Circulation Research. 1999;84:1127-1136
(Circulation Research. 1999;84:1127-1136.)
© 1999 American Heart Association, Inc.
Mechanical Stretch Activates the JAK/STAT Pathway in Rat Cardiomyocytes
Jing Pan,
Keiichi Fukuda,
Mikiyoshi Saito,
Junichi Matsuzaki,
Hiroaki Kodama,
Motoaki Sano,
Toshiyuki Takahashi,
Takahiro Kato,
Satoshi Ogawa
From the Cardiopulmonary Division (J.P., K.F., H.K., M. Sano, T.T., T.K.,
S.O.), Department of Internal Medicine, Keio University, Tokyo, and Chugai
Pharmaceutical Co Ltd (M. Saito, J.M.), Shizuoka, Japan.
Correspondence to Keiichi Fukuda, Cardiopulmonary Division, Department of Internal Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. E-mail kfukuda{at}mc.med.keio.ac.jp
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Abstract
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AbstractThis study was
designed to determine whether mechanical
stretch activates the
Janus kinase (JAK)/signal transducers
and activators of
transcription (STAT) pathway in cardiomyocytes
and, if so,
by what mechanism. Neonatal rat/murine cardiomyocytes
were
cultured on malleable silicone dishes and were stretched
by
20%. Mechanical stretch induced rapid phosphorylation
of
JAK1, JAK2, Tyk2, STAT1, STAT3, and glycoprotein 130 as
early
as 2 minutes and peaked at 5 to 15 minutes. It also caused gel
mobility
shift of sis-inducing element, which was supershifted by
preincubation
with anti-STAT3 antibody. Preincubation with CV11974
(AT
1 blocker)
partially inhibited the
phosphorylation of STAT1, but not that
of STAT3.
Preincubation with TAK044 (endothelin-1-type A/B-receptor
blocker)
did not attenuate this pathway. RX435
(antiglycoprotein
130 blocking antibody) inhibited the
phosphorylation of STAT3
and partially inhibited that
of STAT1. Phosphorylation of STAT1
and STAT3 was
strongly inhibited by HOE642 (Na
+/H
+ exchanger
inhibitor)
and BAPTA-AM (intracellular calcium chelator),
but not by gadolinium
(stretch-activated ion channel
inhibitor), EGTA (extracellular
Ca
2+ chelator),
or KN62 (Ca
2+/calmodulin kinase II
inhibitor).
Chelerythrine (protein kinase C
inhibitor) partially inhibited
the
phosphorylation of STAT1 and STAT3. Mechanical stretch
also
augmented the mRNA expression of cardiotrophin-1, interleukin-6,
and
leukemia inhibitory factor at 60 to 120 minutes. These
results
indicated that the JAK/STAT pathway was activated by
mechanical
stretch, and that this activation was partially dependent on
autocrine/paracrinesecreted
angiotensin II and was mainly
dependent on the interleukin-6
family of cytokines but was
independent of endothelin-1. Moreover,
certain levels of intracellular
Ca
2+ were necessary for stretch-induced
activation of this
pathway, and protein kinase C was also partially
involved in this
activation.
Key Words: mechanical stretch angiotensin II cardiac hypertrophy JAK/STAT pathway glycoprotein 130
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Introduction
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Cardiac hypertrophy is a compensatory
response that allows the
heart to cope with the pathogenic stimuli
found with many cardiovascular
diseases.
1
Cardiac hypertrophy is induced by mechanical load
and
humoral factors, such as angiotensin II (Ang
II),
2 endothelin-1
(ET-1),
3 and
norepinephrine.
4 Mechanical stretch is one of
the
most important stimuli of cardiac
hypertrophy.
5 6 Mechanical
stretch-induced
signal transduction is characterized by simultaneous
activation
of multiple second messenger systems. Many studies have
demonstrated
that mechanical stretch caused activation of multiple
intracellular
signal transduction pathways in cultured neonatal
cardiomyocytes,
such as phospholipases (C, D, and
A
2), tyrosine kinases,
p21
ras,
Raf-1, mitogen-activated protein
kinases, c-jun N-terminal protein
kinases, and protein kinase C
(PKC).
7 8 9 Autocrine/paracrinesecreted
growth factors
such as Ang II and ET-1 play an important role
in the stretch-induced
hypertrophic response.
10 11 Although
mechanical stretch
activates multiple second messenger systems,
it remains unclear
which molecules are directly activated by
stretch and how
mechanical stimuli are converted into intracellular
signals to
activate protein kinase cascades and stimulate the
secretion of
growth factors.
