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Arteriosclerosis, Thrombosis, and Vascular Biology. 1997;17:672-679

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(Arteriosclerosis, Thrombosis, and Vascular Biology. 1997;17:672-679.)
© 1997 American Heart Association, Inc.


Articles

N-{alpha}-Tosyl-L-Lysine Chloromethylketone Prevents Expression of iNOS in Vascular Smooth Muscle by Blocking Activation of NF-{kappa}B

Valérie B. Schini-Kerth; Matthias Boese; Rudi Busse; Beate Fisslthaler; ; Alexander Mülsch

From the Center of Physiology, University Clinic of Frankfurt, Frankfurt, Germany.

Correspondence to V.B. Schini-Kerth, PhD, Zentrum der Physiologie, Klinikum der JWG–Universität, Theodor-Stern-Kai 7, D-60590 Frankfurt/Main, Germany.


*    Abstract
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*Abstract
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Abstract Certain cytokines and lipopolysaccharide stimulate expression of inducible nitric oxide synthase (iNOS) in vascular smooth muscle, an event that is regulated at the transcriptional level and appears to involve several transcription factors, including nuclear factor {kappa}B (NF-{kappa}B). Since proteases play an essential role in NF-{kappa}B activation, experiments were designed to clarify, in both cultured rat aortic smooth muscle cells (SMCs) and isolated rat aortas, whether protease inhibitors affect the interleukin-1ß (IL-1ß)–elicited expression of iNOS. The formation of NO was assessed by nitrite release in cultured SMCs and the attenuation of phenylephrine-induced contraction in aortic rings, the expression of iNOS by Western blot analysis and reverse transcription–polymerase chain reaction, and NF-{kappa}B activity in nuclear extracts by gel electrophoretic mobility shift assay. Exposure of cultured SMCs to IL-1ß increased NF-{kappa}B binding activity within 30 minutes and was associated with nitrite accumulation and the appearance of iNOS protein 24 hours later. These responses were abolished in cells that had been exposed to the cytokine in the presence of the protease inhibitor N-{alpha}-tosyl-L-lysine chloromethylketone. Aprotinin and p-toluenesulfonyl-L-arginine methyl ester, two other protease inhibitors, also reduced the cytokine-stimulated release of nitrite and the level of iNOS protein. Exposure of rat aortic segments without endothelium to IL-1ß activated NF-{kappa}B within 30 minutes and was associated with the appearance of iNOS mRNA and an attenuation of phenylephrine-induced contraction 6 hours later. These responses were blunted when the segments were incubated with the cytokine and N-{alpha}-tosyl-L-lysine chloromethyl ketone. The present observations indicate that protease inhibitors prevent iNOS expression in both cultured and native vascular SMCs by blocking the activation of NF-{kappa}B.


Key Words: inducible nitric oxide synthase • interleukin-1ß • nuclear factor-{kappa}B • vascular reactivity • vascular smooth muscle


*    Introduction
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up arrowAbstract
*Introduction
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Nitric oxide is an important physiological regulator of mammalian vascular function in health and disease. In normal blood vessels, NO is generated by a constitutively expressed, calcium/calmodulin–dependent NOS that is localized predominantly in the endothelium.1 Endothelium-derived NO plays a vital role in the local regulation of vascular tone, prevents platelet activation, and helps to maintain VSMCs in a quiescent state.2 3 4

NO can also be generated after transcriptional upregulation of iNOS by certain cytokines, such as IL-1ß, TNF-{alpha}, and endotoxin.5 This sequence of events probably accounts for the release of NO from denuded blood vessels that have been exposed in vitro to inflammatory mediators or injured in vivo by either a balloon catheter or endotoxin.6 7 8 9 Although iNOS expression has been demonstrated in endothelial cells, fibroblasts, and macrophages,10 11 12 VSMCs are likely to be the major cellular source of NO in endothelium-deficient or injured arteries. Unlike endothelial NOS, iNOS is not activated by calcium but generates NO at a maximal rate over long periods of time.6 Similar to the protective roles of endothelium-derived NO, it is conceivable that continuous formation of discrete amounts of NO by VSMCs may be important for maintaining vascular tone, patency, and nonthrombogenicity at sites of endothelial damage. However, when NOS induction becomes exaggerated, the release of copious amounts of NO will cause loss of vascular tone and result in severe hypotension, such as occurs in septic shock.8

