Circulation Research. 2007;101:856-858
doi: 10.1161/CIRCRESAHA.107.164053
(Circulation Research. 2007;101:856.)
© 2007 American Heart Association, Inc.
mCAT Got YouR TEF?
B. Paul Herring,
Jiliang Zhou
From the Department of Cellular and Integrative Physiology, Indiana University School of Medicine.
Correspondence to Prof Brian P. Herring, Indiana University School of Medicine, Department of Cellular and Integrative Physiology, 635 Barnhill Drive, MS350E, Indianapolis, IN 46202. E-mail pherring{at}iupui.edu
See related article, pages 883–892
Key Words: smooth muscle
-actin TGFß, transcriptional enhancer factor 1 serum response factor smooth muscle myofibroblasts
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TEF and RTEF-1 Binding to the Smooth Muscle -Actin Gene Distinguishes Myofibroblasts and Adult Smooth Muscle Cells
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Adult smooth muscle cells are highly plastic and can exhibit
a range of phenotypes in response to different environmental
and developmental cues. Their phenotypes can range from quiescent
highly contractile cells with high levels of characteristic
contractile protein isoforms, to highly proliferative cells
that secrete large amounts of extracellular matrix and express
only low levels of smooth muscle-specific isoforms of contractile
proteins. These two states are often referred to as differentiated
and dedifferentiated or phenotypically modulated states.
1 In
reality the situation is more complex, with smooth muscle cells
likely existing in a continuum of phenotypes between these two
extremes. This smooth muscle cell plasticity often makes the
unequivocal identification of smooth muscle cells challenging,
particularly for the more dedifferentiated smooth muscle cells
that are very similar to fibroblasts. The situation is further
complicated by the existence of cell types with phenotypes part
way between a fibroblast and a fully differentiated adult smooth
muscle cell, namely myoepithelial and myofibroblast cells, and
pericytes.
2–4 A major challenge to developmental biologists
is determining how these cells relate to each other, determining
whether they are derived from common or distinct precursors,
and whether myofibroblasts or pericytes can become smooth muscle
cells. One approach to begin to answer these questions is to
determine the molecular mechanisms that control the phenotype
of each of these cell types. A new study by Gan and colleagues,
5 described in this issue of
Circulation Research, provides definitive
molecular evidence that distinguishes myofibroblasts from adult
smooth muscle cells by the distinct transcriptional mechanisms
that they use to direct expression of a shared molecular marker,
smooth muscle

-actin. In this elegant study, the authors demonstrate
that the binding of RTEF-1 to MCAT elements within the smooth
muscle

-actin promoter is required for transcription in myofibroblasts
but not in adult smooth muscle cells (
Figure). These results
reveal that although both adult smooth muscle cells and myofibroblasts
express smooth muscle

-actin, its expression in these cell types
is regulated by distinct cis- and trans-acting factors. That
myofibroblasts and adult smooth muscle cells use distinct cis-regulatory
elements to control expression of a single gene should not,
however, be too surprising given previous studies showing that
a single gene often uses distinct elements for expression even
among adult smooth muscle cells in different tissues. This phenomenon
is perhaps best illustrated by earlier studies by the Owens
group which showed that distinct regions of the smooth muscle
myosin heavy chain gene direct expression in different vascular
beds and among different visceral smooth muscle tissues.
6 Perhaps
the most intriguing finding of this study is that the MCAT elements
required for expression of smooth muscle

-actin in myofibroblasts
are also required for expression in smooth muscle cells during
early embryonic development. This provides unequivocal evidence
that smooth muscle cells also use distinct regulatory elements
to drive expression of a gene in embryonic and adult cells.
This finding certainly begs the question as to what distinguishes
an embryonic smooth muscle cell from a myofibroblast and raises
the possibility that myofibroblasts could represent a resident
population of embryonic smooth muscle cells that persist, undifferentiated,
in an adult. Careful lineage mapping using temporally and spatially
restricted lineage markers will be required to answer this important
question.

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Figure. Transcriptional regulation of smooth muscle -actin in myofibroblasts and adult smooth muscle cells. A number of cis-acting regulatory elements have been shown to be required for regulation of the smooth muscle -actin promoter in myofibroblasts (left panel) and in smooth muscle cells (right panel) in vivo (for simplicity only the proximal promoter region is shown). In myofibroblasts TGFß has been shown to increase expression of SRF, RGC-32, EF17,12,16; Gan and colleagues also show that TGFß promotes binding of RTEF-1 to the MCAT elements that are required for TGFß-mediated increases in smooth muscle -actin in myofibroblasts. Binding of TEF family members to the MCAT1 element can be antagonized by the single stranded DNA binding proteins Pur /ß.17 In addition, phosphorylation of SMAD3 facilitates its nuclear accumulation where it can interact with SRF or EF1.12,18 In contrast, in adult smooth muscle cells MCAT elements bind to TEF, which does not stimulate promoter activity. A number of signaling pathways have been shown to be important for expression of smooth muscle-specific proteins in adult smooth muscle cells including increases in intracellular calcium via voltage gated calcium channels, activation of RhoA and ROK, Gß subunits of G heterotrimeric proteins, and PKG.19–23 Together these molecules increase the activity of SRF complexes to activate transcription of the smooth muscle -actin gene. Complexes containing myocardin related transcription factors are shown, although other positive-acting SRF complexes likely play important roles in specific smooth muscle cell types.
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What Controls the Switch From MCAT-Dependent to MCAT-Independent Transcription Regulation During Development of Embryonic Smooth Muscle?
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Mutation of the MCAT elements within the smooth muscle

