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Genes to Cells (2006) 11, 791-803. doi:10.1111/j.1365-2443.2006.00979.x
© 2006 Blackwell Publishing or its licensors

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Genetic ablation of the transcription repressor Bach1 leads to myocardial protection against ischemia/reperfusion in mice

Yoko Yano1,2, Ryoji Ozono1,*, Yoshihiko Oishi1, Masayuki Kambe1, Masao Yoshizumi3, Takafumi Ishida4, Shinji Omura2, Tetsuya Oshima1 and Kazuhiko Igarashi2,a

1 Departments of Clinical Laboratory Medicine,
2 Biomedical Chemistry,
3 Cardiovascular Physiology and Medicine, and 4 Medicine and Molecular Science, Hiroshima University Graduate School of Biomedical Sciences, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan


    Abstract
 Top
 Abstract
 Introduction
 Results
 Discussion
 Experimental procedures
 References
 
Bach1 is a transcriptional repressor of heme oxygenase-1 gene (Hmox-1) and ß-globin gene. Heme oxygenase (HO)-1 is an inducible cytoprotective enzyme that degrades pro-oxidant heme to carbon monoxide (CO) and biliverdin/bilirubin, which are thought to mediate anti-inflammatory and anti-oxidant actions of HO-1. In the present study, we investigated the role of Bach1 in tissue protection against myocardial ischemia/reperfusion (I/R) injury in vivo using mice lacking the Bach1 gene (Bach1–/–) and wild-type (Bach1+/+) mice. In Bach1–/– mice, myocardial expression of HO-1 protein was constitutively up-regulated by 3.4-fold compared to that in Bach1+/+ mice. While myocardial I/R induced HO-1 protein in ischemic myocytes in both strains of mice, the extent of induction was significantly greater in Bach1–/– mice than in Bach1+/+ mice. Myocardial infarction was markedly reduced in size by 48.4% in Bach1–/– mice. Pretreatment of Bach1–/– mice with zinc-protoporphyrin, an inhibitor of HO activity, abolished the infarction-reducing effect of Bach1 disruption, indicating that reduction in the infarct size was mediated, at least in part, by HO-1 activity. Thus, Bach1 plays a pivotal role in setting the levels of both constitutive and inducible expression of HO-1 in the myocardium. Bach1 inactivation during I/R appears to be a key mechanism controlling the activation level of cytoprotective program involving HO-1.


    Introduction
 Top
 Abstract
 Introduction
 Results
 Discussion
 Experimental procedures
 References
 
Cells change gene expression in response to various forms of damage. Fates of cells are often determined depending on the balance between protective and suicidal gene expression programs. Heme oxygenase (HO)-1 is a cytoprotective enzyme induced by diverse cellular stresses, degrading heme to carbon monoxide, biliverdin and iron. These products are involved in the anti-oxidant and anti-inflammatory actions of HO-1 in conditions of tissue injury (Poss & Tonegawa 1997). Thus, gene delivery of heme oxygenase-1 gene (Hmox-1) (Juan et al. 2001; Tulis et al. 2001; Yet et al. 2001; Melo et al. 2002; Vulapalli et al. 2002) is a possible therapeutic strategy for ischemic disease and atherosclerosis. An alternative approach may be to enhance HO-1 expression by interfering with its transcriptional regulators. Recent progress in elucidation of the mechanisms of Hmox-1 regulation may provide the foundation for such an approach.

The inducible enhancers of Hmox-1 carry multiple Maf-recognition elements (MAREs). Heterodimers of the small Maf proteins and NF-E2-related factor 2 (Nrf2) activate Hmox-1 through binding to MAREs (Itoh et al. 1997; Alam et al. 1999; Ishii et al. 2000; Kataoka et al. 2001). In contrast, heterodimers of small Maf and Bach1 or Bach2 repress MARE-dependent transcription (Oyake et al. 1996). The ability of Nrf2 to activate Hmox-1 expression is greatly reduced in the presence of Bach1 (Sun et al. 2002, 2004). These observations suggest that the activity of Bach1 to repress Hmox-1 is dominant over the activity of Hmox-1 activators such as Nrf2 under normal conditions and that inactivation of Bach1 is a key mechanism of Hmox-1 induction (Sun et al. 2002, 2004). It is known that Hmox-1 is strongly induced by its substrate heme as well as by oxidative stress. Heme binds to Bach1 to inhibit its DNA binding activity and to induce its nuclear export (Ogawa et al. 2001; Sun et al. 2002, 2004; Suzuki et al. 2004). Oxidative stressors such as cadmium also induce nuclear export of Bach1 (Suzuki et al. 2003). On the other hand, signals from reactive oxygen species or electrophilic insults are reported to inactivate the ubiquitin-proteasome degradation pathway of Nrf2 in the cytoplasm (Kobayashi & Yamamoto 2005), allowing this transcriptional factor to translocate to the nuclei and activate its target genes including Hmox-1. Taken together, both inactivation of Bach1 and activation of Nrf2 in response to heme and/or oxidative stress appear to be decisive for deployment of the cytoprotective program, including activation of Hmox-1. By the same token, Bach1 may set a threshold for cell survival under stressful conditions through inhibiting downstream target genes including Hmox-1. In the present study, we tested this hypothesis using a myocardial ischemic injury model in vivo. The data demonstrated a dramatic increase in cardioprotection against ischemic stress in mice lacking Bach1 (Bach1–/– mice), providing new insights into the transcriptional program of cytoprotection as well as the therapy of ischemic disease.


