C
hronic activation of inflammatory pathways likely influences the pathogenesis of many common and disabling diseases in older adults, including cardiovascular diseases, inflammatory and autoimmune disorders, neurodegenerative conditions, infection, and cancer (Fujita and others
1996; Ershler and Keller
2000; Maggio and others
2006). The role of the renin–angiotensin system in the development of chronic inflammation observed in older adults is still being elucidated. Angiotensin II (Ang II) acts through 2 G-protein-coupled receptor subtypes: angiotensin subtype-1 receptor (AT
1R) and angiotensin subtype-2 receptor (AT
2R). These receptors have substantial differences in tissue distribution and intracellular signaling pathways (Carey and Siragy
2003). The activation of AT
1R leads to a powerful pro-inflammatory effect (Suzuki and others
2003), induction of reactive oxygen species (Nickenig and Harrison
2002), hypertrophy, and apoptosis (Bascands and others
2001) and stimulation of fibroblast proliferation and collagen synthesis (Cipollone and others
2004). By contrast, AT
2R exerts effects that are the opposite of AT
1R, including anti-inflammatory (Matsubara
1998), anti-proliferative (Matsubara
1998), and anti-apoptotic actions (Bascands and others
2001).
Although blocking AT
1R results in decreased production of the tumor necrosis factor-α (TNF-α)
in vitro (Hahn and others
1994; Beasley
1997; Han and others
1999; Tsutamoto and others
2000; Siragy and others
2003), it is unclear whether this results from direct inhibition of AT
1R or indirectly via unopposed AT
2R activation.
Ang II activates signal transducer and activator of transcription proteins 3 (STAT3) via AT
1R (Omura and others
2000). STAT3 is a key signal transduction protein that mediates cell differentiation, proliferation, apoptosis, inflammation, and tumor cell evasion of the immune system (Costantino and Barlocco
2008). Binding sites have been identified for STAT3 within the promoter region of TNF-α (Chappell and others
2000). Mutation of the 3 base pairs of the STAT3 binding site had considerable effects on TNF-α promoter activity, demonstrating that STAT3 upregulates TNF-α expression (Chappell and others
2000). Given this and the lack of knowledge as to how AT
2R influences inflammatory processes, we set out to determine the role of AT
2R activation in inflammation. We hypothesized that stimulation of AT
2R decreases TNF-α production through altered STAT3 signaling. We tested this hypothesis using PC12W cells that exclusively express AT
2R in the absence of AT
1R, to exclude the effects of any crosstalk between AT
1R and AT
2R on STAT3 signaling and TNF-α production (Omura and others
2000).
Northern and Western blot analyses were used to validate that AT
1R are not expressed in PC12W cells (data not shown). The Biorad Radiance 2100 laser scanning confocal/multiphoton microscopy system (Mills and others
2003) was utilized to identify AT
2R on the cell membrane and in the perinuclear and nuclear region of serum-starved PC12W cells (). The system consists of a Nikon TE300 epifluorescence microscope, a Plan Fluor 100

×

NA 1.4 oil immersion objective lens, argon ion laser (457,488,514), HeNe 543, and 633

nm (
www.cellscience.bio-rad.com). The anti-receptor antibodies for AT
2R reacted specifically with AT
2R (Ozono and others
1997,
2000; Wang and others
1998). AT
2R antibodies were labeled with Alexa fluorophores 488 to demonstrate localization of AT
2R using confocal microscopy with higher spatial resolution beyond the limits of conventional microscopy. Images are representative of 3 experiments.
To determine the percentage change in AT
2R expression after administration of AT
2R agonist CGP-42112A or antagonist PD-123319, PC12W cells were treated with AT
2R agonist CGP42112 (CGP) 100

nm or antagonist PD123319 (PD) 1

μm for 24

h. Western immunoblot detection with anti-AT
2R in PC12W cells was used to quantify protein expression. Differences between groups were quantified using densitometry (Bio Rad GS-670 Imaging Densitometer). Stimulation of AT
2R led to an ~100% increase in the expression of AT
2R, whereas inhibition led to a 76% decrease in expression of AT
2R (). Previous studies demonstrated an increase in AT
2R expression during this receptor stimulation with Ang II (Shibata and others
1997; Zahradka and others
1998). AT
2R stimulation seems to increase the AT
2R gene promoter activity, an effect that was prevented by AT
2R blockade with PD (De Paolis and others
1999). Our current study is consistent with these previous studies and confirms that AT
2R stimulation enhances its gene activity. Thus, AT
2R stimulation may have a positive feedback on its expression.
To determine whether direct AT
2R stimulation influences STAT3 phosphorylation, PC12W cells were treated with AT
2R agonist CCGP42112A (CGP, 100

