An increase in cardiac workload, ultimately resulting in hypertrophy, generates oxidative stress and therefore requires the activation of both survival and growth signal pathways. Here, we wanted to characterize the regulators, targets and mechanistic roles of miR-142, a microRNA (miRNA) negatively regulated during hypertrophy. We show that both miRNA-142-3p and -5p are repressed by serum-derived growth factors in cultured cardiac myocytes, in models of cardiac hypertrophy in vivo and in human cardiomyopathic hearts. Levels of miR-142 are inversely related to levels of acetyltransferase p300 and MAPK activity. When present, miR-142 inhibits both survival and growth pathways by directly targeting nodal regulators p300 and gp130. MiR-142 also potently represses multiple components of the NF-κB pathway, preventing cytokine-mediated NO production and blocks translation of α-actinin. Forced expression of miR-142 during hypertrophic growth induced extensive apoptosis and cardiac dysfunction; conversely, loss of miR-142 fully rescued cardiac function in a murine heart failure model. Downregulation of miR-142 is required to enable cytokine-mediated survival signalling during cardiac growth in response to haemodynamic stress and is a critical element of adaptive hypertrophy.
Cardiac hypertrophy accompanies the majority of disease- and age-related cardiac pathologies. However, a direct cause-and-effect relationship between hypertrophy and heart failure is so far lacking, and it is clear that hypertrophy can be an important adaptive response in certain settings, particularly during normal postnatal growth. Cardiac hypertrophy is the end result of complex signals that are activated when the haemodynamic workload is acutely or chronically increased. Increased work entails significant oxidative stress, hence, successful adaptation to loading requires both increased cell mass and the presence of robust anti-apoptotic signals, such as those mediated by STAT3. Elucidating the downstream targets of stress-induced signals is key to understanding the difference between adaptive and pathological hypertrophy.
In this paper, we describe two miRNAs encoded by the same primary transcript (miR-142-5p and miR-142-3p) that target p300 and gp130, nodal mediators of growth and STAT3-mediated survival signals, respectively, ensuring that these signals remain quiescent in the non-stressed heart. We also demonstrate that these miRNAs are downregulated in various models of hypertrophic stress, allowing for an effective adaptive response. Repression of these miRNAs requires MAPK and p300, establishing a mutually inhibitory circuit between these growth activators and miR-142.
Our findings point to a novel, biologically important mechanism that mutes critical components of the stress responsive gene program in the heart under normal conditions; the removal of this standing inhibition represents a novel mechanism in cardiac hypertrophy that may be amenable to therapeutic exploitation in heart failure.
Postnatal growth of the heart, as during childhood and athletic training, requires an increase in myocyte size, or hypertrophy (Grossman, 1980; Moore et al, 1980). Diseases such as hypertension and aortic valvular stenosis that increase cardiac workload also induce cardiac myocyte hypertrophy, often accompanied by alterations in the shape and structure of the heart and by varying degrees of fibrosis, attenuation of blood supply, metabolic alterations, changes in calcium handling and ultimately the activation of harmful signal transduction pathways (Anderson, 2009; Cohn et al, 2000; Ling et al, 2009; Olivetti et al, 1994). Although not established as a direct cause of heart failure, hypertrophy is a frequent precursor and companion of disease- and age-related cardiac dysfunction (Desai et al, in press; Howell, 1981; Lam et al, 2007; Olivetti et al, 1991). A better understanding of the mechanisms by which growth of the heart becomes dysfunctional is needed to improve treatment options for this highly prevalent disorder.
A coordinated reprogramming of gene expression is required for hypertrophy (Bishopric et al, 1987; Dorn et al, 2003) involving activation of multiple signal transduction molecules, including the mitogen-activated protein kinases (MAPK; Dorn & Force, 2005; Sanna et al, 2005), calcium-activated kinases and phosphatases (Backs et al, 2006; Passier et al, 2000; Song et al, 2006; Zhang et al, 2002) and transcription factors such as NF-κB (Craig et al, 2000; Frantz et al, 2003; Li et al, 2004; Mann, 2003; Morishita et al, 1997; Purcell et al, 2001). Activation of the survival pathway transduced via the IL6 receptor IL6st (also known as gp130) to the transcription factor STAT3 is essential for myocyte survival in the face of acute oxidative stress, which typically accompanies mechanical loading (Hilfiker-Kleiner et al, 2004; Hirota et al, 1999; van Empel & De Windt, 2004).
