NF-κB Modulates Aquaporin-2 Transcription in Renal Collecting Duct Principal Cells*

Renal tubulo-interstitial inflammation is frequently associated with polyuria and urine concentration defects. This led us to investigate the effects of the major pro-inflammatory nuclear factor κB (NF-κB) pathway on aquaporin 2 (AQP2) expression by the collecting duct. Using immortalized collecting duct principal cells (mpkCCDcl4), we found that, acting independently of vasopressin, activation of NF-κBby lipopolysaccharide (LPS) decreased AQP2 mRNA and protein levels in a time- and dose-dependent manner but did not decrease AQP2 mRNA stability. Consistently, constitutively active IκB kinase β decreased AQP2 expression. The LPS-induced decrease in AQP2 mRNA levels was confirmed in rat kidney slices and was reproduced both under conditions of elevated cAMP concentration and V2 receptor antagonism. Computer analysis of the AQP2 promoter revealed two putative κB elements. Mutation of either κB element abolished the LPS-induced decrease of luciferase activity in cells expressing AQP2 promoter-luciferase plasmid constructs. Chromatin immunoprecipitation revealed that LPS challenge decreased p65, increased p50 and p52, and had no effect on RelB and c-Rel binding to κB elements of the AQP2 promoter. RNA-mediated interference silencing of p65, p50, and p52 confirmed controlled AQP2 transcription by these NF-κB subunits. We additionally found that hypertonicity activated NF-κB in mpkCCDcl4 cells, an effect that may counteract the Tonicity-responsive enhancer binding protein (TonEBP)-dependent increase in AQP2 gene transcription. Taken together, these findings indicate that NF-κB is an important physiological regulator of AQP2 transcription.

The NF-B family of transcription factors consists of five members (p65, p50/p105, p52/p100, RelB, and c-Rel) that contain a Rel-homology domain required for the formation of various combinations of homo-and heterodimers and for DNA binding. Generally, dimers that contain p65 or c-Rel are transcriptional activators, whereas p50 and p52 homodimers act as repressors. The differential dimerization that occurs between NF-B family members allows for cellspecific transcriptional modulation of target genes in response to a large number of stimuli. This accounts for the role played by NF-B in the expressional regulation of genes involved in numerous physiological functions including the immune and inflammatory response, environmental stress response, cell survival, cell growth, proliferation and cycling, and neuronal signaling (14,15). Rel-homology domain is also involved in NF-B interaction with the family of IB inhibitory proteins that prevent NF-B from translocating to the nucleus. In the canonical NF-B signaling pathway, activation of IB kinases (IKK), predominantly by IKK␤, leads to phosphorylation, polyubiquitination, and subsequent proteasomal degradation of IB (predominately IB␣), allowing translocation of released NF-B (mostly p50-p65 and p50-c-Rel dimers) to the nucleus and transcriptional activation of target genes (15).
Renal tubulo-interstitial inflammation is frequently associated with polyuria and urinary concentration defects (16,17). Urinary concentration defects associated with decreased AQP2 expression have been documented in rat experimental models of glomerular disease, septic kidney, and post-obstructive kidney (18 -21). Computer-assisted analysis of the first 2 kilobases of the AQP2 promoter revealed two putative B binding elements. Taken together these observations may suggest that tubulo-interstitial inflammation leads to activation of NF-B in CD principal cells and, thus, down-regulation of AQP2 expression. The aim of the present study was, therefore, to investigate the effects of altered NF-B activity on AQP2 transcription. Results revealed that LPS treatment of cultured mouse CD principal cells or rat kidney slices decreased both basal and cAMP-stimulated AQP2 expression. Combined silencing of NF-B subunits, site-directed mutagenesis of the AQP2 promoter, and the chromatin immunoprecipitation assay revealed that reduced AQP2 transcription under conditions of elevated NF-B activity is largely mediated by decreased p65 and increased p50 and p52 binding to B elements of the AQP2 promoter. These observations highlight the importance of down-regulated transcriptional AQP2 activity in the physiological control of AQP2 expression and suggest a role for AQP2 in polyuria associated with renal tubulo-interstitial diseases.
