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Vol. 18, Issue 1, 14-23, January 2007

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Synergistic Up-Regulation of Vascular Endothelial Growth Factor (VEGF) Expression in Macrophages by Adenosine A_2A Receptor Agonists and Endotoxin Involves Transcriptional Regulation via the Hypoxia Response Element in the VEGF Promoter

Department of Cell Biology and Molecular Medicine and The Cardiovascular Research Institute, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark, NJ 07103

Submitted July 12, 2006; Revised September 29, 2006; Accepted October 18, 2006
Monitoring Editor: Richard Assoian

	ABSTRACT

TOP ABSTRACT INTRODUCTION MATERIALS AND METHODS RESULTS DISCUSSION REFERENCES

 
Macrophages are an important source of vascular endothelial growth factor (VEGF). Adenosine A_2A receptor (A_2AR) agonists with Toll-like receptor (TLR) 2, 4, 7, and 9 agonists synergistically induce macrophage VEGF expression. We show here using VEGF promoter-luciferase reporter constructs that the TLR4 agonist Escherichia coli lipopolysaccharide (LPS) and the A_2AR agonists NECA and CGS21680 synergistically augment VEGF transcription in macrophages and that the HRE in the VEGF promoter is essential for this transcription. We examined whether LPS and/or NECA induce HIF-1 expression. HIF-1 mRNA levels were increased in LPS-treated macrophages in an NF-B–dependent manner; NECA strongly increased these levels in an A_2AR-dependent manner. LPS induced luciferase expression from a HIF-1 promoter-luciferase construct in an A_2AR-independent manner. Further stimulation with NECA did not increase HIF-1 promoter activity, indicating that the A_2AR-dependent increase in HIF-1 mRNA is post-transcriptional. LPS/NECA treatment also increased HIF-1 protein and DNA binding levels. Deletion of putative NF-B–binding sites from the VEGF promoter did not affect LPS/NECA-induced VEGF promoter activity, suggesting that NF-B is not directly involved in VEGF transcription. Taken together, these data indicate that LPS/NECA-induced VEGF expression involves transcriptional regulation of the VEGF promoter by HIF-1 through the HRE. HIF-1 is transcriptionally induced by LPS and post-transcriptionally up-regulated in an A_2AR-dependent manner.

	INTRODUCTION

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Macrophages play a key role in induction of angiogenesis, which is crucial for wound healing, fibroproliferative responses, and solid tumor development (Crowther et al., 2001). When stimulated, macrophages secrete an array of cytokines and growth factors, including the potent angiogenic factor vascular endothelial growth factor (VEGF). VEGF is an endothelial cell–specific mitogen and plays an important role in vascular development and angiogenesis during embryogenesis, wound healing, solid tumor growth, and certain chronic fibroproliferative inflammatory diseases (Ferrara and Davis-Smyth, 1997). Macrophages are exquisitely sensitive to their microenvironment and produce VEGF in a tightly regulated manner (Crowther et al., 2001).

