Abstract
Modulation of the vascular smooth-muscle-cell (vSMC) phenotype from a quiescent ‘contractile' phenotype to a proliferative ‘synthetic' phenotype has been implicated in vascular injury repair, as well as pathogenesis of vascular proliferative diseases. Both bone morphogenetic protein (BMP) and transforming growth factor-β (TGFβ)-signalling pathways promote a contractile phenotype, while the platelet-derived growth factor-BB (PDGF-BB)-signalling pathway promotes a switch to the synthetic phenotype. Here we show that PDGF-BB induces microRNA-24 (miR-24), which in turn leads to downregulation of Tribbles-like protein-3 (Trb3). Repression of Trb3 coincides with reduced expression of Smad proteins and decrease in BMP and TGFβ signalling, promoting a synthetic phenotype in vSMCs. Inhibition of miR-24 by antisense oligonuclotides abrogates the downregulation of Trb3 as well as pro-synthetic activity of the PDGF-signalling pathway. Thus, this study provides a molecular basis for the antagonism between the PDGF and TGFβ pathways, and its effect on the control of the vSMC phenotype.
Keywords: BMP, microRNA, PDGF, TGFβ, vascular smooth-muscle cell
Introduction
During embryonic development, the transforming growth factor-β (TGFβ) and BMP pathways play multiple essential roles in the induction of ventral mesoderm (Davidson and Zon, 2000), cardiac myogenesis (Monzen et al, 2002; Schneider et al, 2003), vasculogenesis (Moser and Patterson, 2005), and angiogenesis. Targeted inactivation of BMP-signal transducers Smad1 and Smad5 produces a severe vascular phenotype (Moser and Patterson, 2005). TGFβ1- or TGFβ2-null mice die prematurely due to vascular defects. Proliferative and obliterative vascular diseases such as atherosclerosis, post-angioplasty restenosis, lymphangioleiomyomatosis (LAM), and pulmonary arterial hypertension (PAH) share common pathological characteristics, including abnormal proliferation and migration of vascular smooth-muscle-cells (vSMCs), and decrease in their ability to contract. In response to vascular injury, vSMCs undergo a unique process known as ‘phenotype modulation': transition from a quiescent, ‘contractile' phenotype to a proliferative, ‘synthetic' state (Owens, 1995; Owens et al, 2004). Phenotypic plasticity is essential for vascular development and vascular remodelling after injury. However, an aberrant switch from a contractile to synthetic phenotype, characterized by proliferation and transformation into myofibroblasts, is a mechanism underlying the formation of plexiform lesions as well as various proliferative vascular disorders (Smith et al, 1990; Yi et al, 2000). It was shown that TGFβs and BMPs are able to inhibit vSMC proliferation and migration, and stimulate the expression of contractile vSMC markers, such as smooth-muscle α-actin (SMA), calponin-1 (CNN), and SM22α (SM22) (Misiakos et al, 2001; Guo et al, 2004; Lagna et al, 2007). Loss-of-function mutations of genes encoding receptors of TGFβs and BMPs have been linked to vascular disorders such as idiopathic PAH (IPAH) and hereditary hemorrhagic telangiectasia (ten Dijke and Arthur, 2007). Altogether, these results support the hypothesis that inhibition of TGFβ or BMP signalling plays an important role in the pathogenesis of proliferative and obliterative vascular diseases.
Unlike TGFβs and BMPs, platelet-derived growth factors (PDGFs) potently mediate a switch from a contractile to synthetic phenotype characterized by downregulation of vSMC marker gene expression as well as increased proliferation and migration (Owens et al, 2004; Lagna et al, 2007). Platelet-derived growth factor-BB (PDGF-BB) is able to counteract the contractile activity of TGFβ and BMP signalling, and inhibit contractile gene expression in vSMCs (Lagna et al, 2007). Elevated expression of proteins in the PDGF-signalling pathway is found in various cardiovascular disorders and vascular injuries, including atherosclerosis and restenosis (Andrae et al, 2008). PDGF released from platelets and endothelial cells at sites of vascular injury is thought to be a contributing factor to atherosclerosis (McNamara et al, 1996). Inhibition of PDGF signalling by the PDGF receptor (PDGFR) kinase inhibitor, imatinib mesylate (Gleevec) reduced atherosclerosis development, suggesting critical involvement of the PDGF pathway in vascular proliferative disorders (Andrae et al, 2008). However, the exact mechanism by which the PDGF pathway contributes to vascular disease remains unclear.
We recently reported that both TGFβ and BMP signals induce several small non-coding RNAs of the microRNA (miRNA) family, including miR-21, in vSMCs. miR-21 binds to the 3′-untranslated region (UTR) of programmed cell death-4 (PDCD4) mRNA, promoting degradation of PDCD4 mRNA and induction of vSMC contractile genes (Davis et al, 2008). The BMP pathway also activates the transcription of contractile genes by promoting nuclear translocation of two members of the myocardin (Myocd) family of transcription factors, MRTF-A and MRTF-B (Lagna et al, 2007), both potent transcription activators of vSMC-specific contractile genes containing CArG box (CC (A/T)6GG) sequences in their promoter regions (Li et al, 2006; Kuwahara et al, 2007; Medjkane et al, 2009). In contrast, PDGF-BB suppresses the expression of Myocd or inhibits Myocd binding to the CArG box and abolishes vSMC gene transcription (Yoshida et al, 2007). Our study indicates that PDGF-BB also induces the expression of miR-221 (miR-221) in vSMCs (Davis et al, 2009). miR-221 targets the 3′-UTR of c-Kit and p27Kip1 mRNAs, and downregulates the expression of these proteins. Downregulation of c-Kit decreases Myocd protein and vSMC-specific genes, while downreguation of p27Kip1 promotes proliferation (Davis et al, 2009). Although TGFβ/BMP and the PDGF pathways have opposing effects on various aspects of vSMC phenotype modulation, direct crosstalk between these pathways has not been investigated. In this study, we demonstrate that PDGF-BB induces miR-24 (miR-24) in vSMCs. We show that miR-24 targets Tribbles-like protein-3 (Trb3) mRNA and downregulates its expression. Trb3 was previously identified as a protein that interacts with type-II BMP receptor (BMPRII) through a domain that is frequently mutated in familial IPAH patients (Chan et al, 2007). Trb3 promotes degradation of Smad ubiquitin-regulatory factor-1 (Smurf1), a negative regulator of BMP and TGFβ Smad-dependent signalling (Chan et al, 2007). In concurrence with our previous result, we find that PDGF-miR-24-mediated downregulation of Trb3 in vSMCs results in decreased Smad protein levels and vSMC contractile gene expression. Inhibition of miR-24 function in vSMCs prevents cells from switching to a synthetic phenotype upon PDGF-BB treatment. Thus, we propose that miR-24 is a key regulator of the crosstalk between the pro-contractile TGFβ/BMP signal and the pro-synthetic PDGF signal.
