Rapid Induction and Translocation of Egr-1 in Response to Mechanical Strain in Vascular Smooth Muscle Cells Henning Morawietz, Yunn-Hwa Ma, Franklin Vives, Emily Wilson, Vikas P. Sukhatme, Jürgen Holtz, Harlan E. Ives Abstract—The effect of mechanical strain on transcription and expression of the immediate-early genes, early growth response gene-1 (Egr-1), c-jun, and c-fos, was investigated in neonatal rat aortic vascular smooth muscle (VSM) cells. Cells grown on silicone elastomer plates were subjected to cyclic mechanical strain (1 Hz) at various durations and magnitudes. Egr-1 mRNA increased rapidly in response to cyclic strain, reached a maximum of 10-fold after 30 minutes, and returned to baseline after 4 hours. c-jun exhibited a similar pattern, whereas c-fos mRNA expression was unaffected by strain. Cycloheximide prolonged the increase in Egr-1 and c-jun mRNA and caused superinduction of both. The threshold level of continuous cyclic strain needed to induce expression was 5% for Egr-1 and c-jun. Even a single cycle of mechanical strain that lasted 1 second was sufficient to induce Egr-1 and c-jun mRNA. Strain also increased expression of a transiently transfected Egr-1 promoter-reporter construct. The effect of varying extracellular matrices on strain-induced Egr-1 and c-jun mRNA was examined. In contrast to collagen type 1- and pronectin-coated plates, strain did not significantly alter expression of Egr-1 and c-jun was less induced on laminin-coated plates. On collagen type 1, strain increased Egr-1 protein levels by 2.1-fold at 60 minutes. Immunofluorescence microscopy revealed translocation of Egr-1 to the nucleus in response to strain. These observations indicate that Egr-1 expression and translocation are sensitive to mechanical perturbation of the cell. c-jun is also induced by strain, but c-fos is not. The signal for this induction may involve specific cell-matrix interactions. (Circ Res. 1999;84:678-687.) Key Words: mechanical stimulation n cyclic strain n genes n muscle, smooth, vascular n transcription modified nuclear factor (NF)-kB site found in the promoter region of several genes induced by shear stress in endothelial cells.9,10 Recently, the TPAresponsive element and the binding site of early growth response gene-1 (Egr-1) were found to be involved in shear stress–induced gene expression in endothelial cells.11,12 In cardiac myoctes, Egr-1, c-jun, and c-fos expression are increased by mechanical forces.13–15 On the basis of VSM cells transfected with various PDGF-A– chain promoter truncations and subjected to strain, data from this laboratory identified a 92-bp region of the promoter that is responsive to strain6 This region contains a binding site for the Egr-1 protein. Egr-1 is thought to be involved in the regulation of mitosis and differentiation.16,17 Egr-1, like c-jun and c-fos, belong to the class of transcription factors called immediate-early genes. The expression of these transcription factors is induced by a variety of stimuli, including growth factors, serum, or vasoconstrictors.17,18 After activation, Egr-1 protein is translocated from the perinuclear space to the nucleus, at which it can bind to specific promoters and regulate gene expression.19,20 V ascular smooth muscle (VSM) cells in large arteries are exposed to substantial mechanical forces during the cardiac cycle. These forces may participate in developmental processes and in the vascular hypertrophy associated with disease states.1,2 Recently, the application of mechanical strain to VSM cells in vitro has yielded a variety of descriptive data on alterations in the growth and phenotype of VSM cells subjected to strain.3 Previous work from this laboratory has shown that cyclic mechanical strain, applied by a vacuum to cells cultured on silicone elastomer membranes, induces DNA synthesis and expression of gene transcripts, such as PDGF-A, PDGF-B, and the PDGF-b receptor.4 –7 Under certain conditions, smooth muscle myosin SM-1 and SM-2 are induced.8 These responses vary depending on the extracellular matrix. On laminin (LN), DNA synthesis and expression of PDGF are minimal5 but induction of smooth muscle myosins SM-1 and SM-2 become more apparent.8 To date, only minimal information exists on the transcription factors that transduce mechanical signals into gene activity. One example is the shear stress–responsive element, which is a Received November 20, 1998; accepted January 7, 1999. From the Cardiovascular Research Institute and Division of Nephrology (H.W., Y-H.M., F.V., E.W., H.E.I.), University of California, San Francisco, Calif; Institute of Pathophysiology (H.M., J.H.), Martin Luther University Halle-Wittenberg, Halle, Federal Republic of Germany; and the Beth Israel Hospital and Harvard Medical School (V.P.S.), Boston, Mass. Correspondence to Emily Wilson, PhD, Assistant Professor, Department of Medical Physiology, Texas A&M Health Science Center Medical School, College Station, TX 77843. E-mail emilyw@tamu.edu © 1999 American Heart Association, Inc. Circulation Research is available at http://www.circresaha.org 678 Morawietz et al In VSM