Abstract

Angiotensin II (AngII) promotes hypertension and atherosclerosis by activating growth-promoting and pro-inflammatory gene expression in vascular smooth muscle cells (VSMCs). Enhancers and super-enhancers (SEs) play critical roles in driving disease-associated gene expression. However, enhancers/SEs mediating VSMC dysfunction remain uncharacterized. Here, we show that AngII alters vascular enhancer and SE repertoires in cultured VSMCs in vitro, ex vivo, and in AngII-infused mice aortas in vivo. AngII-induced enhancers/SEs are enriched in binding sites for signal-dependent transcription factors and dependent on key signaling kinases. Moreover, CRISPR-Cas9-mediated deletion of candidate enhancers/SEs, targeting SEs with the bromodomain and extra-terminal domain inhibitor JQ1, or knockdown of overlapping long noncoding RNAs (lncRNAs) blocks AngII-induced genes associated with growth-factor signaling and atherosclerosis. Furthermore, JQ1 ameliorates AngII-induced hypertension, medial hypertrophy and inflammation in vivo in mice. These results demonstrate AngII-induced signals integrate enhancers/SEs and lncRNAs to increase expression of genes involved in VSMC dysfunction, and could uncover novel therapies.

Highlights

  • Angiotensin II (AngII) promotes hypertension and atherosclerosis by activating growthpromoting and pro-inflammatory gene expression in vascular smooth muscle cells (VSMCs)

  • In order to characterize the AngII-regulated enhancers that might be involved in AngII-mediated gene expression in rat VSMCs (RVSMCs), we performed genome-wide chromatin immunoprecipitation (ChIP)-seq analysis using antibodies recognizing H3K4me[1] for candidate enhancers and H3K27ac for active enhancers[18] (Fig. 1a)

  • We examined two representative AngII-upregulated genes, namely, endothelial cell-specific molecule[1] (Esm1) and Sprouty Homolog[2] (Spry2), that are involved in VSMC growth, proliferation and inflammation[32,33], and one AngIIdownregulated gene, AngII Receptor Type1a (Agtr1a), which mediates AngII signaling involved in hypertension and CVD34

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Summary

Introduction

Angiotensin II (AngII) promotes hypertension and atherosclerosis by activating growthpromoting and pro-inflammatory gene expression in vascular smooth muscle cells (VSMCs). JQ1 ameliorates AngII-induced hypertension, medial hypertrophy and inflammation in vivo in mice These results demonstrate AngII-induced signals integrate enhancers/SEs and lncRNAs to increase expression of genes involved in VSMC dysfunction, and could uncover novel therapies. Activation of aortic vascular smooth muscle cells (VSMCs) by the pro-inflammatory and pro-atherogenic growth factor (GF) angiotensin II (AngII) is a key event in the development of cardiovascular diseases (CVDs), such as hypertension and atherosclerosis[1,2]. AngII regulates gene expression via activation of transcription factors (TFs) such as AP1, NF-κB, and ETS1, and co-operating epigenetic mechanisms that include increased histone H3 lysine 9/14 acetylation (H3K9/14ac) as well as other histone modifications at target gene promoters[8,11]. The results reveal novel functional roles of enhancers/SEs in epigenetic mechanisms of AngII actions, which in turn could yield valuable new information for therapeutic intervention in CVDs

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