Results
PDGF-BB inhibits the BMP-mediated contractile phenotype
Human primary pulmonary smooth-muscle cells (PASMCs) were treated with BMP4 alone, PDGF-BB alone, or both BMP4 and PDGF-BB. The change in vSMC phenotype was evaluated by measuring the level of expression of vSMC-specific contractile gene markers, such as SMA, CNN and SM22; cell proliferation; and collagen lattice contraction.
As reported previously (Lagna et al, 2007), BMP4 induces SMA, CNN, and SM22, and PDGF-BB reduces their expression both at the mRNA (Figure 1A, top panel) and protein level (Figure 1A, bottom panel). When cells were treated with both BMP4 and PDGF-BB, no vSMC marker induction was observed, indicating an antagonism between BMP4 and PDGF-BB (Figure 1A, SMA, CNN, or SM22). Induction of a direct BMP target gene, Id3, whose expression was elevated ∼4-fold after 6 h treatment with BMP4, was significantly reduced by co-stimulation with BMP4 and PDGF (Figure 1A, Id3).
The level of deformation (contraction) of collagen lattices can be affected by reorganization of actin or in response to contractile stimuli such as BMP4 in vSMCs (Neuman et al, 2009). To examine whether the change in vSMC markers shown in Figure 1A affects the contractility of the cells, PASMCs were treated with BMP4, PDGF-BB, or both for 24 h and the size of the collagen gel was measured 24 h after it was released from the culture plate wall. BMP4 treatment reduced the size of collagen lattice to 73%, indicating that BMP4 elevates collagen contraction, presumably through increased expression of contractile gene markers (Figure 1B). PDGF-BB treatment did not affect the gel size at a detectable level (Figure 1B). However, when PDGF-BB was added with BMP4, no significant contraction was observed (Figure 1B). Similarly, BMP4-induced cell growth inhibition (about 50%) was reversed by co-treatment with PDGF-BB (Figure 1C). Altogether, these results indicate that PDGF-BB exerts an antagonizing effect on the BMP pathway, potentially by affecting its basic signalling machinery.
Downregulation of Trb3 upon PDGF-BB stimulation
Trb3 can act as an important modulator of the BMP-signalling pathway by regulating the expression level of Smad signal-transducing proteins (Chan et al, 2007). Furthermore, changes in the level of Trb3 in vSMCs affects the vSMC phenotype (Chan et al, 2007). Therefore, we examined potential modulation of Trb3 upon PDGF-BB stimulation. In a time-course experiment, we monitored the change in Trb3 mRNA by semi-quantitative RT–PCR (qRT–PCR) upon PDGF-BB or BMP4 treatment in PASMCs (Figure 2A). Trb3 mRNA decreased after 8 h and stayed low up to 72 h after PDGF-BB treatment (Figure 2A, and data not shown). BMP4 treatment alone had no effect on Trb3 mRNA expression (Figure 2A). In agreement with the mRNA level, Trb3 protein was reduced by PDGF-BB treatment after 4 h and further reduced after 24 h in PASMCs (Figure 2B). Immunofluorescence staining of PASMCs indicated that PDGF-BB reduces the expression of Trb3 and of the contractile marker SMA (Figure 2C). Downregulation of Trb3 protein and mRNA by PDGF was also confirmed in the rat PASMC line PAC1 (Supplementary Figure S1). We previously reported that downregulation of Trb3 results in reduction of Smad signal transducers for both the BMP- and TGFβ-signalling pathway (Chan et al, 2007). We examined whether PDGF-BB treatment reduces BMP-specific Smad1 (Figure 2D, left panel) or TGFβ-specific Smad2 and Smad3 (Figure 2D, right panel) by immunoblot analysis. BMP4 or TGFβ treatment did not significantly affect Trb3 or Smad levels (Figure 2D). PDGF-BB stimulation, however, dramatically reduced both Trb3 and Smad protein (Figure 2D). Anti-phospho-Smad1/5 or anti-phospho-Smad2 antibody immunoblots indicate robust induction of phosphorylation of Smads upon BMP4 or TGFβ treatment (Figure 2D). Co-treatment with PDGF-BB and BMP4 or TGFβ resulted in significant reduction in phospho-Smad levels, due to decreased total Smad protein (Figure 2D). These results suggest that PDGF-BB may in part antagonize the BMP or TGFβ pathways by decreasing Trb3 expression, which leads to downregulation of Smad signal transducers.
