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Originally published In Press as doi:10.1074/jbc.M203221200 on May 30, 2002
J. Biol. Chem., Vol. 277, Issue 32, 28656-28662, August 9, 2002
Thyroid Hormone Receptor 1 Regulates Expression of
the Na+/H+ Exchanger (NHE1)*
Xiuju
Li ,
Angelika J.
Misik ,
Carmen V.
Rieder ,
R. John
Solaro§,
Anice
Lowen , and
Larry
Fliegel ¶
From the Department of Biochemistry, Faculty of
Medicine, Canadian Institute of Health Research Membrane Protein
Research Group, University of Alberta, Edmonton, Alberta T6G 2H7,
Canada and the § Department of Physiology and Biophysics,
College of Medicine, University of Illinois at Chicago,
Chicago, Illinois 60612-7342
Received for publication, April 4, 2002, and in revised form, May 20, 2002
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ABSTRACT |
In this paper we examine the role of thyroid
hormone in regulating expression of the
Na+/H+ exchanger. Thyroid hormone has
been reported to regulate the activity of the
Na+/H+ exchanger messenger RNA in some cell
types. Treatment of cardiac myocytes with 3,5',3'-triiodothyronine
results in an increased expression of Na+/H+
exchanger protein. Also, compared with euthyroid animals, hypothyroid rats express decreased amounts of the Na+/H+
exchanger protein. To examine the mechanisms involved in regulating expression of the Na+/H+ exchanger, we have
characterized the regulation of a distal element of the NHE1 promoter
by the thyroid hormone receptor. We have previously shown that a
1085/ 800 nucleotide (nt) region of the promoter is a modular
element with a 841/ 800 nt activating element. Using electrophoretic
mobility shift assay, we show that this element interacts with thyroid
hormone receptor TR 1, a nuclear hormone receptor. The
addition of exogenous TR increased transcriptional activity of the
841/ 800 nt element of the Na+/H+ exchanger
promoter. We show that TR binds to a region on the 841/ 800 nt
element that is near, but not identical, to the previously identified
chicken ovalbumin upstream promoter transcription factor-binding site. Our results are the first demonstration that thyroid hormone and
the thyroid hormone receptor TR 1 regulate expression of
the Na+/H+ exchanger.
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INTRODUCTION |
The Na+/H+ exchanger is a plasma membrane
protein that removes an intracellular proton, exchanging it with an
extracellular sodium. By doing so, the Na+/H+
exchanger raises intracellular pH and so, not surprisingly, it responds
to intracellular acidification with increased activity. In addition,
Na+/H+ exchange activity is stimulated by a
variety of growth factors (1). There are several isoforms of the
Na+/H+ exchanger: NHE1-NHE7. NHE1, which was
the first isoform cloned (2), is ubiquitously expressed in the plasma
membrane of mammalian cells, whereas the other isoforms show more
restricted tissue distributions (3). The Na+/H+
exchanger is important in many cell types in raising intracellular pH
during cell growth and differentiation (4, 5). It is also involved in
the damage that occurs to the myocardium during ischemia and
reperfusion. As a result of this, inhibition of the Na+/H+ exchanger is cardioprotective, and new
inhibitors are currently being developed for clinical use (6).
The regulation of expression of the Na+/H+
exchanger has not yet been thoroughly studied. It is known that
expression of the exchanger is elevated during cellular differentiation
(5, 7). Acidosis and ischemia have also been reported to increase the expression of NHE1 in some cell types, including the kidney, the lymphocytes, and the myocardium (9-11). More recently, hypertrophy has
been shown to increase expression of NHE1 (12), and the Na+/H+ exchanger has been implicated in the
etiology of hypertrophy and in ischemic heart disease (13). We have
recently demonstrated that message levels for NHE1 are increased in the
hearts of hyperthyroid rats (14).
The promoter-transcription factor interactions that lead to
transcriptional regulation of the NHE1 gene are only now beginning to
be understood. Proximal elements involved in regulation of NHE1
expression include AP-1, AP-2, and CCAAT/enhancer-binding protein (15-17). In addition, we have found that a more distal serum-responsive element exists at 1085 to 800
nt1 from the start site (18).
Within this region we identified a novel enhancer element, at 841 to
800 nt, that binds chicken ovalbumin upstream promoter transcription
factors I and II (COUP-TFI and COUP-TFII, respectively) and that
regulates NHE1 expression (19). In this study, we show that thyroid
hormone can increase expression of the Na+/H+
exchanger in the myocardium. We demonstrate that the novel enhancer element (at 841 to 800 nt), acting upstream of the proximal regulatory elements of the promoter, regulates expression of NHE1 in
response to the thyroid hormone receptor. Our results suggest that
thyroid hormone, acting through the thyroid hormone receptor, is an
important regulator of Na+/H+ exchanger gene expression.