NF-{kappa}B appears to mediate the cytokine- and lipopolysaccharide-induced gene transcription that is involved in the inflammatory response.13 The NF-{kappa}B family of transcription factors, including p65 (RelA), c-Rel, RelB, p50, and p52, share a structurally homologous N-terminal Rel domain that encodes DNA binding and dimerization functions.14 15 In addition, p65, c-Rel, and RelB contain potent transactivator domains.16 The various NF-{kappa}B subunits interact to form homodimers and heterodimers, the best-characterized form of NF-{kappa}B being a heterodimer composed of a p50 and a p65 subunit.17 NF-{kappa}B is constitutively expressed in the cytosol of many cells albeit bound to inhibitory protein(s) I{kappa}B.18 Although the signal-transduction cascade linking cytokine- and lipopolysaccharide-receptor stimulation to activation and nuclear translocation of NF-{kappa}B is not entirely clear, a final step involves phosphorylation and proteolytic degradation of I{kappa}B.19 20 21 22 Recent studies have suggested that activation of NF-{kappa}B also plays a pivotal role in the induction of iNOS. Cognate sequences for NF-{kappa}B have been identified in the promoters of both the human and the mouse gene encoding iNOS.23 24 25 In addition, the NF-{kappa}B binding site upstream from the TATA box in the iNOS promoter of the murine gene has been shown to be necessary but not sufficient for maximal transcriptional activation of this gene by lipopolysaccharide.23 25 Recently, protease inhibitors (eg, TLCK) and antioxidants (eg, pyrrolidine dithiocarbamate) prevented lipopolysaccharide from stimulating the expression of iNOS in macrophages presumably by inhibiting the activation of NF-{kappa}B.26 27 28 Therefore, we designed experiments in cultured and native VSMCs to test the hypothesis that protease inhibitors prevent induction of NOS by interfering with NF-{kappa}B activation.


*    Methods
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up arrowIntroduction
*Methods
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Cell Culture
SMCs were isolated by elastase and collagenase digestion of thoracic aortas from male Wistar rats and characterized by immunocytochemical techniques using a monoclonal antibody against smooth muscle {alpha}-actin.29 Cells were cultured in minimum essential medium containing Earle's salts, 2 mmol/L glutamine, 5 mmol/L Tris-NaOH, 5 mmol/L HEPES-NaOH, (both at pH 7.3), 100 U/mL penicillin, 100 µg/mL streptomycin, and 10% (vol/vol) fetal bovine serum. Confluent cultures of SMCs were serially passaged with 0.05% trypsin/0.02% EDTA. All experiments were performed with confluent cultures of cells at passage 4 or higher. SMCs were seeded into either 24-well multiwell plates for measurement of nitrite production or Petri dishes (60-mm diameter) for detection of iNOS protein by Western blot analysis, iNOS mRNA by RT-PCR, and NF-{kappa}B binding activity by EMSA. After the cells had reached confluence, the medium was replaced with serum-free culture medium containing 0.1% (wt/vol) fatty acid–free BSA. After 24 hours the incubation medium was replaced again with serum-free culture medium, and the SMCs were then exposed to IL-1ß for 24 hours or as indicated.

Preparation of Isolated Blood Vessels
Male Wistar rats were killed and their thoracic aortas removed and placed in a modified Krebs-Ringer bicarbonate solution containing (in mmol/L) NaCl 119, KCl 4.7, MgSO4 1.2, KH2PO4 1.2, CaCl2 1.6, NaHCO3 25, calcium EDTA 0.026, and glucose 11.1, with sodium diclofenac (10-6 mol/L) added to prevent production of vasoactive prostanoids. The aortas were cleaned of loose connective tissue and cut into either rings (3 to 4 mm long) for the organ chamber study or segments (5 to 6 mm long) for both the EMSA and determination of iNOS mRNA by RT-PCR. The endothelium was removed mechanically from both types of aortic preparation. Rings were incubated in serum-free culture medium containing BSA and polymyxin B (1 µg/mL) with or without TLCK, IL-1ß, or a combination of both for 6 hours at 37°C before the organ chamber experiment. For both EMSA and RT-PCR, each treatment was applied to a batch of four segments that had been obtained from four different rat aortas. Each group of aortic segments was incubated in serum-free culture medium containing BSA at 37°C. After a 30-minute rest, the medium was replaced again with fresh, serum-free medium and the aortic segments were incubated with or without TLCK, IL-1ß, or both for 30 minutes or as indicated.

