Molecular Medicine |
Expression in Neonatal Rat Cardiac Myocytes
From the Third Department of Internal Medicine (H.T., T.N., M.A., T.T., T.S., Y.M.), Chiba University School of Medicine, and Department of Cardiovascular Medicine (T.O., I.K.), University of Tokyo Graduate School of Medicine, Japan.
Correspondence to Hiroyuki Takano, MD, PhD, Third Department of Internal Medicine, Chiba University School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan. E-mail htakano-cib{at}umin.ac.jp
| Abstract |
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(TNF-
) expression is
elevated in the failing heart and that TNF-
has a negative inotropic
effect on cardiac myocytes. Therefore, we examined the effects of
PPAR
and PPAR
activators on expression of TNF-
in
neonatal rat cardiac myocytes. Northern blot analysis revealed
expression of PPAR
and PPAR
mRNA in cardiac myocytes.
Immunofluorescent staining demonstrated that both PPAR
and
PPAR
were expressed in the nuclei of cells. When cardiac myocytes
were transfected with PPAR responsive element (PPRE)-luciferase
reporter plasmid, both PPAR
and PPAR
activators
increased the promoter activity. Cardiomyocytes were stimulated with
lipopolysaccharide (LPS), and the levels of TNF-
in the
medium were measured by ELISA. After exposure to LPS, the levels of
TNF-
significantly increased. However, pretreatment of myocytes with
PPAR
or PPAR
activators decreased LPS-induced
expression of TNF-
in the medium. Both PPAR
and PPAR
activators also inhibited LPS-induced increase in TNF-
mRNA in myocytes. In addition, electrophoretic mobility shift assays
demonstrated that PPAR activators reduced LPS-induced
nuclear factor-
B activation. These results suggest that both PPAR
and PPAR
activators inhibit cardiac expression of
TNF-
in part by antagonizing nuclear factor-
B activity and that
treatment with PPAR activators may lead to improvement in
congestive heart failure.
Key Words: peroxisome proliferatoractivated receptor tumor necrosis factor-
nuclear factor-
B cardiac myocyte
| Introduction |
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(TNF-
) is a proinflammatory
cytokine that has been implicated in the pathogenesis of
cardiovascular diseases, including congestive heart
failure, acute myocardial infarction, myocarditis, and dilated
cardiomyopathy.1 2 Several lines of
evidence indicate that the levels of circulating TNF-
are elevated
in patients with congestive heart failure and that TNF-
expresses in
the failing myocardium.3 4 Previous studies
have demonstrated that TNF-
has direct negative inotropic effects on
cardiac muscle cells.5 6 It has been suggested that
TNF-
may contribute to the progression of congestive heart failure.
Indeed, recent studies have shown that transgenic mice with myocardial
expression of TNF-
develop a dilated
cardiomyopathy and have documented a severe
impairment of cardiac function.7 8 Although modulation of
TNF-
in cardiovascular diseases is a critical
therapeutic strategy, the molecular mechanisms that regulate cardiac
TNF-
expression are unknown.
Peroxisome proliferatoractivated receptors (PPARs) are
transcription factors belonging to the nuclear receptor superfamily
that heterodimerize with the retinoid X receptor and bind to specific
response elements termed PPAR responsive elements (PPREs) in
target gene promoters.9 PPARs have 3 isoforms,
, ß
(or
), and
. PPAR
regulates genes involved in the
ß-oxidative degradation of fatty acids, whereas PPAR
promotes
adipocyte differentiation and glucose homeostasis. Hypolipidemic drugs
(clofibrate, gemfibrozil, and Wy14643) are known to be ligands for
PPAR
.10 Natural prostaglandin
D2 metabolite,
15-deoxy-
12,14-prostaglandin
J2 (15d-PGJ2), and synthetic antidiabetic
thiazolidinedione (troglitazone and BRL49653) are identified as ligands
for PPAR
.11 PPAR
is present in liver, kidney,
and muscle, whereas PPAR
is expressed predominantly in adipose
tissue.12 13 14 It was recently reported that PPAR
activators inhibit inflammatory responses in aortic smooth
muscle cells,15 whereas PPAR
activators
suppress production of inflammatory cytokines in
activated macrophages.16 17 Therefore, we
hypothesized that PPAR activators might regulate cardiac
expression of TNF-
. In the present study, we first examined the
expressions of PPAR
and PPAR
in neonatal rat cardiac myocytes. We
demonstrate that both PPAR
and PPAR
are expressed in the nuclei
of cardiomyocytes. Furthermore, we investigated whether
PPAR activators regulate lipopolysaccharide
(LPS)induced TNF-
expression. Our results show that PPAR
activators inhibit TNF-
expression at the
transcriptional level in part by preventing nuclear factor-
B
(NF-
B) activity in cardiomyocytes.
