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Arteriosclerosis, Thrombosis, and Vascular Biology. 1999;19:2049-2058

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(Arteriosclerosis, Thrombosis, and Vascular Biology. 1999;19:2049-2058.)
© 1999 American Heart Association, Inc.


Vascular Biology

Similarities and Differences in Smooth Muscle {alpha}-Actin Induction by TGF-ß in Smooth Muscle Versus Non–Smooth Muscle Cells

Martina B. Hautmann; Paul J. Adam; Gary K. Owens

From the Department of Molecular Physiology and Biological Physics, University of Virginia Health Sciences Center, Charlottesville (P.J.A., G.K.O.); the Franz-Volhard Clinic, Charité at the Humboldt University of Berlin, Berlin, Germany (M.B.H.); and the Department of Medicine, University of Cambridge, Addenbrookes Hospital, Cambridge, UK (P.J.A.).

Correspondence to Paul J. Adam or Gary K. Owens, Department of Molecular Physiology and Biological Physics, Box 449, University of Virginia Health Sciences Center, Charlottesville, VA 22908. E-mail gko{at}virginia.edu


*    Abstract
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Abstract—Transforming growth factor-ß (TGF-ß) has been shown to stimulate smooth muscle (SM) {alpha}-actin expression in smooth muscle cells (SMCs) and non-SMCs. We previously demonstrated that the 2 CArG boxes A and B and a novel TGF-ß control element (TCE) located within the first 125 bp of the SM {alpha}-actin promoter were required for TGF-ß inducibility of SM {alpha}-actin in SMCs. The aims of the present study were (1) to determine whether the TCE exhibits SMC specificity or contributes to TGF-ß induction of SM {alpha}-actin expression in non-SMCs (ie, endothelial cells and fibroblasts) and (2) to determine whether TGF-ß can induce expression of multiple TCE-containing SMC differentiation marker genes, such as SM22{alpha}, h1 calponin, and SM myosin heavy chain (SM MHC) in non-SMCs. Results of transient transfection assays demonstrated that mutation of CArG A, CArG B, or the TCE within a 125-bp promoter context completely abolished TGF-ß inducibility of SM {alpha}-actin in endothelial cells and fibroblasts. However, in contrast to observations in SMCs, inclusion of regions upstream from -155 completely repressed TGF-ß responsiveness in non-SMCs. Electrophoretic mobility shift assays showed that TGF-ß enhanced binding of a serum response factor to the CArG elements and the binding of an as-yet-unidentified factor to the TCE in endothelial cells and fibroblasts, but to a much lesser extent compared with SMCs. TGF-ß also stimulated expression of the SMC differentiation marker SM22{alpha} in non-SMCs. However, in contrast to SMCs, TGF-ß did not induce expression of h1 calponin and SM MHC in non-SMCs. In summary, these results suggest a conserved role for CArG A, CArG B, and the TCE in TGF-ß–induced expression of SM {alpha}-actin in SMCs and non-SMCs that is modified by a complex interplay of positive- and negative-acting cis elements in a cell-specific manner. Furthermore, observations that TGF-ß stimulated expression of several early but not late differentiation markers in non-SMCs indicate that TGF-ß alone is not sufficient to induce transdifferentiation of non-SMCs into SMCs.


Key Words: smooth muscle {alpha}-actin • transforming growth factor-ß • smooth muscle cells • non–smooth muscle cells


*    Introduction
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The multifunctional growth factor transforming growth factor (TGF)-ß has been implicated in a number of different cellular functions, including cell differentiation.1 2 3 For example, a recent study from our laboratory provided evidence that TGF-ß might act as a positive differentiation factor for smooth muscle cells (SMCs).3 TGF-ß coordinately upregulated several SMC differentiation markers, including SM {alpha}-actin, SM myosin heavy chain (MHC), and h1 calponin. However, induction of SM {alpha}-actin by TGF-ß is not restricted to SMCs. A study by Shah et al4 demonstrated that TGF-ß stimulated differentiation of neural crest cells into SMCs or SMC-like cells based on morphological criteria and the induction of SM {alpha}-actin and h1 calponin. Of particular interest, Hirschi et al5 recently demonstrated that coculture of multipotential 10T1/2 cells with endothelial cells (ECs) resulted in TGF-ß–dependent induction of multiple SMC differentiation markers, including SM {alpha}-actin, SM22{alpha}, SM MHC, and h1 calponin. TGF-ß has also been shown to induce expression of SMC differentiation marker genes in differentiated non-SMCs. For example, Arciniegas et al6 reported that TGF-ß induced SM {alpha}-actin in adult bovine ECs. Induction of SM {alpha}-actin was accompanied by a loss of factor VIII–related antigen and transdifferentiation into an SMC-like cell. Of interest, a recent study by DeRuiter et al7 provided in vivo evidence that embryonic ECs may transdifferentiate into subendothelial mesenchymal cells that express SM {alpha}-actin and become a potential source of SMCs. Whether TGF-ß might play a role in this process has yet to be determined.

TGF-ß has also been shown to stimulate SM {alpha}-actin in fibroblasts derived from a variety of different tissues.8 9 10 Subcutaneous administration of TGF-ß in rats resulted in formation of granulation tissue that was rich in myofibroblasts expressing SM {alpha}-actin.10 Myofibroblasts play a central role in tissue repair by closing an open wound through contraction and production of extracellular matrix.1 In a porcine model of balloon overstretch coronary artery injury, adventitial fibroblasts coexpressed TGF-ß and SM {alpha}-actin, suggesting that TGF-ß might play a role in SM {alpha}-actin induction in these cells.11 Despite clear evidence that TGF-ß can induce SM {alpha}-actin expression in a variety of non-SMCs, none of the studies cited above investigated the underlying molecular mechanisms for this effect. Moreover, with the exception of studies in multipotential embryonic cells,4 5 previous studies have not examined whether TGF-ß induces expression of SM differentiation markers other than SM {alpha}-actin in non-SMCs, a key question in assessing its potential role as a transdifferentiation factor.

SM {alpha}-actin expression has been shown to be governed by a complex interplay of both positive- and negative-acting cis elements that vary in different cell types.12 For example, a 125-bp SM {alpha}-actin promoter construct had high activity in SMCs and ECs but was inactive in fibroblasts and L6 myotubes, even though the latter express the endogenous SM {alpha}-actin gene. The first 125 bp of the SM {alpha}-actin promoter contain 2 conserved CArG-like elements that were shown to be required for SM {alpha}-actin expression in SMCs but were not required for basal expression of the 125-bp promoter in ECs.12 Of particular relevance, a study from our laboratory demonstrated that the first 125 bp of the SM {alpha}-actin promoter were sufficient to confer TGF-ß responsiveness in cultured SMCs.3 TGF-ß inducibility of SM {alpha}-actin was shown to be dependent on 3 cis elements located within the first 125 bp: 2 highly conserved CArG elements (A and B) and a novel TGF-ß control element (TCE). Results of electrophoretic mobility shift assays (EMSAs) demonstrated that TGF-ß markedly increased the binding of a serum response factor to the CArG elements and the binding of an as-yet-unidentified factor to the TCE.

