Abstract
The down-regulation of peroxisome proliferator-activated receptor γ (PPARγ) expression has been found to correlate with the proliferation of pulmonary artery smooth muscle cells (PASMC), pulmonary vascular remodeling and pulmonary hypertension, while the molecular mechanisms underlying PPARγ reduction in PASMC remain largely unclear. The aim of the current study is to address this issue. Endothelin-1 (ET-1) dose- and time-dependently resulted in PPARγ reduction and proliferation of primary cultured rat PASMC, which was accompanied by the activation of nuclear factor-kappaB (NF-κB) and subsequent induction of microRNA-27a/b (miR-27a/b) expression. Chromatin immunoprecipitation assay revealed that NF-κB directly bound to the promoter regions of miR-27a/b. Luciferase reporter assay identified that miR-27a/b directly regulates the expression of PPARγ in PASMC. Further study indicated that the presence of either NF-κB inhibitor pyrrolidinedithiocarbamate or prior silencing miR-27a/b with anti-miRNA oligonucleotides suppressed ET-1-induced PPARγ reduction and proliferation of PASMC, while overexpression of miR-27a/b reduced PPARγ expression and enhanced PASMC proliferation. Taken together, our study demonstrates that ET-1 stimulates miR-27a/b expression by activation of the NF-κB pathway, which in turn results in PPARγ reduction and contributes to ET-1-induced PASMC proliferation.
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Introduction
Pulmonary hypertension (PH) is a complex disease characterized by progressive elevation of pulmonary vascular resistance (PVR) and pulmonary artery pressure (PAP) and rapidly leads to right heart failure and death (Bazan and Fares 2015). Despite recent therapeutic advances in the management of PH, its survival rate still remains exceedingly low (Humbert et al. 2010). Different types of PH share a common pathogenesis including vasoconstriction, pulmonary vascular remodeling and thrombosis in situ (Humbert et al. 2004). Vascular remodeling indicates structure changes of the vascular wall and the proliferation of pulmonary artery smooth muscle cell (PASMC) is believed to be critical in this process. However, the molecular mechanisms underlying PASMC proliferation remain largely unclear.
Peroxisome proliferator-activated receptor γ (PPARγ) belongs to the nuclear hormone receptor superfamily. Recent studies have shown that PPARγ has broad protective effects on the cardiovascular system beyond its regulation of adipogenesis and glucose metabolism (Fukuda et al. 2015; Gao et al. 2015; Han et al. 2015; Jin et al. 2015b). Further studies have indicated that the reduction of PPARγ is found in the pulmonary vasculature of patients with PH (Ameshima et al. 2003). In addition, targeted depletion of PPARγ in mice causes spontaneous PH (Guignabert et al. 2009; Hansmann et al. 2008). Several groups including ourselves have reported that activation of PPARγ attenuates PASMC proliferation and suppresses the development of PH induced by monocrotaline or hypoxia in rats (Crossno et al. 2007; Kim et al. 2010a; Li et al. 2010; Matsuda et al. 2005; Xie et al. 2015; Zhang et al. 2014). All these suggest that PPARγ insufficiency contributes to the development of PH by stimulating PASMC proliferation and pulmonary vascular remodeling. However, the exact mechanisms underlying down-regulation of PPARγ in PASMC of PH are still largely unknown.
MicroRNAs (miRNAs) are small non-coding RNA molecules around 22 nucleotides in length and the main function of mature miRNAs is to induce the degradation of mRNA or to suppress its translation (Bartel 2004). Such post-transcriptional regulation is involved in a variety of physiological and pathological cellular processes, including cell proliferation and apoptosis and is also associated with the development of diseases including PH (Brock et al. 2015; Fang and Yeh 2015; Milenkovic 2014; Xing et al. 2015). Recent studies have shown that miRNAs regulate pulmonary vascular remodeling by modulating the proliferation of PASMC (Yang et al. 2012; Zeng et al. 2015). Two miRNA candidates, miR-27a and miR-27b, are found to target the PPARγ 3′ untranslated region (3′ UTR) leading to PPARγ down-regulation and to contributing to the proliferation of non-PASMC, including pulmonary artery endothelial cells (PAECs) (Jennewein et al. 2010; Kang et al. 2013; Kim et al. 2010b; Li et al. 2015), while it is unknown whether induction of miR-27a/b also mediates the reduction of PPARγ expression and is implicated in PASMC proliferation. To examine this, primary cultured PASMC were stimulated with endothelin-1 (ET-1), the expression of PPARγ and miR-27a/b was determined and the molecular mechanisms underlying these changes were further investigated.