We have previously provided evidence that the coordinated activation of these multiple transcription programs during hypertrophy requires the acetyltransferase p300. p300 and the closely related CREB-binding protein (CBP) have many shared functions (Kalkhoven, 2004; Roth et al, 2003; Shikama et al, 2003; Vo & Goodman, 2001; Yao et al, 1998); haploinsufficiency of either protein leads to Rubinstein-Taybi Syndrome (Bartholdi et al, 2007; Roelfsema et al, 2005). However, the heart appears to have a specific requirement for p300: mice with loss of p300, but not CBP, have impaired expression of sarcomeric genes and die of heart failure between E9.5-11 (Shikama et al, 2003; Yao et al, 1998). Loss of p300 also impairs postnatal myocardial gene expression and growth (Bishopric et al, 1997; Slepak et al, 2001; Wei et al, 2008). p300 levels increase sharply during haemodynamic stress and heart failure, and even relatively small increases or decreases in p300 quantitatively affect the extent of adaptive hypertrophy (Wei et al, 2008), as well as the risk of heart failure (Morimoto et al, 2008; Wei et al, 2008). Hence, the elucidation of downstream effectors of p300 could provide insight into mechanisms of adaptive versus maladaptive cardiac growth.
MicroRNAs (miRNAs) are short ∼18–25 nucleotide non-coding RNAs (Lagos-Quintana et al, 2001; Lau et al, 2001; Lee et al, 1993; Lim et al, 2003; Reinhart et al, 2002) that bind to 7–8 bp complementary sequences in the 3′ untranslated region of target messenger RNAs (mRNAs), inducing their cleavage, or, less often, blocking their translation (Bartel, 2009; Guo et al, 2010). More than 60% of human protein-coding genes may be under the control of miRNAs (Friedman et al, 2009). miRNAs are generated from longer RNA transcripts through several steps of post-transcriptional processing to produce a short double-stranded miRNA; both strands may produce functional miRNAs, designated −5′ and −3′ (Obernosterer et al, 2006). A single miRNA can theoretically target many hundreds of genes (Lewis et al, 2005); in turn, a single mRNA transcript can be targeted by multiple miRNAs. Genes with related functions often have conserved binding sites for the same miRNAs, suggesting that some miRNAs have evolved to influence entire biological pathways (Bartel, 2009; Friedman et al, 2009). miRNAs have been implicated in normal cardiac development and function, as well as in cardiac disorders in humans and animal models (Callis et al, 2009; Care et al, 2007; Cheng et al, 2007; Dong et al, 2010; Landthaler et al, 2004; Sayed et al, 2007; Tatsuguchi et al, 2007; Thum et al, 2007, 2008; van Rooij et al, 2006, 2007; Zhao et al, 2007). Whether miRNAs act as downstream effectors or modulators of p300 during hypertrophy has not been established.
Here, we show that miR-142-5p and -3p, products of the same primary transcript, are downregulated during cardiac hypertrophy by mechanisms requiring p300 and MAP kinase activity. We show that miR-142 directly targets p300 as well as α-actinin, an essential component of the cardiac cytoskeleton. We demonstrate that miR-142 is a global inhibitor of cytokine signalling and function in the myocardium, at least in part through its ability to target gp130. Most strikingly, we show that preventing the physiological downregulation of miR-142 leads to depletion of cytokine-mediated survival signals, induction of apoptosis and development of heart failure during postnatal growth of the heart. We conclude that miR-142 repression is essential for successful cardiac adaptation to changing haemodynamic demand in vivo.
