Molecular Medicine |
From the Second Department of Internal Medicine (H.K., T.T., Y.A., M. Kurabayashi), Gunma University School of Medicine, Maebashi, Gunma, Japan; First Department of Internal Medicine (S.-i.T.), Tottori University School of Medicine, Yonago, Tottori, Japan; Department of Biochemistry (M. Kawabata, K.M.), The Cancer Institute, Tokyo, Japanese Foundation for Cancer Research, Toshima-ku, Tokyo, Japan; and Department of Cardiovascular Medicine (R.N.), University of Tokyo, Bunkyo-ku, Tokyo, Japan.
Correspondence to Masahiko Kurabayashi, MD, PhD, Second Department of Internal Medicine, Gunma University School of Medicine, 3-39-15 Showa-machi Maebashi, Gunma, 371-8511, Japan. E-mail mkuraba{at}med.gunma-u.ac.jp
| Abstract |
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Key Words: proteins growth factors cells transcription muscle, smooth
| Introduction |
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TGF-ß is often considered to have proatherosclerotic effects because (1) TGF-ß causes an increase in the production of collagen2 and fibronectin,3 a decrease in the synthesis of proteases that degrade extracellular matrix, and an increase in the expression of protease inhibitors, such as plasminogen activator inhibitor type I (PAI-1)4 ; (2) TGF-ß mRNA and immunoreactivity are increased in human restenotic lesions5 ; (3) the infusion of TGF-ß or the transfection of TGF-ß cDNA into injured arteries strongly accelerates lesion formation by increasing cellularity and markedly increasing extracellular matrix accumulation6 ; and (4) antibodies to TGF-ß reduce the development of vascular lesions after balloon injury in rats.7 These data favored a model in which TGF-ß promotes atherosclerosis and restenosis after vascular injury. However, considerable evidence implies that TGF-ß exerts the antiatherosclerotic effects within the vascular wall. Besides the inhibitory effects of TGF-ß on proliferation and migration of SMCs in vitro, alterations in active TGF-ß level were associated with the progression of vascular disease in a manner consistent with an antiatherosclerotic effect of TGF-ß.8
To date, only a few genes has been characterized as the
primary targets of TGF-ß signaling in VSMCs, including
PAI-1,9
p21WAF1/CIP1,10
p15INK4B,11
2(I) procollagen,12 and
fibronectin.13 Cardiac
ankyrin repeat protein (CARP) has been cloned as a nuclear factor that
is expressed in a heart-specific
manner,14 15 but
CARP has also been identified in endothelial cells activated by
inflammatory cytokines or in denervated skeletal
muscle.16 17
Furthermore, the finding of the CARP expression in the cardiovascular
tissue is supported by the recent report that CARP expression in
transgenic mice harboring various CARP promoter/lacZ reporters was
found not only in the heart but also in the conotruncal segments of the
heart that form basal of pulmonary artery and ascending
aorta.18 Although previous
studies have implicated CARP as a modulator of
transcription,16 the
function of CARP has yet to be determined.
In the present study, we examined CARP expression in vascular injury and the regulatory mechanisms that underlie its inducible expression in VSMCs. The results show that CARP mRNA levels are increased in injured arteries and in cultured VSMCs in response to TGF-ß. In addition, we provide evidences for transcriptional regulation of CARP gene expression by TGF-ß through a direct binding of Smads to CAGA motif. Furthermore, results of the experiments with the adenovirus expressing CARP indicate that CARP overexpression inhibits the DNA synthesis probably through the induction of p21WAF1/CIP1 and resultant dephosphorylation of ppRb, the hyperphosphorylated form of pRb, the retinoblastoma protein. Together, the present results demonstrated the inducible expression of the CARP gene in VSMCs by TGF-ß and suggested the role of CARP in inhibition of cell proliferation.
| Materials and Methods |
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Cells
C2/2 cells were previously
described.19 PAE, COS-7,
A549, CV-1, and NIH-3T3 cells were obtained from American Type Culture
Collection. Neonatal rat cardiac myocytes were prepared as previously
described.20
RT-PCR Assay
Balloon catheter denudation was accomplished on rats
at 8 weeks of age as previously
described.21 Rats were
killed at various times after injury (0, 1, 2, and 4 weeks). Total RNA
was reverse-transcribed with oligo(dT) primer with the use of avian
myeloblastosis virus reverse transcriptase and amplified with
Taq DNA polymerase (Takara).