Materials and methods
Cell preparation and culture
Primary PASMC from pulmonary arteries were prepared from Sprague–Dawley rats (70–80 g) according to the method previously described (Ke et al. 2016; Song et al. 2016; Wu et al. 2014). All animal experiments were approved by the Laboratory Animal Care Committee of Xi’an Jiaotong University. All animal care and experiments were performed in accordance with the Guide for the Care and Use of Laboratory Animals of Xi’an Jiaotong University Animal Experiment Center. Briefly, pulmonary arteries were rapidly isolated from sacrificed rats, washed in phosphate-buffered saline (PBS, 4 °C) and dipped into Dulbecco’s Modified Eagle Medium (DMEM; Gibco, Grand Isle, NY, USA) containing 10 % fetal bovine serum (FBS; Sijiqing, Hangzhou, China), 100 U/mL penicillin and 100 μg/mL streptomycin. A thin layer of the adventitia was gently stripped off with forceps and the endothelium was carefully removed by scratching the intima surface with elbow tweezers. The remaining smooth muscle was cut into 1-mm3 pieces and placed into a culture flask and then incubated in a 37 °C, 5 % CO2 humidified incubator. PASMC were passaged using 0.25 % trypsin (Invitrogen, Carlsbad, CA, USA) until reaching 70–80 % confluence. All experiments were performed with cells between passages 4–6. The purity of the PASMC was determined by immunostaining with α-actin as previously described (Wu et al. 2014).
Cell proliferation assay
Cell proliferation was determined using the BrdU ELISA Kit (Maibio, Shanghai, China) following the established protocol. PASMC were seeded on 96-well plates at 5 × 103 cells per well, allowed to adhere for at least 24 h and then serum-starved overnight (1 % FBS in DMEM) before the start of the experiments. After different treatments, BrdU labeling reagent was added to the wells and incubated for 2 h at 37 °C. Then, the cells were denatured with FixDenat solution for 30 min and incubated with anti-BrdU mAbs conjugated to peroxidase for 90 min at room temperature. After incubation, the antibody conjugate was removed and a substrate solution was added for reaction for 10 min. Finally, the reaction product was quantified by measuring the absorbance at 370 nm using a microplate reader (Bio-Rad, Richmond, CA, USA). The blank corresponded to 100 μL of culture medium with or without BrdU.
Oligonucleotide synthesis and transfection
For the manual alteration of miR-27a/b expression, negative control miRNA (miR-NC), miR-27a/b mimics and miR-27a/b inhibitor oligonucleotides were purchased from GenePharma (Shanghai, China) and the following sequences were used: miR-27a mimics, sense 5′-UUCACAGUGGCUAAGUUCCGC-3′, antisense 5′-GGAACUUAGCCACUGUGAAUU-3′; miR-27b mimics, sense 5′-UUCACAGUGGCUAAGUUCUGC-3′, antisense 5′-AGAACUUAGCCACUGUGAAUU-3′; miRNA-NC, sense 5′-UUCUCCGAACGUGUCACGUTT-3′, antisense 5′-ACGUGACACGUUCGGAGAATT-3′; anti-miR-27a, 5′-GCGGAACUUAGCCACUGUGAA-3′; anti-miR-27b, 5′-GCAGAACUUAGCCACUGUGAA-3′; anti-miRNA-NC, 5′-CAGUACUUUUGUGUAGUACAA-3′. miRNA oligonucleotides were transfected into cultured cells at a final concentration of 50 nM using Lipofectamine™ 2000 reagent (Invitrogen) following the manufacturer’s protocols. Briefly, cells were cultured until reaching 30–40 % confluence; miRNA oligonucleotides and Lipofectamine were diluted separately in serum-free DMEM and incubated for 5 min at room temperature. Diluted miRNA oligonucleotides were mixed with diluted Lipofectamine and incubated at room temperature for 20 min. Then, the complex of anti-miRNA and Lipofectamine was added into the cells and they were cultured for the indicated time at 37 °C, 5 % CO2 in a humidified incubator. The effects of miRNA transfection were analyzed using qRT-PCR.