| Materials and Methods |
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Cell Culture
Primary cultures of cardiac myocytes were prepared from
ventricles of 1-day-old Wistar rats as described
previously,18 basically according to the method of Simpson
and Savion.19 Cardiomyocytes were plated at a field
density of 1x103 cells/mm2
on 35- or 100-mm culture dishes (Falcon Primaria) and cultured in MEM
containing 5% bovine calf serum.
RNA Extraction and Northern Blot Analysis
Total RNA was isolated by the guanidinium thiocyanatephenol
chloroform method, and 20 µg of total RNA was used in Northern blot
analysis. The following cDNA fragments were used as probes: rat
PPAR
cDNA, murine PPAR
1 cDNA, and murine TNF-
cDNA.
Immunocytochemistry
To prove that cardiomyocytes express PPAR
and
PPAR
, double staining was performed with goat polyclonal
anti-PPAR
or -PPAR
antibody (Santa Cruz Biotechnology) and mouse
monoclonal anti-cardiac troponin I antibody (generous gift from Dr N.
Toyota, Chiba University). Proteins were visualized using secondary
Cy3-conjugated anti-goat IgG and FITC-conjugated anti-mouse IgG
antibody (Jackson ImmunoResearch Laboratories). Substitution of the
primary antibody with a normal goat IgG was used as control.
Specificity of PPAR antibodies was checked by Western blot
analysis.
Transient Transfection Assay
The reporter construct (PPRE)3-TK-LUC was
constructed by inserting 3 copies of the PPRE site from rat acyl-CoA
oxidase promoter into the SalI site of the basal reporter
construct TK-LUC, which contains a thymidine kinase promoter fused to a
firefly luciferase gene.9 Cardiac myocytes were
cotransfected with the reporter plasmid and pRL-SV40 control plasmid,
which contains a Renilla luciferase gene, by the calcium
phosphate method. At 6 hours after transfection, cells were washed with
PBS, PPAR
or PPAR
activator was added in the medium,
and cells were incubated further for 24 hours.
Measurement of TNF-
Cardiac myocytes were pretreated for 18 hours with various PPAR
activators and stimulated with LPS from Escherichia
coli 0127 (10 ng/mL) for 6 hours. At the end of the treatment
period, the supernatants were collected, and the levels of TNF-
were
measured with a rat TNF-
UltraSensitive ELISA kit (Biosource).
Electrophoretic Mobility Shift Assay (EMSA)
For EMSA, cardiac myocytes were pretreated with various PPAR
activators for 23 hours before stimulation with LPS (10
ng/mL) for 1 hour. Nuclear extracts from cells were prepared as
described previously.20 Nuclear extracts (5 µg) were
incubated with the 32P-labeled NF-
B consensus
oligonucleotide (AGTTGAGGGGACTTTCCCAGGC) (Promega).
Specificity was determined by addition of an excess of unlabeled
NF-
B oligonucleotide. Supershift analysis
was performed by incubating nuclear extracts with anti-p50 or anti-p65
antibodies (catalogue Nos. sc-114X and sc-109X, respectively, Santa
Cruz Biotechnology). EMSA was performed as described
previously.20
Statistical Analysis
Data are presented as mean±SEM. Statistical
analysis was performed using 1-way ANOVA, and a Student
t test was used to examine significance of difference in 2
groups.