The aims of the present study were to address the following questions: (1) What are the molecular mechanisms whereby TGF-ß induces expression of SM {alpha}-actin in non-SMC types such as ECs and fibroblasts that do not normally express their endogenous SM {alpha}-actin gene? (2) Do cis elements shown to be important for TGF-ß responsiveness of SM {alpha}-actin in SMCs also confer TGF-ß responsiveness in non-SMCs, or are other cis elements involved? (3) Does TGF-ß also induce expression of other SM differentiation markers in non-SMCs, including SM MHC, SM22{alpha}, and h1 calponin, whose promoters are known to contain conserved TCEs and CArG elements?


*    Methods
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Construction of Promoter–Chloramphenicol Acetyltransferase (CAT) Expression Plasmids
The generation of various truncated SM {alpha}-actin promoter/CAT reporter constructs, including the CArG A and B mutants and mutation of the TCE-like sequence, has been previously reported.3 12 All promoter-CAT plasmid DNAs used for transfections were prepared by using an alkaline lysis procedure13 followed by banding on 2 successive ethidium bromide/CsCl gradients. Multiple independent plasmid preparations were tested for each construct.

Cell Culture, Transient Transfections, and Reporter Gene Assays
SMCs from rat aorta and bovine aortic ECs (BAECs) were isolated and cultured as previously described.12 We chose to use BAECs instead of rat aortic ECs (RAECs) for our experiments for the following reasons: (1) In a previous study from our laboratory,12 we demonstrated that the expression pattern of SM {alpha}-actin promoter constructs was the same in BAECs and RAECs, suggesting that the mechanisms and trans factors that regulate SM {alpha}-actin transcription in BAECs and RAECs are likely to be the same. (2) BAECs were easier to transfect and less costly to grow. Rat 1 fibroblasts were a gift of Dr Weber (University of Virginia, Charlottesville) and were cultured identically as SMCs. For transient transfection assays, SMCs were seeded in 6-well plates at a density of 3x103/cm2, BAECs at a density of 8x103/cm2, and fibroblasts at a density of 2x103/cm2. Cells were grown to confluence in 10% serum-containing medium and then growth-arrested for 4 days (fibroblasts for 3 days) in serum-free medium14 before stimulation with TGF-ß (2.5 ng/mL human TGF-ß1 from R&D Systems) diluted with vehicle (4 mmol/L HCl, 1 mg/mL BSA). Control cultures were treated with vehicle only.

Transfection of the CAT–reporter gene constructs was performed in triplicate (4 µg of DNA per well). For SMCs and fibroblasts, transfection reagent DOTAP (Boehringer Mannheim) was used according to the manufacturer's recommendations (6.7 µL/µg of DNA). BAECs were transfected with the use of the transfection reagent Transfectam (Promega) according to the manufacturer's instructions because transfection efficiency in these cells was lower with DOTAP (M.H. and G.O., unpublished observations, 1997). No differences in transfection efficiencies were observed between DOTAP and Transfectam in other cell types. Cells were exposed to the DNA/DOTAP or DNA/Transfectam mixture for 9 to 12 hours. The medium was then replaced with fresh serum-free medium, and TGF-ß (2.5 ng/mL) or vehicle was added. SMCs and BAECs were harvested 72 hours (fibroblasts at 48 hours) later by scraping into ice-cold buffer A (15 mmol/L Tris [pH 8.0], 60 mmol/L KCl, 15 mmol/L NaCl, 2 mmol/L EDTA, 0.15 mmol/L spermine tetrahydrochloride, and 1 mmol/LDTT).15 Cell lysates were prepared by 4 freeze-thaw cycles, followed by a 10-minute heat inactivation at 65°C; 95-µL aliquots of each cell extract were assayed for CAT activity by enzymatic butyrylation of tritiated chloramphenicol (DuPont-NEN).16 CAT activities were normalized as described previously.3 12 Experiments were repeated 2 to 4 times, and relative CAT activity data were expressed as the mean±SE unless otherwise noted.

RNA Isolation, Probe Synthesis, and Northern Blot Analysis
Cultured vascular SMCs, BAECs, and fibroblasts were isolated from the surface of culture dishes by 2 washes in 1x PBS followed by incubation in 2 mL of 1x trypsin/EDTA solution for 3 minutes at 37°C. Cells were then washed twice in ice-cold 1x PBS and collected by centrifugation at 900 rpm. Total cytoplasmic RNA was isolated by lysis in 150 mmol/L NaCl, 10 mmol/L Tris (pH 7.4), 1 mmol/L MgCl2, and 0.5% (vol/vol) Nonidet P-40. Nuclei and cell debris were pelleted at 3000 rpm for 5 minutes, and the supernatant was made to 1.5% with SDS before being extracted twice with citrate-buffered phenol (pH 4.5) and centrifuged at 3000 rpm. RNA was precipitated overnight in a 1/10 volume of 3 mol/L sodium acetate (pH 4) and 2.5 volumes of 100% ethanol, collected by centrifugation at 14 000 rpm for 15 minutes, and resuspended in an appropriate volume of RNAase-free water.

Ten micrograms (10 µL) of total cytoplasmic RNA was denatured in 30 µL of denaturation buffer (19 µL formamide, 7 µL formaldehyde, and 4 µL 10x MOPS), heated at 60°C for 5 minutes, and then placed on ice. Five microliters of loading buffer was added, and the samples were electrophoresed at 160 mA in 1.5% agarose gels containing 2.2 mol/L formaldehyde, 20 mmol/L MOPS, and 1 mmol/L EDTA. RNA was transferred from the gel to a nylon membrane (Hybond N+, Amersham) by capillary blotting and cross-linked by using 254-nm UV radiation at 1.5 J/cm2. [{alpha}-32P]dCTP–radiolabeled cDNA probes were generated by random hexamer priming and Klenow extension (Prime It, Stratagene). SM {alpha}-actin expression was detected with a 512-bp EcoR1 fragment that encoded amino acids 202 to 374 of human skeletal {alpha}-actin cDNA (a gift from Drs Gunning and Kedes, Veterans Administration Medical Center, Palo Alto, Calif). The SM22{alpha} probe was a 1-kb rat SM22{alpha} cDNA (a gift from Dr C.M. Shanahan, University of Cambridge, UK). h1 Calponin expression was identified with a cDNA probe corresponding to the coding region spanning nucleotides 144 to 715 (a gift from Dr M. Parmacek, University of Chicago, Chicago, Ill). Probes were hybridized to blots overnight at 65°C and then washed 3 times in 0.1x SSC/0.1% SDS before being exposed to x-ray film (Kodak AR) for 4 to 24 hours. Standardization of RNA loading and transfer was achieved by reprobing the Northern blots with a 5.8-kb EcoR1 cDNA fragment for 18S rRNA.