cells, the effect of mechanical strain on Egr-1 and c-jun is unknown. The cellular induction of c-fos by mechanical strain is controversial.21,22 We therefore examined the induction of Egr-1, c-jun, and c-fos expression in VSM cells subjected to varying mechanical forces. We find that Egr-1 and c-jun but not c-fos mRNA expression is dramatically upregulated by exposure to even brief mechanical stimuli. Extracellular matrix composition may determine both the magnitude and direction of the effect of strain on Egr-1 and c-jun transcription. Materials and Methods Materials All materials were purchased from Sigma Chemical Co unless otherwise specified. BSA was fraction V, fatty acid poor (Miles Inc). Flex plates were from FlexCell Inc. Transfection reagent (DOTAP) was purchased from Boehringer Mannheim, and Bicinchoninic Acid solution protein assay reagent was purchased from Pierce Corp. The Egr-1 antibody used is a rabbit affinity-purified polyclonal antibody raised against a peptide of 14 amino acids mapping at the carboxy terminus of mouse Egr-1 p82 (Santa Cruz Biotechnology, Inc). The Egr-1 antibody was shown to react with the rat Egr-1 p82 by Western blot analysis. b -Galactosidase assay kit was purchased from Promega. Cell Culture Primary cultures of VSM cells from newborn rat aorta were established by Dr Peter Jones (University of Southern California, Los Angeles, Calif). From these primary cultures, the cell line R22 D was established23 and at passage 15 generously supplied by Dr Jones. The cells were maintained in medium with 10% serum (MEM with 10% FBS, 2% tryptose phosphate broth, 50 U/mL penicillin, and 50 U/mL streptomycin) in a humidified atmosphere of 5% CO2 at 37°C. Culture medium was changed every other day until cells were confluent. Confluent cells were subcultured with trypsinversenes. Cells were used from passages 17 to 25 for these studies. In most experiments, cells were plated on 6 well (5 cm2 per well) collagen-type I (Col I) silicone elastomer plates (Flex I, FlexCell Inc) in medium with 10% serum and cultured until confluent. Three days before experimentation, the medium was replaced with serum-free medium (MEM with 0.5 g/L BSA, 0.5 mg/L apo-transferrin, 2% tryptose phosphate broth, 50 U/mL penicillin, and 50 U/mL streptomycin). Medium was subsequently replaced with fresh serum-free medium every 24 hours and again 3 hours before the strain experiment. In experiments on different extracellular matrices, confluent cells in conventional plastic flasks were detached with trypsin-versenes and trypsin was then inactivated with serumcontaining medium. The cells were then centrifuged for 5 minutes at 1000 rpm, washed once with serum-free medium, and the cells of one 9-cm plastic dish were plated in serum-free medium on one 6-well silicone elastomer plate coated with Col I, pronectin (FN, a fibronectin-like poly RGD matrix), or LN. Serum-free medium was replaced 24 hours later (3 hours before application of mechanical strain). Application of Cyclic Strain to Cultured Cells Confluent VSM cells on the silicone elastomer culture plates were subjected to mechanical deformation with the Flexercell Stress Unit (FlexCell Inc). The stress unit is a modification of the unit initially described by Banes and coworkers24,25 and consists of a computercontrolled vacuum unit and a base plate to hold the culture dishes. Vacuum is repetitively applied to the rubber-bottomed dishes through the base plate, which is placed in a humidified incubator with 5% CO2 at 37°C. The computer system controls the frequency of deformation and the negative pressure applied to the culture plates. A negative pressure of 20 kPa results in a maximal 25% elongation of cells at the periphery of the dishes. After 24 hours of April 2, 1999 679 continuous cyclic mechanical strain at the maximum attainable level, no increase in lactate dehydrogenase activity (In vitro toxicology assay kit, Sigma) was measurable in the supernatant (H.M., H.E.I., unpublished data, 1998). Immunofluorescence Microscopy VSM cells were grown on Col I– coated silicone elastomer plates and subjected to 30 minutes of cyclic mechanical strain (1 Hz, 25% strain) followed by 30 minutes in the resting state. In other experiments, cells were subjected to 60 minutes of continuous cyclic strain. After being rinsed briefly with PBS, cells were incubated with 4% paraformaldehyde/PBS at room temperature for 10 minutes followed by incubation with methanol at 220°C for 6 minutes. All subsequent steps were performed in a humidified chamber at room temperature. The fixed cells were incubated with 10% serum/PBS for 20 minutes, washed with 1% BSA/PBS, and then incubated with rabbit polyclonal anti–Egr-1 antibody (2 mg/mL, Santa Cruz Biotechnology, Inc) for 1 hour. After the primary antibody was removed, the cells were gently washed with 1% BSA/PBS, incubated with a fluorescein isothiocyanate– conjugated goat anti-rabbit IgG (1:200 dilution, Sigma) in the dark for 45 minutes and washed with PBS. The silicone bottoms of the culture plates were removed and trimmed to allow the material to be flattened for microscopic