Macrophages produce elevated levels of VEGF in response to a variety of stimuli, including hypoxia and endotoxin (lipopolysaccharide [LPS]) together with interferon- (IFN-), and growth factors, and cytokines such as TGF-, TGF-, IL-1, and IL-6 (Goldman et al., 1993; Pertovaara et al., 1994; Levy et al., 1995; Cohen et al., 1996; Gille et al., 1997; Xiong et al., 1998). Other stimuli such as hydrogen peroxide and nitric oxide (NO) have also been implicated in VEGF up-regulation (Kimura et al., 2000; Cho et al., 2001). We have shown previously that VEGF expression by murine macrophages is synergistically up-regulated by Escherichia coli LPS acting through Toll-like receptor, TLR4, receptors with adenosine acting through A_2A receptors (A_2ARs; Leibovich et al., 2002). The synergy between A_2AR agonists and E. coli LPS that results in the up-regulation of VEGF production is not limited to TLR4, but can also be induced by TLR2, 7, and 9 agonists (Pinhal-Enfield et al., 2003). In this study we have investigated further the mechanism of this increased VEGF gene expression in murine macrophages by LPS (a TLR4 agonist) with 5'-N-ethyl-carboxamidoadenosine (NECA), or 2-[p-(2-carboxylethyl)-phenylethyl amino]-5'-N-ethyl-carboxamido-adenosine (CGS21680) (A_2AR agonists). Using a VEGF promoter-luciferase reporter construct transfected into RAW 264.7 cells, we demonstrate that a strong synergistic activation of the VEGF promoter is induced by coactivation of TLR4 and A_2AR, but not of either receptor alone. Subsequently, we studied the cis-element(s) essential for this transcriptional activation by constructing a series of luciferase reporter constructs containing the VEGF promoter with specific deletions of individual known cis-elements. The hypoxia response element (HRE) of the VEGF promoter was found to be vital for the LPS/NECA-induced transcription. The HRE is a region of the promoter involved in the induction of VEGF by hypoxia and is the binding site for hypoxia inducible factor-1 (HIF-1). HIF-1 is a dimeric transcription factor consisting of HIF-1 and HIF-1 (ARNT) (Liu et al., 1995; Forsythe et al., 1996; Damert et al., 1997; Ema et al., 1997). HIF-1 is stable and constitutively expressed. Although HIF-1 is constitutively expressed, it is extremely unstable under normoxic conditions and is stabilized by hypoxia (Guillemin and Krasnow, 1997). Increased steady state levels of HIF-1 protein have been reported to be induced, even under normoxic conditions, by signaling pathways other than hypoxia (Zelzer et al., 1998; Kimura et al., 2000; Laughner et al., 2001; Jung et al., 2003a, 2003b, 2003c; Blouin et al., 2004; Frede et al., 2006). For example, HIF-1 has been found to be induced in tumor cell lines by a variety of growth factors and hormones, including insulin, insulin-like growth factor, angiotensin II, and epidermal growth factor (Zelzer et al., 1998; Feldser et al., 1999; Richard et al., 2000; Zhong et al., 2000). In these studies, increased HIF-1 protein levels were generally the result of increased translation of HIF-1 mRNA or increased stabilization of HIF-1 protein. Because the synergistic activation of VEGF promoter constructs by TLR4 and A_2AR ligation was found to require the presence of the HRE in the VEGF promoter, we tested the hypothesis that this ligation triggers a signaling cascade that leads to increased expression of HIF-1, and to increased binding of HIF-1 to the HRE, resulting in increased transcription of the VEGF gene.

	MATERIALS AND METHODS

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Reagents
E. coli LPS was purchased from Sigma Chemical Co. (St. Louis, MO). NECA and 2-[p-(2-carboxylethyl)-phenylethyl amino]-5'-N-ethyl-carboxamido-adenosine (CGS21680) were purchased from Sigma Chemical Co. Panepoxydone, SN 50, and BAY11-7085 were purchased from Axxora (San Diego, CA). ZM241385 was purchased from Tocris-Cookson (Bristol, United Kingdom).

Animals
C57Bl/6J mice (female, 7–8 wk) were purchased from Jackson Laboratories (Bar Harbor, ME). The animal experimentation protocols were approved by the New Jersey Medical School (NJMS) animal care and use committee (IACUC).

Cell Culture
Murine peritoneal macrophages were harvested from C57Bl/6J mice (7–8 wk) as described previously (Xiong et al., 1998). Mice were injected intraperitoneally with 2.5 ml thioglycolate broth, and 4 d later peritoneal macrophages were harvested. RAW 264.7 (murine macrophage-like cell line) cells were purchased from American Type Culture Collection (Manassas, VA). The cells were cultured as a monolayer in RPMI 1640 medium (Cellgro, Mediatech, Herndon, VA) supplemented with 10% fetal bovine serum (FBS; Gemini Bio-Products, Calabasas, CA), 2 mM L-glutamine, 100 IU/ml penicillin, and 100 µg/ml streptomycin (Irvine Scientific, Santa Ana, CA). The cells were incubated at 37°C in a humidified incubator in 5% CO₂ and 95% air. All experiments were performed at a concentration of 1 x 10⁶ cells/ml medium. Cells were plated 20–24 h before stimulation. The medium used for stimulation contained 1% FBS, and cells were stimulated with LPS (100 ng/ml), NECA (1 µM), a combination of LPS and NECA, or hypoxia (1% O₂). For incubation of cells under hypoxic conditions, cultures were placed in a hypoxia chamber (Billups-Rothenberg, Del Mar, CA). The chamber was filled with a gas mixture of 1% O₂, 5% CO₂, and 94% N₂. The sealed chamber was then placed in a 37°C incubator. Conditioned media were harvested 24 h after stimulation and stored at –20°C.