Preparation of Rat Kidney Slices and RNA Isolation-Male Wistar rats (150 -200 g body weight; Taconic Farms, Hudson, NY) were anesthetized with an intraperitoneal injection of sodium pentobarbital (65 mg/kg body weight). Both kidneys were removed, cut into 2-3-mm-thick slices using a razor blade, and quickly placed in Hanks' balanced salt solution (110 mM NaCl, 5 mM KCl, 1.2 mM MgSO 4 , 1.8 mM CaCl 2 , 4 mM sodium acetate, 1 mM sodium Citrate, 6 mM D-glucose, 6 mM L-alanine, 1 mM NaH 2 PO 4 , 3 mM Na 2 HPO 4 , 25 mM NaHCO 3 , pH 7.4) at 37°C equilibrated with 5% CO 2 , 95% O 2 . Slices 0.5-mm in thickness were cut with a Stadie-Riggs microtome (Thomas Scientific, Swedesboro, NJ) as previously described (27). The slices (3 slices/experimental condition) were then incubated in Hanks' balanced solution at 37°C for 6 h alone or in the presence of various stimuli. Bathing solutions were continuously bubbled and changed every 2 h. The slices were then placed overnight at 4°C in RNAlater RNA stabilization reagent (Qiagen, Venlo, The Netherlands). The following day, 25 mg of cortical tissue was excised, snapfrozen in liquid nitrogen, and ground with a mortar and pestle. The tissue powder was then homogenized, and total RNA was purified using RNeasy Mini kit (Qiagen) following the manufacture's instructions.
Firefly Luciferase Assay-Luciferase plasmid constructs used for transfection were NF-B-driven luciferase plasmid containing three B enhancer elements (p(B)3 IFN-Luc plasmid) (31), nucleotides Ϫ517 to ϩ109 of the mouse AQP2 gene in front of luciferase using pGL3-Basic (Promega, Madison, WI), nucleotides Ϫ2043 to ϩ109 of the mouse AQP2 gene in front of luciferase using pGL3-Basic, mutant AQP2 promoter constructs made by changing TGGAA of TonE to TTTAA, mutant B constructs made by changing GGGAGTTCCT of the B binding site located at Ϫ666 to GCCAGTTCCT, and/or changing GGGGTTTTCC of the B binding site located at Ϫ2030 to GCCGTTTTCC. The numbering was based on the genomic sequence from NCBI. We confirmed the transcription start site by primer extension and ribonuclease protection assay (data not shown). Luciferase activity was measured using the Luciferase Assay AVP and then for an additional 3 or 24 h with 10 ng/ml LPS before protein extraction. Western blot analysis was performed on AQP2, and Na ϩ , K ϩ -ATPase ␣1 subunit (NaK␣) was used as a loading control. A representative image is shown. AQP2 abundance is expressed as the ratio of optical density values measured in the presence of LPS and that measured in the absence of LPS. Values are the mean Ϯ S.E. from three independent experiments. *, p Ͻ 0.05. System (Promega) according to the manufacturer's instructions. The light produced was measured using a Lumat LB 9507 luminometer (EG&G Berthold).
Statistics-Results are given as the mean Ϯ S.E. from n independent experiments. Each experiment was performed on mpkCCD cl4 cells from the same passage. Statistical differences were assessed using the Mann-Whitney U test or the Kruskal-Wallis test for comparison of two groups or more, respectively. A p value Ͻ0.05 was considered significant.

