Abstract
In the failing human heart (FHH) the induction of a fetal contractile protein gene program is directly and selectively associated with the dilated cardiomyopathy (DCM) phenotype and involves multiple signaling pathways. In response to cardiac stress signals, class II HDACs are subject to phosphorylation dependent nuclear export, which allows for activation of fetal cardiac genes via the transcription factor MEF2. The current study tests the hypothesis that MEF2 activation produced by class II HDAC de‐repression is present in the FHH. In this study, human left ventricular tissue from nonfailing and failing adult hearts was analyzed for the presence of MEF2, HDACs 4 and 5. CaMK and HDAC kinase activities were measured in tissue homogenates. In nuclear fractions from failing ventricles, HDAC4 and HDAC5 protein was decreased versus nonfailing controls. MEF2 was not reduced in failing nuclear fractions. CaMK and HDAC kinase activities were increased in failing versus nonfailing hearts. pkcμ (pkd1) activity was increased in nuclear fractions from failing human LVs. These data provide support for decreased nuclear compartment class II HDACs in the FHH, associated with increased activities of kinases known to phosphorylate class II HDACs.
Keywords: heart failure, histone deacetylases, protein phosphorylation, transcription factors
Introduction
Myocyte enhancer factor 2 (MEF2) is a family of transcription factors involved in muscle‐specific gene expression and in the regulation of cardiac development. 1 In mammalian species, there are four members (MEF2 A‐D) that are widely expressed in skeletal and cardiac muscle, and in neural and angiogenic tissue. MEF2 proteins homo‐ and hetero‐dimerize and bind to DNA through an amino‐terminal DNA‐binding domain. MEF2 can be regulated by phosphorylation, through a number of serine/threonine kinases of the mitogen‐activated protein (MAP) kinase family. 2
In eukaryote chromatin, structure is regulated by remodeling, covalent modification, and histone replacement. 3 Histones, which form the nucleosomal structure, are modified by acetylation, phosphorylation, and other processes. Histone deacetylases (HDACs) are the enzymes responsible for terminal lysine deacetylation, while the reverse process is effected by histone acetylases (HATs). 4 A total of 19 HDACs have been identified in humans. 3 HDACs have been grouped into three distinct classes, with corresponding homology to the yeast S. Cerevisiae. 5 Class I HDACs are represented by HDAC1, 2, 3, and 8, with homology to the yeast Rpd3, where the catalytic domain constitutes the majority of the protein. HDAC1 and 2 form multiprotein complexes as Sin3/HDAC and NuRD/MI2/NRD/HDAC, while HDAC3 binds to other transcriptional compressors. Class III members are related to the yeast SIR2 and exhibit ADP‐ribosylation activity in addition to deacetylase activity. Class II HDACs comprise HDAC4, 5, 6, 7, 9, and 10. Class II HDACs are most prominently represented in striated muscle and brain, in contrast to the ubiquitously expressed Classes I and III. Class IIa HDACs (HDAC4, 5, 7, 9) share nuclear localization signals flanked by two conserved serines, which when phosphorylated are targets for binding of the chaperone protein 14–3‐3, which escorts the HDAC from the nucleus. 6 , 7 , 8 Class IIb HDACs are thus far limited to HDAC6, remarkable for its double catalytic domain, and HDAC10, a newly discovered member that possesses a leucine rich domain. Class II HDACs possess N‐terminal MEF2 docking domains and have been shown to function as transcriptional repressors of MEF2 target gene expression. 9 , 10 , 11
Under pathophysiological conditions, hypertrophic signals reaching the damaged heart stimulate multiple receptor pathways that raise intracellular Ca2+, which activates a variety of kinases capable of transducing a hypertrophic response. Ca2+/calmodulin‐dependent protein kinases (CaMK) as well as novel HDAC kinases, such as Protein Kinase Dl (PKD1), phosphorylate class II HDACs. 12 , 13 The ensuing conformational change and dissociation from MEF2 leads to class II HDAC nuclear export. MEF2 freed of its repression by class II HDACs may then activate muscle‐specific gene expression, in particular by acting combinatorially with other muscle specific transcription factors such as GATA4 and NFAT3. 1 , 14 This regulatory mechanism is summarized in Figure 1 .
