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Am J Physiol Heart Circ Physiol 284: H449-H455, 2003. First published October 17, 2002; doi:10.1152/ajpheart.00581.2002
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Vol. 284, Issue 2, H449-H455, February 2003

Overexpression of tumor necrosis factor-alpha increases production of hydroxyl radical in murine myocardium

Yoji Machida1, Toru Kubota1, Natsumi Kawamura1, Hajime Funakoshi1, Tomomi Ide1, Hideo Utsumi2, Yun You Li3, Arthur M. Feldman3, Hiroyuki Tsutsui1, Hiroaki Shimokawa1, and Akira Takeshita1

1 Department of Cardiovascular Medicine, Graduate School of Medical Sciences, and 2 Department of Biophysics, Graduate School of Pharmaceutical Sciences, Kyushu University, Fukuoka 812-8582, Japan; and 3 Cardiovascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15213


    ABSTRACT
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ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

Transgenic (TG) mice with cardiac-specific overexpression of tumor necrosis factor-alpha develop congestive heart failure with myocardial inflammation. The purpose of this study was to investigate the effects of tumor necrosis factor-alpha on reactive oxygen species (ROS) in this mouse model of cardiomyopathy. Myocardial production of hydroxyl radical detected by electron spin resonance spectroscopy was significantly increased in TG. Myocardial expression of Mn-SOD was significantly decreased in TG, whereas that of Cu,Zn-SOD was unaltered. Myocardial expression of catalase was unchanged, whereas that of glutathione peroxidase was significantly increased, in TG. Histological analysis revealed that macrophages and CD4-positive lymphocytes were increased in TG myocardium. To investigate whether these infiltrating inflammatory cells were the source of ROS, we treated TG mice with cyclophosphamide for 7 days. Although cyclophosphamide significantly suppressed the infiltration of inflammatory cells, it did not diminish the production of hydroxyl radical in TG myocardium. Damaged myocytes, but not infiltrating inflammatory cells, may be the source of ROS in TG.

cytokine; heart failure; reactive oxygen species


    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

TUMOR NECROSIS FACTOR (TNF)-alpha is a proinflammatory cytokine that exerts a wide range of biological activities. TNF-alpha may play an important role in the pathogenesis of congestive heart failure for the following reasons. First, plasma levels of TNF-alpha are elevated in patients with congestive heart failure (25, 28). Second, the failing human heart expresses a substantial amount of TNF-alpha (13, 27, 35, 38). Third, studies in vitro have shown that TNF-alpha suppresses cardiac contractility (8, 43), provokes myocardial hypertrophy (33, 42), and induces apoptosis in cardiac myocytes (23). To investigate the pathophysiological significance of myocardial production of TNF-alpha in vivo, we (26) made transgenic (TG) mice that overexpress TNF-alpha specifically in the heart under the control of alpha -myosin heavy chain promoter. These mice present myocardial inflammation, ventricular dilatation, and congestive heart failure. Furthermore, the male mice die younger than the females (10, 20). Treatment with soluble TNF receptors reverses myocardial inflammation, extracellular matrix remodeling, and ventricular dysfunction in these mice (24, 30). Several aspects of these results have since been confirmed by another laboratory (3). Thus myocardial production of TNF-alpha may play an important role in the development of congestive heart failure. However, the mechanisms by which TNF-alpha damages the myocardium remain undefined.

Recent basic and clinical studies indicated that reactive oxygen species exert versatile effects on cardiovascular function. Reactive oxygen species can damage various cellular components, including proteins, lipids, and DNA. It has been demonstrated that reactive oxygen species are increased in patients with congestive heart failure (2, 21, 31) as well as in animal models (4, 14, 16, 22). Damaged mitochondria may be the source of reactive oxygen species in the failing myocardium (15, 17). Because TNF-alpha has been shown to exert cytotoxic effects on some types of tumor cells via the generation of reactive oxygen species (12, 32, 39), it is conceivable that cardiotoxic effects of TNF-alpha may be mediated by increased production of reactive oxygen species. Thus the present study was designed to investigate whether myocardial production of reactive oxygen species was increased in this mouse model of cardiomyopathy with cardiac-specific overexpression of TNF-alpha . Changes in antioxidant enzymes and effects of elimination of inflammatory cells were also evaluated.


