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1 delivered by AAV in mouse cardiomyocytes1Division of Cardiovascular Medicine, Gene Therapy Program, Department of Internal Medicine, University of Arkansas for Medical Sciences and Department of Veterans Affairs Medical Center, Little Rock, Arkansas; and 2Department of Pharmacology, School of Pharmaceutical Sciences, Central South University, Changsha, China
Submitted 24 April 2007 ; accepted in final form 17 June 2007
| ABSTRACT |
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1 is one of the most pleiotropic and multifunctional peptides known. While the cardioprotective effect of TGF-
1 during ischemia is well known, the specific role of TGF-
1 in altering the cardiac remodeling process remains unclear. This study was designed to examine the regulation of hypoxia-reoxygenation-mediated collagen type I expression and activity of matrix metalloproteinases (MMPs) by overexpression of TGF-
1 in cultured HL-1 mouse cardiomyocytes. TGF-
1 was overexpressed in cardiomyocytes by transfection with adeno-associated virus (AAV)/TGF-
1Latent or with AAV/TGF-
1ACT (active TGF-
1). Twenty-four hours of hypoxia followed by 3 h of reoxygenation (H-R) markedly enhanced (pro)collagen type I expression and activity of MMPs concomitant with an increase in reactive oxygen species (ROS) release and LOX-1 expression. Overexpression of TGF-
1 reduced these alterations induced by H-R. TGF-
1 overexpression also blocked H-R-mediated p38 and p44/42 MAPK activation. Transfection with AAV/TGF-
1ACT was superior to that with AAV/TGF-
1Latent. These data for the first time demonstrate that H-R induces signals for cardiac remodeling in cardiomyocytes and TGF-
1 can modulate, possibly via antioxidant mechanism, these signals. These findings contribute to further understanding of the role of TGF-
1 in the cardiac remodeling process.
transforming growth factor-
1; HL-1 adult murine cardiomyocytes; metalloproteinases
Two major components of ECM are collagen types I and III, which play an important role in maintenance of structure and function of the heart (11, 34). Collagen type I is usually present in the form of thick fibers with high tensile strength. Therefore, collagen type I is considered a major determinant of myocardial stiffness (34). Besides fibroblasts (11, 34), cardiac myocytes are also an important source of collagen type I (21, 30).
Transforming growth factor (TGF)-
1 is one of the most pleiotropic and multifunctional peptides known (23). It has potent effects on many different cell types and is involved in a wide variety of biological processes (23). The cellular actions of TGF-
1 are dependent not only on the cell type, but also on its state of differentiation and the cytokine milieu (17). While TGF-
1 stimulates fibroblast-like cell growth, enhances collagen synthesis, and suppresses collagen degradation (23), there are studies showing that this growth factor can also limit myocardial ischemia-reperfusion (I/R) injury in isolated rat cardiac myocytes and intact hearts (3, 16, 26, 36). The specific effect of TGF-
1 on the cardiac remodeling process following I/R, however, remains unclear. TGF-
1 is synthesized in cells as a precursor molecule, TGF-
1Latent. Conversion from cysteine (Cys223/225) into serine (Ser223/225) in the TGF-
1Latent molecule is associated with the formation of TGF-
1ACT (1). It is the TGF-
1ACT that appears to be functionally relevant in the process of I/R (36).
LOX-1 is a lectinlike receptor for oxidized low-density lipoprotein (ox-LDL) (24). LOX-1 is involved in the genesis of oxidant stress and inflammation during myocardial I/R (19). ox-LDL treatment enhances collagen formation in fibroblasts that can be blocked by LOX-1 antibody (14). It has been reported that TGF-
1 can regulate LOX-1 expression in vascular endothelial cells, smooth muscle cells, and macrophages (10, 27).
