Donate Help Contact The AHA Sign In Home
American Heart Association
Circulation Research
Search: search_blue_button Advanced Search
Circulation Research. 2008;103:10-12
doi: 10.1161/CIRCRESAHA.108.179986
This Article
Right arrow Extract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Zeng, L.
Right arrow Articles by Xu, Q.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Zeng, L.
Right arrow Articles by Xu, Q.
Related Collections
Right arrowRelated Article
(Circulation Research. 2008;103:10.)
© 2008 American Heart Association, Inc.


Editorials

eNOS–ER{alpha} Complex Goes to Telomerase

Lingfang Zeng, Qingbo Xu

From the Cardiovascular Division, King’s College London BHF Centre, London, UK.

Correspondence to Professor Qingbo Xu, Cardiovascular Division, King’s College London BHF Centre, London SE5 9NU, UK. E-mail qingbo.xu{at}kcl.ac.uk



See related article, pages 34–42


*    Introduction
up arrowTop
*Introduction
down arrowER{alpha} and eNOS Form...
down arrowPotential Impact of ER{alpha}...
down arrowReferences
 
Nitric oxide (NO) plays an important role not only in physiological conditions,1 such as vasodilation, inhibition of platelet aggregation, and regulation of gene transcription,2 but also in atherosclerosis development. NO is synthesized from L-arginine by a family of 3 NO synthases (NOS): neuronal (nNOS),3 inducible (iNOS),4 and endothelial (eNOS).5 eNOS possesses an N-terminal oxygenase domain containing single heme and tetrahydrobioperin (BH-4)-binding sites, a C-terminal reductase domain containing single binding sites for flavin adenine dinucleotide (FAD), flavin mononucleotide (FMN), and NADPH, and a central calmodulin (CaM) binding site.6 eNOS is specifically and constitutively expressed in endothelial cells normally localized in caveolae, endoplamic reticulum, and nuclear envelop.7 In caveolae, eNOS associates with growth factor or hormone receptors. On ligand-receptor binding, the receptor-associated eNOS will be phosphorylated, homodimerized, and coupled with CaM together with cofactors BH4, heme, FAD, FMN, and NADPH to form a complex. The complex will be translocated to endoplamic reticulum via caveolin and oxidize L-arginine to release NO. However, under oxidative stress conditions, caused by atherosclerotic risk factors—such as cholesterol overloading, oxidized LDL, smoking, diabetes mellitus, etc—eNOS will be uncoupled to produce superoxide.7,8 Thus, eNOS can produce both NO and superoxide, exerting atheroprotective and proatherogenic effects, by which it modulates gene transcription. Recently, several reports have shown that activated eNOS can translocate into nucleus where it regulates gene transcription.9–12 However, the underlying mechanism remains unclear.


*    ER{alpha} and eNOS Form a Complex That Enhances Telomerase Activation
up arrowTop
up arrowIntroduction
*ER{alpha} and eNOS Form...
down arrowPotential Impact of ER{alpha}...
down arrowReferences
 
Estrogen is an important atheroprotective molecule, possessing multiple biological effects on vasculature. There are two estrogen receptor (ER) isoforms, ER alpha (ER{alpha}) and ER beta (ERβ), residing in caveolae associated with eNOS. On ligand binding, activated ER{alpha} and ERβ translocate into nucleus and bind to the estrogen response element (ERE) in the promoter region of target genes. Estrogen modulates eNOS activity through transcriptional regulation and phosphorylation of eNOS protein.13,14 There are ERE binding sites in the eNOS gene promoter. Estrogen binding to ER{alpha} can also result in activation of intracellular kinases, eg, Akt that phosphorylates eNOS leading to NO release. Several reports have shown that eNOS activation and NO production modulate telomerase activity,15 which plays a pivotal role in the determination of the lifespan of a cell. However, a report by Hong et al16 contradicts this evidence. Interestingly, Grasselli et al17 reported a striking find in this issue of Circulation Research, that ER{alpha} and eNOS formed a complex in the ERE sites in the promoter region of telomerase catalytic subunit gene (hTERT) leading to the increase of hTERT transcription and telomerase activity. This finding creates a new perspective that eNOS may function as a coactivator in the regulation of gene transcription.