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EXPERIMENTAL PROCEDURES |
Materials--
DNA-modifying enzymes were obtained from
Roche Molecular Biochemicals, PerkinElmer Life Sciences, and
Invitrogen. pGEM, pSP, and pGL plasmids were from Promega (Madison,
WI). pTK 81 and pTK 40-CAT were generous gifts of Dr. R Rachubinski
(Department Cell Biology, University of Alberta, Edmonton,
Canada) and Dr. L. Belanger (University Laval, Quebec,
Canada), respectively. [ -32P]dCTP was purchased from
ICN Biomedicals (Irvine, CA). All of the other chemicals were of
analytical or molecular biology grade and were purchased from Fisher,
Sigma, or BDH (Toronto, Canada). The vectors for in
vitro and mammalian expression of COUP-TFI and COUP-TFII and rat
TR 1 transcription factors have been described earlier
(19, 20). CV1 cells were a gift of Dr. Mona Nemer (Clinical Research
Institute of Montreal, Montreal, Canada).
Isolation of Ventricular Myocytes--
Primary myocyte cultures
were prepared from neonatal Sprague-Dawley rats as described previously
(21). The hearts were removed from 5-6-day-old rats under aseptic
conditions, and the ventricles were minced to small size. The tissue
was digested with a series of collagenase (0.1%) treatments at
37 °C. Dissociated mixtures of cells were incubated in Corning T-75
culture flasks at 37 °C in a humidified atmosphere (5%
CO2, 95% air) for 20 min. During this time, nonmyocytes
(fibroblasts, endothelial cells, and smooth muscle cells) attach, and
most of the myocytes remain in suspension. Subsequently, the myocytes
were removed and plated onto PrimariaTM (Falcon) culture
dishes. The myocytes were maintained for 4-5 days in medium containing
Dulbecco's modified Eagle's medium/Ham's F-12 medium
supplemented with 10% fetal bovine serum, 10 µg/ml transferrin, 10 µg/ml insulin, 10 ng/ml selenium, 50 units/ml penicillin, 50 µg/ml
streptomycin, 2 mg/ml bovine serum albumin, 5 µg/ml linoleic acid, 3 mM pyruvic acid, 0.1 mM minimum essential medium nonessential amino acids, 10% minimum essential medium vitamin,
0.1 mM bromodeoxyuridine, 100 µm L-ascorbic
acid, and 30 mM HEPES, pH 7.1. To determine the effect of
3,5',3'-triiodothyronine (T3) on Na+/H+
exchanger message levels, the cells were maintained for 24 h in
serum-free medium containing the presence or absence of
10 7 M T3. A microsome preparation was made
for the analysis of NHE1 protein expression. The cells from three to
five 35-mm Petri dishes were washed with cold phosphate-buffered saline
and recovered manually in the absence of trypsin. They were centrifuged
at 5000 × g for 3 min. The pelleted cells were
suspended in 5 ml of lysis buffer consisting of 10 mM Tris,
pH 8.0, 25 mM KCl, 2 mM MgCl2, 2 mM EGTA, and 2 mM EDTA and incubated on ice for
10-15 min. A protease inhibitor mixture was added (22), and the sample
was homogenized with 40 strokes of a tight fitting Dounce homogenizer. A further 7.5 ml of lysis buffer with 250 mM sucrose and 2 mM 2-mercaptoethanol was added, and the sample was
homogenized for a further 20 strokes. The sample was then centrifuged
at 16,000 × g for 15 min, and the supernatant was spun
at 137,000 × g for 75 min. The final pellet was
suspended in 10 mM Tris-HCl, 1 mM EDTA, pH 7.4, and equal amounts of protein were assayed for NHE1 protein content by
Western blot analysis.
Cell Culture, Cell Transfection, and Reporter Assays--
NIH
3T3 and CV1 cells were maintained in Dulbecco's modified Eagle's
medium containing 10% fetal bovine serum and 100 µg/ml of penicillin
G-streptomycin as described earlier (19). The cells were transiently
transfected with purified plasmids (Qiagen, Chatworth, CA) at 50%
confluence using CaPO4 as described earlier (18). For
transient transfections, 5 µg of reporter plasmid was used unless
noted otherwise. Following transfection, the cells were incubated in
medium containing 0.5 or 10% fetal bovine serum without phenol red
(Sigma). Thirty-six hours after transfection, the cells were harvested,
and the cell lysates were assayed for protein concentration,
luciferase, and -galactosidase activities as described earlier (19).
The expression vectors for transcription factors (0.25-2.5 µg/plate)
were added together with the promoter-reporter vectors (2.5 µg/plate).
Preparation of Total Protein from Tissues--
Ventricular
tissue of hearts was harvested from hypothyroid, euthyroid, or
hyperthyroid rats. The tissues were placed in a buffer containing 1 M NaCl, 100 mM Tris, pH 7.4, 0.1 mM
phenylmethylsulfonyl fluoride, 0.1 mM benzamidine, 37.5 µM ALLN (calpain I inhibitor), and a proteinase
inhibitor mixture for homogenization (22). The samples were homogenized
at 4 °C for 30 s, incubated on ice for 30 s, and then
homogenized again for 30 s using an Omni International 2000 electric homogenizer. To obtain crude membrane fractions (which
contained the NHE1 protein within membranes), homogenates were
subjected to a number of centrifugation steps. Initial centrifugation was for 10' at 3,000 rpm. The pellet was discarded, and the supernatant was centrifuged at 10,000 rpm for 15 min. The resulting pellet was
again discarded, and the supernatant was centrifuged at 100,000 × g for 1 h to obtain a fraction enriched in crude
microsomes. The microsomal pellet was resuspended in the same buffer as
described above with the addition of 1% SDS to aid in solubilization.
