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Cardiovascular Research Institute, Departments of Surgery and Medical Physiology, Texas A & M University System Health Science Center, Temple, Texas 76504
| ABSTRACT |
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, ß1, and ß2 mRNAs were sequenced, and real-time RT-PCR assays were developed for PKC mRNA quantification. The results showed a significant increase in the mRNA levels of PKC
, ß1, and ß2 in the heart at 48 wk of diabetes. In concomitance, the PKCß1 and ß2 genes, but not the PKC
gene, were upregulated in the diabetic aorta. Correspondingly, there was a significant increase in the protein expression of PKC
and ß2 in the heart and PKCß2 in the aorta with a time course correlated to that of mRNA expression. In summary, PKCß2 was significantly upregulated in the heart and aorta at both the transcriptional and translational levels during early stages of experimental diabetes, suggesting that PKCß2 may be a prominent target of diabetic injury in the cardiovascular system. hyperglycemia; protein kinase C; gene and protein expression; real-time reverse transcription polymerase chain reaction
| INTRODUCTION |
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The PKC family consists of multiple isoforms, categorized into the classic (e.g.,
, ß1, ß2, and
), the novel (
,
,
,
, µ, and
), and the atypical (
and
) groups (8, 28, 38). These isozymes show distinct expression patterns and stimulate diverse cell responses (8, 15, 28, 35, 38). Among these isoforms, the classic group, especially PKC
and ß, are better characterized, and their potential impacts on the cardiovascular system are emphasized (11, 1416, 1819, 25, 28, 38). For example, recent studies reveal a preferential increase of PKCß synthesis and activity in cardiovascular tissues of diabetic animals (16, 24, 25, 44) as well as in failing hearts of human patients (3, 34). Overexpression of PKCß in the myocardium of transgenic mice induces myocardial hypertrophy and impairs ventricular function (4, 37). Oral administration of a PKCß-specific inhibitor normalizes blood flow and vascular barrier function in several organs of diabetic animals (6, 18, 21, 22). The same treatment prevents the impairment of endothelium-dependent vasodilation caused by hyperglycemia in humans (2, 13). In addition to PKCß, some studies show that elevated glucose activates PKC
(8, 19, 25) and induces vascular endothelial hyperpermeability (14), which is an important mechanism underlying the development of atherosclerotic lesion. Although it is generally agreed that PKC activation contributes to the cardiovascular dysfunction (15, 28, 35), no consensus has been reached regarding the molecular basis of PKC upregulation in hyperglycemia or diabetes. In particular, it is not clear whether the cardiovascular impact of PKC is due to an increased gene/protein expression of the enzyme or merely a posttranslational modulation of its kinase activity.
Streptozotocin (STZ) ablation of the pancreatic ß-cells has been used in various animal species for studying type 1 diabetes-related abnormalities. We have previously modified this technique to establish a swine model of diabetes. We are particularly interested in the swine because of its high comparability to humans in the anatomy and physiology of the cardiovascular systems (20). In addition, the swine is one of the few human-relevant animal models that can develop diabetic atherosclerosis. Our subsequent studies with this model (44) have demonstrated an increase in the enzymatic activity of PKC and its contribution to coronary microvascular barrier dysfunction in the heart. The purpose of this study was to examine the transcriptional and translational regulation of the classic PKC isozymes during the initial stages of diabetes in the same animal model. To quantitatively assess the expression of specific PKC genes, we have cloned and sequenced partial regions of the cDNA for porcine PKC
, ß1, and ß2, and developed a real-time RT-PCR assay based on the TaqMan methodology (7). The results showed differential upregulation of PKC genes and isozymes in the heart and aorta at both the 4th week and 6th to 8th week of experimental diabetes. Although both PKC
and PKCß genes were upregulated in the heart, only PKCß expression was elevated in the aorta. Importantly, there were corresponding increases in the mRNA level and protein expression for PKCß2 in both tissues, suggesting that PKCß2 may be a prominent target of diabetic injury in the cardiovascular system.
| MATERIALS AND METHODS |
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RNA extraction and RT-PCR.