    METHODS
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ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

Animals. TG mice with cardiac-specific overexpression of TNF-alpha (26) and wild-type (WT) littermates were studied. The mice were 6- to 12-wk-old females unless otherwise mentioned. This experiment was reviewed by the Committee of the Ethics on Animal Experiment, Kyushu University Graduate School of Medical Sciences, and carried out under the control of the Guideline for Animal Experiment, Kyushu University, and the Law (No. 105) and Notification (No. 6) of the Japanese Government.

Electron spin resonance spectroscopy. We measured myocardial production of hydroxyl radical with electron spin resonance (ESR) spectroscopy as described previously (16, 22). The ESR measurements were performed at room temperature with an X-band (9.45 GHz) ESR spectrometer (JES-RE-1X; JEOL). Immediately after the mice were killed, the heart was perfused with phosphate-buffered saline to remove blood, and left ventricle myocardial samples were freeze-clamped and stored in liquid nitrogen for the subsequent ESR measurements. Samples were homogenized in 50 mM potassium phosphate buffer (pH 7.4) containing protease inhibitors. The homogenates were immediately reacted with hydroxy-TEMPO (0.1 mM) as a spin probe, and its ESR spectra were recorded for up to 5 min at intervals of 30 s. The formation of hydroxyl radical was confirmed by adding dimethylthiourea (DMTU; 50 mM) into the reaction mixture. The contribution of superoxide anion was examined in the presence of SOD (5 U/ml) and catalase (50 U/ml).

Northern blot analysis of antioxidative enzymes. Total RNA was extracted from the left ventricle by an acid guanidinium thiocyanate-phenol-chloroform method (Isogen; Nippon Gene). RNA samples (10 µg) were electrophoresed in a formaldehyde-agarose gel and transferred to a nylon membrane (Hybond-N+, Amersham Pharmacia Biotech). The membrane was then hybridized with 32P-labeled probes as follows: murine Cu,Zn-SOD, nucleotides 267-490 (GenBank M60794 and M35725); murine Mn-SOD, nucleotides 32-743 (GenBank X04972); murine catalase, nucleotides 586-1583 (GenBank L25069); murine glutathione peroxidase (GPx), nucleotides 280-1160 (GenBank X03920); and murine GAPDH. The result of the cDNA hybridization was normalized to that of the GAPDH probe to correct for differences in RNA mass and efficiency of transfer. Data were in turn normalized to the mean of WT samples, arbitrarily set at 1.

Analysis of antioxidative enzyme activities. To prepare protein samples for enzyme activity analysis, the left ventricle was homogenized in 10 vols of ice-cold homogenization buffer (50 mM potassium phosphate buffer, pH 7.4) with a Potter homogenizer. Protein concentrations were determined by the bicinchoninic acid protein assay (Pierce).

Enzyme activity of Cu,Zn-SOD and Mn-SOD was evaluated by nitro blue tetrazolium assay as reported by Beauchamp and Fridovich (1). Briefly, samples containing 50 µg of protein were separated on 7% polyacrylamide gel with electrophoresis. After being soaked in nitro blue tetrazolium, tetramethylethylenediamine, and riboflavin, the gel was placed on a light box. Photochemically generated superoxide anion reduces nitro blue tetrazolium and turns the gel blue except at positions containing Cu,Zn-SOD or Mn-SOD. The upper band indicates the activity of Mn-SOD because the lower band disappeared after cotreatment with 5 mM potassium cyanide, which inhibits Cu,Zn-SOD activity. SOD activity was normalized to the mean of untreated WT samples, arbitrarily set at 1.

The peroxidatic activity of catalase was evaluated as reported by Johansson and Borg (19). The method was based on the reaction of the enzyme with methanol in the presence of an optimal concentration of hydrogen peroxide. The formaldehyde produced was measured spectrophotometrically with 4-amino-3-hydrazino-5-mercapto-1,2,4-triazole (Purpald) as a chromogen. Catalase activity is expressed as micromoles of formaldehyde per milligram of protein.

Activity of GPx was measured with an assay based on the method of Paglia and Valentine (34). The assay was based on the oxidation of reduced glutathione by GPx coupled to the disappearance of NADPH with glutathione reductase. GPx activity is expressed as nanomoles of NADPH oxidized to NADP per minute per milligram of protein, with a molar extinction coefficient for NADPH at 340 nm of 6.22 ×106.