-actin
promoter completely abolished expression of a transgene in early
embryonic smooth muscle, before E13.5, but did not affect expression
later in development or in adult tissues. The smooth muscle

-actin promoter thus undergoes a dramatic switch between embryonic
day 12.5 and day 13.5 from being dependent on MCAT elements
and presumably RTEF-1 for activation, to a gene that is totally
independent of these elements. Most surprising is the finding
that this switch seems to occur in all smooth muscle tissues,
both vascular and visceral. This raises the intriguing questions
as to what happens at this stage of development to initiate
this switch. Is this specific for smooth muscle

-actin or are
other genes coordinately regulated? Although we obviously do
not yet have answers to these questions, it seems reasonable
to postulate that this switch occurs in response to changes
in the microenvironment, such as a change in hormone signaling.
One potential mechanism accounting for this switch would be
a change in dependence of the differentiating smooth muscle
cells on TGFß signaling. Embryonic smooth muscle cells
may switch from being dependent on TGFß signaling
before E13.5 to being largely independent of TGFß
after this time. This would be analogous to the switch that
endothelial cells undergo from being dependent on VEGF during
early development to becoming VEGF independent in the adult.
In support of this proposal, RTEF-1 binding to MCAT elements
is required for TGFß-mediated induction of

-actin
in myofibroblasts and for

-actin expression in embryonic smooth
muscle cells. TGFß stimulation of myofibroblasts has
also been shown to increase expression of serum response factor
(SRF),
7 which is critically required both for smooth muscle

-actin expression in smooth muscle cells and for TGFß-mediated
activation of smooth muscle

-actin in myofibroblasts.
8,9 In
addition, TGFß is known to be important for induction
of smooth muscle differentiation both in vitro and in vivo.
10,11 However, although SRF is required to maintain the differentiated
phenotype of smooth muscle cells throughout development, it
is not clear whether TGFß is required, under normal
conditions, in adult smooth muscle cells. We speculate that
the switch from MCAT-dependent transcription of the smooth muscle

-actin gene to MCAT-independent transcription may also reflect
a switch from TGFß-dependent SRF complexes, such as
SRF-SMAD3-

EF1, to TGFß-independent complexes, such
as SRF-myocardin (
Figure).
12,13 As discussed by Gan and colleagues,
a switch to SRF-myocardin complexes likely does not simply reflect
an induction of myocardin expression, as myocardin mRNA is readily
detectable in the gut by E12.5.
14 A caveat to this, however,
is that studies on myocardin protein expression have not been
performed because of the low specificity of most available antibodies,
hence it is not known whether myocardin protein expression directly
parallels its mRNA levels.
Signaling pathways may also induce covalent modification of TEF or RTEF-1 or they may cause changes in chromatin structure to facilitate binding of TEF as compared with RTEF-1 to the MACT elements in the smooth muscle
-actin promoter. Signaling-induced changes in chromatin structure, regulated by either ATP-dependent remodeling complexes or by changes in HAT or HDAC activity, would have the advantage that these changes could simultaneously alter the binding of a number of transcription factors, thereby facilitating a coordinated switch between different transcription regulatory complexes. This may allow an embryonic smooth muscle cell to switch from a myofibroblast type mode of regulation of smooth muscle
-actin to a more adult smooth muscle type of mode (Figure). An exciting challenge of future investigations will be to capitalize on these exciting findings to elucidate the mechanisms controlling the switch from MCAT-dependent to MCAT-independent transcription during smooth muscle development.
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The MCAT Mutated Smooth Muscle -Actin Promoter Provides a Valuable Tool for Smooth Muscle-Specific Gene Targeting
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Gan and colleagues report that the MCAT mutated smooth muscle

-actin promoter failed to be expressed in embryonic skeletal
or cardiac muscle. Besides indicating the importance of this
element for smooth muscle

-actin expression in these tissues,
mutation of the MCAT element, resulted in the restriction of
the expression of the altered promoter to smooth muscle cells
throughout development. This finding has important implications
for the use of the mutant promoter to target expression of proteins,
such as cre recombinase, to smooth muscle tissues. To date all
of the currently available smooth muscle-restricted promoters,
used to target gene expression in vivo, have ectopic expression
in other tissues, either in the heart and skeletal muscle during
embryonic development (eg, SM22

and wild-type smooth muscle

-actin promoters) or in eggs and sperm of transgenic mice (smooth
muscle myosin heavy chain promoter).
15 The MCAT mutated smooth
muscle

-actin promoter will thus provide a unique and very valuable
tool for targeting gene expression to adult smooth muscle tissues.
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Acknowledgments
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Sources of Funding
This work was supported by NIH grants HL58571, DK61130, and DK65644. Dr Zhou was partially supported by a fellowship from American Heart Association.
Disclosures
None.
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Footnotes
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The opinions expressed in this editorial are not necessarily
those of the editors or of the American Heart Association.
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Related Article:
-
Smooth Muscle Cells and Myofibroblasts Use Distinct Transcriptional Mechanisms for Smooth Muscle
-Actin Expression
- Qiong Gan, Tadashi Yoshida, Jian Li, and Gary K. Owens
Circ. Res. 2007 101: 883-892.
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