The present study was conducted to examine three major hypotheses: 1) A brief period of hypoxia-reoxygenation (H-R) upregulates the signals for cardiac remodeling; 2) overexpression of TGF-
1 reduces the signals for cardiac remodeling; and 3) TGF-
1 overexpression can modulate LOX-1 and redox-sensitive signaling in cardiomyocytes.
| MATERIALS AND METHODS |
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1ACT, AAV/TGF-
1Latent, and AAV/Neo.
Rat TGF-
1 cDNA was generated as described previously (18). To obtain TGF-
1ACT, site-directed mutagenesis of TGF-
1 cDNA was performed with the GeneEditor in vitro site-directed mutagenesis system (Promega). Cysteine in positions 223 and 225 of TGF-
1 mRNA was substituted with serine. The mutation resulted in TGF-
1 protein in its biologically active form on secretion. Latent TGF-
1 cDNA was acquired by amplification of high-fidelity PCR as described previously (31). Rat TGF-
1 cDNA was used as template. The latent TGF-
1 cDNA is from nt1247 to nt1585. The mutant and latent TGF-
1 cDNA were verified by gene sequencing.
Latent or mutant rat TGF-
1 cDNA was inserted into adeno-associated virus type 2 (AAV2) vector dl6-95, as described for other AAV vectors (18). Hereafter, the recombinant AAV vector will be referred to as AAV/TGF-
1Latent or AAV/TGF-
1ACT. The generation of AAV/Neo virus has been described previously (18). The virus stocks were generated and titered by dot blot hybridization (18). The titers were calculated to be
1 x 1011 encapsidated genomes per milliliter.
Cell culture and AAV vector infection. HL-1 adult murine cardiomyocytes were a gift from Dr. W. C. Claycomb (Louisiana State University Health Science Center, New Orleans, LA) and were cultured (8). In brief, HL-1 cells were grown at 37°C under 5% CO2 in fibronectin-gelatin-coated flasks containing Claycomb medium (JRH Biosciences) supplemented with 10% fetal bovine serum (JRH Biosciences), 100 U/ml penicillin, 100 µg/ml streptomycin (Invitrogen), 2 mM L-glutamine (Invitrogen), and 0.1 mM norepinephrine (Sigma). To transfect the cultured cells, AAV vectors were added to cell culture dishes at a multiplicity of infection (MOI) of 104 and incubated with the cells for 72 h at 37°C in 5% CO2-95% air. The infection efficiency was evaluated by AAV/green fluorescent protein (GFP) expression with fluorescent microscopy.
Exposure of cardiomyocytes to hypoxia-reoxygenation.
After 72 h of AAV vector (or culture medium only) transfection, myocytes were exposed to H-R and divided into the following groups: control: myocytes were continuously incubated in 95% air-5% CO2; H-R + Saline: myocytes were exposed to 24 h of hypoxia (95% N2 and 5% CO2, PO2
30 mmHg) followed by 3 h of reoxygenation (95% air and 5% CO2); H-R + AAV/Neo: myocytes were transfected with AAV/Neo and then exposed to H-R; H-R + AAV/TGF-
1ACT: myocytes were infected with AAV/TGF-
1ACT and then exposed to H-R; H-R + AAV/TGF-
1Latent: myocytes transfected with AAV/TGF-
1Latent were exposed to H-R. This degree of H-R has been shown to result in myocyte injury, including apoptosis and necrosis (36). At the end of H-R, culture medium was collected for the determination of MMP activity, and myocytes were examined for measurement of reactive oxygen species (ROS) release and expression of specific proteins.
Measurement of MMP activity. MMP activity was measured by zymography (4). Briefly, the culture medium was subjected to electrophoresis in polyacrylamide gels containing 0.1% gelatin under nonreducing conditions. The gels were soaked in 2.5% Triton X-100 for 1 h and washed with water for 1 h. The gels were then incubated in a developing buffer containing 50 mM Tris, pH 7.4, 5 mM CaCl2, and 0.02% sodium azide overnight at 37°C. The gels were then stained with Coomassie blue for 1 h and photographed.
