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Arteriosclerosis, Thrombosis, and Vascular Biology. 2005;25:1078-1084
Published online before print February 17, 2005, doi: 10.1161/01.ATV.0000159701.24372.49
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(Arteriosclerosis, Thrombosis, and Vascular Biology. 2005;25:1078.)
© 2005 American Heart Association, Inc.


Thrombosis

Interleukin-6 and Mevastatin Regulate Plasminogen Activator Inhibitor-1 Through CCAAT/Enhancer-Binding Protein-{delta}

Jie Dong; Satoshi Fujii; Hongmei Li; Hidekazu Nakabayashi; Masaharu Sakai; Shinzo Nishi; Daisuke Goto; Tomoo Furumoto; Shogo Imagawa; Tarikuz A.K.M. Zaman; Akira Kitabatake

From the Departments of Cardiovascular Medicine and Molecular Biology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.

Correspondence to Satoshi Fujii, MD, PhD, The Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine, Kita 15, Nishi 7, Kitaku, Sapporo, Japan 060-8638. E-mail sfujii{at}med.hokudai.ac.jp

Objective— We sought to determine the etiologic mechanism of proinflammatory cytokine, interleukin-6 (IL-6), and statin as regulators of synthesis of plasminogen activator inhibitor-1 (PAI-1), the physiological fibrinolysis inhibitor and an acute-phase reactant.

Methods and Results— Transient transfection and luciferase assay in HepG2 human hepatoma-derived cells demonstrated that IL-6 increased PAI-1 promoter activity and mevastatin decreased IL-6–inducible response. Systematic deletion assay of the promoter demonstrated that the region (–239 to –210 bp) containing a putative CCAAT/enhancer-binding protein (C/EBP) binding site was necessary. Point mutation in this site abolished the IL-6–inducible response. Electrophoretic mobility shift assay and chromatin immunoprecipitation assay demonstrated that C/EBP{alpha}, C/EBPß, and C/EBP{delta} were involved in protein–DNA complex formation in intact cells. Deoxyribonuclease (DNase) I footprinting analysis revealed that 5' flanking region (–232 to –210 bp) is acute-phase response protein-binding site. C/EBP{delta} binding activity was increased by IL-6 and attenuated by mevastatin. Mevastatin attenuated IL-6–mediated increase of C/EBP{delta} protein in the nuclear extracts. IL-6 also increased PAI-1 and C/EBP{delta} mRNA in mouse primary hepatocytes.

Conclusions— IL-6 increases hepatic PAI-1 expression mediated by the –232- to –210-bp region of the promoter containing a C/EBP{delta} binding site. Vascular protection by statins may be partly mediated through regulation of CEBP{delta} and consequent modulation of PAI-1 expression.

IL-6 increases hepatic PAI-1 expression mediated by the –232- to –210-bp region of the promoter containing a C/EBP{delta} binding site. Mevastatin attenuated IL-6–mediated increase of C/EBP{delta} protein in the nuclear extracts. C/EBP{delta} may be responsible for hepatic PAI-1 expression induced by IL-6 and its attenuation by statins.


Key Words: IL-6 • statins • PAI-1 • C/EBP • thrombosis




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