The Janus kinase (JAK)/signal transducers and
activators of transcription (STAT) pathway was initially
discovered as a major signal transduction pathway of the
cytokine superfamilies.12 It plays a crucial role
in the growth and differentiation of a variety of cell types. Although
the significance of the JAK/STAT pathway in cardiomyocytes
has not been well characterized, increasing evidence suggests that this
pathway might be involved in the development of myocardial
hypertrophy. We and others have reported that the JAK/STAT
pathway was activated by hypertrophic agonists (leukemia
inhibitory factor [LIF], cardiotrophin-1 [CT-1], and
Ang II) in vitro.13 14 15 16 LIF and CT-1 activated
JAK1, JAK2, Tyk2, STAT1, and STAT3, and Ang II activated JAK2,
Tyk2, STAT1, and STAT2 in cardiomyocytes. Kunisada et
al17 reported that overexpression of constitutive active
STAT3 augmented the LIF-induced increase in
[3H]leucine uptake and hypertrophy
marker gene expression, whereas overexpression of a dominant-negative
STAT3 decreased these events. We have also demonstrated that acute
pressure overload in vivo activated the JAK/STAT pathway and
that Ang II was partially involved in this activation.18
These results suggested that this pathway was critically involved in
the hypertrophic response.
In the present study, we investigated whether the JAK/STAT
pathway was activated by mechanical stretch in cultured
cardiomyocytes and, if so, how. We investigated (1) the
involvement of autocrine/paracrinesecreted growth factors in
stretch-induced activation of this pathway, (2) the role of ion channel
and exchanger, and (3) the cross talk between the JAK/STAT pathway and
other signaling pathways.
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Materials and Methods
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Cell Culture and Cardiomyocyte Stretching
Primary cultures of cardiomyocytes were
prepared from the ventricles
of 1-day-old Wistar rats or ICR mice
(Japan Clea Co Ltd) by
enzymatic dissociation in 0.03% trypsin, 0.03%
collagenase,
and 20 µg/mL of DNase I as described
previously.
13 The
cardiomyocytes were
collected by differential adhesiveness.
Cardiomyocyte-enriched
suspensions were removed from the culture
dishes and plated at a
density of 1
x10
5 cells/cm
2
on silicone
rubber dishes (241 cm) precoated with laminin (2
µg/cm
2).
Twelve hours after plating,
bromodeoxyuridine was added to the
medium at a concentration of
10
-7 mol/L for 12 hours to deplete
residual
nonmyocytes. The experiment was performed on the second
day
from the primary culture, and the final density of the cells
was
1.1
x10
51.2
x10
5
cells/cm
2. The nonmyocyte population
amounted
to

5 to 10% of the total cell population as determined by
immunofluorescence
staining with monoclonal
anti-sarcomeric myosin antibody (MF20).
The cells were grown in
M199/DMEM medium supplemented with 10%
FBS, penicillin (50 U/mL), and
streptomycin (50 µg/mL)
at 37°C in humid air with 5%
CO
2. The culture medium was
changed 24 hours
after seeding to a medium containing 0.1% FBS.
After 8 hours in the
0.1% FBS medium, the culture dishes were
stretched by 20%. Stretching
of cardiomyocytes was accomplished
essentially according to
the method of Komuro et al
5 and Sadoshima
and
Izumo.
6 A 20% stretch was shown to be sufficient to
activate
various signal transduction pathways and not to damage
the stretched
cell.
7 8 9 We carried out stretch and control
experiments simultaneously,
with the same pool of cells in
each experiment.
Immunoprecipitation and Western Blot Analysis
Polyclonal antibodies to JAK1, JAK2, Tyk2, STAT1
/ß, STAT3,
and glycoprotein (gp) 130, and monoclonal antibody to
STAT1
, were purchased from Santa Cruz Biotechnology.
Anti-phosphotyrosine antibody (4G10) was purchased from Upstate
Biotechnology. Polyclonal antibody to phosphospecific STAT3 was
purchased from New England Biolabs, Inc.
To prepare cell extracts, cells were washed 3 times in PBS and then
extracted in lysis buffer containing (in mmol/L) Tris-HCl (pH 7.4)
20, NaCl 100, EDTA 5, NaF 50,
Na3P2O7
10, Na3VO4 1,
phenylmethylsulfonyl fluoride 1, and 1.0% Triton X-100, 10%
glycerol, 0.1% SDS, 1.0% deoxycholic acid, 10 µg/mL aprotinin, and
10 µg/mL leupeptin. The lysates were centrifuged at
10 000g for 15 minutes. Protein concentration was
determined by the Bio-Rad protein assay.
Cell lysates were incubated with 1 µg/mL of the respective
antibodies overnight at 4°C. Immunocomplexes were collected by
incubating with 50 µL of protein A or GSepharose for 2 hours.
