Endocrinology Vol. 139, No. 3 1389-1400
Copyright © 1998 by The Endocrine Society
Isolation and Characterization of the 5'-Flanking Regulatory Region of the Human Natriuretic Peptide Receptor C Gene1
Noriyuki Yanaka,
Jun Kotera and
Kenji Omori
Lead Generation Research Laboratory, Tanabe Seiyaku Co.,
Yodogawa-ku, Osaka 532, Japan
Address all correspondence and requests for reprints to: Dr. Kenji Omori, Lead Generation Research Laboratory, Tanabe Seiyaku Co., 1689 Kashima-3-chome, Yodogawa-ku, Osaka 532, Japan. E-mail:
k-omori{at}tanabe.co.jp
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Abstract
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Phenotypic modulation of vascular smooth muscle cells (SMCs) plays a
central role in the pathogenesis of atherosclerosis. Natriuretic
peptide receptor-C (NPR-C) is highly expressed in vascular SMCs in the
experimental arteriosclerotic neointimal area as well as in cultured
SMCs, suggesting that increased expression of the NPR-C gene is related
to the phenotypic alteration of vascular SMCs. To elucidate the
molecular mechanisms and to identify the essential DNA sequences in
NPR-C gene expression, a genomic clone containing over 8 kilobases of
the 5'-flanking region of the human NPR-C gene has been isolated.
Sequence analysis revealed that a number of putative regulatory
elements including unusual tandem repeated AP-2-like sequences were
observed in the 5'-flanking region. Primer extension and ribonuclease
protection analyses revealed that transcription of the human NPR-C gene
starts from two major regions. Promoter analysis using deletion
constructs in human cells, highly producing NPR-C transcripts, showing
that the region (from -33 to +13 relative to the transcription start
point) had a potential promoter activity suggested that the region from
-33 to +13, containing a pyrimidine-rich stretch composed of four
CTTTTT-repeated sequences, is sufficient for the proximal promoter
activity. Moreover, three distinct DNA sequences surrounding the
transcription start site (P1, from -60 to -33; P2, from +14 to +40;
P3, from +41 to +66) were revealed to be functional as a
cis-acting positive enhancer, and a nuclear protein(s)
from the human cells was demonstrated to specifically bind to the
sequences, respectively. However, promoter analysis has shown that the
P2 and P3 sequences could not activate the human NPR-C promoter in a
synergistic manner. On the basis of deoxyribonuclease I footprinting
analysis showing that a DNA element from +48 to +60 within the P3
sequence is preferentially protected, the P3 sequence appears to
contain a potential regulatory element involved in NPR-C gene
expression. The present study demonstrated the structure of the
5'-regulatory region of the human NPR-C gene and multiple
cis-acting positive sequences closely located around the
transcription start points with an important role in regulation of
human NPR-C gene expression.
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Introduction
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NATRIURETIC peptides (NP) are known to play
important roles in cardiovascular homeostasis. Three isoforms termed
atrial NP (ANP), brain NP, and C-type NP (1, 2) constitute a
natriuretic peptide family. ANP and brain NP have been considered to be
responsible for systemic blood pressure control and body fluid
homeostasis (3, 4). In contrast, C-type NP has been recently
demonstrated to be involved in the suppression of cell proliferation
and in phenotypic development in osteoblasts (5). These biological
functions of NPs were mediated with production of intracellular cGMP
through the guanylyl cyclase (GC)-coupled receptors, termed GC-A and
GC-B. NP receptor-C (NPR-C) has a very short putative intracytoplasmic
extension, with no guanylyl cyclase activity (6, 7, 8). This receptor is
supposed to regulate the biological effects of NPs by eliminating the
peptides from the blood circulation. On the other hand, NPR-C has been
reported to control adenylyl cyclase activity via
Gi protein, phospholipid hydrosis, thymidine
kinase activity, and mitogen-activated protein kinase activity (9, 10, 11, 12, 13)
without any cGMP response. Recent studies have shown that NPR-C is
involved in inhibition of catecholamine secretion in chromaffin cells
and the pheochromocytoma (PC12) cell line (14, 15). In vascular smooth
muscle cells (SMCs), expression of the NPR-C gene has been revealed to
be modulated by ANP and endothelium-derived relaxing factor, both of
which are key mediators for protection against cardiovascular
disorders, and by ß2-adrenergic stimulants (16, 17).
Additionally, NPR-C gene expression in vivo has been shown
to be down-regulated in the aorta of hypertensive rats (18), in the
lung of rats adapted to hypoxia (19), in the kidney of rats with renal
failure (20) and streptozotocin-induced diabetes mellitus (21), and
during the development of cardiac hypertrophy in aortic banded rats
(22). Although NPR-C has been demonstrated to localize in tracheal and
glomerular epithelium (23, 24), no information is yet available on the
mechanisms underlying the down-regulation of NPR-C expression.
Cultured vascular SMCs possess a phenotype of growing rapidly and
showing pathological characteristics (synthetic phenotype). Replication
of SMCs representing the synthetic phenotype is found in atheromatous
intimal lesions, indicating that abnormal proliferation of SMCs in the
vascular wall is a key process of atheromatous lesion formation
(25, 26, 27). Although cultured vascular SMCs showing the synthetic
phenotype express NPR-C (28) and various molecules including
embryonic myosin heavy chain (SMemb) (29), cyclooxygenase-2 (30),
and 95-kDa gelatinase (MMP-9) (31), these molecules are not identified
in the medial SMCs showing a contractile phenotype. Recent studies
demonstrated that expression of these genes was induced in the SMCs in
the intimal area of the experimental model in vivo. In this
study, we have shown that NPR-C is highly expressed in SMCs in the
neointimal area of the rat aorta after balloon injury, suggesting that
the NPR-C gene is a useful marker molecule representing the synthetic
phenotype in vascular SMCs. Additionally, NPR-C has been shown to
decrease during phenotypic differentiation of osteoblastic cells (32),
also suggesting that the expression level of the NPR-C gene was
dependent on the developmental stage of the osteoblasts.
