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From the Department of Dermatology, University of Michigan Medical School, Ann Arbor, Michigan
| Abstract |
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We have reported that UV irradiation disrupts the skin collagen matrix by two interdependent pathways: stimulating collagen degradation and inhibiting procollagen production.9,11 Molecular mechanisms that result in collagen degradation in photoaged skin are relatively well understood, namely UV irradiation activates MAP kinase signaling, which in turn induces transcription factor AP-1, which stimulates expression of matrix metalloproteinases (MMP), collagenase-1 (MMP-1), stromelysin-1 (MMP-3), and gelatinase B (MMP-9). These MMPs act together to breakdown interstitial collagen. However, the molecular mechanisms responsible for UV reduction of procollagen synthesis in photoaged skin remain primarily unknown. The objective of the studies reported here was to shed light on these mechanisms.
Transforming growth factor-ß (TGF-ß) is a ubiquitous, multifunctional cytokine that plays an important role in regulating procollagen synthesis.12-15 TGF-ß initiates its cellular actions by binding to specific cell-surface receptor complexes typically composed of TGF-ß type I (TßRI) and TGF-ß type II (TßRII) receptors. Binding of TGF-ß to TßRII activates the intrinsic serine/threonine kinase activity of TßRI, which phosphorylates transcription factors Smad2 and Smad3. Phosphorylated Smad2 and Smad3 combine with Smad4, and translocate into the nucleus, where they function to regulate transcription of specific genes that possess TGF-ß response elements in their promoters.15 Type I collagen is one of many TGF-ß-regulated genes. A wealth of evidence indicates that TGF-ß plays a central role in controlling production of extracellular matrix proteins, and is critical for connective tissue regeneration during wound healing.16,17 Interference with TGF-ß, Smad3, or Smad4 expression in skin fibroblasts, results in substantial reduction of type I procollagen gene expression, suggesting autocrine production of TGF-ß is primarily responsible for type I procollagen synthesis.18-22 Additionally, overexpression of TGF-ß1 in transgenic mice results in accumulation of type I collagen in skin connective tissue and other organs.23 Taken together, these data indicate that TGF-ß is a critical regulator of type I procollagen synthesis.
UV irradiation is known to modulate a variety of cell-surface growth factor and cytokine receptors, signal transduction cascades, and transcription factors.24 We have previously reported that UV irradiation impairs TGF-ß/Smad pathway in a well-characterized model cell system (mink lung epithelial cells) used to study TGF-ß signaling mechanisms.25 This observation prompted us to investigate the potential connector between UV inhibition of TGFß/Smad signaling and UV reduction of type I procollagen production in adult human skin fibroblasts. Our data demonstrate that UV irradiation impairs TGF-ß/Smad pathway through transcriptional down-regulation of TßRII, and that this impairment is primarily responsible for reduced procollagen synthesis in human skin fibroblasts.
| Materials and Methods |
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Punch biopsies were obtained from healthy adult human volunteers as previously described.5,24 Sun-protected buttock skin of human volunteers was irradiated with 2 minimum erythema dose solar-simulated UV (SPEC 450 W xenon arc solar simulator). Minimal erythema dose for each patient was determined 24 hours after UV irradiation. UV-irradiated and nonirradiated skin samples were obtained from each patient by punch biopsy, as described previously.26 All procedures involving human subjects were approved by the University of Michigan Institutional Review Board and all patients provided written informed consent.
Cell Culture and UV Irradiation
Human skin dermal fibroblasts were cultured from keratome biopsies of healthy adult human skin as described previously.26 Cells used for study were between passages three and six. For UV irradiation, subconfluent cells were washed once with phosphate-buffered saline (PBS) and irradiated with UV (30 mJ/cm2) using an Ultralite Panelite (Davvlin, Bryan, OH) lamp containing six FS24T12 UVB-HO bulbs. A Kodacel filter was used to eliminate wavelengths below 290 nm (UVC). This UV source emits primarily UVB (70%, 290 to 320 nm) with some UVA2 (30%, 320 to 340 nm). The irradiation intensity was monitored with an IL400A phototherapy radiometer and a SED240/UVB/W photodetector (International Light, Newbury, MA). Cell viability before harvesting cells for measurements was determined by inspection trypsin blue exclusion. In all experiments, cell viability was greater that 95%.