Release of Nitrite
Nitrite accumulation was determined by formation of diazo compounds and the resulting change in absorbance at 570 nm. Aliquots (150 µL) of conditioned medium from confluent cells were collected and mixed with an equal volume of Griess reagent [1% sulfanilamide and 0.1% N-(1-naphthyl)ethylenediamine dihydrochloride in 2% phosphoric acid]. The mixture was incubated at 20°C for 10 minutes. Concentrations were determined relative to a standard curve constructed by analyzing aqueous solutions of various concentrations of sodium nitrite, and background nitrite values corresponding to nonconditioned medium were subtracted from experimental values.

EMSA
Cells were washed twice with cold HEPES-Tyrode's solution, harvested by scraping, and incubated in 200 µL of buffer A (HEPES 10 mmol/L, pH 7.9; KCl 10 mmol/L; EDTA 0.1 mmol/L; EGTA 0.1 mmol/L; DL-DTT 1 mmol/L; leupeptin 2 µg/mL; pepstatin A 2 µg/mL; trypsin inhibitor 10 µg/mL; and PMSF 88 µg/mL) for 15 minutes at 4°C. The aortic segments were rapidly frozen and homogenized in liquid N2 with a porcelain mortar and pestle. The frozen tissue powder was dissolved in 200 µL of ice-cold buffer A for 5 minutes at 4°C. Thereafter, Nonidet P-40 (0.6%) was added to both types of preparation. The crude nuclei released by lysis were collected by microcentrifugation at 15 000g for 30 seconds. The nuclear pellets were resuspended in 50 µL of buffer B (HEPES 20 mmol/L, pH 7.9; KCl 400 mmol/L; EDTA 1 mmol/L; EGTA 1 mmol/L; glycerol 10% [wt/vol]; DTT 1 mmol/L; PMSF 88 µg/mL; and 20 µg/mL each of leupeptin, pepstatin A, trypsin inhibitor, antipain, chymostatin, and aprotinin). Nuclei were shaken for 15 minutes at 4°C and clarified by microcentrifugation at 15 000g for 5 minutes. The resulting supernatants contained 1 to 5 mg/mL protein as assessed by Bradford assay (Bio-Rad Laboratories GmbH) with BSA as the standard. Nuclear extracts were frozen in liquid N2 and stored at -70°C. A double-stranded 22-mer oligonucleotide containing the most common NF-{kappa}B consensus sequence ([underlined] 5'-AGTTGAGGGGACTTTCCCAGGC-3', Promega30 ) was end-labeled with [{gamma}-32P]ATP (3000 Ci/mmol, Hartmann Analytik), using T4 polynucleotide kinase. Binding reactions were set up with 10 000 counts per minute 32P-labeled DNA, HEPES-NaOH 5 mmol/L (pH 7.5), NaCl 100 mmol/L, DTT 1 mmol/L, 5% glycerol, EDTA 1 mmol/L, 1 µg poly(dI/dC), and 10 to 15 µg of nuclear extract. The binding reactions were performed at 20°C for 30 minutes and separated by electrophoresis on a 6% nondenaturating polyacrylamide gel at 135 V for 2 hours in TBE buffer (Tris-borate 89 mmol/L and EDTA 1 mmol/L). On the vacuum-dried gels, the protein-DNA complexes were visualized by autoradiography and analyzed by scanning densitometry (ImageMaster, Pharmacia). Competition studies were performed by adding a twofold excess of unlabeled double-stranded oligonucleotides to the binding reaction 10 minutes before the labeled oligonucleotide was added. Samples were subjected to electrophoresis as described above.