Despite the significant progress that has been made in describing NPR-C
expression, no information is yet available on the mechanisms
underlying the basic regulation of NPR-C gene transcription. For
further understanding of the regulation of NPR-C gene expression,
detailed information of the structural and functional properties of its
transcriptional regulatory region will be required. Although we have
previously demonstrated the structure of the 5'-flanking regulatory
region of the mouse NPR-C gene and functional features using serial
5'-deletions of the promoter region (33), little is known regarding the
molecular mechanisms that regulate proximal transcription of the NPR-C
gene. In the present work, we isolated the 5'-flanking regulatory
region of the human (h) NPR-C gene, determined the transcription start
points, and defined the DNA sequences that are essential for its
expression to elucidate the basic transcriptional regulation of the
hNPR-C gene. Three distinct cis-acting positive regulatory
sequences surrounding the transcription start sites have been
determined according to functional promoter analysis using a series of
hNPR-C promoter-reporter constructs and human epithelial-like cells
highly expressing NPR-C messenger RNA (mRNA). Further investigations
using the nuclear proteins were carried out to examine the molecular
mechanisms of the cis-acting sequences. Moreover, another
finding in this study was that NPR-C mRNA was highly expressed in the
human megakaryocyte-like cell line and the human epithelial-like cell
line, suggesting that these cell lines were not only an abundant source
of the hNPR-C transcripts, but also a useful tool to investigate the
regulation of NPR-C expression in platelet and epithelium and its
pathophysiological roles.
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Materials and Methods
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Materials
Restriction endonucleases and DNA-modifying enzymes were
obtained from Takara Shuzo (Kyoto, Japan).
[
-32P]Deoxy-CTP, [
-32P]UTP,
[
-32P]ATP, [125I]human ANP, and Hybond-N
plus nylon filters were obtained from Amersham (Arlington Heights, IL).
The ANP analog,
des[Gln18,Ser19,Gly20,Leu21,Gly22]ANP-(423)-NH2
[C-ANF-(423)], was purchased from Sigma Chemical Co. (St. Louis,
MO). The expression vector pGVB, containing a firefly luciferase gene,
was obtained from Toyo Inki (Tokyo, Japan). Control plasmid
pRL-cytomegalovirus (pRL-CMV), containing a Renilla
luciferase gene, was obtained from Promega (Madison, WI). DMEM,
Iscoves Modified Dulbeccos Medium, FBS, and horse serum were
obtained from Life Technologies (Grand Island, NY).
NPR-C immunohistochemistry
The antiserum against the NPR-C protein used was obtained as
follows. The multiple antigen peptide-complex containing the sequence
NH2-RKKYRITIERRNHQEESNIGKHRELREDSIRSHFSVA-COOH derived from
the cytoplasmic domain of rat NPR-C protein was synthesized using the
9-fluorenylmethyloxycarbonyl synthesis strategy. Polyclonal antibody
toward the peptide was obtained by injecting rabbits with the peptide
in Freunds complete adjuvant. Male Sprague-Dawley rats (12 weeks old)
were used in this experiment. Aortic balloon injury was performed on
anesthetized rats as previously reported (31). After 11 or 21 days,
tissues were rapidly fixed with paraformaldehyde and 4-µm thick
sections were prepared on a cryostat. Immunostaining was performed with
a primary rabbit anti-NPR-C antibody (diluted 1:1000) with or without
preabsorption (10 µM antigen) and the
avidin-biotin-peroxidase complex kit (Vector Laboratories, Burlingame,
CA) as described by the manufacturer.
Cell cultures and binding assay of NPR-C
HeLa cells were obtained from Dainippon Pharmaceutical Co.
(Osaka, Japan) and cultured in DMEM supplemented with 10% FCS. The
human megakaryocyte-like cell line (Dami cells) was obtained from
American Type Culture Collection (Rockville, MD) and cultured in
Iscoves Modified Dulbeccos Medium supplemented with 10% horse
serum. Cultured human coronary artery SMCs were purchased from
Clonetics Corp. (Walkerville, MD) and cultured using medium
supplemented by the manufacturer. These cells were passaged in a
controlled atmosphere of 5% CO2-95% air at 37 C. Dami
cells in 12-well dishes were washed twice with 1 ml PBS. Binding of 1
nM [125I]human ANP was allowed to proceed for
30 min at 4 C to equilibrium in the presence of increasing
concentrations of unlabeled human ANP and C-ANF-(423) (1
pM to 1 µM). After 30 min, cells were washed
twice with PBS and solubilized with 500 µl 0.5 N NaOH.
Aliquots were assayed for radioactivity in a Cobra
-counter
(Packard, Downers Grove, IL).
RNA analysis by Northern blotting hybridization
Total RNA was isolated from the Dami and HeLa cells using ISOGEN
(Nippon gene, Toyama, Japan), and polyadenylated
[poly(A)+] RNA was purified by
oligo(deoxythymidine)-cellulose column chromatography using a mRNA
separator kit (Clontech, Palo Alto, CA). Poly(A)+ RNA (5
µg) was fractionated in a 1% agarose gel containing 0.66
M formaldehyde and 0.02 M
morpholinopropanesulfonic acid (pH 7.0). Fractionated RNA was
transferred onto a nylon filter by capillary blotting and then
cross-linked by UV irradiation. A 32P-labeled complementary
DNA (cDNA) fragment encoding the hNPR-C was used for Northern blotting
hybridization as a probe.