Measurement of ROS in cardiomyocytes. Intracellular ROS generation was measured with the use of the fluorescent signal 2',7'-dichlorodihydrofluorescein diacetate (H2DCF-DA, 10 µM; Cayman), a cell-permeant indicator for ROS. H2DCF-DA is nonfluorescent until the acetate groups are removed by intracellular ROS. The ROS-mediated fluorescence was observed under a fluorescent microscope (Nikon, Eclipse E600) with excitation set at 502 nm and emission set at 523 nm. Measurement of 2',7'-dichlorofluorescein (DCF) fluorescence intensity was performed by image processing with Image J 1.34 (National Institutes of Health). For each photograph the cellular and background average fluorescence values were obtained by tracing the shape of cells. Results are displayed in a ratiometric fashion normalized for the control condition.
Protein preparation and analysis by Western blot.
Cardiomyocytes were lysed in iced lysis buffer and centrifuged at 4,000 rpm for 15 min at 4°C. The lysate proteins (50 µg/lane) were separated by SDS-PAGE (or 8% nondenatured PAGE for collagen I) and transferred to nitrocellulose membranes. After incubation in blocking solution (5% nonfat milk; Sigma), membranes were incubated with primary antibodies against mouse TGF-
1 (v-, sc-146), procollagen I, collagen type I, LOX-1, mitogen-activated protein kinases (MAPKs; p38 and p44/42), or
-actin (source of antibodies: Santa Cruz) for overnight at 4°C. Membranes were washed and then incubated with 1:4,000 dilution specific secondary antibodies (Amersham) for 1 h at room temperature, and the membranes were washed and detected with the ECL system (Amersham). The relative densities of protein bands were analyzed by Scan-gel-it, and the relative density of each protein band was normalized to that of
-actin.
Statistical analysis. Data are expressed as means ± SE. All values were analyzed by using one-way ANOVA and the Newman-Keuls-Student t-test. The significance level was chosen as P < 0.05.
| RESULTS |
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1.
After 72 h of AAV infection, cultured cardiomyocytes were exposed to H-R. At the end of H-R, the cells were harvested for Western blot analysis of total TGF-
1. As shown in Fig. 1B, total TGF-
1 expression was markedly increased in AAV/TGF-
1ACT- or AAV/TGF-
1Latent-transfected cells, indicating successful delivery of the transgene into cardiomyocytes. In keeping with a previous study (26), H-R itself induced the expression of TGF-
1. As expected, AAV/TGF
1-overexpressing cells had a much greater expression of TGF-
1. AAV/Neo had no effect on TGF-
1 expression. We next examined whether AAV/TGF-
1 transfection itself affects the basal expression of certain proteins. As shown in Fig. 1C, AAV/TGF-
1 transfection itself had no effect on the basal expressions of (pro)collagen I, LOX-1, and p38 and p44/42 components of redox-sensitive MAPKs. We also found that AAV/TGF-
1 transfection itself had no effect on the basal levels of ROS release and activity of MMP-2 and MMP-9 in the absence of H-R (data not shown).
AAV/TGF-
1 transfection and collagen type I expression and MMP activity induced by H-R.
H-R significantly increased the expression of procollagen I, collagen type I, and activity of MMP-2 and MMP-9 (vs. cells kept under control conditions) (P < 0.01, Fig. 2). Both TGF-
1Latent and TGF-
1ACT had a dramatic inhibitory effect on H-R-mediated upregulation of the expression of collagen type I and procollagen I and the activity of MMPs. TGF-
1ACT was superior to TGF-
1Latent in this regard.
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1ACT or TGF-
1Latent were not mediated by the mere presence of AAV.
AAV/TGF-
1 transfection and redox-sensitive signaling during H-R.