RNase Protection Analysis
A 380-bp cRNA fragment of rat SM MHC, containing 80 bp that is alternatively spliced to give the SM1 and SM2 isoforms, was cloned into pGEM 4Z (Promega Corp). This was used to synthesize a [{alpha}-32P]UTP–labeled single-stranded (ss) RNA probe with SP6 polymerase by using the MAXIscript in vitro transcription kit (Ambion). RNase protection analysis of the SM MHC fragments representing SM1 and SM2 (see Figure 9BDown) was conducted on 10 µg of SMCs or fibroblast (with or without TGF-ß) RNA by using the HybeSpeed RPA kit (Ambion) according to the manufacturer's instructions. [{alpha}-32P]UTP–labeled RNA size markers (RNA Century, Ambion) were prepared according to the manufacturer's instructions.



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Figure 9. Effect of TGF-ß on h1 calponin and SM MHC expression in non-SMCs. Fibroblasts were cultured and treated with TGF-ß (T) or vehicle (V) as described in the legend to Figure 1Up. The effect of TGF-ß on h1 calponin expression was demonstrated by Northern blot analysis with 10 µg of total RNA per lane (exposure time, 48 hours, A). The blot was rehybridized with an 18S rRNA control probe to verify similar RNA loading and transfer for each lane (exposure time, 4 hours). h1 Calponin expression in aortic vascular SMCs (VSMC) is shown for comparison (right panel; exposure time, 6 hours). RNase protection analysis was used to determine the effect of TGF-ß on SM MHC expression in fibroblasts (B). The 380-bp probe and resultant protected fragments representing the alternatively spliced SM1 and SM2 SM MHC transcripts are indicated on the schematic. A panel showing these protected fragments when vascular SMC RNA was used for this analysis is also included. M indicates RNA size markers.

Western Blot Analysis
Cell lysates were prepared from confluent, growth-arrested BAEC and fibroblast cultures stimulated with TGF-ß (2.5 ng/mL) or vehicle for 8 hours. In brief, cells were rinsed with PBS, scraped into 0.6 mL of ice-cold RIPA buffer (PBS, 1% NP-40, 0.5% sodium deoxycholate, and 0.1% SDS) plus protease inhibitors (10 mg/mL PMSF, 30 µg/mL aprotinin, and 100 mmol/L sodium orthovanadate), and passed through a 21-gauge needle several times. Cell lysates were then incubated on ice for 30 minutes and microfuged for 20 minutes at 4°C (protocol provided by Santa Cruz). Sample loading was normalized to DNA content as determined with a DNA fluorometer (Hoefer Scientific). Four hundred nanograms of DNA was loaded per well on a 7.5% SDS–polyacrylamide gel electrophoresis (PAGE) Mini-Protean gel (Bio Rad). The proteins were transferred onto a polyvinylidene difluoride membrane at 100 V for 1.5 hours. Blocking of the membrane and probing with appropriate antibodies were performed according to the enhanced chemiluminescence Western blotting protocol from Amersham Life Science. Affinity-purified rabbit polyclonal serum response factor (SRF) antibodies (Santa Cruz), raised against a peptide corresponding to SRF amino acids 486 to 505, were used as primary antibodies at a concentration of 1 µg/mL.

Preparation of Nuclear Extracts and EMSAs
Crude nuclear extracts were prepared by the method of Dignam et al17 by using confluent, growth-arrested BAECs and fibroblasts stimulated with TGF-ß or vehicle for 7 hours. Protein concentrations were measured by the Bradford assay (Bio Rad). Probes for EMSAs were obtained by end-labeling 20 µmol/L ss oligonucleotides with 150 µCi of [{gamma}-32P]ATP (6000 Ci/mmol) and T4 polynucleotide kinase. Labeled ss oligonucleotides were annealed, and unincorporated nucleotides were removed by using Nuc Trap Push columns (Stratagene) as recommended by the manufacturer. Nucleotides used either as a probe or as cold competitors have been described previously.3 When TCE binding was determined, the 20-µL binding reaction contained {approx}20 000 counts per minute of labeled probe, 5 µg nuclear extracts in Dignam buffer D, 20 mmol/L HEPES [pH 7.9], 50 mmol/L KCl, 4 mmol/L MgCl2, 0.2 mmol/L EDTA, 0.5 mmol/L DTT, 15% glycerol, 2.5% NP-40, 0.5 µg poly(dA-dT) (Sigma), and cold competitor oligonucleotides where indicated. Different binding conditions were chosen to optimize SRF binding: The 20-µL binding reaction contained {approx}20 000 cpm of labeled CArG A or B oligonucleotides, 5 µg nuclear extracts in Dignam buffer D, 100 mmol/L KCl, 5 mmol/L HEPES (pH 7.9), 1 mmol/L EDTA, 35 mmol/L Tris (pH 7.5), 1.125 mmol/L DTT, 10% glycerol, and 0.125 µg of poly(dI-dC) as a nonspecific competitor. Specific antibodies against SRF (2 µg per reaction, Santa Cruz) were added where indicated. The radiolabeled DNA was subsequently added to the binding reaction and incubated for an additional 20 minutes at room temperature. Protein-DNA complexes were resolved on a 4.5% polyacrylamide gel (30:1, acrylamide/bisacrylamide; Bio-Rad) and electrophoresed at 170 V in 0.5x TBE (45 mmol/L Tris borate, 1 mmol/L EDTA). The gels were then dried and subjected to autoradiography at -70°C.


