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Originally published In Press as doi:10.1074/jbc.M600214200 on May 16, 2006

J. Biol. Chem., Vol. 281, Issue 29, 20608-20622, July 21, 2006
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Mechanical Stretch Modulates the Promoter Activity of the Profibrotic Factor CCN2 through Increased Actin Polymerization and NF-{kappa}B Activation*

Brahim Chaqour1, Ru Yang, and Quan Sha

From the Department of Anatomy and Cell Biology, State University of New York Downstate Medical Center, Brooklyn, New York 11203

The connective tissue growth factor known as CCN2 is an inducible, profibrotic molecule that becomes aberrantly expressed in mechanical overload-bearing tissues. In this study, we found that CCN2 gene expression is rapidly induced in cyclically stretched bladder smooth muscle cells (SMCs) in vitro and in the detrusor muscle of a mechanically overloaded bladder in a rat model of experimental urethral obstruction. The activity of CCN2 promoter constructs, transiently transfected into cultured SMCs, was increased (up to 6-fold) by continuous cyclic stretching. Molecular analyses of the CCN2 promoter by serial construct deletions, cis-element mutagenesis, and electrophoretic mobility shift assays revealed that a highly conserved NF-{kappa}B binding site located within the CCN2 proximal promoter region is responsible for the activation of the promoter by stretch. Chromatin immunoprecipitation assays showed that NF-{kappa}B binds to the endogenous CCN2 promoter in both stretched cells and mechanically overloaded bladder tissues. Furthermore, stretch-dependent CCN2 promoter activity was significantly reduced upon inhibition of either phosphatidylinositol 3-kinase, p38 stress-activated kinase, or RhoA GTPase and was completely abolished upon inhibition of actin polymerization. Concordantly, actin polymerization was increased in either mechanically stretched cells or overloaded bladder tissues. Incubation of cultured SMCs with a cell-penetrating peptide containing the N-terminal sequence, Ac-EEED, of smooth muscle {alpha}-actin, altered both actin cytoskeleton organization and stretch-mediated nuclear relocation of NF-{kappa}B, and subsequently, it reduced CCN2 promoter activity. Thus, mechanical stretch-induced changes in actin dynamics mediate NF-{kappa}B activation and induce CCN2 gene expression, which probably initiates the fibrotic reactions observed in mechanical overloadassociated pathologies.


Received for publication, January 9, 2006 , and in revised form, May 15, 2006.

* This work was supported by NIDDK, National Institutes of Health, Grants R01-DK060572 and R21-DK068483 (to B. C.). The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

1 To whom correspondence should be addressed: Dept. of Anatomy and Cell Biology, State University of New York Downstate Medical Center, 450 Clarkson Ave., Box 5, Brooklyn, NY 11203. Tel.: 718-270-8285; Fax: 718-270-3732; E-mail: bchaqour{at}downstate.edu.


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