H-R markedly increased DCF fluorescence, reflecting intracellular ROS level. Both AAV/TGF-
1ACT and AAV/ TGF-
1Latent transfection significantly reduced DCF fluorescence despite H-R (P < 0.01; Fig. 3). It has been shown that both I/R (19) and ROS (28) increase LOX-1 expression, and LOX-1 activation itself stimulates the formation of ROS (9). In keeping with these studies, H-R in cardiomyocytes induced LOX-1 expression (P < 0.01 vs. control), which was inhibited by the overexpression of TGF-
1 (Fig. 4).
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1 transfection before H-R reduced the phosphorylation of both p38 and p44/42 MAPKs (P < 0.01). AAV/Neo transfection had no effect. Again, TGF-
1ACT was superior to TGF-
1Latent (P < 0.05).
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| DISCUSSION |
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1 reduces the signals for cardiac remodeling; and 3) TGF-
1 overexpression can modulate LOX-1 and redox-sensitive signaling in cardiac myocytes. In addition, we demonstrate that AAV2 is a very efficient vector for transfection of mouse cardiomyocytes with TGF-
1. Finally, TGF-
1ACT is superior to TGF-
1Latent with regard to modulation of H-R-mediated cardiac remodeling pathways.
Presently there are three main viral vectors in use for gene therapy protocols: adenoviruses, retroviruses, and AAV. Among them, AAV-based vectors are naturally capable of efficient and stable gene delivery (13). In fact, AAV is clearly the best virus to use for long-term gene transduction and expression (35). Furthermore, neither wild-type nor recombinant AAV infection has been found to be associated with any significant pathology. A number of investigators have shown efficient transfection of genes in smooth muscle cells and fibroblasts with AAV (29, 37). In our previous studies (18, 20), we induced upregulation of IL-10 and TGF-
1ACT genes by using AAV2 by tail vein injection and showed sustained gene upregulation in vascular tissues of LDL receptor-knockout mice. The present study for the first time shows that mouse cardiomyocytes avidly take up AAV2.
The upregulation of (pro)collagen I in mouse cardiomyocytes following a brief period of H-R is a relatively novel observation. It is traditionally thought that the signals for cardiac remodeling appear late after ischemia. In previous studies, Kossmehl and colleagues (15) documented the release of carboxy-terminal propeptide of type I procollagen (PICP) in the perfusion fluid of porcine hearts as early as 2 h after coronary artery occlusion. This finding strongly hints that collagen synthesis had already commenced at this time. They also demonstrated release of fibronectin and osteopontin in porcine hearts after I/R, which are key players in cardiac remodeling along with collagen (15). In earlier in vitro studies, we found that a brief exposure of cardiac fibroblasts to H-R results in enhanced collagen I synthesis (7). Takino et al. (33) in a recent study showed release of PICP in patients with myocardial infarction soon after deployment of reperfusion strategy. Release of PICP peaked at 2–3 wk after myocardial infarction and correlated with cardiac relaxation abnormality. Thus our present observations of increased collagen signals early after H-R are in concordance with several previous studies (7, 15, 33). The novelty of our study relates to the fact that cardiomyocytes also represent a potent source of collagen (21, 30).
The present study showed that resting mouse cardiomyocytes express modest signals for (pro)collagen type I as well as activity of their regulatory MMPs. H-R increased the signals for (pro)collagen type I as well as activity of MMPs by two- to threefold. We believe that the increase in the activity of MMPs is an autoregulatory response to (pro)collagen type I signal as in cardiac fibroblasts (4, 7). It is possible that MMPs contribute to cardiomyocyte injury, because previous studies have demonstrated limitation of cardiomyocyte injury by inhibitors of MMPs (3).
The intracellular signal for collagen expression appears to be release of ROS and activation of proinflammatory and prooxidant MAPKs, both p38 and p44/42. Again, this phenomenon appears to be akin to that in rat cardiac fibroblasts (4, 7). In hearts exposed to I/R, there is strong evidence for the release of ROS during the early phase of reperfusion and subsequent activation of MAPKs and redox-sensitive transcription factors (22). Previous in vitro studies have also documented that inhibition of ROS itself inhibits activation of MAPKs and reduces cardiomyocyte injury (5).