VEGF and TNF- Assays
VEGF and TNF- levels in the macrophage-conditioned media were assayed using Quantikine M murine VEGF and TNF- ELISA kits (R&D Systems, Minneapolis, MN) according to the manufacturer's protocol. The assays were linear in the range of 7.8 to 500 pg/ml for VEGF and 23.4 to 1500 pg/ml for TNF-. Samples were assayed in duplicate and results are expressed as means ± SD.

MTT Assay
Viability of the cells was assessed by MTT (methyl thiazole tetrazolium) assay as described previously (Denizot and Lang, 1986).

Extraction of RNA and Real-Time PCR
Mouse peritoneal macrophages were plated in 60-mm dishes (4 x 10⁶ cells/dish). After overnight incubation, cells were treated with various reagents as indicated in the figure legends. RNA was isolated using Trizol reagent (Invitrogen, Carlsbad, CA) according to the manufacturer's protocol for isolation of total RNA from animal cells. RNA was quantified using SYBR Green II (Sigma) according to the manufacturer's instructions. Real-time quantitative PCRs were performed by means of TaqMan technology and ABI 7500 Real-time PCR system (Applied Biosystems, Foster City, CA).

cDNA was synthesized from total RNA using TaqMan Reverse Transcription Reagents (Applied Biosystems) following the manufacturer's instructions. Real-time PCR was performed in an ABI Prism 7500 Sequence Detector (Columbia, MD) using 1/10th volume of each cDNA reaction and TaqMan Universal PCR Master Mix. The TaqMan Gene Expression Assay for cyclophilin D (Mm00835365_g1) was purchased from Applied Biosystems. Primers and probes for mouse VEGF and HIF-1 mRNA were designed using Applied Biosystems' Primer Express 2.0 software and synthesized at the Molecular Resource Facility at NJMS-UMDNJ (Newark, NJ). 5'-ends of the probes were labeled with the fluorescent dye, 6-carboxy fluorescene (FAM), and 3'-ends were coupled to the quencher molecule, Black Hole Quencher dye-1 (BHQ-1). Sequences of primers and probes are presented in Table 1. The real-time PCR reactions were carried out using the manufacturer's protocol for absolute quantification. After initial denaturation at 95°C for 10 min, reactions were subjected to 40 cycles of PCR, each cycle consisting of 15 s at 95°C, followed by 60 s at 60°C. For each sample, gene expression levels of VEGF and HIF-1 were normalized to that of endogenous cyclophilin D, and data were calculated as fold expression relative to the average of the untreated control group.

Construction of Mouse VEGF Promoter Deletion Luciferase Constructs
A 1.3-kb fragment (–963 to +404) containing the promoter region of the mouse VEGF gene (GenBank TM/EMBL databank accession number U41393; Shima et al., 1996) was cloned into the pGL3-basic vector. This construct was designated as pVEGF-Luc. Specific cis-acting elements were then deleted from pVEGF-Luc by inverse PCR, using two primers in inverted tail-to-tail directions to amplify the entire pVEGF-Luc plasmid, excluding the region to be deleted. For each deletion, a specific primer pair flanking the site to be deleted was designed (Table 2). The amplified plasmid was then recircularized and grown in E. coli strain XL10-Gold (Stratagene, La Jolla, CA). The VEGF promoter insert with the desired deletion was then excised from the amplified plasmid and religated into the original pGL3-basic vector, to ensure that the plasmid and luciferase gene remained error-free. The resulting constructs are schematically depicted in Figure 1 and were designated as pVEGF(-HRE) Luc (–917 to –893 deleted), pVEGF(-AP-1) Luc (–881 to –872 deleted), pVEGF(-AP-2) Luc (–778 to –695 deleted), pVEGF(-NF-B) Luc (–222 to –107 deleted), and pVEGF(-Sp1) Luc (–77 to –55 deleted). All sequences were confirmed by automated sequencing using 3130xl Genetic Analyzer (Applied Biosystems), to ensure that no unanticipated mutations were introduced by the cloning procedure.

View larger version (17K): [in this window] [in a new window]   Figure 1. Schematic representation of the mouse VEGF promoter-luciferase reporter construct and its derivative plasmids containing deletions of specific cis-elements from the VEGF promoter.

Preparation of Nuclear Extracts
Murine peritoneal macrophages or RAW264.7 cells were plated in 100-mm dishes. After overnight incubation, the medium was changed to RPMI 1640 with 1% FBS, and the cells were stimulated as described above for 12 h. The nuclear extracts were prepared as described previously (Pinhal-Enfield et al., 2003) and stored at –80°C until use. The protein concentrations were determined by the Bradford method using the Bio-Rad protein assay dye reagent (Bio-Rad Laboratories, Hercules, CA).