A value of P<0.05 was considered to be statistically significant.
| Results |
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and PPAR
Are Expressed in Neonatal Rat Cardiac
Myocytes
and PPAR
mRNAs in cardiac myocytes (Figure 1A
and PPAR
protein in
cardiomyocytes, double staining with an antibody to cardiac
troponin I, which specifically stains the cytoplasm of cardiac
myocytes, and an antibody to PPAR
or PPAR
was performed.
Immunostaining with troponin I antibody demonstrated
that a routine preparation contains 90% to 95%
cardiomyocytes, as described previously.18
Staining with PPAR
antibody revealed immunoreactivity in the nuclei
of myocytes (Figure 1B
antibody was performed (Figure 1B
or PPAR
was detectable when normal goat IgG
was used (Figure 1B
and PPAR
antibodies to determine the
specificity of both antibodies (Figure 1C
and PPAR
are expressed in rat
cardiac myocytes.
|
PPAR Activators Induce Transcriptional Activity of
Endogenous PPARs
Because PPARs are ligand-dependent transcription factors, we
sought to determine whether endogenous PPARs are
transcriptionally active in cardiac myocytes. Myocytes were transiently
cotransfected with the (PPRE)3-TK-LUC reporter plasmid and
pRL-SV40 control plasmid and subsequently treated with PPAR
(Wy14643
and gemfibrozil) or PPAR
(BRL49653 and troglitazone)
activator. After 24 hours, cells were harvested for
assessment of luciferase activity. Both PPAR
and PPAR
activators increased luciferase activity (Figure 2
). These results suggest that
endogenous PPARs function as ligand-dependent transcription
factors, which bind to PPRE.
|
PPAR Activators Inhibit LPS-Induced TNF-
Production
Recently, it was reported that LPS (10 ng/mL, 6 hours) induces an
increase in TNF-
secretion by
cardiomyocytes.21 Therefore, we examined the
effects of PPAR activators on LPS-induced TNF-
expression by ELISA. Cells were pretreated for 18 hours with various
PPAR
(Wy14643 and gemfibrozil) or PPAR
(BRL49653 and
troglitazone) activators and subsequently stimulated with
LPS for 6 hours. As previously described,21 LPS (10 ng/mL,
6 hours) significantly induced TNF-
production (116.6±10.7
pg/mL) (Figure 3A
). All PPAR
activators significantly inhibited LPS-induced TNF-
expression (Figure 3A
). However, when myocytes were exposed to
PPAR activators at the time of or after LPS stimulation,
TNF-
expression was not inhibited (data not shown). These changes
were not due to cell death because cellular protein content was equal
in each sample and myocyte beating appeared the same. Similarly,
15d-PGJ2, which is known as a ligand for PPAR
, inhibited
LPS-induced TNF-
expression (data not shown). Although
15d-PGJ2 has been suggested to inhibit the
production of inflammatory cytokines through the
activation of PPAR
, recent study has shown that 15d-PGJ2
exerts a direct inhibitory effect on the activity of the
inhibitor of nuclear factor-
B (I
B)
kinase.22 As I
B kinase is responsible for NF-
B
activation and TNF-
production, there is a possibility that
15d-PGJ2 may regulate TNF-
production,
independent of PPAR
activation. Therefore, we used both BRL49653 and
troglitazone as PPAR
activators to examine whether
PPAR
activators inhibit TNF-
expression. These data
indicate that both PPAR
and PPAR
activators decrease
LPS-induced TNF-
production in
cardiomyocytes.
|
PPAR Activators Repress LPS-Induced TNF-
mRNA
Expression
Northern blot analysis demonstrated increased TNF-
mRNA
after stimulation of cardiac myocytes with LPS (10 ng/mL) for the
indicated times (Figure 3B
, a). TNF-
mRNA level started to
increase 30 minutes after stimulation with LPS, peaked at 1 hour, and
decreased gradually thereafter (Figure 3B
, a). We next examined
whether PPAR activators regulate LPS-induced TNF-
mRNA
expression in myocytes. Cells were pretreated with PPAR
(Wy14643) or
PPAR
(BRL49653) (Figure 3B
, b and c) activator
for 23 hours and were subsequently stimulated with LPS (10 ng/mL) for 1
hour. Both PPAR activators inhibit LPS-induced TNF-
mRNA
expression in cardiac myocytes. These results indicate that both
PPAR
and PPAR
activators inhibit LPS-induced TNF-
production at the mRNA level.