Quantitative real-time polymerase chain reaction (qRT-PCR)
Total RNA was extracted from PASMC using the RNeasy Micro-plus Kit (Qiagen, Hilden, Germany) following the manufacturer’s instructions. Isolated RNAs were polyadenylated using the Thermo Scientific RevertAid First Strand cDNA Synthesis Kit (Logan, UT, USA). The cDNA synthesized was used to perform quantitative PCR on an IQ™5 Real-Time PCR Detection System (Bio-Rad) using the Bio-Rad SsoAdvanced™ Universal SYBR® Green kit. Primers specific for miR-27a, miR-27b, U6 small nuclear RNA, PPARγ and glyceraldehyde-3-phosphate dehydrogenase (GAPDH) were purchased from Sangon Biotech (Shanghai, China) and the following primer sets were used: rat miR-27a, 5′-GTCGTATCCAGTGCAGGGTCCGAGGTATTCGCACTGGATACGACGCGGAA-3′ (RT primer), 5′-GCGGCG GTTCACAGTGGCTAAG-3′ and 5′-ATCCAGTGCAGGGTCCGAGG-3′; rat miR-27b, 5′- GTCGTATCCAGTGCAGGGTCCGAGGTATTCGCACTGGATACGACGCAGAA-3′ (RT primer), 5′-GCGGCGGTTCACAGTGGCTAAG-3′ and 5′-ATCCAGTGCAGGGTCCGAGG-3′; rat U6, 5′-AACGCTTCACGAATTTGC GTG-3′ (RT primer), 5′-GCTCGCTTCGGCAGCACA-3′ and 5′-GAGGTATTCGCA CCAGAGGA-3′; rat PPARγ, 5′-CGGTTGATTTCTCCAGCATT-3′ and 5′-TCGCAC TTTGGTATTCTTGG-3′; rat GAPDH, 5′-CCTGGAGAAACCTGCCAAGTAT-3′ and 5′-CTCGGCCGCCTGCTT-3′. The fold increase relative to control samples was determined by the 2−△△Ct method (Livak and Schmittgen 2001). U6 small nuclear RNA served as an internal control for miR-27a and miR-27b, and GAPDH was used as an internal control for PPARγ. Amplification was performed at 95 °C for 1 min, followed by 40 cycles of 95 °C for 5 s, 60 °C for 20 s and 72 °C for 30 s.
Chromatin immunoprecipitation (ChIP) assay
ChIP assay was performed according to the instructions of the EZ-ChIP kit (Millipore, Billerica, MA, USA) as previously described (Au et al. 2013; Jin et al. 2015a; Lv et al. 2016). Briefly, PASMC were treated with formaldehyde and incubated for 10 min to generate DNA-protein cross-links. Cell lysates were then sonicated to generate chromatin fragments of 200–300 bp. The fragmented chromatin samples were immunoprecipitated with antibodies specific for NF-κB p65 (Cell Signaling Technology, Danvers, MA, USA) or rabbit control IgG (Millipore) and reverse cross-linked, purified and analyzed using qRT-PCR. The following primer sets were used for the amplicons of the rat miR-27a/b promoter regions: miR-27a promoter, 5′-CAGGCAGTTGTGACAGTGCT-3′ and 5′-CAGCCAGCTTGGTCTGTGTA-3′; miR-27b promoter set 1, 5′-GCAGGTCTTCTTTGCCTGTC-3′ and 5′-CCCAGAACTCCATGCTTTGT-3′; miR-27b promoter set 2, 5′-TTGGAGAACAGAGGCACCTT-3′ and 5′-ACAAAGCGGAAACCAATCAC-3′.
Luciferase reporter assay
The wild-type PPARγ-3′ UTR (WT) and mutant PPARγ-3′ UTR (Mut) containing the putative binding site of miR-27a/b were established and cloned in the firefly luciferase expressing vector pMIR-REPORT (Sangon Biotech, Shanghai, China), named as pMIR-PPARγ-3′ UTR-WT and pMIR-PPARγ-3′ UTR-Mut, respectively. PASMC were seeded into 24-well plates the day before transfection and then co-transfected with 200 ng pMIR-PPARγ-3′ UTR-WT or pMIR-PPARγ-3′ UTR-Mut reporter vector, 10 pmol miR-27a/b mimics or miR-NC and 20 ng renilla luciferase-expressing vector pRL-TK (Promega, Madison, WI, USA) using Lipofectamine 2000 (Invitrogen). After 48 h, cells were harvested and firefly and renilla luciferase activities were measured using the dual-luciferase reporter assay system (Promega). Luciferase activity of pRL-TK was used as an internal control to normalize transfection and harvest efficiencies. Transfections were performed in triplicate and repeated three times in separate experiments.