RNA Isolation and Quantitative Real-Time Reverse Transcriptase-Polymerase Chain Reaction (RT-PCR)
Total RNA was extracted from human skin punch biopsies and cultured human skin fibroblasts using the Micro RNA isolation kit (Stratagene, La Jolla, CA). The levels of mRNA expression were quantified by real-time RT-PCR as previously described.27
Briefly, total RNA (100 ng) was reverse-transcribed using the TaqMan reverse transcription kit (Applied Biosystems, Foster City, CA), and real-time RT-PCR was performed on a 7700 Sequence Detector (Applied Biosystems) using one-tenth of the reverse transcription reaction and TaqMan Universal PCR Master Mix reagents (Applied Biosystems). PCR primers and probes were purchased from Applied Biosystems custom oligonucleotide synthesis service. Primers and FAM-labeled probes for TßRI and TßRII real-time RT-PCR were as follows: TßRI sense primer, 5'-GTGTGCTTCGTCTGCATCTCA-3'; TßRI anti-sense primer, 5'-GCACTCGATGGTGAATGACAGT-3'; TßRI probe, 5'-CATGTTGATGGTCTATATCTGCCACAACCG-3. TßRII sense primer 5'-CTGTGT-GACTTTGGGCTTTCC-3'; TßRII anti-sense primer, 5'-TCCCACCTGCCCACTGTT-3'; TßRII probe, 5'-ACCCTACTCTGTCTGTGGATGACCTGGC-3'; type I procollagen sense primer, 5'-AGGACAAGAGGCATGTCTGGTT-3'; type I procollagen anti-sense primer, 5'-TTGCAGTGGTAGGTGATGTTCTG-3'; type I procollagen probe, 5'-TCCTGCGCCTGATGTCCACCG-3'. Primers and VIC-labeled probe for 36B4 were described previously.27
Multiplex RT-PCR reactions contained primers and probes for TßRI or TßRII, type I (
1) procollagen, and 36B4. TßRI, TßRII, type I procollagen, and 36B4 mRNA levels were quantified based on standard curves. For comparison among treatment groups, TßRI and TßRII levels were quantified based on the standard curves and normalized to the housekeeping gene 36B4 levels as an internal control.
In Situ Hybridization
Plasmid DNA containing TßRII cDNA27 was linearized with ApaI and HindIII for sense and anti-sense probes, respectively. Digoxigenin-labeled sense and anti-sense riboprobes for human TßRII were synthesized using T7 and SP6 ribonucleic polymerase, respectively. Frozen skin sections (5 µm) were mounted, fixed, treated, and hybridized as previously described.5 Hybridization signals were detected immunohistochemically by alkaline phosphatase-conjugated anti-digoxigenin antibody.
Laser Capture Microdissection (LCM)-Coupled Quantitative Real-Time RT-PCR
LCM-coupled quantitative real-time RT-PCR was performed as previously described.27
Briefly, human skin punch biopsies were embedded in OCT, sectioned, and stained with hematoxylin. Approximately 200 fibroblasts identified by histology and immunohistology [positive for type I (
1) procollagen and vimentin, and negative for CD45],27
were captured using LCM.28
Total RNA was extracted using a Micro RNA isolation kit (Stratagene) and quantitative real-time RT-PCR was performed as described above.
Western Analysis and Immunoprecipitation
Preparation of membrane proteins, Western analysis, and immunoprecipitation were performed as described previously.25
Whole Cell Binding of [125I]TGF-ß1
Determination of [125I]TGF-ß1 (Perkin Elmer Life and Analytical Science Products, Inc., Boston, MA) binding to intact human skin fibroblasts was performed as described previously.25 Briefly, subconfluent cells were sham or UV irradiated with UV as described above. At the indicated times after UV exposure, cells were washed once with Krebs-Ringer-Hepes (KRH)/bovine serum albumin binding buffer (50 mmol/L Hepes, pH 7.5, 128 mmol/L NaCl, 1.3 mmol/L CaCl2, 5 mmol/L KCl, 0.5% bovine serum albumin), and then incubated in KRH/bovine serum albumin for 30 minutes at 37°C. Cells were washed with 0.1% glacial acetic acid for 5 minutes at room temperature, and then incubated with 0.2 nmol/L [125I]TGF-ß1 for 3 to 4 hours at 4°C. Nonspecific binding of [125I]TGF-ß1 was determined by addition of a 100-fold excess of unlabeled TGF-ß1. Cells were washed, harvested by scraping, and radioactivity levels were measured using a gamma counter.