PPAR Activators Reduce LPS-Induced NF-
B
Activation
TNF-
transcription is regulated by transcription factor
binding sites present within the TNF-
promoter. It has been
reported that LPS induction of TNF-
promoter activity is dependent
on NF-
B binding sites and that LPS treatment of macrophages
stimulates the nuclear translocation of NF-
B.23 24
Therefore, we performed EMSAs to investigate whether PPAR
activators inhibit NF-
B activation in cardiac myocytes.
Specificity of DNA-binding complexes was assessed in competition
experiments by adding an excess of unlabeled NF-
B
oligonucleotide to incubation mixtures.
Characterization of NF-
B was performed by incubating nuclear
extracts with antibodies directed against p50 and p65 subunits.
Stimulation of cells with LPS (10 ng/mL) led to an increase in NF-
B
binding activity reaching a plateau between 60 and 120 minutes (Figure 4A
). Cells were pretreated with
various PPAR activators for 23 hours before LPS (10 ng/mL)
stimulation for 1 hour. Both PPAR
and PPAR
activators
reduced LPS-induced increase in NF-
B binding activity (Figures 4B
and 4C
). In the presence of excess consensus, the
shifted band was abrogated. On the addition of anti-p50 or p65
antibody, the band was supershifted, thus showing that these incubation
mixtures contained NF-
B. These results suggest that PPARs
inhibit TNF-
gene expression in part by antagonizing the binding
activity of NF-
B in cardiomyocytes.
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| Discussion |
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and PPAR
in neonatal rat cardiac myocytes. Furthermore, we show that
LPS induces TNF-
secretion by cardiac myocytes. This result is
consistent with previous reports showing TNF-
secretion by
neonatal mouse or neonatal rat cardiomyocytes after
exposure to LPS.21 25 Both PPAR
and PPAR
activators inhibit LPS-induced expression of TNF-
in
myocytes at the mRNA level. Finally, we demonstrate that PPAR
activators inhibit TNF-
gene expression, at least in
part, by antagonizing the binding activity of NF-
B in cardiac
myocytes.
It has been reported that PPAR
is present in liver, kidney, and
muscle, whereas PPAR
is expressed predominantly in adipose
tissue.13 Previous studies have examined the expression of
PPARs in heart by RNase protection assay, reverse
transcription-polymerase chain reaction, or in situ
hybridization.12 13 14 These results have shown that PPAR
is expressed in variable amounts between individuals, whereas
PPAR
is expressed at a low level, in adult rat or adult human heart.
Our results demonstrate the expression of both PPAR
and PPAR
by
Northern blot analysis of total RNA from neonatal rat cardiac
myocytes. Recently, it was reported that PPAR
activators
inhibit the inflammatory responses in aortic smooth muscle cells by
negatively regulating NF-
B transcriptional activity15
and that PPAR
activators suppress production of
inflammatory cytokines in macrophages by antagonizing
the activities of activator protein-1 (AP-1), signal
transducers and activators of transcription (STAT), and
NF-
B.16 Our results suggest that both PPAR
and
PPAR
are involved in the regulation of proinflammatory
cytokine TNF-
in cardiac myocytes.
Because LPS has been shown to induce TNF-
production in
macrophages or
cardiomyocytes,21 23 24 25 we stimulated
neonatal rat myocytes in the same way. Regulation of TNF-
transcription is conferred by transcription factor binding sites
present within TNF-
promoter. It has been reported that
LPS-induced increase in TNF-
promoter activity occurs by activation
of the NF-
B signaling pathway and is dependent on NF-
B binding
sites.23 24 Therefore, we examined whether PPAR
activators exert their effects on TNF-
gene
transcription by preventing the binding activity of NF-
B. Our
results from EMSAs showing that PPAR activators reduce
LPS-induced increase in NF-
B binding activity suggest that both
PPAR
and PPAR
activators inhibit expression of
TNF-
, at least in part, by antagonizing NF-
B binding activity.
