Original Contributions |
From the Departments of Physiology (R.S.R., C.P., S.-Y. S.), Medicine (R.S.R., C.P., S.-Y. S., J.I.G.), and The Cardiovascular Research Laboratories, UCLA School of Medicine, Los Angeles, Calif; Department of Vascular Biology (C.F., M.H.G.), Scripps Research Institute, La Jolla, Calif; The Molecular Biology Institute and Department of Biology, San Diego State University (C.C.G.), San Diego, Calif; and Mayo Clinic Scottsdale (J.C.L.), Scottsdale, Ariz.
Correspondence to Robert S. Ross, Department of Physiology, University of CaliforniaLos Angeles School of Medicine, Center for the Health Sciences, Room 53231, 10833 Le Conte Ave, Los Angeles, CA 90095-1751. E-mail rross{at}physiology.medsch.ucla.edu
| Abstract |
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1-adrenergic mediated hypertrophic response of neonatal
rat ventricular myocytes. The hypertrophic response of this
model required interaction with extracellular matrix proteins.
Specificity of these results was confirmed by demonstrating that
ventricular myocytes plated onto an antiß1
integrin antibody supported the hypertrophic gene response.
Adenovirus-mediated overexpression of ß1 integrin
augmented the myocyte hypertrophic response when assessed by protein
synthesis and atrial natriuretic factor production,
a marker gene of hypertrophic induction. DNA synthesis was not altered
by integrin overexpression. Transfection of cultured cardiac myocytes
with either the ubiquitously expressed ß1A integrin or
the cardiac/skeletal musclespecific ß1 isoform
(ß1D) activated reporter expression from both the
atrial natriuretic factor and myosin light chain-2
ventricular promoters, genetic markers of ventricular cell
hypertrophy. Finally, suppression of integrin signaling by
overexpression of free ß1 integrin cytoplasmic domains
inhibited the adrenergically mediated atrial natriuretic
factor response. These findings show that integrin ligation and
signaling are involved in the cardiac hypertrophic response
pathway.
Key Words: hypertrophy myocardium extracellular matrix integrin myocyte
| Introduction |
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-skeletal actin,
-ß myosin heavy chain isoform switching), or
downregulation of calcium regulatory genes (sarcoplasmic reticulum
calcium ATPase). However, the mechanisms by which hypertrophic stimuli,
including mechanical stress, lead to signaling events in the cardiac
cell are poorly understood.
The ECM influences cardiac myocyte morphology.9
Furthermore, components of the ECM, such as
fibronectin10,11 or collagens I and
III,11 are upregulated with in vivo
hypertrophy. Integrins comprise a large family of
heterodimeric cell-surface receptors that link the ECM and the
intracellular cytoskeleton.12 Although integrins
were initially thought of solely as molecules necessary for adhesive
interactions between cells and the ECM, recent work has indicated that
integrins are bidirectional signaling
molecules.13 Integrins transduce their
biochemical signals via tyrosine phosphorylation of
intracellular proteins, including FAK. Intracellular events modulated
by integrins include immediate-early gene
induction,14 modification of intracellular
pH,15 cytosolic
Ca2+,16 and activation of
p21Ras, MAP, and MAP kinases.17,18 In noncardiac
cells, integrins can act as mechanotransduction receptors, and their
stimulation has been shown to modulate cellular growth and gene
expression.19 In the cardiac cell, expression of
several members of the ß1 integrin family has
been identified, including
1,
3,
5,
6, and
7B.20 Notably,
upregulation of
1,
5,
and ß1 integrin protein levels is seen after
induction of hypertrophy in the adult rat, suggesting that
integrins play a role in this process.21 Recent
observations that components of the integrin signaling cascade are
modulated after pressure overload of the cat right ventricle further
support this concept.22
Adrenergic stimulation of primary cultures of NRVMs induces a hypertrophic response biochemically and morphologically similar to that which occurs in the intact heart.23 Numerous groups have used this in vitro model to study hypertrophic signaling events of the cardiac myocyte.2426 When stimulated by PE, these cells show increases in protein synthesis, larger cellular spread area and volume, and induction of various markers of hypertrophy, including ANF and MLC-2V. Furthermore, like their endogenous genes, induction of chimeric promoter/reporter plasmids such as ANF (3100 bp)/luciferase or MLC-2V (2700 bp)/luciferase is also seen after adrenergic stimulation.25,27
Because ß1 integrins are abundant in the cardiac cell, we examined the regulatory role of ß1 integrins in the hypertrophic response of adrenergically stimulated NRVMs. We report that the hypertrophic response was dependent on cell-ECM interaction. Overexpression of ß1 integrins in the cardiac myocyte increased hypertrophic marker gene expression and protein synthesis but had no effect on cell DNA synthesis. Attachment of myocytes to substrate via antibody ligation of ß1 integrins was sufficient to allow hypertrophic marker gene induction, suggesting a requirement for ß1 integrins in this response pathway. Furthermore, both ß1 integrin isoforms present in the heart, including the skeletal/cardiac musclespecific isoform ß1D, modulated hypertrophic marker genes. Finally, inhibition of integrin signaling downregulated the adrenergically stimulated hypertrophic gene response. Taken together, these results suggest that integrins play a significant role in the hypertrophic response of cardiac myocytes.