As in rodent myocardium, the failing human heart (FHH) exhibits evidence of induction of a “fetal” contractile protein gene program, consisting of increased expression of the fetal genes encoding β‐myosin heavy chain and natriuretic peptides, and decreased expression of the adult genes α‐myosin heavy chain and Sarcoplasmic reticulum‐Ca2+ ATPase (SERCA). 15 , 16 Moreover, reversal of this pattern is associated with improvement of the dilated cardiomyopathy (DCM) phenotype, 17 , 18 suggesting that induction of a fetal gene program is an important component of the molecular pathophysiology of human systolic heart failure. However, in human myocardium there is little information available on potential molecular mechanisms responsible for fetal gene induction. In the current work, we test the hypothesis that the nuclear export of class II HDACs is associated with increased activities of multiple kinases that phosphorylate class II HDACs in the FHH.
Materials and Methods
Tissue procurement
Nonfailing (n= 24) human hearts were obtained from unused organ donors with no history of cardiac dysfunction (left ventricular ejection fractions 0.65 ± 0.09 by echocardiograms performed as part of the organ recovery process) or coronary artery disease. Failing hearts (n= 24) were obtained from end stage cardiac transplant recipients with advanced nonischemic dilated cardiomyopathies (left ventricular ejection fractions 0.16 ± 0.07, p= < 0.001 vs. nonfailing). The two groups of hearts exhibited no difference in age (nonfailing, 48.3 ± 8 years; failing, 50.4 ± 11 years). The gender distribution was 11 males, 13 females in nonfailing; 13 males, 11 females in failing. The CaMK activity was measured in a subset of 20 hearts (10 nonfailing and 10 failing). Phosphorylated and nonphosphorylated HDAC5, CaMKII, and PKD were measured in an additional subset of eight nonfailing and eight failing hearts.
Tissue processing
For protein abundance measurements human left ventricular free wall full thickness 1 g aliquots frozen at −80°C were pulverized in liquid nitrogen and resuspended in radioimmunoprecipitation assay (RIPA) buffer (50 mM Tris‐HCl, pH 7.5; 150 mM NaCl; 1% Nonidet P‐40; 0.5% sodium deoxycholate; 0.1% SDS; 1 mM EDTA; 1 mM NaF; 2 μg/mL of aprotinin, pepstatin A, and leupeptin; 6 μg TPCK; 6 μg TLCK). The tissues were homogenized at 4°C for 30 seconds × 3 with a Polytron homogenizer. The homogenates were centrifuged at 3000 ×g for 10 minutes at 4°C. The supernatants were then centrifuged 48000 ×g for 30 minutes at 4°C. Aliquots of these preparations were frozen at −20°C for short‐term use. For nuclear‐cytosolic localization studies human cardiac tissue was prepared using the NE‐PER system from Pierce Chemicals (Rockford, IL, USA). All the mentioned tissue preparation steps and performed assays were done in the presence of complete protease and phosphatase inhibition.
Western blot analysis
Total cardiac tissue homogenates (50–60 μg loaded in equal protein amounts in a volume of 20 μL) were electrophoretically resolved on a 7.5% or 10% SDS‐polyacrylamide gel. The separated proteins were transferred to nitrocellulose or PVDF membranes and processed for western blot analysis. Complete details will be found in the accompanying supplemental material file.
Tissue fractionation into nuclear and cytosolic fractions
The tissue fractionation was performed according to the manufacturer's (Pierce, Rockford, IL, USA) protocol with minor modifications. A brief description of the previously mentioned modifications is given in the supplemental material file. Results of western blot data from nuclear and cytosolic fractions were expressed as a fraction of the relative abundance of calnexin in the respective nonfailing compartments.
CaMK isoform identification and protein abundance
The amount and isoform pattern of CaMK were assessed in total protein homogenates as well as in nuclear and cytoplasmic fractions with total CaMKII and CaMKII δ antibodies.
CaMK enzyme activity
Measurement of CaM kinase enzyme activity was performed in total protein homogenates by previously described techniques 19 with some modifications. Additional information on the CaMK enzyme activity measurement can be found in the supplemental file.