However, the molecular mechanism by which PPARs interfere with NF-
B
binding to the TNF-
promoter is unknown. Recently, several lines of
evidence have implicated the functional significance of interaction
between nuclear receptors and coactivators in
transcriptional activation. cAMP response element binding protein
(CREB)-binding protein (CBP)/p300 is a transcriptional
coactivator of PPAR
, PPAR
, and
NF-
B.26 27 28 Steroid receptor coactivator-1
(SRC-1) also functions as a coactivator for PPAR
and
NF-
B.29 30 These observations raise the possibility
that nuclear competition for limiting amounts of CBP/p300 or SRC-1 may
occur between PPARs and NF-
B. Our data do not exclude the
participation of coactivators in the inhibition of NF-
B
activity by PPAR activators.
Previous studies have reported that the levels of circulating TNF-
are elevated in patients with congestive heart failure and that TNF-
expresses in the failing heart.2 3 4 In addition,
overexpression of TNF-
in heart led to a phenotype
characterized by dilated
cardiomyopathy.7 8 It has been
suggested that TNF-
may contribute to the progression of heart
failure. Therefore, the results of the present study suggest that
PPAR activators may prevent the development of congestive
heart failure by inhibiting TNF-
expression. Although it is known
that other cytokines such as interleukin-1ß, interleukin-2,
and interleukin-6 are also involved in the pathogenesis of congestive
heart failure, the effects on expression of other cytokines by
PPAR activators remain to be determined. Because our study
uses only LPS to induce TNF-
production in cardiac myocytes,
whether PPAR activators attenuate TNF-
expression in
congestive heart failure in vivo is not yet understood. More studies
are necessary to characterize the effects of PPAR
activators on the development of heart failure in vivo.
PPAR
activator gemfibrozil has been shown to reduce
coronary events and improve plasma lipid levels. Gemfibrozil
may prevent the critical inflammatory processes not only in
atherosclerosis but also in heart failure. PPAR
activator troglitazone has been shown to reduce insulin
resistance associated with obesity, hypertension, and impaired glucose
tolerance in humans. Because it is known that diabetic
cardiomyopathy, which is a major complication of
diabetes, is characterized by systolic and
diastolic dysfunctions, troglitazone appears to be
beneficial to cardiac function impairment in patients with diabetes
mellitus. It has been reported that high rates of fatty acid oxidation
after ischemia decrease cardiac function during
reperfusion.31 Excessive rates of fatty acid oxidation
inhibit glucose oxidation and cause an uncoupling between glycolysis
and glucose oxidation, resulting in an increase in the
production of protons from glycolytically derived
ATP.31 Therefore, the production of protons
appears to be an important contributor to the impaired recovery of
reperfused ischemic heart. Although PPAR
activators stimulate the oxidation of fatty acid, it
remains to be determined whether PPAR
activators induce
the same mechanism. Williams et al32 reported that T-174
(LY282449), a PPAR
activator, induces cardiac
hypertrophy in rats. However, we recently found that
pioglitazone, also a PPAR
activator, inhibits the
pressure overloadinduced cardiac hypertrophy and that
pressure overload induces more prominent cardiac
hypertrophy in heterozygous PPAR
-deficient (PPAR
+/-) mice than in wild-type mice (M. Asakawa et al, unpublished data,
2000). Therefore, PPAR
activators may also be useful in
the treatment of cardiac hypertrophy. Recent studies have
demonstrated that both PPAR
and PPAR
are implicated in the
pathogenesis of atherosclerosis.33 34 35
In conclusion, we demonstrate that PPAR activators inhibit
LPS-induced TNF-
expression in cardiac myocytes. Given the
involvement of TNF-
in the pathogenesis of heart failure, our
findings suggest that PPARs may play a critical role in inflammatory
response in heart failure. Further studies should continue to elucidate
the role of PPARs in other TNF-
related
cardiovascular diseases, such as
ischemia-reperfusion, myocardial infarction, myocarditis, and
dilated cardiomyopathy.
| Acknowledgments |
|---|
cDNA probe, Dr T. Osumi
(Himeji Institute of Technology, Japan) for PPAR
1 cDNA probe, and Dr
K. Yamada (Kurume University, Japan) for TNF-
cDNA
probe. Received August 11, 2000; accepted August 22, 2000.
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