SMC-restricted genes.78 The regulation of SMC genes is also modulated by the recently discovered transcriptional repressor PRISM/PRDM.80 PRISM interacts with class I HDACs and the G9a methyltransferase repressing a subset of genes encoding SMC contractile proteins. In addition, PRISM stimulates genes associated with the SMC synthetic phenotype.80 Taken together, these data suggest MRTF-induced transcription of SMC genes is regulated via transcriptional as well as epigenetic mechanisms influenced by the capacity of myocardin to differentially associate with HATs versus HDACs.
| Myocardin and MRTFs: Modulation of SMC Phenotype |
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and SM-
-actin promoters (Figure 3).57 Consistent with this in vitro finding, forced expression of Elk-1 inhibits transcription of SMC contractile genes in vivo.57,85 Moreover, forced expression of TCFs Elk-1, SAP-1, or SAP-2 blocks myocardin-induced SMC differentiation.57,85
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Concomitant with the downregulation of genes encoding SMC contractile proteins, TCFs induce the expression of SRF-regulated growth-related genes including c-fos and egr-186 (Figure 3). Platelet-derived growth factor (PDGF) stimulates a mitogen-activated protein kinase signaling cascade, leading to phosphorylation of the TCF Elk-1 increasing its affinity for SRF. TCFs associate with SRF through a conserved B-box domain.87 The association of TCF with SRF is stabilized by formation of ternary complexes requiring specific contacts between TCF and ETS binding sites located adjacent to CArG boxes (Figure 3). The formation of stable ternary complexes induces transcription of a subset of growth-responsive genes observed in synthetic, proliferating SMCs. Although this binary system serves as a useful working model, it fails to account for the myriad of possible SMC phenotypes observed in during embryonic angiogenesis and in vascular proliferative syndromes.
During embryonic angiogenesis and following vascular injury, SMC phenotype is "fine tuned" by additional signaling pathways that modulate MRTF-induced SMC differentiation (Figure 3). Notch receptors and effectors in the Hairy-related transcription (HRT) family play essential roles in vascular patterning and the arterial response to injury (reviewed elsewhere88). Activation of Notch receptors by their endogenous ligand, Jagged 1, induces translocation of the Notch intracellular domain (ICD) to the nucleus where it inhibits myocardin-induced expression of SMC genes.89 Consistent with this finding, forced expression of the Notch effector HRT2 in SMCs represses transcription of multiple SMC-restricted genes.89,90 In addition to phosphorylating TCFs (see above), PDGF stimulates expression of Kruppel-like transcription factor (KLF)-4 in SMCs.91 KLF-4, which is normally not expressed in quiescent SMCs, is rapidly upregulated following vascular injury.92 KLF-4 functions as a transcriptional repressor antagonizing myocardin-induced activation of SMC genes as well as expression of myocardin.92 KLF-4 binds to a G/C-rich cis-acting sequence located in transcriptional elements regulating expression of multiple genes encoding SMC proteins.93 Both PDGF-BB and KLF-4 inhibit SRF binding to CArG boxes downregulating transcription of SMC contractile genes.92 These data are consistent with a model wherein SMC phenotype is regulated primarily by the mutually exclusive binding of MRTFs and TCFs to SRF. However, SMC phenotype is fine tuned by multiple additional signaling pathways that directly and indirectly modulate the activity of MRTFs and TCFs, ultimately converging on SRF bound to CArG boxes regulating expression of contractile and/or growth-responsive genes. Ultimately, it is the sum of these combinatorial signals that modulate SMC phenotype during embryonic angiogenesis and in response to vessel wall injury.
| MRTFs: Loss-of-Function Mutant Mice |
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The early lethality observed in myocardin-null embryos also precludes assessment of the function of myocardin in the heart during late embryonic and postnatal development. Despite that fact that myocardin is expressed abundantly in the embryonic heart as early as E8.037 in myocardin-null embryos, cardiac looping and chamber formation appear normal at least through E9.5.61 It is possible that expression of MRTF-A and/or MRTF-B compensates for the loss of myocardin in the embryonic heart (and vasculature), as all 3 MRTFs are expressed in the primitive heart tube (and in aortic SMCs).4 Consistent with this hypothesis, complete inhibition of RhoA-inducible SRF-mediated gene expression requires blockade of both MRTF-A and MRTF-B, demonstrating that in some cellular contexts redundancy between these closely related cofactors does exist.97 The generation of mice containing compound-conditional loss-of-function mutations in myocardin, MRTF-A, and/or MRTF-B will address questions of redundancy between MRTFs and may help to elucidate the function of myocardin in the heart and vasculature during embryonic and postnatal development.