Immunoprecipitates were washed 4 times with ice-cold lysis buffer. The
pellets were resuspended in 2x sample buffer containing 50 mmol/L
Tris (pH 6.8), 2% SDS, 2% ß-mercaptoethanol, 2% glycerol, and
bromphenol blue. The samples were subjected to SDS-PAGE and were
transferred to reinforced nitrocellulose membranes (Schleicher &
Schuell). The membranes were blocked with 5% BSA in Tris-buffered
salineTween solution (20 mmol/L Tris-HCl [pH 7.4], 150
mmol/L NaCl, and 0.05% Tween 20) for 2 hours at room temperature.
Blots were immunolabeled overnight at 4°C with anti-phosphotyrosine
antibody or anti-gp130 antibody. Proteins were visualized by enhanced
chemiluminescence (Amersham). The blots were stripped and reprobed with
the same antibodies used for their immunoprecipitation, to ensure equal
loading of the proteins.
For Western blot analysis, cells were lysed in lysis buffer
containing (in mmol/L) Tris (pH 7.6) 20, NaCl 250, EDTA 3, EGTA 3,
and ß-glycerophosphate 3, and 0.5% NP-40 and the protease
inhibitors described above. Immunoblotting
was conducted with anti-phospho-STAT3, and anti-STAT3 antibodies.
Gel Mobility Shift Assay
Cardiomyocytes were rinsed with PBS at 0°C and scraped into
the same buffer. Nuclear extracts were prepared according to standard
methods described previously.13 19 Five micrograms of
nuclear extracts were incubated with 1 µg of poly(dI-dC)-poly(dI-dC)
(Pharmacia Biotech) with or without competitor
oligonucleotide in 20 µL of a solution containing
(in mmol/L) HEPES (pH 7.9) 10, NaCl 50, and EDTA 1, and 10%
glycerol, for 20 minutes at 25°C. The samples were incubated with 1
or 2 fmol of radiolabeled probes (
5000 cpm) for 10 minutes at
25°C. The probes were purchased from Santa Cruz Biotechnology, and
their sequences were described (sis-inducing element [SIE]-DNA,
5'-CAGTTCCCGTCAATC-3'; mutant SIE-DNA, 5'-CAGCCACCGTCAATC). Binding
reactions were resolved on a 4% native polyacrylamide gel
containing TAE buffer containing (in mmol/L) Tris (pH 7.5)
40, sodium acetate 40, and EDTA 1 for 3 hours at 150 V at 4°C. The
gel was dried and exposed to x-ray film for 12 hours. For supershift
assays, nuclear extracts were incubated with 2 µg of antibodies to
STAT1, STAT3, or both and incubated at room temperature for 1 hour, and
the complexes were resolved by gel electrophoresis.
RNA Extraction and Reverse TranscriptasePolymerase Chain Reaction
(RT-PCR) Analysis
Total RNA was extracted from neonatal rat
cardiomyocytes using TRIzol reagent (GIBCO). The samples
were treated with DNase I and then subjected to first-strand synthesis
using oligo(dT) primer and reverse transcriptase (Superscript II). The
PCR reaction was performed in a reaction volume of 20 µL containing
250 mmol/L of dNTP, 50 pmol of each specific primer, and 2.5 U of
Taq polymerase. The primers used were as follows: CT-1
sense, CCCTCTTCACCTCCAACAGTG, and antisense, GAGGCGAGAGCAGAAGAGAA;
interleukin (IL)-6 sense, GACTTCACAGAGGATACCACCC, and antisense,
GACTTCACAGAGGATACCACCC; LIF sense, AGTCAACTGGCTCAACTCAACG, and
antisense, CTGGGCCAACACACTTATGACT; and ciliary neurotrophic factor
(CNTF) sense, GGATGGCTTTCGCAGAGCAAAC, and antisense,
AGGACCTTCAAGCCCCATAGCT. Denaturing, annealing, and extension reactions
were performed at 95°C for 30 seconds, 58 to 60°C for 1 minute, and
72°C for 1 minute, respectively. Before the quantitative
analysis, the linear range of the PCR cycles was measured for
each cytokine, and the appropriate number of PCR cycles was
determined.
-Tubulin was used as an internal control for each
sample.
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Results
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Mechanical Stretch Activates the JAK Family
Kinases
We initially determined whether mechanical stretch would result
in
tyrosine phosphorylation of the JAK kinases. After
stretching,
cardiomyocytes were lysed and
immunoprecipitated with anti-JAK1,
anti-JAK2, or anti-Tyk2 antibody and
immunoblotted with anti-phosphotyrosine
antibody (Figure 1

). JAK1, JAK2, and Tyk2 were rapidly
phosphorylated
at 2 minutes, which peaked at 5 minutes
and decreased thereafter.
These findings indicated that mechanical
stretch could directly
or indirectly activate the JAK kinases
in rat cardiomyocytes.