Expression of iNOS mRNA by RT-PCR
The aortic segments were rapidly frozen and homogenized in liquid N2, and total RNA was isolated by the method of Chomczynski and Sacchi.31 For annealing 1 µg of pdN6 to 2 µg total RNA, the reaction mixture (20 µL) was heated to 95°C for 5 minutes and rapidly cooled on ice. RT was performed with 200 U reverse transcriptase (Life Technology) in 1 mmol/L DTT, 500 µmol/L dNTP, and reaction buffer for 1 hour at 37°C in a final volume of 50 µL. In some reaction mixtures, reverse transcriptase was omitted to control for contaminating genomic DNA or cDNA. After denaturation at 95°C for 7 minutes, the synthesized cDNA was subjected to a 30-cycle PCR. The antisense primer corresponded to 5'-TCATTGTACTCTGAGGGCTGACACA-3' of the murine macrophage iNOS cDNA32 and the sense primer to 5'-GCCTTCAACACCAAGGTTGTCTGCA-3'. For normalization of cDNA amounts, GAPDH transcripts were amplified by PCR in the same PCR reaction. The antisense primer corresponded to 5'-AGATCCACAACGGATACATT-3' of the rat and human sequences33 and the sense primer to 5'-TATGACAACTCCCTCAAGAT-3'. The PCR reaction contained 0.4 µmol/L of each primer, 200 µmol/L of each dNTP, 1 U Taq polymerase (Pharmacia), reaction buffer, and 5 µL cDNA in a final volume of 50 µL. For Southern blot analysis, the PCR products were fractionated by size by agarose gel electrophoresis, transferred to nylon membranes, and hybridized with a 32P-labeled fragment obtained from a plasmid containing mouse macrophage iNOS cDNA and a 32P-labeled GAPDH fragment isolated from the PCR reaction. iNOS and GAPDH mRNAs were localized by autoradiography and analyzed by scanning densitometry.

Expression of iNOS Protein
Cells were washed twice with cold HEPES-Tyrode's solution, harvested by scraping, and collected by microcentrifugation at 3000g for 3 minutes at 4°C. The cell pellets were resuspended in double-distilled water and lysed by five freeze/thaw cycles (freezing in liquid N2 and thawing in a 37°C water bath). An equal volume of homogenization buffer [Tris-HCl 100 mmol/L (pH 7.4); KCl 2.3% (wt/vol); EDTA 2 mmol/L; DTT 0.2 mmol/L; PMSF 8.8 µg/mL; and 2 µg/mL each of leupeptin, pepstatin A, trypsin inhibitor, antipain, chymostatin, and aprotinin] was added to the cell homogenates, and the cytosols were clarified by centrifugation at 10 000g for 10 minutes at 4°C. The resulting supernatants contained 1 to 5 mg/mL protein. The cytosolic fractions were subjected to SDS-PAGE (8% gradient gel). The separated proteins were electrophoretically transferred to nitrocellulose membranes (Bio-Rad Laboratories). Nitrocellulose blots were first incubated with a primary polyclonal rabbit antibody against iNOS from murine macrophage (dilution 1:2000, overnight at 4°C; kindly provided by Dr Pfeilschifter, JWG–University Clinic, Frankfurt, Germany) and then with a secondary polyclonal donkey anti-rabbit immunoglobulin antibody conjugated to horseradish peroxidase (Amersham International plc) for 1 hour at 20°C. The immunocomplex was developed using an enhanced horseradish peroxidase/luminol chemiluminescence reaction (ECL Western blotting detection reagents, Amersham International plc) and detected with x-ray film. Prestained molecular-mass markers (Bio-Rad Laboratories) were used as standards for SDS-PAGE immunoblot analysis. The autoradiographs were analyzed by scanning densitometry.

Vascular Reactivity Studies
Rings were suspended between two stainless steel stirrups in organ chambers filled with 10 mL Krebs-Ringer's bicarbonate solution (37°C, pH 7.4) bubbled with 95% O2 and 5% CO2. One of the stirrups was anchored to the organ bath (Schuler-Organbad, kindly made available by Hugo Sachs Elektronik), and one was connected to a strain gauge (F30, Hugo Sachs Elektronik) coupled to a recorder for measurement of isometric tension. The aortic rings were stretched progressively to their optimal length for maximal contraction (2 to 2.5 g) before phenylephrine (10-6 mol/L) was added. Once the contraction "plateau" elicited by phenylephrine was obtained, acetylcholine was added to demonstrate the effective removal of the endothelium. The organ chambers were rinsed three times with control solution. After a 30-minute rest, a concentration-contraction curve for phenylephrine or a concentration-relaxation curve for SIN-1 in rings contracted with phenylephrine (10-6 mol/L) was constructed.