    Results
 Top
 Abstract
 Introduction
 Results
 Discussion
 Experimental procedures
 References
 
Hemodynamics before and after ischemic injury in the heart

Wild-type (Bach1+/+) mice and Bach1–/– mice showed no significant differences in body and heart weights, cardiac histology and cardiac geometry and function evaluated by ultrasonography (Table 1). Likewise, they showed no difference in basal systolic and diastolic blood pressures or heart rate (Table 2). These observations suggest that the absence of Bach1 does not affect normal myocardial structure and function. We induced myocardial ischemia in Bach1+/+ and Bach1–/– mice by ligating the left anterior descending artery (LAD) for 60 min followed by reperfusion for 24 h (ischemia and reperfusion, I/R). Twenty-four hours after induction of the myocardial I/R injury, there was no significant difference in mortality between Bach1+/+ and Bach1–/– mice (9.8% in Bach1+/+ and 7.7% in Bach1–/– mice). I/R injury caused significant reduction in systolic and diastolic blood pressures in Bach1+/+ mice but not in Bach1–/– mice (Table 2), suggesting that the impact of ischemic myocardial damage on systemic hemodynamics was smaller in the mutant mice. Heart rates were significantly increased in both strains of mice.


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Table 1 Basal measurements of cardiac function, body weight and cardiac weight
 

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Table 2 Hemodynamics before and after I/R
 
Effects of I/R on HO-1 protein in left ventricles (LVs)

We compared the effects of I/R on HO-1 protein levels in the LVs of Bach1+/+ mice and Bach1–/– mice 24 h after I/R by Western blotting (Fig. 1). LVs were dissected into non-ischemic and ischemic regions. In Bach1+/+ mice, I/R had no effect on HO-1 level in the non-ischemic region, whereas it caused an increase in HO-1 level in the ischemic region (by two-fold vs. that in sham-operated mice) (Fig. 1B). When Bach1+/+ mice were pretreated with hemin, an established inducer of HO-1, I/R caused increases in HO-1 levels not only in the ischemic region (by three-fold) but also in the non-ischemic region (by 1.9-fold). In Bach1–/– mice, the basal HO-1 level (i.e. that in sham-operated Bach1–/– mice) was 3.4-fold higher than that in Bach1+/+ mice (P < 0.01). I/R caused further up-regulation of HO-1 in both the non-ischemic region (by 1.7-fold vs. the basal level) and ischemic region (by 2.9-fold). Importantly, the absolute HO-1 protein levels in the non-ischemic and ischemic regions of Bach1–/– mice were significantly (P < 0.05) higher than those of the other two mouse groups, indicating that Bach1 plays an important role in setting the level of both constitutive and inducible expression of HO-1. However, as shown in Fig. 1C, Bach1 expression level examined by real-time PCR in the heart of Bach1+/+ mice was not altered either by I/R or treatment of mice with hemin or zinc-protoporphyrin (ZnPP), an inhibitor of HO-1, suggesting that the transcriptional control of Bach1 abundance is not likely to be the major mechanism of HO-1 up-regulation. Increase in HO-1 level in the non-ischemic regions of hemin-treated Bach1+/+ mice and Bach1–/– mice was unexpected, but this finding may indicate that the inducibility of Hmox-1 was sensitized in these mice, leading to induction by non-ischemic stress such as hemodynamic overload resulting from partial myocardial loss.


Figure 1
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Figure 1  Effects of I/R on HO-1 protein expression and Bach1 expression in LVs. Twenty-four hours after I/R, LVs were separated into non-ischemic (n-isc) and ischemic (isc) regions, and analyzed. (A) Western blot analysis of HO-1 protein. The blotted membrane was first reacted with HO-1 antibodies and then re-probed with actin as an internal standard. (B) Densitometric analysis of Western blots. (C) Real-time PCR analysis of Bach1 expression in Bach1+/+ mice. Bach1 level was normalized by the level of hypoxanthine phosphoribosyl-transferase (HPRT). ZnPP: zinc-protoporphyrin. Values are means +/– SEM (n = 6 per group). *P < 0.05 vs. sham-operated Bach1+/+ mice group, {dagger}P < 0.05 vs. I/R (n-isc) groups of each mouse group, P < 0.05 vs. I/R (n-isc) group in the other two mouse groups, §P < 0.05 vs. I/R (isc) group in the other two mouse groups.