*    Results
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*Results
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TGF-ß Stimulated SM {alpha}-Actin mRNA Expression in Rat 1 Fibroblasts and BAECs
To elucidate the molecular mechanisms whereby TGF-ß regulates SM {alpha}-actin expression in non-SMCs, we examined the effect of TGF-ß on SM {alpha}-actin mRNA expression in fibroblasts and BAECs. Fibroblasts and ECs were grown to confluence, growth-arrested in serum-free medium, and stimulated with 2.5 ng/mL TGF-ß or vehicle. Total RNA was extracted from these cultures at the times indicated and used for Northern blot analysis to detect SM {alpha}-actin gene expression (Figure 1ADown and 1BDown). Results demonstrated that TGF-ß markedly increased SM {alpha}-actin mRNA expression in both fibroblasts (Figure 1ADown) and BAECs (Figure 1BDown). SM {alpha}-actin mRNA levels in fibroblasts were markedly enhanced after 4 and 8 hours but returned to control levels 24 hours after TGF-ß stimulation (Figure 1ADown). In BAECs, SM {alpha}-actin mRNA levels were elevated at 8 and 24 hours (Figure 1BDown). The different temporal pattern of SM {alpha}-actin stimulation in fibroblasts versus BAECs suggests that different signal transducing pathways may be involved. For example, the delayed and sustained upregulation of SM {alpha}-actin mRNA expression in BAECs after TGF-ß stimulation could be due to secondary, de novo synthesized factors. TGF-ß was also found to increase the expression of nonmuscle ß-actin to almost the same extent as SM {alpha}-actin in both fibroblasts and BAECs. In contrast, results of previous studies showed that TGF-ß treatment selectively increased SM {alpha}-actin in SMCs.3



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Figure 1. Northern blot analysis of the effects of TGF-ß on SM {alpha}-actin expression in fibroblasts and BAECs. Quiescent, confluent cultures of fibroblasts (A) and BAECs (B) in a defined, serum-free medium were treated with TGF-ß (2.5 ng/mL, +) or vehicle (-) and harvested at the times indicated. Northern blots containing 10 µg of total RNA per lane were probed with a radiolabeled fragment of human skeletal {alpha}-actin cDNA that hybridizes to both a 1.7-kb SM {alpha}-actin and a 2.1-kb nonmuscle (NM) ß-actin transcript (upper panels). Each blot was rehybridized with an 18S rRNA control probe to verify similar RNA loading and transfer for each lane (lower panels). TGF-ß had no effect on cell growth or total RNA content under these conditions.

TGF-ß–Induced Stimulation of SM {alpha}-Actin in Fibroblasts and ECs Was Dependent on CArG Elements A and B and a TCE Element
Previous studies from our laboratory have shown that TGF-ß–induced stimulation of SM {alpha}-actin in SMCs was due at least in part to increased transcription.3 Transient transfection analyses demonstrated that the first 125 bp of the SM {alpha}-actin promoter were sufficient to confer TGF-ß responsiveness in SMCs.3 On the basis of site-directed mutagenesis, 3 cis regulatory elements within these 125 bp were identified to be essential for TGF-ß responsiveness: 2 CArG elements, A (-62) and B (-122), and a novel TCE.3

To determine whether increases in SM {alpha}-actin transcription contributed to TGF-ß–induced increases in SM {alpha}-actin mRNA expression in fibroblasts and BAECs, transient transfection assays with a construct containing the first 125 bp of the SM {alpha}-actin promoter linked to a promoterless CAT reporter gene (p125/CAT) were performed. Results demonstrated that TGF-ß induced an {approx}3-fold increase in reporter activity in fibroblasts (Figure 2ADown) and an {approx}6-fold increase in BAECs (Figure 2BDown) above vehicle-treated control levels, suggesting that TGF-ß–induced increases in SM {alpha}-actin mRNA were due at least in part to increased SM {alpha}-actin gene transcription. We then tested whether cis regulatory elements important for TGF-ß induction of SM {alpha}-actin in SMCs were also required for TGF-ß–mediated stimulation of SM {alpha}-actin in non-SMCs. A p125/CAT wild-type reporter construct and constructs containing mutations of either CArG A or B, alone or in combination, were transiently transfected in fibroblasts and BAECs. Mutating both CArG's completely abolished the TGF-ß–induced increases in CAT activity in fibroblasts (Figure 2ADown) and BAECs (Figure 2BDown). The latter observation is of particular interest, since we previously demonstrated that both CArG elements were not required for basal SM {alpha}-actin expression in BAECs, indicating that both CArG-dependent and -independent mechanisms contribute to regulation of the 125-bp SM {alpha}-actin promoter in BAECs. To determine the importance of the TCE, 3 different previously characterized mutations of the TCE3 were tested within the context of a p125/CAT promoter construct for their effects on SM {alpha}-actin expression in fibroblasts and BAECs stimulated with TGF-ß. Results showed that each mutation of the TCE completely abolished reporter activity in fibroblasts (Figure 2ADown) compared with the p125/CAT wild-type construct. Likewise, TCE mutations markedly reduced CAT activities in BAECs (Figure 2BDown). TCE mutations reduced not only TGF-ß–induced increases in reporter activities but also basal transcriptional activities, suggesting that BAECs and fibroblasts may produce TGF-ß in an autocrine fashion, similar to SMCs, under our culture conditions.3 These results indicate that TGF-ß–induced increases in SM {alpha}-actin in non-SMCs require the same cis regulatory elements necessary in SMCs, at least when tested in the context of the p125 promoter.



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Figure 2. Effect of CArG and TCE mutations on TGF-ß–induced stimulation of CAT reporter activity. Growth-arrested fibroblasts (A) and BAECs (B) were transiently transfected with either wild-type SM {alpha}-actin p125/CAT or constructs containing mutations (m) of either CArG box A or B, alone or in combination, and 3 different TCE mutations (Em1, 2, or 3) described previously.3 Cells were stimulated with TGF-ß (2.5 ng/mL) or vehicle (Veh) for 2 or 3 days. CAT activities of TGF-ß– (2.5 ng/mL) or vehicle-treated groups were expressed relative to baseline CAT activity of a promoterless CAT construct. Data represent the mean±SE of triplicate samples from 3 independent experiments.