Immunofluorescence Confocal Laser Microscopy
Immunofluorescence confocal laser microscopy was performed as described previously.25 Briefly, human skin fibroblasts (1 x 104) were seeded on eight-well chamber slides and sham or UV (30 mJ/cm2) irradiated for the indicated times, before addition of TGF-ß1 (5 ng/ml). Cells were fixed with 0.5% Nonidet P-40, blocked with 2% bovine serum albumin, and incubated overnight with anti-phospho-Smad2 (Upstate Biotechnology, Lake Placid, NY) or anti-Smad3 (Santa Cruz Biotechnology, Santa Cruz, CA) at 4°C. Fluorescein isothiocyanate-labeled secondary antibodies were then added, fluorescein isothiocyanate-conjugated anti-rabbit IgG for phospho-Smad2 or anti-goat IgG for Smad3 (1:50 dilution). The fluorescence-stained cells were observed and photographed with a Bio-Rad MRC 1000 confocal microscope (Bio-Rad, Richmond, CA) through a x60 objective.
Northern Analysis
Northern analysis was performed as described previously.25 Briefly, total RNA (20 µg) was resolved by 1.2% agarose electrophoresis, transferred to nylon membranes, and hybridized with TßRII cDNA probes27 labeled with [32P]dCTP by random priming. Each blot was stripped and rehybridized with the housekeeping gene 36B4 cDNA probes as internal control to monitor the sample load in each lane. The intensities of each band were quantified by STORM PhosphorImager (Molecular Dynamics, Sunnyvale, CA) and normalized to the 36B4 as an internal control.
Metabolic Labeling of Cells
Human skin fibroblasts at 80% confluence were preincubated in methionine/cysteine-free minimal essential medium (Sigma Chemical, St. Louis, MO) for 2 hours. Cells were then either sham or UV irradiated (30mJ/cm2). [35S]Methionine/cysteine (100 µCi/ml, PRO-MIX; Amersham Pharmacia Biotech) was immediately add to the cells for the indicated times. Whole cell extracts were prepared, and [35S]methionine/cysteine incorporation into total protein was determined, as described previously.25
Equal amounts of total [35S]-labeled protein (
200 µg) from sham- and UV-irradiated cells, were incubated with an anti-TßRII antibody (2 µg, Santa Cruz Biotechnology) overnight at 4°C. Twenty µl of protein G/A agarose beads were added and samples were rotated for 4 hours at 4°C. Samples were washed three times with RIPA buffer and then subjected to 12% sodium dodecyl sulfate-polyacrylamide gel electrophoresis. Gels then were dried, visualized, and quantified by STORM PhosphorImager (Molecular Dynamics).
Transient Transfection and Luciferase Assays
Plasmid DNA (1 µg) containing the ß-galactosidase gene (pCMVß; Clontech Laboratories, Inc., Palo Alto, CA), used as an internal control for transfection efficiency, was transiently co-transfected with various reporter genes and expression vectors: TGF-ß/luciferase reporter gene29
(SBEX4), containing four repetitions of the GTCTAGAC Smad3/4 binding motif (provided by Dr. Bert Vogelstein of the Johns Hopkins Oncology Center, Baltimore, MD), TßRII promoter (1640/+62)/luciferase constructs30
(provided by Dr. Seong-Jin Kim of the National Cancer Institute, Bethesda, MD), type I(
2) procollagen reporter gene promoter (provided by Dr. Maria Trojanowska of the Medical University of South Carolina, Charleston, SC),31
and TßRII cDNA expression vector.25
All plasmids except TßRII expression vector were transfected into cells using Fugene 6 (Roche Molecular, Indianapolis, IN) according to the manufacturers protocol. TßRII expression vector was transiently transfected into cells using the human dermal fibroblasts nucleofector kit (Amaxa Biosystems, Koln, Germany) according to the manufacturers protocols. After 24 to 48 hours of transfection, cells were sham or UV irradiated as described above and treated with vehicle or TGF-ß1 (5 ng/ml) for 16 hours. Forty-eight hours after transfection, cells were washed once with PBS and harvested in lysis buffer (PharMingen International, San Diego, CA). Luciferase activity was measured using an enhanced luciferase assay kit (PharMingen International) according to the manufacturers protocol. CAT assays were performed as described previously.32
Aliquots containing identical ß-galactosidase activity were used for each luciferase assay and CAT assay.
