title: NF-kappaB-dependent transcriptional regulation of the cardiac scn5a sodium channel by angiotensin II.
abstract: Angiotensin II (ANG II) increases oxidative stress and is associated with increased risk of sudden cardiac death. The cardiac Na(+) channel promoter contains elements that confer redox sensitivity. We tested the hypothesis that ANG II-mediated oxidative stress may modulate Na(+) channel current through altering channel transcription. In H9c2 myocytes treated for 48 h with ANG II (100 nmol/l) or H(2)O(2) (10 micromol/l) showed delayed macroscopic inactivation, increased late current, and 59.6% and 53.8% reductions in Na(+) current, respectively (P < or = 0.01). By quantitative real-time RT-PCR, the cardiac Na(+) channel (scn5a) mRNA abundance declined by 47.3% (P < 0.01) in H9c2 myocytes treated for 48 h with 100 nmol/l ANG II. A similar change occurred with 20 micromol/l H(2)O(2) (46.9%, P < 0.01) after 48 h. Comparable effects were seen in acutely isolated ventricular myocytes. The effects of ANG II could be inhibited by prior treatment of H9c2 cells with scavengers of reactive oxygen species or an inhibitor of the NADPH oxidase. Mutation of the scn5a promoter NF-kappaB binding site prevented decreased activity in response to ANG II and H(2)O(2). Gel shift and chromosomal immunoprecipitation assays confirmed that nuclear factor (NF)-kappaB bound to the scn5a promoter in response to ANG II and H(2)O(2). Overexpression of the p50 subunit of NF-kappaB in H9c2 cells reduced scn5a mRNA (77.3%, P < 0.01). In conclusion, ANG II can decrease scn5a transcription and current. This effect appears to be through production of H(2)O(2) resulting in NF-kappaB binding to the Na(+) channel promoter.
authors.affiliation: Division of Cardiology, Department of Medicine, Emory University, Atlanta, Georgia, USA.
authors.forename: Lijuan L
authors.initials: LL
authors.lastname: Shang
authors.forename: Shamarendra
authors.initials: S
authors.lastname: Sanyal
authors.forename: Arnold E
authors.initials: AE
authors.lastname: Pfahnl
authors.forename: Zhe
authors.initials: Z
authors.lastname: Jiao
authors.forename: Jon
authors.initials: J
authors.lastname: Allen
authors.forename: Hong
authors.initials: H
authors.lastname: Liu
authors.forename: Samuel C
authors.initials: SC
authors.lastname: Dudley
mesh_terms: D000804:Angiotensin II / Q000378:metabolism* / Q000494:pharmacology; D000818:Animals; D000831:Animals, Newborn; D002460:Cell Line; D002470:Cell Survival; D002478:Cells, Cultured; D004305:Dose-Response Relationship, Drug; D015536:Down-Regulation; D004791:Enzyme Inhibitors / Q000494:pharmacology; D016166:Free Radical Scavengers / Q000494:pharmacology; D006861:Hydrogen Peroxide / Q000378:metabolism; D007700:Kinetics; D008564:Membrane Potentials; D009154:Mutation; D032383:Myocytes, Cardiac / Q000201:enzymology / Q000378:metabolism*; D019255:NADPH Oxidases / Q000037:antagonists & inhibitors / Q000378:metabolism; D062554:NAV1.5 Voltage-Gated Sodium Channel; D052002:NF-kappa B p50 Subunit / Q000378:metabolism*; D018384:Oxidative Stress; D011401:Promoter Regions, Genetic; D012333:RNA, Messenger / Q000378:metabolism; D051381:Rats; D017207:Rats, Sprague-Dawley; D012964:Sodium / Q000378:metabolism*; D015222:Sodium Channels / Q000235:genetics / Q000378:metabolism*; D014158:Transcription, Genetic; D014162:Transfection
chemical_list: D004791:Enzyme Inhibitors; D016166:Free Radical Scavengers; D062554:NAV1.5 Voltage-Gated Sodium Channel; D052002:NF-kappa B p50 Subunit; D012333:RNA, Messenger; C568322:Scn5a protein, rat; D015222:Sodium Channels; D000804:Angiotensin II; D012964:Sodium; D006861:Hydrogen Peroxide; D019255:NADPH Oxidases