TGF-ß Treatment Increased SRF Binding to the SM {alpha}-Actin CArG's in Fibroblasts and BAECs
Because transfection data provided evidence for the functional importance of the SM {alpha}-actin CArG elements for TGF-ß inducibility of SM {alpha}-actin in fibroblasts and BAECs, we tested whether TGF-ß affected SRF binding to the SM {alpha}-actin CArG's. Previous studies had shown that TGF-ß markedly enhanced SRF binding to CArG A and B in SMCs.3 EMSAs were performed with labeled 20-bp CArG B oligonucleotides and nuclear extracts from SMCs, fibroblasts, and BAECs treated with TGF-ß or vehicle (Figure 3Down). TGF-ß treatment of fibroblasts and BAECs increased binding activity to CArG B (lanes 10 and 6) compared with vehicle-treated controls. However, when compared with SMCs (lane 2), TGF-ß–induced enhancement of binding activity in fibroblasts and BAECs was much less. To determine whether binding to CArG B was specific, cold competitor oligonucleotides were added to the binding reactions. Cold competitor oligonucleotides completely abolished complex formation, indicating that binding to CArG B was specific (lanes 4, 8, and 12). When polyclonal SRF antibodies were added to the binding reactions, complexes that formed with CArG B were supershifted in all 3 cell types, indicating that SRF was part of the complex. Similar experiments were performed using CArG A as a probe. Results demonstrated that TGF-ß markedly increased SRF binding to CArG A in SMCs and modestly in fibroblasts but did not affect SRF binding in BAECs (data not shown). The observation that TGF-ß increases SRF binding to CArG A in SMCs and fibroblasts but not in BAECs suggests that TGF-ß-dependent mechanisms controlling SRF binding are regulated in a cell-specific manner. For example, although TGF-ß increases SRF binding to the relatively weak SRF binding site within CArG A18 in SMCs and fibroblasts, this mechanism may not be present or sufficient to increase SRF binding to CArG A in BAECs. Consistent with this finding, the failure of TGF-ß to increase SRF protein expression in BAECs could contribute to the failure of TGF-ß to increase SRF binding to CArG A in BAECs (see Figure 4BDown). Furthermore, we have shown previously that basal SM {alpha}-actin expression in BAECs is CArG independent, whereas CArG boxes are absolutely required for SM {alpha}-actin expression in SMCs.12 Taken together, these data indicate that TGF-ß–induced increases in SRF binding to CArG A and B were much greater in SMCs than non-SMCs and that SRF binding activities are regulated in a cell-specific manner.



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Figure 3. Gel shift analysis showing the effect of TGF-ß treatment on CArG B binding activity in SMCs and non-SMCs. A radiolabeled 20-bp CArG B double-stranded oligonucleotide was incubated with nuclear extracts (5 µg) isolated from rat SMCs (lanes 1 through 4), BAECs (lanes 5 through 8), and fibroblasts (Fib, lanes 9 through 12) treated with TGF-ß (2.5 ng/mL, +) or vehicle (-). Competition reactions were performed with oligonucleotide duplexes of the wild-type CArG B oligonucleotide (lanes 4, 8, and 12). A polyclonal SRF antibody raised against the C-terminus of human SRF was used at a concentration of 2 µg per reaction (lanes 3, 7, and 11). NE signifies nuclear extract.



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Figure 4. Western blot analysis for SRF in cell lysates from fibroblasts and BAECs stimulated with TGF-ß. Western blot analysis was performed on cell lysates obtained from growth-arrested fibroblasts (A), BAECs (B), and SMCs (C) treated with TGF-ß (2.5 ng/mL) or vehicle for 8 hours. Cell lysates normalized for DNA content (400 ng) were analyzed by SDS-PAGE, transferred to a polyvinylidene difluoride membrane, and immunoblotted with a polyclonal SRF antibody. Immunoreactive bands of {approx}67 and {approx}63 kDa (panel A only) were detected. In contrast to SMCs and fibroblasts, no consistent change in immunoreactive SRF was observed in BAECs. No reactivity was observed when the membrane was immunoblotted with control rabbit serum (data not shown). Similar results were obtained in 3 independent experiments.

TGF-ß Increased SRF Protein Expression in SMCs and Fibroblasts but Not in BAECs
We have previously demonstrated that TGF-ß–induced increases in SRF binding in SMCs were due at least in part to enhanced SRF expression.3 To test whether TGF-ß–induced increases in SRF expression also contributed to enhanced SRF binding in non-SMCs, we performed Western blot analyses on lysates obtained from TGF-ß–treated fibroblasts and BAECs (Figure 4Up). Results demonstrated that TGF-ß markedly increased immunoreactive SRF expression in fibroblasts compared with vehicle-treated controls (Figure 4AUp). A similar increase in SRF expression was observed when fibroblasts were stimulated with 10% FBS. Moreover, both TGF-ß and 10% FBS induced not only high-molecular-weight ({approx}67-kDa) but also low-molecular-weight ({approx}63- to 64-kDa) SRFs compared with vehicle controls. Misra et al19 demonstrated that mature, highly phosphorylated SRF has a molecular weight of {approx}67 kDa, whereas newly synthesized SRF has a lower molecular weight. Thus, our results suggest that SRF had been synthesized de novo. In contrast, TGF-ß treatment did not significantly increase SRF protein expression in BAECs (Figure 4BUp). In summary, our results indicate that increased SRF protein expression contributed at least partially to the enhanced SRF binding in fibroblasts. However, other mechanisms, including posttranscriptional modification of SRF,19 20 might contribute to the increased SRF binding to CArG B in BAECs.

TGF-ß Increased TCE Binding Activities in Fibroblasts and BAECs
Previous results from our laboratory demonstrated that TGF-ß markedly increased binding activity of an as-yet-unidentified factor to the TCE in SMCs.3 The functional importance of the TCE for TGF-ß inducibility of SM {alpha}-actin in non-SMCs prompted us to test whether TGF-ß also affects TCE binding activities in non-SMCs. EMSAs were performed with a 19-bp probe containing the TCE and nuclear extracts from TGF-ß or vehicle-treated fibroblasts and BAECs and compared with SMCs (Figure 5Down). Results showed enhanced binding activities with nuclear extracts derived from all TGF-ß–treated cell types compared with their respective controls. Of interest, TGF-ß–induced TCE binding activities were greatest in SMCs (lane 2), intermediate in fibroblasts (lane 6), and lowest in BAECs (lane 4). Addition of cold TCE competitor oligonucleotides (100x molar excess) inhibited shift band formation (lanes 7 through 9), indicating that the shift band formed with the TCE probe represented a sequence-specific protein-DNA complex. No shift band was formed when the mutant TCE m2 oligonucleotide was used as a labeled probe and incubated with nuclear extracts from TGF-ß–treated cells (lanes 10 through 12). These results clearly indicate that TCE binding activity is not restricted to SMCs. Moreover, the similarity in mobility of the TCE shift complex in each cell type suggests that a similar binding factor (or factors) is expressed in each cell type.



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Figure 5. Comparative gel shift analysis of nuclear factor(s) binding to the TCE. Nuclear extracts were obtained from rat SMCs (lanes 1, 2, 7, and 10), BAECs (lanes 3, 4, 8, and 11), and fibroblasts (Fib; lanes 5, 6, 9, and 12), which were stimulated with TGF-ß (2.5 ng/mL, +) or vehicle (-). Five micrograms of nuclear extract was incubated with a radiolabeled 19-bp wild-type (lanes 1 through 9) or mutated TCE (TCE Mut 2) probe (lanes 10 through 12). Competition reactions were performed with oligonucleotide duplexes of the wild-type TCE element at 100x molar excess relative to labeled DNA (lanes 7 through 9). NE indicates nuclear extract.