 
HO activity was measured in LVs to determine whether the changes in HO-1 protein levels accompanied changes in its activity (Fig. 2). In Bach1+/+ mice, I/R had no effect on the HO activity in the non-ischemic region, but it caused an increase in HO activity in the ischemic region (by 4.1-fold compared to the level in sham-operated animals). In hemin-treated Bach1+/+ mice, I/R caused increases in HO activity in both the non-ischemic region (by 3.9-fold) and ischemic region (by 6.4-fold). In Bach1–/– mice, the basal HO activity level (i.e. that in sham-operated Bach1–/– mice) was significantly higher (P < 0.01) than that in Bach1+/+ mice. I/R caused further increases in HO activity both in the non-ischemic region (by 1.8-fold) and ischemic region (by 3.6-fold). These results indicate that difference in HO activity completely reflects the difference in HO-1 protein level as described in the above section. Taken together, Bach1 is a key repressor of Hmox-1 in the heart and its loss leads to higher expression of HO-1 before and after I/R.


Figure 2
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Figure 2  Effects of I/R on HO activity of LVs. After I/R, LVs were separated into non-ischemic (n-isc) and ischemic (isc) regions. Values are means +/– SEM (n = 4 per group). *P < 0.05 vs. sham-operated Bach1+/+ mice group, {dagger}P < 0.05 vs. I/R (n-isc) group of each mouse group, P < 0.05 vs. I/R (n-isc) group in the other two mouse groups, §P < 0.05 vs. I/R (isc) group in the other two mouse groups, #P < 0.05 vs. sham-operated, I/R (n-isc), and I/R (isc) groups of Bach1–/– mice.

 
Immunohistochemical localization of HO-1 protein in LVs

We carried out immunohistochemical analysis to identify cells expressing HO-1. HO-1 was only scarcely present in the myocardium of sham-operated Bach1+/+ mice, but it was up-regulated mainly in cardiomyocytes in the presumptive ischemic region following I/R (Fig. 3A). HO-1 staining was very weak in the vascular smooth muscle layer ({alpha}-smooth muscle actin-positive) and endothelium (CD31-positive) before and after I/R in Bach1+/+ mice (Fig. 3B). On the other hand, HO-1 was abundant throughout the myocardium in sham-operated Bach1–/– mice and it was further up-regulated following I/R (Fig. 3A). HO-1 was positive in the smooth muscle layer and endothelium of vasculature in Bach1–/– mice before and after I/R (Fig. 3B). Interestingly, HO-1 was clearly observed in microvessels in the infarcted area in both Bach1+/+ and Bach1–/– mice (Fig. 3C). These results suggest that the regulation of HO-1 expression is different in large vessels and microvessels. Bach1 may inhibit HO-1 expression in larger vessels but not in microvessels after I/R injury in Bach1+/+ mice. Upon I/R, inflammatory cells infiltrate into the damaged area. HO-1 was abundant in CD68 positive- monocytes/macrophages in both Bach1+/+ and Bach1–/– mice (Fig. 3C). Taken together, the absence of Bach1 caused marked up-regulation of HO-1 not only in cardiomyocytes but also in vascular smooth muscle cells.


Figure 3
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Figure 3  Immunohistochemical localization of HO-1 protein in the myocardium. (A) HO-1 protein expression in myocardium at low power magnification. Arrow indicates the presumptive boundary of ischemic and non-ischemic regions. Scale bar: 100 µm. (B) HO-1 expression in vessel walls. Localization of endothelium and vascular smooth muscle cells are indicated by CD31 and {alpha}-SM actin in serial sections, respectively. Scale bar: 50 µm. (C) HO-1 expression in microvessels and monocytes/macrophages in the infarcted myocardial area. HO-1 protein was present in CD31-possitive microvessels (red arrow) and infiltrated CD68-positive monocytes/macrophages (yellow arrowheads) of both strains of mice. Note that the number of infiltrated cells is smaller in Bach1–/– mice. DAB signal was enhanced by Nickel in CD31 and {alpha}-SM staining. *cardiomyocyte, scale bar: 20 µm.