Immunoblotting
The cultured cells were washed twice with ice-cold PBS and then lysed in RIPA lysis buffer containing 50 mM Tris-HCl (pH 7.4), 1 % NP-40, 0.1 % SDS, 150 mM NaCl, 0.5 % sodium-deoxycholate, 1 mM EDTA, 1 mM PMSF, 1 mM Na3VO4, 1 mM NaF and proteinase inhibitors. Lysates were centrifuged at 13,000 rpm at 4 °C for 15 min, and the supernatant was collected as total protein. Cytoplasmic and nuclear protein was further extracted using a nuclear and cytoplasmic protein extraction kit (Sangon) according to the manufacturer’s instructions. Protein concentration was determined with a BCA protein assay kit (Pierce Biotechnology, Rockford, IL, USA). Protein was separated on a SDS-PAGE gel and transferred to a nitrocellulose (NC; Bio-Rad) membrane via semidry transfer. The membrane was then blocked with 5 % (w/v) nonfat dry milk in PBS containing 0.1 % (v/v) Tween-20. Polyclonal antibodies against NF-κB p65, PPARγ, Lamin B (Proteintech, Chicago, IL, USA) and glyceraldehyde-3-phosphate dehydrogenase (Chemicon International, Billerica, MA, USA) (1:1000 dilution) were used according to the manufacturer’s protocols. Horseradish peroxidase (HRP)-conjugated goat anti-mouse or anti-rabbit IgG was used as the secondary antibodies (Sigma, St. Louis, MO, USA) (1:5000 dilution). Reactions were developed with SuperSignal West Pico Chemiluminescent Substrate (Pierce) and then exposed to the autoradiographic film. Films were scanned and quantified using Quality One software (Bio-Rad).
Statistical analysis
All values were expressed as mean ± standard deviation (S.D.) and analyzed using one-way analysis of variance (ANOVA) with Tukey post hoc test by SPSS13.0 software. Probability values of P < 0.05 were considered to represent a statistical significance between groups.
Results
ET-1 stimulates PASMC proliferation
To examine the effect of ET-1 on PASMC proliferation, time-course and dose-response of ET-1 on cell proliferation were investigated. Cell proliferation was determined using a BrdU incorporation assay. As shown in Fig. 1a, ET-1 dose-dependently stimulated PASMC proliferation at 24 h and the maximal BrdU incorporation was a 1.93-fold increase over control (P < 0.05) at 100 nM ET-1. Figure 1b demonstrates that ET-1 triggered PASMC proliferation in a time-dependent manner, 100 nM ET-1 caused a significant increase in BrdU incorporation over control after 24 h and BrdU incorporation was a 2.02-fold increase compared to control at 48 h (P < 0.01).
ET-1 down-regulates PPARγ expression in PASMC
It has been shown that ET-1 down-regulates PPARγ expression in several types of non-pulmonary artery smooth muscle cells (Di et al. 2005; Wolf et al. 2014). To clarify whether ET-1 also suppresses PPARγ expression in PASMC, cells were treated with different concentrations of ET-1 over different time periods; the expression of PPARγ was determined using qRT-PCR and western blotting. As shown in Fig. 2a, ET-1 time-dependently reduced the PPARγ mRNA level in PASMC after 24 h treatment, which declined to 0.55-fold over control at 100 nM ET-1 for 48 h incubation (P < 0.01 vs. control). Figure 2b shows the time course of 100 nM ET-1 regulation of the PPARγ protein level, which dropped to 0.48-fold compared to control at 48 h (P < 0.01). Figure 2c, d indicates that ET-1 down-regulated PPARγ expression in PASMC in a dose-dependent manner at 48 h and 100 nM ET-1 reduced PPARγ mRNA and protein levels to 0.57-fold and 0.43-fold compared to control, respectively (both P < 0.01). These results suggest that ET-1 also suppresses PPARγ expression in PASMC.