observation. The silicone disks were then mounted in gel/mount (Biomeda) on a glass slide. The stained cells were visualized with a 320 Fluor objective (Nikon) with epifluorescence illumination. Photographs were taken with the use of Kodak Tmax 100 ASA film. cDNA Clones The Egr-1 cDNA clone contains a 1.6 kb BglII mouse Egr-1 cDNA fragment cloned into the BamHI sites of pUC19 (Stratagene).16 The Egr-1 plasmid DNA was isolated with the QIAGEN Plasmid Maxi Kit (QIAGEN Inc), digested with HindIII and EcoRI, and the 1.6-kb Egr-1 fragment was eluted after agarose gel electrophoresis with the QIAquick Gel Extraction Kit (QIAGEN Inc). The c-jun cDNA clone is the mouse 2.6-kb JAC.1 in the pGEM-2 vector (ATCC). The c-fos cDNA clone includes the pTRI– c-fos/exon 2 from mouse (Ambion Inc). In addition, a human c-fos cDNA fragment was cloned from human umbilical vein endothelial cells by reverse-transcriptase PCR and its identity confirmed by DNA sequencing (H.M., H.E.I., unpublished data, 1998). The rat GAPDH clone is a 250-bp EcoRV GAPDH fragment cloned into the pT7Blue vector (Novagen Inc).26 The Egr-1 promoter deletion chloramphenicol acetyltransferase (CAT) construct pEgr-1 P1.2 contains the “full-length” Egr-1 promoter (from position 2957 to 1248 bp, relative to the Egr-1 promoter transcriptional start site) fused with the reporter gene CAT.27 The Egr-1 promoter-deletion CAT construct pE50 contains the minimal Egr-1 promoter (from position 250 to 165 bp, relative to the Egr-1 promoter transcriptional start site) fused with the reporter gene CAT.28 The pRSV.CAT plasmid29 was used as a positive control for CAT protein after transfection, and the pRSVb-Gal plasmid30 was used as a control for transfection efficiency. RNA Isolation and Northern Blot Analysis Total RNA was isolated from VSM cells with the RNA STAT-60 reagent (Tel-Test “B,” Inc). RNA samples (10 mg per lane) were separated by electrophoresis through 1.2% agarose gels after denaturation of the RNA with glyoxal and dimethylsulfoxide.31 RNA was transferred with 203 SSC buffer to Hybond-N nylon membranes (Amersham Life Science Inc). The isolated cDNA fragments were labeled with an oligolabeling kit (Pharmacia Biotech Inc) with [a-32P]dCTP (Amersham Life Science Inc), purified with MicroSpin Columns (Pharmacia Biotech Inc), and hybridized with the RNA membranes in hybridization solution (1 mol/L NaCl, 1% SDS, 10% dextran sulfate, and 100 mg/mL denatured salmon sperm DNA) at 65°C for 16 hours. The membranes were washed twice for 15 minutes with 23SSC, 0.1% SDS at 60°C and once for 15 minutes with 0.23SSC, 0.1% SDS at 55°C and exposed to Hyperfilm MP (Amersham Life Science Inc) at 280°C. Blots were quantified by 680 Immediate-Early Gene Induction by Mechanical Strain scanning of autoradiographs with a laser densitometer (Molecular Dynamics). Protein Isolation and Western Blot Analysis After mechanical strain, cells were washed and harvested in PBS and centrifuged for 5 minutes at 3000 rpm at 4°C. The cell pellet was lysed in lysis buffer (0.5% SDS in PBS) with a syringe, boiled for 10 minutes, and centrifuged for 10 minutes at 13 000 rpm and 4°C. The protein concentration was determined with the BCA protein assay reagent. Proteins (10 mg per lane) were separated in SDS-PAGE (7.5%) and transferred to Hybond ECL nitrocellulose membranes (Amersham Life Science Inc). The membranes were incubated with a primary Egr-1 antibody (Santa Cruz Biotechnology, Inc), secondary horseradish peroxidase–linked rabbit Ig, and detected with ECL Western blotting detection reagent (Amersham Life Science Inc). Transfections and CAT Assays Transfections were performed with the transfection reagent DOTAP. VSM cells were grown on Col I-coated silicone elastomer plates until 60% to 80% confluent. They were then transfected for 10 hours with DOTAP; 5 mg RSV—b-galactosidase–DNA; and either (1) 10 mg Egr-1 promoter CAT-DNA, (2) 10 mg pRSV-CAT, or (3) without CAT-DNA. Cells were then incubated in Opti-Mem I culture medium (Gibco-BRL Life Sciences) for 48 hours and subjected to cyclic mechanical strain (1 Hz, 25% strain) for 8 hours or 30 minutes strain after incubation in the relaxed position for 7.5 hours. The cells were lysed, and the protein concentration was determined with the Coomassie plus protein assay reagent (Pierce Corp). The b-galactosidase activity of the equal protein amounts of the cell lysate was measured with the b-galactosidase enzyme assay system (Promega), and the CAT protein was determined with CAT ELISA (Boehringer Mannheim). Statistics Dimensionless quantities (ie, band densities) from multiple similar experiments were combined by calculation of the fold increase (or decrease) versus control under each experimental condition. Data are given as mean6SEM (n$3 in all cases). Statistical analysis was performed with Student’s t test. A value of P,0.05 was considered statistically significant. Results Egr-1 and c-jun mRNA Induction by Continuous Cyclic Mechanical Strain Exposure of cultured neonatal aortic VSM cells to varying time periods of cyclic mechanical strain (1 Hz, 25%) resulted in a dramatic