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Figure 1. Effect of mechanical stretch on
phosphorylation of JAK kinases. Cell lysates were
immunoprecipitated with antibodies to JAK1, JAK2, and Tyk2 and
immunoblotted with anti-phosphotyrosine antibody.
Mechanical stretch induced rapid tyrosine
phosphorylation of JAK1, JAK2, and Tyk2. Membranes were
stripped and reprobed with anti-JAK1, -JAK2, and -Tyk2 antibodies. All
experiments were performed at least 4 times.
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Mechanical Stretch Activates STAT1 and STAT3
To demonstrate that mechanical stretch would activate the
STAT families, we first analyzed the tyrosine
phosphorylation of STAT1 and STAT3 by
immunoprecipitation-Western blot analysis (Figure 2A
). After mechanical stretching, STAT1
and STAT3 were phosphorylated as early as 2 minutes,
which peaked at 5 to 15 minutes and then gradually decreased, but
remained elevated at 30 minutes. The dual bands in the upper panel
indicate STAT1
and STAT1ß.

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Figure 2. Effect of mechanical stretch on activation of
STATs. A, Effect of stretch on phosphorylation of
STATs. After cells were stretched for the indicated times, cell lysates
were immunoprecipitated with antibodies to STAT1 or STAT3 and
immunoblotted with anti-phosphotyrosine antibody. Membranes
were stripped and reprobed with anti-STAT1 /ß or STAT3 antibodies.
Four separate experiments showed similar results. B, Effect of stretch
on SIF formation. Left, Gel mobility shift assay was performed using
nuclear extracts from stretch-treated cardiomyocytes.
Nuclear extracts (5 µg) were incubated with the
32P-labeled SIE (containing a STAT binding site)
oligonucleotide for 20 minutes at 25°C and resolved
by native 4% TAE polyacrylamide gel electrophoresis.
Competition experiments (comp. SIE) were performed with a 100-fold
excess of unlabeled SIE oligonucleotide (lane 6), and a
mutant labeled SIE oligonucleotide was used as a
negative control (lane 7). Right, Nuclear extracts from
stretch-stimulated cells were preincubated with anti-STAT1 (S1),
anti-STAT3 antibody (S3), or both antibodies, and the complexes were
resolved on a 4% native polyacrylamide gel. Note that
anti-STAT3 antibody significantly removed the SIF complex rather than
supershifting it. C, Effect of JAK2 kinase inhibitor on
phosphorylation of STATs. Cardiomyocytes were
pretreated with AG490 (4x10-5 mol/L) for 30 minutes and
stretched by 20% for 6 minutes. The phosphorylation of
STATs was detected. The blot presented is
representative of 3 independent experiments. IP
indicates immunoprecipitation; pTyr, phosphotyrosine; +, incubation or
stimulation (+); and -, incubation or stimulation (-).
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The DNA binding activity of STATs depends primarily on tyrosine
phosphorylation. To investigate whether mechanical
stretch induces sis-inducing factor (SIF)like activity in
cardiomyocytes, we performed a gel mobility shift assay
using 32P-labeled SIE
oligonucleotide. As shown in Figure 2B
, left,
stimulation of cardiomyocytes by mechanical stretch
resulted in the induction of protein complexes that bound to the SIE
oligonucleotide. The specific DNA-protein complex
increased from 5 minutes, peaked at 30 minutes, and decreased at 60
minutes. No mobility shift was observed with mutant SIE probe (lane 7),
and the addition of higher concentrations of unlabeled SIE competed
with the SIF complexes (lane 6), confirming the specificity of binding
to SIE. A supershift assay revealed that incubation of the DNA-protein
complex with anti-STAT1 antibody only mildly inhibited binding of the
SIF band, but incubation with anti-STAT3 antibody or with both
anti-STAT1 and anti-STAT3 antibodies significantly inhibited the
binding of SIF complexes in stretch-stimulated
cardiomyocyte extracts (Figure 2B
, right). The
antibody to STAT3 removed the SIF complexes rather than supershifting
them. The anti-STAT3 antibody used is a polyclonal antibody that
recognizes amino acids 626 to 640. This antibody does not directly
recognize the DNA binding domain but seems to have inhibited the
binding of STAT3 to DNA. These results indicated that mechanical
stretch induced homodimerization or heterodimerization of STAT1 and
STAT3 and formation of SIF complexes.