Western Blot Analyses
Nuclear extracts (50 µg) were resolved using SDS-PAGE. After transfer onto nitrocellulose membranes, HIF-1 protein was detected using rabbit polyclonal antibody NB 100-479 from Novus Biologicals (Littleton, CO). The blots were developed using an enhanced chemifluoroescence (ECF) system (GE Healthcare, Piscataway, NJ) and visualized using a Typhoon 9410 variable mode imager (GE Healthcare). To control for sample loading, blots were also stained with a rabbit polyclonal antibody to nucleoplasmin (Cell Signaling Technology, Beverly, MA).

Trans-AM HIF-1 Assay
Activation of HIF-1 was quantified using an ELISA-based assay kit (Trans-AM HIF-1; Active Motif, Carlsbad, CA). The assay was performed following the manufacturer's instructions with some important modifications. Nuclear protein (25 µg) was incubated in a 96-well plate coated with an oligonucleotide containing the HIF-1–binding site. The presence of the HIF-1 transcription complex was evaluated with a 1:5000 dilution of an anti HIF-1 mAb (NB 100-123) from Novus Biologicals instead of the antibody from the kit, because the supplied antibody recognized human but not mouse HIF-1. HIF-1 binding was then detected by incubation with an HRP-conjugated secondary antibody and substrate. Results are expressed as the fold increase of the absorbance at 450 nm over control conditions.

	RESULTS

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Coligation of TLR4 and A_2ARs Increases Steady State Levels of VEGF mRNA
Previously, we have reported that LPS with NECA or CGS21680 synergistically up-regulate VEGF expression in macrophages (Leibovich et al., 2002). To understand the mechanism of this up-regulation, murine peritoneal macrophages were stimulated with LPS, NECA, a combination of LPS and NECA, or hypoxia for 4, 8, 12, and 16 h. Total RNA was harvested and reverse-transcribed, and cDNA was used to perform TaqMan real-time PCR analysis for the quantification of VEGF mRNA levels. Both LPS and NECA, when added individually, failed to enhance VEGF mRNA levels (Figure 2), whereas LPS/NECA treatment caused a significant and persistent induction of VEGF gene expression. This induction was apparent by 8 h (6-fold), reached peak levels at 12 h (9.7-fold), and increased only slightly thereafter (10.2-fold at 16 h). Because hypoxia has been shown in numerous studies (Levy et al., 1995; Liu et al., 1995; Shima et al., 1995; Wang et al., 1995; Forsythe et al., 1996; Xiong et al., 1998; Fukumura et al., 2001; Ramanathan et al., 2003) to induce VEGF gene expression, total RNA extracted from macrophages incubated under hypoxic conditions was also analyzed to compare with the level of induction by LPS/NECA. Hypoxic induction of VEGF mRNA was rapid, reaching 5.3-fold by 4 h, increasing to 12.7- and 13.7-fold by 8 and 12 h, respectively. At 16 h the VEGF mRNA level in hypoxic sample decreased to 9.6-fold.

View larger version (28K): [in this window] [in a new window]   Figure 2. Coligation of TLR4 and A2ARs increases steady state levels of VEGF mRNA. Murine peritoneal macrophages were treated with LPS (100 ng/ml), NECA (1 µM), a combination of LPS and NECA, or hypoxia for 4, 8, 12, or 16 h. At the end of the incubation period, total RNA was isolated and subjected to TaqMan real-time PCR analysis as described in Materials and Methods. VEGF mRNA levels were normalized to the corresponding levels of endogenous cyclophilin D mRNA, and data were calculated as fold expression relative to the untreated control group. Hypoxia, a known inducer of VEGF expression, served as a positive control. Results reported are means ± SD for duplicate samples from at least three independent experiments.