The total protein was quantified using the Bio-Rad DC protein assay kit.
Thyroid Animal Models--
Three groups of Sprague-Dawley rats
(100-150 g) were used essentially as described earlier (14). The
control group received no treatment, whereas two other groups were made
hypothyroid by the addition of 0.025% methimazole to their drinking
water for 4 weeks. After 4 weeks one of the hypothyroid groups was made hyperthyroid by intraperitoneal injection of 15 µg/100 g of body weight of T3 for 5 days. The thyroid status of each animal was determined by measuring serum T3 at the time of sacrifice (14).
NHE1 Immunoblots--
An anti-NHE1 monoclonal antibody was
purchased from CHEMICON International, Inc. to quantify NHE1 protein in
crude microsomes. This antibody was generated in mice using an
immunogen that consisted of the entire C-terminal hydrophilic domain of
NHE1 coupled to a maltose-binding protein. Although porcine NHE1 was
used as the immunogen to generate the antibody, NHE1 is highly
conserved between mammalian species.
For NHE1 immunoblots, crude membrane fractions containing 60-100 µg
of total protein were run on 10% polyacrylamide gels, followed by
transfer to nitrocellulose membranes. The membranes were stained with
Ponceau S to confirm that all of the lanes were loaded equally. The
membranes were then incubated overnight at 4 °C in 10% milk with
TBS, followed by washing three times for 5 min each in TBS at room
temperature. The membranes were probed at 4 °C overnight with
anti-NHE1 monoclonal antibody (Chemicon) (1:2000) in TBS. Following
three washes of 5 min each with TBS, the membranes were incubated with
goat anti-mouse antibody (1:5000) in TBS at room temperature for 1 h. After three 5-min washes, with TBS the Amersham Biosciences ECL
reaction was used to visualize immunoreactivity. The blots were scanned
and quantified using Image Gauge (Bio-Rad) software essentially as
described earlier (23).
Construction of Plasmids--
Construction of plasmids
containing the Na+/H+ exchanger promoter
fragments was as described earlier (19). Briefly, synthetic oligonucleotides were used to amplify regions 1085 to 800 of the
NHE1 promoter or the 108 to 842 region. These fragments were
subcloned into the luciferase reporter vector pXP1 upstream of the
minimal NHE1 promoter, which contains the 92 to +24 region of the
mouse NHE1 promoter (17, 19). For some experiments we amplified the
841/ 800 nt element of the NHE1 promoter and inserted four tandem
copies upstream of the wild type NHE1 minimal promoter. This multiple
element was also inserted upstream of the thymidine kinase minimal
promoter directing luciferase expression as described earlier (19).
Electrophoretic Mobility Shift Binding
Assays--
Electrophoretic mobility shift binding assays (EMSA) were
essentially as described earlier (19). Briefly, wild type synthetic oligonucleotides or mutants of the 841/ 800 nt NHE1 region were used
after annealing and labeling with Klenow and
[ -32P]dCTP. The wild type sequence 841 to 800 and
the mutants M1-M3 are: wt, 841GGGTCTCCCT
ACTGACCTCA GCCTGGTCTA GAACTCACTT 800; M1,
841GGGCGATATA ACTGACCTCA GCCTGGTCTA
GAACTCACTT 800; M2, 841GGGTCTC CCT
ACCAAAACCA GCCTGGTCTA GAACTCACTT 800; and M3,
841GGGTCTCCCT ACTGACCTCA GCAAACCCTA
GAACTCACTT 800.
DNA binding reactions were performed at room temperature using samples
of reticulocyte lysates in binding buffer (5% glycerol, 5 mM MgCl2, 0.5 mM dithiothreitol,
0.5 mM phenylmethylsulfonyl fluoride, 20 mM
Tris-HCl, pH 7.0) in the presence of 1 µg of poly(dI-dC), 0.1 µg of
carrier DNA (salmon sperm DNA), and 5 µg of bovine serum albumin. The
electrophoresis and autoradiography conditions were as described (19).
The nuclear extracts were prepared from isolated myocytes essentially
as described earlier (19). In vitro
transcription-translation assays of COUP-TFI, COUP-TFII, and
TR 1 were with a rabbit reticulocyte lysate system
(Promega) as described earlier (19). The efficiency of the reaction was
judged by SDS-PAGE of samples translated concomitantly with
L-[35S]methionine. Electrophoretic mobility
shift assays used 1-3 µl of programmed lysate or unprogrammed lysate
for controls, and 10 µg of nuclear extracts of myocytes were used.
For some EMSA a fragment of the antithrombin III promoter (AT)
(19, 20) or the peroxisome proliferator-responsive element of the rat
hydratase dehydrogenase gene (HD-PPRE) (20) were used as
controls for COUP-TF and TR , respectively.
