Oxidized LDL upregulates angiotensin II type 1 receptor expression in cultured human coronary artery endothelial cells -: The potential role of transcription factor NF-κB

Background-We demonstrated earlier that angiotensin II (Ang II), by AT(1) receptor activation, upregulates oxidized LDL (ox-LDL) endothelial receptor LOX-1 gene expression and uptake of ox-LDL in human coronary artery endothelial cells (HCAECs). In this study, we investigated the regulation of Ang Il receptors (AT1R and AT2R) by ox-LDL and the role of the redox-sensitive transcription factor NF-kappa B in this process. Methods and Results-HCAECs were incubated with ox-LDL for 24 hours, Ox-LDL (10 to 40 mu g protein/mL) upregulated AT1R but not AT2R, mRNA, or protein. Ox-LDL degraded I kappa B alpha in cytoplasm and activated transcription factor NF-kappa B (P65) in HCAEC nuclear extract. Treatment of cells with the antioxidant alpha-tocopherol (10 to 50 mu mol/L) attenuated ox-LDL-mediated degradation of I kappa B alpha and activation of NF-kappa B (P65) and inhibited the upregulation of AT1R mRNA and protein. The role of NF-kappa B signal transduction was further examined by use of an NF-kappa B inhibitor, caffeic acid phenethyl ester (CAPE). Pretreatment of cells with CAFE inhibited ox-LDL-mediated degradation of I kappa B alpha and NF-kappa B activation and inhibited ox-LDL-induced upregulation of AT1R expression. Incubation of cells with both ox-LDL and Ang II increased cell injury, measured as cell viability and LDH release, compared with either ox-LDL or Ang II alone. alpha-Tocopherol as well as the specific AT1R blocker CV11974 (candesartan) attenuated the cell-injurious effects of ox-LDL. Conclusions-These observations suggest an important role of ox-LDL-mediated AT1R upregulation in cell injury. In this process, NF-kappa B activation seems to play a critical role in signal transduction. These findings provide a basis for the use of antioxidants and AT1R blockers in designing therapy of atherosclerosis.