upregulation of Egr-1 and c-jun mRNA expression (Figure 1). Increased Egr-1 and c-jun mRNA were first detectable at 15 minutes (Egr-1: 6.161.3-fold increase in band density versus control, P,0.001, n56; c-jun: 1.460.09fold increase versus control, P,0.001, n54), reached its maximum for both genes after 30 minutes (Egr-1: 9.761.1fold increase versus control, P,0.001, n56; c-jun: 5.160.6fold increase versus control, P,0.001, n54), and returned to baseline after 4 hours (Egr-1) or 2 hours (c-jun) continuous exposure to cyclic strain. In contrast, c-fos mRNA was not significantly affected by mechanical strain in VSM cells. This result was confirmed with a independently cloned human c-fos cDNA probe (data not shown). To assess the role of de novo protein synthesis in the downregulation of Egr-1 and c-jun mRNA during continuous exposure to strain, the strain protocol was repeated in the presence of cycloheximide (Figure 2). Cycloheximide (35 mmol/L) prevented the downregulation of Egr-1 and c-jun mRNA expression and caused superinduction of both genes Figure 1. Time course of immediate-early mRNA induction during exposure to continuous cyclic mechanical strain. VSM cells on Col I– coated silicone elastomer plates were exposed to cyclic (1 Hz) mechanical strain (25%) for the indicated times. A, Total RNA was harvested and 10-mg samples were subjected to electrophoresis and hybridized to cDNA probes for Egr-1, c-jun, c-fos, and GAPDH. B, Densitometric analysis of experiments as described in A. The Egr-1, c-jun, and c-fos mRNA expression (in relative units) was normalized versus GAPDH mRNA. Bars represent the mean6SEM for 5 similar experiments. *P,0.05, ***P,0.001 vs basal. Morawietz et al April 2, 1999 681 Figure 2. Cycloheximide prolongs and enhances induction of Egr-1 and c-jun by strain. VSM cells on Col I– coated silicone elastomer plates were exposed to cyclic (1 Hz) mechanical strain (25%) for the indicated times, and RNA was analyzed as in Figure 1A. Cells were exposed to 35 mmol/L cycloheximide (CHX1) or no inhibitor (CHX2) during the strain period only. In the control (0) with cycloheximide, cells were incubated with the inhibitor for 240 minutes. at times .1 hour and for at least 4 hours. In the absence of strain, cycloheximide caused only a minimal induction of Egr-1 and c-jun mRNA at 4 hours (Figure 2). In contrast, even in the presence of cycloheximide, the expression of c-fos in response to strain was not affected (data not shown). Thus, downregulation of Egr-1 and c-jun mRNA expression during continuous exposure to strain requires de novo protein synthesis. The threshold magnitude of strain necessary to induce Egr-1 and c-jun mRNA was determined by exposing cells to 5% to 25% cyclic strain for 30 minutes (Figure 3). Induction of Egr-1 mRNA was first detectable with 5% cyclic strain (2.460.3-fold increase in band density versus unstrained control, P,0.05, n53), increased rapidly up to 10% strain (6.960.4-fold increase versus control, P,0.001, n53), and increased slightly further (9.460.6-fold versus control, P,0.001, n53) with strain #25%. The threshold level of c-jun induction by cyclic mechanical strain was similar (5% strain: 1.460.02-fold induction versus control, P,0.001, n54), which at 10% strain reached a level of induction (4.260.3-fold induction versus control, P,0.001, n54) that did not increase significantly #25% strain (4.560.6-fold induction). Therefore, Egr-1 mRNA is '2-fold higher induced than c-jun (each versus control) in response to mechanical strain in VSM cells. Induction of Egr-1 and c-jun mRNA by a Single Cycle of Strain/Relaxation We next determined the minimum number of strain/relaxation cycles necessary to induce Egr-1 and c-jun mRNA expression. Because the maximal expression of Egr-1 mRNA was previously found to occur after 30 minutes of continuous cyclic strain (Figure 1), we exposed cells to strain (25%) for a varied number of strain/relaxation cycles and then incubated cells in the relaxed position to achieve a total incubation time of 30 minutes (Figure 4). Surprisingly, even a single cycle of strain/relaxation that lasted only 1 second was sufficient to induce Egr-1 (4.661.2-fold versus control, P,0.05, n54) and c-jun (2.460.3-fold versus control, P,0.001, n56) mRNA. Egr-1 (5.760.4-fold) and c-jun (3.760.4-fold) mRNA was further increased after application of 5 minutes of cyclic strain and reached its maximum after 30 minutes of continuous cyclic strain (Egr-1; 9.660.1-fold versus control, P,0.001, n54; c-jun; 5.660.6-fold induction, compared with control without strain, P,0.001, n56). The threshold percent strain needed from single mechanical stimulus to induce Egr-1 mRNA was 10% (1.560.07-fold induction versus control, P,0.05, n53) and to induce c-jun mRNA was 20% (1.760.2-fold induction versus control, P,0.01, n53; Figure 5). Expression was dose-dependently increased and reached its maximum after a single deformation of 25% (Egr-1; 4.960.3-fold induction versus control, P,0.01, n53; c-jun; 3.460.8-fold induction versus control, P,0.05, n53). Higher degrees of mechanical deformation were not tested