View larger version (22K): [in this window] [in a new window]   Figure 3. Synergistic up-regulation of VEGF gene expression by LPS and NECA occurs at the transcriptional level and requires the hypoxia response element (HRE) within the VEGF promoter. RAW 264.7 cells were transiently transfected with (A) pVEGF-Luc, a luciferase reporter constructed by cloning a 1.3-kb fragment (–963 to +404) containing the promoter region of the mouse VEGF gene into the promoterless luciferase vector (pGL3-basic), (B) pVEGF-Luc or a series of luciferase reporter constructs each containing a VEGF promoter fragment lacking an individual cis-acting element, or (C) pHRE-Luc or pGL3-promoter vector. Cells were cotransfected with Renilla luciferase reporter plasmid phRL-TK to normalize for transfection efficiency. Transfectants were stimulated with LPS (100 ng/ml), NECA (1 µM), a combination of LPS and NECA, or hypoxia. After 24-h incubation, cells were lysed and assayed for firefly and Renilla luciferase activities. Hypoxia, a known inducer of VEGF expression, served as a positive control. Data were calculated as fold induction relative to the untreated control group. Results reported here are means ± SD for duplicate samples from at least three independent experiments.

To confirm further the activation of the HRE by LPS/NECA, RAW 264.7 cells were transiently transfected with pHRE-Luc, an HRE reporter construct containing four HREs in tandem, cloned into the pGL3-promoter vector (Figure 3C). The HRE-driven luciferase activity was strongly augmented by hypoxia (94.9-fold), as well as LPS/NECA (67.32-fold). LPS alone caused a much lower (26-fold) induction, whereas NECA alone did not significantly induce HRE-driven luciferase activity. Cells transfected with parental pGL3-promoter vector showed only slight induction of luciferase activity by LPS, NECA, LPS/NECA, and hypoxia.

Induction of HIF-1 mRNA Expression in Macrophages Treated with Agonists of TLR4 and A_2AR
Activation of the HRE in the VEGF promoter by LPS/NECA suggested that the HIF-1 transcription factor might be critical for the regulation of VEGF expression, and that HIF-1 gene expression might be enhanced under these conditions. We therefore measured the levels of HIF-1 mRNA transcripts in these cells by TaqMan real-time PCR. Total RNA was extracted from macrophages treated with LPS, NECA, LPS/NECA, or hypoxia for 4, 8, 12, and 16 h. Real-time PCR analyses showed that neither NECA nor hypoxia had any significant effect on HIF-1 mRNA levels, whereas LPS treatment caused a modest 2.2-fold induction by 4 h, which reached a transient 5.3-fold induction at 8 h (Figure 4A). Treatment with LPS/NECA on the other hand, induced a strong and persistent up-regulation of HIF-1 gene expression, which peaked by 8 h (10.6-fold induction). The time course of HIF-1 and VEGF gene expression (Figure 4B) clearly shows that the peak induction of HIF-1 gene expression precedes the maximum induction of VEGF gene expression by LPS and NECA.

View larger version (19K): [in this window] [in a new window]   Figure 4. LPS and NECA treatment of macrophages increases the steady state levels of HIF-1 mRNA. (A) Murine peritoneal macrophages were treated with LPS (100 ng/ml), NECA (1 µM), a combination of LPS and NECA, or hypoxia for 4, 8, 12, or 16 h. Total RNA was then isolated and subjected to TaqMan real-time PCR analysis as described in Materials and Methods. HIF-1 mRNA levels were normalized to the corresponding levels of endogenous cyclophilin D mRNA, and data were calculated as fold expression relative to the untreated control group. (B) Time course of VEGF and HIF-1 mRNA induction after the treatment of macrophages with LPS and NECA. (C) Murine peritoneal macrophages were treated with LPS (100 ng/ml), NECA (1 µM), a combination of LPS and NECA, or hypoxia for 12 h with or without BAY11-7085 (5 µM), or ZM241385 (1 µM). Total RNA was then isolated and subjected to TaqMan real-time PCR analysis as described above. Results reported are means ± SD for duplicate samples from at least three independent experiments.

Increased HIF-1 Expression Induced by LPS and NECA Involves Both Transcriptional and Post-Transcriptional Regulation
To determine whether the up-regulation of HIF-1 gene expression by LPS and NECA occurs at the transcriptional level, RAW 264.7 cells were transiently transfected with pHXN1aLuc, a luciferase reporter plasmid containing the murine HIF-1 exon I.2 promoter (Wenger et al., 1998), and transfectants were treated with LPS, NECA, a combination of LPS and NECA, or hypoxia. There was a 2.5-fold induction of luciferase expression driven by the HIF-1 promoter in cells treated with LPS, whereas NECA alone did not induce luciferase expression (Figure 5). Cells treated with LPS/NECA expressed luciferase at levels comparable to that of LPS alone. This indicates that up-regulation of HIF-1 mRNA expression by LPS occurs at the transcriptional level. ZM241385 did not affect LPS-, NECA-, or LPS/NECA-induced HIF-1 exon I.2 promoter activity. These results indicate that the A_2AR-mediated increase in HIF-1 mRNA expression in LPS/NECA treated cells determined by RT-PCR is not transcriptional, but is regulated at the post-transcriptional level. Cells incubated under hypoxia did not show any induction of HIF-1 promoter activity.