Trb3 is a novel target of miR-24
Next we investigated the mechanism by which PDGF-BB downregulates Trb3. The activity of a Trb3 promoter–luciferase-reporter construct, which contains a ∼1.9-kb region of the human Trb3 gene promoter (Ohoka et al, 2005), was not affected by PDGF-BB treatment (Supplementary Figure S2A). Furthermore, the transcription rate of Trb3 gene was not altered by PDGF treatment (Supplementary Figure S2B). It is likely that PDGF-BB controls Trb3 mRNA level through a mechanism other than transcriptional regulation. As an alternative mechanism, we examined miRNA-mediated downregulation of Trb3. Computational analysis by TargetScan5.1 predicted that the 3′-UTR of the Trb3 transcript contains an 8-mer miR-24 seed sequence at a position 78–84 nucleotides after the stop codon, which is phylogenetically conserved among mammals (Figure 3A, upper panel). To examine whether miR-24 can downregulate Trb3 mRNA expression in vSMCs, three different doses of chemically modified, synthetic miR-24 oligonucleotides (miR-24 mimic) were transfected into PASMCs, followed by qRT–PCR analysis of Trb3 mRNA. Increasing amounts of miR-24 mimic (about 1.6, 3.0, 4.0, and 7.0 times the endogenous miR-24 level) were expressed in PASMCs (Figure 3A, right panel). Under these conditions, Trb3 mRNA level was reduced to an average of 52, 24, 18, and 16% of the basal level, respectively (Figure 3A, left panel), suggesting that miR-24 targets Trb3 mRNA and leads to its degradation. Next, miR-24 mimic or control mimic were transfected into PASMCs, followed by 24-h PDGF-BB treatment and Trb3 protein immunoblot analysis. The miR-24 mimic alone significantly reduced Trb3 protein to a level lower than that in PDGF-BB-treated cells with the control mimic (Figure 3B, lanes 2 and 3). In the presence of miR-24 mimic, PDGF-BB did not further reduce Trb3 (Figure 3B, lanes 3 and 4). To examine whether miR-24 targets the predicted miR-24 seed sequence in the 3′-UTR of Trb mRNA, a Trb3 cDNA expression construct with or without the 3′-UTR sequence was generated (Figure 3C, top panel) and transfected into Cos7 cells. The effect of miR-24 mimic on the expression of the two different constructs was examined by qRT–PCR and immunoblot analyses. As shown in Figure 3C, miR-24 mimic dose dependently suppressed both mRNA (Figure 3C, left panel) and protein (Figure 3C, right panel) expression from the construct containing the 3′-UTR (Figure 3C, Trb3+3′-UTR). No change in Trb3 mRNA or protein was observed when the 3′-UTR was missing (Figure 3C, Trb3), indicating that the 3′-UTR, and presumably the miR-24 seed sequence contained in it, is essential for downregulation of Trb3 by miR-24.
PDGF-BB induces miR-24-2 transcription
We speculated that PDGF-BB might downregulate Trb3 by inducing the expression of miR-24 in PASMCs. We recorded a time-course profile of the expression of miR-24 as well as miR-221, which was previously found to be induced by PDGF-BB (Davis et al, 2009), in PASMCs after PDGF-BB treatment (Figure 4A, black line). miR-222 serves as a negative control as its expression is not regulated by PDGF-BB (Davis et al, 2009) (Figure 4A, blue line). miR-24 was induced about 1.5-fold 4 h after PDGF-BB treatment and remained above the basal level up to 24 h, similar to miR-221 (Figure 4A, red line). This is consistent with the result that Trb3 mRNA level decreases to approximately 25% of the basal level within 4 h after PDGF-BB treatment (Figure 2A). The miR-24 gene is encoded in a gene cluster comprising miR-27 and miR-23 within a genomic region of less than 900 bp. There are two copies of the miR-24 gene cluster; one located on chromosome-9 (miR-24-1 gene cluster, encoding miR-24-1, miR-23b, and miR-27b) and the other on chromosome-19 (miR-24-2 gene cluster, coding for miR-24-2, miR-23a, and miR-27a) (Figure 4B). The sequences of miR-24-1 and miR-24-2 are identical and indistinguishable by qRT–PCR analysis, while sequences of miR-23a and miR-23b, or miR-27a and miR-27b are different. To determine whether both miR-24-1 and miR-24-2 are similarly regulated by PDGF-BB, the levels of the two variants of miR-23 and miR-27 were examined individually by qRT–PCR (Figure 4C). The miRNAs in the miR-24-2 gene cluster (miR-23a and miR-27a) were induced ∼2-fold by PDGF-BB, similar to miR-24 (Figure 4C). By contrast, miR-23b (Figure 4C, green dotted line) and miR-27b (Figure 4C, orange dotted line) were not altered by PDGF-BB treatment. These results indicate that the miR-24-2 cluster, but not miR-24-1 cluster, is regulated by PDGF-BB. To examine which step of miR-24-2 biogenesis is regulated by PDGF-BB, we examined the level of miR-24 primary transcripts (Pri-miR-24-2) and the first processing product (Pre-miR-24-2) after PDGF-BB treatment. These precursor RNAs are sufficiently distinct for miR-24-1 and miR-24-2 to be distinguishable by RT–PCR. Induction of both Pri-miR-24-2 (∼3.5 fold) and Pre-miR-24-2 (∼3.2-fold) was observed within 2–4 h after PDGF treatment, suggesting that the miR-24-2 gene cluster is regulated by the PDGF pathway at the transcriptional level (Figure 4D, red solid and dotted lines). The expression of neither Pri-miR-24-1 nor Pre-miR-24-1 was altered by PDGF-BB treatment (Figure 4D, black solid and dotted lines), confirming that PDGF-BB does not modulate the expression of the miR-24-1 gene cluster.