PCR consisted of 28 cycles at 94°C for 1 minute, at 60°C for 1
minute, and at 72°C for 1.5 minutes. This investigation conforms to
the guide for the care and use of laboratory animals approved by
Committee of Gunma University School of Medicine.
Northern Blot Analysis
Total RNA was extracted from the cultured cells and
tissues with the use of ISOGEN (Nippon gene) according to the
manufacturers instruction. Northern blot analysis was performed as
previously described.21 The
cDNA probes were radiolabeled with
[
-32P]dCTP (Amersham) with a random
primer DNA labeling kit (Boehringer Mannheim).
Construction of the CARP
Promoter/Luciferase Gene
Human genomic clone encoding CARP was isolated
by screening the human leukocyte genomic library (HL1006d; Clontech).
For the generation of luciferase reporter genes, the following upstream
primers with a KpnI site were
used with PCR with a plasmid that contained a
5-kb DNA insert with
the reverse primer (nucleotide +170) with an
XhoI site,
5'-GCAGATCTCGAGGGGGGGCCCCTC-3'.
Sequences for PCR upstream primers were CARP-1828Luc, 5'-GGGGGGGTACCTGCAGCAAGTTACTTAATG-3'; CARP-206Luc, 5'-AGAAAGGTACCACTG GGGGTGTGA-3'; CARP-90Luc, 5'-TGTCCGGTACCTCCTGACAAATAG-3'; and CARP+1Luc, 5'-ATTCAGGTACCCAGCAGGGTTAGC-3'.
For the generation of mutants, CARP-120 MLuc was designed: 5'-CCCGGTACCCAATGTCAATGAGTGGCTGTC -3'.
Recombinant PCR with 2 rounds of amplification was performed. PCR products were subcloned into the promoterless luciferase reporter gene vector, pGL3 (Promega). The expression vectors of Flag-tagged Smad2, Smad3, Smad4, and Smad6 have been previously described.22 T204D and K232R vectors were kindly given by Joan Massagué (Memorial Sloan-Kettering Cancer Center, New York, NY).23
Transient Transfection, Luciferase Assay, and
Preparation of Cell Lysates
Cells were transfected with 1 µg of plasmid
according to the calcium phosphate precipitation method as previously
described.21 After 24 hours,
cells were stimulated with 1 ng/mL TGF-ß1 for
24 hours and harvested. Luciferase activity was measured with a
luminometer.
Nuclear Extracts and Whole-Cell
Extracts
Nuclear extracts were prepared from C2/2 cells
treated with or without 1 ng/mL TGF-ß1 for 30
minutes, as previously
described.24 Whole cell
extracts were prepared from COS-7 cells transfected with Smad3 or Smad4
expression vectors treated with TGF-ß1 (1
ng/mL) for 30 minutes or C2/2 cells infected with AxCA/LacZ and
AxCA/CARP as previously
described.25
Western Blot Analysis
Western blot analyses were performed essentially as
previously described.21
Anti-p21 antibody (C-19-G; Santa Cruz) and anti-Rb antibody (G3-245;
PharMingen) was visualized with a horseradish peroxidaselinked
anti-goat or anti-mouse IgG secondary antibody, respectively
(Amersham). The complexes were detected using the ECL chemiluminescence
detection system (Amersham).
Electrophoretic Mobility Shift Assays
Probes were labeled with T4 polynucleotide kinase and
[
-32P]dATP (Amersham) and
electrophoresed with 5% polyacrylamide gels.
Recombinant Adenovirus Expression
Constructs
The recombinant adenovirus vectors were generated as
previously described.25
AxCA/LacZ and AxCA/CARP were prepared by inserting the
ß-galactosidase or CARP cDNAs into the Ad E1deleted region under
the control of the CAG promoter.
[3H]Thymidine
Incorporation Assay
C2/2 cells stimulated with
TGF-ß1 or infected with AxCA/LacZ or AxCA/CARP
were pulsed with 1 µCi/well
[3H]thymidine (Amersham) and analyzed with
a scintillation counter.
| Results |
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TGF-ß Increases CARP mRNA Levels in
VSMCs
To investigate the molecular mechanisms that underlie
the regulated expression of CARP mRNAs, C2/2 cells were stimulated with
Ang II, ET-1, TGF-ß1, bFGF, and VEGF, all of
which are known to play a major role in the development of vascular
disease. Among these growth factors, TGF-ß was most potent in
inducing the expression of CARP mRNA levels
(Figure 2
).
