Complexity of transcriptional regulation of the tumor necrosis factor–α gene

Complexity of transcriptional regulation of the tumor necrosis factor–α gene

Journal of Molecular and Cellular Cardiology 35 (2003) 1179–1181 www.elsevier.com/locate/yjmcc Editorial Complexity of transcriptional regulation of...

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Journal of Molecular and Cellular Cardiology 35 (2003) 1179–1181 www.elsevier.com/locate/yjmcc

Editorial

Complexity of transcriptional regulation of the tumor necrosis factor–a gene Recent studies suggest that the myocardial response to environmental stress comprises a homeostatic mechanism that allows cardiac myocytes to delimit cell injury through upregulation of cytoprotective factors. In response to various kinds of stimuli, the myocardium is capable of synthesizing a variety of cytoprotective factors, including growth factors and cytokines, which may contribute to the myocardial growth/remodeling and angiogenesis that occur after tissue injury [1–5]. Tumor necrosis factor–a (TNF-a) is a pro-inflammatory cytokine with pleiotropic-biological effects. Experimental studies have shown that the mammalian heart synthesizes TNF–a after stressful environmental conditions, such as hemodynamic overload [6], myocardial ischemia [7] and viral infection [8], and that this may contribute to important autocrine and/or paracrine homeostatic roles of cytoprotective factors in the diseased heart. The activities of TNF–a are mediated through two distinct cell surface receptors, TNF receptor 1 (p55) and TNF receptor 2 (p75), both of which exist on the surface of cardiac myocytes [9]. It has been reported that activation of both type 1 and 2 TNF receptors by TNF–a treatment confers resistance to hypoxic injury in adult cardiac myocytes [10]. It was further confirmed in in vivo model of myocardial infarction using mice lacking TNF receptors 1 and 2. Compared with control mice, these mice exhibit significantly greater infarct size after coronary ligation [11]. Recently, Wada et al. [12] reported interesting study demonstrating protective role of TNF–a in viral myocarditis. TNF-a gene-deficient mice are susceptible to viral infection and exhibit a poor prognosis. Injection of TNF–a into these mice improved survival, which suggested that TNF–a as a protective cytokine in the acute stage of viral myocarditis. These experimental studies suggest that TNF–a signaling gives rise to various cytoprotective signals that prevent the development of cardiac myocyte injury. However, recent studies in transgenic mice with targeted overexpression of the TNF–a gene in the heart showed that these mice developed progressive left ventricular dilation with a 6–month mortality of 25% [13]. Experimental studies in rats have also shown that circulating concentrations of TNF–a that overlap those observed in patients with heart failure are sufficient to produce persistent negative-inotropic effects that are detectable at the level of cardiac myocytes [14]. These seminal studies suggest that it is likely that the © 2003 Elsevier Ltd. All rights reserved. doi:10.1016/S0022-2828(03)00247-5

short-term benefits of TNF–a will be lost if myocardial TNF-a expression becomes sustained and/or excessive. Kubota et al. [15] reported that overexpression of TNF–a activates both anti– and pro-apoptotic pathways in the myocardium, resulting in increase of apoptosis, primarily in nonmyocytes. The precise mechanism of myocardium-derived TNF–a expression was previously reported by Yokoyama et al. [16]. They examined TNF–a production in neonatal rat cardiac myocytes and fibroblasts after angiotensin II (Ang II) stimulation and compared it with that induced by lipopolysaccharide (LPS) or mechanical stretching. LPS, Ang II and mechanical stretch induced the production of TNF–a in cardiac fibroblasts, but only LPS stimulation induced TNF–a synthesis in cardiac myocytes. Subsequent experimental studies have indicated the importance of b-adrenergic receptormediated intracellular-cAMP elevation for inhibitory regulation of TNF–a synthesis. Last year, the molecular mechanism of Ang II-induced TNF–a regulation was examined using adult ferine hearts. Ang II-induced TNF–a mRNA expression and protein biosynthesis in the heart through the angiotensin type 1 receptor, in association with nuclear factor–jB (NF-jB) and activator protein-1 (AP-1) activation [17]. In this study, protein kinase C is proposed to be essential in Ang II-mediated induction of TNF–a in adult mammalian heart. The results obtained by Yokoyama et al. [16] suggest that increase in TNF–a expression by Ang II in adult ferine heart might be mediated mostly by cardiac fibroblasts. If transcriptional regulation of the TNF–a gene is cell-type specific, it would be difficult to identify critical transcription factor from the whole heart. Transcriptional regulation of the TNF–a gene is complex, with differences by specific stimulus, individual cell type and species. Moreover, significant differences have been noted between the regulatory mechanisms of the mouse and human TNF–a gene promoter. Most of the previous experimental studies involved the murine TNF–a gene, and indicated the importance of NF–jB in LPS-mediated transcriptional upregulation of the TNF–a gene [18]. However, it is reported that viral and LPS-mediated induction of the human TNF–a gene are not mediated by NF-jB [19]. Moreover, the sequence requirements of human TNF–a gene induction in different cell types differ significantly, indicating that transcriptional regulation of the human TNF–a gene is cell-type

