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Blood, 15 May 2005, Vol. 105, No. 10, pp. 3910-3917.
Prepublished online as a Blood First Edition Paper on January 27, 2005; DOI 10.1182/blood-2004-03-0928.
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HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
Regulation of endothelial thrombomodulin expression by inflammatory cytokines is mediated by activation of nuclear factor-kappa B
Richard H. Sohn,
Clayton B. Deming,
David C. Johns,
Hunter C. Champion,
Ce Bian,
Kevin Gardner, and
Jeffrey J. Rade
From the Department of Medicine, Division of Cardiology, Johns Hopkins School of Medicine, Baltimore MD; the Department of Neurosurgery, Johns Hopkins School of Medicine, Baltimore MD; and the Laboratory of Receptor Biology and Gene Expression, National Cancer Institute, Bethesda, MD.
Inflammation and thrombosis are increasingly recognized as interrelated biologic processes. Endothelial cell expression of thrombomodulin (TM), a key component of the anticoagulant protein C pathway, is potently inhibited by inflammatory cytokines. Because the mechanism underlying this effect is largely unknown, we investigated a potential role for the inflammatory transcription factor nuclear factor-kappa B (NF- B). Blocking NF- B activation effectively prevented cytokine-induced down-regulation of TM, both in vitro and in a mouse model of tumor necrosis factor- (TNF- )mediated lung injury. Although the TM promoter lacks a classic NF- B consensus site, it does contain tandem Ets transcription factor binding sites previously shown to be important for both constitutive TM gene expression and cytokine-induced repression. Using electrophoretic mobility shift assay and chromatin immunoprecipitation, we found that multiple Ets species bind to the TNF- response element within the TM promoter. Although cytokine exposure did not alter Ets factor binding, it did reduce binding of p300, a coactivator required by Ets for full transcriptional activity. Overexpression of p300 also prevented TM repression by cytokines. We conclude that NF- B is a critical mediator of TM repression by cytokines. Further evidence suggests a mechanism involving competition by NF- B for limited pools of the transcriptional coactivator p300 necessary for TM gene expression.

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[Abstract]
[Full Text]
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