Preparation of a probe DNA encoding the hNPR-C cDNA
To obtain a probe for human genomic DNA library screening, we
performed RT-PCR using two sets of hNPR-C primers and human placental
poly(A)+ RNA as a template (6). Total RNA was isolated from
human placenta by standard protocol using the guanidinium thiocyanate
procedure, and poly(A)+ RNA was purified by
oligo(deoxythymidine)-cellulose column chromatography. First strand
complementary DNA (cDNA) synthesis was performed using a first strand
cDNA synthesis kit (Amersham) and the specific primer CR4
(5'-GGGAATTCATGTCTTTCAACCCGTCTATCTCC-3') corresponding to the
3'-sequence of the hNPR-C cDNA. After cDNA synthesis, the 5'-PCR primer
C21 (5'-TTGGTACCGCCAGGAGAGAGAGGCGCTGCCGC-3') and the 3'-PCR primer CR7
(5'-GTGACTGTCTGGAGGGACGAGTATGC-3') were used for amplification by PCR.
Denaturing, annealing, and polymerase reaction were performed 30 times
at 94 C for 1 min, 50 C for 2 min, and 72 C for 3 min, respectively.
The amplified 0.8-kilobase (kb) DNA fragment was separated on PAGE,
digested by KpnI and SacI, and subcloned into the
corresponding sites of pUC18. The nucleotide sequence was determined by
the dideoxy chain termination method, using an Applied Biosystems model
373A sequencer and the Taq DyeDeoxy Terminator Cycle
Sequencing Kit (Perkin-Elmer/Cetus, Norwalk, CT). The fragment obtained
by RT-PCR was confirmed to encode the N-terminal portion of the
hNPR-C.
Library screening and DNA sequencing
The genomic DNA encoding the NPR-C was isolated from a human
leukocyte genomic DNA library in EMBL3 (Clontech) using
Escherichia coli K803 as a host and the 0.8-kb
KpnI-SacI cDNA fragment as a probe. Plaques were
lifted using Plaque Screen (DuPont-New England Nuclear, Boston, MA) and
fixed by UV light exposure (Stratalinker, Stratagene, La Jolla, CA).
The filters were prehybridized for 2 h at 55 C in 6 x SSC
(standard saline citrate), 0.15 M NaCl, 15 mM
sodium citrate (pH 7.0), 0.1% SDS, 5 x Denhardts solution
(1 x Denhardts and 0.1% each of BSA, polyvinylpyrrolidone, and
Ficoll), and 100 µg/ml sonicated heat-denatured salmon sperm DNA, and
then hybridized with the denatured radiolabeled probe in the same
solution for 16 h at 55 C. Labeling of a probe was performed using
[
-32P]deoxy-CTP and a random primer labeling kit
(Takara Shuzo). After hybridization, the filters were washed twice with
1 x SSC-0.1% SDS at 65 C for 1 h each time and exposed to
x-ray film for 48 h at -80 C. Four positive clones were isolated
from 1 x 106 phage plaques and purified by following
plaque hybridization. The 2.2-kb XhoI fragment was subcloned
into the SalI-digested pUC19, producing pUC/hNPCR1, and
determined for the nucleotide sequence described above.
Southern blot analysis
Human genomic DNA was isolated from peripheral blood cells using
Genomix (Talent SRL, Trieste, Italy). A probe DNA encoding the
5'-flanking region upstream of the initiation codon ATG of the NPR-C
gene was produced as follows. The oligonucleotides
5'-GGGAGCTCTCTAGAACCATCCCTTTCCCCCAG-3' and
5'-GGAGATCTCGTGCCGCAAGAAAGAGCTTGCCC-3', derived from the sequence of
the 5'-flanking region of the gene, were used as a primer, and the
cloned human genomic fragment was used as a template. The amplified
1.0-kb fragment was digested by SacI and BglII,
and subcloned into the corresponding sites of pGVB (Pica Gene from Toyo
Inki), generating phNPCR1. The genomic DNA was completely digested with
restriction enzymes, XhoI, HindIII, and
KpnI, and fractionated by agarose gel electrophoresis (10
µg/lane). The DNA fragments were transfered onto a filter, and then
hybridized with a 32P-labeled 1.0-kb DNA fragment, as
described above. The filter was washed three times in 0.1 x
SSC-0.1% SDS at 65 C for 30 min each time and subjected to
autoradiography.
Determination of transcription start points
To determine the transcription start sites within the hNPR-C
promoter, primer extension was carried out with poly(A)+
RNA from Dami cells as a template. The 32P-labeled
synthetic primers (primer A, 5'-AAGTGCTTGTAATTGACGGTG-3'; primer B,
5'-TTCCTCTGTCCCTGCGCCCC-3'), which are complementary to regions
upstream of the ATG codon, respectively, were hybridized with 10 µg
poly(A)+ RNA in 40 mM bis-Tris (pH 6.4), 400
mM NaCl, 1 mM EDTA, and 50% formamide at 25 C
for 18 h. Extension reaction was carried out in 50 mM
Tris-HCl (pH 8.3), 100 mM KCl, 10 mM
MgCl2, 1 mM each of deoxy-NTP, 20 U RNasin, and
25 U Moloney murine leukemia virus reverse transcriptase
(Perkin-Elmer). Extended products were fractionated on an
8-M urea-8% PAGE. Dideoxy sequencing products primed by
the corresponding primers were run in parallel for size comparison.
