Thrombosis |
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-6inducible 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-6inducible response. Electrophoretic mobility shift assay and chromatin immunoprecipitation assay demonstrated that C/EBP
, C/EBPß, and C/EBP
were involved in proteinDNA 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
binding activity was increased by IL-6 and attenuated by mevastatin. Mevastatin attenuated IL-6mediated increase of C/EBP
protein in the nuclear extracts. IL-6 also increased PAI-1 and C/EBP
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
binding site. Vascular protection by statins may be partly mediated through regulation of CEBP
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
binding site. Mevastatin attenuated IL-6mediated increase of C/EBP
protein in the nuclear extracts. C/EBP
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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