Inhibition of Phosphorylation of STATs by a JAK2
Kinase Inhibitor
Recent studies have reported that STAT1 and STAT3 can be
phosphorylated by several tyrosine kinases other than
JAK families. To determine whether the phosphorylation
of STAT1 and STAT3 induced by stretching was mediated by the JAK
kinasedependent pathway, we investigated the effect of a specific
JAK2 kinase inhibitor, AG490, on the
phosphorylation of STATs. Cardiomyocytes were
pretreated with 4x10-5 mol/L of AG490 for 30
minutes before stretching. As shown in Figure 2C
, AG490
significantly inhibited the phosphorylation of STAT1
and STAT3. We have observed that AG490 did not affect the LIF-induced
tyrosine phosphorylation of JAK1 and Tyk2, but it
inhibited LIF-induced phosphorylation of STAT3 by 88%
and slightly inhibited that of STAT1 (H.K., K.F., unpublished data,
1998). These data suggested that JAK2 kinase activity was
necessary for stretch-induced activation of STAT1 and STAT3 in
cardiomyocytes.
Autocrine/ParacrineSecreted Ang II but Not ET-1 Is Partially
Involved in Phosphorylation of STATs
Previous studies have reported that mechanical stretch
stimulates secretion of Ang II and ET-1 in cardiomyocytes
and that both factors are involved in the development of mechanical
stretch-induced cardiac hypertrophy.10 11 We
have reported that pressure overload-induced activation of the JAK/STAT
pathway was partially dependent on Ang II, mediated via the
AT1.18 Thus, we investigated whether
these 2 factors were involved in the mechanical stretch-induced
phosphorylation of STATs. As shown in Figure 3A
and 3B
, CV11974
(AT1 antagonist) partially inhibited
the phosphorylation of STAT1
and STAT1ß induced by
mechanical stretch, whereas it completely inhibited that of STAT1
induced by Ang II. CV11974 did not affect the
phosphorylation of STAT3 induced by mechanical stretch.
Pretreatment with TAK044 (ET-1 type A/B receptor
antagonist) did not inhibit the
phosphorylation of STAT1 and STAT3 induced by
mechanical stretch (Figure 3C
). As shown in Figure 3D
, we
have observed that ET-1 stimulation did not tyrosine
phosphorylate STAT3 until 30 minutes. It induced tyrosine
phosphorylation of STAT1 at 2 to 5 minutes, although
only at a very low level. TAK044 completely inhibited the
phosphorylation of STAT1 induced by ET-1. These
findings indicated that autocrine/paracrine-secreted Ang II or ET-1 did
not seem to be involved in the activation of STAT3 induced by
mechanical stretch, and Ang II was partially involved in the activation
of STAT1, whereas ET-1 did not seem to be involved in this
activation.

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Figure 3. Effect of autocrine/paracrine factors on
stretch-induced tyrosine phosphorylation of STATs. A,
Effect of CV11974 on phosphorylation of STATs induced
by mechanical stretch. Cardiomyocytes were pretreated with
AT1 blocker CV11974 (10-6 mol/L) for 1 hour
and stretched by 20% for 6 minutes. Note that the
phosphorylation of STAT1 was partially inhibited by
CV11974, whereas that of STAT3 was unaffected. B, Effect of CV11974 on
phosphorylation of STAT1 induced by Ang II. CV11974
(10-6 mol/L) completely inhibited the
phosphorylation of STAT1 induced by Ang II. C, Effect
of TAK044 on phosphorylation of STATs induced by
mechanical stretch. Cardiomyocytes were pretreated with ET-1 blocker
TAK044 (10-6 mol/L) for 1 hour and stretched by 20% for 6
minutes. Phosphorylation of STAT1 and STAT3 was
unaffected by TAK044. D, Effect of TAK044 on
phosphorylation of STATs induced by ET-1. ET-1 induced
phosphorylation of STAT1 but did not affect that of
STAT3. TAK044 (10-6 mol/L) completely inhibited the
phosphorylation of STAT1 induced by ET-1. Abbreviations
as in Figure 2 .
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Involvement of gp130-Related Signaling in Stretch-Induced
Activation of STATs
To demonstrate that gp130-related signaling was involved in the
stretch-induced activation of this pathway, we preincubated the cells
with anti-mouse gp130-specific blocking antibody RX435 for 30 minutes
and observed the tyrosine phosphorylation of STAT1 and
STAT3. RX435 specifically blocks the actions of LIF, IL-6, IL-11, and
oncostatin M on mouse myeloid leukemic M1 cells and inhibits the
binding of CT-1 to M1 cells.20 RX435 strongly reduced the
stretch-induced phosphorylation of STAT3 and slightly
inhibited the phosphorylation of STAT1
/ß (Figure 4A
and 4B
). We then detected the
phosphorylation of gp130 (Figure 4C
). gp130 was
rapidly phosphorylated at 2 minutes after stretching,
gradually decreased, and returned to the control level at 30 minutes.
These findings suggested that the IL-6 family of cytokines is
critically involved in the stretch-induced activation of STATs,
especially STAT3, in cardiomyocytes.

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Figure 4. Involvement of gp130-mediated signaling in
stretch-induced tyrosine phosphorylation of STATs. A,
Effect of RX435 on tyrosine phosphorylation of STAT3.