MRTF-A is the most ubiquitously expressed of the MRTFs and plays a critical role in transducing Rho/actin signals to the nucleus.39 It is therefore surprising that mice harboring null mutations in MRTF-A are viable, fertile, and born with an equal male to female ratio.94,95 Li et al reported that MRTF-A/ mice are born in the anticipated Mendelian ratio,95 whereas Sun et al reported that MRTF-A/ null mice are born at less than the anticipated Mendelian frequency. The fetal loss was attributed to dilated cardiomyopathy accompanied by heart failure, which was observed in 35% of MRTF-A/ embryos.94 Gross and histological examination of MRTF-A/ liveborn pups failed to reveal obvious abnormalities. However, pups born to MRTF-A/ mutant dams fail to thrive and die between postnatal day 14 (P14) and P20.94,95 MRTF-A/ dams exhibit a defect in maternal lactation correlated with milk accumulation and the premature onset of mammary gland involution. During early lactation phase in MRTF-A/ dams, a defect in mammary gland myoepithelial cell differentiation was observed that was manifested by severely attenuated, or absent, expression of genes encoding SMC-restricted contractile proteins including SM-
-actin, SM-myosin heavy chain, calponin 1, and tropomyosin 2.94,95 Later in the lactation cycle, massive apoptosis of myoepithelial cells surrounding alveolar lumens was observed in MRTF-A/ mutant dams.95 Taken together, these data demonstrate that MRTF-A is required for differentiation and survival of myoepithelial cells during lactation cycles. As the decrease in expression of SMC differentiation markers in mammary myoepithelial cells preceded the observed apoptosis, these data suggest that the processes of myoepithelial cell differentiation and myoepithelial cell survival may be linked.
Generation of MRTF-B loss-of-function mutant mice revealed an unanticipated cell autonomous defect in the differentiation of SMCs from the cardiac neural crest.48,96 MRTF-Bdeficient embryos displayed a spectrum of cardiac outflow tract defects recapitulating forms of congenital heart disease commonly observed in humans (Figure 4B through 4D).48,96 Li et al used a MRTF-B gene trap strategy to generate MRTF-B mutant mice with a hypomorphic phenotype.48 Homozygous MRTF-B gene trap mutant mice died between E17.5 and P1, exhibiting a spectrum of cardiac outflow tract defects including persistent truncus arteriosus, double-outlet right ventricle, right-sided aortic arch, and interrupted aortic arch48 (Figure 4B through 4D). Oh et al used a MRTF-B gene targeting strategy to generate mice with a null phenotype.96 MRTF-Bnull mice died at mid-gestation (E13.5-E14.5) and displayed a nearly identical spectrum of cardiac outflow tract defects.96 It remains unclear why the MRTF-B gene trap mutant mice survived to between E17.5 and birth, whereas the MRTF-Bnull embryos survived only to E14.5. This probably resulted from the 5% residual wild-type MRTF-B gene expression demonstrated in the gene trap mutant mice, suggesting that MRTF-B gene dosage plays a critical role in regulating cardiac outflow tract development and embryonic survival.48
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The spectrum of cardiac outflow tract defects observed in MRTF-B loss-of-function mutants closely resembled the cardiac outflow tract defects observed in mice subjected to selective neural crest ablation.98,99 Consistent with this observation, in E8.0 MRTF-B gene trap mice, expression of the MRTF-B/LacZ fusion protein was observed in rhombomeres 3 and 5 of the dorsal neural folds, which colocalizes with the cardiac neural crest48 (Figure 4A, arrows). Subsequently, between E9.5 and E11.5, MRTF-Bexpressing cells migrate ventrally to branchial arch arteries 3, 4, and 6 and give rise to SMCs populating the cardiac outflow tract and great arteries.48 Analyses of E10.5 to 11.5 MRTF-B mutant embryos revealed that plexinA2-positive cardiac neural crest cells migrated to, and populated, the cardiac outflow tract and aortic arch arteries, effectively ruling out a significant migratory defect.48 India ink injections into the heart and dorsal aorta of E10.5 to 11.5 MRTF-B mutant embryos revealed only 1 or 2 right- and left-sided aortic arch arteries compared with 3 right-sided and left-sided arch arteries normally observed.48,96 However, expression of SMC markers, including SM-
-actin and SM22
, was absent, or severely attenuated, in the presumptive SMCs surrounding the aortic arch arteries and the aorticopulmonary septum.48,96 Taken together, these data reveal a cell autonomous block in the differentiation of cardiac neural crest cells into vascular SMCs in MRTF-B loss-of-function mutant mice. These data demonstrate that cardiac neural crest differentiation is required for cardiac outflow tract patterning. Moreover, these data suggest that MRTF-B, and genes regulated by MRTF-B, serve as candidate loci for mutations causing common forms of congenital heart disease observed in humans.