View larger version (34K): [in this window] [in a new window]   Figure 5. Induction of the HIF-1 exon I.2 promoter by LPS and NECA. RAW264.7 cells were transfected with pHXN1aLuc, a luciferase reporter plasmid containing the murine HIF-1 exon I.2 promoter. Cells were cotransfected with Renilla luciferase reporter plasmid phRL-TK to normalize for transfection efficiency. Transfectants were treated with LPS (100 ng/ml), NECA (1 µM), a combination of LPS and NECA, or hypoxia for 20 h. In some cases, cells were treated with the A2AR antagonist ZM241385 (1 µM). Cells were lysed and assayed for firefly and Renilla luciferase activities. Data were calculated as fold induction relative to the untreated control group. Results reported here are means ± SD for duplicate samples from at least three independent experiments.

HIF-1 Protein and DNA-binding Activity Are Increased in Macrophages Treated with Agonists of TLR4 and A_2AR

View larger version (24K): [in this window] [in a new window]   Figure 6. Treatment of macrophages with LPS and NECA leads to increased HIF-1 DNA binding activity. RAW 264.7 cells were treated with LPS (100 ng/ml) (L), NECA (1 µM) (N), a combination of LPS and NECA (L/N), or hypoxia (H). After incubation for 12 h, nuclear extracts were prepared. (A) For Western blot analysis, 50 µg protein were electrophoresed on SDS-PAGE, transferred to nitrocellulose membranes, and immunostained with a rabbit anti-HIF-1 polyclonal antibody. As a loading control, blots were immunostained with a rabbit anti-nucleoplasmin (NPM) antibody. (B) HIF-1 DNA-binding activity was quantified as described in Materials and Methods. HIF-1 bound to HIF-1–specific double-stranded oligonucleotides was detected by an ELISA-based assay using an mAb against HIF-1. Hypoxia-induced samples were included as a positive control. Results are expressed as the fold increase of the absorbance at 450 nm over untreated control. Results reported here are means ± SD for duplicate samples from at least three independent experiments.

Effects of the A_2AR Antagonist ZM241385 and the NF-B Inhibitor BAY11-7085 on VEGF Promoter Activity
RAW 264.7 cells were transiently transfected with pVEGF-Luc or pHRE-Luc. The transfectants were treated with LPS, NECA, LPS/NECA, or hypoxia, with or without BAY11-7085. Treatment with the A_2AR antagonist ZM241385 was used to confirm the specific involvement of A_2AR signaling in the synergistic activation of the VEGF promoter and the HRE by LPS/NECA. BAY11-7085 (5 µM) caused a 23 and 19% decrease in LPS/NECA-induced VEGF promoter activity and HRE-driven luciferase activity, respectively (Figure 7, A and B). Hypoxic induction of the luciferase activity was not down-regulated by BAY11-7085. ZM241385 caused a strong down-regulation of LPS/NECA-induced VEGF promoter–driven (by 68%) and HRE-driven (by 70%) luciferase activity.

View larger version (20K): [in this window] [in a new window]   Figure 7. LPS/NECA-induced activation of the VEGF promoter-luciferase construct and the HRE reporter construct is blocked by the A2AR antagonist ZM241385, but not by the NF-B inhibitor BAY11-7085. RAW 264.7 cells were transiently transfected with (A) pVEGF-Luc or (B) pHRE-Luc. Cells were cotransfected with Renilla luciferase reporter plasmid phRL-TK to normalize for the transfection efficiency. Transfectants were stimulated with LPS (100 ng/ml), NECA (1 µM), a combination of LPS and NECA, or hypoxia either in the presence or absence of BAY11-7085 (5 or 10 µM) or ZM241385 (1 µM). After 24-h incubation, cells were lysed and assayed for firefly and Renilla luciferase activities. Hypoxia, a known inducer of VEGF expression, served as a positive control. Data were calculated as fold induction relative to the untreated control group. Results reported here are means ± SD for duplicate samples from at least three independent experiments.