Activation of NF-κB signaling mediates ET-1-induced PPARγ reduction in PASMC
To address the molecular mechanisms underlying ET-1-induced PPARγ reduction in PASMC, cells were treated with 100 nM ET-1 for 48 h with or without pre-incubation of cells with selective NF-κB inhibitor PDTC (50 μM) for 2 h and then the translocation of the p65 subunit of NF-κB from cytosol to nucleus was examined using western blotting. As shown in Fig. 3a, treatment of PASMC with 100 nM ET-1 for 48 h resulted in a 3.30-fold increase in the p65 subunit nuclear translocation compared to control (P < 0.01), while pre-treatment of cells with PDTC ameliorated ET-1-induced p65 nuclear translocation, which declined to a 2.10-fold increase over control (P < 0.01 vs. ET-1-treated cells). At the same time, the p65 protein level in the cytosol was increased from 0.65-fold over control in ET-1-treated cells to 0.93-fold over control in PDTC and ET-1 co-treated cells (P < 0.01) (Fig. 3a).
To investigate the specific involvement of the NF-κB pathway in ET-1-induced PPARγ reduction, primary cultured PASMC were prior incubated with NF-κB inhibitor PDTC (50 μM) for 2 h, followed by stimulation with 100 nM ET-1 for 48 h and then the mRNA and protein levels of PPARγ were determined. The presence of PDTC dramatically blocked ET-1 reduction of PPARγ mRNA and protein levels, which increased from 0.51-fold and 0.43-fold over control in ET-1-treated cells to 0.80-fold and 0.88-fold over control in cells simultaneously treated with PDTC and ET-1, respectively (both P < 0.01) (Fig. 3b, c). These results indicate that activation of NF-κB particularly mediates ET-1 down-regulation of PPARγ expression in PASMC.
NF-κB mediates ET-1 up-regulation of miR-27a/b in PASMC
Previous studies have reported that PPARγ is regulated by miR-27a/b in several types of cells (Jennewein et al. 2010; Kang et al. 2013; Kim et al. 2010b; Li et al. 2015). At the same time, the level of miR-27 is increased in the lung tissue of several experimental models of PH (Bi et al. 2015; Caruso et al. 2010; Kang et al. 2013) and in hypoxia-exposed human pulmonary artery endothelial cells (Kang et al. 2013). A variety of studies have found that several microRNAs, including miR-27a/b, are directly regulated by NF-κB and are associated with multiple physiological and pathophysiological processes (Fiorillo et al. 2015; Zhu et al. 2014). Therefore, it is interesting to know whether NF-κB mediates ET-1 induction of miR-27a/b expression in PASMC.
To test this hypothesis, the genomic sequences of rat miR-27a/b were obtained from the online database (http://www.genome.ucsc.edu) and the potential NF-κB binding sites in the promoter regions of miR-27a/b were analyzed using the PROMO database (http://alggen.lsi.upc.es/cgi-bin/promo_v3/promo/promo.cgi?dirDB=TF_8.3). The results revealed that there was one binding site in the promoter region (−1746 to −1735) of rat miR-27a and two were found within the miR-27b promoter region and named as set 1 (−1335 to −1326) and set 2 (−76 to −67), respectively (Fig. 4a). To further validate that NF-κB can directly bind to the miR-27a/b promoter regions, ChIP assays were used to examine whether NF-κB directly bound to putative sites identified in the miR-27a/b promoters after treatment with ET-1 (100 nM) for 48 h. Our results indicated that enrichment of NF-κB p65 was observed around the promoter region (−1746 to −1735) of miR-27a and set 2 (−76 to −67) of miR-27b compared with the control IgG (both P < 0.01) (Fig. 4b). These results suggest that NF-κB can bind to the promoter regions of miR-27a/b in PASMC.
To confirm that NF-κB directly mediates ET-1-induced miR-27a/b expression in PASMC, cells were pretreated with NF-κB inhibitor PDTC (50 μM) for 2 h before stimulation of cells with 100 nM ET-1 for 48 h. As shown in Fig. 4c, d, PASMC treated with ET-1(100 nM) for 48 h exhibited a 1.58-fold and 1.79-fold increase over control in the levels of miR-27a and miR-27b, respectively (both P < 0.05), while pre-incubation of cells with NF-κB inhibitor PDTC (50 μM) for 2 h reduced the levels of miR-27a and miR-27b to 1.12-fold and 1.15-fold over control, respectively (both P < 0.05 versus ET-1-treated cells). These results suggest that the NF-κB pathway is specifically involved in ET-1 up-regulation of miR-27a/b through direct binding to its promoters in PASMC.