Ribonuclease (RNase) protection assay was performed with an RPA II kit
from Ambion (Houston, TX). Bluescript SK- (Stratagene) was
ligated with a BamHI-HindIII fragment (473 bp)
that covered the 5'-flanking region of the hNPR-C gene, cut with
BamHI completely, and transcribed in vitro with
T7 RNA polymerase (Pharmacia) to yield an 32P-labeled
riboprobe (Fig. 7C
). Five micrograms of poly(A)+ RNA from
Dami and HeLa cells were hybridized with the riboprobe at 45 C for
20 h and digested with 100-fold diluted RNase solution at 37 C for
30 min. The protected products were analyzed by 8 M
urea-7% PAGE with 32P-labeled and
HaeIII-digested
X174 RFI DNA to determine the sizes of
the products.

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Figure 7. RNA analysis by Northern blotting hybridization
and transient expression analysis of the hNPR-C promoter-luciferase
reporter chimeric gene. A, Poly(A)+ RNA was purified from
HeLa cells. Five micrograms of poly(A)+ RNA were subjected
to Northern blot analysis. Hybridization was carried out with the
hNPR-C cDNA fragment as a probe, as described in Materials and
Methods. B and C, Various lengths of the hNPR-C 5'-flanking
sequences were inserted upstream of the firefly luciferase gene, and
the nucleotide boundaries were confirmed by nucleotide sequencing. The
chimeric constructs shown to the left were introduced
into HeLa cells. Normalized luciferase activity, relative to the
activities of phNPCRluc1 (B) and phNPCRluc3 (C), as 100% is shown to
the right. These results presented here are the average
from the experiments using plasmid DNAs prepared at least three times
independently.
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Construction of hNPR-C-LUC expression vectors
To create a luciferase reporter plasmid carrying the entire
5'-flanking region of the hNPR-C gene cloned, a 1.2-kb
SacI-SpeI fragment of pUC/hNPR-C11 was ligated to
the SacI-SpeI-digested pGVB. The resultant
plasmid, phNPR-Cluc1, was pGVB, with 1.2 kb of the 5'-flanking region
upstream of the initiation codon ATG and the firefly luciferase gene as
a reporter. The plasmid phNPR-Cluc2 (from -273 to +13) was constructed
by inserting a 286-bp BamHI-SpeI fragment of the
5'-flanking region into the BglII-SpeI-digested
pGVB. To obtain phNPR-Cluc3 (from -60 to +13), phNPR-Cluc4 (from -28
to +13), phNPR-Cluc5 (from -60 to +41), and phNPR-Cluc6 (from -60 to
+66), the DNA fragments of the hNPR-C gene corresponding to the above
sequence were amplified by PCR and cloned into the
BglII-HindIII-digested pGVB. The plasmid
phNPR-Cluc5 was double digested with SacI/SpeI
and self-ligated, resulting in phNPR-Cluc8 (from +10 to +41). To create
phNPR-Cluc9 (from +39 to +66), a DNA fragment
(5'-CTCTCTATCTTTTGGCGCATTAGTGAAGG-3') was inserted into the
BglII-HindIII-digested pGVB. A
SacI-SpeI fragment of phNPR-Cluc3 was ligated to
the SacI-NheI sites of phNPR-Cluc9 to produce
phNPR-Cluc7. All inserted DNA fragments in hNPR-C-LUC expression
vectors were confirmed for the nucleotide sequence as described
above.
Transient cell transfection
Transient cell transfection was performed according to the
calcium phosphate/DNA precipitate method. HeLa cells were seeded in
12-well plates at a density producing 1020% confluence on the next
day. After 1824 h, 3 µg of each test plasmid and 0.2 µg of the
control plasmid pRL-CMV carrying the Renilla luciferase gene
downstream of the CMV promoter were added to the medium, incubated for
an additional 16 h, then washed three times with PBS, and cultured
again in the fresh medium. After 24 h, the cells were washed twice
with PBS, collected in a microcentrifuge, and disrupted by a
freeze-throw cycle in 300 µl cell lysis solution (Promega). The
supernatant obtained by centrifugation for 5 min was pooled to measure
firefly and Renilla luciferase activities. Luciferase
activity was measured by TD20e (Turner, Sunnyvale, CA) with 15 µl
cell extract using a dual luciferase reporter assay system
(Promega).
Preparation of nuclear miniextracts
Cultured cells were suspended in 400 µl buffer A [10
mM HEPES (pH 7.9), 10 mM KCl, 0.1
mM EDTA, 0.1 mM EGTA, 1 mM
dithiothreitol (DTT), and 0.5 mM
phenylmethylsulfonylfluoride]. The homogenates were chilled on ice for
15 min, and then 25 µl 10% Nonidet P-40 were added. After vigorous
vortex for 10 sec, the nuclear fraction was precipitated by
centrifugation at 15,000 x g for 5 min and suspended
in 100 µl buffer B [20 mM HEPES (pH 7.9), 0.4
M NaCl, 1 mM EDTA, 1 mM EGTA, 1
mM DTT, and 1 mM
phenylmethylsulfonylfluoride]. The mixture was left on ice for 15 min
with frequent agitation. Nuclear extracts were prepared by
centrifugation at 15,000 x g for 5 min and stored at
-80 C. The protein concentration was determined by the DC protein
assay reagent (Bio-Rad, Richmond, CA).
DNA mobility shift assay
DNA-protein binding reactions were performed for 30 min at 30 C
in a mixture (20 µl) containing 20 mM HEPES (pH 7.9), 0.3
mM EDTA, 0.2 mM EGTA, 80 mM NaCl, 1
mM DTT, 2 µg poly(deoxyinosine-deoxycytidine) (dI-dC),
0.10.4 ng 32P-labeled oligonucleotide probe, and nuclear
miniextracts (8 µg protein). Where indicated, the reaction was
performed in the presence of unlabeled oligonucleotide competitors.