| Materials and Methods |
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To plate NRVMs on antibody-coated wells, cells were isolated as above and maintained in serum-free media on 2% BSAcoated plates, either with or without viral infection, for 24 hours. Cells were then transferred to new culture plates coated with the anti-human ß1 antibody P5D2, control antibodies, or polylysine at concentrations of 10 µg/mL. Cells were maintained for an additional 36 hours in either serum-free medium or serum-free medium supplemented with 100 µmol/L PE.
Transformed 293 human embryonic kidney cells (ATCC No. CRL-1573) and CHO cells (ATCC No. CCL-61) were cultured as advised by the supplier.
Volume Measurements
Volumes were determined by use of a modification of the method
of Satoh et al.29 Briefly, cells were cultured
onto fibronectin-coated coverslips and incubated in appropriate media
for 36 hours. Cells were then loaded for 20 minutes at room temperature
in serum-free medium containing 10 µmol/L calcein
acetoxymethylester and 25% wt/wt pluronic (Molecular Probes). Cells
were then washed, and digital confocal images were acquired by use of
an Odyssey XL laser-scanning confocal imaging system (Noran
Instruments) attached to a Zeiss Axiovert 100 TV inverted microscope
fitted with a Zeiss C-Apochromat 40x water immersion objective lens
(1.2 numerical aperture). Optical sections through the full depth of
cells were obtained at 0.75-µm intervals. We minimized bleaching by
attenuating the laser light to <10 mW and by exposing the specimen to
light only during focusing and acquisition. Light was shuttered during
movement of the objective lens through the Z-series. Slit width was set
to 15 nm to achieve maximum confocalization, and pixel dwell was set to
1600 ns. No frame averaging was used. Images were reconstructed with
the use of a Silicon Graphics Indy workstation using Intervision 1.5
software (Noran Instruments). Image size was set to 640x480 pixels,
and pixel area was calibrated by use of a stage micrometer.
Pixel resolution for the system was 0.19 µm. Offset and gain of
the photomultiplier were chosen to represent noncellular
background near zero and fluorescence intensities from cellular
elements to cover the full range of 256 gray levels. Cell volumes were
determined off-line. Elimination of out-of-focus fluorescence
and noncellular contributions from voxels at the cell border was
achieved by photometric thresholding of the fluorescence
images. The lower level of thresholding was determined from a central
section of the cardiac myocyte and was defined as the lowest level that
included all cellular voxels but that excluded >99% of extracellular
voxels. The central section was used to calculate cell area. The same
threshold values were then applied to all the optical sections in the
Z-series from a single myocyte. Three-dimensional reconstruction, cell
volume, and cell areas were determined by use of Intervision
software.
cDNAs and Antibodies
A full-length human ß1A integrin cDNA
was obtained from Y. Takada (The Scripps Research Institute). To
construct the ß1D expression vector, the
ß1D cytoplasmic domain was amplified from human
heart mRNA by reverse-transcriptase polymerase chain reaction with the
use of primers based on published sequences.30
The resulting fragment was cloned as an
HindIII-BamHI fragment into pcDNA3 (Invitrogen).
An HindIII fragment containing the extracellular and
transmembrane portions of ß1 was cloned 5' of
the ß1D cytoplasmic domain. The resulting full-length
ß1D clone was assayed for protein expression in
CHO cells by fluorescent activated cell sorting.