PPARγ is a direct target of miR-27a/b in PASMC
In order to determine whether miR-27a/b directly binds to 3′ UTR of PPARγ mRNA and regulates its expression in PASMC, we performed a luciferase assay in pMIR-PPARγ-3′ UTR-WT or pMIR-PPARγ-3′ UTR-Mut luciferase reporter plasmids transfected into PASMC. In pMIR-PPARγ-3′ UTR-Mut, four nucleotides were changed to disrupt the putative interaction between PPARγ mRNA and miR-27a/b (Fig. 5a). As shown in Fig. 5b, co-transfection of miR-27a or miR-27b with pMIR-PPARγ-3′ UTR-WT significantly suppressed the luciferase activity in PASMC, which declined to 0.62-fold and 0.56-fold compared with miR-NC transfected cells, respectively (both P < 0.01). In contrast, co-transfection of miR-27a/b or miR-NC with pMIR-PPARγ-3′ UTR-Mut did not affect the luciferase activity in PASMC. These results suggest that PPARγ is a direct target of miR-27a/b in PASMC.
Next, we determined the effect of overexpression or down-regulation of miR-27a/b on PPARγ expression in PASMC. As shown in Fig. 5c, transfection of 50 nM miR-27a or miR-27b mimics for 48 h reduced the PPARγ mRNA level to 0.53-fold and 0.49-fold compared with miR-NC transfected cells, respectively (both P < 0.01). Meanwhile, the PPARγ protein level was also decreased to 0.45-fold and 0.40-fold compared with miR-NC transfected cells, respectively (both P < 0.01) (Fig. 5d). In contrast, in PASMC transfected with 50 nM anti-miR-27a or anti-miR-27b oligonucleotides for 48 h, the PPARγ protein levels were significantly increased to 2.66-fold and 2.80-fold compared with anti-miR-NC transfected cells, respectively (both P < 0.01) (Fig. 5e).
To further examine whether miR-27a/b specifically mediates ET-1-induced PPARγ reduction in PASMC, we applied sequence-specific anti-miRNA to knockdown the expression of miR-27a/b. As shown in Fig. 6a, transfection of PASMC with anti-miR-27a or anti-miR-27b for 48 h resulted in 67 % and 62 % reduction in miR-27a and miR-27b levels compared to control, respectively (both P < 0.01), whereas anti-miR-NC transfection did not change the miR-27a/b level. Figure 6b indicates that treatment of PASMC with 100 nM ET-1 for 48 h reduced the PPARγ mRNA level to 0.50-fold over control (P < 0.01), whereas the PPARγ mRNA level raised to 0.69-fold and 0.85-fold compared to control in cells prior transfected with anti-miR-27a or anti-miR-27b for 24 h and then followed by ET-1 stimulation for 48 h, respectively (both P < 0.05 vs. ET-1-treated cells). Similarly, lacking miR-27a or miR-27b also suppressed ET-1-induced PPARγ protein reduction in PASMC. The protein level of PPARγ raised from 0.46-fold over control in ET-1-treated cells to 0.74-fold and 0.91-fold increase over control in cells with prior transfection of anti-miR-27a or anti-miR-27b, respectively (both P < 0.05 vs. ET-1-treated cells) (Fig. 6c). Taken together, these results suggest that miR-27a/b directly regulates PPARγ expression and mediates ET-1-induced PPARγ down-regulation in PASMC.
Up-regulation of miR-27a/b by NF-κB mediates ET-1-stimulated PASMC proliferation
To determine the effect of overexpression of miR-27a/b on PASMC proliferation, PASMC were transfected with 50 nM miR-27a/b mimics or miR-NC for 48 h. Figure 7a demonstrates that the rate of BrdU incorporation increased to 1.75-fold and 1.89-fold over control in cells transfected with miR-27a or miR-27b mimics, respectively (both P < 0.01 vs. miR-NC transfected cells). To further clarify whether up-regulation of miR-27a/b by NF-κB activation and subsequent PPARγ reduction are involved in ET-1-stimulated PASMC proliferation, cells were pre-incubated with PDTC (50 μM) for 2 h, or prior transfected with 50 nM anti-miR-27a or anti-miR-27b oligonucleotides for 24 h, followed by 100 nM ET-1 stimulation for 48 h. PASMC proliferation was determined by BrdU incorporation assay. As shown in Fig. 7b, inhibition of NF-κB dramatically suppressed ET-1-triggered PASMC proliferation, the BrdU incorporation rate was decreased from a 2.12-fold increase over control in ET-1-treated cells to a 1.20-fold increase over control in PDTC and ET-1 co-treated cells (P < 0.01). In addition, the rate of BrdU incorporation declined from 1.98-fold over control in ET-1 treated cells with prior transfection of anti-miR-NC to 1.53-fold and 1.30-fold over control in ET-1 treated cells with prior transfection of anti-miR-27a or anti-miR-27b, respectively (P < 0.05). These results suggest that up-regulation of miR-27a/b, especially miR-27b, by NF-κB activation mediates the effect of ET-1 on PASMC proliferation.