Statistical Analysis
Comparisons among treatment groups were made with the paired t-test (two groups) or the repeated measures of analysis of variance (more than two groups). Multiple pair-wise comparisons were made with the Tukey studentized range test. All P values are two-tailed and considered significant when <0.05.
| Results |
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UV irradiation reduces type I procollagen production by fibroblasts in human skin in vivo.11
We used cultured adult human skin fibroblasts as a model to investigate the mechanisms of this reduction. We first examined the effects of UV irradiation on basal and TGF-ß1-stimulated type I procollagen gene expression. UV irradiation reduced basal (no exogenous TGF-ß) type I procollagen mRNA level 50% (Figure 1)
. Addition of TGF-ß1 increased type I procollagen mRNA twofold, relative to vehicle-treated fibroblasts (Figure 1)
. This stimulation by TGF-ß1 was completely abolished by exposure of fibroblasts to UV irradiation 8 hours before addition of TGF-ß1 (Figure 1)
. The relatively low UV dose used in these experiments does not cause detectable morphological changes or reduced cell viability. These data indicate that UV irradiation inhibits both basal and TGF-ß1-stimulated type I procollagen mRNA expression in cultured human skin fibroblasts, as was observed in human skin in vivo.11
UV irradiation reduces TGF-ß-induction of Smad-dependent gene transcription.25
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UV Irradiation Reduces Type II TGF-ß Receptor Expression
Taken together, the data presented above demonstrate that UV irradiation inhibits with TGF-ß-induced signal transduction in human skin fibroblasts. This interference could occur because of physical and/or functional loss of TGF-ß receptors. To investigate this possibility we determined the effect of UV irradiation on binding of TGF-ß to its cell-surface receptors. Binding of [125I]TGF-ß1 to human skin fibroblasts was determined 4 to 24 hours after exposure to UV irradiation. TGF-ß1 binding was reduced by greater than 90% within 6 hours after UV irradiation (Figure 3A)
. TGF-ß binding remained reduced for at least 8 hours, and gradually returned to its initial preirradiation level between 16 and 24 hours after UV irradiation (Figure 3A)
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UV Irradiation Does Not Alter TßRII mRNA and Protein Stability
Reduced TßRII expression could result from increased degradation and/or reduced synthesis. To examine these possibilities we determined the effect of UV irradiation on TßRII mRNA and protein stability. Nonirradiated or UV-irradiated skin fibroblasts were treated with actinomycin D (10 µg/ml) or cycloheximide (10 µg/ml) to prevent de novo mRNA or protein synthesis, respectively, and the half-lives of TßRII mRNA and protein were determined. The half-life of TßRII mRNA was similar (
4 hours), in both nonirradiated and UV-irradiated cells (Figure 4A)
. Similarly, the half-life of TßRII protein (
3 hours) did not differ between nonirradiated and UV-irradiated fibroblasts (Figure 4B)
. These data demonstrate that UV irradiation does not accelerate degradation of either TßRII mRNA or TßRII protein.
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Given that UV irradiation does not accelerate breakdown of either TßRII mRNA or protein, the observed UV reduction of TßRII mRNA and protein must result from reduced synthesis. The ability of UV irradiation to inhibit TßRII protein synthesis was confirmed by comparison of de novo TßRII protein synthesis in sham- and UV-irradiated human skin fibroblasts. Immediately after sham or UV irradiation, [35S]methionine/cysteine was added to culture media, and the kinetics of incorporation of label into immunoprecipitated TßRII was determined. Synthesis of TßRII protein was significantly lower in UV-irradiated human skin fibroblasts, between 2 to 8 hours after UV irradiation, compared to nonirradiated fibroblasts (Figure 5A)
. This inhibition of TßRII protein synthesis was specific because [35S]methionine/cysteine incorporation into total protein was similar in sham- and UV-irradiated fibroblasts.