Statistical Analysis
Results are expressed as mean±SEM. Relaxations to SIN-1 are expressed as a percent of contraction to phenylephrine. The negative logarithm of the effective molar concentration of SIN-1 causing 50% relaxation (IC50) was calculated for each concentration-contraction curve. Statistical evaluation of the data was performed by Student's t test for paired observations; when more than two treatments were compared, ANOVA followed by Fisher's protected least significant difference test was used. A value of P<.05 was considered statistically significant.


*    Results
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up arrowMethods
*Results
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Experiments With Cultured Rat Aortic SMCs
Release of Nitrite
The release of nitrite caused by exposure of cultured rat aortic SMCs to IL-1ß for 24 hours was inhibited in a concentration-dependent manner by the addition of TLCK, aprotinin, or L-TAME (Fig 1Down). The relative order of potency was TLCK>aprotinin>L-TAME. Exposure of cells to a protease inhibitor alone minimally affected the basal release of nitrite during a 24-hour incubation (Fig 1Down). The inhibitory effect of TLCK and aprotinin (10-4 mol/L) on the release of nitrite evoked by IL-1ß required the presence of the protease inhibitor during the induction of NOS (Fig 2Down and data not shown).



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Figure 1. Effects of (A) TLCK, (B) aprotinin, and (C) L-TAME on nitrite release from unstimulated cultured SMCs from rat aortas and cells that had been exposed simultaneously to IL-1ß. Nitrite level in the incubation medium was determined after a 24-hour incubation at 37°C. Release of nitrite from unstimulated cells and cells exposed to IL-1ß alone were in (A) 1.45±0.21 and 16.3±3.2 nmol/106 cells, in (B) 1.1±0.2 and 10.4±0.5 nmol/106 cells, and in (C) 1.0±0.2 and 11.1±0.6 nmol/106 cells. Results are expressed as mean±SEM of 3 experiments performed in triplicate. Asterisk indicates a significant inhibitory effect of the protease inhibitor.



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Figure 2. Effect of TLCK on nitrite release elicited by IL-1ß (60 U/mL for 24 hours at 37°C) from confluent cultures of SMCs from rat aortas. Cells were either untreated (control) or exposed to IL-1ß with or without TLCK, which was added either simultaneously (0 h) or at 2, 4, or 6 hours after addition of the cytokine. Results are shown as mean±SEM of 2 experiments performed in quadruplicate. Asterisk indicates a significant inhibitory effect of TLCK, and {dagger} indicates a significantly greater release of nitrite than that evoked by simultaneous treatment with IL-1ß and TLCK (0 h).

Expression of iNOS Protein
Exposure of VSMCs to IL-1ß for 24 hours was associated with a substantial level of iNOS protein (Fig 3Down). However, only a little iNOS protein was detected in cells that had been exposed to a combination of IL-1ß and TLCK. The level of iNOS protein was reduced by 43±11% in cells that were exposed simultaneously to IL-1ß and aprotinin (Fig 3Down). In untreated cells and in cells that had been treated with either TLCK or aprotinin alone, no iNOS protein was detected (Fig 3Down).



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Figure 3. Representative Western blot analysis showing that (A) TLCK and (B) aprotinin prevent expression of iNOS protein elicited by IL-1ß in confluent cultures of SMCs from rat aortas. Cells were incubated with or without IL-1ß, a protease inhibitor, or a combination of both for 24 hours at 37°C. Cell extracts were prepared and the level of iNOS protein in each sample was assessed by Western blot analysis as described in "Methods." Position of iNOS is indicated at the left and that of molecular markers to the right of the blot. Similar observations were made in (A) 2 and (B) 3 separate experiments.

NF-{kappa}B Binding Activity
EMSAs indicated the presence of low-level NF-{kappa}B binding activity in nuclear extracts from unstimulated rat aortic SMCs (Figs 4Down and 5Down). The level of NF-{kappa}B–DNA complex increased in a transient manner after exposure of the cells to IL-1ß (Fig 4Down). A marked increase in the level of NF-{kappa}B–DNA complex was found after only 10 minutes of exposure to IL-1ß. Thereafter, the signal continued to increase and reached a peak value by 30 minutes. Afterward, NF-{kappa}B complex levels decreased to baseline within 4 hours (Fig 4Down). Both basal and IL-1ß–stimulated NF-{kappa}B–DNA binding activities appeared predominantly as two bands of slightly different mobility and were competed by excess unlabeled oligonucleotide, demonstrating the specificity of the binding to DNA (Fig 4Down and data not shown). NF-{kappa}B binding activity was reduced in cells that had been exposed to IL-1ß in combination with increasing concentrations of TLCK for 30 minutes (Fig 5Down). Exposure of cells to TLCK alone did not stimulate NF-{kappa}B binding activity (Fig 5Down).