Discussion
We have shown in this study that ET-1 causes the reduction of PPARγ expression in primary cultured PASMC, this effect is coupled to ET-1-induced NF-κB activation and subsequent induction of miR-27a/b, particularly miR-27b, which further post-transcriptional suppresses the expression of PPARγ and regulates the proliferation of PASMC. Our study provides molecular mechanisms underlying the reduction of PPARγ in pulmonary vasculature in the development of PH.
Insufficiency of PPARγ function due to its protein level reduction has been shown to be associated with the development of a variety of diseases including various types of cancer (Chang et al. 2006; Mansure et al. 2013; Pellerito et al. 2014) and activation of PPARγ suppresses both normal and tumor cell proliferation (Kollipara and Kittler 2015; Luo et al. 2015; Zhang et al. 2015). Recent studies have further indicated that a reduction of PPARγ expression has been observed in the vascular lesions of patients with PH and several experimental models of PH (Ameshima et al. 2003; Bijli et al. 2015; Green et al. 2012; Kang et al. 2013; Kim et al. 2010a; Lu et al. 2013). Activation of PPARγ with exogenous synthetic thiazolidinedione ligands attenuates pulmonary vascular remodeling and therefore the development of PH by inhibiting PASMC proliferation in several experimental models of PH (Gien et al. 2014; Kang et al. 2013; Liu et al. 2012. 2014; Xie et al. 2015; Zhang et al. 2014). The finding of an association between PPARγ and the development of PH have brought new perspectives for understanding and treatment of this disease, while the detailed molecular mechanisms responsible for the reduction of PPARγ in pulmonary vasculature of PH remain largely unknown. It has been shown that exogenous ET-1 administration decreases PPARγ expression in pulmonary artery endothelial cells (Wolf et al. 2014) and aortic vascular smooth muscle cells (Di et al. 2005). Increased level of plasma ET-1 has also been found in patients with PH and animal models of PH (Kojonazarov et al. 2012; Kwon et al. 2010; Stewart et al. 1991; Yuan et al. 2013; Zhang et al. 2005). In addition, previous studies have shown that the plasma ET-1 level predicts disease severity and degree of PH in newborn lambs and human infants with persistent PH of the newborn (de Vroomen et al. 2001; Keller et al. 2010). In the present study, we demonstrated that ET-1 dose- and time-dependently reduced PPARγ expression and stimulated PASMC proliferation. Although it is hard to correlate the biological relevance of ET-1 level in vivo versus in vitro, these results suggest that ET-1-induced PPARγ reduction might play an important role in the development of PH.
NF-κB is a transcriptional factor that regulates multiple genes expression associated with cellular proliferation, differentiation inflammation and angiogenesis (Monaco et al. 2004). NF-κB can be activated by a variety of stimuli, such as hypoxia, inflammatory cytokines, viral and bacterial infections, and oxidative and DNA-damaging agents (Ghosh and Karin 2002). The activation of the NF-κB pathway requires the release of p65/p50 subunits from the complex with the inhibitor of κB and the translocation of p65/p50 heterodimers to the nucleus (Rahman and Fazal 2011). Previous studies have indicated that PASMC derived from patients with idiopathic pulmonary arterial hypertension show an increased NF-κB activity and inhibition of NF-κB ameliorates the development of PH in several experimental models (Hosokawa et al. 2013; Huang et al. 2008; Li et al. 2014; Sawada et al. 2007). A study by Lu et al. showed that hypoxia-induced activation of NF-κB reduces PPARγ expression and promotes PASMC proliferation; knockdown of NF-κB in PASMC can reverse hypoxic-induced PPARγ reduction and cell proliferation (Lu et al. 2013). In this study, we further indicated that ET-1 also activated NF-κB cascade and caused PPARγ down-regulation and pharmacological inhibition of NF-κB by PDTC abolished ET-1-induced PPARγ reduction and therefore suppressed PASMC proliferation. In addition, reduction of PPARγ has been shown to be sufficient to induce the activation of NF-κB in human PASMC, suggesting the presence of feed-forward or self-amplifying signaling mechanisms in PASMC (Bijli et al. 2015). Actually, there is an interaction loop between NF-κB and PPARγ (Kelly et al. 2004) activation of PPARγ suppresses the activity of NF-κB and inhibits its caused pathological alterations, such as cell proliferation and inflammatory responses (Ackerman et al. 2005; Ban et al. 2011; Lu et al. 2010). Our present study and others suggest that NF-κB not only induces particular pathophysiological changes but also amplifies its effects by blocking its intrinsic inhibitors, such as PPARγ (Bijli et al. 2015; Liu et al. 2011; Lu et al. 2013).