SM {alpha}-Actin Promoter Regions Upstream From -125 bp Repressed TGF-ß Inducibility of SM {alpha}-Actin in Non–SMCs but Not in SMCs
There is extensive evidence showing that SM {alpha}-actin expression is regulated in a cell type–specific manner.12 21 22 23 For example, in BAECs, a 125-bp promoter construct had high transcriptional activity, but inclusion of regions upstream from -125 bp up to -2.8 kb (designated pProm) completely repressed expression of SM {alpha}-actin in BAECs.12 Promoter regions upstream from -125 also reduced, to some extent, the basal transcriptional activity in SMCs but did not affect TGF-ß responsiveness of SM {alpha}-actin.3 To test whether negative regulatory elements affected TGF-ß–induced SM {alpha}-actin expression in non-SMCs, we transfected a construct containing 2.8 kb of the SM {alpha}-actin promoter in fibroblasts and BAECs (Figure 6Down). Transfection data demonstrated that TGF-ß induced a 2-fold increase in pProm CAT activity in BAECs, but no increase in reporter activity was observed in fibroblasts in response to TGF-ß. By comparison, TGF-ß stimulated an 8-fold increase in pProm CAT activity in SMCs. Thus, there appeared to be cell type–specific repressor elements upstream from -125 bp that markedly inhibited TGF-ß responsiveness of the core p125 promoter in non-SMCs.



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Figure 6. Transfection analysis of a 2.8-kb fragment of the SM {alpha}-actin promoter linked to a CAT reporter gene (pProm/CAT) in SMCs and non-SMCs. Growth-arrested SMCs, BAECs, and fibroblasts (Fibro) were transiently transfected with a 2.8-kb promoter/CAT reporter gene and treated with TGF-ß (2.5 ng/mL) or vehicle (Veh) for 2 or 3 days. CAT activities of TGF-ß– and vehicle-treated groups were expressed relative to the baseline CAT activity of a promoterless CAT construct. Data represent the mean±SD of triplicate samples. Results shown are representative of 3 independent experiments.

As a first step to further identify negative regulatory elements within pProm that repressed TGF-ß inducibility of SM {alpha}-actin in non-SMCs, several deletion mutants were tested for their ability to confer TGF-ß responsiveness. Results of transient transfection assays demonstrated that both basal and TGF-ß–inducible reporter activity of a p208/CAT construct was significantly reduced in BAECs (Figure 7ADown) compared with constructs containing 125 or 155 bp of the promoter. A further reduction in basal and TGF-ß–inducible reporter activity was observed in constructs containing 371 or 547 bp of the SM {alpha}-actin promoter. Previous studies from our laboratory identified 2 muscle (M)-CAT elements located at -184 and -320 of the rat SM {alpha}-actin promoter that bind the transcription enhancer factor-1 family of transcription factors.24 Because M-CAT elements have been shown to act as positive or negative regulatory elements depending on the cell type studied,24 25 26 we tested the effects of mutations of the M-CAT elements on the TGF-ß inducibility of SM {alpha}-actin in BAECs. Mutation of either M-CAT, alone or in combination, did not restore TGF-ß inducibility of the p371/CAT construct (data not shown), suggesting that the M-CAT elements were not responsible for repression of TGF-ß responsiveness in BAECs.



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Figure 7. Analysis of pProm/CAT deletion mutants in non-SMCs. Cells were grown and treated with TGF-ß as described in the legend to Figure 6Up. Various pProm/CAT deletion mutants were transiently transfected into BAECs (A) and fibroblasts (B). CAT activities of TGF-ß– or vehicle- (Veh) treated groups were expressed relative to the baseline CAT activity of a promoterless CAT construct. Data represent the mean±SE of 3 independent experiments.

Deletion mutants of pProm were also tested in fibroblasts. Results demonstrated that inclusion of a promoter region between -155 and -208 completely abolished TGF-ß inducibility of SM {alpha}-actin transcription in fibroblasts (Figure 7BUp). This finding is consistent with previous reports27 that provided evidence for a potent, highly conserved repressor element located at -191 and -224 within the mouse SM {alpha}-actin promoter that subdued SM {alpha}-actin expression in fibroblasts, in that deletion of this region resulted in transcriptional activation of SM {alpha}-actin in response to serum in fibroblasts. The p208/CAT promoter construct tested in the present studies contained only the first half of this repressor region, suggesting that this region is sufficient for trans factor binding and inhibition of TGF-ß responsiveness of SM {alpha}-actin in fibroblasts. In the region between -155 and -208 bp, there is also an M-CAT element.24 However, it seems unlikely that this element would be responsible for the repressor activity associated with this region, since the M-CAT element situated at -176 to -181 within the mouse SM {alpha}-actin promoter is required for high-level expression of SM {alpha}-actin in fibroblasts.26 Furthermore, studies from our laboratory demonstrated that mutation of this element had no effect on SM {alpha}-actin transcription in fibroblasts.24 In summary, results indicate that (1) negative-acting elements upstream from -155 restrict TGF-ß responsiveness of the SM {alpha}-actin gene in non-SMCs but not in SMCs and that (2) in non-SMCs, TGF-ß inducibility of SM {alpha}-actin requires positive-acting cis elements located outside pProm that presumably act in concert with the CArG elements A and B, as well as with the TCE.

TGF-ß–Stimulated SM22{alpha} but Not h1 Calponin or SM MHC mRNA Expression in Non-SMCs
Studies of aortic vascular SMCs have demonstrated the ability of TGF-ß to increase the expression of a number of SM differentiation marker genes, including SM {alpha}-actin, SM MHC, and h1 calponin.3 These results suggested that TGF-ß might act as a positive differentiation factor for SMCs. To determine whether TGF-ß enhanced expression of other SM differentiation marker genes in addition to SM {alpha}-actin in non-SMCs, the levels of SM22{alpha}, h1 calponin, and SM MHC mRNA expression were measured in fibroblasts and BAECs after TGF-ß treatment (Figures 8Down and 9Up). Cells were cultured as described in the legend to Figure 1AUp and 1BUp. Northern blot analysis demonstrated that TGF-ß strongly upregulated SM22{alpha} mRNA levels in fibroblasts 4 and 8 hours after TGF-ß treatment, with expression returning to vehicle control levels after 24 hours (Figure 8ADown). SM22{alpha} mRNA expression was also markedly increased in BAECs 8 and 24 hours after the addition of TGF-ß (Figure 8BDown). Interestingly, in contrast to SMCs, h1 calponin mRNA expression was not detected in either control or TGF-ß–treated fibroblasts or BAECs (fibroblast data are shown in Figure 9AUp). This result suggests that TGF-ß may selectively upregulate the expression of early SMC differentiation marker genes (SM {alpha}-actin and SM 22{alpha}) but not of later-stage marker genes (h1 calponin) in non-SMCs. In support of this concept, we performed RNase protection analysis experiments, which showed that TGF-ß also failed to increase SM MHC expression in fibroblasts (Figure 9BUp).