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Editorial / Journal of Molecular and Cellular Cardiology 35 (2003) 1179–1181

specific. Therefore, cell-type– and inducer-specific transcriptional regulation of the human TNF–a gene involves multiple promoter regions and factors that act in a cell-type-specific manner. In the present issue of Journal of Molecular and Cellular Cardiology on pages 1197–1205, Sato et al. [20] report the transcriptional regulation of the human TNF–a gene by LPS and Ang II stimulation in cardiac fibroblasts. Ang II presented significantly increased promoter activity of the TNF–a gene, as observed after LPS and endothelin-1 stimulation. Although Ang II is known to induce TNF–a through the activation of NF-jB and AP-1 in other cell types, binding of ATF-2/c–jun to the CRE (cAMP responsive element) site was required for TNF–a gene induction in cardiac fibroblasts. A growing body of studies has revealed the importance of various neurohumoral factors in the development of cardiac remodeling and heart failure. In addition to TNF–a, a series of important studies demonstrated that the interleukin 6 (IL-6) family of cytokines, such as cardiotrophin-1 (CT-1), leukemia inhibitory factor (LIF) and IL-6, provided homeostatic responses to environmental stress, including hypertrophic growth, neovascularization and increased free radical scavenging through increased expression of manganese superoxide dismutase [21–24]. However, as in the case of TNF–a, the short-term beneficial effects of IL-6 may be lost if myocardial IL-6 expression becomes sustained and excessive, in which case the salutary effects of IL-6 may be lost [25]. Elevated circulating level of TNF in patients with congestive heart failure (CHF) was primarily reported by Levine et al. in 1990 [26]. Thereafter, it was reported that proinflammatory cytokines, including TNF–a and IL-6, are expressed in direct relation to worsening NYHA functional classification [27]. Recently, increased circulating level of CT-1 has been reported in patients with CHF, and is known to correlate with left ventricular mass index in patients with dilated cardiomyopathy [28]. In addition, enhanced expression of LIF and CT-1 was observed in the left ventricles of patients with CHF in association with diminished gp130– dependent signal transduction [22,29]. The observation that a variety of redundant inflammatory mediators are activated in heart failure has also potential therapeutic implications for anti-inflammatory strategies. Many cytokines are involved in many types of cells in the pathogenesis of the heart failure. Even in the case of TNF–a production, cell-type-specific transcriptional regulation of the human TNF–a gene involves multiple factors that act in a cell-type-specific manner with Ang II stimulation. Although it is difficult to predict the in vivo transcriptional regulatory properties of promoter elements from their in vitro binding activities, further experimental study would be expected to identify transcriptional factor, which enhances salutary effect of TNF–a without sustained expression.

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Keiko Yamauchi-Takihara* Department of Molecular Medicine, Osaka University Graduate School of Medicine, 2–2 Yamadaoka, Suita, Osaka 565 0871, Japan E-mail address: [email protected] Received 17 July 2003; accepted 18 July 2003 * Corresponding author. Tel.: +81-6-6879-3835; fax: +81-6-6879-3839.