Sequences of oligonucleotide within the P1 sequence were as follows:
fragment A, 5'-AGACGAACAGGTTTACACCCGGTG-3'; fragment B,
5'-AGACGAACAGGTTTACACCCGGTGAACTTTTT-3'; and fragment C,
5'-AGGTTTACACCCGGTGAACTTTTT-3'. Sequences of oligonucleotide
corresponding to P2, P3, and E2F binding sequences were as follows: P2,
5'-ACTAGTGACATTGCAGAGAAGGACGCTTCCTC-3'; P3,
5'-CTCTCTATCTTTTGGCGCATTAGTGAAGG-3'; and E2F-binding element,
5'-TCTTTTGGCGCATT-3'. The DNA-protein complexes were electrophoresed on
4% PAGE containing 6.7 mM Tris-HCl (pH 7.5), 3.3
mM sodium acetate, 2.5% glycerol, and 0.1 mM
EDTA. Electrophoresis was carried out for 2 h in a cold room.
After electrophoresis, the gel was dried and exported to a x-ray
film.
Deoxyribonuclease I (DNase I) footprinting assay
To obtain a DNA fragment (from +10 to +80) used in the DNase I
footprinting assay, pUC/hNPR-C11 was digested with EcoT14I
and end labeled with [
-32P]ATP and T4 polynucleotide
kinase. The resulting fragment was digested with SpeI and
separated on PAGE. Forty micrograms of nuclear extracts from HeLa cells
and 20 µg nuclear extracts from human coronary artery SMCs were
preincubated in a 20-µl reaction mixture containing 25 mM
HEPES (pH 7.6), 40 mM KCl, 3 mM
MgCl2, 0.1 mM EDTA, 10% glycerol, 1
mM DTT, and 1 µg poly(dI-dC). After 15 min on ice, 30,000
cpm of the endo-labeled fragment were added, and incubation was
continued for 90 min at 4 C. Two microliters of DNase I (Takara),
freshly diluted to a final concentration of 0.2 µg/µl in 25
mM CaCl2, were added, and the digestion was
allowed to proceed for 5 min at 4 C. The reaction was stopped by the
addition of 4 µl 125 mM Tris-HCl (pH 8.0), 125
mM EDTA, and 3% SDS. Forty micrograms of proteinase K and
5 µg transfer RNA (Sigma) were added, and the reaction mixtures were
incubated for 30 min at 65 C. The DNAs were extracted once with 100
µl phenol-chloroform, precipitated with 2.0 vol ethanol, resuspended
in 98% formamide dye, and electrophoresed on 8 M urea-8%
PAGE.
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Results
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NPR-C expression in the rat balloon-injured artery
In response to vessel wall injury, vascular SMCs undergo a
phenotypic change from a differentiated, contractile state to a
dedifferentiated, proliferative state. Balloon injury of the rat aorta
is a well characterized model for studying this change in phenotype
in vivo. The specificity of the antibody prepared in this
study was tested by Western blot analysis using a rat lung membrane
fraction. Under reducing conditions, the solubilized NPR-C protein was
detected as a single band of approximately 63 kDa (data not shown).
Immunohistological analysis demonstrated that NPR-C was strongly
expressed in the SMCs in arteriosclerotic neointimas in the rat
balloon-injured artery 11 and 21 days after surgery (Fig. 1
). The SMCs in the intimal area 11
days after surgery were also revealed to be proliferating cell nuclear
antigen positive (data not shown), strongly indicating that NPR-C is a
useful marker molecule representing the phenotype of proliferative
SMCs.

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Figure 1. The expression of NPR-C at the histological level.
Aortic balloon injury was performed on anesthetized rats as previously
reported (31). Animals were killed 11 days (A and B) or 21 days (C and
D) after surgery. Immunostaining was performed with a primary rabbit
anti-NPR-C antibody (diluted 1:1000) and the avidin-biotin-peroxidase
complex kit as described in Materials and Methods. B and
D, Control staining with preabsorbed antibody and hematoxylin. I and M
indicate intima and media, respectively. Original magnification,
x40.
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Isolation and sequencing analysis of the 5'-flanking region of the
hNPR-C gene
A probe DNA for the hNPR-C gene was obtained by RT-PCR using human
placental mRNA as a template. The specifically amplified 0.8-kb
fragment was cloned into pUC18, creating pUChNPR-C1, and was confirmed
to code for the N-terminal moiety of the hNPR-C. The genomic DNA
fragments for NPR-C were isolated from a human leukocyte genomic DNA
library in EMBL3 by plaque hybridization using the 780-bp
KpnI-SacI fragment of pUChNPCR1. Four positive
clones isolated from 1 x 106 phage plaques were
purified by plaque hybridization. Southern blot analysis of the
isolated phage DNA using the 780-bp KpnI-SacI
fragment as a probe revealed that two clones, EMBLhCR20 and EMBLhCR23,
carrying 1314 and 20 kb of the NPR-C gene, respectively, contained a
2.2-kb XhoI DNA fragment encoding the N-terminal moiety and
the 5'-flanking region of the gene (Fig. 2A
). Genomic Southern analysis using a
1.0-kb DNA fragment encoding a region upstream from an initiation codon
as a probe showed the isolated 5'-flanking region of the hNPR-C gene
was present in human genomic DNA without rearrangement (Fig. 2B
). The
2.2-kb fragment was subcloned into pUC19, and nucleotide sequence was
determined. Nucleotide sequence analysis of the hNPR-C 5'-flanking
region revealed that the hNPR-C promoter region contained various
putative regulatory elements (Fig. 3
). A
consensus TATA-box, TATAAA, identified at -107 upstream of the
transcription start point as described below, was well conserved in the
bovine and mouse NPR-C genes (33, 34). The GATA-1 sequence was located
at +43. SP-1 was identified at position -980. An unusual feature is
the presence of six AP-2-like elements (situated at -399, -394,
-377, -371, -367, and -362), which were also identified in the
bovine and mouse NPR-C genes. Multiple repeated AP-2-like consensus
sites were reported in the 5'-flanking regions of the human
adrenomedullin gene and the human thromboxane receptor genes (35, 36).