because they were not relevant to the in vivo situation.3 The c-fos mRNA was not affected by a single mechanical stimulus of increasing magnitude (data not shown). We next examined the induction of Egr-1 by a single cycle of strain/relaxation in more detail. The time course of Egr-1 mRNA induction after a single cycle of mechanical strain (1-second duration, 25% strain; Figure 6) was similar to the time course during continuous cyclic strain (Figure 1). Increased Egr-1 mRNA was first detectable after 15 minutes (2.660.5-fold induction versus control, P,0.05, n56), reached its maximum level at 30 minutes (4.061.0-fold induction versus control, P,0.05, n56), and returned to baseline 2 hours after the single mechanical stimulus. Induction of Egr-1 Promoter CAT Construct by Mechanical Strain In later studies, we examined the effect of mechanical strain on Egr-1 in more detail. To determine whether increased Egr-1 mRNA expression in response to strain is due to increased transcription, we examined the effect of strain on expression of transiently transfected Egr-1 promoter CAT constructs (Figure 7). The full-length Egr-1 promoter construct (pEgr-1P1.2) was induced by mechanical strain (5.960.7-old versus control without strain, P,0.05, n54). A similar induction of pEgr-1P1.2 was detectable after 30 minutes of cyclic strain after incubation in the relaxed position to reach a total time of 8 hours (4.560.7-fold versus control without strain; P,0.05, n54, data not shown). Neither a truncated Egr-1 promoter construct (pE50) nor pRSV-CAT was induced by strain. Thus, Egr-1 transcription is induced by mechanical strain at least in part through an element located between 2957 to 250 bp of the promoter. Effect of Extracellular Matrix Protein on Induction of Egr-1 and c-jun mRNA by Strain Previous studies from our laboratory showed that mechanical strain of VSM cells is sensed by interactions with specific 682 Immediate-Early Gene Induction by Mechanical Strain Figure 3. Threshold of Egr-1 and c-jun induction by mechanical strain. VSM cells were grown on Col I– coated silicone elastomer plates and subjected to continuous cyclic strain of the indicated magnitude for 30 minutes. A, Total RNA was isolated and analyzed as in Figure 1A. B, Densitometric analysis of experiments as described in panel A. Bars represent the mean6SEM for 3 similar experiments. *P,0.05, ***P,0.001 vs basal. extracellular matrix proteins.5 Therefore, we examined the effect of extracellular matrix protein composition on the induction of Egr-1 and c-jun mRNA by mechanical strain (Figure 8). To minimize the potential impact of extracellular matrix protein synthesis by the cells after plating, experiments were performed 24 hours after plating, compared with 72 hours after reaching confluence for the experiment re- Figure 4. Induction of Egr-1 and c-jun mRNA by a single cycle of strain/relaxation. VSM cells on Col I– coated silicone elastomer plates were exposed to the indicated number of strain cycles (1 Hz strain/relaxation) and then incubated in the relaxed position to achieve a total incubation time of 30 minutes. A, Total RNA was isolated and hybridized as in Figure 1A. B, Densitometric analysis of 3 similar experiments as described in panel A. Data are given as mean6SEM. *P,0.05, ***P,0.001 vs basal. ported above. This led to lower levels of Egr-1 and c-jun induction after strain than was observed above. Egr-1 and c-jun mRNA were induced on Col I– (Egr-1; 2.860.2-fold induction, P,0.01, n53; c-jun; 2.460.1-fold induction versus control on the same matrix without strain, P,0.001, n54) Morawietz et al April 2, 1999 683 Figure 6. Time course of Egr-1 mRNA induction after exposure to a single cycle of mechanical strain. VSM cells on collagencoated silicone elastomer plates were exposed to a single cycle (1 second) of mechanical strain (25%) and then incubated in the relaxed position for the indicated times. A, Total RNA was harvested and hybridized with Egr-1 and GAPDH as in Figure 1A. B, Densitometric analysis of experiments as described in panel A. Bars represent the mean6SEM for 3 similar experiments. *P,0.05 vs basal. Figure 5. Threshold of Egr-1 and c-jun induction by a single cycle of mechanical strain. VSM cells were grown on collagencoated silicone elastomer plates and subjected to a single cycle (duration, 1 second) of mechanical strain of the indicated magnitude followed by 30 minutes incubation in the relaxed position. A, Total RNA was isolated and analyzed as in Figure 1A. B, Densitometrical analysis of 3 similar experiments as described in panel A. Data are given as mean6SEM. *P,0.05, **P,0.01, ***P,0.001 vs basal. and FN- (Egr-1; 2.660.4-fold induction: c-jun; 2.160.2-fold induction versus control; P,0.001, n54) coated silicone elastomer plates after 30 minutes of cyclic mechanical strain (1 Hz, 25% strain). The time course of Egr-1 mRNA induction by cyclic strain was also similar on Col I- and FN-coated plates (unpublished data, 1998). In contrast, Egr-1 mRNA was not significantly induced by strain in cells cultured on LN (0.960.1-fold expression versus control on the same