Mouse cardiomyocytes were stretched by 20% for 6 minutes
with or without pretreatment with RX435 (10 µg/mL), anti-gp130
blocking antibody, for 30 minutes. Cell lysates were electrophoresed
and blotted with anti-phospho-STAT3 antibody, and the membrane was
reprobed with anti-STAT3 antibody. Cells were stimulated with LIF (1000
U/mL, lanes 5 and 6) for 6 minutes as a positive control. Note that
RX435 inhibited the LIF-induced phosphorylation of
STAT3 (lane 6). Stretch-induced phosphorylation of
STAT3 was inhibited by RX435. B, Cell lysates were immunoprecipitated
with anti-phosphotyrosine antibody and immunoblotted with
antibodies to STAT1 /ß or STAT3. Stretch-induced tyrosine
phosphorylation of STAT3 was strongly inhibited by
RX435, whereas that of STAT1 was only partially inhibited. C,
Mechanical stretch-induced phosphorylation of gp130.
Rat cardiomyocytes were stretched for the indicated times.
Cell lysates were immunoprecipitated with anti-phosphotyrosine antibody
and immunoblotted with anti-gp130 antibody. The data
presented are representative of 3 independent
experiments. D, Mechanical stretch induces CT-1, IL-6, and LIF mRNA expression. RT-PCR
revealed that mechanical stretch induced mRNA expression of IL-6 family
of cytokines in cardiomyocytes. Abbreviations as in
Figure 2 .
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Expression of the IL-6 Family of Cytokines in
Stretched Cardiomyocytes
On the basis of the above results, we further tested the levels of
expression of CT-1, IL-6, LIF, and CNTF mRNA by RT-PCR in stretched
cardiomyocytes (Figure 4D
). We used 23 cycles for
IL-6 and
-tubulin, 28 cycles for CT-1 and CNTF, and 30 cycles for
LIF. The expression of CNTF was unaffected by stretch stimulation. In
contrast, expression of CT-1, IL-6, and LIF mRNA increased after
stretching and peaked at 60 to 120 minutes. These results were
reproducible in 3 separate experiments. These findings indicated that
mechanical stretch was involved not only in rapid secretion but also in
mRNA expression of the IL-6 family of cytokines in
cardiomyocytes.
Role of ion channels and Na+/H+ exchanger
(NHE) in Stretch-Induced Phosphorylation of
STATs
To determine whether mechanosensitive ion channels and NHE are
involved in stretch-induced activation of STATs, we pretreated the
cells with either a specific inhibitor of the
stretch-sensitive cation channel (10-5 mol/L
gadolinium) or an NHE inhibitor
(10-5 mol/L HOE642) and stretched the cells by
20% for 6 minutes. The results are shown in Figure 5
. Stretch-induced
phosphorylation of STAT1 and STAT3 was not affected by
pretreatment with gadolinium. In contrast,
phosphorylation of STAT1 and STAT3 was strongly
inhibited by HOE642. These results suggested that stretch-induced
phosphorylation of STATs was partially dependent on the
activation of NHE.
Role of Ca2+ in Mediating Stretch-Induced
Phosphorylation of STATs
A previous study7 reported that mechanical stretch
increased intracellular Ca2+. It remains unclear
whether these pathways are involved in the activation of STATs induced
by mechanical stretching. In this study, we observed that the addition
of EGTA (4x10-3 mol/L) to the culture medium
resulted in no significant reduction of the
phosphorylation of STAT1 and STAT3. In contrast, the
stretch-induced phosphorylation of STAT1 and STAT3 was
completely attenuated by buffering the intracellular free
Ca2+ with the pretreatment of membrane-permeable
BAPTA-AM (1x10-4 mol/L). This inhibition was
dose dependent (Figure 6A
and 6B
). Next,
we pretreated the cells with the calmodulin kinase II
antagonist KN62 for 30 minutes and found that KN62 had no
significant effect on phosphorylation of STAT1 and
STAT3 (Figure 6A
). These results suggested that certain levels
of intracellular Ca2+ play a pivotal role in
stretch-induced activation of STATs, and that
Ca2+ influx was not apparently necessary for
stretch-induced activation of this pathway.

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Figure 6. Role of Ca2+ in stretch-induced
activation of STATs. A, Cardiomyocytes were stretched by 20% for 6
minutes with or without pretreatment with EGTA (4x10-3
mol/L) for 30 minutes, KN62 (1x10-5 mol/L) for 30
minutes, and BAPTA-AM (10-4 mol/L) for 60 minutes. B,
Cardiomyocytes were stretched for 6 minutes with or without
pretreatment of the indicated concentrations of BAPTA-AM for 60
minutes. Abbreviations as in Figure 2 .