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RESULTS |
Previous experiments have suggested that messenger RNA levels for
the NHE1 isoform of the Na+/H+ exchanger are
increased in the hyperthyroid heart (compared with euthyroid and
hypothyroid hearts) (14). We used two models to determine whether
amounts of NHE1 protein are also elevated in the myocardium in response
to thyroid hormone. In initial experiments we used primary cultures of
neonatal cardiac myocytes (Fig. 1). Fig.
1A is a representative Western blot, whereas Fig.
1B summarizes the results of six distinct experiments. We
found that treatment of isolated myocytes with T3 resulted in increased
expression of the Na+/H+ exchanger protein
relative to untreated cells. The treatment increased NHE1 expression by
~75%.

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Fig. 1.
Western blot analysis of
Na+/H+ exchanger expression in primary cultures
of isolated myocytes treated with T3. A, example of
Western blot of control (C) and T3-treated (T3)
primary cultures of isolated myocytes. B, summary of six
experiments. *, p < 0.05 according to the Mann-Whitney
U test.
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To confirm these results in another model, we assessed NHE1 levels in
the myocardium of animals that were hypothyroid, euthyroid, or
hyperthyroid. The results are shown in Fig.
2. Fig. 2A is a representative
Western blot, whereas Fig. 2B summarizes the results of six
distinct experiments. The hyperthyroid animals showed elevated levels
of NHE1 expression compared with both euthyroid and hypothyroid animals. Further, the level of NHE1 protein was decreased in
hypothyroid animals compared with the euthyroid animals. These results
confirm the effects of T3 in isolated myocytes (Fig. 1) and demonstrate that expression of NHE1 in the myocardium is affected by treatment with
T3. As observed typically with the Na+/H+
exchanger (24), we consistently observed two immunoreactive bands on
our Western blots: a larger band of ~105 kDa that represents fully
glycosylated NHE1 and a smaller band that represents unprocessed or
only partially glycosylated protein.

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Fig. 2.
Western blot analysis of
Na+/H+ exchanger expression in intact heart
from hypothyroid, euthyroid, and hyperthyroid rats. A,
Western blot of microsomes prepared from euthyroid (first
through third lanes), hypothyroid (fourth through
sixth lanes), and hyperthyroid (seventh through
ninth lanes) rat hearts. B, summary of
experiments. +, p < 0.05. *, p < 0.01 according to the Mann-Whitney U test. Eu,
euthyroid; Hypo, hypothyroid; Hyper,
hyperthyroid.
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In a previous experiment (19), using electrophoretic mobility shift
assays, we observed that the 841/ 800 element of the mouse NHE1
promoter competes with a thyroid receptor palindrome for binding
proteins in NIH 3T3 nuclear extracts. This led us to suspect that the
841/ 800 nt element of the NHE1 promoter might interact with the
thyroid receptor. Therefore, we examined binding of TR expressed in
reticulocyte lysates to the 841/ 800 nt element. We have previously
shown (19) that the 841/ 800 nt element binds COUP-TFI and COUP-TFII
and that mutation of the element decreases this binding. Therefore, we
used these proteins as controls for assessing binding of TR to the
841/ 800 nt element. The results are shown in Fig.
3. In EMSA, both COUP-TFI (Fig. 3A) and COUP-TFII (Fig. 3B) bound to the wild
type 841/ 800 nt element of the NHE1 promoter. As a positive control
we included a human antithrombin III promoter fragment (AT), which also
bound to the two isoforms of COUP-TF. We also confirmed the effect of mutating the 841/ 800 nt element on these interactions. M1, M2, and
M3 are three mutants of the 841/ 800 nt element at positions 838/ 832, 829/ 824, and 819/ 815, respectively. As we found previously, both isoforms of COUP-TF bound to M3, showed reduced binding to M1, and showed no binding to M2. The binding of TR to the
841/ 800 nt element of the NHE1 promoter and the effect of the three
mutations on this binding are shown in Fig. 3 (C and
D). In control experiments, as expected, in vitro
translated rat TR bound to the proximal response element HD-PPRE
(Fig. 3C) and exhibited a supershift in the presence of
anti-TR antibodies. The in vitro translated TR also
bound directly to the 841/ 800 nt element, and the mobility of the
complex was similar to that of HD-PPRE, which binds TR as monomer
(25). TR showed reduced binding to the M1 mutant, whereas it bound
to the M2 mutant as both a monomer and a dimer, likely a homodimer. The
mobility shifts resulting from TR binding to M2 were affected by
anti-TR antibody. Anti-TR antibody resulted in a reduction in
both the dimer and monomer forms of M2 mutant (Fig. 3E). The
M3 mutation did not affect TR binding to the 841/ 800 nt
element.

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Fig. 3.
In vitro binding of COUP-TFs and
TR to control response elements (AT and
HD-PPRE) and to wild type and mutated 841/ 800 nt elements WT,
M1-M3. A, binding of in vitro translated
COUP-TFI to AT, control, and mutants M1-M3. B, binding of
in vitro translated COUP-TFII to AT, control, and mutants
M1-M3. Binding of COUP-TFII by mutant M1 was weak and was not as
clearly visible in some instances but was visible at other times. The
open circles indicate nonspecific bands. C, TR
antibody reactivity with control element (HD-PPRE) in samples of
reticulocyte lysate programmed (+) or unprogrammed ( ) with TR .