NF-B Decreases AQP2
Transcription-We first analyzed the effects of increased NF-B activity on AQP2 expression by stimulating mpkCCD cl4 cells with lipopolysaccharide (LPS) from Escherichia coli (O55:B5; Calbiochem). As previously described (5), 10 Ϫ10 M AVP increased AQP2 mRNA expression by 30-fold after 24 h of stimulation. LPS decreased AQP2 mRNA expression in both a dose-and time-dependent manner with a maximal effect achieved at 10 ng/ml LPS (Fig. 1A) after 24 h of stimulation (Fig. 1B). The extent of decreased AQP2 mRNA expression induced by LPS was similar in the presence or absence of AVP. To determine whether down-regulated FIGURE 2. LPS decreases both AVP-induced and hypertonicity-enhanced AQP2 expression in cultured collecting duct cells. Cultured mpkCCD cl4 (A) or mCCD cl1 (B) cells were preincubated 24 h or not with either 10 Ϫ10 M AVP or hypertonic (NaCl, 500 mosmol/kg) medium and were then stimulated for an additional 24 h with 100 ng/ml LPS before RNA extraction. Real-time PCR was performed using primers specific for AQP2. Results are expressed relative to control values determined in the absence of stimuli. Bars are the mean Ϯ S.E. from three independent experiments. *, p Ͻ 0.05. AQP2 mRNA expression in response to LPS was due to decreased AQP2 gene transcription or to decreased AQP2 mRNA stability, mpkCCD cl4 cells were incubated or not with 100 ng/ml LPS for 3 or 5 h in the presence of the transcriptional inhibitor actinomycin D (Fig. 1C). As previously reported (11) AQP2 mRNA expression was reduced in cells treated with actinomycin D alone. Unexpectedly, whereas LPS had no effect on actinomycin D-induced IB␣ mRNA degradation, it increased AQP2 mRNA stability (Fig. 1C), indicating that reduced AQP2 mRNA expression induced by LPS is not due to altered AQP2 mRNA stability. Western blot analysis revealed that reduced AQP2 mRNA expression after LPS stimulation was accompanied by reduced AQP2 protein expression (Fig. 1D). We have previously shown that long term (Ն24 h) exposure of mpkC-CD cl4 cells to hypertonic (Ն350 mosmol/kg) medium increases AQP2 expression (11). Enhanced AQP2 mRNA expression after 24 h of hypertonic (Ն500 mosmol/kg) challenge (11) was reduced to a similar extent in non-stimulated cells and in AVPtreated cells after 24 h of LPS stimulation ( Fig. 2A). We compared our observations made in mpkCCD cl4 cells to those obtained in a recently established, physiologically relevant mouse cortical collecting duct cell line, mCCD cl1 (22). Similar to mpkCCD cl4 cells, LPS reduced AQP2 mRNA expression to similar extents in non-stimulated and AVP-or hypertonicchallenged mCCD cl1 cells (Fig. 2B).
To confirm the physiological relevance of our in vitro findings in cultured CD principal cells, we assessed the effect of LPS on AQP2 expression ex vivo in rat kidney slices. In agreement with results obtained in cultured cells, 100 ng/ml LPS alone significantly decreased AQP2 mRNA levels after 6 h of incubation (Fig. 3A, 0.78 Ϯ 0.11 as compared with control tissue standardized to 1). AQP2 expression was reduced by the addition of 10 Ϫ6 M of the V 2 receptor antagonist SR121463B alone (0.76 Ϯ 0.06). Reduced levels of AQP2 mRNA expression, however, were greatest in tissue incubated with both LPS and SR121463B (0.56 Ϯ 0.08). Conversely, increased AQP2 mRNA expression induced by 10 Ϫ3 M 8-bromo-cAMP (3.43 Ϯ 0.89) was reduced in tissue simultaneously incubated with 8-bromo-cAMP and LPS (2.12 Ϯ 0.48). LPS was found to induce a similar increase of interleukin-1␤ mRNA expression when applied alone or together with SR121463B or 8-bromo-cAMP indicating that NF-B activation by LPS was similar under all three conditions (Fig. 3B).
Altogether, our results suggest that LPS inhibits both basal and enhanced AQP2 transcriptional activity. Moreover, our results suggest that the effect of LPS is at least partly independent of V 2 receptor activity.