Effects of NF-B Inhibitors on TNF- and VEGF Expression Induced by Agonists of TLR4 and A_2AR in Macrophages

View larger version (16K): [in this window] [in a new window]   Figure 8. Inhibitor of NF-B BAY11-7085 down-regulates LPS-induced TNF- expression but not LPS/NECA-induced VEGF expression in murine peritoneal macrophages. Murine peritoneal macrophages were stimulated with LPS (100 ng/ml), NECA (1 µM), a combination of LPS and NECA, or hypoxia either in the presence or absence of BAY11-7085 (1 or 5 µM) or ZM241385 (1 µM). After 24-h incubation, conditioned media were harvested and assayed for (A) TNF- and (B) VEGF protein levels by ELISAs. MTT assays were used to normalize the cytokine levels to cell viability. Data were calculated as fold induction relative to the untreated control group. Results reported here are means ± SD for duplicate samples from at least three independent experiments.

	DISCUSSION

TOP ABSTRACT INTRODUCTION MATERIALS AND METHODS RESULTS DISCUSSION REFERENCES

Because the HRE is at the 5'-end of the murine VEGF promoter and was absent from all the deletion constructs in our prior study (Ramanathan et al., 2003), we were previously unable to address the potential importance of the promoter elements downstream of the HRE. Therefore, in this study, we engineered a series of VEGF promoter-reporter constructs in which major cis-acting elements were individually deleted, while retaining the HRE (Figure 2B). Deletion of the HRE abrogated the induction of the VEGF promoter by LPS and NECA, indicating that the HRE region of the VEGF promoter is essential for its transcriptional activation by LPS and NECA. In confirmation, treatment with LPS and NECA was also shown to induce reporter activity from a vector containing only the HRE elements as enhancer (pHRE-Luc).

We investigated the mechanism of LPS/NECA-induced activation of the HRE under normoxic conditions. Several nonhypoxic stimuli have been shown to strongly increase HIF-1 activation under normoxic conditions in a cell-specific manner, thereby increasing the transcription of genes that are primarily induced by hypoxia. These stimulants include cytokines such as IFN-, IL-1, and TNF (Albina et al., 2001; Haddad and Land, 2001; Jung et al., 2003a, 2003b; Scharte et al., 2003; Frede et al., 2005; Varney et al., 2005), growth factors (Feldser et al., 1999; Gorlach et al., 2001; Shih and Claffey, 2001; Tacchini et al., 2001; Fukuda et al., 2002), and hormones such as thrombin, thrombopoietin, and angiotensin (Gorlach et al., 2001; Page et al., 2002; Kirito et al., 2005). Most of these studies report induction of HIF-1 through an increase in protein levels rather than increased levels of HIF-1 mRNA. Increase in HIF-1 protein levels were found to be due to increased translation rather than to increased stabilization of HIF-1 protein. Richard et al. (1999) demonstrated an increase in the transcriptional activity of HIF-1 through p42/p44 MAPK-mediated phosphorylation (Richard et al., 1999). However there are few reports demonstrating increased transcription of the HIF-1 gene leading to increased protein levels. Blouin et al. (2004) showed that in a macrophage-derived cell model, HIF-1 mRNA levels were markedly increased after LPS stimulation via activation of diacylglycerol-sensitive forms of PKC (Blouin et al., 2004). Recently, LPS has also been shown to induce HIF-1 expression in human monocytes, in a p44/p42 MAPK and NF-B–dependent manner (Frede et al., 2006).

We examined the possibility that treatment with LPS and NECA might result in increased HIF-1 expression in macrophages. Real-time PCR analyses showed that HIF-1 mRNA levels were increased transiently in LPS-treated cells, whereas LPS/NECA-treated macrophages showed a stronger and more persistent increase in HIF-1 mRNA levels (Figure 4A). This increase preceded the induction of VEGF gene expression by LPS/NECA, an induction that was not observed in macrophages treated with LPS alone. The LPS-induced increase in HIF-1 mRNA levels was mediated transcriptionally. RAW264.7 cells transfected with a HIF-1 exon I.2 promoter luciferase construct (pHXN1aLuc) showed a significant basal level of luciferase expression. LPS treatment of these cells resulted in a marked increase in luciferase expression in an NF-B–dependent manner. NECA did not alter either basal or LPS-induced luciferase expression. However, as noted above, NECA with LPS resulted in a significant increase in HIF-1 mRNA levels. This indicates that NECA does not transcriptionally induce HIF-1 expression, but rather post-transcriptionally stabilizes the LPS-induced HIF-1 mRNA. The A_2AR antagonist ZM241385 blocks the NECA-induced increase in HIF-1 mRNA in LPS-treated cells, bringing these levels down to those observed in cells treated with LPS alone. These results indicate that the LPS-induced transcriptional up-regulation of HIF-1 is independent of A_2AR signaling, but that the subsequent stabilization of HIF-1 mRNA induced by NECA is a critical post-transcriptional A_2AR-dependent event. The mechanism by which the A_2AR agonist stabilizes HIF-1 mRNA is not clear.

