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Bloch and Richard T. Lee P. Christian Schulze, Heling Liu, Elizabeth ...

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Nitric Oxide–Dependent Suppression of<br />

Thioredoxin-Interacting Protein Expression Enhances<br />

Thioredoxin Activity<br />

P. <strong>Christian</strong> <strong>Schulze</strong>, <strong>Heling</strong> <strong>Liu</strong>, <strong>Elizabeth</strong> Choe, Jun Yoshioka, Anath Shalev,<br />

Kenneth D. <strong>Bloch</strong>, <strong>Richard</strong> T. <strong>Lee</strong><br />

Objective—Cellular redox balance is regulated by enzymatic <strong>and</strong> nonenzymatic systems <strong>and</strong> freely diffusible nitric oxide<br />

(NO) promotes antioxidative mechanisms. We show the NO-dependent transcriptional regulation of the antioxidative<br />

thioredoxin system.<br />

Methods <strong>and</strong> Results—Incubation of rat pulmonary artery smooth muscle cells (RPaSMC) with the NO donor compound<br />

S-nitroso-glutathione (GSNO, 100 mol/L) suppressed thioredoxin-interacting protein (Txnip), an inhibitor of<br />

thioredoxin function, by 7118% <strong>and</strong> enhanced thioredoxin reductase 2.70.2 fold (n6; both P0.001 versus<br />

control). GSNO increased thioredoxin activity (1.90.5-fold after 4 hours; P0.05 versus control). Promoter deletion<br />

analysis revealed that NO suppression of Txnip transcription is mediated by cis-regulatory elements between 1777 <strong>and</strong><br />

1127 bp upstream of the start codon. Hyperglycemia induced Txnip promoter activity (3.90.2-fold; P0.001) <strong>and</strong><br />

abolished NO effects (37.41.0% at 5.6 mmol/L glucose versus 12.42.1% at 22.4 mmol/L glucose; P0.05).<br />

Immunoprecipitation experiments demonstrated that GSNO stimulation <strong>and</strong> mutation of thioredoxin at Cys69, a site of<br />

nitrosylation, had no effect on the Txnip/thioredoxin interaction.<br />

Conclusions—NO can regulate cellular redox state by changing expression of Txnip <strong>and</strong> thioredoxin reductase. This<br />

represents a novel antioxidative mechanism of NO independent of posttranslational protein S-nitrosylation of<br />

thioredoxin. (Arterioscler Thromb Vasc Biol. 2006;26:2666-2672.)<br />

Key Words: atherosclerosis diabetes mellitus nitric oxide oxidative stress thioredoxin<br />

The thioredoxin system is a ubiquitous thiol-reducing<br />

system that includes thioredoxin, thioredoxin reductase,<br />

<strong>and</strong> NADPH. 1 The thioredoxin system is an essential component<br />

of cellular redox balance, <strong>and</strong> targeted deletion of the<br />

thioredoxin gene in mice leads to early embryonic lethality. 2<br />

In addition to its antioxidative function, thioredoxin mediates<br />

anti-apoptotic effects through interaction with apoptosissignaling<br />

kinase-1 (ASK-1) mediating its ubiquitindependent<br />

degradation. 3,4 Furthermore, thioredoxin functions<br />

as a transcriptional co-activator through interaction with<br />

transcription factors such as NF-B <strong>and</strong> ref1. 5,6 The thioredoxin<br />

system is inhibited by thioredoxin-interacting protein<br />

(Txnip), which blocks thioredoxin’s antioxidative function. 7–9<br />

Several studies have identified Txnip as a critical regulator of<br />

diverse signaling events in mammalian cells because of its<br />

direct control of thioredoxin activity. 10–13 Recently,<br />

S-nitrosylation of thioredoxin at Cys69 has been identified as<br />

a posttranslational mechanism enhancing thioredoxin antioxidative<br />

<strong>and</strong> anti-apoptotic activity both in vitro14 <strong>and</strong> in vivo. 15<br />

Nitric oxide (NO) has diverse functions including vasodilator,<br />

neurotransmitter <strong>and</strong> anti-thrombotic activities. 16 In the<br />

cardiovascular system, the main physiological source of NO<br />

is the endothelium, although other cell types may be induced<br />

to synthesize NO, particularly after exposure to inflammatory<br />

cytokines. 17 NO relaxes smooth muscle cells <strong>and</strong> controls<br />

vascular cell proliferation, migration, <strong>and</strong> apoptosis. 18 Further,<br />

NO has antioxidative properties that remain incompletely<br />

understood.<br />

Here we report that expression of the gene encoding Txnip<br />

is robustly suppressed by NO in rat pulmonary artery smooth<br />

muscle cells (RPaSMC). NO did not affect Txnip mRNA<br />

stability. Hyperglycemia enhanced Txnip expression <strong>and</strong><br />

abolished NO’s suppressive effects; this induction was mediated<br />

by a carbohydrate-response element which was not<br />

responsive to exogenous NO. Further, NO simultaneously<br />

induced expression of thioredoxin reductase. The net effect of<br />

these transcriptional effects was to increase thioredoxin<br />

Original received September 28, 2005; final version accepted September 13, 2006.<br />

From Cardiovascular Division (P.C.S., J.Y., R.T.L.), Department of Medicine, Brigham <strong>and</strong> Women’s Hospital, Harvard Medical School, Boston,<br />

Mass; Cardiovascular Research Center (H.L., E.C., K.D.B.), Massachusetts General Hospital, Harvard Medical School, Charlestown, Mass; Department<br />

of Medicine (A.S.), University of Wisconsin-Madison, Madison, Wis.<br />

Current affiliation for P.C.S. is Department of Medicine, Boston University Medical Center, Boston, Mass.<br />

Correspondence to P. <strong>Christian</strong> <strong>Schulze</strong>, MD, PhD, Department of Medicine, Boston University Medical Center, 80 E Concord St, Evans 124, Boston,<br />

MA 02115-2526. E-mail christian.schulze@bmc.org<br />

*P.C.S. <strong>and</strong> H.L. contributed equally to this work.<br />

© 2006 American Heart Association, Inc.<br />

Arterioscler Thromb Vasc Biol. is available at http://www.atvbaha.org DOI: 10.1161/01.ATV.0000248914.21018.f1<br />

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