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Role of PKC in Mediating Stretch-Induced
Phosphorylation of STATs
Mechanical stretch activates PKC in
cardiomyocytes, and PKC is critically involved in
stretch-induced mitogen-activated protein kinase
activation.7 To investigate the role of PKC in
stretch-induced activation of STATs, we stimulated the cells with
phorbol 12-myristate 13-acetate (PMA)
(1x10-6 mol/L), a direct activator
of PKC, and blocked the PKC activity with chelerythrine
(1x10-5 mol/L) and observed the
phosphorylation of STATs. As shown in Figure 7
, PMA caused significant
phosphorylation of STAT1 and STAT3. Pretreatment with
chelerythrine for 30 minutes significantly attenuated the
phosphorylation of STAT1 and STAT3. These results
suggested that PKC is partially involved in stretch-induced activation
of STATs.

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Figure 7. Role of PKC in stretch-induced activation of
STATs. Cardiomyocytes were stretched by 20% for 6 minutes with or
without pretreatment with chelerythrine (10-5 mol/L) for
30 minutes. Cells were also stimulated with PMA (10-6
mol/L) for 120 minutes (right lanes). Phosphorylation
of STAT1 and STAT3 was partially inhibited by chelerythrine.
Abbreviations as in Figure 2 .
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Discussion
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In the present study, we demonstrated that mechanical stretch
induced
rapid phosphorylation of JAK1, JAK2, Tyk2,
STAT1, STAT3, and
gp130 and induced formation of SIF complexes in rat
cardiomyocytes.
The stretch-induced activation of STAT1 and
STAT3 was partially
dependent on JAK2 kinase. We also found that
autocrine/paracrinesecreted
Ang II was partially involved in
stretch-induced phosphorylation
of STAT1 but that ET-1
was not involved in this activation.
In contrast, the IL-6
cytokine familyrelated signaling
pathway plays an important
role in the stretch-induced activation
of this pathway in
cardiomyocytes. Moreover, mRNA expression
of the IL-6
family of cytokines was upregulated by mechanical
stretch. NHE
activation was involved in the activation of STATs.
In contrast,
stretch-sensitive cation channels did not appear
to be involved in this
activation. We also demonstrated that
intracellular
Ca
2+ was required for the stretch-induced
activation
of STATs and that the activation of PKC was partially
involved
in this activation in cardiomyocytes.
Accumulating evidence has demonstrated that mechanical stretch
stimulates production or secretion of growth factors and that
an autocrine/paracrine response is a common mechanism used in
stretch-induced cell growth.3 10 11 Ang II and ET-1 have
been shown to play an important role in mediating stretch-induced
cardiac hypertrophy in cardiomyocytes. Thus, we
investigated whether the autocrine/paracrinesecreted Ang II and/or
ET-1 was involved in the activation of STATs. We have previously
reported that Ang II phosphorylated JAK2, Tyk2, STAT1,
and STAT2, but not JAK1 or STAT3, at up to 30 minutes and that CV11974
significantly inhibited the Ang II-induced
phosphorylation of STAT1.16 In this study,
we observed that ET-1 did not cause phosphorylation of
STAT3 at least up to 30 minutes and that it slightly tyrosine
phosphorylated STAT1 at 2 to 5 minutes. Moreover, we
observed that the phosphorylation of STAT1 was
completely inhibited by TAK044. These findings indicated that
autocrine/paracrinesecreted Ang II or ET-1 might be involved in the
stretch-induced phosphorylation of STAT1 but would not
be involved in that of STAT3. The present study revealed that
autocrine/paracrinesecreted Ang II was partially involved in the
stretch-induced phosphorylation of STAT1; however, we
could not confirm that ET-1 was involved in this activation. Moreover,
the present findings on STAT3 indicated that factors other than Ang
II and ET-1 were involved in the activation of STATs induced by
mechanical stretch.
We and others have previously demonstrated that LIF causes
cardiac hypertrophy and activated the JAK/STAT
pathway.13 14 The other IL-6related cytokines,
including CNTF, oncostatin M, and CT-1, also activate the
JAK/STAT pathway via gp130.15 21 22 gp130 functions as a
common cytokine signal transducer for the IL-6 family of
cytokines, and targeting of the gp130 gene leads to the failure
of myocardium to mature.23 Moreover,
transgenic mice expressing both IL-6 and IL-6 receptor displayed
constitutive tyrosine phosphorylation of gp130 in the
myocardium and led to cardiac
hypertrophy.24 These findings suggested that a
gp130-dependent signaling pathway might be critically involved in the
hypertrophic response of cardiomyocytes. In this study, we
demonstrated that the gp130-dependent pathway plays an important role
in mechanical stretch-induced activation of the JAK/STAT pathway.