Reactivity with TR antibody (+A TR ) was indicated by a
decrease in the amount shift-reactive species present. D,
binding of in vitro translated TR to wild type and
mutated 841/ 800 nt elements WT, M1-M3. Note the two bands present
in reactions with M2, which are indicated in the margin. E,
TR antibody reactivity with M2 element in samples of reticulocyte
lysate programmed with TR . Lane 1, M2 element with
programmed lysate. Lane 2, M2 with programmed lysate and
anti-TR antibody (+A TR ). The arrow denotes
the supershifted species. F, in vitro binding of
nuclear extracts from primary cultures of isolated myocytes treated
with T3 (as described for Fig. 1). All of the lanes contain
wild type 841/ 800 nt element. Lane 1, no nuclear
extract. Lane 2, nuclear extract of T3-treated myocytes.
Lane 3, nuclear extract of T3-treated myocytes in the
presence of 100X excess of cold competitor. Lane 4, nuclear
extract of control myocytes. Lane 5, nuclear extract of
control myocytes in the presence of 100× excess of cold competitor.
Lane 6, binding of in vitro translated TR .
WT, wild type.
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In another experiment, we use EMSA to investigate TR binding to the
M3 841/ 800 nt element in competition with the M1 and M2 elements
(in 100-fold excess). In the presence of M2, binding of TR to M3 was
94% of that without competition. In contrast, in the presence of M1,
binding of TR to M3 was 53% of that without competition. These
results suggest that the region of the M2 mutation is not involved in
binding TR , whereas the region of the M1 mutation is at least
partially involved. These results were consistent with the results
shown in Fig. 3D.
Fig. 3F illustrates the results of testing nuclear
extracts of isolated myocytes with the 841/ 800 nt element.
Lane 1 shows the labeled probe alone. Lane 2 shows that nuclear extracts of myocytes treated with T3 show
significant binding to the labeled 841/ 800 nt element. Competition
with unlabeled 841/ 800 nt element eliminated the binding completely
(Lane 3). Lane 4 shows that nuclear extracts from
untreated myocytes show reduced binding relative to T3-treated
myocytes, although the same pattern of binding was present. Lane
6 shows the binding of in vitro translated TR .
Next, we investigated whether COUP-TF and TR might form heterodimers
on the 841/ 800 nt element. The wild type 841/ 800 nt element
binds both proteins independently (Fig.
4). As found earlier, M1 showed reduced
binding of both COUP-TFI (reduced 60-70%) and TR reduced 95%); M2
did not bind COUP-TFI but did bind TR , as both a monomer (40%) and
a dimer (60%); and binding of TR and COUP-TF1 to M3 is unaltered
compared with binding to the wild type element. Next, we looked at
whether binding of either TR or COUP-TFI to the 841/ 800 nt
element affects binding of the other transcription factor (Fig.
4B). COUP-TFI and TR were prepared in reticulocyte
lysates, as described above, and EMSAs were carried out with the wild
type 841/ 800 nt element. We found that TR does interfere with
the binding of COUP-TFI to the 841/ 800 nt element. Lanes
2 and 3 of Fig. 4B both clearly demonstrate
reduced COUP-TFI binding compared with that in lane 1 (no
addition of TR ). The maximal reduction in COUP-TFI binding was
~60%. This declined to ~15% with the lowest dose of TR . The
inhibition of COUP-TFI binding was lessened when smaller amounts of
TR were added (lanes 3-5). In contrast, using a similar
assay, we found that COUP-TF1 does not significantly reduce binding of
TR (Fig. 4B, lanes 10-15).

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Fig. 4.
Examination of potential heterodimerization
and competition between COUP-TFI and TR .
A, in vitro binding of COUP-TFI and TR
expressed in reticulocyte lysates to wild type and mutated 841/ 800
nt elements. WT, wild type. M1, M2, and M3, mutants M1-M3 of the
841/ 800 nt element. The open circle indicates
nonspecific band. The arrow labeled TR (M2)
indicates a dimer of the TR protein on lane M2.
B, COUP-TFII and TR were prepared in reticulocyte
lysates, and electrophoretic mobility shift assays were used with the
841/ 800 nt element as described above. Lanes 1-5
contained a constant amount of COUP-TF (1 µg of lysate). Lane
1 contained no TR , and lanes 2-5 contained
decreasing amounts of TR (2.5, 1, 0.5, and 0.25 µg of lysate,
respectively). Lanes 6-9 contained decreasing amounts of
TR in the absence of COUP-TFII (2.5, 1, 0.5, and 0.25 µg of
lysate, respectively). Lanes 10-12 contained decreasing
amounts of COUP-TFII in the absence of TR (1, 0.6, and 0.3 µg of
lysate, respectively). Lanes 13-15 contained decreasing
amounts of COUP-TFII (1, 0.6, and 0.3 µg of lysate, respectively) and
a constant amount of TR (1.5 µg of lysate).