Characterization of Two B Binding Elements Located in the AQP2 Promoter-Because LPS is a potent activator of the so-called classical NF-B pathway, which relies on activation of IKK␤, we assessed the effect of overexpression of a constitutively active IKK␤ mutant on AQP2 expression levels by mpkCCD cl4 cells. Cells transfected with constitutively active IKK␤ mutant expressed significantly less AQP2 mRNA as compared with cells transfected with eGFP, and LPS did not further reduce AQP2 expression in cells expressing mutant IKK␤ (Fig.  4A). These results indicate that decreased AQP2 transcription after LPS treatment at least partly relies on increased NF-B activity.
Based on structural and genetic studies, B binding sites display a loose consensus sequence, often cited as 5Ј-GGGRN-NYYCC-3Ј (N, nucleotide; Y, pyrimidine nucleoside) (33). We have previously shown that a highly conserved TonE sequence, located 625 bp upstream of the ATG start codon, is a key element mediating increased AQP2 transcription after hypertonic challenge (26). In the present study we investigated the functional roles of two putative B binding sites present in the first 2043 bp of the AQP2 promoter. In mouse AQP2 promoter, these sites are located 666 and 2030 bp upstream of the ATG start codon (see the inset of Fig. 4B). We investigated the functional importance of both B binding sites by performing a luciferase gene reporter assay (Fig. 4B). As previously shown (26), 24 h of hypertonic stimulation (500 mosmol/kg) increased luciferase activity in cells transfected with a reporter construct encoding luciferase 5Ј-flanked by either the first 653 (AQP2 653) or 2043 (AQP2 2043) bp upstream of the ATG start codon of the AQP2 gene (Fig. 4B) containing an intact TonE enhancer element. 24 h of LPS (100 ng/ml) stimulation significantly decreased luciferase activity in cells transfected with AQP2 2043 but not AQP2 653. Mutation of either or both B binding sites increased basal luciferase activity as compared with cells transfected with wild-type AQP2 2043. In addition, although hypertonicity increased luciferase activity in cells expressing mutant B binding sites, mutation of either B binding site abolished the LPS-induced decrease of luciferase activity. Altogether, these results reveal that an increase of NF-B activity reduces AQP2 transcription and that this event requires two intact B binding sites present in the first 2043 bp upstream of the ATG start codon.
We next investigated which members of the NF-B family bind to the AQP2 promoter by comparing the ability of p65, RelB, c-Rel, p50, and p52 to bind to either B site in response to LPS (Fig. 5A). LPS increased p65, RelB, c-Rel, and p50, but not p52, binding to the IB␣ promoter, used as a control for chromatin immunoprecipitation analysis. Anti-p65 immunoprecipitation of DNA fragments of the AQP2 promoter containing B binding sites located either 2030 or 666 bp upstream of the start codon revealed decreased p65 binding to the proximal B site (Ϫ2030) in response to LPS challenge. On the other hand, LPS increased the ability of both p50 and p52 to bind to either B binding site of the AQP2 promoter. Binding of RelB and c-Rel to either B element was not affected by LPS challenge. These results strongly indicate that decreased AQP2 transcriptional activity in response to an increase of NF-B activity principally arises from decreased p65 binding and increased binding of p50 and p52 homodimers and/or p50/p52 heterodimers to B elements of the AQP2 promoter.
We next analyzed the effects of RNAi against p65, p50, and p52 on AQP2 mRNA abundance (Figs. 5, B and C). RNAi against either p65, p50, or p52 (Fig. 5B) specifically reduced target gene expression with the exception of RNAi against p52, which also decreased RelB protein expression. Interestingly, p50 knockdown was associated with increased p52 abundance. Conversely, p52 knockdown increased p50 abundance. Moreover, silencing of either p50 or p52 decreased the abundance of p100 (NF-B2), the precursor of p52, which functionally behaves like an IB. RNAi against p65 slightly decreased AQP2 transcription in the absence of LPS and did not affect the LPS-induced decrease of AQP2 transcription (Fig. 5C). Although RNAi against RelB strongly reduced RelB protein expression, it did not influence AQP2 expression in either the absence or presence of LPS (p Ͼ 0.05, data not shown). On the other hand, reduced expression of either p50 or p52 by RNAi decreased AQP2 mRNA levels both in the absence and presence of LPS (Fig. 5C). These results indicate that p65, p50, and p52 influence AQP2 transcription under both basal and stimulated states.