 
We have noted that the vascular smooth muscle layer, labeled by {alpha}-smooth muscle actin, was thinner in Bach1–/– mice than in Bach1+/+ mice, which was confirmed by a quantitative morphometric analysis (1226 ± 19.3 vs. 1840 ± 22.5 µm2 in Bach1–/– vs. Bach1+/+ mice, respectively; P < 0.05). This difference is thought to reflect a reduced ability of Bach1-deficient vascular smooth muscle cells to proliferate, which was found in our previous in vitro experiments (Omura et al. 2005).

Reduction of infarct size following I/R in Bach1–/– mice

Having established that the genetic ablation of Bach1 leads to higher levels of HO-1 expression, we next compared the tissue damage following I/R injury. The myocardial area at risk (AAR; i.e. perfusion area of the occluded coronary artery) in the I/R and sham-operated hearts was evaluated 24 h after surgery by Evans Blue staining, and the size of myocardial infarction was determined by triphenyl-tetrazolium chloride (TTC) staining (Fig. 4A), which delineates staining-resistant infarcted myocardium out of red-stained viable myocardium. As expected, there was no significant difference in the AAR among the groups of mice (Fig. 4B). The infarct sizes were compared after adjusting the respective AARs. As shown in Fig. 4A,C, the size of myocardial infarction in Bach1+/+ mice after I/R reached 46.9 ± 1.6% of the AAR. Pretreatment of Bach1+/+ mice with hemin, an inducer of HO-1, reduced infarct size to 35.3 ± 1.4% of the AAR (Fig. 4A,C). In Bach1–/– mice, the infarct size was markedly reduced to 24.3 ± 1.3% of the AAR (Fig. 4A,C). The infarct size in Bach1–/– mice was significantly smaller than that in Bach1+/+ mice and hemin-treated Bach1+/+ mice (Fig. 4C).


Figure 4
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Figure 4  Myocardial infarction assessed by Evans Blue and triphenyl-tetrazolium chloride (TTC) staining. (A) Representative Evans Blue and TTC staining of LV slices 24 h after I/R. (B) Calculated AARs in four mouse groups. (C) Infarct sizes of four mouse groups expressed as percentage of infarct area relative to the AAR. Values are means +/– SEM. (Bach1+/+ mice, n = 11; Bach1+/+ mice treated with hemin, n = 8; Bach1–/– mice, n = 16; and Bach1–/– mice treated with ZnPP, n = 9). *P < 0.05 vs. Bach1+/+ mice, {dagger}P < 0.05 vs. hemin-treated Bach1+/+ mice, P < 0.05 vs. Bach1–/– mice.

 
To investigate whether the observed effect of Bach1-ablation was dependent on the catalytic activity of HO-1, we pretreated Bach1–/– mice with ZnPP, an inhibitor of HO activity (Figs 2 and 4B). As expected, HO activities in LVs of ZnPP-treated Bach1–/– mice were diminished to the level in sham-operated Bach1+/+ mice (Fig. 2). Accordingly, pretreatment of Bach1–/– mice with ZnPP resulted in infarct size comparable to that in Bach1+/+ mice (Fig. 4C), suggesting that the infarction-reducing effect of Bach1-ablation was mediated, at least in part, by the increase in HO activity.

Inhibitions of apoptosis in Bach1–/– mice

To determine whether apoptosis is involved in the mechanism of the cardioprotection, we examined cleavage of procaspase-3 to caspase-3 in myocardial tissues. Caspase-3 was activated following I/R in Bach1+/+ mice as judged by the appearance of cleaved form, whereas the cleaved form of caspase-3 was not detected in Bach1–/– mice (Fig. 5A). Consistent with this finding, terminal deoxynucleotidyl transferase-mediated dUTP nick-end labeling (TUNEL) assays revealed fewer apoptotic cells in the LV of Bach1–/– mice than in LV of Bach1+/+ mice (Fig. 5B,C). Here, we focused on the ischemic regions of LVs in the sections (see Experimental procedures). Judging from the histology, most of the TUNEL-positive cells appeared to be cardiomyocytes. These results indicate that apoptosis of myocardial cells following I/R was inhibited in Bach1–/– mice. These results suggest that the absence of Bach1 caused overall suppression of apoptotic loss of myocardial cells after I/R, which may, at least in part, explain the cytoprotection against I/R in Bach1–/– mice.


Figure 5
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Figure 5  Induction of apoptosis in response to I/R injury. (A) Activation of caspase-3 in LVs was analyzed after dissecting into non-ischemic (n-isc) and ischemic (isc) regions as described in Experimental procedures. The blotted membrane was re-probed with {alpha}-tubulin as a loading control. (B) TUNEL-positive cells in the ischemic myocardium following I/R. Scale bar: 20 µm (C) Bar graph showing the averaged percentage of TUNEL-positive cells in the ischemic regions of LVs from Bach1–/– mice and Bach1+/+ mice. Values are means +/– SEM (n = 5 per group). *P < 0.05 vs. sham-operated Bach1+/+ mice, {dagger}P < 0.05 vs. Bach1+/+ mice.