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Figure 4. Representative EMSA showing that IL-1ß causes time-dependent activation of NF-{kappa}B in cultured SMCs from rat aortas. Cells were either untreated (control) or exposed to IL-1ß for the indicated times at 37°C. Nuclear extracts were prepared and activated NF-{kappa}B was assayed by EMSA as described in "Methods." Positions of the NF-{kappa}B complex are indicated to the left of the blot. Similar observations were made in 2 separate experiments.



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Figure 5. Representative EMSA showing that TLCK prevents activation of NF-{kappa}B elicited by IL-1ß in cultured SMCs from rat aortas. Cells were incubated with or without IL-1ß, TLCK, or a combination of both for 30 minutes at 37°C. Nuclear extracts were prepared and activated NF-{kappa}B was assayed by EMSA as described in "Methods." Positions of the NF-{kappa}B complex are indicated to the left of the blot. Similar observations were made in 2 separate experiments.

Experiments With Isolated Rat Aortas
Vascular Reactivity Studies
Exposure of aortic rings without endothelium to IL-1ß for 6 hours caused a marked rightward shift of the concentration-contraction curve and significantly reduced the maximal contraction to phenylephrine (Fig 6ADown). No such shift and reduction in maximal contraction were obtained with rings that had been exposed to IL-1ß in combination with TLCK or TLCK alone for 6 hours (Fig 6ADown). The possibility that the protective effect of TLCK on vascular tone was due to inhibition of the cGMP effector cascade is unlikely, because the NO donor SIN-1 evoked similar concentration-relaxation curves in control rings and those that had been incubated with TLCK for 6 hours before the organ chamber experiments (IC50's were 9.5±2.9x10-7 mol/L and 5.7±1.7x10-7 mol/L, respectively, without and with TLCK; Fig 6BDown).



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Figure 6. Effects of TLCK on concentration-dependent contraction curves for phenylephrine (A) and relaxation curves for SIN-1 (B) in rat aortic rings without endothelium. Rings were incubated for 6 hours in serum-free culture medium containing BSA and with solvent (control), IL-1ß, TLCK, or a combination of IL-1ß plus TLCK before the organ chamber assay. Rings were contracted to a similar level of tension with phenylephrine (10-6 mol/L) before a concentration-dependent relaxation curve for SIN-1 was performed. All experiments were performed with diclofenac (10-6 mol/L). Results are presented as mean±SEM of 6 (A) and 5 (B) different experiments.

Expression of iNOS mRNA
Southern hybridization of PCR products with an iNOS-specific probe revealed that exposure of rat aortic segments without endothelium to IL-1ß for 6 hours was associated with the appearance of substantial levels of iNOS mRNA (Fig 7Down). However, only a little iNOS mRNA was detected in aortic segments that had been exposed to IL-1ß in combination with TLCK (10-4 mol/L, Fig 7Down). In untreated aortic segments and those that had been treated with TLCK alone, no iNOS mRNA was detected (Fig 7Down). In RT-PCR reactions without reverse transcriptase, neither iNOS nor GAPDH PCR products were detectable (data not shown).



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Figure 7. Representative Southern blot analysis of PCR products with an iNOS-specific probe, showing that TLCK prevents expression of iNOS mRNA elicited by IL-1ß in aortic segments from rat aortas without endothelium. Aortic segments were incubated with or without IL-1ß, TLCK, or a combination of both for 6 hours at 37°C. RT-PCR and Southern blotting were performed as described in "Methods." Positions of iNOS and GAPDH mRNAs are indicated to the left of the blot. Similar observations were made in 2 separate experiments.

NF-{kappa}B Binding Activity
Similar to the findings obtained with cultured rat aortic SMCs, low-level NF-{kappa}B binding activity was found in nuclear extracts from untreated rat aortic rings without endothelium (Fig 8Down). Exposure of rings to IL-1ß caused a time-dependent increase in levels of the NF-{kappa}B–DNA complex, which reached a peak by 30 minutes and persisted thereafter for the next 3.5 hours (Fig 8Down). Both basal and IL-1ß–stimulated NF-{kappa}B binding activities appeared predominantly as two bands that were competed by excess unlabeled oligonucleotide, which verified the specificity of the binding to DNA (Fig 8Down). NF-{kappa}B binding activity was reduced in aortic rings that had been exposed to IL-1ß in combination with TLCK for 30 minutes (Fig 9Down). Exposure of aortic rings to TLCK alone did not increase NF-{kappa}B binding activity (Fig 9Down).