Hypertonicity Increases NF-B Activity in mpkCCD cl4 Cells in an IKK␤-and IB␣-dependent Manner-We have previously demonstrated in mpkCCD cl4 cells the occurrence of an AVPindependent reduction of AQP2 transcriptional activity during the first hours of hypertonic stimulation (11). AQP2 transcriptional activity increased in a TonEBP-dependent manner after longer periods of hypertonic stimulation (26).
Because hypertonicity might be a physiological activator of NF-B in renal epithelial cells, we investigated the influence of hypertonicity on NF-B activity in mpkC-CD cl4 cells by exposing cells transfected with NF-B-driven luciferase reporter plasmid to either isotonic (300 mosmol/kg) or hypertonic (500 mosmol/kg) medium for 24 h (Fig. 6A). Hypertonic NaCl, but not hyperosmotic urea, increased luciferase activity to levels comparable with that produced by 100 ng/ml LPS. In addition, in non-transfected cells both LPS (Fig. 6B) and hypertonicity (Fig. 6C) increased mRNA expression levels of three different genes under the control of NF-B transcriptional activity, TNF␣, MCP-1, and IB␣, to similar extents in a time-dependent manner. On the other hand, mRNA expression of these genes was not increased by hyperosmotic urea (Fig. 6D). Hypertonic sucrose produced results similar to those obtained by hypertonic NaCl (not shown). Because TNF␣, MCP-1, and IB␣ are all under the control of canonical p65-dependent NF-B transcriptional activity (34), we tested the effects of constitutively active IKK␤ and superrepressor IB␣ mutants (see "Materials and Methods") on the hypertonicity-induced increase of NF-B activity (Fig. 7). Under isotonic conditions (control), cells transfected with mutant IKK␤ or IB␣ displayed a 5-fold increase and 2-fold decrease, respectively, of NF-B-driven luciferase activity (Fig. 7A) and displayed respectively increased and decreased expression of TNF␣ (Fig. 7B) and MCP-1 mRNA (data not shown). Luciferase activity of cells transfected with constitutively active IKK␤ mutant was not further stimulated by either LPS or hypertonicity. The relative increase of TNF␣ and MCP-1 mRNA expression in response to LPS and hypertonicity was greater in eGFPtransfected cells than in cells transfected with IKK␤ mutant, reflecting the higher levels of basal NF-B activation induced by the IKK␤ mutant. Inversely, super-repressor IB␣ mutant abolished both LPS and hypertonicity-induced luciferase activity and decreased LPS-and hypertonicity-induced TNF␣ and MCP-1 mRNA expression to similar extents. The observation that both LPS and hypertonicity increased NF-B-inducible gene expression even in the presence of IB␣ mutant may reflect enhanced transcriptional  OCTOBER 17, 2008 • VOLUME 283 • NUMBER 42 activities of other trans elements that bind to TNF␣ and MCP-1 promoters but not to the luciferase plasmid construct. It is worthwhile pointing out that NF-B activity was decreased in non-stimulated cells expressing super-repressor IB␣ mutant, suggesting that NF-B is partially active under basal conditions in mpkCCD cl4 cells. We next analyzed the effect of reduced p65 activity on the hypertonicityinduced increase of TNF␣, MCP-1, and IB␣ mRNA abundance by transfecting cells with RNAi targeting p65 mRNA. Increased mRNA abundance of all three genes by either LPS or hypertonic stimulation was significantly reduced in cells transfected with RNAi targeting p65 (Fig. 7C). Collectively, these data indicate that hypertonicity stimulates NF-B activity in mpkCCD cl4 cells via the canonical IKK␤-IB␣-p65-dependent NF-B signaling pathway.