Total RNA was extracted from either the homogenized ventricular myocardium or the aorta segment by using the ToTOLLY RNA Kit (Ambion, Austin, TX) according to the suppliers instructions. Primers were designed based on known sequences of the human PKC
, ß1, and ß2 mRNAs (Table 1) and were used to amplify the corresponding cDNAs of porcine PKC isoforms with the TiTan One Tube RT-PCR System (Roche Molecular Biochemicals, Mannheim, Germany). The reaction mixture was incubated at 45°C for 60 min, followed by denaturation at 94°C for 3 min. Then 35 cycles of denaturation, annealing, and elongation were performed at 94°C for 30 s, 45°C for 30 s, and 72°C for 90 s, respectively. The PCR products of expected sizes were sequenced directly; sequence analysis and multiple alignments were performed using the Lasergene software (DNASTAR, Madison, WI).
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, ß1, and ß2 mRNAs; 1 ng for GAPDH mRNA detection). The reaction mixture was incubated at 48°C for 30 min and then at 95°C for 10 min, followed by 40 cycles of denaturation at 95°C for 15 s and annealing/amplification at 60°C for 1 min. For each assay, a relative standard curve was obtained through serial dilutions of the total RNA. The target quantity was determined based on the standard curve and then normalized to that of the GAPDH control. The relative expression levels of target genes were presented as percentage of controls.
GenBank accession number.
The GenBank accession numbers for the partial mRNA sequences of pig PKC
, ß1, and ß2 are AY093442, AY093443, and AY093444, respectively.
Immunoblotting.
A trunk of ventricular tissue or a segment of aorta was homogenized and lysed in 50 mmol/l Tris-HCl, pH 7.5, containing 1% Triton X-100 and a cocktail of protease inhibitors. The clarified lysate was fractionated with SDS-PAGE on 8% gel and then transferred to nitrocellulose membrane. The membrane was incubated overnight at 4°C with a primary polyclonal antibody to a PKC isoform (either
, ß1, or ß2) (Santa Cruz Biotechnology, Santa Cruz, CA), followed by incubation with a secondary antibody conjugated to horseradish peroxidase. The immunoreactive bands were detected with LumiGLO chemiluminescent substrate (Cell Signaling, Beverly, MA), scanned by reflectance-scanning densitometry and quantified using NIH Image software. Protein concentrations of the supernatant were measured according to the Bradford method.
Data analysis.
In each experiment, the levels of mRNA and protein expression in diabetic pigs were compared with those obtained from age-matched control pigs and presented as percentages of controls. All data are expressed as means ± SE, with n representing the number of pigs used in the study. Analysis of variance was used to evaluate the significance of intergroup differences. P < 0.05 was considered significant for the comparisons.
| RESULTS |
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gene was 92% in nucleotides and 99% in amino acids identical to human PKC
in the 5' regions (830 bp). The porcine PKCß1 and ß2 mRNAs had an identical nucleotide sequence in the 5' region from 1703 to 2000 (based on human PKCß1 numbering) but comprised distinct 3' terminal coding and nontranslated regions. In the sequenced 3' region (771 bp) of PKCß1, the swine shared 92% nucleotide and 100% amino acid sequence identity with the humans. Similarly, the nucleotide and amino acid sequences were 91% and 100% identical between the pigs and humans in the partial 3' region of PKCß2.
In the real-time RT-PCR assay, all the relative standard curves showed a strong linear relationship between the CT values and the RNA concentrations. The slopes of relative standard curves for the target genes were -2.692 for PKC
(r = 0.9966; CT standard deviation 0.0426 to 0.268), -3.4107 for PKCß1 (r = 0.9977, CT standard deviation 0.0535 to 0.309), -3.5338 for PKCß2 (r = 0.9973, CT standard deviation 0.0861 to 0.1911), and -3.1385 for GAPDH (r = 0.9963, CT standard deviation 0.00017 to 0.0234), respectively.
As shown in Figs. 13, significant increases in the mRNA levels of PKC
(Fig. 1A), PKCß1 (Fig. 2A), and PKCß2 (Fig. 3A) were observed in the pig heart during the progress of diabetes. The upregulation of PKC
and PKCß2 genes appeared to start as early as the second week but was most significantly seen at 4 wk after STZ treatment. In the aorta, the expression of PKC
mRNA was not altered after induction of diabetes (Fig. 4A). However, both the PKCß1 and ß2 genes were expressed at a higher level at 4 wk and 68 wk of diabetes (see Figs. 5A and 6A).