Immunohistochemistry. The cryostat sections of the left ventricle were used for immunostaining. The primary antibodies used were as follows: MOMA2, rat anti-mouse macrophage (Serotec MCA519G); L3T4, rat anti-mouse CD4-positive lymphocyte (PharMingen 09001D); and Ly-2, rat anti-mouse CD8-positive lymphocyte (PharMingen 01041D). Positive cells were visualized with an avidin-biotin-peroxidase complex immunoperoxidase technique with diaminobenzidine. Counterstaining was then performed with Mayer's hematoxylin.

Treatment with cyclophosphamide. To suppress the infiltration of inflammatory cells in the myocardium, mice were treated with cyclophosphamide (CYP, 100 mg/kg sc) for 7 days. The mice were killed on day 8 after blood samples were collected for complete blood count analysis. Myocardial infiltration was quantified in hematoxylin and eosin-stained sections of the left ventricle by determination of nuclear density (nuclei/mm2) as described previously (24). All nuclei were counted, including myocytes, fibroblasts, and inflammatory cells.

Statistics. The results are presented as means ± SD. Student's t-test was used to compare each variable between TG and WT mice. One-way ANOVA with Student-Newman-Keuls test was used when more than three groups were compared. Differences were considered to be statistically significant at P < 0.05.


    RESULTS
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ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

Increased production of hydroxyl radical in TG myocardium. Myocardial production of hydroxyl radical was evaluated by ESR spectroscopy with hydroxy-TEMPO as a spin probe (16). The intensity of ESR signals declined more rapidly in TG than WT. A linear relation was observed in the semilogarithmic plot of peak signal intensity vs. time (Fig. 1A). The rate of signal decay, calculated from the slope of this line, has been shown to reflect the concentration of hydroxyl radical in the reaction mixture (16). As summarized in Fig. 1B, the rate of signal decay was significantly higher in TG than WT (0.0693 ± 0.0047 vs. 0.0450 ± 0.0026 min-1; P < 0.001). The hydroxyl radical scavenger DMTU did not affect the slope in WT, whereas it significantly decreased the signal decay rate in TG. Because this increase was abolished by SOD and catalase as well, most of the hydroxyl radical produced in the myocardium was likely derived from superoxide anion.


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Fig. 1.   Electron spin resonance (ESR) analysis of hydroxy-TEMPO in the ventricle of wild-type mice (WT) and TNF-alpha transgenic mice (TG). A: semilogarithmic plots of the peak heights of the ESR spectra of hydroxy-TEMPO. B: summary data for the rate of signal decay in the presence or absence of a hydroxyl radical scavenger or antioxidant enzymes. DMTU, dimethylthiourea. Values are means ± SD. *P < 0.05.

Transcript levels of antioxidant enzymes, including Cu,Zn-SOD, Mn-SOD, catalase, and GPx, were evaluated by Northern blot analysis (Fig. 2). Expression of Mn-SOD was significantly decreased in TG myocardium, whereas that of Cu,Zn-SOD was unaltered. Expression of catalase was unchanged, whereas that of GPx was significantly increased in TG.


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Fig. 2.   Northern blot analysis of antioxidant enzymes in the ventricle of WT and TG. A: Cu,Zn-SOD. B: Mn-SOD. C: catalase. D: glutathione peroxidase. Values are means ± SD. *P < 0.001 vs. WT.

Inhibition of infiltrating cells by CYP. TG hearts were characterized by a marked infiltration of inflammatory cells in the myocardium (26). Immunohistochemical analysis revealed that most of the cells were macrophages and CD4-positive lymphocytes (Fig. 3). Polymorphonuclear granulocytes were rarely seen.


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Fig. 3.   Immunohistochemical analysis of inflammatory infiltrating cells in the ventricle of WT and TG. A: macrophages (Mphi ). B: CD4-positive lymphocytes. C: CD8-positive lymphocytes. Values are means ± SD. *P < 0.005 vs. WT.