Chimeric constructs consisting of the extracellular and transmembrane
domains of the TAC subunit of the human IL-2 receptor fused to the
cytoplasmic domain of ß1A
(TAC-ß1A) or integrin
5 (TAC-
5) were the
kind gift of S. LaFlamme and K. Yamada (National Institute of Dental
Research, National Institutes of Health, Bethesda,
Md).31 Reporter gene constructs consisting of a
3003-bp rat ANF promoter or a 2700-bp rat MLC-2V promoter
fused to a firefly luciferase cDNA have been described
previously.27,32 The anti-human
ß1 monoclonal antibodies P5D2 and 102DF5 were
obtained from the Developmental Studies Hybridoma Bank at the
University of Iowa, Iowa City and from I. Virtanen (University of
Helsinki, Helsinki, Finland), respectively. Anti-myosin monoclonal
antibody MF-20 was also obtained from the Developmental Studies
Hybridoma Bank. The monoclonal anti-human IL-2 receptor antibody 7G7B6
was obtained from the ATCC (No. HB-8784). Rabbit polyclonal anti-rat
ANF and sheep anti-BrdU were obtained from Research and
Diagnostic Antibodies. Monoclonal anti-ANF (102126) has
been described previously.33 Rhodamine-conjugated
phalloidin was obtained from Molecular Probes. DAPI was from Sigma
Chemical Co. FITC, rhodamine, and Cy-5labeled secondary antibodies
were obtained commercially (Jackson ImmunoResearch Labs, Inc).
Recombinant Adenoviral Expression Constructs
The full-length ß1A fragment was cloned
into the BamHI site of the E1-deficient shuttle vector
pacCMVpLpA.34 TAC-
5 and
TAC-ß1A cDNAs were excised from the parent
vector with SnaB1 and XbaI and ligated into
pacCMVpLpA digested with these same restriction enzymes. pHCMVsp1LacZ
was obtained from Dr F.L. Graham (McMaster University, Hamilton,
Ontario, Canada). Construct integrity was confirmed by restriction
enzyme and sequencing analyses.
Constructs in pacCMVpLpA vectors were cotransfected by the standard calcium-phosphate technique35 with the adenoviral plasmid JM17 into the E1-transformed cell line 293.36 Virus was clonally isolated. Recombination was verified by polymerase chain reaction analysis with oligonucleotide primer sets present in the adenoviral sequences, the foreign gene of interest, or both. Viral production of recombinant protein was assayed by infection of CHO or NRVM cells for 48 hours, followed by immunostaining or flow cytometry. All viral stocks were titered by use of plaque assays. Cells were infected at matched multiplicities of infection ranging from 1 to 50.
Immunofluorescent Studies
Cellular immunostaining was performed as
described previously.37 Microscopic
analysis was performed with either a Nikon Diaphot microscope
equipped with epifluorescent optics alone or as a component in
a Bio-Rad MCR-1000 Laser Scanning Confocal Microscope System (Bio-Rad
Laboratories).
Measurement of Protein Content/Synthesis and ANF Peptide
Protein content was determined by use of a Lowry
assay,38 whereas relative synthetic rates were
assessed as described previously.39 ANF secretion
from NRVMs was assessed by radioimmunoassay of media collected from
each culture condition, as described
previously.40
Monitoring of DNA Synthesis
Assessment of cellular DNA synthesis was performed as described
previously with minor modification.41 BrdU at a
final concentration of 10 µmol/L was added to the control or
infected cultures for the final 16 hours of the culture period.
Immunofluorescent staining was performed as described above,
with DAPI used to locate all cell nuclei, anti-myosin antibody MF20 to
localize myocytes, and an anti-BrdU antibody to evaluate BrdU
incorporation into the cells. BrdU-positive myocytes were scored by
visual determination of the number of BrdU-positive cells that also
stained positively with the anti-myosin antibody. Scoring of control,
control-infected, and integrin-infected groups was then compared.
Flow Cytometry
Surface expression of full-length ß1 or
TAC chimeras in NRVMs was analyzed by flow cytometry with
specific antibodies as described previously.42
Briefly, 5x105 cells were incubated on ice for
30 minutes with primary antibody, washed, and then incubated on ice for
an additional 30 minutes with fluorescein-conjugated goat
anti-mouse second antibody (Tago). Cells were washed, resuspended in
PBS/1% paraformaldehyde, and fixed for 30 minutes at
4°C in the dark. They were then pelleted, resuspended, and
analyzed on a FACScan (Becton Dickinson).
