Mechanism by Which Inflammation and Oxidative Stress Induce Mineralocorticoid Receptor Gene Expression in Aging

Jaime Ibarrola1, Qing Lu1, Maria-Christina Zennaro2

  • 1Molecular Cardiology Research Institute, Tufts Medical Center, Boston, MA (J.I., Q.L., I.Z.J.).

Abstract

Insights

Aging increases vascular mineralocorticoid receptor (MR) expression via inflammation and oxidative stress. NFκB and HIF1α transcription factors drive MR gene regulation, contributing to vascular stiffness and cardiovascular disease.

Area of Science:

  • Cardiovascular Biology
  • Molecular Biology
  • Aging Research

Background:

  • Vascular mineralocorticoid receptor (MR) expression escalates with age, contributing to vascular stiffness and hypertension.
  • The gene regulatory mechanisms governing MR expression, particularly its isoforms (1α and 1β), remain largely unelucidated in aging vascular cells.

Purpose of the Study:

  • To investigate the transcriptional regulation mechanisms of the MR gene in aging human smooth muscle cells (SMCs).
  • To identify key transcription factors involved in MR gene regulation during cellular aging.

Main Methods:

  • Quantified MR expression in aged human aortic tissues and primary human aortic SMCs (HASMCs).
  • Utilized H₂O₂ treatment to induce aging in HASMCs.
  • Validated predicted transcription factor (TF) binding sites using chromatin immunoprecipitation and reporter assays.
  • Examined the effects of TF inhibitors on MR isoforms and fibrosis-related gene expression.

Main Results:

  • MR mRNA isoforms (1α and 1β) increased with donor age and H₂O₂-induced aging in HASMCs.
  • Hypoxia-inducible factor 1-alpha (HIF1α) and nuclear factor kappa B (NFκB) expression and DNA binding increased with age and H₂O₂ treatment.
  • HIF1α inhibition reduced MR-1α, while NFκB inhibition reduced both MR isoforms.
  • Inhibition of HIF1α, NFκB, and MR decreased expression of a vascular fibrosis-associated gene.
  • HIF1α and NFκB expression positively correlated with age and MR expression in human aortic tissues.

Conclusions:

  • The inflammatory TF NFκB and oxidative stress-induced TF HIF1α are implicated in regulating SMC MR transcription during aging.
  • This regulatory pathway contributes to aging-related vascular stiffness and cardiovascular disease.
  • Targeting NFκB and HIF1α may offer therapeutic strategies for age-related vascular dysfunction.

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