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To investigate the effects of TR on the
Na+/H+ exchanger promoter in vivo,
we carried out a co-transfection experiment using a luciferase reporter
gene system. We co-transfected an expression vector for TR with a
vector containing the luciferase gene driven by a minimal NHE1 promoter
and tandem upstream copies of the 841/ 800 nt element (Fig.
5). Co-transfection with TR
increased luciferase activity generated by the 841/ 800 nt element,
and this effect was slightly more noticeable in 10% serum than in
0.5%. In contrast, TR did not affect basal luciferase activity
driven by the thymidine kinase promoter or by the minimal NHE1 promoter
without the 841/ 800 nt element (results not shown). It was
noticeable that transfection with larger amounts of TR (2.5 µg)
had no effect on NIH3T3 cells and reduced effects in CV1 cells compared
with transfection with smaller amount of the plasmid (1.25 µg). In
the absence of exogenous TR , and in 10% serum, the luciferase
activity generated by the four tandem copies of the 841/ 800 nt
element upstream of the NHE1 minimal promoter was about double that
obtained in 0.5% serum. Luciferase activity, with 10% serum and 1.25 µg of plasmid, was as follows: 404 ± 11 and 226 ± 24% in
CV1 and NIH 3T3 cells, respectively. In 0.5% serum these values were
335 ± 18 and 186 ± 26% for CV1 and NIH 3T3 cells,
respectively. The activating effect of TR was also seen when it was
co-transfected and expressed in the pRc/RSV system (Invitrogen; data
not shown).

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Fig. 5.
Effect of TR on
reporter activity of the 841/ 800 nt element in the presence of 0.5 or 10% fetal bovine serum. The expression vector for the TR
receptor was co-transfected in CV1 or NIH3T3 cells with the NHE1
reporter plasmid that included four tandem copies of the 841/ 800 nt
wild type element upstream of the NHE1 minimal promoter or a truncated
version of the thymidine kinase promoter. Each plate was transfected
with 2.5 µg of reporter plasmid in the presence of 0.25, 1.25, or 2.5 µg of expression vector for the TR nuclear receptors. In all cases
a constant amount of expression vector was maintained by
co-transfection of the empty expression vector pSG5. The base-line
values used for normalization in the absence of TR were measured in
the presence of 2.5 µg of pSG5. The activity indicated as 100% in
the Fig. is the relative light unit (RLU) value given
by four tandem copies of the 841/ 800 nt element upstream of either
the NHE1 minimal promoter. The results are the means ± S.E. of at
least four determinations.
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In these in vivo experiments, to confirm that TR was
acting through the 841/ 800 nt element of the NHE1 promoter, we also looked at the effects of COUP-TF-1 and II and TR on luciferase expression driven by the 1085/ 842 and 1085/ 800 nt elements upstream of the NHE1 minimal promoter (Fig.
6). A single copy of the 1085/ 800 nt
element enabled increased transcription from the NHE1 minimal promoter
in response to both COUP-TF and TR . In contrast, when the
1085/ 842 element was included upstream of the minimal promoter,
neither COUP-TF-1 nor TR affected rates of transcription. These
results indicate that the 841/ 800 nt element is critical in
activation of the NHE 1 promoter by COUP-TF-1 and TR .

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Fig. 6.
Effects of COUP-TFI, COUP-TFII, and
TR on luciferase activity influenced by the
1085/ 800 nt and the 1085/ 842 nt elements with the minimal NHE1
promoter. NIH 3T3 cells were transfected with 2.5 µg/plate of
reporter plasmid carrying single copies of the 1085/ 800 nt or the
1085/ 842 nt elements of the NHE1 promoter in front of the NHE1
minimal promoter ( 92 to +24 nt). In addition 0.2-1.2 µg of
expression vector for the COUP-TF or TR were co-transfected. A
constant amount of expression vector was maintained by co-transfected
the empty pSG5 vector. The base-line values were in the presence of
pSG5 alone.
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Finally, we looked at the combined effect of COUP-TF and TR on
transcriptional activity of the 841/ 800 nt element. NIH3T3 and CV1
cells were transfected with expression vectors for COUP-TF-I, for
TR , or for both, and the effect of these transfections on the
NHE1 minimal promoter and on the thymidine kinase minimal promoter was measured. Table I summarizes
our results. In both cell types, transfection with COUP-TFI and TR
together resulted in a greater increase in promoter activity than seen
with either element alone. That is, co-expression of the two hormone
receptors resulted in a slight synergism.
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Table I
Effect of cotransfection of TR and COUP-TF on enhancer activity of
the NHE1 841/ 800 nt element in NIH3T3 and CV1 cells
The cells were transfected with either TR (0.2 µg) or COUP-TFI
(1.25 µg) expression plasmids as described for Fig. 5. The plasmids
used for expressing luciferase activity contained four copies of the
841/ 800 nucleotide element in front of either the minimal NHE1
promoter or the minimal thymidine kinase promoter as described for Fig.