Transfection
Primary cultures of myocytes were cotransfected with full-length
ß1A or ß1D and
luciferase reporter constructs by the calcium-phosphate technique as
described previously.43 Luciferase reporter
activity was determined in a luminometer (Analytical Luminescence) as
previously described,27 and luciferase activity
was normalized to cellular protein concentration.
Statistical Analyses
Student's t test was performed, and a value of
P<0.05 was considered significant.
| Results |
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Adrenergic Stimulation of ANF Expression by NRVMs Requires
ECM
Because PE stimulation caused cellular hypertrophy of
cultured NRVMs, we used this model to examine the effect of attachment
to ECM proteins on the hypertrophic response. Previous data from our
laboratory and others have shown that ANF is a marker of the
hypertrophic phenotype.27,44 Freshly
isolated NRVMs were plated onto dishes coated with fibronectin (10
µg/mL), laminin (10 µg/mL), or BSA (2 mg/mL). Cells were incubated
in either serum-free medium or serum-free medium plus 100 µmol/L
PE and, after 36 hours of stimulation, were fixed and
immunostained with antibodies for
MLC-2v, a myocyte-specific marker, and ANF
(Figure 1
). ANF induction, as assessed
via immunofluorescent staining, was observed in cells attached
to fibronectin or laminin but not in cells plated on BSA. Similar
results were obtained when ANF secretion was assessed by
radioimmunoassay data not shown). These results indicate that ANF
induction requires both adrenergic stimulation and myocyte adhesion to
ECM proteins.
|
ß1 Integrin Overexpression Augments Adrenergic
Induction of the Hypertrophic Program
Because myocyte-matrix interaction was important for the
adrenergically mediated ANF response, we examined the capability of
integrins to modulate this response program. Previous studies have
shown that ß1 integrins are abundant in the
neonatal rat ventriculocyte.21 To assess the
effect of ß1 overexpression on NRVM
hypertrophic signaling, a recombinant adenoviral vector was constructed
to express the human ß1A integrin subunit. The
human ß1 subunit is similar to
ß1 integrins from other species, including
rat,45 and dimerization of integrin subunits from
divergent species (eg, mouse and chick) has been observed
previously.46 Human ß1
was differentiated from the endogenous rat
ß1 with species-specific antibodies. A
ß-galactosidaseexpressing recombinant adenovirus served as a
control virus for these experiments.
NRVMs were plated onto fibronectin-coated slides and infected with
control or integrin viruses. Overexpression of
ß1 integrin in cells maintained in serum-free
medium modestly increased the number of ventricular cells
that expressed ANF (green perinuclear staining in Figure 2A
compared with Figure 2C
). PE
stimulation of the cells in combination with ß1
overexpression visibly increased the area that individual cells spread
across and augmented the intensity and number of cells with ANF
staining compared with PE stimulation alone (Figure 2B
versus 2D).
Enumeration of the myocytes with perinuclear ANF staining confirmed
these qualitative results (Figure 2E
). To quantitatively assess effects
of integrin expression on cellular growth, relative rates of protein
synthesis were measured by incorporation of
L-[3H]phenylalanine.39
Protein synthesis was increased by ß1 integrin
expression in both the presence and absence of PE (Figure 3A
). Whereas control infection caused an
increase in relative protein synthesis compared with uninfected cells,
ß1 integrin overexpression augmented protein
synthesis significantly above this control infection
(P<0.05). Furthermore, overexpression of
ß1 integrin also resulted in increased ANF
secretion by NRVMs in the presence and absence of adrenergic
stimulation (Figure 3B
). Notably, ß1
overexpression in combination with PE stimulation resulted in
synergistic augmentation of ANF secretion. We also determined whether
ß1 integrin overexpression would alter DNA
synthesis of NRVM. No increase in BrdU incorporation was evidenced in
myocytes infected with the ß1 integrin virus
compared with uninfected cells or titer-matched control-infected cells,
either with or without the presence of adrenergic stimulation (data not
shown). Thus, as assessed by qualitative and quantitative assays,
ß1 integrin overexpression augmented the
hypertrophic response to PE and did not alter cell replication.