DISCUSSION
The results of the present study reveal reduced levels of AQP2 expression occurring in both cultured renal cells and native renal tissue challenged with LPS. This effect occurred both in the presence of V 2 receptor antagonists and 8-bromo-cAMP. Results show that decreased AQP2 transcription results from decreased p65 and increased p50 and p52 binding to B binding sites of the AQP2 promoter. Similar to LPS, increased NF-B activity in response to hypertonicity was found to depend on activation of the canonical IKK␤-IB␣-p65 NF-B pathway. Together, our findings indicate that NF-B negatively regulates AQP2 transcription and most likely antagonizes the stimulatory effects of cAMP-responsive element-binding protein (CREB) and TonEBP under both physiological and pathophysiological conditions. This regulatory pathway might be involved in the pathogenesis of polyuria associated with renal tubulo-interstitial inflammation.
Previous studies performed on animals have documented decreased AQP2 expression after intraperitoneal LPS injection as a consequence of down-regulated V 2 receptor activity (35). In addition to the identification of B elements present in the AQP2 promoter, two other findings of the present study provide direct evidence that downregulated AQP2 expression in response to LPS additionally arises from decreased AQP2 gene transcription. First, LPS further reduced AQP2 mRNA expression in tissue slice preparations treated with the V 2 receptor antagonist SR121463B (Fig. 3). Conversely, in tissue slice preparations LPS reduced enhanced AQP2 expression induced by 8-bromo-cAMP, i.e. an effector acting downstream of V 2 receptor activation. Second, LPS decreased the AVP-and hypertonicity-induced increase of AQP2 mRNA expression to similar extents in cultured CD principal cells (Fig.  2). Importantly, we have recently shown that hypertonicity increases AQP2 transcription in the absence of an increase of cAMP concentration and independently of protein kinase A activity (11,36).
Several studies have identified regulatory motifs in the AQP2 gene that promote AQP2 expression. The influence of transcription factors that mediate the effects of vasopressin and extracellular tonicity, revealed by past studies and the present study, are schematically depicted in Fig. 8. A rise of intracellular cAMP by vasopressin induces activation of c-Fos/c-Jun and CREB that together promote AQP2 transcription by, respectively, binding to AP1 and cAMP-responsive element sites present in the AQP2 promoter (37)(38)(39). We have recently shown that binding of TonEBP to a TonE enhancer element located near the cAMP-responsive element is a major stimulus of AQP2 transcription both under isotonic and hypertonic conditions (26). In addition to these stimulatory factors, binding of negatively acting trans elements was suggested to selectively repress AQP2 transcription (40). Here we identify NF-B as one such negatively acting transcription factor that physiologically controls AQP2 transcription and may antagonize both CREB and TonEBP stimulatory effects. NF-B stimulates or represses target gene transcription differently depending on the nature of the bound NF-B homo-or heterodimer and on bound NF-B co-factors. NF-B com-FIGURE 6. NF-B activity is increased by hypertonicity in mpkCCD cl4 cells. A, transfected cells expressing NF-B-driven luciferase were challenged with either isotonic (Ctl, 300 mosmol/kg), hypertonic (NaCl, 500 mosmol/kg), or urea-supplemented hyperosmotic (urea, 500 mosmol/kg) medium for 12 h or were stimulated for 12 h with 100 g/ml LPS in isotonic medium before measuring luciferase activity. Bars are the mean Ϯ S.E. from four independent experiments. *, p Ͻ 0.05. B-D, cells were challenged with isotonic medium (Ctl, 300 mosmol/kg) or with either 100 ng/ml LPS (B), NaCl-supplemented hypertonic (400 or 500 mosmol/kg) (B) or urea-supplemented hyperosmotic (400 or 500 mosmol/kg) (C) medium for 2 or 24 h before RNA extraction. Real-time PCR was performed using primers specific for TNF␣, MCP-1, or IB␣. Results are expressed relative to control values determined for each gene after 2 h of incubation in isotonic medium. Bars are the mean Ϯ S.E. from five independent experiments. *, p Ͻ 0.05.