Pretreatment with RX435 significantly reduced the
phosphorylation of STAT1 and STAT3, especially that of
STAT3. We also found that gp130 receptor was rapidly
phosphorylated by stretching. The finding that the
phosphorylation of STAT3 was almost completely
inhibited by RX435 suggested that this family of cytokines
plays a pivotal role in stretch-induced activation of STAT3. In
contrast, given that the phosphorylation of STAT1 was
partially inhibited by both RX435 and CV11974, it seems that both Ang
II and the IL-6 family of cytokines might be involved in the
activation of STAT1 in cardiomyocytes.
Recent studies have revealed that ion channels and ion exchangers
in the cell membrane can rapidly respond to extracellular stimuli and
play a pivotal role in fundamental cell functions.25 26
Therefore, there is the possibility that the JAK/STAT pathway is
directly activated by mechanical stretch or indirectly
activated by these upstream modulators. By using a nonselective
cation channel blocker, gadolinium,27 we demonstrated that
the stretch-sensitive cation channels nonselective for
Na+ and K+ were not
involved in stretch-induced phosphorylation of STATs.
In contrast, the NHE inhibitor HOE64228
significantly reduced the phosphorylation of STAT1 and
STAT3. Accumulating evidence has demonstrated that NHE can be
activated by mechanical stretch,29 and the
activation of NHE can increase H+ efflux and
Na+ influx. Na+ entering
the cell via NHE activation may be exchanged for
Ca2+ via an
Na+/Ca2+ exchanger, leading
to an increase in intracellular Ca2+
concentrations.30 Ca2+ has been
demonstrated to play an important role in the process of cardiac
hypertrophy.31 Dose-dependent effects of
BAPTA-AM demonstrated that certain levels of intracellular
Ca2+ were required for the stretch-induced
phosphorylation of STAT1 and STAT3. This suggests that
the NHE might be involved in the stretch-induced
phosphorylation of STATs through increasing
Ca2+ levels. To our knowledge, this is the first
report to show that intracellular calcium is required for the tyrosine
phosphorylation of STATs. The precise mechanism needs
to be clarified in the future (see proposed mechanism in Figure 8
).

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|
Figure 8. Proposed mechanism of stretch-induced
activation of the JAK/STAT pathway in cardiomyocytes.
IP3 indicates inositol triphosphate.
|
|
The JAK/STAT pathway was previously identified as a direct signaling
pathway, linking cytokine and growth factor receptors directly
to the nucleus. Recent studies have demonstrated interference between
the JAK/STAT pathway and other known signaling
pathways.32 33 Initially, tyrosine
phosphorylation of STAT was thought to be the sole
function of JAKs, but many lines of evidence have demonstrated that
tyrosine phosphorylation of STAT can occur even in the
absence of JAK kinase activity.34 Intrinsic receptor
kinase activity of the growth factor receptors or intracellular kinases
such as v-src and v-abl were demonstrated to induce
phosphorylation of STAT directly or through the
activation of JAK kinases.35 36 These results suggested
that a cross talk existed between the JAK/STAT pathway and other
different signaling pathways. In the present study, we have shown
that the stretch-induced phosphorylation of STAT1 and
STAT3 was partially dependent on PKC activity. A previous report showed
that PKC was activated by mechanical stretch. The precise
mechanism by which PKC modulates the mechanical stretch-induced
phosphorylation of STATs remains unknown. There is the
possibility of cross talk between the JAK/STAT pathway and PKC or the
existence of other molecules upstream of the STATs. Further studies are
needed to clarify this mechanism.
The mechanical stretch of cultured cardiomyocytes in vitro
is not a perfect model of in vivo pressure overload and has some
drawbacks when used as a surrogate for hypertrophic signaling, given
that pressure overload-induced hypertrophy takes several
days in animals and years in humans. We reported that acute pressure
overload activated the JAK/STAT pathway via the Ang
IIdependent and independent pathway in rat heart. It should be
clarified whether chronic pressure overload causes constitutive
activation of this pathway in in vivo heart.
In conclusion, the JAK/STAT pathway was activated by
mechanical stretch, and this activation was partially dependent on
autocrine/paracrinesecreted Ang II and was mainly dependent on the
IL-6 family of cytokines but was independent of ET-1. Moreover,
certain levels of intracellular Ca2+ were
necessary for stretch-induced activation of this pathway, and PKC was
also partially involved in this activation (Figure 8
).
 |
Acknowledgments
|
|---|
This study was supported by a research grant, under the auspices
of
the Research for the Future Program, from the Japan Society
for the
Promotion of Science (JSPS-RFTF97I00201) and by research
grants from
the Ministry of Education, Science and Culture,
Japan, and the Ministry
of Welfare, Japan. The authors acknowledge
Rie Inaba and Yoshiko
Kurokawa for technical assistance.
Received October 2, 1998;
accepted March 19, 1999.
 |
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