They found that estrogen 17-β-estradiol (E2) induced hTERT gene expression, which was blocked by the addition of NOS inhibitor 7-nitroindazole, indicating the involvement of eNOS. Direct evidence came from the experiments of the reconstitution of eNOS in pulmonary endothelial cells derived from eNOS knockout mouse. Transfection of a constitutively active eNOS mutant S1177D or treatment with NO donor (DETA-NO) increased hTERT transcription. This effect required an intact ERE binding site in the DNA sequences, indicating the essential role of ER{alpha} as a transcription factor. The colocalization of ER{alpha} and eNOS in the nucleus, especially in the hTERT promoter region, indicates that ER{alpha} and eNOS form a complex in the transcription machinery, and that eNOS just functions as a coactivator. Both ER{alpha} and eNOS reside in the caveolae. It is possible that estradiol-bound ER{alpha} and eNOS form complex in the caveolae and translocate into nucleus together in a complex form. It is then recruited to the ERE in hTERT gene promoter. The key element of this elegant study provides us with a new concept, that membrane resident molecules can directly transduce extracellular signal into nuclear gene transcriptional regulation, through interaction with growth factor or hormone receptors functioning as coactivators (Figure). It also reminds us to reevaluate whether eNOS functions as coactivator in other signal transduction pathways, such as VEGF-A–mediated gene regulation, in which eNOS is cotranslocated into nucleus with receptor Flk-1/KDR.11


Figure 1
View larger version (27K):
[in this window]
[in a new window]

 
Figure. A schematic illustration of the mechanism involved in estrogen-induced hTERT transcription. Estrogen (E2) binds to estrogen receptor ER{alpha} in the caveolae, which in turn phosphorylates associated eNOS. ER{alpha} and eNOS translocate into nucleus as a complex or separately. On one hand, ER{alpha} and eNOS may form a heterodimer on the estrogen response element (ERE) in the hTERT gene promoter, in which eNOS will produce superoxide locally. On the other hand, ER{alpha} and eNOS may form a tetramer consisting of 2 molecules of ER{alpha} and eNOS on the ERE in the hTERT gene promoter, recruiting cofactors like CaM, FAD, FMN, BH4, and NADPH. The locally produced superoxide or NO will modify ER{alpha}, DNA, and histone to increase the recruitment of other coactivators or excluding corepressors. Activated eNOS will also translocate into endoplasmic reticulum, where it recruits cofactors and produces NO. This leads to increase in hTERT gene transcription that is essential for telomerase activation.


*    Potential Impact of ER{alpha} and eNOS Complex
up arrowTop
up arrowIntroduction
up arrowER{alpha} and eNOS Form...
*Potential Impact of ER{alpha}...
down arrowReferences
 
Despite these carefully performed studies, a number of questions regarding the exact function of eNOS as a coactivator remain unanswered. What types of modifications, if any, occur in the nuclearized, especially DNA-bound, eNOS? There are several posttranslational modifications such as acylation, phosphorylation, and S-nitrosylation at different sites of eNOS protein, that affect its cellular compartment location and function.18 Klinz et al12 reported that phosphor-eNOS Ser114 localized in nucleus, producing superoxide anions during cell mitosis in human mesenchymal stem cells. In this study, mutant eNOS S1177D (which mimics phosphorylation at this site) restored the eNOS activity in eNOS knockout endothelial cells, and increased hTERT transcription. However, whether the nuclearized ER{alpha}-bound eNOS is phosphorylated at Ser1177 is unclear. Thus, the modifications of nuclearized eNOS remain to be determined. In addition, does the ER{alpha}–eNOS complex produce NO or superoxide anions locally? As described above, eNOS can produce both NO and superoxide depending on whether coupling or uncoupling to cofactor BH4.1,8 To produce NO, eNOS needs dimerization and recruitment of cofactors, including CaM, heme, BH4, FAD, FMN, and NADPH, whereas undimerized and uncoupled eNOS can produce superoxide. Goetz et al19 reported that estradiol-induced eNOS nuclearization is calcium dependent, and that NO donor could increase hTERT transcription, suggesting that nuclearized eNOS produces NO locally. However, whether CaM remains in the ER{alpha}–eNOS complex is unclear. Meanwhile, NO can react with superoxide anion, producing peroxynitrite20 and increasing the production of superoxide by eNOS and iNOS. Thus, further experiments are needed to determine whether ER{alpha} and eNOS form heterodimer, consisting of one molecule of each or tetramer, and whether cofactors are required in the ER{alpha}-eNOS complex.