PKCμ (PKD1) activity assay
Nuclear and cytoplasmic fractions of the additional subset of eight nonfailing and eight failing hearts were fractionated on 8% SDS‐PAGE and the proteins were transferred to nitrocellulose and processed as described previously. PKD activity was measured by probing the membrane with an antibody that recognizes the human autophosphorylation site pS910 (homologous site with the murine pS916), which indicates activation of PKCμ. ( Figure 8 ).
HDAC kinase enzyme activity
Global HDAC kinase activity was assessed by the measurement of radioactive ATP incorporation into an HDAC5 substrate fused to glutathione S‐transferase when incubated with homogenates of normal and failing human left ventricles (LVs). Additional description of the methods employed is given in the supplemental file.
Data handling and statistical methods
Variance of mean values was expressed as standard deviations for baseline data, and standard error of the mean for changes from baseline. Differences between cytosolic and nuclear expression (normalized to calnexin as a loading control) were determined by comparing the difference between each ventricle's cytosolic and nuclear densitometry value to the null hypothesis value of zero difference, within nonfailing and failing groups. Differences between failing and nonfailing groups (for nuclear and cytosolic fractions) were determined by comparing each densitometry value to the average of the respective nonfailing cytosolic and nuclear fraction values, which were set at 1 for each protein on each western blot. All comparisons were made by the Wilcoxon Signed Rank test. A p value of <0.05 in a two‐tailed distribution was considered statistically significant.
Results
Tissue fractionation validation
The integrity of the cytosolic and nuclear fractionation was assessed by western blotting with antibodies raised against the cytosolic protein LDH‐H4, and the nuclear transcription factor SP‐1. The results are shown in Figure SI in the accompanying supporting information.
Equivalent levels of MEF2 in homogenates and tissue fractions of nonfailing and failing hearts
Nonfailing and failing left ventricular homogenates were probed for the presence of MEF2 proteins, using antibodies raised to MEF2. Immunodetection of the abundance of MEF2 in the cytosolic versus nuclear fractions in nonfailing and failing hearts revealed that, when normalized to the corresponding calnexin values and to each fractions average nonfailing value, there was no difference in protein expression in the cytoplasmic (failing 0.96 ± 0.06 vs. nonfailing 1 ± 0.12; p= 0.58) or nuclear (failing 0.85 ± 0.08, nonfailing 1 ± 0.09; p= 0.23) fractions ( Figure 2 ).
HDAC4 and HDAC5 protein abundance in cytosolic and nuclear fractions of nonfailing and failing hearts
Since MEF2 protein levels were unchanged in failing versus nonfailing hearts, we next investigated nuclear versus cytosolic localization of its transcriptional repressors HDAC4 and HDAC5. Nuclear export of either HDAC can result in increased MEF2 activity with no increase in protein levels. 11 As shown in Figure 3, immunodetectable HDAC4 was unchanged in failing versus nonfailing cytosolic fractions (normalized to nonfailing, failing = 0.84 ± 0.06, p= 0.31). Similarly, the immunodetectable HDAC5 ( Figure 4 ) in cytosolic fractions of failing versus nonfailing LVs exhibited no difference in abundance (0.91 ± 0.06, p= 0.45).
In contrast to cytosolic fractions, in nuclear preparations immunodetectable HDAC4 and HDAC5 were both decreased in failing hearts. As shown in Figure 3 HDAC4 was substantially decreased in the failing nuclear extracts (0.76 ± 0.08 vs. 1 ± 0.08, p= 0.023). In Figure 4 it can be seen that HDAC5 abundance was also decreased in nuclear fractions prepared from failing hearts compared to nonfailing (0.86 ± 0.06 vs. 1 ± 0.07, p= 0.044.). In an alternate analysis that compares each sample's cytosolicmuclear distribution, the ratios of cytosolic to nuclear integrated values (C/N) were compared between nonfailing and failing hearts. In this instance, the differences noted in the previous statistical analysis were not significant. For HDAC4 the failing C/N value, 1.41 ± 0.23, was not different from the nonfailing value, 1.19 ± 0.38 (p= 0.3). Similarly, the failing HDAC5 C/N, 1.42 ± 0.44, was not statistically significant compared to the nonfailing value, 0.64 ± 0.07 (p= 0.06). It should be noted that the variance expressed as the coefficient of variation is 3–4‐fold higher in the C/N ratios than within nuclear or cytosolic measurements, which contributes to the HDAC5 increase in failing of 2.2‐fold not being statistically significant.
