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Blood, 1 April 2004, Vol. 103, No. 7, pp. 2636-2644.
Prepublished online as a Blood First Edition Paper on December 4, 2003; DOI 10.1182/blood-2003-05-1737.

Submitted May 30, 2003
Accepted November 25, 2003
MEK1,2 response element mediates Angiotensin II-stimulated Plasminogen Activator Inhibitor-1 promoter activation
Hong-Chi Chen and Edward P Feener*
Research Division, Joslin Diabetes Center, Boston, MA, USA; Harvard Medical School, Boston, MA, USA
* Corresponding author; email: edward.feener{at}joslin.harvard.edu.
The MEK1,2 pathway mediates the up-regulation of plasminogen activator inhibitor-1 (PAI-1) expression in vascular smooth muscle cells by a variety of hormones, including angiotensin II. Transfection of constitutively active MEKK-1, an upstream activator of the MAP kinase pathways, was used to isolate an enhancer element located between -89 and -50 bps in PAI-1 promoter that was activated by MEKK-1 and selectively blocked by the MEK1,2 inhibitor PD98059. Mutational analysis revealed that the MEKK-1 response element (MRE) contained two cis-acting Sp1- and AP-1-like sequences, located between -75 to -70 and -63 to -52 bps, respectively. Overexpression of Sp1 enhanced MEKK-1-induced MRE promoter activity and a dominant negative c-Fos blocked this Sp1 response. The combination of Sp1 and c-Jun or c-Fos was required to activate this MRE. Angiotensin II stimulation increased c-Fos, c-Jun and Sp1 binding to the MRE by 100, 4.9 and 1.9 fold, respectively, and these responses were inhibited by PD98059 and AT1 receptor antagonist candesartan. Intravenous Ang II infusion in rats increased aortic c-Fos binding to the MRE. This MRE sequence mediated a 4-fold increase of MEK1,2-dependent PAI-1/luciferase mRNA expression by angiotensin II stimulation. This report identifies the MEK1,2 response element that mediates angiotensin II-stimulated PAI-1 promoter activation and shows that activation of this element requires Sp1 and AP-1 co-activation.

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