Levels of HIF-1 protein and HIF-1 DNA-binding activity were also increased in cells treated with LPS and NECA. However, both HIF-1 protein levels and DNA-binding activity were not as strongly elevated as those induced by hypoxia, even though the induction of VEGF expression by LPS/ NECA was as strong or stronger than that induced by hypoxia. This raises the possibility that other, as yet unidentified factors that promote VEGF gene transcription via binding to the HRE might be involved in the up-regulation of VEGF expression. Because the VEGF promoter contains a region with putative NF-B–binding sites, we further investigated the possible role of NF-B in induction of VEGF gene expression by LPS/NECA. Deletion of the VEGF promoter region containing the putative NF-B–binding sites had little effect on the LPS/NECA induction of luciferase expression in transfected RAW264.7 cells. Although the NF-B inhibitor BAY11-7085 strongly suppressed LPS-induced TNF- expression, LPS/NECA-induced VEGF expression was only mildly decreased in the presence of this inhibitor. Also, BAY11-7085 had little effect on activation of the intact VEGF promoter by LPS/NECA. Together, these results suggest that activation of NF-B does not play a direct role in up-regulation of VEGF expression by this pathway.

Although, our data clearly suggest a role for HIF-1–mediated transcriptional activation of the VEGF gene, the exact mechanism of stabilization of HIF-1 under these nonhypoxic conditions remains to be explored. Using a macrophage-derived cell model, Blouin et al. (2004) have shown that LPS treatment of a macrophage cell line results in induction of hypoxia-inducible genes via nonhypoxic induction of HIF-1 through transcriptional mechanisms (Blouin et al., 2004). Chun et al. (2003) have also reported that phorbol ester stimulates the nonhypoxic induction of a novel human HIF-1 isoform that lacks exon 11 and is thereby stabilized under normoxic conditions. In the present study, using primary murine peritoneal macrophages, we show that LPS alone was not enough to cause the induction of VEGF gene transcription via the HRE, although it caused a significant induction of HIF-1 gene expression. Costimulation of LPS-treated cells with NECA induced HIF-1 mRNA levels that were twice that in cells treated with LPS alone, and the increased levels of HIF-1 mRNA persisted for at least 16 h. This clearly indicated that ligation of A_2ARs contributes to the synergistic induction of both HIF-1 as well as to VEGF gene expression. It remains to be explored if additional regulatory mechanisms play a role in the induction and activation of HIF-1 by this pathway.

Our studies suggest that HIF-1 activation in macrophages is induced by the synergistic action of TLR agonists such as LPS, together with adenosine A_2AR agonists, in a hypoxia-independent manner. The presence of TLR agonists together with high levels of extracellular adenosine is likely to occur in numerous disease states. Understanding the mechanisms by which signaling pathways from TLR agonists and A_2AR agonists interact to regulate HIF-1 and VEGF expression may lead to novel therapeutic strategies for the treatment of fibroproliferative diseases.

	ACKNOWLEDGMENTS

 
The reporter plasmid pHRE-Luc was kindly provided by Dr. Sean Colgan (Harvard Medical School, Boston, MA). The reporter plasmid pHXN1aLuc was kindly provided by Prof. Roland H. Wenger (University of Zurich, Switzerland). This work was supported by a grant from the U.S. Public Health Service (RO1-GM-068636).

	Footnotes

 
This was published online ahead of print in MBC in Press (http://www.molbiolcell.org/cgi/doi/10.1091/mbc.E06-07-0596 on October 25, 2006.

Address correspondence to: Samuel Joseph Leibovich (leibovic{at}umdnj.edu)

Abbreviations used: NECA, 5'-N-ethyl-carboxamidoadenosine; CGS21680, 2-[p-(2-carboxylethyl)-phenylethyl amino]-5'-N-ethyl-carboxamido-adenosine; LPS, lipopolysaccharide; HRE, hypoxia response element; HIF, hypoxia inducible factor; MTT, methyl thiazole tetrazolium.

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