Figures 2B
and 2C
show time course and
concentration-dependent changes in CARP mRNA levels. An increase in
CARP mRNA expression was evident at 1.0 ng/mL TGF-ß. The time course
of the change in CARP mRNA levels was modestly increased at 2 hours and
reached maximal levels at 24 hours after
stimulation.
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TGF-ß Increases CARP Expression at the
Transcriptional Level
To determine whether TGF-ß increases CARP expression
at the transcriptional level, we performed a standard mRNA decay assay
with actinomycin D, a potent inhibitor of RNA synthesis
(Figure 3
). In this result, the CARP half-life was 11.3 and
8.5 hours in the absence and presence of TGF-ß, respectively. Thus,
the TGF-ßmediated increase in CARP mRNA levels in C2/2 cells was at
least in part due to an increase in the stability of mRNA. To confirm
the transcriptional regulation by TGF-ß, CARP promoter/luciferase
reporter gene was transiently transfected into C2/2 cells. As shown in
Figure 4A
, luciferase activity derived from the CARP
promoter spanning -1828 to +170 was increased by 3.2±0.5-fold in
response to TGF-ß. These results indicate that TGF-ß increases CARP
expression at the transcriptional level and that the promoter region
downstream of -1828 contains TGF-ß response element or
elements.
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Constitutively Active Mutant of Type I TGF-ß
Receptor Increases CARP Promoter Activity
Specific serine/threonine kinase type I receptors
transduce intracellular signaling of TGF-ß family
members.26 Previous studies
have demonstrated that mutation of Thr204 of the type I receptor of
TGF-ß (TßR-I) to aspartate residue (T204D) yields constitutively
active receptor in the absence of
TGF-ß.23 Thus, we examined
whether this mutant stimulates CARP promoter activity independent of
TGF-ß stimulation. As shown in
Figure 4B
, cotransfection of T204D, but not the
kinase-defective TßR-I mutant
(K232R),23 increased
luciferase activity of CARP promoter. These results suggest that CARP
promoter is stimulated through a signaling pathway evoked by activation
of the kinase domain of TßR-I.
Smads Increase CARP Promoter Activity
Signaling by TGF-ß was recently shown to rely on Smad
proteins. Activated TßR-I propagates the TGF-ß signal by
phosphorylating the pathway-restricted signal transducers Smad2 and
Smad3. These Smads form a heteromer with the common signaling mediator
Smad4 and then translocate to the nucleus and activate the gene
transcription. Smad6 and Smad7, however, potently inhibit the function
of the activated
TßR-I.26
To examine whether Smad proteins were involved in the
TGF-ßinduced transcriptional activation of CARP promoter, we
cotransfected into C2/2 cells with CARP(-1828/+170)Luc/reporter gene
and an expression vector encoding the Smad6 protein. As shown in
Figure 4C
, Smad6 inhibits the inducible expression of CARP
promoter by TGF-ß as well as by constitutively active TßR-I (T204D)
in a dose-dependent manner. In our study, Smad6 inhibited the signaling
pathway induced by T204D more strongly than that activated by TGF-ß.
These results indicate a possible involvement of Smad proteins in
TGF-ßinduced CARP expression. A previous study indicated that the
overexpression of some Smad proteins activates transcription from
TGF-ß constructs, even in the absence of
TGF-ß.27 To determine
whether Smads activate the expression of the CARP promoter, we
cotransfected various Smad constructs with CARP(-1828/+170)Luc.
Figure 4D
shows that Smad3 markedly stimulated the CARP
promoter, whereas either Smad2 or Smad4 had a modest effect on the CARP
activity. The concomitant overexpression of Smad3 with Smad4 showed an
induction of CARP promoter activity almost comparable to that seen with
the overexpression of Smad3 alone. Taken together, these results
indicate that TGF-ß increases CARP promoter activity through
mechanisms that involve Smad proteins.