To investigate whether the infiltrating inflammatory cells observed in TG myocardium were the source of reactive oxygen species, we treated TG mice with CYP for 7 days. The CYP treatment significantly decreased the number of white and red blood cells in blood of WT and TG (Table 1) and significantly reduced the number of infiltrating cells in TG myocardium (Fig. 4). However, as shown in Fig. 5, the rate of signal decay inhibited with DMTU was not affected by CYP treatment in either WT or TG myocardium. These results suggest that infiltrating inflammatory cells may not be the major source of reactive oxygen species in TG myocardium.

                              
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Table 1.   Complete blood count after cyclophosphamide treatment



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Fig. 4.   Effects of cyclophosphamide (CYP) treatment on the infiltration of inflammatory cells in the ventricle of WT and TG. A: hematoxylin and eosin staining. B: summary data for nuclear density as an index of cell infiltration. Values are means ± SD. *P < 0.05.



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Fig. 5.   Effects of CYP treatment on the production of hydroxyl radical in the ventricle of WT and TG. Summary data for the rate of signal decay in the presence (filled bars) or absence (open bars) of DMTU are shown. Values are means ± SD. *P < 0.05 vs. untreated WT.

The effects of CYP on antioxidant enzymes were also evaluated (Fig. 6). Consistent with the changes in transcript levels (Fig. 2), myocardial activity of Mn-SOD was significantly decreased and that of GPx was significantly increased in TG. Myocardial activity of Cu,Zn-SOD or catalase was not different between untreated WT and TG. CYP treatment did not affect myocardial activity of Cu,Zn-SOD, Mn-SOD, catalase, or GPx despite the significant reduction in the number of infiltrating inflammatory cells in TG myocardium.


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Fig. 6.   Effects of CYP treatment on antioxidant enzyme activity in the ventricle of WT and TG. A: Cu,Zn-SOD. B: Mn-SOD. C: catalase. D, glutathione peroxidase. Values are means ± SD. *P < 0.05 vs. untreated WT.


    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

In the present study, we demonstrated that production of hydroxyl radical was increased in TG myocardium, where the expression and activity of Mn-SOD were downregulated. Because the inhibition of infiltration of inflammatory cells did not reduce the production of hydroxyl radical, damaged myocytes may be the major source of reactive oxygen species in this mouse model of cardiomyopathy due to overexpression of TNF-alpha .

We recently demonstrated (16) that ESR spectroscopy with hydroxy-TEMPO is a reliable method to estimate myocardial production of hydroxyl radical. Hydroxy-TEMPO is a stable nitroxide radical that can be easily detected by ESR spectroscopy. Nitroxides are reduced by biological reductants into nonparamagnetic hydroxylamine compounds, which are ESR silent. Therefore, the decay of hydroxy-TEMPO can provide a direct method to assess the generation of reactive oxygen species within biological tissues. Our in vitro validation studies (16) demonstrated that the acceleration of the rate of signal decay is proportional to the amount of hydroxyl radical in the reaction mixture. However, in living tissues, paramagnetism of hydroxy-TEMPO can be lost not only by hydroxyl radical but also by various mechanisms, including reductants in the cytosol, one-electron reduction due to enzymatic processes, and mitochondrial electron flow (6). Therefore, to distinguish the effects of hydroxyl radical from those of other factors, a specific hydroxyl radical scavenger, DMTU, was used in the present study. Although DMTU did not alter the ESR signal in WT myocardium, it significantly reduced the signal decay rate in TG samples, suggesting that the enhanced decay rate reflects the increased production of hydroxyl radical in TG myocardium.

Male TG mice have higher mortality than females, with earlier development of cardiac dysfunction (10, 20). The survival curve of male TG mice starts to decline by 6 weeks of age, and the 6-mo survival rate of male and female TG mice is 52% and 89%, respectively (20). In the present study, we studied 6- to 12-wk-old TG females because of their availability. Because male TG mice died earlier of congestive heart failure, we were not able to obtain a large enough number of samples from male TG in the present analysis. Our recent study (11) demonstrated that both left ventricular fractional shortening and positive maximum rate of rise of pressure are significantly decreased in these young TG females, although neither left ventricular dilatation nor elevation of end-diastolic pressure was observed. In the present study, we demonstrated that production of hydroxyl radical was significantly increased in these young TG females, suggesting that increased production of reactive oxygen species may be an initial event triggering cardiomyopathic dysfunction rather than an end stage-specific mechanism contributing to late cardiomyopathic dysfunction. Because we only studied TG females, it remains to be elucidated whether earlier development of congestive heart failure in TG males is associated with a higher degree of hydroxyl radical production.