|
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Direct Ligation of ß1 Integrins Augments
Adrenergic Induction of the Hypertrophic Program
The above results show that integrin overexpression modulates
myocyte protein synthesis and ANF production when cells are
attached to fibronectin. To prove that this effect occurs as a result
of ß1 integrin ligation, we examined whether
cells attached to a ß1 integrin
antibodycoated substrate could initiate ANF expression. Myocytes that
had been infected with a human ß1 integrin
recombinant adenovirus attached and spread onto anti-human
ß1 antibodycoated plates (Figure 4
, A and B). Few of the uninfected or
lacZ-infected cells attached to the anti-human
ß1coated plates, and none of these cells
spread; no cells attached to the control antibody-coated plates data
not shown). After 48 hours in culture, cells were fixed and
immunostained to detect both ß1
integrin and ANF expression. The number of cells expressing both ANF
and human ß1 integrin was determined. Addition
of PE augmented cell spreading and induced an ANF response in cells
attached to this anti-human ß1 antibody (Figure 4C
and 4D
; Figure 5
). This response was
dependent on integrin ligation rather than cell adhesion per se,
because adhesion to polylysine-coated plates failed to support ANF
expression, and cells showed no significant spreading on this substrate
(Figure 5
).
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ß1A and ß1D Isoforms Augment Promoter
Activity of ANF and MLC-2v Genes Stimulated by PE
The ß1D isoform of
ß1 integrin is preferentially expressed in
skeletal and cardiac muscle.30,47 This isoform
differs from ß1A in the sequence of its
cytoplasmic domain. The role of ß1D in the
cardiac hypertrophic response pathway was examined by cotransfection
experiment with reporter constructs. Similarly to their respective
endogenous genes, activity of ANF (3003 bp)
and MLC-2v (2700 bp) luciferase reporter
constructs is induced by pharmacological or other treatments that evoke
the hypertrophic response in NRVMs.27 Therefore,
we cotransfected full-length ß1A or
ß1D expression vectors with either ANF or
MLC-2vluciferase plasmids. Coexpression of
either the ß1A or ß1D
expression vector, along with adrenergic stimulation, caused
significant augmentation of luciferase activity of both ANF and
MLC-2v, with no significant difference between
the two ß1 isoforms (Figure 6
). These results confirm that
ß1 integrin overexpression can modulate the
expression of ANF as well as a second marker
(MLC-2v) of the hypertrophic phenotype.
Moreover, these results indicate that both the A and D isoforms can act
on the hypertrophic signaling pathway.
|
Overexpression of Isolated ß1 Integrin Cytoplasmic
Domains Inhibits Adrenergic Induction of ANF in NRVMs
To examine the role of integrin signaling in the hypertrophic gene
response pathway, we sought to alter integrin-mediated signaling in the
cardiac myocyte. Previous studies have shown that overexpression of
free ß1 integrin cytoplasmic domains disrupts
bidirectional integrin signaling in noncardiac
cells.4850 An adenoviral construct that
expressed the TAC-ß1A chimera was used for this
purpose. A similarly constructed TAC-
5 virus
served as a control. PE stimulation of uninfected cells or cells
infected with the TAC-
5 chimera induced ANF
expression (Figure 7
, A through D). In
contrast, cells infected with the TAC-ß1A
chimera expressed little ANF after adrenergic stimulation (Figure 7
, E
and F). Expression of TAC-ß1A did not affect
cell spreading or organization as assessed by actin
immunostaining. The effect of
TAC-ß1A expression on PE-induced secretion of
ANF protein by myocytes was quantified by radioimmunoassay (Figure 8
). Expression of
TAC-ß1A depressed ANF secretion, whereas
infection with an equal quantity of the control
TAC-
5 virus had no effect. This
inhibitory effect could not be offset by an increased dose
of the adrenergic agonist, because raising the PE concentration 10-fold
to 10-3 mol/L resulted in no change in cellular
ANF in NRVMs, as assessed by both direct cellular
immunostaining and radioimmunoassay of ANF secretion
(data not shown). Increases in PE concentration in the medium
>10-3 mol/L were cytotoxic. The
TAC-ß1A mutant did not cause generalized
depression of immunolocalizable proteins. As shown in Figure 9
, expression of YB-1, a DNA-binding
protein critical for normal transcription of the contractile protein
MLC-2v,51 is unchanged by
infection with the TAC-ß1A virus. Thus,
disruption of integrin-mediated signaling can significantly alter
adrenergic induction of ANF.