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Overexpression of TßRII Overcomes UV Inhibition of Type I Procollagen Gene Expression
The above data demonstrate that UV irradiation inhibits production of TßRII and that this reduction impairs TGF-ß responsiveness in human skin fibroblasts. Prevention of UV reduction of TßRII should counteract UV-induced loss of TGF-ß responsiveness and thereby maintain TGF-ß-dependent type I procollagen gene expression. To test this prediction, we determined the effect of overexpression of TßRII on UV inhibition of TGF-ß-induced type I(
2) procollagen transcription. Type I(
2) procollagen promoter activity was increased 2.1-fold by TGF-ß1 (data not shown). Pretreatment of cells with UV repressed TGF-ß1-induced type I(
2) procollagen promoter activity 60% (Figure 6A)
. Overexpression of TßRII did not significantly alter promoter activity. In contrast, overexpression of TßRII completely prevented UV inhibition of type I(
2) procollagen promoter. Overexpression of TßRII also prevented UV irradiation inhibition of type I procollagen mRNA expression. UV irradiation reduced endogenous type I(
1) procollagen mRNA 62%, and this reduction was completely abrogated by overexpression of TßRII (Figure 6B)
. These data demonstrate that down-regulation of TßRII by UV irradiation is responsible for UV inhibition of type I procollagen gene expression in human skin fibroblasts.
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Finally, we investigated the effect of solar-simulated UV irradiation on TGF-ß receptor mRNA expression in human skin in vivo. Sun-protected human skin was exposed to solar-simulated UV (2 minimum erythema dose) and full-thickness skin samples were dissected to separate epidermis and connective tissue (dermis).27
Total RNA was prepared from dermal fractions and TßRI and TßRII transcripts were quantified by real-time RT-PCR. TßRII mRNA was significantly reduced (60%) within 8 hours after UV and recovered to near its initial level by 24 hours after UV (Figure 7A)
. In contrast, TßRI mRNA expression was slightly increased 16 hours after UV irradiation (Figure 7A)
. The dermal fraction obtained by dissection of full-thickness skin inevitably contains some epidermal contamination as evidenced by detectable levels of epidermal keratin 14.27
To confirm that UV irradiation caused reduced expression of TßRII, but not TßRI, in dermal fibroblasts, we used LCM to obtain fibroblasts from frozen sections of skin. Total RNA was prepared from the captured fibroblasts and TßRI and TßRII expression were quantified by real-time RT-PCR. The level of TßRII mRNA in dermal fibroblasts was reduced 70% at 8 hours after solar-simulated UV, whereas TßRI mRNA expression was not significantly altered (Figure 7B)
. We next determined cellular localization of TßRII mRNA in human skin connective tissue in vivo by in situ hybridization. In nonirradiated skin, TßRII mRNA was expressed in cells throughout the dermis (Figure 7C)
. The level of TßRII mRNA was substantially reduced 8 hours after solar-simulated UV (Figure 7C)
. Hybridization of untreated and UV-exposed skin sections with sense TßRII probe yielded no detectable signals indicating that hybridization of the anti-sense probe was specific (Figure 7C)
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| Discussion |
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The significance of our study is that it elucidates the primary mechanism by which UV irradiation reduces type I procollagen production in human skin fibroblasts. Reduced type I procollagen production is a prominent feature of the pathophysiology of sun-exposed human skin. Because type I collagen is the major structural protein in the skin, reduced type I procollagen production is a critical factor in the aged appearance of sun-exposed skin. Therefore, elucidation of the molecular mechanism by which UV irradiation reduces type I procollagen production is an important contribution to our understanding of the pathophysiology of sun-induced premature skin aging.
UV irradiation of human skin in vivo and cultured human skin fibroblasts inhibits TGF-ß/Smad signaling at its initial step by down-regulating TßRII expression. We previously observed that UV irradiation reduced TßRII expression in mink lung epithelial cells,25 suggesting that TßRII down-regulation is a fundamental response to UV irradiation, which is not restricted to specific cell types. In skin fibroblasts, UV irradiation inhibited both TßRII promoter transcription and protein synthesis. The kinetics of UV reduction of mRNA and protein levels were similar and therefore it is likely that reduced protein synthesis resulted, at least in part, from reduced mRNA levels. However, the possibility of direct UV inhibition of TßRII protein synthesis, independent of reduced mRNA levels, cannot be ruled out.