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Figure 8. Northern blot analysis of the effects of TGF-ß on SM22{alpha} expression in fibroblasts and BAECs. Fibroblasts (A) and BAECs (B) were cultured and treated with TGF-ß as described in the legend to Figure 1Up. Northern blots containing 10 µg of total RNA per lane were radiolabeled with a rat SM22{alpha} cDNA that hybridizes to a 1.1-kb major transcript and a weaker transcript of 1.3 kb in SMCs28 (upper panels). The blots were rehybridized with an 18S rRNA control probe to verify similar RNA loading and transfer for each lane (lower panels).


*    Discussion
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMethods
up arrowResults
*Discussion
down arrowReferences
 
The goals of the present study were to investigate the molecular mechanisms whereby TGF-ß stimulates SM {alpha}-actin expression in non-SMCs and to determine whether TGF-ß also induces expression of other SM differentiation markers in non-SMCs, including SM MHC, SM22{alpha}, and h1 calponin. Transfection analyses demonstrated that expression of a 125-bp SM {alpha}-actin promoter/CAT construct in BAECs and fibroblasts was similar to that in SMCs and was dependent on both CArG elements A and B and a previously described TCE.3 However, in contrast to SMCs, inclusion of regions upstream from -155 completely restricted SM {alpha}-actin expression in non-SMCs. In addition to SM {alpha}-actin, TGF-ß stimulated SM22{alpha} in non-SMCs but failed to induce late-stage differentiation markers, including SM MHC and h1 calponin. Results suggest that TGF-ß is able to upregulate a subset of SM differentiation marker genes in non-SMCs but not transdifferentiation of ECs or fibroblasts into SMCs.

Despite the functional dependence of TGF-ß–mediated stimulation of SM {alpha}-actin transcription on the 2 CArG elements and the TCE in both SMCs and non-SMCs, results of the present studies also provide clear evidence for differences in TGF-ß–induced stimulation of SM {alpha}-actin in SMCs versus non-SMCs. For example, although no qualitative differences were observed in SRF and TCE factor binding in SMCs versus non-SMCs, the magnitude of changes in TGF-ß–induced increases in SRF and TCE factor binding was much greater in SMCs than in non-SMCs. There were also cell type–dependent differences in mechanisms that contributed to increased SRF binding. For example, TGF-ß enhanced SRF expression in fibroblasts (Figure 4AUp) and SMCs3 but not in ECs (Figure 4BUp). Moreover, TGF-ß–induced increases in SRF binding to the CArG elements in BAECs are unlikely to be mediated by the homeodomain-containing protein, MHox, as shown previously in SMCs,29 because it is not expressed in BAECs.30 Although MHox is likely to be expressed in fibroblasts,30 it appears to lack functional importance for SM {alpha}-actin transcription, because mutation of the highly conserved MHox binding site in the mouse SM {alpha}-actin promoter did not affect SM {alpha}-actin transcription in fibroblasts.21 The as-yet-unidentified TCE binding factor may also play a role in regulating TGF-ß effects on SRF binding. TGF-ß–induced increases in TCE binding activities in SMCs far exceeded those in non-SMCs and coincided with markedly enhanced SRF binding. This result suggests that these factors act in a cooperative fashion in SMCs. However, because neither SRF nor the TCE binding factor is SMC-specific, our studies suggest that these 2 factors contribute to quantitative rather than qualitative differences in SM {alpha}-actin expression in SMCs versus non-SMCs.

Another striking difference between TGF-ß–mediated upregulation of SM {alpha}-actin in SMCs versus non-SMCs was that potent, negative-regulatory elements located between -155 and -547 bp restricted SM {alpha}-actin expression in non-SMCs. Previous studies from our laboratory have shown that inclusion of the promoter region from -155 bp to -2.8 kb also reduced basal expression of SM {alpha}-actin in SMCs to some degree but to a much lesser extent than in BAECs. This suggests that negative-regulatory elements associated with this region may repress expression of SM {alpha}-actin in non-SMCs under normal circumstances. However, relatively little is known about potential negative-acting trans factors that may interact with this region. Recently, Sun et al26 identified 2 ssDNA binding proteins in fibroblasts that bound to a highly conserved repressor element from -165 to -195 bp within the mouse SM {alpha}-actin promoter. These ssDNA binding proteins were shown to stabilize a local ss conformation within the promoter and to preclude binding of the essential activator protein, transcription enhancer factor-1, to the M-CAT element (-181 and -176). Consistent with these outcomes, our results showed that inclusion of the region from -155 to -208 bp completely abolished basal and TGF-ß–induced SM {alpha}-actin transcription in fibroblasts. Whether the ssDNA binding proteins are also responsible for the marked reduction in activity of the p208/CAT construct in BAECs needs to be determined. However, in contrast to non-SMCs, upstream regions of the SM {alpha}-actin promoter did not affect TGF-ß responsiveness of SM {alpha}-actin in SMCs. This finding suggests that the trans factors that interact with these negative-regulatory elements are either not present in SMCs or that TGF-ß downregulates their expression or binding activity.

The presence of negative cis elements within the 2.8-kb SM {alpha}-actin promoter that potently repress the relatively high activity of a shorter p125 SM {alpha}-actin promoter fragment in non-SMCs presents a paradox, in that the endogenous SM {alpha}-actin gene can be stimulated by TGF-ß in fibroblasts and BAECs in vitro and in vivo (Figure 1AUp and 1BUp).6 10 11 This observation suggests that there are TGF-ß–dependent mechanisms that overcome the negative-regulatory effects of the repressor regions. One possibility is that there are additional positive-acting TGF-ß–responsive elements outside the 2.8-kb promoter region that act in concert with the CArG and the TCE, thereby overriding the effect of the repressor elements located between -155 bp and -2.8 kb. However, the regions of the SM {alpha}-actin gene that might be required to override repressor effects in non-SMCs have not been identified. Another mechanism whereby the effects of negative-regulatory elements could be overcome by TGF-ß is through induction of a change in chromatin structure. Consistent with this possibility, results of a study by Alevizopoulos et al31 demonstrated that TGF-ß participates in chromatin-regulated transcriptional control. In brief, they demonstrated that TGF-ß–induced activation of the collagen {alpha}2(1) promoter is mediated via interaction of the transcription factor C-terminal fragment-1 with histone H3. Finally, a third mechanism whereby TGF-ß could increase SM {alpha}-actin expression in non-SMCs is through some posttranscriptional control mechanisms, including stabilization of SM {alpha}-actin mRNA.22 32 33 Whether these mechanisms contribute to TGF-ß induction of SM {alpha}-actin in fibroblasts and ECs requires further investigation.

