Abstract

Inducible nitric-oxide synthase (iNOS) plays a central role in the regulation of vascular function and response to injury. A central mediator controlling iNOS expression is transforming growth factor-beta (TGF-beta), which represses its expression through a mechanism that is poorly understood. We have identified a binding site in the iNOS promoter that interacts with the nuclear heterodimer TCF11/MafG using chromatin immunoprecipitation and mutation analyses. We demonstrate that binding at this site acts to repress the induction of iNOS gene expression by cytokines. We show that this repressor is induced by TGF-beta1 and by Smad6-short, which enhances TGF-beta signaling. In contrast, the up-regulation of TCF11/MafG binding could be suppressed by overexpression of the TGF-beta inhibitor Smad7, and a small interfering RNA to TCF11 blocked the suppression of iNOS by TGF-beta. The binding of TCF11/MafG to the iNOS promoter could be enhanced by phorbol 12-myristate 13-acetate and suppressed by the protein kinase C inhibitor staurosporine. Moreover, the induction of TCF11/MafG binding by TGF-beta and Smad6-short could be blocked by staurosporine, and the effect of TGF-beta was blocked by the selective protein kinase C inhibitor calphostin C. Consistent with the in vitro data, we found suppression of TCF11 coincident with iNOS up-regulation in a rat model of endotoxemia, and we observed a highly significant negative correlation between TCF11 and nitric oxide production. Furthermore, treatment with activated protein C, a serine protease effective in septic shock, blocked the down-regulation of TCF11 and suppressed endotoxin-induced iNOS. Overall, our results demonstrate a novel mechanism by which iNOS expression is regulated in the context of inflammatory activation.

Highlights

  • During acute inflammatory insult, Inducible nitric-oxide synthase (iNOS) is synergistically induced by the TH-1 cytokines tumor necrosis factor-␣, interleukin-1␤, and interferon-␥ [5]

  • We demonstrate that activated protein C, an agent effective in model and clinical sepsis, increased TCF11 levels concomitant with a suppression of endotoxin-induced iNOS expression

  • Transcription Factor TCF11/MafG Binds to the iNOS Promoter Region—To explore the factors that might contribute to negative regulation of iNOS, we examined nuclear factor binding sites in the promoter

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Summary

Introduction

INOS is synergistically induced by the TH-1 cytokines tumor necrosis factor-␣, interleukin-1␤, and interferon-␥ [5]. TCF11/MafG Is a Negative Regulator of iNOS Expression—To assess the functional effect of this binding site in iNOS, we examined the level of iNOS mRNA produced in cells following transfection of a decoy vector containing multimers of the TCF11/MafG binding sites using the method described previously [21].

Results
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