Angiotensin II Induces Interleukin-6 Transcription in Vascular Smooth Muscle Cells Through Pleiotropic Activation of Nuclear Factor-κB Transcription Factors
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Abstract —Interleukin-6 (IL-6) is a multifunctional cytokine expressed by angiotensin II (Ang II)-stimulated vascular smooth muscle cells (VSMCs) that functions as an autocrine growth factor. In this study, we analyze the mechanism for Ang II-inducible IL-6 expression in quiescent rat VSMCs. Stimulation with the Ang II agonist Sar 1 Ang II (100 nmol/L) induced transcriptional expression of IL-6 mRNA transcripts of 1.8 and 2.4 kb. In transient transfection assays of IL-6 promoter/luciferase reporter plasmids, Sar 1 Ang II treatment induced IL-6 transcription in a manner completely dependent on the nuclear factor-κB (NF-κB) motif. Sar 1 Ang II induced cytoplasmic-to-nuclear translocation of the NF-κB subunits Rel A and NF-κB1 with parallel changes in DNA-binding activity in a biphasic manner, which produced an early peak at 15 minutes followed by a nadir 1 to 6 hours later and a later peak at 24 hours. The early phase of NF-κB translocation was dependent on weak simultaneous proteolysis of the IκBα and β inhibitors, whereas later translocation was associated with enhanced processing of the p105 precursor into the mature 50-kDa NF-κB1 form. Pretreatment with a potent inhibitor of IκBα proteolysis, TPCK, completely blocked Sar 1 Ang IIAng II-induced NF-κB activation and induction of endogenous IL-6 gene expression, which indicated the essential role of NF-κB in mediating IL-6 expression. We conclude that Ang II is a pleiotropic regulator of the NF-κB transcription factor family and may be responsible for activating the expression of cytokine gene networks in VSMCs.
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This leads to upregulation of complement pathways and TLR2, TLR3, and TLR4 leading to elevated IFNs and activation of the inflammasome resulting in amplified TNFα, IL-1β, and IL-6 to produce a cytokine storm.
“This leads to upregulation of complement pathways and TLR (Toll-like receptor) 2, TLR3, and TLR4 leading to elevated IFNs (interferons) and activation of the inflammasome resulting in amplified TNF α , IL-1 β , and IL-6 to produce a cytokine storm.”
From COVID-19, Myocarditis and Pericarditis (2023) · cites this paper as [61]
The Discussion (page not provided) reports that angiotensin II induces NF-κB-dependent IL-6 expression in vascular smooth muscle cells. It does not support the claimed sequence involving complement pathways, TLR2/3/4, interferons or inflammasome activation, nor does it show amplified TNFα and IL-1β producing a cytokine storm. (LLM, conf=0.87)
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- Authors
- Han, Y., Runge, M. S., & Brasier, A. R.
- Affiliations
- The University of Texas Medical Branch at Galveston (US)
- Venue
- Circulation Research
- Published
- 1999-04-02
- Volume
- 84
- Issue
- 6
- Pages
- 695-703
- ISSN
- 0009-7330 (ISSN-L)
- 1524-4571
- OpenAlex
- W2133694559
- Cited by
- 377
- References
- 0
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 7 · 2023: 16 · 2022: 8 · 2021: 15 · 2020: 9 · 2019: 6 · 2018: 5 · 2017: 8 · 2016: 7 · 2015: 6 · 2014: 12 · 2013: 10 · 2012: 15
- FWCI
- 6.99
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Circulation Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Heart Association
- U.S. Public Health Service (1R01 55630-01A1)
- National Heart, Lung, and Blood Institute
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › NF-κB Signaling Pathways
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Renin-Angiotensin System Studies
- Health Sciences › Medicine › Genetics › Coagulation, Bradykinin, Polyphosphates, and Angioedema
- Keywords
- angiotensin II, interleukin-6, vascular smooth muscle cells, NF-κB, RelA, NFKB1, IκBα, IκBβ, TPCK, cytokine gene expression, transcriptional regulation
- MeSH terms
- NF-KappaB Inhibitor alpha, Interleukin-6 Inhibitors, Angiotensin II, Animals, Biological Transport, Cell Nucleus, Cytoplasm, DNA, DNA-Binding Proteins, Muscle, Smooth, Vascular, Protease Inhibitors, Transcription, Genetic, Vasoconstrictor Agents, Transcriptional Activation, Interleukin-6, NF-kappa B, Protein Isoforms, I-kappa B Proteins, Rats, Transcription Factor RelA
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