Our observation that TGF-ß–stimulated expression of the early (SM {alpha}-actin and SM22{alpha}) but not late (h1 calponin and SM MHC) differentiation marker genes in non-SMCs also implies that there are some fundamental differences in regulation of these SMC marker genes. Although SM {alpha}-actin, SM22{alpha}, h1 calponin, and SM MHC are coordinately expressed at high levels in the mature SMC, there is a temporal dissociation of expression of these markers during development.22 SM {alpha}-actin and SM22{alpha} are the earliest markers of SMC lineage,22 34 35 whereas h1 calponin and SM MHC are expressed at later stages during development.22 36 37 In addition, SM {alpha}-actin and SM22{alpha} display a similar pattern of tissue distribution in early development. Both markers are expressed in the cardiac, skeletal, and SMC lineages in the embryo before becoming restricted to SMCs late in embryogenesis.22 35 In contrast, expression of SM MHC and h1 calponin is more highly restricted to SMCs during development. SM MHC is exclusively expressed in SMC lineages throughout development.37 h1 Calponin transcripts have been found in SMCs and in the heart tube, but surprisingly, no h1 calponin protein was detected in the heart.38 The relatively restricted expression of SM MHC and h1 calponin in SMCs suggests that in non-SMCs, it may be regulated by positive-acting transcription factors unique to SMCs. Alternatively, expression may be strongly inhibited by repressors or posttranscriptional mechanisms in non-SMCs.38 Of interest, Madsen et al39 identified an Sp1 binding site adjacent to CArG box 2 in the SM MHC promoter that acts as a repressor in SMCs and that Sp1 levels were increased in myointimal SMCs that express lower levels of SM MHC.39 Interestingly, the h1 calponin promoter also contains 2 Sp1 binding sites within the first -500 bp.28 Whether Sp1 sites of either SM MHC or h1calponin act as transcriptional repressor sites in non-SMCs remains to be determined. Taken together, our results suggest that, although there are a number of common cis regulatory elements, such as CArG's and the TCE, that appear to contribute to the expression of each of these differentiation marker genes in SMCs, there are clearly unique regulatory elements and mechanisms required for cell type– and gene-specific regulation.

Results of the present studies provide clear evidence that TGF-ß upregulates only a subset of SMC differentiation marker genes in non-SMCs. In contrast, several recent studies have shown that TGF-ß can stimulate the late-stage differentiation markers h1 calponin and SM MHC in multipotential neural crest cells and 10T1/2 cells.4 5 The failure of TGF-ß to induce the SMC differentiation program in fibroblasts or BAECs may reflect the differential developmental potential of these 2 cell types and/or additional humoral factors present in the neural crest and 10T1/2 cell cultures but not in our BAEC or fibroblast culture systems. Taken together, the current results indicate that TGF-ß cannot by itself stimulate transdifferentiation of somatic cells such as BAECs or fibroblasts into SMCs, although it appears to be sufficient to stimulate differentiation of several multipotential embryonic cell lines to an SMC-like lineage.

In summary, results of the present study provide clear evidence that TGF-ß–induced upregulation of SM {alpha}-actin in SMCs and non-SMCs requires common elements, including CArG's and the TCE. However, these elements function differentially in SMCs versus non-SMCs through a complex interplay of positive- and negative-acting cis elements that act in a cell-specific manner. Furthermore, we found that TGF-ß was not sufficient to induce transdifferentiation of somatic cells, including BAECs and fibroblasts, into SMCs. Further studies are required to identify regulatory mechanisms that drive TGF-ß–induced expression of SM {alpha}-actin in non-SMCs and how these override the potent repressor activity that normally suppresses expression of SM {alpha}-actin in non-SMCs.


*    Acknowledgments
 
This study was supported by grants RO1 HL-38854 and PO1 HL-19242 from the National Institutes of Health, Bethesda, Md (to Dr Owens), Fellowship Grant VA-94-F-14 (to Dr Hautmann) from the American Heart Association, Virginia Affiliate, Inc, and by Junior Research Fellowship FS-96072 (to Dr Adam) from the British Heart Foundation. We gratefully acknowledge the expert technical assistance of Diane Raines and Andrea Tanner.

Received September 21, 1998; accepted January 26, 1999.


*    References
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMethods
up arrowResults
up arrowDiscussion
*References
 
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C. Boxall, S. T. Holgate, and D. E. Davies
The contribution of transforming growth factor-{beta} and epidermal growth factor signalling to airway remodelling in chronic asthma
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Chest, December 1, 2005; 128(6_suppl): 585S - 590S.
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Transforming Growth Factor-{beta} Signal Transduction in Angiogenesis and Vascular Disorders
Chest, December 1, 2005; 128(6_suppl): 585S - 590S.
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CirculationHome page
J. Dai, F. Losy, A.-M. Guinault, C. Pages, I. Anegon, P. Desgranges, J.-P. Becquemin, and E. Allaire
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J. J. Tomasek, J. McRae, G. K. Owens, and C. J. Haaksma
Regulation of {alpha}-Smooth Muscle Actin Expression in Granulation Tissue Myofibroblasts Is Dependent on the Intronic CArG Element and the Transforming Growth Factor-{beta}1 Control Element
Am. J. Pathol., May 1, 2005; 166(5): 1343 - 1351.
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F. Dandre and G. K. Owens
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Am J Physiol Heart Circ Physiol, June 1, 2004; 286(6): H2042 - H2051.
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Y. Liu, S. Sinha, and G. Owens
A Transforming Growth Factor-{beta} Control Element Required for SM {alpha}-Actin Expression in Vivo Also Partially Mediates GKLF-dependent Transcriptional Repression
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P. J. Adam, C. P. Regan, M. B. Hautmann, and G. K. Owens
Positive- and Negative-acting Kruppel-like Transcription Factors Bind a Transforming Growth Factor beta Control Element Required for Expression of the Smooth Muscle Cell Differentiation Marker SM22alpha in Vivo
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P. Qiu and L. Li
Histone Acetylation and Recruitment of Serum Responsive Factor and CREB-Binding Protein Onto SM22 Promoter During SM22 Gene Expression
Circ. Res., May 3, 2002; 90(8): 858 - 865.
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