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Figure 8. Representative EMSA showing that IL-1ß (60 U/mL) causes time-dependent activation of NF-{kappa}B in aortic segments from rat aortas without endothelium. Aortic segments were either untreated (control) or exposed to IL-1ß for the indicated times at 37°C. Nuclear extracts were prepared and activated NF-{kappa}B was assayed by EMSA as described in "Methods." Positions of the NF-{kappa}B complex are indicated to the left of the blot. The NF-{kappa}B complex was competed by a twofold excess of unlabeled oligonucleotide. Similar observations were made in 2 separate experiments.



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Figure 9. Representative EMSA showing that TLCK prevents activation of NF-{kappa}B elicited by IL-1ß in segments from rat aortas without endothelium. Aortic segments were incubated with or without IL-1ß, TLCK, or a combination of both for 30 minutes at 37°C. Nuclear extracts were prepared and the activated NF-{kappa}B was assayed by EMSA as described in "Methods." Positions of the NF-{kappa}B complex are indicated to the left of the blot. Similar observations were made in 2 separate experiments.


*    Discussion
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up arrowIntroduction
up arrowMethods
up arrowResults
*Discussion
down arrowReferences
 
Certain cytokines such as IL-1ß induce expression of iNOS in VSMCs that results in substantial NO production and a depressed contractile response to vasoconstrictor compounds. In the present study, we found that various protease inhibitors inhibited iNOS expression and nitrite accumulation in cultured VSMCs. TLCK, which inhibits neutral proteases by its ability to react covalently with a histidine residue in the active center of these enzymes,34 completely blocked the cytokine-induced formation of NO. Aprotinin, a competitive inhibitor that forms a tight complex with various serine proteases,35 had similar effects though to a lesser extent. L-TAME, a competitive substrate for serine proteases,36 also prevented the induced release of nitrite but only at high concentrations >0.3 mmol/L. In addition, TLCK abolished IL-1ß–induced expression of iNOS and hyporeactivity to phenylephrine in rat aortic rings without endothelium. Altogether, these findings confirm and extend the observations that protease inhibitors of the chloromethylketone group block induction of NO release from a variety of cells other than VSMCs.37 38 39 40 41