matrix without strain, n53). c-jun mRNA was induced by cyclic strain on LN-coated plates (1.660.1-fold induction versus control on LN without strain, P,0.001, n54) to a significantly reduced extent compared with Col I– coated plates (2.460.1-fold induction; P,0.01, n53) and FN-coated plates (2.160.2-fold induction, P,0.05, n54). This was due in part to increased basal expression of Egr-1 and c-jun mRNA on LN-coated plates (Egr-1; 1.760.3-fold; c-jun; 1.460.3-fold expression versus expression without strain on Col I– or FN-coated plates, P,0.05, n53). Despite this fact, expression of Egr-1 after strain on LN-coated plates was lower than on Col I– or FN-coated plates (LN: 1.660.4fold; Col I; 2.860.1-fold; and FN; 2.660.2-fold induction versus expression without strain on Col I; LN versus collagen 684 Immediate-Early Gene Induction by Mechanical Strain Figure 7. Induction of an Egr-1 promoter CAT construct by mechanical strain. VSM cells on Col I– coated silicone elastomer plates were transiently transfected with RSVb-Gal and either RSV.CAT (RSV) or 1 of the Egr-1 promoter constructs pE50 or p1.2, whose structures are indicated. 48 hours after transfection, cells were subjected to cyclic mechanical strain for 8 hours. CAT expression was measured as described. At this time point, Egr-1 promoter-induced CAT protein expression was maximal28 without reaching saturation (H.M., H.E.I., unpublished data, 1998). A similar induction of Egr-1 promoter-induced CAT protein expression was found after 30 minutes of mechanical strain following incubation in the relaxed position to reach a total incubation time of 8 hours. Bars represent the mean6SEM for 4 similar experiments. *P,0.05 vs basal. or FN, P,0.05, n53). In contradiction, the expression level of c-jun after 30 minutes of mechanical strain was similar on all 3 different extracellular matrices (Col I; 2.560.2-fold; FN; 2.360.2-fold; and LN; 2.160.2-fold induction versus expression without strain on Col I, n54, respectively). Figure 8. Effect of extracellular matrix protein on induction of Egr-1 and c-jun mRNA by strain. VSM cells were plated in serumfree medium on Col I–, FN-, or LN-coated silicone elastomer plates and were subjected to 30 minutes of continuous cyclic mechanical strain (1) or no strain (2). Total RNA was isolated and analyzed as in Figure 1A. Densitometrical analysis of experiments was performed on Northern blots. Bars represent the mean6SEM for 3 similar experiments. *P,0.05, **P,0.01 vs basal. space. After 30 minutes of mechanical strain, there was no change in Egr-1 distribution at the center of the strain dishes, at which strain on the cells is nearly zero.32 However, at the periphery of the dishes, at which strain is maximal, Egr-1 protein became uniformly distributed in the nucleus. Similar translocation was observed after 1 hour of continuous mechanical strain (data not shown). Thus, both Egr-1 expression and translocation are highly sensitive to mechanical forces in VSM cells. Increase of Egr-1 Protein Expression After Mechanical Strain We next examined Egr-1 protein expression after exposure of cells to various periods of continuous cyclic mechanical strain on Col I– coated plates. Western blots (Figure 9) demonstrated first increases in Egr-1 protein after 30 minutes of cyclic strain (1.360.01-fold versus control without strain; P,0.01, n55) and a maximal 2.160.2-fold increase at 60 minutes (P,0.001, n55). Protein expression subsequently declined toward basal levels. This pattern of expression was temporally similar to that observed for the mRNA in Figure 1. Translocation of Egr-1 Protein to the Nucleus in Response to Mechanical Strain Immunofluorescence imaging of Egr-1 protein was performed after 30 or 60 minutes of cyclic mechanical strain (Figure 10). In resting controls, immunofluorescence demonstrated a granular pattern of Egr-1 protein in the perinuclear Figure 9. Expression of Egr-1 protein in response to mechanical strain. VSM cells on collagen-coated silicone elastomer plates were subjected to cyclic strain for the indicated times. A, Protein was harvested from total cell lysates and Western blots were performed with an Ab to Egr-1. B, Bars represent the mean6SEM for 3 similar experiments. **P,0.01, ***P,0.001 vs basal. Morawietz et al Figure 10. Intracellular translocation of Egr-1 protein in response to mechanical strain. VSM cells were subjected for 30 minutes to mechanical strain in the center (B) or at the periphery of the plate followed by maintenance in the relaxed state at 37°C for 30 minutes (A, control without strain). Immunofluorescence imaging of the Egr-1 protein illustrates that in the resting state, the protein clusters around the perinuclear space (A). After mechanical strain of 25% (periphery of the stretch plate), the Egr-1 protein is diminished in the perinuclear space and became uniformly distributed in the nucleus (C). However, in the center of the well (,5% strain), no obvious difference of Egr-1 location was observed after 30 minutes of mechanical strain (B). Discussion This study shows that mechanical strain of cultured neonatal rat VSM