Whatever is produced by the ER{alpha}–eNOS complex, ie, either NO or superoxide, these active molecules could modify eNOS-associated proteins and DNA locally. Therefore, the modification of ER{alpha}, other transcription factors, and coactivators that are recruited to the complex, local DNA sequence and histones need to be determined. Local NO or superoxide production may also modify corepressors to exclude these factors from the complex. Furthermore, we can question whether eNOS directly modifies the arginine residues in the associated transcription factors, like ER{alpha} and local histones. Do these arginine residues function as electron recipients like L-arginine in the production of NO by eNOS? The direct electron transferring from the reductase unit of eNOS to the arginine residues of the associated proteins will modify the arginine residues and cause the conformational change of the proteins. The answers to these questions will enhance our knowledge concerning eNOS functions, especially as coactivator, and provide some new strategies to intervene vascular disease through eNOS.

In summary, ER{alpha}–eNOS interaction in caveolae plays a crucial role in vascular homeostasis. The report by Grasselli et al17 provided new evidence that activated ER{alpha}–eNOS complex translocates into nucleus forming heterodimer or tetramer on the ERE binding sites in the promoter of hTERT gene. This results in increases in hTERT gene transcription that regulates telomerase activity (Figure). Further studies on the mechanisms of gene transcription or epigenetic modification induced by ER{alpha}–eNOS complex, will lead to new findings of some targets for therapeutic intervention for vascular diseases.


*    Acknowledgments
 
Sources of Funding

This work was supported by British Heart Foundation and Oak Foundation.

Disclosures

None.


*    Footnotes
 
The opinions expressed in this editorial are not necessarily those of the editors or of the American Heart Association.


*    References
up arrowTop
up arrowIntroduction
up arrowER{alpha} and eNOS Form...
up arrowPotential Impact of ER{alpha}...
*References
 
1. Cooke GE, Doshi A, Binkley PF. Endothelial nitric oxide synthase gene: prospects for treatment of heart disease. Pharmacogenomics. 2007; 8: 1723–1734.[CrossRef][Medline] [Order article via Infotrieve]

2. Jobgen WS, Fried SK, Fu WJ, Meininger CJ, Wu G. Regulatory role for the arginine-nitric oxide pathway in metabolism of energy substrates. J Nutr Biochem. 2006; 17: 571–588.[CrossRef][Medline] [Order article via Infotrieve]

3. Bredt DS, Hwang PM, Snyder SH. Localization of nitric oxide synthase indicating a neural role for nitric oxide. Nature. 1990; 347: 768–770.[CrossRef][Medline] [Order article via Infotrieve]

4. Stuehr DJ, Cho HJ, Kwon NS, Weise MF, Nathan CF. Purification and characterization of the cytokine-induced macrophage nitric oxide synthase: an FAD- and FMN-containing flavoprotein. Proc Natl Acad Sci U S A. 1991; 88: 7773–7777.[Abstract/Free Full Text]

5. Pollock JS, Forstermann U, Mitchell JA, Warner TD, Schmidt HH, Nakane M, Murad F. Purification and characterization of particulate endothelium-derived relaxing factor synthase from cultured and native bovine aortic endothelial cells. Proc Natl Acad Sci U S A. 1991; 88: 10480–10484.[Abstract/Free Full Text]

6. Stuehr DJ. Structure-function aspects in the nitric oxide synthases. Annu Rev Pharmacol Toxicol. 1997; 37: 339–359.[CrossRef][Medline] [Order article via Infotrieve]

7. Everson WV, Smart EJ. Influence of caveolin, cholesterol, and lipoproteins on nitric oxide synthase: implications for vascular disease. Trends Cardiovasc Med. 2001; 11: 246–250.[CrossRef][Medline] [Order article via Infotrieve]

8. Schulz E, Jansen T, Wenzel P, Daiber A, Munzel T. Nitric oxide, tetrahydrobiopterin, oxidative stress, and endothelial dysfunction in hypertension. Antioxid Redox Signal. 2008; 10: 1115–1126.[CrossRef][Medline] [Order article via Infotrieve]

9. Gobeil F Jr, Zhu T, Brault S, Geha A, Vazquez-Tello A, Fortier A, Barbaz D, Checchin D, Hou X, Nader M, Bkaily G, Gratton JP, Heveker N, Ribeiro-da-Silva A, Peri K, Bard H, Chorvatova A, D'Orleans-Juste P, Goetzl EJ, Chemtob S. Nitric oxide signaling via nuclearized endothelial nitric-oxide synthase modulates expression of the immediate early genes iNOS and mPGES-1. J Biol Chem. 2006; 281: 16058–16067.[Abstract/Free Full Text]