miR-24 is a critical mediator of the pro-synthetic activity of PDGF-BB
To investigate the potential role of miR-24 in the PDGF-mediated downregulation of Trb3, 2′-O-methyl-modified RNA oligonucleotides complementary to the miR-24 sequence (anti-miR-24) were transfected into PASMCs to inhibit endogenous miR-24, and the levels of Trb3 and the vSMC marker SMA were examined. Transfection of 50 nM anti-miR-24 decreased endogenous miR-24 level by approximately 60% (Figure 5A, right panel). Induction of miR-24 by PDGF-BB was significantly reduced by anti-miR-24 transfection in comparison with cells transfected with control oligonucleotides (anti-GFP) (Figure 5A, right panel). In control cells, PDGF-BB treatment decreased Trb3 mRNA expression by approximately 50% (Figure 5A, left panel). In anti-miR-24-transfected cells, however, the level of Trb3 was slightly increased (∼10%) as compared with the basal level and not significantly decreased by PDGF-BB, suggesting that PDGF-BB is unable to downregulate Trb3 when expression of endogenous miR-24 is impaired (Figure 5A, left panel). Similarly, the ability of PDGF-BB to reduce SMA expression was decreased in the presence of anti-miR-24 (Figure 5A, left panel). These results indicate that miR-24 plays a critical role in the regulation of Trb3 and vSMC genes by PDGF-BB. To investigate whether other targets of miR-24, besides Trb3, are involved in PDGF-BB-mediated downregulation of vSMC genes, Trb3 was silenced by small interfering RNA (siRNA) (si-Trb3) in PASMCs (Figure 5B). Transfection of si-Trb3 reduced endogenous Trb3 mRNA expression to 5% of that of the control (Figure 5B). miR-24 was induced similarly by PDGF-BB treatment both in si-Trb3 cells and si-Control cells (Figure 5B). PDGF-BB-mediated downregulation of SMA and CNN was observed in si-Control cells but not in si-Trb3 cells (Figure 5B, left panel), suggesting that Trb3 is required for the PDGF-BB-mediated decrease in contractile gene expression. To further confirm a critical role of the PDGF–miR-24–Trb3 axis, Trb3 expression constructs with or without the 3′-UTR (see Figure 3C, top panel) were transfected prior to PDGF treatment and the effect of PDGF on contractile markers CNN and SM22 was examined in PAC1 cells (Figure 5C). If PDGF suppresses SM22 through miR-24-mediated downregulation of Trb3, it is expected that only the Trb3 construct missing the 3′-UTR (Trb3), which is resistant to miR-24, is able to rescue SM22 and CNN expression. Similar levels of expression of Trb3 from the construct with or without 3′-UTR (∼5-fold over the endogenous level) were observed at the basal state (Figure 5C, bottom panel). Both Trb3 constructs elevated the basal expression of both CNN and SM22 about two- three-fold (Supplementary Figure S5). Unlike the Trb3 construct with the 3′-UTR (Trb3+3′-UTR), the Trb3 construct deleted in 3′-UTR (Trb3) was able to reduce the level of inhibition of CNN and SM22 by PDGF (Figure 5C, top panel), confirming that the PDGF-mediated miR-24–Trb3-regulatory pathway plays a critical role in the pro-synthetic effect of PDGF-BB. Next a potential role of miR-24-mediated downregulation of Trb3 in PDGF-mediated cell growth regulation was examined. In control cells (si-Control), PDGF-BB treatment promoted proliferation of PASMCs (Figure 5D). When endogenous Trb3 level was downregulated by si-Trb3, the proliferative effect of PDGF-BB treatment was attenuated, suggesting that Trb3 is required not only for PDGF-mediated contractile gene regulation, but also for its cell-proliferative effect (Figure 5D). Altogether, these results support that the miR-24¡Trb3 axis is essential for the pro-synthetic activity of PDGF-BB.
miR-24 antagonizes BMP4 signals
We previously proposed that Trb3 stabilizes Smad1/5 proteins by promoting proteasome-dependent degradation of Smurf1, which is an E3 ubiquitin ligase for Smads (Chan et al, 2007). Therefore, we hypothesized that miR-24 inhibits the BMP–Smad pathway through downregulation of Trb3 and Smads. Overexpression of miR-24 in PASMCs decreased both Trb3 and Smad1 protein levels and abolished BMP4-mediated phosphorylation of Smad1/5 proteins (Figure 6A), similar to the effect of PDGF-BB treatment (see Figure 2D), suggesting that miR-24 is able to inhibit the BMP–Smad pathway in PASMCs. Next the inhibitory effect of miR-24 on the BMP–Smad pathway was further demonstrated by examining the expression of various transcriptional and post-transcriptional targets of BMP–Smads after transfection of miR-24 mimic or control (GFP) mimic. Transfection of 0.3 nM miR-24 mimic into PASMCs elevated the miR-24 level ∼2-fold over the endogenous level (Figure 6B, miR-24) and reduced Trb3 mRNA to 30% of the endogenous level (Figure 6B, Trb3). In the presence of miR-24 mimic, induction of both vSMC-specific BMP targets SMA and CNN, and the non-vSMC-specific BMP target Id3 was significantly reduced as compared with that in control mimic-transfected cells, although not completely abolished (Figure 6B). To confirm that the miR-24-mediated inhibition of BMP activity on SMA and Id3 is due to downregulation of Trb3 and its function, PASMCs transfected with miR-24 mimic were infected with adenovirus carrying either wild-type Trb3 (Trb3 (WT)) cDNA or a Trb3 mutant cDNA deleted in amino acids 239–266 (Trb3 (ΔK)), which is unable to promote degradation of Smurf1, and therefore unable to positively modulate BMP signalling (Chan et al, 2007). Both Trb3 constructs are deleted in the 3′-UTR and therefore resistant to the miR-24 mimic (Figure 6C, bottom left panel). Both Trb3 (WT) and Trb3 (ΔK) were expressed at similar levels (Figure 6C, bottom left panel), and expression of Trb3 had no effect on miR-24 mimic expression (Figure 6C, bottom right panel). Similar to the result in Figure 6B, transfection of miR-24 mimic inhibited the induction of SMA and Id3 by BMP4 (Figure 6C, top panel). Exogenous Trb3 (WT) abolished the inhibitory effect of miR-24 mimic and rescued the BMP4-mediated induction of SMA and Id3, confirming the essential role of the miR-24–Trb3 axis in the regulation of the BMP pathway (Figure 6C, top panel). In contrast Trb3 (ΔK) was not able to inhibit the effect of miR-24 mimic (Figure 6C, top panel). Thus, these results support our hypothesis that miR-24 inhibits the BMP–Smad-signalling pathway through downregulation of Trb3.
Our previous study demonstrated that Smad proteins control miR-21 biosynthesis at the first processing step by Drosha microprocessor complex, which results in miR-21 (Davis et al, 2008) induction of about two-fold by BMP4 or TGFβ. Therefore, we speculated that miR-24-mediated downregulation of Trb3 and Smad may affect the regulation of miR-21 synthesis by BMP4. Overexpression of miR-24 abolished the BMP4-mediated induction of miR-21 (Figure 6D). Downregulation of Trb3 by siRNA (si-Trb3) phenocopied the effect of miR-24 mimic and abolished miR-21 induction by BMP4 (Figure 6E). These results indicate that miR-24 negatively regulates both transcriptional and non-transcriptional functions of BMP–Smads through a mechanism involving predominantly downregulation of Trb3. In agreement with these results, we observed that PDGF-BB treatment reduces miR-21 expression, presumably as a result of induction of miR-24 (Supplementary Figure S3). We next examined whether miR-24 expression affects other BMP4 responses in vSMCs, such as cell growth suppression (Lagna et al, 2007) and induction of actin remodelling (Neuman et al, 2009). miR-24 mimic expression abolished the BMP4-mediated cell growth inhibition in PASMCs (Figure 6F). Similarly, contraction of PASMCs in a collagen lattice in response to BMP4-induced actin remodelling was inhibited by miR-24 mimic (Figure 6G). Altogether, these results suggest that miR-24 can interfere with different pro-contractile activities of the BMP4 pathway in vSMCs.