miR-27a/b is a member of homologous miRNA clusters, miR-23a/27a/24–2 and 23b/27b/24–1, which are found on human chromosomes 19 and 9, respectively. They have the same sequence, UGACACU, which recognizes its complementary sequence in the 3′ UTRs of specific genes, including PPARγ (Lin et al. 2009). Previous studies suggest that miR-27a/b has profound effects on cell proliferation, differentiation and survival (Chintharlapalli et al. 2009; Lin et al. 2009; Liu et al. 2009; Zhu et al. 2008). miR-27 is increased in the lung tissue of several experimental models of PH (Bi et al. 2015; Caruso et al. 2010) and in hypoxia-exposed human pulmonary artery endothelial cells (Kang et al. 2013). It is widely recognized that structural alterations in the vascular wall contribute to all forms of PH and PAECs injury and dysfunction, as well as PASMC proliferation and migration, are strongly suspected to be key contributing factors in initiating and mediating pulmonary vascular remodeling in PH (Kang et al. 2013; Zeng et al. 2015). The study by Kang et al. showed that hypoxia inhibits PPARγ expression and promotes human PAECs proliferation through miR-27a-mediated post-transcriptional mechanisms (Kang et al. 2013). A recent study showed that miR-27b affects NO production via the modulation of PPARγ expression in human PAECs and that miR-27b inhibition attenuates pulmonary vascular remodeling and prevents right ventricular hypertrophy in monocrotaline-induced PH in rats (Bi et al. 2015). However, the detailed molecular mechanisms responsible for miR-27 induction of pulmonary vascular remodeling, particularly PASMC proliferation, remain unclear. In this study, ChIP assays indicated that NF-κB directly bind to the miR-27a/b promoter regions. The use of an NF-κB inhibitor further confirmed that activation of NF-κB mediated ET-1-induced miR-27a/b expression and up-regulation of miR-27, particularly miR-27b, in turn reduced PPARγ expression and contributed to ET-1-induced PASMC proliferation. Further studies are needed to explore whether these mechanisms play a role in the development of a variety of PH in vivo. Nevertheless, this study provides molecular insights into PPARγ down-regulation in PH and has a potential value in the treatment of PH.
Abbreviations
- BrdU:
-
5-Bromo-29-deoxyuridine
- ChIP:
-
Chromatin immunoprecipitation
- DMEM:
-
Dulbecco’s Modified Eagle Medium
- EC:
-
Endothelial cell
- EDTA:
-
Ethylene diamine tetraacetic acid
- ET-1:
-
Endothelin-1
- FBS:
-
Fetal bovine serum
- GAPDH:
-
Glyceraldehyde-3-phosphate dehydrogenase
- miR:
-
MicroRNA
- NC:
-
Negative control
- NF-κB:
-
Nuclear factor-kappaB
- NP-40:
-
Nonidet P-40
- PAECs:
-
Pulmonary arterial endothelial cells
- PH:
-
Pulmonary hypertension
- PAP:
-
Pulmonary arterial pressure
- PASMC:
-
Pulmonary artery smooth muscle cells
- PCR:
-
Polymerase chain reaction
- PDTC:
-
Pyrrolidine dithiocarbamate
- PMSF:
-
Phenylmethylsulfonyl fluoride
- PPARγ:
-
Peroxisome proliferator-activated receptor γ
- SDS:
-
Sodium dodecyl sulfate
- UTR:
-
Untranslated region
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This study was supported by the National Natural Science Foundation of China (Grant No. 81070045).
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Xie, X., Li, S., Zhu, Y. et al. MicroRNA-27a/b mediates endothelin-1-induced PPARγ reduction and proliferation of pulmonary artery smooth muscle cells. Cell Tissue Res 369, 527–539 (2017). https://doi.org/10.1007/s00441-017-2625-9
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DOI: https://doi.org/10.1007/s00441-017-2625-9