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| Discussion |
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Adrenergic stimulation of NRVMs has been used by numerous investigators as an in vitro model of cardiac myocyte hypertrophy.23,27,39,5256 In the current study, confocal microscopy was used to prove that adrenergic stimulation caused significant increases in the cell volume of cultured NRVMs. This hypertrophic phenotype was absolutely dependent on adhesion to ECM. Previous studies have shown that the cardiac myocyte phenotype can be modulated by the binding of myocytes to collagen, fibronectin, and laminin but not by attachment to substances such as BSA or polylysine.9,57 The current results extended these findings and demonstrated that induction of the hypertrophic marker gene ANF in ventricular myocytes required adhesion to fibronectin or laminin. These results are consistent with data obtained in noncardiac cells in which cell adhesion is required for growth factor activation of the Na+/H+ antiporter.58
Overexpression of human ß1 integrin increased
myocyte protein synthesis and ANF secretion, both of which are
indicative of the hypertrophic phenotype, but did not change
DNA synthesis. Thus, cell replication was not altered. Ligation of
ß1 integrins in the ventricular
myocytes by plating on anti-ß1 antibodycoated
dishes was sufficient to induce ANF expression in the absence of serum,
indicating a direct role for ß1 integrins in
the response pathway. ANF expression was further augmented when
myocytes plated on anti-ß1 antibodies were
simultaneously stimulated by PE. Interestingly, ANF
expression and secretion were significantly higher in myocytes
overexpressing human ß1 plated on fibronectin
than in those plated onto anti-ß1 antibody. A
potential explanation for this result is that when cells expressing
human ß1 were plated onto the
anti-ß1 antibody, only the human/rat
heterodimers would be ligated, whereas fibronectin would ligate both
the endogenous rat ß1 integrins as
well as rat-
/human-ß1 heterodimers.
Alternatively, attachment to the anti-human ß1
antibody could activate signaling pathways distinct from those
induced by binding to fibronectin.59 In addition,
adhesion of myocytes to fibronectin could also be mediated by
non-ß1 integrins, leading to activation of
signaling pathways different from those activated by
ß1 integrins.
Recent work has identified a unique integrin isoform, ß1D, that is preferentially expressed in heart and skeletal muscle.30,60 Our results suggest that ß1D as well as the ubiquitously expressed ß1A isoform both participate in the hypertrophic response. ß1D may strengthen cytoskeleton-matrix linkages, which could be necessary when the cardiac cell is hemodynamically stressed as hypertrophy is induced.61 Although expression of ß1A and ß1D in nonmuscle cells can activate FAK,60 it is unknown if ß1A and ß1D activate similar downstream pathways in the cardiac cell. In this regard, preliminary work by our laboratory and others has shown that FAK overexpression in the cardiac cell upregulates hypertrophic marker genes.62 However, whether ß1A and ß1D activate hypertrophic markers via FAK-dependent or -independent mechanisms is presently unknown.
Disruption of integrin signaling in the cardiac cell inhibited
PE-induced ANF expression. For these experiments, we used
well-characterized chimeric molecules that cannot bind
ECM.4850,63 In noncardiac cells, the mutants
did not alter expression of endogenous
1,
3,
5,
v,
ß1, or ß5 integrins or
prevent heterodimerization of
/ß subunits. Low-level mutant
expression reduced FAK phosphorylation, whereas
high-level expression increased FAK phosphorylation and
caused altered cell adhesion.49,50 At the level
expressed in the present study, we saw altered ANF expression
without changes in adhesion or cytoskeletal organization. These data
suggest that adrenergic induction of ANF expression requires downstream
molecules that are components of the integrin signaling pathway.
Modulation of FAK phosphorylation by the mutant could
be one mechanism that alters hypertrophic gene expression.
Alternatively, the freely expressed ß1
cytoplasmic domain mutants could bind and deplete factors that are
essential for both hypertrophic and integrin-mediated signaling. These
results support the concept that cross talk occurs between integrin and
hypertrophic signaling pathways in the cardiac cell.