 
To gain an insight into the signaling pathways of cardioprotection in Bach1–/– mice, we measured the activation levels of key molecules implicated in cardioprotection/apoptosis after I/R. Namely, we examined presumptive survival signals including Akt and signal transducer and activator of transcription 3 (STAT3). We also examined c-jun-NH2-terminal kinase (JNK) and p38 mitogen-activated protein kinase (MAPK). Akt was similarly activated after I/R in both Bach1+/+ and Bach1–/– mice (data not shown). Phosphorylation of JNK was not detected after I/R in either strain of mice (data not shown). The phosphorylation level of p38 MAPK was transiently increased after I/R injury in Bach1+/+ mice. In contrast, this was not apparent in Bach1–/– mice (Fig. 6A,B). Phosphorylation of STAT3 was induced in the ischemic region of LV at 2 h and 24 h after I/R injury in Bach1+/+ mice (Fig. 6A,C). It was already detectable in the sham-operated Bach1–/– mice and further increased both in the non-ischemic and ischemic regions at 2 h after I/R injury (Fig. 6A,C). However, when Bach1–/– mice were treated with ZnPP, I/R induced p38 MAPK activation was restored and I/R induced STAT3 activation was attenuated, although the increased basal activity of STAT3 still remained (Fig. 6D). These results suggest that HO-1 modulates the signaling pathways to suppress I/R-induced p38 MAPK activation and to enhance I/R-induced STAT3 activation in Bach1–/– mice.


Figure 6
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Figure 6  Effect of I/R on phosphorylations of p38 MAPK and STAT3. (A) Western analysis with indicated antibodies was carried out 2 h and 24 h after I/R injury. LVs were dissected into ischemic (isc) and non-ischemic (n-isc) regions as described in Experimental procedures. (B) Densitometric analysis of I/R-induced activations of p38 MAPK. (C) Densitometric analysis of I/R-induced activations of STAT3. (D) Effects of zinc-protoporphyrin (ZnPP) on phosphorylations of p38 MAPK and STAT3 in Bach1–/– mice. Values in (B) and (C) are means +/– SEM (n = 6 per group). *P < 0.05 vs. sham-operated Bach1+/+ mice group.

 

    Discussion
 Top
 Abstract
 Introduction
 Results
 Discussion
 Experimental procedures
 References
 
Transcription is often regulated by a combination of activators and repressors. Such a combination is expected to generate an integrator of multiple signals in gene expression. One of the major challenges in the field of gene expression is to understand the function of such integrators in the maintenance of homeostasis in higher eukaryotes. By using the myocardial I/R injury as a model system for the function of Bach1 in vivo, we revealed two aspects of Bach1 in the context of Hmox-1 regulation. First, as shown in Figs 1 and 3, the genetic ablation of Bach1 led to constitutive expression of Hmox-1 in virtually every myocardial cell even under normal conditions. This observation suggests that myocardial cells are under the influence of diverse stimuli that can potentially result in Hmox-1 expression and that Bach1 plays a critical role in vivo to counteract such inputs, maintaining the quiescence state of Hmox-1. Thus, it appears that the regulation of the activator function such as Keap1-Nrf2 pathway (Kobayashi & Yamamoto 2005) is not sufficient to fine-tune the expression of Hmox-1 in vivo. Second, the Hmox-1 expression in the Bach1-deficient mice was further up-regulated after I/R, which mounted to the level as high as 4-5-fold of that in wild-type mice subjected to the same I/R injury (Fig. 1B). This observation indicates that the Bach1 repressor function remains to inhibit Hmox-1 to some extent even after I/R. It appears that Bach1 is not completely inactivated even when cells are under extreme stresses such as I/R. Thus, Bach1 not only keeps Hmox-1 off under normal conditions but also determines the induced levels. These observations have important clinical implications in light of the cytoprotective role of HO-1 and are discussed further below.