To examine whether inhibition of the BMP–Smad pathway by miR-24 is cell-type-specific, a clone of the mouse embryonal carcinoma P19 cell line stably transformed with the BMP target gene promoter–luciferase reporter (BRE-Luc) (Ku et al, 2005) was transfected with miR-24 mimic, control (GFP) mimic, or si-Trb3, and stimulated with BMP4 (Figure 6H). In comparison with control cells, increasing amounts of miR-24 mimic decreased the response of BRE-Luc to BMP4 (Figure 6H). At the highest dose of miR-24 mimic, the response of BRE-Luc was similar to that elicited in si-Trb3-transfected cells (Figure 6H). Finally, we measured the effect of miR-24 on BMP4/Smad-mediated osteoblastic differentiation of mouse myoblast C2C12 cells, which is characterized by induction of the osteoblast marker alkaline phosphatase (ALP). When miR-24 was overexpressed in C2C12 cells, BMP4-mediated ALP induction was reduced by half, suggesting that miR-24 antagonizes the ability of BMP4 to promote osteoblast differentiation (Figure 6I). Trb3 level was decreased to 35% and induction of the BMP target gene Id3 was decreased to half in miR-24 mimic-expressing cells, suggesting that the miR-24–Trb3–Smad axis blocks osteoblast differentiation. Thus, we conclude that miR-24 antagonizes the BMP–Smad-signalling pathway both in vSMCs and non-vSMCs.
Next, we addressed whether miR-24 plays an essential role in inhibition of pro-contractile BMP activity by PDGF-BB. PASMCs were transfected with anti-miR-24 or anti-GFP (control), followed by treatment with BMP4 alone or BMP4 and PDGF-BB. In control cells, PDGF-BB blocked the induction of vSMC markers by BMP4 (Figure 7A, anti-GFP). When miR-24 activity was inhibited by anti-miR-24, however, PDGF-BB was unable to inhibit the BMP4-mediated induction of contractile genes (Figure 7A, anti-miR-24). Similar results were obtained by examining the effect of PDGF-BB on other pro-contractile signals by BMP4, such as cell growth inhibition (Figure 7B) and induction of cell contraction (Figure 7C). Altogether, these results demonstrate that miR-24 induction is essential for the ability of PDGF-BB to antagonize the pro-contractile BMP4 signals.
Hypoxia induces miR-24 and downregulation of Trb3 and BMP signal
It has been shown that the Trb3 level is altered by various pathological or physiological conditions (Bowers et al, 2003; Qi et al, 2006). Therefore, we examined a possible change in Trb3 protein and miR-24 expression in lung and pulmonary artery (PA) samples using a rat hypoxia-induced PAH model. qRT–PCR analysis demonstrated that the levels of Trb3 and vSMC markers in hypoxia-treated lung samples were reduced to about 40–50% of that in normoxia-treated control lung samples (Figure 8A, top panel). Conversely, miR-24 level was elevated about two-fold in hypoxia-treated samples in comparison with that in control samples (Figure 8A, bottom panel). miR-221, which was previously shown to be induced by the PDGF-signalling pathway, similar to miR-24 (Davis et al, 2009), was also increased about 1.5-fold after hypoxia treatment, while the level of an unrelated miRNA, miR-100, was unchanged (Figure 8A, bottom panel). Immunohistochemical analysis of SMA demonstrated that the medial layer of hypoxic rat PAs is thicker than that of a control (normoxic) rat due to overproliferation of vSMCs, which is characteristic of PAs of patients with PAH (Figure 8B). Phospho-Smad1/5/8 staining was detected in the medial layer of normoxic PAs (Figure 8B). At higher magnification, much of phospho-Smad1/5/8 staining had nuclear localization, suggesting that the BMP signal is active in those cells (Figure 8B). Consistent with a previous report (Yang et al, 2005), dramatically reduced staining of total Smad1 and phospho-Smad1/5/8 was observed in hypoxic rat PAs, suggesting a decrease in BMP signalling in these cells (Figure 8B). Reduced expression of Trb3 was also observed in the media layer of the PAs from rats subjected to hypoxia (Figure 8B). To examine whether the decrease in Trb3 protein level in hypoxic PAs is due to a change in miR-24 expression, the same samples were probed for miR-24 expression by a fluorescence in situ hybridization (FISH) using fluorescein isothiocyanate (FITC)-conjugated anti-miR-24 probes (Figure 8C, top two panels, green). Quantitative analysis of miR-24 staining indicates that the media of the hypoxia-treated sample expresses a twofold higher level of miR-24 as compared with the normoxic media, after normalization for the different medial areas in the two samples (Figure 8C, top two panels), indicating that miR-24 expression is modulated by vascular injury in the vSMC layer in vivo. The complementary patterns of expression of Trb3 and miR-24 in the media of PAs, as well as in lung samples from normoxia or hypoxia-treated rat, strongly support the hypothesis that elevated expression of miR-24 leads to downregulation of Trb3 in vivo.