Identification of TGF-ß Response Element
Within the CARP Promoter
To identify the TGF-ß response element within the
CARP promoter, a series of 5'-deletion constructs was generated and
assayed for luciferase activity. Deletion to -206 bp from the
transcriptional start site had relatively little effect on the
inducible expression by TGF-ß, but further deletion to -90 bp
almost completely abolished the TGF-ß inducibility
(Figure 5A
). Thus, the positive regulatory region of CARP
promoter activity by TGF-ß seems to reside between -206 and -90
bp. Inspection of this region revealed the presence of one copy of
5'-CAGACAGC-3' at -108 bp
(Figure 5B
), matching very closely the consensus sequence of
CAGA box [AG(C/A)CAGA] of the PAI-1 promoter identified as a TGF-ß
response
element.28
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To determine whether this CAGA motif could have a function
as a TGF-ß response element, mutation was introduced into this
sequence. As shown in
Figure 5C
, the mutation in the CAGA motif significantly
reduced the promoter activity and, more important, almost completely
eliminated the TGF-ßmediated induction of CARP promoter activity.
To exclude the possibility that loss of responsiveness to TGF-ß is
due to the loss of basal promoter function, we examined whether
mutation construct is responsive to ET-1, which significantly induces
CARP expression in cardiac myocytes (Y. Aihara, H. Kanai, M.
Kurabayashi, unpublished data, 2001). Although the responsiveness
appears to be reduced compared with the wild type, constructs
containing mutation within the CAGA motif were responsive to
ET-1
(Figure 5C
). These results indicate that promoter-containing
mutation within CAGA motif has an ability to respond to an irrelevant
signal that does not work through Smads, thus allowing us to
consider CAGA motif as a TGF-ß response
element.
Nuclear Factors Binding to the CARP
-108-bp Element
To confirm the specific role of the CAGA motif within
the CARP promoter, we performed electrophoretic mobility shift assays
(EMSAs).
Figure 6A
shows 2 constitutive DNA-binding activities in
unstimulated or TGF-ßtreated cells. These complexes were formed in
a sequence-specific manner because an excess of the unlabeled probe,
but not of the mutated probe, displaced the corresponding bands.
Furthermore, this complex was efficiently competed by a molar excess of
bona fide CAGA box of PAI-1-280. These results suggest that the
CAGA motif can serve as a binding site for Smads. To verify that Smads
can bind to CAGA motif, whole cell extracts prepared from Smad3- or
Smad4-overexpressed cells were subjected to EMSA. The incubation of
nuclear extracts with either anti-Smad2/3 or anti-Smad4 antibody gave
rise to a supershifted band
(Figure 6B
).
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Overexpression of CARP Inhibits DNA Synthesis
in C2/2 Cells
TGF-ß is known to have a dual effect on cellular
growth depending on the cell types and culture conditions. To determine
the effects of TGF-ß on DNA synthesis of C2/2 cells,
[3H]thymidine incorporation was measured.
As shown in
Figure 7A
, TGF-ßtreated cells significantly reduced
[3H]thymidine incorporation in a
dose-dependent manner. C2/2 cells infected with adenovirus encoding
CARP, AxCA/CARP, also exhibited an
40% decrease compared with
AxCA/LacZ control adenovirus expressing ß-galactosidase
(Figure 7B
). The treatment of CARP-overexpressed cells with
TGF-ß markedly reduced the DNA synthesis compared with the untreated
control.
(Figure 7C
). These results are consistent with our
supposition that CARP may play a role in the inhibition of cell
proliferation and that the suppression of cellular growth by TGF-ß
might be in part mediated through the induction of CARP. To rule out
that these inhibitory effects of AxCA/CARP are nonspecific toxic
effects, we conducted some experiments. The lactose dehydrogenase
released from infected cells was not changed in cells infected with
AxCA/LacZ and AxCA/CARP at the multiplicity of infection used in this
study (data not shown). Furthermore, housekeeping gene expression such
as GAPDH was compared between AxCA/LacZ and AxCA/CARP; no significant
differences have been seen in the AxCA/LacZ- and AxCA/CARP- infected
cells
(Figure 7D
). These results indicate that the effects of
AxCA/CARP are not due to the nonspecific toxic effects.
|
To examine further the mechanisms of inhibitory effect of
CARP on cellular growth, we performed Western blot analysis for cell
cycle regulatory proteins. As shown in
Figure 7E
, the expression of
p21WAF1/CIP1 protein, a universal inhibitor
of cyclin-dependent
kinases,29 was increased
modestly but reproducibly in the AxCA/CARP-infected cells. Consistent
with the established role of p21WAF1/CIP1,
which inhibits the phosphorylation of pRb in a cell cycledependent
manner,30 relative levels of
ppRb were decreased in the AxCA/CARP-infected cells compared with the
control cells (AxCA/LacZ-infected cells). These results suggest that
CARP might be one of the key regulators in VSMC proliferation that
works through the p21WAF1/CIP1 protein
expression.