HDAC kinase activity in failing and nonfailing hearts
Since HDAC4/5 nuclear localization is decreased in the failing hearts and HDAC kinases are known to phosphorylate class II HDACs we next asked whether global HDAC kinase activity is changed in the failing heart. 12 , 13 As shown in Figure 5, total HDAC kinase activity, as assessed by phosphorylation of an HDAC5 substrate, was uniformly increased in homogenates of failing human LVs, by 3 ± 0.3 fold (p= 0.04).
CaMK activity and isoform abundance in failing and nonfailing hearts
Among the kinases that phosphorylate class II HDACs, CaMK occupies a prominent role. The activity of CaMK was assessed in failing and nonfailing LVs ( Figure 6a ). Homogenized tissue was incubated under a broad range of calcium conditions (10 pM to 3mM) in the presence of calmodulin, Syntide II substrate, and hot ATP. The results are expressed as incorporated phosphate per minute per milligram of protein. The increase in CaMK activity in failing hearts (by 2.5 ± 0.3 fold, p= 0.05) is in concordance with previous published results. 20 To determine whether the increased activity correlated with increased amounts of CaMK protein 30 μg of total protein homogenates were separated on 10% SDS‐PAGE and the proteins blotted onto nitrocellulose. The blot was probed for CaMKII δ protein, which was normalized to total GAPDH levels on the same blot ( Figure 6b ). The signal normalized to the corresponding GAPDH levels obtained on the same blot shows no difference between failing and nonfailing hearts.
In tissue cytosolic and nuclear fractions, we also measured the immunodetection of CaMKII phosphorylated on threonine 286 as a measure of total CaMKII activity ( Figure 7 ). CaMKII pT286 abundance was higher in failing versus nonfailing in the nuclear fraction (1.65 ± 0.15 vs. 1 ± 0.12, respectively, p= 0.003) but nonsignificantly different in the cysolic fraction (1.37 ± 0.15 vs. 1 ± 0.16, p= 0.06).
PKCμ activity in nuclear and cytosolic fractions of nonfailing and failing left ventricles
We next examined whether PKCμ (PKD1) activity was increased in the failing heart. As shown in Figure 8, PKCμ activity as assessed by a phospho Ab that recognizes the human autophosphorylation site was increased in nuclear fractions from failing human LVs (3.04 ± 0.76 vs. 1 ± 0.22, failing vs. nonfailing, respectively, p= 0.01) and unchanged in cytosolic fractions.
Discussion
In adult cardiac myocytes, MEF2 is associated with class II HDACs, resulting in repression of downstream MEF2 target genes. In model systems of pathologic cardiac hypertrophy, class II HDACs have been shown to undergo phosphorylation‐dependent nuclear export in response to stress signals, thereby freeing MEF2 to stimulate expression of genes that drive cardiac growth. To begin to assess whether this paradigm is relevant to the failing/hypertrophied human heart, we performed multiple experiments designed to test the hypothesis that de‐repression of MEF2 by nuclear export of class II HDACs is present in the failing, hypertrophied human LV.
In humans or animal models, chronic hemodynamic overload results in a hypertrophic, remodeling process that may ultimately result in decreased contractile function and overt clinical heart failure. In both established rodent models and the FHH 15 , 16 , 17 , 18 the remodeling process is characterized by changes in the gene expression of regulators of cell growth and contractile function. The pattern of gene expression in the normal adult is changed to a “fetal” gene pattern in the pathologically hypertrophied heart, where adult genes such as α‐MyHC exhibit decreased expression, and fetal isoforms such as β‐MyHC and natriuretic peptides are increased.
On a transcriptional level, recent studies have provided information about the network of signal transduction pathways mediating myogenic regulation. The hypertrophic stimuli that elicit a pathologic change in the heart have been shown to act at least in part through an increase of intracellular calcium and activation of CaMK. 21 , 22 , 23 In turn, CaMK stimulates MEF2 activity, which leads to the activation of myogenic genes. 24 , 25 , 26 At least part of the action of CaMK in this regard is mediated by phosphorylation of class II HDACs. 11
In the present report, we show that CaMK enzyme activity is increased in left ventricular homogenates of patients with DCM, in agreement with previous reports. 19 , 20 In addition, in nuclear fractions from failing hearts, CaMKII pT286 abundance was increased by 65%, indicating a greater degree of enzyme activation by autophosphorylation in failing hearts. However, protein abundance of CaMKIδ, which is the predominant member of the multifunctional group of CaMK in cardiac muscle, was not different in nonfailing versus failing hearts. These data imply that a posttranslational modification of CaMKIδ or up‐regulation of another, undetected isoform of CaMKII, was responsible for the increased activity in failing preparations.