plexes containing p65 or c-Rel generally enhance gene transcription, whereas p50 and p52 homo-and heterodimers act as repressors (41). In the present study both B binding sites located in the first 2 kilobases of the AQP2 promoter were found to be required for LPS-induced repression of transcriptional activity. Similar functional requirement for two intact B sites was previously described for other genes, such as for the MCP-1 and glutamate transporter genes (42)(43)(44). Both B sites may function together to regulate AQP2 transcriptional activity, possibly via binding of specific cofactors that mediate NF-B activity (42). Our data indicate that down-regulated AQP2 transcriptional activity after an increase of NF-B activity is at least partly mediated by p65 release from the AQP2 promoter and an increased ability of p50 and p52 homo-and/or heterodimers to bind to the AQP2 promoter. Cells transfected with RNAi against either p65, p50, or p52 displayed reduced levels of AQP2 mRNA under both base-line conditions and after LPS challenge. Reduced AQP2 mRNA expression in cells transfected with p65 RNAi is consistent with the idea that p65 enhances constitutive AQP2 transcriptional activity. On the other hand, binding of both p50 and p52 to the AQP2 promoter is increased in response to LPS stimulation. The observation that p50 and p52 RNAi silencing, respectively, increased p52 and p50 protein expression (Fig. 5B) may indicate that reduced basal AQP2 transcription in response to RNAi silencing of either of these NF-B isoforms occurs via increased binding of p52 (for p50 silencing) and p50 (for p52 silencing) homodimers to the AQP2 promoter. It should be noted that RNAi silencing of either p50 or p52, but not p65, decreased p100 expression. Because p100 functions as an IB and can bind to p50 or p52 subunits, decreased p100 abundance should lead to increased amounts of biologically active p50 and p52 homo-or heterodimers. These results suggest that a balance between p100 and processed p50 and p52 subunits most likely plays a central role in regulating AQP2 transcription.
Depressed tubular function is characteristic of inflammatory diseases of the kidney such as pyelonephritis and ureteral obstruction (45,46). Cytokines secreted by leukocytes may strongly activate NF-B in renal epithelial cells (16,17). The results of the present study suggest that decreased AQP2 expression after NF-B stimulation participates in the urinary concentration defects observed in tubulo-interstitial inflammatory diseases. This interpretation is supported by observations from animal models showing that endotoxemia induced by intraperitoneal LPS injection or ureteral obstruction were associated with polyuria and decreased levels of AQP2 expression (35,47). Down-regulated levels of AQP2 were additionally observed in animal models of puromycin aminonucleosideand adriamycin-induced nephrotic syndrome (18,20). In this case, excessive water reabsorption is thought to depend on increased NaCl absorption. The results of the present study suggest that increased NF-B activity associated with nephrotic syndrome may at least be partly responsible for reduced AQP2 expression, an event that may reflect a generalized mechanism that counteracts extracellular volume expansion. It is interesting that the extent of decreased AQP2 expression in the medulla was 2-fold greater than that observed in the cortex of nephrotic animals (20). This suggests that up-regulated NF-B activity by hypertonicity may compliment the effects mediated by cytokine release.