5. A luciferase activity of 100% was assigned to the values obtained
when transfecting with the plasmid containing four copies of the
841/ 800 nucleotide element plus the minimal NHE1 promoter ( 92/+24
NHE1-pXP1luc).
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 |
DISCUSSION |
The regulation of expression of the Na+/H+
exchanger (NHE1 isoform) is of great importance for a variety of
reasons. The Na+/H+ exchanger is involved in
the growth and development of a variety of cells, and in the myocardium
it has been implicated in both hypertrophy and ischemic reperfusion
damage (1, 6, 12). A number of preliminary observations led us to
investigate the role of thyroid hormone in expression of the
Na+/H+ exchanger. First, thyroid hormone is
known to have diverse effects on the myocardium and other tissues. T3
(the most active form of the hormone) regulates many aspects of
cellular development and homeostasis. For example, in the myocardium T3
is known to cause shifts in the type of myosin heavy chain that is
expressed (26) and in expression of the Ca2+-ATPase (27).
Second, several earlier studies have suggested that thyroid hormone
affects levels of expression of the Na+/H+
exchanger and its function. For example, in L-6 cells, T3 and L-thyroxine (T4) directly stimulate activity of the
Na+/H+ exchanger (28). Thyroid hormone has also
been shown to increase Na+/H+ exchanger
activity in the proximal straight tubule of neonatal rabbits (29) and
to increase transcription and mRNA levels for the NHE3 isoform of
the protein (29). Third, several studies have directly implicated
thyroid hormone and the thyroid hormone receptor in regulation of NHE1
expression. For example, we previously found that thyroid hormone
affects endogenous NHE1 message levels in rat hearts (14). In addition,
we have shown that the 841/ 800 nt region of the NHE1 promoter
competes with the palindromic, thyroid receptor-binding DNA sequence in
binding of proteins in nuclear extracts (19).
In this study, we confirmed that thyroid hormone levels are important
in NHE1 expression using two separate models: isolated myocytes and
hearts from hypothyroid, euthyroid, and hyperthyroid rats. Previous
experiments (14) have demonstrated that T3 levels affect production of
mRNA for NHE1 and that they affect resting intracellular pH. Here,
we showed that T3 levels also affect amounts of NHE1 protein in cardiac tissue.
To elicit its physiological effects, T3 binds to cytosolic thyroid
receptors, which then bind to specific nucleotide sequences (thyroid
hormone response elements) (30). To determine how thyroid hormone
affects expression of NHE1, we examined the
Na+/H+ exchanger promoter. The 841/ 800 nt
element of this promoter is critical in basal and serum-stimulated
regulation of NHE1 expression. Our current experiments with in
vitro translated TR confirm that this nuclear hormone receptor
binds directly to the 841/ 800 nt element of the
Na+/H+ exchanger promoter. Although TR binds
to a similar region of the element as COUP-TF, significant differences
in their binding patterns were observed when we looked at binding to
mutant forms of the element. For example, COUP-TF did not bind to M2.
In contrast, TR did bind to M2, with an altered pattern, and it
appeared also to bind as a dimer on this mutant.
To better characterize COUP-TF and TR binding to the 841/ 800 nt
element of the Na+/H+ exchanger promoter, we
investigated whether these two receptors compete for binding.
Decreasing amounts of TR were tested for binding on the element alone
or after co-incubation with a constant amount of COUP-TFI. This
resulted in less COUP-TF binding and no variation in TR binding.
Conversely, when decreasing amounts of COUP-TF were tested for binding,
alone or with constant amounts of TR, we again noted that COUP-TF
binding was decreased, and TR binding was unchanged. These findings
suggest that TR can compete with COUP-TFI for binding to the same or to
an overlapping, site. We have shown that COUP-TFs bind to nucleotides
829 to 824 of the 841/ 800 nt element (Ref. 19 and Fig. 3). Our
current data suggest that this region of the promoter must overlap with
the TR-binding site. Because TR binds to the element when this region is mutated yet does not bind when the 838 to 832 region is mutated, it is possible that the primary binding site of TR is nt 838 to 832
and that, when bound, the TR protein overlaps nt 829 to 824.
Our results also suggest that TR binding may be quite promiscuous
within the 841/ 800 element, in agreement with its already well
known plasticity (30). TR can accommodate a multitude of arrangements
within its DNA-binding sites. It has been reported to bind as a
monomer, homodimer, and/or heterodimer. For TR to bind as a monomer,
only one nuclear hormone receptor half-site is necessary. The optimized
consensus for the half-site binding motif, (T/C)(A/G)AGGTCA is an
octamer that includes a 5'-stabilizing extension (32). Nucleotides
829 to 822 (TGACCTCA, the unmutated M2 region) form a perfect
consensus site (TGAGGTCA on the opposite strand). However, because
mutation of this region does not eliminate binding of TR , it is
clear that it plays only a partial role, at best, in providing a
binding site for TR . The unmutated M1 region contains a partial,
imperfect half-site consensus for the smaller nuclear hormone
receptor-binding sequence AGG(T/A)CA that can bind TR (30) from
nucleotides 838 to 832, TCTCCCT (AGGAGA, on the opposite strand).