Recently, a new kinase, protein kinase D1 (protein kinase Cμ) was shown to phosphorylate class II HDACs in the same position as CaMK. 27 In failing hearts we found a 3‐fold increase in HDAC kinase activity, as assessed by phosphorylation of S259 of HDAC5. This could be due to increased PKD activity 13 , 28 as demonstrated in nuclear fractions of failing versus nonfailing LVs, but could also be related to the increased CaMKII activity or to increased activity of both kinases. Regardless of its origin, global HDAC kinase functional activity is clearly increased in the FHH, and presumably this would lead to nuclear export of class II HDACs.
A test for the class II HDAC‐MEF2 activation hypothesis in the failing heart would logically include an assessment of their relative abundance in nuclear and cytosolic fractions, in nonfailing versus failing left ventricular preparations. HDAC4, whose abundance was greater in nuclear versus cytosolic fractions in nonfailing hearts only, exhibited a 24% decrease in failing versus nonfailing nuclear fractions. HDAC5 also exhibited a significant, lesser decrease 14% in that location without a change in the cytosol. The increase in CaMK and HDAC kinase activity suggests that nuclear export of HDAC4 and 5 is the mechanism responsible for decreased HDAC4 and 5 levels in the nuclear fraction. However, since no increase in HDAC4 and 5 in the cytosolic fraction of failing heart preparations was observed, it is possible that the decrease in nuclear HDAC4 and 5 is due to other factors, such as compartment‐specific protein degradation.
Recently Bossuyt et al. 28 also tested the class II nuclear export hypothesis in FHHs, and several of our findings are in agreement with their data. That study 28 also examined left ventricular homogenates from nonfailing and failing human LVs, and our data on increased CaMK enzyme activity are in agreement with their data on increased autophosphorylated CaMKII. In addition, we demonstrated that the nuclear fraction contained an increase in autophosphorylated CAMKII activity, but the cytosolic fraction only a nonsignificant trend. However, unlike what was shown by Bossuyt et al. 28 our data for CaMKII protein abundance did not demonstrate an increase in the failing heart, suggesting that a posttranslational modification of CaMKII, such as phosphorylation, accounted for the increase in enzyme activity. Evidence for a decrease in HDAC5 in nuclear fractions of failing human LV was also found in both studies, indirectly assessed by Bossuyt et al. 28 as an increase in HDAC5 phosphorylation in failing LV homogenates and in our study directly by Western blotting in failing LV nulear fractions. Evidence for increased PKD1 activity was found in failing LV homogenates by the Bossuyt study 28 and in failing LV nuclear fractions in our study. In addition, our study demonstrated that immunodetectable MEF2 protein abundance, likely predominately MEF2A, 29 is unchanged in homogenates and nuclear fractions of failing human LVs. Our data also demonstrated directly and unequivocally that global HDAC kinase activity is increased in failing human ventricles, presumably related to the increase in CaMKII and PKD1 activities. Our data also indicate that decreased HDAC4 in nuclear fractions may be more important than decreases in HDAC5, which would correlate with increased CaMKII activity 30 Finally, while our data are strongly suggestive that nuclear export of class II HDACs contributes to the transcriptional de‐repression on MEF2, such an effect in the form of increased MEF2 binding to target genes or increased target gene transcriptional activity has not been directly demonstrated in this study.
In summary, these data provide support for the hypothesis that nuclear to cytoplasm export of class II HDACs is activated in the FHH, under the control of up‐regulated HDAC kinases.
Supporting information
Acknowledgments
Some of these data were first presented in abstract form at the 2002 AHA meeting.
Sources of support: 2R01 HL48013, R01 HL616401, unrestricted grant from Gilead Inc.
We also would like to acknowledge the expertise of Joseph Cleveland, M.D., and Brian D. Lowes, M.D., in the obtention of the cardiac tissue used in this study.
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