We observed a marked upregulation of LOX-1 in cardiomyocytes after H-R. This observation is supported by previous in vitro and in vivo studies (19, 25). LOX-1 is upregulated by ROS and can itself upregulate ROS generation in a positive feedback fashion (9, 28). It is of note that cytokine TNF-
that is released during H-R can also induce LOX-1 expression (25). LOX-1 activation in endothelial cells and fibroblasts enhances redox-sensitive signals, including activation of MAPKs and NF-
B (6).
TGF-
1 is a pluripotent cytokine that has been shown to reduce H-R-mediated injury in rat cardiomyocytes as well as in intact rat hearts (3, 16, 26, 36). We showed previously (36) that while TGF-
1Latent is upregulated during I/R, the conversion of TGF-
1Latent to its active form is reduced. The present study demonstrates that overexpression of this cytokine reduces the signals for cardiac remodeling in mouse cardiomyocytes exposed to H-R. Furthermore, both TGF-
1Latent and TGF-
1ACT markedly attenuated H-R-associated intercellular signals, including ROS generation, LOX-1 expression, and activation of MAPKs. Most importantly, this study utilizing AAV-mediated overexpression strategy clearly demonstrates that TGF-
1ACT is much more potent than TGF-
1Latent in modulating signals for cardiac remodeling. TGF-
1 is generally thought to be profibrotic in the heart. Nevertheless, arguments can be formulated for both pro- and antifibrotic roles for TGF-
1 (12). For example, TGF-
1 may act primarily as a mitogen and as an inducer of cell migration and ECM synthesis. It is also possible that TGF-
1 acts as a cytostatic and immunosuppressive agent, preventing fibroblast division and decreasing tissue inflammation. These activities would prevent or mitigate fibrous tissue formation. Furthermore, the limitation of I/R injury during the acute phase per se may abrogate the signals for long-term fibrosis. Obviously, studies need to be performed to examine the idea that cardiac remodeling in ischemic hearts is attenuated by overexpression of TGF-
1ACT over the long term. Such studies are currently under way in our laboratory.
Figure 6 reflects our thinking on the pathways of procollagen I and collagen type I expression during H-R. We believe that ROS generation and LOX-1 expression are intertwined in a positive feedback fashion. LOX-1 activation stimulates MAPKs and related transcription factors, leading to upregulation of procollagen I and collagen type I expression. Increase in the activity of MMPs is an autoregulatory response to increased collagen formation. The critical role of LOX-1 in this process is supported by earlier observations that a specific antibody to LOX-1 blocks the expression of collagen I as well as MMPs (24, 14). TGF-
1ACT acts as a protective cytokine by inhibiting ROS generation and LOX-1 expression/activation.
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1 is diverse and has been reviewed in several recent publications (2, 12, 23); it involves activation of Smads and other signals including p38 MAPK, p44/42 MAPK, JNK, and TGF-
-activated kinase 1 (TAK1) (2). It has also been reported that regulation of membrane type 1 (MT1)-MMP/MMP-2 in cardiac fibroblasts by TGF-
1 involves furin-convertase (32). Whether any or all of these mechanisms are involved in the effects described in the present study is not known. Certainly, we have shown that overexpression of TGF-
1 in mouse cardiomyocytes blocks H-R-mediated collagen type I expression and MMP activity mediated through ROS release and p38 and p44/42 MAPK activation. | GRANTS |
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| FOOTNOTES |
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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.
* C.-P. Hu and A. Dandapat contributed equally to this work. ![]()
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C. Hu, A. Dandapat, L. Sun, J. Chen, M. R. Marwali, F. Romeo, T. Sawamura, and J. L. Mehta LOX-1 deletion decreases collagen accumulation in atherosclerotic plaque in low-density lipoprotein receptor knockout mice fed a high-cholesterol diet Cardiovasc Res, July 15, 2008; 79(2): 287 - 293. [Abstract] [Full Text] [PDF] |
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