Thus a perfect consensus sequence for TR binding is followed by a
partial consensus sequence for TR binding, with a 2-base pair spacer.
This kind of arrangement (two consensus sequences separated by a
spacer) functions as a T3 response element in other systems, modulating
transcriptional responses to T3 by malic enzyme (33) and myelin basic
protein (Ref. 34; reviewed in Ref. 30). TR can bind to
hormone-responsive elements as a monomer, homodimer, or heterodimer
(30). In this study the TR appeared to bind as a monomer, although some
potential for dimerization was apparent when we looked at binding to
mutated elements.
Our results clearly demonstrate that the TR nuclear receptor can
activate the NHE1 promoter through interaction with the 841/ 800 nt
element. We found that the 841/ 800 nt element directed increased
transcription of the luciferase gene in response to transfection with
the TR receptor. In contrast, more distal regions of the promoter
were not responsive to the expression of TR . These results, along
with in vivo observations of the effects of thyroid hormone
on NHE1 expression, strongly suggest that T3 activates the NHE1
promoter by this mechanism in vivo. In support of this
argument were the results showing that T3-treated primary cultures of
isolated myocytes bind much more to the 841/ 800 nt region of the
NHE1 promoter than untreated myocytes. The physiological significance
of this regulation has still to be determined. We have recently shown
in mice (35) that, in several tissues, the expression of NHE1 initially
increases following birth. The protein levels then decline slightly
with time. A similar time course of expression has been demonstrated
for thyroid hormone in postnatal rats (36), supporting the suggestion
that T3 may be responsible for the changes in NHE1 levels that we observed.
Although it is clear that variations in thyroid hormone levels affect
NHE1 expression in the myocardium (Ref. 14 and the present study), it
is apparent that this is not a general phenomenon in all tissues. For
example, NHE1 message levels in the rat renal cortex are not affected
by alterations in thyroid status (37). Earlier studies have
demonstrated effects of thyroid hormones on
Na+/H+ exchanger activity in the kidney (38),
but in this study the isoform of the exchanger was not specified and
was likely not NHE1 but rather NHE3, which is known to be regulated by
thyroid hormone in the kidney (39).
In this study we demonstrated the effects of thyroid hormone in the
myocardium. In addition, we found that TR increased transcription from the NHE1 promoter in fibroblasts and in CV1 cells, a cell line
commonly used for expression of nuclear hormone receptors (8).
Specificity in the action of TR is mediated by altering partners in
heterodimerization or by associating with additional mediators of
transcription, including transcriptional co-activators and repressors
(30). Several molecules have been shown to associate with TR ,
including RXR and peroxisome proliferator-activated receptor, and
thereby modify its nuclear regulatory role (30). The tissue
distribution of TR also varies, possibly accounting for differences
in mediation of T3 effects between tissues (31). It is possible, even
likely, that the effects of T3 in regulating expression of the
Na+/H+ exchanger vary greatly from one tissue
to another. Future studies may examine this possibility.
 |
ACKNOWLEDGEMENTS |
We thank Dr. R. Rachubinski (Department of
Cell Biology, University of Alberta) for supplying several of the
plasmids used in this study related to the COUP-TFs. We thank Dr. V. Nikodem (Genetics and Biochemistry Branch, NIDDK, National Institutes of Health, Bethesda, MD) for advice and for making the TR
translation plasmid available to us. CV1 cells were a generous gift
from Dr. Mona Nemer (Clinical Research Institute of Montreal, Montreal, Canada). We thank Dr. L. Belanger (Centre De Recherche De L'Hotel-Dieu De Quebec, Quebec, Canada) for the thymidine kinase reporter plasmids. We also thank Dr. M.-J. Tsai (Department of Cell Biology,
Baylor College of Medicine, Houston, TX) for permission to use the
COUP-TFI and COUP-TFII plasmids. We are grateful to Dr. F. Renandez-Rachubinski for experimental work on the promoter.
 |
FOOTNOTES |
*
This work was supported by funding from the Canadian
Institute of Health Research (to L. F.).The costs of publication of this article were defrayed in part by the
payment of page charges. The article
must therefore be hereby marked
"advertisement" in accordance with 18 U.S.C. Section
1734 solely to indicate this fact.
¶
To whom correspondence should be addressed: Dept. of
Biochemistry, Faculty of Medicine, University of Alberta, 347 Medical Sciences Bldg., Edmonton, AB T6G 2H7, Canada. Tel.:
780-492-1848; Fax: 780-492-0886; E-mail: lfliegel@ualberta.ca.
Published, JBC Papers in Press, May 30, 2002, DOI 10.1074/jbc.M203221200
 |
ABBREVIATIONS |
The abbreviations used are:
nt, nucleotide(s);
AT, antithrombin III;
HD-PPRE, peroxisome proliferator-response element
of rat hydratase dehydrogenase;
COUP-TF, chicken ovalbumin upstream
promoter transcription factor;
T3, 3,5',3'-triiodothyronine;
TBS, Tris-buffered saline;
EMSA, electrophoretic mobility shift binding assay(s);
TR, thyroid hormone receptor.
 |
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