In contrast to TßRII, neither TßRI mRNA nor protein expression were reduced by UV irradiation. Discordant regulation of TßRI and TßRII by platelet-derived growth factor has also been reported in dermal fibroblasts. Platelet-derived growth factor up-regulates TßRII, whereas TßRI expression is unaffected.33 TßRI and TßRII receptors are also differentially expressed in a mouse model of wound healing in which both receptors are increased, but with distinct kinetics and different expression levels.34 TßRI and TßRII gene promoter sequences are dissimilar.30,35,36 The 5'-flanking region of the TßRI gene promoter is extremely GC-rich and contains multiple Sp1 sites, which are essential for basal and maximal promoter activity.35,36 The TßRII promoter also contains Sp1 regulatory elements; however, in addition it contains additional regulatory elements, including CRE/ATF, CCAAT box, EGR-1 binding site, and two overlapping ets sites, which are not present in the TßRI promoter. These differences in cis-regulator elements likely contribute to differential regulation of TßRI and TßRII gene expression.
Although regulation of type I procollagen expression is complex, and not fully understood, accumulated evidence indicates that transcriptional regulation plays a major role in controlling its production.37,38
Transcription of type I(
2) procollagen gene expression is directly regulated by TGF-ß via a Smad3 binding element in its promoter.39
Inhibition of endogenous Smad3 or Smad4 expression results in abrogation of type I(
2) procollagen promoter activity and type I procollagen protein synthesis.19
We have previously reported that UV irradiation reduces TßRII mRNA expression in human skin in vivo.40 These data were obtained from the full thickness skin, and therefore represented alterations in the epidermis as well as the dermis. Although down-regulation of TßRII in the epidermal compartment is likely of importance in the overall response of skin to UV irradiation, it is not directly germane to regulation of procollagen production, which occurs in the dermis. To determine the expression level of TßRII in dermal fibroblasts, we used LCM coupled with quantitative real-time RT-PCR. This technology allowed us to select skin fibroblasts from the heterogeneous mixture of cell types in human skin. LCM coupled with quantitative real-time RT-PCR results revealed that the level of TßRII mRNA in dermal fibroblasts was reduced 70% by solar-simulated UV.
Our data indicate that UV inhibition of TßRII gene expression is the primary mechanism by which UV irradiation reduces type I procollagen expression in UV-irradiated skin because overexpression of TßRII completely overcomes UV inhibition of TGF-ß-induced type I (
2) procollagen promoter activity and endogenous Type I (
1) procollagen mRNA expression in human skin fibroblasts. The TßRII promoter contains both positive and negative regulatory elements in addition to a core element that is required for basal expression. Choi and colleagues41
have identified a novel ets-related transcription (ERT) factor that plays a major role in the transcriptional regulation of the TßRII gene. Overexpression of ERT increased endogenous TßRII mRNA and protein expression, resulting in increased TGF-ß responsiveness and growth inhibition of cancer cells.42
Conversely, early growth response factor-1 (Egr-1) can negatively regulate expression of TßRII.43
Egr-1 interacts directly with ERT binding region of the TßRII proximal promoter to repress TßRII promoter activity. Interestingly, we find that Egr-1 is rapidly and strongly induced on UV irradiation in human skin in vivo and in cultured human skin fibroblasts (unpublished data), raising the possibility that elevated Egr-1 may down-regulate TßRII expression. Whether ERT and Egr-1 transcription factors are involved in UV down-regulation of TßRII gene transcription remains to be determined.
In summary, our data demonstrate that UV irradiation impairs the TGF-ß/Smad pathway, as a result of down-regulation of TßRII, and this impairment reduces procollagen synthesis in UV-irradiated human skin. Understanding the molecular basis for UV reduction of TßRII provides new insights into molecular mechanisms of photoaging and may facilitate identification of novel approaches for its prevention.
| Acknowledgements |
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| Footnotes |
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Supported by a grant from the National Institutes of Health (AG19364-02 to G.J.F.).
Accepted for publication May 6, 2004.
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2(I) collagen gene via the Sp1/Sp3-binding site. J Biol Chem 1997, 272:24666-24672
promoter. J Biol Chem 1999, 274:28566-28574
1(I) procollagen gene promoter: differential activity in collagen producing and nonproducing cells and response to transforming growth factor ß1. J Biol Chem 1994, 269:12684-12691
and transforming growth factor-ß on
2(I) collagen gene transcription. J Biol Chem 1995, 270:3353-3358This article has been cited by other articles:
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