The distinct phenotypes of myocardin, MRTF-A, and MRTF-B loss-of-function mutant mice demonstrates that despite the high-level sequence identity and overlapping patterns of expression of these 3 related transcriptional coactivators, molecular mechanisms have evolved to distinguish their functions in vivo. Differences in the temporal and spatial patterns of MRTF expression in the embryo probably accounts for some of these differences. For example, MRTF-A is expressed in myoepithelial cells, whereas myocardin is not.95 However, expression of MRTF-B is observed in MRTF-A/ myoepithelial cells, demonstrating that these 2 related factors are not functionally redundant in this cellular context. Similarly, MRTF-A and subsequently myocardin (at E12.5) are coexpressed with MRTF-B in embryonic vascular SMCs populating the proximal aorta and great arteries, strongly suggesting that MRTFs mediate nonredundant functions in neural crestderived SMCs. As such, structural differences between myocardin, MRTF-A and MRTF-B most likely exist and distinguish their function(s) in tissues when they are coexpressed. The recent identification of 2 tissue-restricted murine myocardin isoforms adds an additional level of complexity to the MRTF family that may also explain functional differences between family members.38 Further experiments examining the structure/function relationships among myocardin, MRTF-A, and MRTF-B should provide important insights into the molecular mechanisms regulating cardiovascular patterning and myogenic differentiation.
| Myocardin and MRTFs: Summary and Outstanding Questions |
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Transcriptional coactivators and corepressors have evolved to facilitate the rapid induction or repression of sets of genes in response to specific external stimuli. MRTFs transduce extracellular signals through the cytoskeleton that promote SMC differentiation and modulate SMC phenotype. It is noteworthy that in vascular SMCs, MRTF-A, and MRTF-B are localized exclusively in the nucleus, although in most other cell lineages, MRTF-A and -B are localized in the cytoplasm and translocate to the nucleus only in response to Rho/actin signaling.40 Agents that disrupt actin polymerization and block RhoA-signaling drive MRTF-A from the SMC nucleus, demonstrating that a "default" or basal Rho/actin signal promoting the contractile SMC phenotype exists in SMCs. In the vasculature, SMCs are programmed to regulate vascular tone/contractile function through the association of SRF with MRTFs. At the same time, SMCs are poised to respond to vascular stress or injury by responding to extracellular signals transduced through the cytoskeleton inhibiting SRF/MRTF-induced transcription of genes encoding SMC contractile proteins and promoting SRF/TCFmediated activation of growth responsive genes.
In less than 5 years, the seminal discovery of myocardin has led to fundamentally important insights into the molecular programs regulating SMC differentiation and cardiovascular development. However, the precise function(s) of myocardin, MRTF-A, and MRTF-B, respectively, in the heart and vasculature remains to be determined. Experiments performed to date, including the generation of mice harboring single-gene loss-of-function mutations in myocardin, MRTF-A, and MRTF-B, respectively, have raised as many questions as they have answered. Do MRTFs subserve partially, or completely, redundant functions in tissues when they are coexpressed? What mechanisms distinguish the function(s) of these 3 closely related transcriptional coactivators in tissues when they are coexpressed? What mechanisms regulate the association and disassociation of MRTFs and monomeric actin and/or specific MRTFs and SRF? What are the functions of MRTFs in the heart and vasculature during postnatal development? Do mutations in the genes encoding myocardin, MRTF-A, MRTF-B, and/or their transcriptional targets cause common forms of congenital heart disease observed in humans, and what is the role of these cofactors in vascular proliferative syndromes including atherosclerosis? The molecular reagents and animal models required to examine these important outstanding questions have already been, or currently are, being generated and these important questions will be addressed in the very near future. These studies promise to provide important new insights into the molecular programs regulating cardiovascular growth, differentiation, and adaptation of the cardiovascular system to hemodynamic stress.
| Acknowledgments |
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Sources of Funding
This work was supported by NIH grant PO1-HL075215 and the Commonwealth of Pennsylvania.
Disclosures
None.
| Footnotes |
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| References |
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