cells induces immediate-early gene transcription, protein synthesis, and protein translocation from the perinuclear space to the nucleus, respectively. The time and the level of maximum induction of the immediate-early gene Egr-1 mRNA in VSM cells exposed to cyclic strain is similar to the induction found in stretched cardiac myocytes33 and in cyclically stretched mesangial cells.34 While performing a more detailed time course in VSM cells, we found that Egr-1 and c-jun transcription after mechanical strain starts between 5 and 15 minutes, reaches its maximum at 30 minutes, and returns to baseline after 4 hours or after 2 hours of continuous cyclic mechanical strain. The rapid decline in Egr-1 and c-jun mRNA during continuous cyclic strain might be due to the subsequent binding of transcription factors that downregulate the transcription of both genes and raises the possibility of an enzyme that degrades these mRNA molecules. This hypothesis is supported by the prolongation and superinduction of Egr-1 and c-jun mRNA after exposure to strain in the presence of the inhibitor of de novo protein biosynthesis, cycloheximide. This effect might be due to the inhibition of de novo synthesis of proteins that downregulate the transcription of both immediate-early genes. In addition, cycloheximide prevents synthesis of a protein, which degrades the poly (A) tail of certain mRNAs35 and thus superinduces many immediateearly response genes.36,37 Evidence that the induction of Egr-1 mRNA by strain is due to increased transcription was obtained with a 957-bp full-length promoter CAT construct. Known responsive elements in this promoter region include 2 AP-1 sites, 4 SP-1 sites, 2 cAMP response elements, 6 CArG-boxes or serum response elements, and 4 Egr-1 binding sites.38 Any of these, or as yet undefined sequences, could be “strain responsive elements.” Because the AP-1 transcription factor is composed of c-jun homodimers or c-jun/c-fos heterodimers, the induc- April 2, 1999 685 tion of c-jun but not c-fos by mechanical strain suggests the activation of c-jun homodimers in response to strain in VSM cells. The involvement of c-jun in the cellular response to mechanical strain is supported by recent data from this laboratory, which show the activation of c-jun amino terminal kinase by cyclic strain in VSM cells.39 In additional preliminary studies, we could show that the SP-1 protein is induced by strain, possibly also implicating SP-1 sites in the strain response.6 Recently, a functional interplay between Egr-1 and SP-1 in the PDGF-A– chain promoter has been elegantly demonstrated in bovine aortic endothelial cells in response to shear stress.12 In these studies, the binding of Egr-1 to the PDGF-A– chain promoter was induced by shear stress, which displaced SP-1 from their overlapping recognition elements. Ongoing work from our laboratory suggests a similar binding of the Egr-1 protein to its binding site in response to mechanical strain in VSM cells (E.W., H.E.I., unpublished data, 1998). In this work, we attempted to determine the minimal mechanical stimulus needed to activate Egr-1 gene activity. A single, transient, mechanical stimulus that lasted 5 minutes was shown to be sufficient to induce DNA synthesis in adult human VSM cells.40 In cardiac myocytes, c-fos mRNA was induced by as little as 1 minute of continuous mechanical strain.15 Surprisingly, in our system, even a single cycle of strain/relaxation that lasted only 1 second was sufficient to induce Egr-1 and c-jun mRNA. To our knowledge, this is the shortest duration of any mechanical perturbation reported to induce gene activity. The minimal magnitude of strain necessary to induce Egr-1 or c-jun mRNA by single cycle of strain/relaxation was between 5% and 10% (or 15% and 20% at the dish periphery). Because the strain profile on the dishes we used is not homogeneous and many of the cells are actually exposed to lesser degrees of strain, this value of 10% sets the upper limit of strain necessary to elicit a cellular response. After application of a single stretch that lasted 1 second to VSM cells grown on uniformly distensable silicone membranes and after incubation of these cells for 30 minutes in the relaxed position, we found a similar threshold level of Egr-1 mRNA induction in response to strain (H.M., D.D., H.E.I., unpublished data, 1998). The threshold strain level needed to induce Egr-1 mRNA by continuous cyclic strain was 5% lower than for a single perturbation. Although the system we studied cannot be directly compared with VSM cells in vivo, the threshold strain levels we determined are comparable to strains of 6% to 22% observed in certain intact blood vessels.3 It is also possible that the in vivo threshold for Egr-1 induction is reached only during injury to the vessel wall or in severe hypertension, when strain of the vessel wall is abnormally increased.41 Additional studies were aimed at determining the mechanism by which strain is sensed in VSM cells. Previous work from this laboratory indicates that strain is sensed by specific cell– extracellular matrix interactions.5 Induction