While several studies have established Hmox-1 as a target gene of Bach1 (Sun et al. 2002, 2004), there may be additional downstream target genes. Because identity of other downstream genes and their functions are not known at present, it has been unclear how cells and tissues respond to various stresses in the absence of Bach1 in vivo. If some of the downstream genes are pro-apoptotic, for example, their expressions are expected to increase in the Bach1-deficient cells, resulting in increased apoptosis in response to stress. In the present study, we demonstrated that the genetic ablation of Bach1 caused a marked reduction in myocardial infarction after I/R (Fig. 4). Thus, the net effect of Bach1-ablation in the myocardial cells and tissues was to increase resistance against stresses derived from I/R injury. Because the infarction-reducing effect of Bach1-ablation was abolished by pretreating mice with ZnPP, it was mediated, at least in part, by the increased levels of HO-1 expression and HO activity in Bach1–/– mice. We have previously reported that Bach1-deficient mice showed reduced neointimal formation in the cuff injury model for arteriosclerosis, in which smooth muscle cells from Bach1-deficient mice expressed higher levels of HO-1 compared with wild-type mice (Omura et al. 2005). Thus, results of our previous and present studies suggest Bach1 as a detrimental factor in atherosclerosis and myocardial I/R injury. Although oxidative stress associated with such disease conditions is expected to inhibit Bach1, residual levels of Bach1 function may suffice to preclude full deployment of downstream target genes such as HO-1.

Interestingly, the cardioprotection in the absence of Bach1 was associated with inhibition of the p38 MAPK pathway, activation of the STAT3 pathway, and inhibition of apoptosis (Fig. 5). It has been suggested that activation of p38 MAPK is a pro-apoptotic signal in the heart under ischemic conditions as demonstrated in cultured cardiomyocytes subjected to ischemic stress (Mackay & Mochly Rosen 1999), in I/R model of isolated heart (Ma et al. 1999), and in in vivo I/R model of mice (Kaiser et al. 2004). Thus, attenuation of p38 MAPK may have contributed to the reduced levels of apoptosis in the Bach1-deficient mice. On the other hand, the activation of STAT3 pathway promotes cytoprotection and inhibits apoptosis in ischemic conditions (Negoro et al. 2000; Xuan et al. 2001; Stephanou 2004). Accordingly, conditional knockout mice harboring a cardiomyocyte-restricted deletion of STAT3 display a larger infarct size and increased apoptosis after I/R compared with the control mice (Jacoby et al. 2003; Hilfiker-Kleiner et al. 2004). Taking our observations together with these reports, we envisage that the cardioprotection in Bach1–/– mice was mediated, at least in part, by activation of STAT3. In contrast, because the genetic ablation of Bach1 did not significantly affect the phosphorylation levels of Akt during I/R injury, this survival pathway appears less affected by the presence or absence of Bach1.

The molecular mechanisms that led to reduced phosphorylation of p38 MAPK and increased activation of STAT3 in the Bach1–/– hearts are not clear at present. Administration of ZnPP in Bach1–/– mice reversed these effects of Bach1-ablation on STAT3 activation and p38 MAPK inactivation (Fig. 6D), suggesting that these changes were secondary to the increased activity of HO-1. Accordingly, phosphorylation of p38 MAPK was inhibited by CO-releasing molecules in endothelin-stimulated cardiomyocytes in culture (Tongers et al. 2004), suggesting that CO, one of the reaction products of HO-1 reaction, regulates p38 MAPK activation in the heart. Alternatively, biliverdin and/or its reduced product bilirubin may be responsible for the reduction in p38 MAPK activation because they are potent anti-oxidant (Stocker et al. 1987). Since the STAT3 is activated by the interleukin (IL)-6 family of cytokines including IL-6 (Kukielka et al. 1995), cardiotrophin-1 (Pennica et al. 1995; Sheng et al. 1997), and leukemia inhibitory factor (Kunisada et al. 1996) and by granulocyte-colony-stimulating factor (G-CSF) (Harada et al. 2005), the activation of STAT3 we observed in the Bach1–/– mice may reflect modulation of such cytokine network by HO-1. Much remains to be understood about this interesting coordination of p38 MAPK and STAT3 pathways via HO-1 in cardiomyocytes.

Recently, HO-1 gene delivery has been shown to result in amelioration of not only ischemic heart disease (Yet et al. 2001; Melo et al. 2002; Vulapalli et al. 2002) but also atherosclerosis (Juan et al. 2001; Tulis et al. 2001), renal I/R injury (Blydt-Hansen et al. 2003), hypoxia-induced lung injury (Otterbein et al. 1999) and liver I/R injury (Amersi et al. 1999). The results of this study suggest a novel way to maximize the cytoprotective role of HO-1 in disease settings. Importantly, the induced levels of HO-1 were found much higher in hearts of Bach1–/– mice. Furthermore, stress-regulated induction of HO-1 was somehow retained in the absence of Bach1. Thus, because inhibition of Bach1 is expected to result in higher levels of HO-1 expression, Bach1 may be an excellent therapeutic target against I/R injury. Further studies of Bach1 may lead to a detailed understanding of the gene expression programs of oxidative stress response.