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and ß2 were significantly elevated in the diabetic heart at 4 and 68 wk (Figs. 1B and 3B). In the aorta, only the ß2 isozyme was significantly increased in the same period (Fig. 6B). Although PKC
was detected in abundance in control vessels, its protein level was not significantly altered by diabetes at the early time points (Fig. 4B), consistent with the detection of unaltered mRNA expression of this isoform shown in Fig. 4A. Interestingly, the PKCß1 protein expression showed no evident change in both the heart and aorta (Figs. 2B and 5B). | DISCUSSION |
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Numerous clinical trials and animal experiments support a role for PKCs in the initiation and progression of diabetic complications. A sustained elevation of PKC activity is observed in various cardiac and vascular tissues during diabetes or hyperglycemia (9, 11, 16, 18, 24, 25, 33, 41, 42), correlating with the development of angiopathy, retinopathy, and nephropathy (15, 28, 38). In the heart, a causal relationship has been established between PKC activation and diabetic cardiomyopathy (3, 11, 27, 3437). Treatment with selective PKC inhibitors normalizes the circulatory disturbance and prevents glucose-induced vascular leakage induced by hyperglycemia and diabetes (6, 18, 21, 22).
The signaling pathways leading to PKC activation have been the subject of extensive investigation. Recent evidence indicates that hyperglycemia induces de novo synthesis of diacylglycerol (DAG) (9, 1618, 24, 28, 33, 40, 41), which stimulates PKC kinase activity by causing its subcellular translocation from the cytosol to the plasma membrane (15, 28, 30, 38). Although the translocation serves as an indication of functional activation of the enzyme, the process per se is insufficient to explain the overall increase in PKC contents during diabetes (8, 9, 11, 16, 19, 25, 30, 41). In addition, DAG is known to activate multiple PKC isoforms, yet only a limited number of isoforms are detected with increased kinase activities in diabetic vascular tissues (8, 15, 28, 30, 38). Therefore, it is likely that other mechanisms are involved in the upregulation of the kinase. Our data suggest that hyperglycemia may increase both the abundance and activity of PKC by upregulating its gene and protein expression. To our knowledge, this is the first report providing direct evidence for diabetes-associated PKC abnormality at both the transcriptional and translational levels. The finding of PKC gene upregulation may open an avenue for therapeutic targeting of selective PKC isozymes.
However, the molecular mechanism by which hyperglycemia induces differential upregulation of PKC genes and proteins remains elusive. Multiple factors and their complex interactions may be involved in the regulatory pathway, and potential PKC regulators include DAG and other phospholipids, PDK (phosphoinositide-dependent kinase), RACKs (C kinase receptors), and tyrosine and serine/threonine kinases (29, 30, 32). Within this context, blood glucose is a potent stimulator of de novo synthesis of DAG and it also induces lipid synthesis and free fatty acid (FFA) production as indicated by a parallel increase in the levels of plasma FFA and blood glucose in diabetic patients (10, 26, 39). FFAs in turn further stimulate DAG synthesis (1, 10, 26, 39, 43) propagating the PKC signaling. Thus it is possible that hyperglycemia and/or hyperglycemia-increased FFA activate PKC by stimulating the synthesis of DAG, which acts as a positive regulatory feedback mechanism to increase the transcription and translation of PKC genes. Furthermore, FFAs or glucose metabolites may enhance the expression of RACKs at specific subcellular structures, resulting in selective recruitment of PKC isozymes to membrane compartments (5, 10, 29, 30, 32, 39). Sustained membrane translocation may cause a relative reduction of cytosolic PKC, which signals a further PKC synthesis. This hypothesis could partially explain the preferential upregulation of PKC isozymes in diabetic vascular tissues. Another potential mechanism involved in PKC regulation is the hyperglycemia-induced oxidative stress and subsequent activation of stress-sensitive signaling pathways including nuclear factor-
B, p38 MAP kinase, and NH2-terminal Jun kinase (5, 10).
PKC
is implicated in the mediation of vascular dysfunction in diabetes (11, 14, 19, 25). It has been shown that D-glucose treatment increases the permeability of cultured aortic endothelial cells via a PKC
-dependent mechanism (14). Interestingly, we detected a significant increase in the PKC
expression in the heart but not in the aorta. This result is consistent with previous studies in diabetic rats (11, 16, 19, 25). It is likely that the regulation of specific PKC isoforms varies across species and tissues. In this regard, our analysis was performed in the pig, a human-relevant animal model that develops diabetic cardiovascular complications characteristic of human disease. To date we have not found any literature reports regarding PKC
expression in diabetic vessels of either patients or pigs.