-Adrenergicmediated hypertrophic gene induction in the
cardiac myocyte is complex and modulated by at least two distinct
signaling pathways, G
q and Ras/MAP
kinase.6466 Studies suggested that activation
of MAP kinase pathways, particularly MKK-6p38, was sufficient for the
full hypertrophic response and that blockade of the p38 pathway could
block
-adrenergic induction of the hypertrophic
response.26,6769
G
q-mediated hypertrophic gene expression has
been suggested to require Rho, which can regulate organization of the
actin cytoskeleton in many cell types.54,70 Rho
is also a component of integrin-mediated signaling
pathways.71 Studies have shown distinct
separation of signaling molecules that impact morphological
hypertrophy of the NRVM, as opposed to hypertrophic marker
gene responses. Examples include inhibition of adrenergically
stimulated ANF expression by the Rho inhibitor C3
transferase without change in the cellular actin
organization70 and Raf-1 overexpression, which
induced activation of the ANF-luciferase marker gene without affecting
cardiac cell morphology.72 These results are in
agreement with those in the present study that showed that the
TAC-ß1A mutant inhibited adrenergic induction
of ANF without alteration in myocyte cytoskeletal organization. Thus,
it is possible that disruption of normal integrin signaling by use of
our Tac-ß1A mutant might indirectly alter Rho
or Rac signaling. Furthermore, inhibition of tyrosine
phosphorylation by genistein was found to prevent
PE-induced activation of hypertrophic marker genes, including
ANF.44 Multiple proteins are stimulated to
undergo tyrosine phosphorylation by integrin clustering
in noncardiac cells.73 Although the specific
tyrosine-phosphorylated protein critical for
integrin-meditated signaling in cardiac cells is unknown, adrenergic
and integrin-mediated hypertrophic signaling could function through
similar tyrosine kinasedependent pathways.
Hypertrophic induction of NRVMs by adrenergic stimulation is also modulated by activation of phospholipase-C-ß (PLC-ß). PLC-ß signals through diacylglycerol, inducing multiple protein kinase C isoforms to cause expression of hypertrophic marker genes such as ANF.74 It has been proposed that protein kinase C may serve an important function to mediate cross talk between growth factor and integrin signaling pathways in noncardiac cells.75 It is therefore possible that ß1 integrin and hypertrophic signaling pathways in the myocyte may intersect and synergize through other known mediators.
Cardiac myocyte stretch can cause hypertrophy and induction of gene expression.5,7678 Several recent studies have linked mechanical perturbation of noncardiac cells through ß1 integrins with induction of gene expression.19,79 However, no data have directly linked cell-matrix interactions or integrin engagement/signaling to the hypertrophic process. Because the present results show that integrin ligation and ECM interaction of the myocyte are necessary for the hypertrophic response, a component of the adrenergically mediated hypertrophic response may act by mechanical activation of integrins.
Hypertrophy and induction of molecular hypertrophic markers in this cell system can also be induced by humoral factors such as endothelin-1 or angiotensin-II, which act through MAP kinase.66,80,81 In noncardiac cells, endothelin-1 has been shown to cause tyrosine phosphorylation of FAK.82 Furthermore, mechanically mediated stress activation of the myocyte hypertrophic response is partially mediated via angiotensin II.83 However, the direct role that ß1 integrin signaling plays in these other response pathways in the myocyte is presently unknown and will need to be explored.
In summary, this study is the first to directly link integrin signaling to the hypertrophic pathway in a cellular model using adrenergic stimulation of NRVMs. Integrins may initiate intracellular signals either by organization of the cytoskeleton and alteration of cell shape or through mechanisms akin to growth factor signaling.84 This signaling mechanism could provide a link between the integrins and adrenergically mediated neonatal ventricular cell hypertrophy. Given that integrins have been implicated as mechanotransducers19 and that cardiac hypertrophy can be modulated through mechanical means, this cell model should allow investigation of the convergence of these two pathways. Future studies are under way to evaluate the mechanism through which ß1 integrins influence hypertrophic responses both in this in vitro system as well as in vivo.
| Selected Abbreviations and Acronyms |
|---|
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| Acknowledgments |
|---|
Received November 10, 1997; accepted March 25, 1998.
| References |
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q and
1-adrenergic receptor signaling in
cardiomyocytes: dissociation of Ras and Rho pathways.
J Biol Chem. 1996;271:3118531190.