miR-142-5p and -3p are downregulated during cardiac hypertrophy
In both p300 transgenic (p300tg) and wild-type (wt) mice, miR-142-5p and -3p levels were very low in the period of adaptive cardiac growth between birth and adulthood at 2 months, relative to levels achieved after 3 months (Fig 1A and B). Both miR-142-5p and -3p were markedly reduced in left ventricular myocardium of p300tg mice compared to their wt littermates at every age examined between birth and 5 months (Fig 1A and B). Relative levels of miR-142-5p and -3p were also age-dependent: before 3 months, miR-142-5p was approximately 5% as abundant as miR-142-3P, which in turn was expressed at about 60% of levels of the highly abundant species miR-1 and miR-let-7c (Fig 1 of Supporting Information). However, miR-142-5p increased relative to miR-142-3p after 105 days of age (Fig 1A and B). Expression of both miR-142 transcripts correlated inversely with hypertrophy in several other systems: miR-142-5p was significantly lower in wt mouse hearts following acute surgically induced pressure overload (Fig 1C) and in human hearts with various types of cardiomyopathy and cardiac enlargement (Table 1 and Fig 1D).
Table 1. Human subjects
Samples were obtained using protocols approved by the University of Miami Institutional Review Board for Human Subjects Research. Left ventricular free wall myocardium was obtained from subjects within 4 h after death or cardiac explantation. Normal hearts were obtained through the Miami Organ and Tissue Procurement Program and the Cooperative Human Tissue Network.
Cardiomyopathy and congestive heart failure
Using a well-characterized cell culture model (Bishopric & Kedes, 1991), we induced hypertrophy of neonatal rat ventricular myocytes (NRVM) in serum-free culture by addition of 5% foetal calf serum (FCS; Fig 1E); as previously reported (Wei et al, 2008), hypertrophy was accompanied by a rapid rise in p300 levels that persisted for at least 36 h (Fig 1E). Over the same interval, both miR-142-5p and -3p fell to ∼50% of basal levels and remained suppressed for at least 24 h (Fig 1F). This suppression did not reflect a global loss of miRNA species, as a genetically unrelated miRNA, miR17-3p, was upregulated under the same conditions (Fig 1F).
Growth factor-induced repression of miR-142 involves MAPK activity
Serum contains a mixture of growth factors that signal through one or more MAPK cascades, including p38 MAPK, c-Jun N-terminal kinases (JNKs) and p42/44 extracellular signal-regulated kinases (ERKs; Sugden & Clerk, 1998). To interrogate the role of MAPK signalling in repression of miR-142, we stimulated cardiac myocytes with serum in the presence of inhibitors of MEK1 (UO126), p42/p44 MAPK/ERK (PD98059), p38MAPK (SB202190) or JNK (SP600125) using optimally selective concentrations (Andreka et al, 2001; Tran et al, 2007). As expected, serum stimulation resulted in the robust induction of p300 and activation of p42/p44 MAPK/ERK, followed by the previously demonstrated repression of miR-142-5p and -3p and hypertrophic growth of myocytes (Figs 2A–C and 1D of Supporting Information). Treatment with any of the MAPK inhibitor compounds blocked the downregulation of both miR-142 species (Fig 2A and B). In addition, all inhibitors increased basal levels of miR-142-3p (Fig 2B). These results indicate that miR-142-5p and 3p are negatively regulated by serum growth factors, likely acting through a combination of MAP kinases.
Repression of miR-142 by p300
Both ERK/MAPK and p38MAPK phosphorylate and modulate the activity of p300 (Chen et al, 2007; Darieva et al, 2004; Gusterson et al, 2002; Poizat et al, 2005). To determine whether p300 also regulates miR-142, we transduced cardiac myocytes with an adenovirus expressing full-length human p300 (Ad-p300) or with an anti-p300 silencing RNA (siRNA). Ad-p300, but not Ad-GFP virus, significantly increased p300 content at 48 h (Fig 2C), accompanied by a reduction in both miR-142-5p and -3p (Fig 2C, below). Conversely, cardiac myocytes transfected with anti-p300 siRNA but not with a non-silencing sequence (ns) had >70% reduction in p300 levels at 48 h, accompanied by more than doubling of both miR-142-5p and -3p expression (Fig 2D). Thus, p300 is both necessary and sufficient to drive the repression of miR-142 in the absence of hypertrophic extracellular signals or MAPK activation.