miR-24 affects the TGFβ pathway
Trb3-dependent regulation of Smurf1 not only stabilizes BMP-specific Smads but also TGFβ-specific Smads, Smad2 and Smad3 (Chan et al, 2007). Indeed we observed that PDGF stimulation decreases the level of Trb3 and Smad1 (Figure 2D, left panel), as well as Smad2 and Smad3, in PASMCs (Figure 2D, right panel). Thus, we speculated that miR-24 might negatively regulate the TGFβ-signalling pathway. Overexpression of miR-24 decreased total Smad2 and Smad3, as well as Trb3 protein level and abolished the TGFβ-mediated phosphorylation of Smad2 (Figure 9A), similar to the observation with the BMP-specific Smad (see Figure 6A). This result suggests that miR-24 is able to inhibit the TGFβ−Smad-signalling pathway. The mink lung epithelial cell line Mv1Lu was transfected with a luciferase-reporter construct (SBE-Luc), which contained four copies of the Smad DNA-binding element (SBE). Induction of the SBE-Luc reporter by TGFβ treatment was dramatically reduced by miR-24 mimic (Figure 9B), suggesting that miR-24 inhibits the TGFβ–Smad-signalling pathway. To examine whether miR-24-mediated inhibition of SBE-Luc reporter activity is due to downregulation of Trb3, Trb3 expression constructs with or without the 3′-UTR (see Figure 3C, top panel) were co-transfected with miR-24 mimic. A similar level of Trb3 mRNA was expressed from both constructs in Mv1Lu cells (Figure 9C, right panel). The inhibitory effect of miR-24 mimic was absent when Trb3 construct lacking the 3′-UTR was co-transfected, presumably because Trb3 mRNA expressed from this construct is resistant to miR-24 (Figure 9C, left panel, Trb3). In contrast, the Trb3 construct with the 3′-UTR was unable to rescue the inhibitory activity of the miR-24 mimic (Figure 9C, left panel, Trb3+3′-UTR), suggesting that inhibition of the TGFβ–Smad pathway by miR-24 requires targeting of Trb3 by miR-24. The TGFβ–Smad-signalling pathway induces the expression of contractile genes in vSMCs in a Smad-dependent manner (Lagna et al, 2007). We examined the effect of Trb3 downregulation on contractile gene expression in vSMCs. Endogenous Trb3 was downregulated by siRNA (si-Trb3) in PASMCs and the levels of contractile markers (SMA, CNN, and SM22), as well as the well-characterized TGFβ–Smad-target gene, plasminogen activator inhibitor-1 (PAI-1), were examined after TGFβ treatment (Figure 9D). TGFβ treatment induced all three vSMC markers and PAI-1 expression (Figure 9D). However, in si-Trb3-transfected cells in which Trb3 level was reduced to ∼30% of endogenous level, not only PAI-1 but also vSMC markers could not be augmented by TGFβ (Figure 9D). This result confirms that Trb3 is essential for induction of vSMC markers by TGFβ, presumably because Trb3 critically regulates the protein stability of TGFβ-specific Smads. Next the effect of miR-24 overexpression on TGFβ-mediated induction of vSMC genes and miR-21 was examined. The expression of exogenous miR-24 ∼3-fold over the endogenous level (see Figure 9E, right panel, miR-24) reduced Trb3 mRNA to ∼20% of the endogenous level (Figure 9E, left panel, Trb3). Similar to the result in Figure 9D using si-Trb3-transfected cells, both the basal and the TGFβ-induced level of contractile markers SMA and CNN were significantly reduced by elevation of miR-24 expression (Figure 9E, left panel). Induction of miR-21 upon TGFβ stimulation was also abolished in the presence of miR-24 mimic (Figure 9E, right panel, miR-21). These results suggest that miR-24 negatively regulates the TGFβ–Smad signal via silencing Trb3, followed by downregulation of Smad signal transducers. Finally, induction of vSMC-specific genes by TGFβ was inhibited by co-treatment with PDGF-BB (Figure 9F), as shown for the BMP4 pathway (Figure 7A). Trb3 mRNA was also decreased by TGFβ/PDGF-BB co-treatment. Inhibition of TGFβ-induced contractile genes, as well as Trb3, by PDGF-BB was blocked when miR-24 was inhibited by anti-miR-24 (Figure 9F), suggesting that PDGF-BB interferes with the pro-contractile TGFβ signal by modulating Trb3 and Smads level via induction of miR-24 (Figure 9F). Altogether, these results demonstrate that miR-24 plays a critical role in the regulation of the vSMC phenotype switch by antagonizing pro-contractile signals by members of the TGFβ superfamily of signalling pathways, as summarized in Figure 9G.
Discussion
In this study, we elucidated a novel mechanism by which PDGF-BB signal promotes the dedifferentiation of vSMCs. We demonstrated that PDGF-BB induces miR-24 and induces degradation of Trb3 mRNA, which in turn leads to downregulation of Smad signal transducers. The Smad proteins are essential mediators of the pro-contractile signal transmitted by BMP and TGFβ. miR-24 is clustered closely with miR-23 and miR-27 at two genomic loci known as the miR-24-1 gene cluster, an ∼880-bp region encoding miR-23b, -27b, and -24-1, and the miR-24-2 gene cluster, a ∼370-bp region encoding miR-23a, -27a, and -24-2. Our result indicates that all three miRNAs of the miR-24-2 cluster, but not the miR-24-1 cluster, are regulated to a similar extent by PDGF-BB at the level of primary transcripts, suggesting that the miR-24-2 gene cluster is transcribed into a single transcript, which will then be processed into three independent miRNAs. Differential expression and regulation of miR-24-1 and miR-24-2 have been observed previously. In mouse mesenchymal C3H10T1/2 cells, BMP2 induces miR-24-1 expression without affecting the expression of miR-24-2 (Sun et al, 2009). Interestingly, miR-24-1 but not miR-23b or miR-27b encoded in the same gene locus are regulated by BMP2, suggesting that three miRNAs in the miR-24-1 cluster might be differentially regulated during processing. In mouse myoblast C2C12 cells, TGFβ was shown to repress miR-24-2, as well as miR-23a and miR-27a (Sun et al, 2008). We did not observe significant changes in the expression of miR-24 upon TGFβ or BMP stimulation, suggesting that neither the miR-24-1 nor the miR-24-2 cluster is regulated by TGFβ or BMP at the level of transcription or processing in PASMCs. Thus, the mechanism of regulation of the miR-24 gene clusters by growth-factor-signalling pathways appears to be cell-type-specific. It will be interesting to investigate whether PDGF-BB-mediated transcriptional activation of the miR-24-2 cluster is limited to vSMCs.
Previously we showed that PDGF-BB signalling induces miR-221 in vSMCs and mediates downregulation of the c-Kit receptor and the cyclin-dependent kinase inhibitor p27Kip1 (Davis et al, 2009). Decreased expression of p27Kip1 promotes an increase in cell growth, while a decrease in c-Kit leads to inhibition of contractile gene markers by modulating the level of Myocd protein, a transcriptional activator critical for induction of contractile genes (Davis et al, 2009). We investigated a potential crosstalk between miR-221 and miR-24 activities by monitoring the effect of miR-221 overexpression on the level of Trb3 or miR-24, and found no evidence that miR-221 affects Trb3 or miR-24 expression (M Chun Chan and A Hata, unpublished observation). Conversely, overexpression of miR-24 did not affect the expression of miR-221 or the expression of its target genes (M Chun Chan and A Hata, unpublished observation). Furthermore, we observed that miR-24 does not play a role in regulating PDGF-BB-mediated migration (Supplementary Figure S4), an important characteristic of the synthetic phenotype. In comparison, we previously reported that the increase in miR-221 expression by PDGF-BB stimulation is required for vSMC migration (Davis et al, 2009). These observations suggest that miR-221 and miR-24 act independently to promote the synthetic phenotype in vSMCs despite their coordinated regulation by PDGF-BB.