10. Goetz RM, Thatte HS, Prabhakar P, Cho MR, Michel T, Golan DE. Estradiol induces the calcium-dependent translocation of endothelial nitric oxide synthase. Proc Natl Acad Sci U S A. 1999; 96: 2788–2793.[Abstract/Free Full Text]

11. Feng Y, Venema VJ, Venema RC, Tsai N, Caldwell RB. VEGF induces nuclear translocation of Flk-1/KDR, endothelial nitric oxide synthase, and caveolin-1 in vascular endothelial cells. Biochem Biophys Res Commun. 1999; 256: 192–197.[CrossRef][Medline] [Order article via Infotrieve]

12. Klinz FJ, Schmidt A, Schinkothe T, Arnhold S, Desai B, Popken F, Brixius K, Schwinger R, Mehlhorn U, Staib P, Addicks K, Bloch W. Phospho-eNOS Ser-114 in human mesenchymal stem cells: constitutive phosphorylation, nuclear localization and upregulation during mitosis. Eur J Cell Biol. 2005; 84: 809–818.[CrossRef][Medline] [Order article via Infotrieve]

13. Chambliss KL, Shaul PW. Estrogen modulation of endothelial nitric oxide synthase. Endocr Rev. 2002; 23: 665–686.[Abstract/Free Full Text]

14. Siow RC, Li FY, Rowlands DJ, de Winter P, Mann GE. Cardiovascular targets for estrogens and phytoestrogens: transcriptional regulation of nitric oxide synthase and antioxidant defense genes. Free Radic Biol Med. 2007; 42: 909–925.[CrossRef][Medline] [Order article via Infotrieve]

15. Vasa M, Breitschopf K, Zeiher AM, Dimmeler S. Nitric oxide activates telomerase and delays endothelial cell senescence. Circ Res. 2000; 87: 540–542.[Free Full Text]

16. Hong Y, Quintero M, Frakich NM, Trivier E, Erusalimsky JD. Evidence against the involvement of nitric oxide in the modulation of telomerase activity or replicative capacity of human endothelial cells. Exp Gerontol. 2007; 42: 904–910.[CrossRef][Medline] [Order article via Infotrieve]

17. Grasselli ANS, Colussi C, Aiello A, Benvenuti V, Moretti F, Sacchi A, Bacchetti S, Gaetano C, Capogrossi MC, Pontecorvi A, and Farsetti A. Estrogen receptor alpha and endothelial nitric oxide synthase nuclear complex regulates transcription of human telomerase. Circ Res. 2008; 103: 34–42.[Abstract/Free Full Text]

18. Dudzinski DM, Michel T. Life history of eNOS: partners and pathways. Cardiovasc Res. 2007; 75: 247–260.[Abstract/Free Full Text]

19. An J, Zhou DS, Kawasaki K, Yasui K. The pathogenesis of spinal cord involvement in dengue virus infection. Virchows Arch. 2003; 442: 472–481.[Medline] [Order article via Infotrieve]

20. Beckman JS, Koppenol WH. Nitric oxide, superoxide, and peroxynitrite: the good, the bad, and ugly. Am J Physiol. 1996; 271: C1424–C1437.[Medline] [Order article via Infotrieve]


Related Article:

Estrogen Receptor-{alpha} and Endothelial Nitric Oxide Synthase Nuclear Complex Regulates Transcription of Human Telomerase
Annalisa Grasselli, Simona Nanni, Claudia Colussi, Aurora Aiello, Valentina Benvenuti, Gianluca Ragone, Fabiola Moretti, Ada Sacchi, Silvia Bacchetti, Carlo Gaetano, Maurizio C. Capogrossi, Alfredo Pontecorvi, and Antonella Farsetti
Circ. Res. 2008 103: 34-42. [Abstract] [Full Text] [PDF]



This article has been cited by other articles:


Home page
J. Appl. Physiol.Home page
A. Farsetti, A. Grasselli, S. Bacchetti, C. Gaetano, and M. C. Capogrossi
The telomerase tale in vascular aging: regulation by estrogens and nitric oxide signaling
J Appl Physiol, January 1, 2009; 106(1): 333 - 337.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Extract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Zeng, L.
Right arrow Articles by Xu, Q.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Zeng, L.
Right arrow Articles by Xu, Q.
Related Collections
Right arrowRelated Article