MiR-142 directly targets p300
A query using the TargetScan miRNA target prediction algorithm (http://www.targetscan.org/) revealed a predicted binding site for miR-142-5p in the p300 3′UTR, suggesting that miR-142 might reciprocally inhibit p300 (Fig 3A). To investigate this, we transfected cardiac myocytes with lentiviral vectors encoding both miR-142-5p and -3p (miR-142), or a non-targeting scrambled sequence (NT). Both miRs were expressed from the miR-142 lentivirus, accompanied by a marked decrease in p300 protein levels (Fig 3B). A luciferase expression vector containing the wt p300 3′UTR was efficiently repressed by miR-142 (Fig 3C). Mutation of the predicted miR-142-5p binding site eliminated this repression (Fig 3C), confirming a direct inhibition of p300 by miR-142-5p.
MiR-142 targets α-actinin
The majority of genes targeted by miRNAs are thought to be regulated through mRNA transcript destabilization (Baek et al, 2008; Bagga et al, 2005). To get a picture of the functional role of miR-142 in the heart as well as to identify potential direct targets, we examined the gene expression profiles of cardiac myocytes with and without miR-142 gain. Significantly regulated genes were identified and selected as potential targets if they underwent reciprocal regulation with miR-142 loss induced by miR-142-5p and -3p antisense inhibitors (Krutzfeldt et al, 2005). Several sarcomeric genes emerged as potential targets (Fig 3 of Supporting Information). To explore the effect of miR-142 on myocyte structure, NRVM were transduced as above to achieve gain or loss of both miR-142-5p and 3p, followed by immunostaining with antibodies directed against pan-α-Actinin, GATA4, α-Myosin heavy chain and F-Actin (Fig 4A and Fig 4 of Supporting Information). MiR-142 modulation had no effect on cell size or on the apparent amount or distribution of myocyte GATA4, Myosin or sarcomeric Actin (Fig 4 of Supporting Information). However, α-Actinin was strikingly depleted in cells overexpressing miR-142 lentivirus (Fig 4A, centre row), compared with cells expressing either a scrambled sequence or anti-miR-142 (Fig 4A, upper and lower rows, respectively). Immunoblots of total cell lysates confirmed the loss of Actinin in miR-142-overexpressing cells, as well as a significant increase of actinin levels in cells expressing anti-miR-142, relative to their scrambled sequence controls (Fig 4B).
TargetScan and PITA algorithms predicted miR-142-5p-binding sites in both α-Actinin 2 (Actn2) and α-Actinin 4 (Actn4) isoforms; the ACTN4 site is conserved in mouse, rat and humans (Fig 4C). Neither ACTN2 nor ACTN4 mRNAs were differentially expressed in the microarray assays, suggesting that miR-142 might target protein translation rather than transcript stability. Mutation of the miR-142 binding site in the α-Actinin 4 3′UTR and luciferase constructs containing either the wt or mutant 3′UTR were expressed in the presence of miR-142-5p or a scrambled sequence (Fig 4C). MiR-142-5p significantly repressed the wt but not the mutant 3′UTR-containing vector. No repression of either vector was seen with the scrambled sequence, indicating that this α-Actinin isoform is a direct, specific target of miR-142-5p.
MiR-142 globally represses cytokine signalling
A striking effect of miR-142 overexpression (OE) was the apparent suppression of multiple components of immune signalling in chemokine and cytokine signal transduction pathways, as determined by Gene Ontology (GO) analysis (www.geneontology.org). Ninety one genes within the cytokine-related GO functions were differentially regulated, of which 69 were strongly repressed by miR-142. 26 of these genes were examined in cells with miR-142 loss; almost all were correspondingly upregulated (Fig 5A and Table I of Supporting Information). This global repression of cytokine genes was accompanied by a marked functional loss of signalling through the TNFα-NF-κB pathway. Macrophage-derived cytokines, including interleukin 1-β (IL1β), tumour necrosis factor α (TNFα) and interferon gamma (IFNγ), are powerful activators of inducible nitric oxide synthase (iNOS) transcription in cardiac myocytes (Ing et al, 1999). We exposed NRVM to these cytokines after transduction with either miR-142 or non-targeting lentiviruses and monitored iNOS mRNA levels and NO production. As expected, cardiac myocytes expressing the NT produced high levels of both iNOS and NO within 48 h after cytokine exposure, while NRVM expressing miR-142 induced only half as much iNOS and NO under the same conditions (Fig 5B). Since lentiviral transduction was only ∼50% efficient, this result is effectively consistent with elimination of the cytokine response in miR-142-transduced myocytes.