As the repeated AP-2 elements were shown to be responsible for
expression of the human thromboxane receptor gene via the protein
kinase C pathway (36), the NPR-C gene expression might be subjected to
the signal transduction mediated by protein kinase C. A consensus
sequence of nuclear factor-interleukin-6 was located at -1230 and
-427.

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Figure 2. Southern blot analysis of the human genomic DNA.
A, Restriction map of the human genomic DNA containing the hNPR-C
5'-flanking region. Arrows represent a DNA fragment used
as a probe for Southern blot analysis. B, Human genomic DNA (10 µg)
was double digested with XhoI, HindIII,
XhoI/HindIII,
KpnI/HindIII, and
KpnI/XhoI. Hybridization was carried out
using a 32P-labeled fragment of the 5'-flanking region in
the NPR-C gene as a probe, as described in Materials and
Methods.
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Figure 3. Nucleotide sequence and putative regulatory
elements of the 5'-flanking region of the hNPR-C gene. The nucleotide
sequence from -1352 to +300 is given. Potential consensus sequences
for DNA-binding proteins are underlined, with possible
functions noted below.
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hNPR-C mRNA analysis
Northern analysis showed that the NPR-C mRNA was highly produced
in the human megakaryocyte-like cell line (Dami cells; Fig. 4A
), and binding analysis with human
[125I]ANP revealed that C-ANF-(NOREF>423), a specific NPR-C
agonist, effectively competed for the total ANP-binding sites with a
high affinity (Fig. 4B
). Thus, the NPR-C gene was expressed abundantly
in Dami cells, indicating that the cell line was a useful source of the
hNPR-C transcript. To determine the transcription start point of the
hNPR-C gene, primer extension analysis using poly(A)+ RNA
from Dami cells was performed with two independent oligonucleotides
complementary to the nucleotide sequence of the hNPR-C mRNA. The
extended products indicated that the hNPR-C gene is transcribed from at
least two major regions. The transcription start points located at the
T residue (designated +1) and at two T residues (at -15 and -14) in
the sense strand of the gene are shown in Fig. 5B
. Other signals corresponding to the G
residue at -59, the A residue at -58, and the C residue at -57 were
also observed (Fig. 5A
). The above results were confirmed by RNase
protection analysis using poly(A)+ RNAs isolated from Dami
and HeLa cells (Fig. 5C
). Two major protected bands of 250 and 200
bases were observed. The positions of the transcriptional start points
calculated from these sizes of protected products were well coincided
with those shown by the primer extension analysis as described above
(Fig. 5D
).

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Figure 4. RNA analysis by Northern blotting hybridization
and ANP binding assay. A, Poly(A)+ RNA was purified from
Dami cells. Five micrograms of poly(A)+ RNA were subjected
to Northern blot analysis. Hybridization was carried out with the
hNPR-C cDNA fragment as a probe, as described in Materials and
Methods. B, Dami cells were incubated with 1 nM
[125I]hANP in the absence or presence of unlabeled human
ANP or C-ANF-(423), as described in Materials and
Methods.
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Figure 5. Determination of the transcription start point of
the hNPR-C gene. Primer extension reactions (A and B) were performed
with 10 µg poly(A)+ RNA isolated from Dami cells using
20-mer synthetic oligonucleotides, primers A and primer B,
respectively, as described in Materials and Methods. The
four left lanes, CTAG, are nucleotide sequencing using
hNPR-C cDNA as a template. The right lane shows the
extended products, and the most likely end point of the extension
reaction is indicated by an arrow on the right and by
stars on the sense strand shown on theleft. C, RNase protection analysis was performed with 5 µg
poly(A)+ RNA as described in Materials and
Methods. The riboprobe (523 bases) used in this experiment is
shown in the left lane. The protected products and most
likely the signals of the reaction are indicated by arrows on
the right, and the sizes of the protected products are 250 (a)
and 200 (b) bases. D, Positions of extended and protected products on
the 5'-flanking region of the hNPR-C gene are shown.
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Promoter analysis of the hNPR-C and analysis of the binding
proteins to the promoter region
To determine the sequences essential for transcription of the
hNPR-C gene, a series of hNPR-C promoter-LUC chimeric plasmids in which
various lengths of the 5'-flanking region of the hNPR-C gene were fused
with the coding region of the LUC gene was constructed. Nucleotide
sequences both upstream and downstream of the transcription start
points were well conserved in the human and mouse NPR-C genes (Fig. 6
), suggesting that essential DNA
elements were present in the region surrounding the transcription start
points. Figure 7
shows the structure of
the 5'-flanking regions of the hNPR-C gene cloned into a promoterless
LUC reporter vector (pGVB). The control plasmid pRL-CMV carrying the
Renilla luciferase gene downstream of the CMV promoter was
used as a positive control for transfection efficiency. We confirmed
that HeLa cells produce high levels of NPR-C transcripts (Fig. 7A
) by
Northern blot analysis. These chimeric constructs were transiently
transfected into HeLa cells according to the DNA-calcium phosphate
coprecipitation method. As shown in Fig. 7B
, deletion from -1232 to
-273 resulted in a 312% increase in the relative luciferase activity
in HeLa cells, suggesting that a cis-acting negative
sequence(s) was contained in this region. The sequence from -28
to +13 still retaining the promoter activity has been shown
to be involved in proximal promoter activity for NPR-C gene expression.