    Experimental procedures
 Top
 Abstract
 Introduction
 Results
 Discussion
 Experimental procedures
 References
 
Animals

We used pairs of adult male Bach1–/– and Bach1+/+ littermates aged of 8–10 weeks in this study (Sun et al. 2002). Heterozygous mice were intercrossed to obtain homozygous Bach1-deficient mice as well as control wild-type mice. Congenic Bach1-deficient mice were obtained by repeatedly backcrossing with C57BL/6 J mice at least up to 12 generations. All experimental procedures were approved and carried out in accordance with the Guidelines of Hiroshima University Graduate School of Biomedical Sciences.

Surgical procedure

We induced myocardial ischemia by ligating the LAD as previously described (Oishi et al. 2003). The LAD was ligated at 1.0 mm distal from the tip of the left appendix for a period of 60 min, and this was followed by releasing the ligation and closing the chest. Hearts were excised at 2 and 24 h after surgery or sham-operation and subjected to the following analyses.

Assessment of cardiac geometry and function by ultrasonography

Cardiac geometry and function were evaluated using an echocardiographic system (Toshiba SSA 550A) equipped with a 14-MHz linear transducer as previously described (Oishi et al. 2003). LV end diastolic- and end systolic-dimensions (LVDd and LVDs) were measured at the distal level of the papillary muscle using short-axis M-mode images. Three beats were averaged for each measurement. Percent fractional shortening (%FS) was calculated as:

[(LVDd – LVDs)/LVDd] x 100.

Quantification of myocardial infarct after I/R

After excision, hearts were perfused with 1.0% TTC (Sigma-Aldrich) in phosphate buffer (pH 7.4) to stain viable myocardium. The LAD was then re-occluded, and each heart was perfused with 10% Evans Blue (Sigma-Aldrich) to delineate the AAR, i.e. perfusion area of the LAD. The hearts were frozen, and each LV was cut into five transverse slices. The images of the slices were digitally analyzed for infarct area, ischemic area and total LV area using NIH image software. The ratio of AAR/total LV area and the ratio of infarct area/AAR were calculated and expressed as percentages as previously described (Maekawa et al. 2002).

Administration of an inducer or inhibitor of HO-1

We injected hemin (30 mg/kg, Sigma-Aldrich) intraperitoneally 24 h prior to the coronary ligation in order to induce HO-1. For the purpose of blockade of HO activity, we injected ZnPP (10 mg/kg, Sigma-Aldrich) 24 h prior to the coronary ligation as previously described (Hangaishi et al. 2000). ZnPP was dissolved in phosphate buffer with 0.1 M NaOH and neutralized with 0.1 M HCl immediately before administration and pH was maintained at 7.4.

Western blot analysis

For detection of HO-1 protein, LVs were excised 24 h after I/R and homogenized in a buffer containing 50 mM Tris (pH 7.5), 150 mM NaCl, 1 mM PMSF, 0.25 M sucrose, 0.5% deoxycholate, 2 µg/mL leupeptin and 2 µg/mL aprotinin. Before homogenization, LVs were dissected into non-ischemic and ischemic myocardial regions. The perfusion area of the LAD, which was almost constant in mice (Fig. 4B), was considered to be the ischemic region. For analyses of phosphorylation signals and procaspase-3 cleavage, LVs were similarly dissected into non-ischemic and ischemic regions and homogenized in a buffer containing 25 mM Tris-HCl, 150 mM NaCl, 5 mM EDTA, 25 mM NaF, 25 mM Na-pyrophosphate, 1% Triton X-100, 0.1% SDS, 0.5% deoxycholate, 10% glycerol, 1 mM vanadate and 100 mM Benzamisin. Protein (100 µg) of each heart homogenate was incubated with anti-HO-1 polyclonal antisera (a gift from Dr S. Taketani), as previously described (Oishi et al. 2003). Antibodies for protein kinase Akt, phospho-Akt (Ser473), p38 MAPK, phospho-p38 (Thr180/Tyr182), STAT3 and phospho-STAT3 (Tyr705) were purchased from Cell Signaling Technology. Antibody for JNK was from Santa Cruz Biotechnology and that for phospho-JNK (pTPpY) was from Promega. Anti-caspase-3 was purchased from Sigma. This antibody also recognized procaspase-3. To investigate the amount of phosphorylation levels, the hearts were analyzed at 2 and 24 h after reperfusion. The blotted membrane was re-probed with actin (DAKO, clone 1A4) or {alpha}-tubulin (Santa Cruz Biotechnology) as an internal standard.