nmol), or AT
2R antagonist PD123319 (PD, 1

μmol) for 24

h. STAT3 phorphorylation status was determined using bead-based multiplex Luminex xMAP technology assays (Bio-Rad Laboratories, Hercules, CA) to directly detect phosphorylated proteins STAT3 in lysates derived from cell culture using highly specific antibodies (Cell Signaling Technology, Inc., Danvers, MA). Data from the reaction were acquired using the Bio-Plex suspension array system. Activation of AT
2R was associated with 83% decrease in phosphorylation of STAT3 (288

±

24

U at base line to 49

±

4

U), whereas inhibition was associated with a 68% increase in STAT3 phosphorylation (288

±

24

U baseline to 484

±

28

U [
P
<

0.0001]) ().
To demonstrate the effects of AT
2R agonist or antagonist on the production of TNF-α. The production of TNF-α was measured using Bio-Plex cytokine bead-based assays (xMAP technology) involving diverse matrices that are designed to quantify multiple cytokines. PC12W cells were incubated with AT
2R agonists or antagonists for 24

h, lysed, and centrifuged as per the manufacturer's protocol. Using these 96-well-plate-format assays, we profiled the production of TNF-α. Data from the reaction were acquired using the Bio-Plex suspension array system described above. CGP-42112A stimulation of AT
2R led to a 39% reduction of TNF-α production as compared to the control (42.79

±

0.179

pg/mL to 26

±

0.56

pg/mL;
P
<

0.0001). Inhibition of AT
2R caused an 84% increase in TNF-α production (42.79

±

0.179

pg/mL to 78.82

±

0.71

pg/mL;
P
<

0.0001) ().
In this study we demonstrated that stimulation of AT
2R in AT
1R-deficient PC12W cells with an AT
2R agonist upregulates receptor expression level, reduces STAT3 phosphorylation, and reduces TNF-α production. Further, specific antagonism of these same receptors results in decreased AT
2R expression, increased STAT3 phosphorylation, and increased TNF-α production. This result suggests that AT
2R, like AT
1R, may be important in modulating inflammatory pathway activation, and that alterations in ratio of AT
2R to AT
1R may play an important role in chronic inflammatory pathway activation such as those observed in some older adults (Warnholtz and others
1999; Siragy and others
2003; Suzuki and others
2003).
The findings related to STAT3 phosphorylation and TNF-α production are supported by previously published reports demonstrating that mutations of the STAT3 binding sites have considerable effects on the promoter region of TNF-α (Chappell and others
2000). Also, TNF-α induces the tyrosine phosphorylation and DNA binding activity of STAT3 (Guo and others
1998; Miscia and others
2002), suggesting a positive feedback mechanism. Our data that AT
2R stimulation decreases TNF-α expression fit well with AT
2R's presumed vasodilator and cardiovascular protective effects (Siragy and Carey
1999; Siragy and others
2000). Given that the PC12W cells are devoid of AT
1R, the observed effects of stimulation or blockade of AT
2R are receptor-specific and cannot be a result of a receptor cross-talk with the AT
1R.
Previous studies confirmed that AT
1R blockade increases AT
2R activity
in vivo (Weber
1992; Guan and others
1996), leading to decreased remodeling and cardiac fibrosis, which were completely abolished by simultaneous AT
2R blockade. This suggests that such effects are the result of AT
2R activation rather than AT
1R blockade (Barber and others
1999; Siragy and others
2000; Carey and others
2001; Oishi and others
2006). This also supports a potential role for AT
1R blockers to modulate inflammatory pathways through upregulating AT
2R.
In conclusion, we provide first evidence that AT2R modulates STAT3 signaling and TNF-α production in a cell line devoid of AT1R. Further studies in cell lines with AT1R or in animal models are necessary to further understand the interactions between these receptor subtypes and inflammation.