We showed previously that BMP Smad-dependent signalling promotes nuclear translocation of MRTF-A and MRTF-B, members of the Myocd family with function similar to Myocd (Lagna et al, 2007). We speculate that nuclear accumulation of MRTF-A/B by BMP is inhibited by PDGF induction of miR-24 via Trb3-dependent downregulation of BMP–Smad signal transducers. Thus, it is intriguing to speculate that PDGF-BB might inhibit the expression of contractile markers by inhibiting the function of Myocd through induction of miR-221 and MRTF-A/B, through induction of miR-24.
Our previous study demonstrates that miR-21 biosynthesis is facilitated by both the BMP- and TGFβ-signalling pathway (Davis et al, 2008). Upon translocation into the nucleus, Smads become part of a large Drosha microprocessor complex and facilitate cleavage and processing of Pri-miR-21 (Davis et al, 2008). Mature miR-21 downregulates PDCD4, which in turn elevates contractile gene expression (Davis et al, 2008). In this study, we showed that modulation of miR-24 or Trb3 affects the induction of miR-21 by BMP4 (Figure 6D and E). Therefore, another mechanism by which miR-24 could mediate the inhibition of contractile genes is through increased levels of PDCD4 due to inhibition of miR-21 biogenesis.
We demonstrated antagonism between miR-24 and the TGFβ superfamily of signalling pathways in both vSMCs and non-vSMCs. In human hepatocellular carcinoma cells, consistent with our observation, increased expression of miR-24-2, miR-23a, and miR-27a has been suggested to change the TGFβ signal from being growth-inhibitory, proapoptotic to growth-stimulatory, antiapoptotic (Huang et al, 2008). Similarly, increased expression of miR-24 has been observed in various tumours, such as pancreatic adenocarcinomas, uterine leiomyomas, chromic lymphotic leukaemias, breast carcinomas, and cholangiocarcinomas (Mattie et al, 2006; Meng et al, 2006; Fulci et al, 2007; Lee et al, 2007; Wang et al, 2007). These results suggest that inhibition of TGFβ signalling by miR-24 might be a relatively common mechanism during tumorigenesis. Another example of the antagonistic activity of miR-24 on TGFβ-superfamily signalling is during erythropoiesis. miR-24 inhibits activin-dependent erythropoiesis by targeting the activin type-I receptor (also known as ALK4) gene (Wang et al, 2008). Furthermore, the antimyogenic activity of TGFβ is inhibited by elevated expression of miR-24 during skeletal muscle differentiation in myoblast C2C12 cells (Sun et al, 2008). In vSMCs, mRNA or protein levels of BMP or TGFβ receptors are not affected by miR-24 (data not shown). We identified Trb3 as a novel target of miR-24. We have shown previously that Trb3 mediates degradation of Smurf1 (Chan et al, 2007). Besides a role in degradation of Smads, Smurf1 is known to facilitate the antagonistic action of Smad7 by targeting Smad7 at the plasma membrane (Suzuki et al, 2002). Furthermore, Smurf1 promotes degradation of RhoA (Wang et al, 2006), which is a downstream signal transducer critical for mediating the pro-contractile signal from the BMP pathway in vSMCs (Chan et al, 2007; Lagna et al, 2007). Thus, we speculate that induction of miR-24 by PDGF-BB leads to inhibition of pro-contractile signals via multiple mechanisms through degradation of different effectors critical for the TGFβ- or BMP-signalling pathways.
Trb3 is known to interact and negatively regulate the transcription factor peroxisome proliferation-activated receptor-γ (PPARγ), a master regulator of adipogenesis (Takahashi et al, 2008). Concurrently, it has been shown that expression of Trb3, both at the mRNA and the protein level, is silenced during early adipogenesis (Bezy et al, 2007). Constitutive expression of Trb3 in preadipocytes blocks adipocyte differentiation, suggesting that downregulation of Trb3 is essential for adipogenesis (Bezy et al, 2007). Recently, it was reported that BMP2-mediated adipocyte differentiation in 10T1/2 cells is enhanced by overexpression of miR-24 (Sun et al, 2009). This observation is contradictory to our study as miR-24 inhibits BMP signalling in vSMCs. We do not know whether miR-24 causes downregulation of Smads in preadipocytes similar to vSMCs. However, we speculate that overexpression of miR-24 in 10T1/2 cells causes downregulation of Trb3, which in turn leads to activation of PPARγ and adipocyte differentiation.
Aberrant regulation of the vSMC phenotype, in particular the switch from a highly contractile to a less contractile, synthetic phenotype, is a critical phenomenon underlying the pathogenesis of a variety of vascular proliferative diseases, including PAH. In this study we confirm that PDGF signalling is a potent inducer of the synthetic phenotype and is able to oppose the contractile action of the BMP or TGFβ pathways, and propose that it acts via induction of miR-24. Increased expression of both PDGF ligands and receptors has been reported using PAH animal models, as well as for human patients (Andrae et al, 2008). The tyrosine-kinase inhibitor imatinib mesylate, which strongly antagonizes the PDGF-signalling pathway, is able to reverse the phenotype of experimental PAH in animal models and improve symptoms in human IPAH patients (Andrae et al, 2008), suggesting that increased PDGF signalling in vSMCs contributes to development of IPAH. Our result indicates that hypoxia induces miR-24 expression and downregulation of Trb3, suggesting that elevation of miR-24 might cause thickening of the medial layer as a result of inhibition of BMP signalling, similar to that in IPAH patients with BMPRII mutations. It is intriguing to speculate that the level of expression of miR-24 might be upregulated in the pulmonary vasculature of IPAH patients, in comparison with normal vasculature, with concurrent decrease in Trb3 expression. If aberrant expression of miR-24 in the vasculature of PAH or other cardiovascular diseases is confirmed, modulation of the miR-24 level in vivo by delivery of anti-miR-24 oligonucleotides could be considered a novel therapy.