Real-time PCR analysis for Bach1 expression

Total RNA was extracted from the cardiac tissues using Trizol, and cDNA was prepared as previously described (Sun et al. 2002). Real-time PCR was carried out using the LightCycler system (Roche), as previously described (Sun et al. 2002; Omura et al. 2005). Primers to amplify Bach1 cDNA were 5'-TGATGTGACTGTCCTGGTGG-3' and 5'-AAATCCTTTAACCGTTACCTCTTC-3'. Primers to amplify cDNA of HO-1 were 5'-GGGTGACAGAAGAGGCTAAG-3' and 5'-GTGTCTGGGATGAGCTAGTG-3'. Primers to amplify cDNA of hypoxanthine phosphoribosyl-transferase (HPRT), a house keeping gene, were 5'-CTCGAAGTGTTGGATACAGG-3' and 5'-AACTTGCGCTCATCTTAGG-3'.

Determination of HO activity

HO activity in microsomes was determined in LV tissues as previously described (Imai et al. 2001). The activity was expressed as nmol bilirubin formed per hour per mg of protein. The protein concentration was determined by a dye binding assay (Bio-Rad).

Immunohistochemistry

Immunohistochemical analyses of HO-1, endothelium, smooth muscle cells and monocytes were performed in frozen and paraffin sections. Sections were incubated overnight at 4 °C with a 1 : 500 dilution of a polyclonal rabbit anti-HO-1 antibody (Stressgen), a 1 : 200 dilution of a polyclonal rat anti-CD31 antibody (BD Pharmingen) for the endothelium, a 1 : 200 dilution of a monoclonal anti-{alpha}-smooth muscle actin ({alpha}-SM) antibody (DAKO, clone 1A4) for vascular smooth muscle cells and a 1 : 200 dilution of a monoclonal anti-CD68 antibody (Serotec) for monocytes. Signals for HO-1, CD31 and {alpha}-SM were visualized by the avidin-biotin immunoperoxidase method (ABC Elite kit, Vector Laboratories) using diaminobentizin as a substrate. Signals for CD68 were visualized using alkaline phosphatase as a substrate (Vector Laboratories).

The volume of vascular smooth muscle layer was quantified by morphometry in the LV sections stained with {alpha}-smooth muscle actin. The digital images were analyzed using Scion Image software program, in which the areas of outer and inner profiles of intracardiac arteries were calculated and the difference was regarded as the vascular area. We examined slides from 5 Bach1–/– mice and 5 Bach1+/+ mice (sham-operated groups).

In situ detection of apoptosis

Apoptotic myocardial cells were detected in paraffin sections by the TUNEL technique with ApopTag‘ Plus (Invitrogen) according to the manufacturer's instructions. Since most of the TUNEL positive cells are observed in the ischemic region of LV, we evaluated only the ischemic myocardium in the sections. We estimated the perfusion area of LAD, i.e. the ischemic LV region, by macro anatomy in reference to right ventricle, and the border was marked on the slides with a marker. The labels of slides were blinded and sections of sham-operated animals were similarly examined. We sampled ten microscopic fields (at x1000 magnification) within the ischemic LV region avoiding overlap. This policy invariably resulted in examining most of the ischemic region of LV. The numbers of TUNEL-positive and negative cells were counted in each field and the percentage of TUNEL-positive cells was calculated, then the data from the ten fields were averaged. Each field contained approximately 50–70 cells including cardiomyocytes and non-myocytes. Cardiomyocytes were distinguished from non-myocytes by microscopic appearance; that is, well-shaped, elongated, and striated cells. We examined slides from 5 Bach1–/– mice and 5 Bach1+/+ mice (I/R groups).

Statistical analysis

All results are expressed as mean ± SEM. Comparison between two groups was made by Student's t-test, and comparison among four or five groups was made by analysis of variance followed by Scheffe's posthoc analysis. Statistical significance was accepted at a value of P < 0.05.


    Acknowledgements
 
We thank Dr. T. Morita for advice on the enzymatic assay of HO and reagents, Dr. N. Maekawa for advice on the surgical technique and TTC staining technique, and Dr. S. Taketani for providing HO-1 antiserum. This study was supported by Grants-in-Aid for Scientific Research to T.O., R.O. and K.I. from the Ministry of Education, Culture, Sports, Science and Technology of Japan, Grants from the Charitable Trust Clinical Pathology Research Foundation of Japan, and Grant from Kurozumi Medical Foundation of Japan.


    Footnotes
 
Communicated by: Masayuki M. Yamamoto

aPresent address: Department of Biochemistry, Tohoku University Graduate School of Medicine, 2-1 Seiryo, Aoba-ku, Sendai 980-8575, Japan Back

* Correspondence: E-mail: ozono{at}hiroshima-u.ac.jp


    References
 Top
 Abstract
 Introduction
 Results
 Discussion
 Experimental procedures
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Received: 22 December 2005
Accepted: 10 April 2006




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