In contrast to the
isoform, the PKCß isoforms (predominantly ß2) were expressed at a higher level in both the heart and aorta under the diabetic condition, suggesting that PKCß may be a prominent target of hyperglycemic injury in the cardiovascular system. In support of this notion, a preferential increase in PKCß activity was observed in the diabetic heart and aorta (16, 24, 25, 44) as well as in cultured aortic endothelial and smooth muscle cells exposed to high glucose (16, 24). The importance of the ß isozyme in the pathological regulation of cardiovascular function is substantiated by studies in which oral administration of LY333531, a PKCß-specific inhibitor, ameliorates abnormal hemodynamics in multiple organs of diabetic animals (2, 6, 18, 21, 22). The similar inhibitors also correct coronary vascular leakage induced by high concentrations of D-glucose and experimental diabetes (44). Furthermore, overexpression of PKCß2 in the heart induces ventricular hypertrophy, myocardial fibrosis, and impaired cardiac performance, which are characteristics of diabetic cardiomyopathy (37).
While a correlated upregulation of mRNA expression and protein synthesis was observed for both the
and ß isoforms at 4 wk of diabetes, there was an evident, but not statistically significant, increase in the cardiac PKCß2 protein content at 2 wk, when its respective mRNA level showed no apparent changes. Although the precise molecular reactions leading to such a phenomenon were not revealed, multiple factors could play a role in the increased protein levels. For example, hyperglycemia might exert an acute effect on the cardiomyocytes to augment mRNA translatability or protein stability of particular PKC isoforms. This mechanism could also contribute to the observed preferential activation of PKCß2 in the diabetic hearts and aortas. In addition, we noted that the increase in PKCß2 protein content was concomitant with an unchanged or slightly decreased PKCß1 protein expression. A possible explanation for this is that the synthesis of the ß1 isozyme may be differently regulated at the posttranscriptional level. It is known that the ß1 and ß2 mRNAs are generated through alternative splicing from a single transcript, rendering the isoforms different from each other only in a very short (50 amino acids) sequence at the carboxy terminus (23, 31). Again, mRNA translatability, protein stability, posttranslational modification and degradation may alternatively influence the protein expression of the isozymes in diabetes. It has been shown that in colon tumors both PKCß1 and ß2 are expressed with a high mRNA level, but only ß2 shows an increased protein expression, in contrast with a dramatic decrease in ß1 protein levels (12).
Quantification of mRNA expression of specific genes has always been essential to the studies of gene regulation. Current methods used for mRNA quantification include Northern blotting, dot hybridization, quantitative in situ hybridization, RNase protection assay, RT-PCR, competitive RT-PCR, and cDNA arrays (7). Most of these methods have inherent limitations such as low sensitivity and the requirement of extensive optimization with exogenous competitors or post-assay manipulations and thus are less desirable for quantification of low-abundance mRNAs. Real-time RT-PCR detects targets at the geometric phase of amplification, in contrast to the linear phase in competitive RT-PCR, thence ensuring the assay precision and accuracy. In this study, the use of gene-specific TaqMan probes conferred the assay specificity, allowing differential quantification of the alternative splice variants of PKCß transcript. We found that the method was rapid, exquisitely sensitive, reproducible, reliable, and of high throughput. To our understanding, this is the first report on real-time RT-PCR quantification of PKC
and PKCß mRNA expression.
In summary, this study reports molecular analyses of PKC
, ß1, and ß2 genes and isozymes in the porcine cardiovascular tissues during early stages of experimental diabetes. The results reveal a preferential increase in the mRNA expression and protein content of PKCß2, suggesting that PKCß2 upregulation may contribute to cardiovascular dysfunction in the disease. The significance of the current study resides with the quantitative assessment of PKC gene profiles in a human-relevant animal model, which provides an association between hyperglycemia and PKC abnormality. Further studies are necessary to establish the causal role and precise mechanisms of hyperglycemia in the regulation of PKC synthesis and function.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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Address for reprint requests and other correspondence: S. Y. Yuan, Dept. of Surgery and Medical Physiology, Texas A&M Univ. System Health Science Center, 702 Southwest H. K. Dodgen Loop, Temple, TX 76504 (E-mail: yuan{at}tamu.edu).
10.1152/physiolgenomics.00125.2002.
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