Materials and methods
Cell culture
Human primary PASMCs were purchased from Lonza (#CC-2581) and were maintained in Sm-GM2 media (Lonza) containing 5% FBS. Early-passage (passage 4–7) PASMCs were used for this study. PAC1, C3H10T1/2, P19, mink lung epithelial (MV1Lu), and C2C12 cell lines were purchased from ATCC and maintained in Dulbecco's modified Eagle's medium supplemented with 10% fetal calf serum (FCS; Sigma). Recombinant human BMP4, PDGF-BB, and TGFβ1 were purchased from R&D Systems. Cells were treated with 3 nM BMP4, 20 ng/ml PDGF-BB, or 100 pM TGFβ1 alone or a combination of these factors under starvation conditions (0.2% FBS) as described (Lagna et al, 2007).
RNA preparation and real-time RT–PCR
Total RNA was extracted by TRIzol (Invitrogen). For detection of mRNAs, 1 μg of RNA was subjected to RT reaction using the first-strand cDNA synthesis kit (Invitrogen) according to the manufacturer's instructions. Quantitative analysis of the change in expression levels was performed using a real-time PCR machine (iQ5; Bio-Rad) PCR cycling conditions were 94°C for 3 min and 40 cycles of (94°C for 15 s, 60°C for 20 s, and 72°C for 40 s). For detection of mature miRNAs, the TaqMan MicroRNA assay kit (Applied Biosystems) was used according to the manufacturer's instructions. Data analysis was performed by comparative Ct method using the Bio-Rad software. The average of three experiments each performed in triplicate along with their standard errors are presented. The sequences of RT–PCR primers can be found in the Supplementary data.
miRNA mimic
Chemically modified double-stranded RNAs designed to mimic endogenous mature miR-24, miR-221, and negative-control miRNA were purchased from Ambion. miRNA mimics were transfected using RNAi Max (Invitrogen) according to the manufacturer's directions at 0.3 or 3 nM as indicated.
Anti-miRNA oligonucleotides
2′-O-methyl-modified RNA oligonucleotides complementary to the miRNA or GFP (control) sequence were purchased from IDT and transfected as previously reported (Davis et al, 2008, 2009).
RNA interference
Synthetic siRNAs targeting human Trb3 or mouse Trb3 were purchased from Dharmacon as described previously (Chan et al, 2007). An siRNA with a non-targeting sequence (scramble siRNA; Dharmacon) was used as negative control. The siRNAs were transfected at 50 nM using RNAi Max (Invitrogen) according to the manufacturer's directions. FITC-conjugated fluorescence oligonucleotides (Block-it; Invitrogen) were used to evaluate transfection efficiency.
Plasmid DNA transfection and cDNA expression constructs
Cells were transfected using Fugene6 (Roche) according to the manufacturer's protocol. Human Trb3 expression plasmid with the 3′-UTR was purchased from Origene (cat. no. SC112991). Full-length human Trb3 including the 2-kb 3′-UTR, which contains the miR-221-target sequence, was cloned into a pCMV6-XL4 vector. Human Trb3 expression plasmid without the 3′-UTR, SBE-Luc, BRE-Luc, Trb3-luc, and adenoviral Trb3 construct (Ad_Trb3), were previously described (Chan et al, 2007).
Immunoblot assay
Cells were lysed in TNE buffer and total cell lysates were separated by SDS–PAGE, transferred to PVDF membranes (Millipore), immunoblotted with antibodies, and visualized using an enhanced chemiluminescence detection system (Amersham Biosciences). Protein bands were quantitated by densitometry using the gel analysis software ImageJ (rsbweb.nih.gov/ij/). Antibodies used for immunoblotting were anti-GAPDH antibody (2E3-2E10; Abnova), anti phospho Smad1/5/8 (clone 47-258; Calbiochem), anti-Smad1 (Zymed), anti-Smad2/3 (#610843; BD Biosciences), anti-phospho-Smad2 (a kind gift from Dr ten Dijke), and anti-SMA (clone 1A4; Sigma). Anti-human and mouse Trb3 antibodies were previously described (Chan et al, 2007).
Immunofluorescence staining
PASMCs or PAC1 cells were fixed and permeabilized in a 50% acetone–50% methanol solution and stained using anti-SMA antibody (clone 1A4; Sigma) conjugated with FITC, anti-hTrb3 conjugated with Cy3, and 4′-6-diamidino-2-phenylindole (DAPI; Invitrogen).
Luciferase assay
The luciferase-reporter construct was transfected together with β-galactosidase (β-gal) plasmid as an internal transfection control. Luciferase assays were performed as described (Lagna et al, 2007).
Collagen matrix contraction assay
Collagen matrix contraction assay was performed as described in the Supplementary data (Neuman et al, 2009).
Animal study and immunohistochemistry
All experiments were performed in accordance with the guidelines and regulations of the Institutional Animal Care and Use Committee at Tufts Medical Center. Adult male Sprague–Dawley rats were randomized to 17 days of normoxia or hypobaric hypoxia as described previously (Preston et al, 2006). At the end of the exposure period, rats were killed and PAs were processed for paraffin embedding. Paraffin-embedded tissue sections (5-μm) were immunostained as described in the Supplementary data.
In situ hybridization of miRNA
Rat PA sections were hybridized with a miRCURY LNA detection probe for miR-24 (cat. no. 18121-01; Exiqon) or with a control scrambled control probe (cat. no. 99004-01; Exiqon), followed by treatment with anti-DIG-HRP antibody (antibody 6212; Abcam) and signal amplification by Tyramide Technology from Molecular Probes (Invitrogen).
Statistical analysis
The results presented are the average of at least three experiments each performed in triplicate along with the standard errors. Statistical analyses were performed by analysis of variance, followed by Tukey's multiple comparison test or Student's t-test as appropriate, using Prism 4 (GraphPad Software Inc.). P-values less than 0.05 were considered significant and are indicated by asterisks.
Supplementary Material
Acknowledgments
We thank Dr P ten Dijke for antibodies and R Warburton and F Celestin for technical assistance. We also thank the members of the Hata and Lagna laboratory for critical discussion. This work was supported by grants from the National Institutes of Health (HD042149 and HL082854) to AH and (HL086572) to GL. M-CC is a recipient of a postdoctoral fellowship from the American Heart Association.
Footnotes
The authors declare that they have no conflict of interest.
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