Together with its role in altered AQP2 expression exerted by pro-inflammatory stimuli, NF-B may additionally mediate altered AQP2 expression in response to aldosterone. Cross-talk between aldosterone signaling and the NF-B pathway has been demonstrated in part via an association between serum FIGURE 7. Hypertonicity-induced NF-B activation is dependent on IKK␤ activity, IB␣ degradation, and p65 activation. A and B, cells were transfected with an expression vector that contained either eGFP or constitutively active IKK␤ or IB␣ mutants together with (A) or without (B) NF-B-driven luciferase plasmid. Cells were challenged or not with either 100 g/ml LPS or hypertonic (NaCl, 500 mosmol/kg) medium for 12 (A) or 3 (B) h before measurement of luciferase activity (A) or to RNA extraction (B). Real-time PCR was performed using primers specific for TNF␣ (B). Results are expressed relative to control values determined in cells transfected with eGFP-containing cDNA and subjected to isotonic medium. Bars are the mean Ϯ S.E. from four independent experiments. *, p Ͻ 0.05. C, cells were transfected with either scrambled RNAi or RNAi targeting p65 NF-B and then challenged or not with either 100 ng/ml LPS or hypertonic (NaCl, 500 mosmol/kg) medium for 3 h before RNA extraction. Real-time PCR was performed using primers specific for MCP-1, IB␣, or TNF␣. Results are expressed relative to control values determined in cells transfected with scrambled RNAi and subjected to isotonic medium. Bars are the mean Ϯ S.E. from four independent experiments. *, p Ͻ 0.05. Ctl, control. and glucocorticoid-regulated kinase 1 (SGK1) and IKK␤ (48). We have previously shown that aldosterone decreases AQP2 mRNA expression in cultured CD principal cells in a mineralocorticoid receptor-dependent fashion, possibly by reducing its transcriptional activity (9). We have additionally demonstrated mineralocorticoid receptor-dependent NF-B activation by aldosterone in CD principal cells (49), suggesting a possible role of NF-B in down-regulated AQP2 expression induced by aldosterone.
Consistent with the findings of the present study, observations made in a previous study (50) revealed the occurrence of increased NF-B activity induced by hypertonicity in the renal medulla. Results of that study together with those of the present study indicate that NF-B activity is increased by hypertonicity in both kidney renal medullary interstitial cells and collecting duct principal cells. Increased NF-B activation in renal medullary interstitial cells is illustrative of the role played by NF-B in the kidney, which is to protect cells from the damaging effects of hypertonicity via COX2-dependent suppression of apoptosis (50). These observations highlight the potential role of NF-B in renal cell survival under hypertonic conditions. TonEBP activity is enhanced by hypertonicity through combined enhanced TonEBP nuclear localization, transactivation, and increased whole cell abundance (51-54). Our findings indi-cate that hypertonicity activates both NF-B and TonEBP and that both factors bind to specific cis elements located in the AQP2 promoter. Because TonEBP activity is more slowly up-regulated than NF-B activity in mpkCCD cl4 cells (Ref. 26 and this study), we propose that decreased AQP2 transcription occurring shortly after (Ͻ3 h) hypertonic challenge is associated with increased NF-B activity. After longer periods of hypertonic challenge, when TonEBP activity is high and NF-B activity is low, the stimulatory effect of TonEBP on AQP2 transcription would supersede the repressive effect of NF-B and result in increased AQP2 transcription. These considerations indicate that sustained hypertonicity prevailing in the renal medulla override reduced AQP2 transcription under conditions of enhanced NF-B activity. TonEBP abundance increases along the CD as a consequence of increased interstitial tonicity (30). This suggests that reduced AQP2 expression in tubulo-interstitial inflammatory diseases should be predominant in isotonic cortical regions, where the bulk of CD water reabsorption occurs, as opposed to TonEBP-rich hypertonic medullary regions.
In conclusion, the findings of the present study reveal that increased NF-B activity is associated with decreased AQP2 transcriptional activity. This in turn was found to depend on altered p65, p50, and p52 NF-B subunit binding to B elements of the AQP2 promoter. These findings strongly indicate that NF-B activation participates in the negative physiological control of AQP2 transcription and may antagonize increased AQP2 gene transcription by vasopressin and hypertonicity mediated by CREB and TonEBP, respectively. Moreover, strong NF-B activation observed in renal inflammatory diseases most likely accounts for the observed decrease of AQP2 expression and accompanying urinary concentration defects.