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Blood, 1 September 2000, Vol. 96, No. 5, pp. 1716-1722

HEMATOPOIESIS

NG-monomethyl-L-arginine inhibits erythropoietin gene expression by stimulating GATA-2

Takahisa Tarumoto, Shigehiko Imagawa, Ken Ohmine, Tadashi Nagai, Masato Higuchi, Nobuo Imai, Norio Suzuki, Masayuki Yamamoto, and Keiya Ozawa

From the Department of Hematology, Jichi Medical School, Minamikawachi-machi, Tochigi-ken, Japan; Division of Hematology, Institute of Clinical Medicine, University of Tsukuba, Tennoudai, Tsukuba, Ibaraki, Japan; Center for Tsukuba Advanced Research Alliance and Institute of Basic Medical Sciences, University of Tsukuba, Tennoudai, Tsukuba, Ibaraki, Japan; Chugai Pharmaceutical Co, Ltd, Tokyo, Japan.

NG-monomethyl-L-arginine (L-NMMA) has been reported to be elevated in uremic patients. Based on the hypothesis that the pathogenesis of the anemia of renal disease might be due to the perturbation of transcription factors of the erythropoietin (Epo) gene by L-NMMA, the present study was designed to investigate the effect of L-NMMA on Epo gene expression through the GATA transcription factor. L-NMMA caused decreased levels of NO, cyclic guanosine monophosphate (cGMP), and Epo protein in Hep3B cells. L-NAME (analogue of L-NMMA) also inhibited Epo production in anemic mice. Transfection of the Epo promoter-luciferase gene into Hep3B cells revealed that L-NMMA inhibited the Epo promoter activity. However, L-NMMA did not inhibit the Epo promoter activity when mutated Epo promoter (GATA to TATA) was transfected, and L-NMMA did not affect the enhancer activity. Electrophoretic mobility shift assays demonstrated the stimulation of GATA binding activity by L-NMMA. However, L-NMMA had no effect on the binding activity of hepatic nuclear factor-4, COUP-TF1, hypoxia-inducing factor-1, or NF-kappa B. Furthermore, cGMP inhibited the L-NMMA-induced GATA binding activity. L-NMMA also increased GATA-2 messenger RNA expression. These results demonstrate that L-NMMA suppresses Epo gene expression by up-regulation of the GATA transcription factor and support the hypothesis that L-NMMA is one of the candidate substances that underlie the pathogenesis of renal anemia.

© 2000 by The American Society of Hematology.
 

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