| Discussion |
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What are the molecular mechanisms that underlie the inducible expression of CARP in balloon-injured aorta? A number of lines of evidence indicate that neointimal SMCs differ from medial SMCs in many respects, including the proliferative capacity, the gene expression of contractile protein isoforms, and the ability to synthesize adhesion molecules, receptors for growth factors, and extracellular matrix proteins. Such phenotypic difference between neointimal and medial SMCs is considered to be governed by the transcription factors, which are preferentially or exclusively expressed in certain phenotypes. We found that point mutation in the CAGA motif reduced the basal promoter activity of the CARP gene in C2/2 cells. EMSAs demonstrate that CAGA motif-binding protein is constitutively present in the nuclear extracts from C2/2 cells. Thus, it is intriguing to speculate that abundant expression of CARP mRNA in untreated C2/2 cells may in part be ascribed to the binding of the nuclear factors to CAGA motif in the unstimulated cells.
A variety of growth factors have been inferred to play a role in the development of neointima; these include TGF-ß, platelet-derived growth factor, bFGF, and Ang II.31 Among these peptides, TGF-ß was most potent in inducing CARP expression in cultured VSMCs. This finding prompted us to investigate the molecular basis for the TGF-ßmediated CARP expression in VSMCs. Results of the present study clearly document that the CARP gene is a direct target of the TGF-ß/Smads signaling. This conclusion has been drawn from the following 4 criteria. First, TGF-ß stimulates the CARP expression in transient transfection assays of the CARP promoter/luciferase reporter gene. Second, overexpression of the plasmids encoding Smad3 and Smad4 as well as the constitutively active form of TßR-I increases CARP promoter activity, and this activity is downregulated by the cotransfection of inhibitory Smad, Smad6. Third, mutation of the CAGA motif almost completely eliminates the response of CARP promoter by TGF-ß. Last, EMSAs indicate that TGF-ß induces binding activity of nuclear factors to the CAGA motif.
Results of the site-specific mutation analysis indicate that
CAGA motif is required for the TGF-ßmediated CARP promoter
activation. This sequence matches the sequence termed "CAGA
box,"28 which has been
demonstrated to function as the binding sequences for Smad3/Smad4 of
the PAI-1 promoter. The CAGA motif has been identified in the promoter
region of the several other TGF-ßinducible genes, such as
JunB,32
c-jun,33
and IgC
.34 Although
several studies reported that AP-1 is involved in TGF-ßmediated
gene expression,33 results
of our study indicated that AP-1 does not play a major role in
TGF-ßmediated CARP expression.
Several lines of experimental evidence in this study indicated that CARP acts as a negative regulator for cell cycle progression. First, overexpression of CARP reduced the DNA synthesis. Second, treatment with TGF-ß of the CARP-overexpressed cells enhanced the inhibition of the DNA synthesis by TGF-ß. Third, CARP increased the protein levels of p21WAF1/CIP1, which is known as cyclin-dependent kinase inhibitor.29 Fourth, CARP overexpression reduced ppRb compared with unphosphorylated pRb. Because ppRb has been assumed to play a role in growth arrest,30 it is likely that CARP-mediated inhibitory effects on cell proliferation occur in part via an induction of p21WAF1/CIP1 and subsequent dephosphorylation of ppRb. Further studies that focus on exploration of the possible interaction between CARP and p21WAF1/CIP1 should be warranted.
In conclusion, the present study demonstrates that cell-typerestricted CARP is expressed in injured aorta. We also showed that CARP expression is directly regulated by TGF-ß signaling, which is mediated through the binding of Smad proteins to the CAGA motif within the CARP promoter. Consistent with the possible role of CARP in mediating the effects of TGF-ß, results of our experiments with the adenovirus imply that CARP functions as an inhibitor of cell proliferation. Taken together, the identification of CARP as a direct target of TGF-ß/Smads signaling and as a negative regulator of cell cycle progression will undoubtedly provide novel insight into the potential role of CARP in acting as an effector of the VSMC proliferation by TGF-ß.
| Acknowledgments |
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| Footnotes |
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