The transcriptional activation of both murine and human genes encoding iNOS is controlled by several common transcription factors that bind to the upstream promoter region of the iNOS gene.23 24 Among these transcription factors, a critical activator role has been attributed to NF-{kappa}B.23 25 26 27 28 Consistent with this concept, IL-1ß induced NF-{kappa}B activity in cultured and native VSMCs, as indicated by the marked increase in the levels of NF-{kappa}B–DNA complexes in nuclear extracts (Reference 4242 and the present findings). Basal and IL-1ß–stimulated NF-{kappa}B–DNA complexes appeared predominantly as two bands of slightly different mobility (References 42 and 4342 43 and the present findings). Addition of specific antibodies (directed against either the p65 or the p50 subunit) to nuclear extracts shifted the upper band, whereas the lower band was shifted by p50 antibodies only, suggesting that the upper band contained predominantly p65/p50 heterodimers and the lower band p50 homodimers (Reference 4343 and M. Hecker, unpublished data, 1995). Chloromethylketone derivatives have been shown to prevent activation of NF-{kappa}B in murine pre–B lymphocytes, 70Z/3 cells, and Jurkat cells.44 Therefore, it is likely that inhibition of iNOS expression by protease inhibitors results from the blocking of the activation of NF-{kappa}B. In support of this idea are the findings that the inhibitory effect of TLCK on IL-1ß–stimulated formation of NO was associated with reduced NF-{kappa}B activity in both cultured and native VSMCs. Similar inhibitory effects of chloromethylketones have been found in the IL-1ß–stimulated, insulin-producing rat cell line RINm5F45 and murine peritoneal macrophages stimulated by a combination of interferon gamma and lipopolysaccharide.28 In addition, chloromethylketones may also affect activation of other transcription factors necessary for iNOS expression. The mechanism whereby protease inhibitors block activation of NF-{kappa}B and induction of iNOS remains to be established. One possibility is that these inhibitors prevent the proteolytic degradation of I{kappa}B.22 44 As a consequence, the level of I{kappa}B remains constant in activated cells, and I{kappa}B will continue to "mask" the nuclear localization sequences of p50 and p65, thereby retaining the transcription factor in the cytosol.44 Nevertheless, this possibility still needs to be proved, since we were unable to visualize I{kappa}B from rat aortic smooth muscle preparations on immunoblots using three different polyclonal antibodies raised against human I{kappa}B (data not shown). Although the proteases that catalyze the degradation of I{kappa}B have not yet been identified, specific proteasome inhibitors were able to block the inducible degradation of I{kappa}B, suggesting involvement of the proteasome complex.21 46 However, there is evidence that chloromethylketones have little or no effect on proteasome activity.47 Thus, the effect of TLCK on NF-{kappa}B activation may lie upstream from the proteolysis of I{kappa}B. Both in vitro and in vivo investigations have shown that degradation of I{kappa}B is preceded by its phosphorylation.20 22 48 Although this covalent modification of I{kappa}B per se is insufficient to release the inhibitor from NF-{kappa}B, this step appears to be necessary for NF-{kappa}B activation, possibly by modifying I{kappa}B into an appropriate substrate for the proteasome complex.46 Chloromethylketones have been shown to prevent phosphorylation of I{kappa}B, suggesting that these compounds may interfere with NF-{kappa}B activation by inhibiting the kinase(s) that phosphorylates I{kappa}B.49 Many kinases have been reported to phosphorylate I{kappa}B and activate NF-{kappa}B in vitro, including protein kinase C and cAMP-dependent protein kinase.19 50 Therefore, the suppressive effect of chloromethylketones, which are potent alkylating agents, on I{kappa}B phosphorylation could be due to their ability to inactivate adenylate cyclase,51 cAMP-dependent protein kinase,52 or protein kinase C.53 Consistent with this idea are the findings that inhibitors of either protein kinase C or cAMP-dependent protein kinases inhibited iNOS expression in IL-1ß–stimulated VSMCs.54 55

In conclusion, various types of protease inhibitor were found to prevent NF-{kappa}B activation and iNOS expression in cultured and native VSMCs. These effects may result from direct inhibition of I{kappa}B proteolysis or—since I{kappa}B phosphorylation is an essential prerequisite for I{kappa}B degradation—potentially by an indirect mechanism associated with reduced levels of I{kappa}B phosphorylation. Besides the iNOS gene, NF-{kappa}B also regulates a variety of other genes that are involved in immune and inflammatory responses, including those encoding adhesion molecules (eg, E-selectin, ICAM, and VCAM-1),13 cytokines and their receptors (eg, IL-1, IL-2, IL-1 receptor, and IL-6),14 and tissue factor (a protein that triggers the coagulation protease cascades).56 Thus, protease inhibitors, by blocking NF-{kappa}B activation, could be of therapeutic value for the treatment of the hyperdynamic circulatory states in sepsis, thrombotic disorders, and inflammatory responses.


*    Selected Abbreviations and Acronyms
 
EMSA = electrophoretic mobility shift assay
GAPDH = glyceraldehyde-3-phosphate dehydrogenase
i = inducible
IL = interleukin
L-TAME = p-toluenesulfonyl-L-arginine methyl ester
NF = nuclear factor
NO(S) = nitric oxide (synthase)
PAGE = polyacrylamide gel electrophoresis
PCR = polymerase chain reaction
RT = reverse transcription
SIN-1 = 3-morpholinosydnonimine
TLCK = N-{alpha}-tosyl-L-lysine chloromethylketone
TNF = tumor necrosis factor
(V)SMC(s) = (vascular) smooth muscle cell(s)


*    Acknowledgments
 
This study was supported by grants from the Deutsche Forschungsgemeinschaft Bu 436/4-3 (to R.B.), Schi 389/1-1 to 3 (to V.B.S.-K.), and a Training Grant from the Land Hessen (to M.B.). The authors thank Dr Agnieszka Bara and Martina Bruckmann for excellent technical assistance.

Received December 12, 1995; accepted June 24, 1996.


*    References
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up arrowAbstract
up arrowIntroduction
up arrowMethods
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*References
 
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