gp130 is a direct target of miR-142
One potential target identified in the microarray was the cytokine receptor gp130 (encoded by IL6st), previously shown to be critical for survival signalling in the myocardium (Hirota et al, 1999). The 3′UTR of this transcript had predicted binding sites for both miR-142-5p and -3p (Fig 5C). A luciferase construct containing the IL6st 3′UTR, but not a mutant 3′UTR lacking both sites, was strongly repressed by miR-142 but not by the NT (Fig 5C), confirming that gp130 is a direct target of either or both miR-142-5p and -3p.
Forced expression of miR-142 suppresses p300 and reverses p300-driven cytokine gene expression
To validate these findings in vivo, we transduced the miR-142- and non-targeting lentiviral vectors into newborn wt mice and p300tg littermates. As we have previously reported, these mice develop hypertrophy that progresses to heart failure over 6–8 months in the majority of individuals (Wei et al, 2008). Consistent with the results in Fig 1A, expression of miR-142-5p was nearly 50% lower in p300tg mice compared to their wt littermates, 2 months after transduction of the non-targeting vector (Fig 6A). Both wt and p300tg animals transduced with miR-142 lentivirus had consistent 2.3–2.5× increases above wt miR-142-5p levels (Fig 6A), indicating successful, sustained expression from the lentiviral vector. Interestingly, miR-142-3p (transcribed from the same transduced sequence) was not significantly upregulated by the lentiviral vector in wt mice, but there was a trend in favour of normalization of miR-142-3p from the depressed levels found in p300tg mice (Fig 6 of Supporting Information). Pathway expression analysis using a custom high-density quantitative polymerase chain reaction (qPCR) array confirmed suppression of the vast majority of cytokine genes previously identified as differentially regulated in cell culture, as well as other predicted targets of miR-142 (see Figs 4, 5 and Table II of Supporting Information). Importantly, polymerase chain reaction (after reverse transcription) (RT-PCR) and Western blotting confirmed that both p300 and gp130 were suppressed in myocardium of all miR-142-transduced mice (Fig 6B and Fig 7 of Supporting Information).
Transduction of anti-miR-142 induces p300 and gp130 expression in vivo
We used a similar lentiviral vector to deliver an antisense miR (antagomir) to deplete the already low levels of endogenous miR-142-5p in neonatal wt and tg mice, and measured p300 and gp130 levels in left ventricular myocardium at 2 months. This approach resulted in >70% miR-142 knockdown in both genetic backgrounds (Fig 6C). There was a corresponding highly significant increase in both p300 and gp130 expression in anti-miR-142-treated versus non-targeting-vector-treated mice, providing further validation of these targets in vivo (Fig 6D).
Restoration of miR-142 during postnatal and p300-induced growth induces myocyte apoptosis
Macroscopic assessment of wt animals did not reveal significant differences in myocardial thickness, heart weight or heart weight indices between treatment groups (Fig 7A and Table 2). However, the heart weight/tibia length ratio was significantly increased in p300tg mice receiving the miR-142 virus relative to the other three groups (n = 5, p = 0.02). In both genotypes, microscopic evaluation revealed abundant myocyte apoptosis (Fig 6E and F) together with significant compensatory enlargement of the remaining myocytes (Fig 6G) in response to miR-142 transduction. Apoptosis was essentially absent in non-targeting-transduced or anti-miR-142-transduced hearts of either genotype (Fig 6E and F and data not shown). These findings are consistent with a functional suppression of survival signalling by miR-142.