The myocardium has a variety of endogenous antioxidant mechanisms. Among these, the dismutation of superoxide anion by cytosolic Cu,Zn-SOD or mitochondrial Mn-SOD as well as the degradation of hydrogen peroxide by catalase or GPx may play an important role (5). TNF-alpha was reported to upregulate Mn-SOD without affecting Cu,Zn-SOD, catalase, or GPx in a human lung carcinoma cell line (40). It was also shown that TNF-alpha protects the heart from ischemia-reperfusion injury via induction of Mn-SOD (7, 41). Therefore, we had expected that Mn-SOD was upregulated in TG myocardium. However, the results were the opposite: Mn-SOD was significantly downregulated, whereas GPx was significantly upregulated with no changes in Cu,Zn-SOD or catalase expression. These results indicate that the chronic effects of TNF-alpha on antioxidant enzymes may differ from those of acute exposure.

TG myocardium was characterized by a marked increase in infiltrating inflammatory cells (26). Immunohistochemical analysis revealed that most of the infiltrating cells were macrophages and CD4-positive lymphocytes. Polymorphonuclear granulocytes were rarely seen. To distinguish whether reactive oxygen species in TG myocardium were derived from inflammatory infiltrating cells or cardiac myocytes, we used CYP in the present study. Treatment with CYP caused leukopenia and significantly diminished the number of infiltrating inflammatory cells in TG myocardium. However, increased myocardial production of hydroxyl radical detected by ESR spectroscopy was unaltered. Furthermore, neither Mn-SOD nor GPx was affected. Thus hydroxyl radical seems to be produced predominantly by cardiac myocytes, where Mn-SOD is downregulated and GPx is upregulated. Although we cannot exclude the possibility that infiltrating inflammatory cells may play an important role in the pathogenesis of cardiac dysfunction, they are not the primary source of reactive oxygen species in this mouse model of cardiomyopathy with TNF-alpha overexpression.

Superoxide anion is formed by one-electron reduction of molecular oxygen by various enzymatic electron transport systems, including NADPH oxidase, xanthine oxidase, cyclooxygenase, nitric oxide synthase, and mitochondrial complexes I and II (36). TNF-alpha activates NADPH oxidase in endothelial cells (9). Thus it is possible that activated NADPH oxidase might be a source of superoxide anion in TG myocardium. Furthermore, our recent study (17) suggests that mitochondrial electron transport complex I may be the major source of superoxide anion in the failing myocardium. Indeed, mitochondrial structure and function in TG myocardium are impaired with reduced mitochondrial DNA repair activity (29). We also demonstrated (37) that TNF-alpha decreases the copy number of mitochondrial DNA via production of reactive oxygen species. In addition, mitochondrial DNA damage associated with increased production of reactive oxygen species was observed in a murine model of myocardial infarction (15), where expression of TNF-alpha is increased (18). Therefore, an intimate link among TNF-alpha , reactive oxygen species, mitochondria DNA damage, and defects in the electron transport function, which may lead to an additional generation of reactive oxygen species, may play an important role in the development and progression of myocardial dysfunction with TNF-alpha overexpression. Further studies are required to examine whether antioxidant therapy prevents TG mice from developing heart failure.


    ACKNOWLEDGEMENTS

A part of this study was conducted in the Kyushu University Station for Collaborative Research.


    FOOTNOTES

This study was supported by a grant from the Study Group of Molecular Cardiology, by a grant from Kowa Life Science Foundation, and by a grant-in-aid for Scientific Research from the Japan Society for the Promotion of Science (C13670719).

Address for reprint requests and other correspondence: T. Kubota, Dept. of Cardiovascular Medicine, Kyushu Univ. Graduate School of Medicine, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan (E-mail: kubotat{at}cardiol.med.kyushu-u.ac.jp).

The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

First published October 17, 2002;10.1152/ajpheart.00581.2002

Received 12 July 2002; accepted in final form 4 October 2002.


    REFERENCES
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

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Am J Physiol Heart Circ Physiol 284(2):H449-H455
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