Promoter analysis also demonstrated that deletion of the region (from
-60 to -29) caused an 86% decrease in transcriptional activity,
indicating that this region contains a cis-acting positive
enhancer-like sequence or a promoter-like sequence. To understand the
functions of the DNA sequences downstream of the transcription start
site in promoting transcription of the hNPR-C gene, a series of hNPR-C
promoter-LUC chimeric plasmids containing downstream sequences of the
transcription start site was constructed (Fig. 7C
). Insertion
of the regions (P2, from +14 to +40; P3, from +41 to +66) caused 2.9-
and 3.4-fold increases in the proximal transcriptional activity,
respectively, suggesting that they contain a cis-acting
positive enhancer-like sequence or another promoter-like sequence.
However, the P2 and P3 regions did not possess the potential promoter
activity, indicating that these sequences were functional in a
cis-acting enhancer-like manner.

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Figure 6. Comparison of the nucleotide sequences around the
transcription start site between the human and mouse NPR-C genes. The
nucleotide sequences of human (h) and mouse (m) NPR-C genes are aligned
for the best match. Identical nucleotides are indicated by
dots, and the conserved AP-2-like elements and TATA box
are underlined. Transcription start points are indicated
by arrows. The three cis-acting DNA
sequences (P1, P2, and P3) are underlined with bold
lines.
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To confirm that a protein(s) in the nuclear extract can bind to
the regions of the promoter, we used DNA mobility shift binding assay
and competition analysis using unlabeled DNA fragments. The results
shown in Figs. 8
and 9
indicated the presence of a nuclear
factor(s) specifically binding to these sequences (P1, P2, and P3),
respectively. DNase I footprinting analysis using a fragment from +10
to +80 demonstrated the presence of a nuclear factor(s) specifically
binding to and preferentially protecting a DNA element from +48 to +60
within the P3 sequence (Fig. 10
),
suggesting that the P3 sequence contains a potential regulatory element
involved in NPR-C gene expression.

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Figure 8. DNA mobility shift assay and competition analysis
of the P1 sequence in the hNPR-C gene. The 32P-labeled
oligonucleotides corresponding to three sequences (fragments A, B, and
C) within the P1 sequence, located at -60/-33, were incubated with 8
µg nuclear extracts from HeLa cells for 30 min at 30 C. The
specificity of the shift was determined by shift competition with
500-fold higher concentrations of the unlabeled oligonucleotides,
respectively. The most specific signal of the reaction is indicated by
the arrow on the left. The DNA-protein complexes were
analyzed by electrophoresis on 4% polyacrylamide gels as described in
Materials and Methods.
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Figure 9. DNA mobility shift assay and competition analysis
of the P2 and P3 sequences in the hNPR-C gene. A
32P-labeled oligonucleotide corresponding to the P2
sequence, located at +14/+40 (A), or the P3 sequence, located at
+41/+66 (B), was incubated with 8 µg nuclear extracts from HeLa cells
for 30 min at 30 C. The specificity of the shift was determined by
shift competition with 500-fold higher concentrations of the unlabeled
oligonucleotides of the P2 sequence (A) and with 500-fold higher
concentrations of the unlabeled oligonucleotides of the P3 sequence or
the E2F binding sequence (B), respectively. The most specific signals
of the reaction are indicated by the arrows on the left.
The DNA-protein complexes were analyzed by electrophoresis on 4%
polyacrylamide gels as described in Materials and
Methods.
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Figure 10. DNase I footprinting analysis of the hNPR-C gene.
DNase I footprinting analysis was performed using a DNA fragment
labeled on the 3'-end from +10 to +80 of the hNPR-C gene. The labeled
DNA fragment was incubated with nuclear extracts as described in
Materials and Methods. Lane 1, No nuclear extract; lanes
2 and 3, 40 µg nuclear extracts from HeLa cells; lane 4, 20 µg
nuclear extracts from cultured human coronary artery SMCs. The nuclear
extracts used in lanes 2 and 3 were independently prepared from HeLa
cells. The numbers beside them refer to the nucleotide positions
relative to the transcription start site. The protected DNAs were
analyzed by electrophoresis on an 8-M urea-8% PAGE as
described in Materials and Methods.
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 |
Discussion
|
|---|
Here, we investigated the gene structure of the hNPR-C
and focused upon the molecular mechanisms governing the basic
regulation of hNPR-C gene transcription. Primer extension and RNase
protection analyses indicated that the hNPR-C gene is transcribed from
two major regions. However, promoter analysis demonstrated that the
region from -28 to +13 showed the proximal promoter activity essential
for hNPR-C gene expression, suggesting that three major transcripts
starting from +1, -14, and -15 were preferentially produced in human
cell lines. Neither a consensus TATA motif nor an initiator consensus
element was found in the proximal promoter sequence. The absence of
such elements is often associated with multiple and distinct
transcription start sites (37), which is usually observed in genes
expressed in a cell type-specific pattern. Similar characteristics are
found in the human elastin (38), human acetylated low density
lipoprotein receptor (39), and mouse NPR-C (33) genes. Promoter
analysis has shown that the region from -28 to +13 was involved in the
proximal promoter activity essential for hNPR-C gene expression. The
region (from -28 to +13) was revealed to contain an unusual feature of
a pyrimidine-rich stretch, composed of four tandem-repeated CTTTTT
sequences (at -34, -28, -22, and -10). Our previous study (33) has
demonstrated the homologous CTTT sequences around the transcription
start sites of the mouse NPR-C gene where transcription of the gene
starts. Thus, these DNA sequences are expected to be important for the
expression of human and mouse NPR-C genes.