Gain and loss of miR-142 exert opposing effects on heart function in p300 transgenic mice
Forced expression of miR-142 was associated with significant impact on heart function in both wt and p300tg mice. All miR-142 recipients had reduced LV ejection fraction, fractional shortening and increased systolic and diastolic dimensions relative to their non-targeting-injected, genotype-matched controls (Fig 7A–C and Table III of Supporting Information), indicative of development or worsening of heart failure. In contrast, no ill effect was seen in wt or transgenic mice receiving the anti-miR-142 vector. WT mice receiving non-targeting and antisense vectors were functionally and anatomically indistinguishable (Fig 7D–F and Table 2). Remarkably, in the majority of p300tg mice, depletion of residual miR-142-5p prevented the mild systolic dysfunction seen in their non-targeting-vector-transduced peers (Fig 7F; see also Fig 7C); these mice actually had enhanced function relative to wt mice by multiple measures (chamber volumes, fractional shortening and ejection fraction; Fig 7F and Table IV of Supporting Information). Thus, downregulation of miR-142-5p was able to prevent deterioration and possibly enhance function induced by sustained p300 signalling.
Table 2. Summary of organ weights in mice with miR-142 loss and gain
6.85 ± 0.33
6.79 ± 0.32
6.04 ± 0.37
5.72 ± 0.45
7.14 ± 0.24
9.40 ± 1.37
6.28 ± 0.10
7.01 ± 0.37
1.30 ± 0.05
1.08 ± 0.07
0.98 ± 0.09
1.15 ± 0.05
1.28 ± 0.04
1.32 ± 0.10
1.02 ± 0.06
1.23 ± 0.08
0.16 ± 0.01
0.18 ± 0.01
0.17 ± 0.01
0.17 ± 0.02
0.15 ± 0.02
0.19 ± 0.02
0.16 ± 0.01
0.18 ± 0.01
0.12 ± 0.01
0.21 ± 0.06
0.11 ± 0.004
0.11 ± 0.01
0.11 ± 0.01
0.14 ± 0.01
0.09 ± 0.01
0.09 ± 0.01
Downregulation of miR-142 during cardiac growth is critical to cell survival and cardiac performance
In this study, we demonstrate an inverse relationship between levels of miR-142 and cardiac hypertrophy in multiple physiologic and pathologic settings. We further show that growth signals transduced by MAPK and p300 lead to physiologic repression of miR-142, and that this repression is required to prevent myocyte loss and to permit adaptive hypertrophic growth in vivo. The myocardium is vulnerable to apoptosis during acute increases in workload (Condorelli et al, 1999; Teiger et al, 1996). Consequently, successful adaptation to changing haemodynamic demand requires both myocyte growth and activation of myocyte survival signals. MiR-142-5p directly targets two nodal regulators of these pathways: acetyltransferase p300, a powerful regulator of multiple transcription factors involved in cardiac growth (Wei et al, 2008), and gp130, the cell surface receptor for IL-6, cardiotrophin-1 and related cytokines providing survival signals through JAK/STAT (Fujio et al, 1997; Wollert & Chien, 1997). The critical importance of the gp130 receptor for myocyte survival during load-induced growth is well established (Burchfield et al, 2008; Fujio et al, 1997; Sheng et al, 1997). A key finding is that mice lacking gp130 undergo massive myocardial apoptosis, develop dilated cardiomyopathy and die of heart failure within days after experimental pressure overload (Hirota et al, 1999). Here, we show that by targeting gp130, miR-142 OE results in a similar phenotype during physiologic cardiac growth. Thus, while miR-142 targets both p300 and gp130, its overriding effect in vivo is not repression of hypertrophy, but rather repression of a cytokine-mediated survival signal pathway. While the repression of cytokine signalling under basal conditions may be desirable, this pathway must be activated to permit adaptive growth, requiring repression of miR-142.