of DNA synthesis and activation of MAP kinase was found in neonatal VSM cells stretched on collagen or FN but not in cells on LN5,39 This is not due to a failure of the cells to detect strain on LN, because strain increased expression of smooth muscle myosin isoforms8 and activated c-jun amino terminal kinase39 686 Immediate-Early Gene Induction by Mechanical Strain in cells on LN. Thus, cells respond differently to strain when they are plated on different matrix proteins. In the current work, we demonstrate that the induction of Egr-1 follows the pattern previously observed for the proliferative response to strain. Egr-1 mRNA was significantly increased in cells on Col I and the fibronectin-like protein FN but was not increased on LN. The maximal magnitude of Egr-1 induction on collagen I and FN was somewhat lower in this group of experiments than in the earlier experiments on Col I. This was probably due to the shorter period (24 hours versus 72 hours) allowed for the cells to achieve quiescence. The shorter time period was chosen to minimize de novo production of extracellular matrix proteins, which might have interfered with the impact of the specific matrix proteins used to coat the silicone dishes. We do not yet know the significance of the higher basal (without strain) expression of Egr-1 in cells plated on LN, but it is consistent with higher basal rates of thymidine incorporation in cells plated on LN than on Col I or fibronectin.5 The basal expression of c-jun was increased on LN in a similar way. In contrast, c-jun mRNA expression after application of mechanical strain is similar on all 3 extracellular matrices tested. Thus, the effect of strain on Egr-1 expression is closely correlated with its effect on DNA synthesis in cells on various extracellular matrix proteins. This observation supports the hypothesis that Egr-1 may contribute to the induction of PDGF-A transcription and ultimately secretion of PDGF in response to strain.4,6 On the other hand, c-jun mRNA transcription and c-jun amino terminal kinase are activated on collagen, FN, and LN. This pattern of activation might reflect a matrix-independent, more general response to extracellular stress in VSM cells. VSM cells in the media of large arteries in vivo (eg, in the aorta, in which mechanical stimuli of 6% to 22% strain are relevant) are mainly surrounded by collagen (mainly type I).42 In pathophysiological stages, mainly in late-stage atherosclerosis, in which increased mechanical forces act on the cells of the vessel wall, smooth muscle cells dedifferentiate more, start to grow, and increase DNA synthesis. During this process, they synthesize and secrete connective tissue matrix molecules such as collagen to potentiate this change of smooth muscle cell phenotype. Typical smooth muscles of this active and proliferating type can be found in the fibrous cap of the fibrous plaque. Therefore, the induction of mitogenic gene products like Egr-1 and c-jun by increased mechanical strain found on Col I– coated plates in vitro might be involved in these pathophysiological changes of the vessel wall in vivo. Finally, we examined the expression and translocation of Egr-1 protein in response to strain. The induction of the Egr-1 protein after strain reaches its maximum after 1 hour is delayed only slightly compared with the maximum Egr-1 mRNA transcription. The 2.1-fold increase in Egr-1 protein by mechanical strain (Figure 9) is less than the '10-fold induction of Egr-1 transcription (Figure 1). This difference may have several explanations, including regulation at the posttranscriptional and posttranslational levels, and the presence of a pool of Egr-1 protein present in the basal state, as observed in immunofluorescence images of unstrained cells (Figure 10). The physiological relevance of the induction of Egr-1 by strain was further demonstrated by the translocation of Egr-1 protein from the perinuclear space to the nucleus after exposure to 30 to 60 minutes of continuous cyclic strain. Interestingly, this Egr-1 translocation was only detected at the periphery of the Flexcell plates at which strain was maximal (25%) and not at the center of the plates, at which strain was less than 3%. This finding suggests an initial direct effect of strain on Egr-1 translocation rather than an indirect effect of secreted factors, such as PDGF. PDGF has previously been shown to be secreted into the medium after several hours exposure of VSM cells to strain.4 In addition, these data suggest that translocation of Egr-1 requires strain, which, as noted above for mRNA induction, is in the range observed in intact blood vessels. In summary, our results indicate that Egr-1 and c-jun expression and translocation are exquisitely sensitive to mechanical strain in VSM cells. The signal transduction pathway for this induction involves specific cell/matrix interactions. In response to strain, Egr-1 and c-jun may then participate in the regulation of other genes as part of developmental processes or in the adaptive response to injury or hypertension. 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