On the other hand, TATA box-like elements, TATAT sequences (at -90,
-80, -78, -76, -74, and -68), and TATTA sequence (at -66) were
identified. We previously demonstrated similar tandem repeated
TATA-box-like elements, five TATAT sequences, and TATTA sequence in the
5'-flanking region of the mouse NPR-C gene, suggesting a promoter-like
sequence. Recent studies have shown that a
poly(deoxyadenosine-deoxythymidine)-rich sequence was involved in
expression of the various genes (40, 41). The AT-rich sequence in the
5'-flanking region of the Na+/H+ exchanger
(NHE1) gene could enhance the promoter activity (40). Primer extension
and RNase protection analyses in this study have shown that the
transcription start points were located in the corresponding region;
the AT-rich region is expected to have another promoter activity.
However, lack of the region (from -273 to -34) containing these TATA
box-like sequences and an additional consensus TATA box, identified at
-107, did not affect the basal transcriptional activity of the hNPR-C
gene in HeLa cells, indicating that the DNA sequences do not play a
significant role in the promoter activity of the hNPR-C gene or that
this transcriptional activity requires another cis-acting
DNA sequence, located further upstream or downstream in the NPR-C gene
locus.
Further analysis of the promoter region provided some interesting
information. Promoter analysis demonstrated that lack of the P1 region
(from -60 to -29) significantly decreased transcriptional activity.
Primer extension analysis showing no extended product in the
corresponding region indicated that the P1 sequence functions in a
cis-acting positive manner. DNA mobility shift studies using
nuclear extracts from HeLa cells demonstrated the nuclear factor(s)
specifically binding to the DNA element from -60 to -37 within the P1
sequence. The promoter regions of the human and mouse NPR-C genes that
showed high similarity to the DNA sequences downstream of the
transcription start points suggested the essential role in
transcriptional control of the downstream sequences. As we expected,
two distinct sequences, the P2 and P3 sequences, were demonstrated to
modulate the minimal promoter activity and to play an important
regulatory role in NPR-C gene expression. DNA mobility shift assay
revealed that a protein(s) in nuclear extracts from human cells
expressing NPR-C transcripts specifically binds to these regions,
respectively, and that no shifted DNA was seen using those from human
chondrosarcoma SW1353 expressing no or little NPR-C transcripts (data
not shown). Additionally, promoter analysis indicated that the P2 and
P3 sequences were not active in a synergistic manner for enhancement of
NPR-C gene transcription. DNase I footprinting analysis of the region
containing these sequences revealed that a DNA element from +48 to +60
within the P3 sequence was preferentially protected, suggesting that
this element within the P3 sequence actively regulates NPR-C gene
expression and that interaction of nuclear extracts with the P3
sequence inhibits the binding of nuclear factor(s) to the P2 sequence
(or reduces their affinity). However, the mechanism underlying this
interaction remains unclear. Furthermore, we have demonstrated that
nuclear extracts from human cultured vascular SMCs expressing NPR-C
transcripts also specifically bind to this element from +48 to +60. A
transcription factor motif search has shown that the E2F consensus
element (42) is located within the P3 sequence. The retinoblastoma
protein (Rb), an important nuclear factor in cell cycle control, is
shown to be hyperphosphorylated around the G1/S boundary, leading to
release of the E2F transcription factor that activates the
transcription of genes required for DNA synthesis in S phase
(43). The roles of E2F and Rb in vascular SMCs are now discussed.
Nuclear factor(s) from HeLa cells binding to the P3 sequence did not
recognize or require the E2F element within the P3 sequence. Although
we investigated whether the P3 sequence can activate a foreign
promoter, transcriptional activity of the simian virus 40 promoter
carrying the P3 sequence downstream was slightly increased compared
with that inserting it into the NPR-C minimum promoter (data not
shown), suggesting its cis-acting effect in a
promoter-specific manner. Further detailed studies will be needed to
elucidate the mechanisms involved in this promoter-specific
activation.
NPR-C mRNA is known to be detectable, but at a low level, in a wide
variety of human tissues; lung, placenta, kidney, and heart (6, 44).
One finding in this study was that NPR-C mRNA is expressed abundantly
in HeLa cells and the human megakaryocyte-like cell line (Dami cells).
Previous studies (45, 46, 47) have shown that the NPR-C level in platelets
was significantly down-regulated in diabetic nephropathy, heart
failure, and obese patients, mediating the availability of NPs to their
biological receptors with guanylyl cyclase. Dami cells were useful in
further studies to gain a better understanding of the regulation of
NPR-C expression in platelets and its pathophysiological roles.
Additionally, modulated expression of the NPR-C gene in vivo
has been described in various experimental models, as described above.
The pathophysiological loss of NPR-C is suggested to reduce not only
the elimination rate of NPs with a protective role in cardiovascular
disorder, but also the unidentified biological action via NPR-C.
Our present study is a first report regarding the structural and
functional characterization of the 5'-flanking region of the hNPR-C
gene and an initial step toward understanding the molecular mechanisms
governing the regulation of NPR-C gene expression. It provides a basis
for further understanding the transcriptional regulation of the NPR-C
gene during the development of various diseases and its tissue-specific
expression. We are planning to investigate the relationship between the
NPR-C gene expression during the phenotypic change in vascular SMCs and
the function of these cis-acting positive elements.
 |
Acknowledgments
|
|---|
We thank H. Sakurai, N. Shigemori, and K. Fujishige for their
technical support.
 |
Footnotes
|
|---|
1 The nucleotide sequence reported in this paper has been submitted to
the GenBank TM/EMBL DataBank under accession no. AB001286. 
Received August 11, 1997.
 |
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