A mutual inhibitory loop between p300 and miR-142
We envision that under basal conditions, miR-142-5p plays a homeostatic role, maintaining p300 at low levels through direct targeting of its mRNA (Fig 8). Under conditions of increased demand, p300 and MAP kinases activation transiently repress miR-142. Regulatory feedback loops involving miRNAs represent a recurring motif in gene regulation (Martinez et al, 2008). Although the precise mechanism of repression remains to be established, ERK/MAPK signalling is known to activate p300 (Gusterson et al, 2002), and ERK signalling could repress miR-142 through this mechanism. Other miRNAs have been shown to be positively regulated by ERK activation (Paroo et al, 2009; Terasawa et al, 2009). ERK1,2 phosphorylates and stabilizes trans-activated RNA binding protein (TRBP), a key member of the miRNA-processing complex, increasing production of the mature forms of many miRNAs; however, let-7 appears to be repressed by ERK through an undetermined mechanism (Paroo et al, 2009). Yuan et al found that expression of the miR-142 precursor in lymphoblastoid cells was inhibited by a complex of transcription factors including LMO2, GATA1 and E47 (Yuan et al, 2008). The logarithmic increase in miR-142 in both wt and p300tg mice between 2 and 3 months suggests that there may be additional positive regulators of miR-142 that act during later stages of myocardial maturation associated with reproductive maturity.
miR-142 regulates the myocyte cytoskeleton
Another important finding of this study is that expression of α-Actinin is profoundly negatively regulated by miR-142-5p. The α-Actinins belong to a superfamily of cell structural proteins that includes the Dystrophins, loss of which can compromise sarcolemmal integrity leading to myocyte death (Lapidos et al, 2004). Actinins 1 and 2 have been implicated as disease genes in hypertrophic and dilated cardiomyopathy (D'Amico et al, 2006; Mohapatra et al, 2003). Actinin-4 has been identified in both cytosolic and nuclear compartments, and functionally interacts with nuclear proteins that regulate cell growth, transcription and apoptosis (Chakraborty et al, 2006; Khotin et al, 2010; Khurana et al, 1850; Liu et al, 2004). Inappropriately high levels of miR-142 could thus impair Actinin-mediated structural integrity, leading to apoptosis under conditions of stress.
Global repression of immune response genes by miR-142
One of the most striking findings of our study is the potent repressive effect of miR-142-5p/-3p on genes controlling every aspect of immune response, and the corresponding suppression of the response to inflammatory cytokines. Expression of iNOS is extremely sensitive to macrophage-derived cytokines via multiple promoter binding sites for NF-kB, and this response was strongly blunted by miR-142. We have identified at least 26 components of immune signalling pathways, including both NF-κB1 and -2 and isoforms, that are directly or indirectly regulated by miR-142 in vivo. By targeting an entire cytokine response program, miR-142 acts as a critical regulator of immune responses that are likely to be important in multiple tissues. MiR-142 is abundantly expressed in lymphocytes and cells of haematopoietic lineage (Landgraf et al, 2007), although T regulatory cells appear to have relatively low levels of miR-142-3p (Zhao et al, in press). MiR-142-3p is differentially regulated in various models of inflammation (Moschos et al, 2007; Recchiuti et al, in press) and regulates inflammatory mediators in cells of the immune system, including IL-6 (Huang et al, 2009; Sun et al, in press). Other miRNAs implicated in immune signalling include miR-181a, miR-146, miR-155 and miR-125b (Li et al, 2007; Taganov et al, 2006; Tili et al, 2007). p300 itself has previously been identified as a critical regulator of immune gene transcription (Merika et al, 1998) and is targeted in monocytes by miR-132 (Lagos et al, 2010). The extent of functional overlap among these miRNAs remains to be determined.
To summarize, we have shown that miR-142 is a potent repressor of cytokine signalling in the myocardium, and this miRNA must itself be repressed in order for adaptive cardiac hypertrophy to take place. Although the mechanism of repression involves ERK signalling and p300, it seems likely that unidentified factors downstream are directly responsible. Our observations open up the interesting concept that certain growth and survival pathways are under strong tonic inhibition in the heart at equilibrium. It seems likely that additional miRNAs are involved in maintaining this cardiac homeostasis. The identity and function of these miRNAs and homeostatic mechanisms represent important areas for future investigation.
MATERIALS AND METHODS
Materials and reagents
A comprehensive list of Materials and Reagents can be found in the Supporting Information. For over-expression and knockdown of p300 and miR-142 in primary cardiac myocytes and in vivo, we used Turbo-RFP-tagged pLemir lentivirus constructs for miRNA-142 transduction and expression from Open Biosystems Products Inc., Huntsville AL. The mCherry-tagged pEZX-AM03 lentiviral vectors expressing the miR-142-5p inhibitor (antagomir) and scrambled sequences, as well as luciferase vectors containing selected 3′UTRs, were obtained from GeneCopoeia, Rockville MD. Each of these lentiviral expression constructs utilizes the cytomegalovirus (CMV) promoter. Locked nucleic acid (LNA) oligonucleotides for knockdown of miR-142 (-5p and -3p) were obtained from Exiqon, Woburn, MA.
Methods for primary culture of neonatal rat cardiac myocytes have been previously described (Bishopric & Kedes, 1991).
Methods for realtime PCR, Western blotting, measurement of nitrite release, cell imaging techniques including morphometry apoptosis detection immunofluorescence and image acquisition and processing are described in the Supporting Information.
All luciferase assays were performed on Cos7 cells stably expressing miRNAs or control scrambled sequences. Fourty eight hours post-transfection, cell extracts were assayed for luciferase activity using the Luc-Pair miR luciferase assay kit (Genecoepia). Relative reporter activities were expressed as luminescence units normalized to Renilla luciferase activity. Luminescence was quantitated using a multimode microplate reader (BMG Labtech).
In vivo transduction of miR-142
All experiments were conducted under University of Miami Animal Care and Use Committee-approved protocols. Newborn (5 day) wt and p300tg pups received 8 × 108 viral particles of lentivirus expressing miR-142 or a control sequence via external jugular vein injection using a previously described method, with minor modifications (Kienstra et al, 2007). In brief, 5-day-old wt mouse pups and littermates with myocyte-specific OE of p300 (BS line; Wei et al, 2008) were placed on a transilluminator and the external jugular vein was injected with 8 × 108 viral particles of miR-142 or control. Injected pups were returned to their mothers until weaning at 3 weeks of age.
Rat Gene Expression microarray analysis was performed using non-Affymetrix single channel arrays (Ocean Ridge Biosciences). Microarray data is available at GEO (http://www.ncbi.nlm.nih.gov/gds) under accession numbers GSE31121 and GPL14011.
Microarray and low-density TaqMan array expression ratios were calculated as the power-2 exponential of the log2 differences. The acceptance criteria for gene array expression changes was a minimum 1.7-fold change and a one-way Analysis of Variance (ANOVA) t-test p-value of <0.05. The direction of change was validated in each condition by qPCR in a randomly chosen subset of 26 genes. Data analysis and hierarchical clustering were performed using XLSTAT (www.xlstat.com). A custom heat map display program was created in the R software environment (www.r-project.org/). For all other studies, analysis of variance (ANOVA) was used for comparison of multiple results within a single experiment, followed by Student's t-test using one- or two-tailed distributions as appropriate.
SS performed the experiments, obtained funding for the work, analysed the data and wrote the manuscript; JL performed the echocardiography and conducted the functional analysis of the mice; JW performed the in vivo injections and surgical manipulations of the mice; HY performed miRNA analyses that identified miR-142; TZ collected and analysed the human myocardial tissue for levels of miR-142. NHB designed experiments, obtained funding for the work, analyzed the data, and wrote the manuscript.
We thank Dr. David Willoughby (Ocean Ridge Biosciences) for his generous assistance in performance and analysis of the microarray data and Drs. Jochen Reiser and Marc Lippman for critical reviews of the manuscript. This work was supported by grants from the NIH (R-01-HL71094 to NHB), the Florida Heart Research Institute (NHB), the Fondation Leducq Transatlantic Network of Excellence 05-CVD-02 (NHB) and an American Heart Association Predoctoral Fellowship Award (SS).
Supporting Information is available at EMBO Molecular Medicine online.
Conflict of interest statement: Dr. Bishopric has collaborated with Regulus Pharma, Inc. on an unrelated project. The other authors declare that they have no conflict of interest.