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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">IJMM</journal-id>
<journal-title-group>
<journal-title>International Journal of Molecular Medicine</journal-title></journal-title-group>
<issn pub-type="ppub">1107-3756</issn>
<issn pub-type="epub">1791-244X</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ijmm.2017.2947</article-id>
<article-id pub-id-type="publisher-id">ijmm-39-05-1119</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Ufm1 inhibits LPS-induced endothelial cell inflammatory responses through the NF-&#x003BA;B signaling pathway</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Li</surname><given-names>Yuan-Yuan</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>Zhang</surname><given-names>Guang-Ya</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>He</surname><given-names>Jiang-Ping</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>Zhang</surname><given-names>Dan-Dan</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>Kong</surname><given-names>Xiang-Xin</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>Yuan</surname><given-names>Hui-Min</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>Chen</surname><given-names>Feng-Ling</given-names></name><xref ref-type="corresp" rid="c1-ijmm-39-05-1119"/></contrib>
<aff id="af1-ijmm-39-05-1119">Department of Endocrinology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 201999, P.R. China</aff></contrib-group>
<author-notes>
<corresp id="c1-ijmm-39-05-1119">Correspondence to: Professor Feng-Ling Chen, Department of Endocrinology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 280 Mo-He Road, Shanghai 201999, P.R. China, E-mail: <email>phdflchen@163.com</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>05</month>
<year>2017</year></pub-date>
<pub-date pub-type="epub">
<day>07</day>
<month>04</month>
<year>2017</year></pub-date>
<volume>39</volume>
<issue>5</issue>
<fpage>1119</fpage>
<lpage>1126</lpage>
<history>
<date date-type="received">
<day>09</day>
<month>11</month>
<year>2016</year></date>
<date date-type="accepted">
<day>15</day>
<month>03</month>
<year>2017</year></date></history>
<permissions>
<copyright-statement>Copyright: &#x000A9; Li et al.</copyright-statement>
<copyright-year>2017</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license></permissions>
<abstract>
<p>Endothelial cell dysfunction and inflammatory responses are important early contributors to the occurrence and development of atherosclerosis (AS), which still remains to be decoded. Ubiquitin-fold modifier 1 (Ufm1) is a new member of the ubiquitin-like protein family, and its biological function remains largely unknown, particularly in endothelial cell injury and inflammatory responses. In the present study, we showed that Ufm1 was highly expressed in both the nucleus and cytoplasm of human umbilical vein endothelial cells (HUVECs). We also demonstrated that the Ufm1 expression level was increased following lipopolysaccharide (LPS)-induced inflammation in HUVECs. Moreover, overexpression of Ufm1 in HUVECs alleviated the inflammatory responses induced by LPS treatment. Additionally, we found that Ufm1 overexpression inhibited the nuclear translocation of nuclear factor-&#x003BA;B (NF-&#x003BA;B) after LPS treatment, suggesting its implication in the LPS/Toll-like receptor 4 (TLR4)/NF-&#x003BA;B pathway. Taken together, in addition to decoding its expression pattern in endothelial cells, we showed for the first time that Ufm1 is upregulated in LPS-induced inflammation and Ufm1 plays an inhibitory role in inflammatory responses by targeting NF-&#x003BA;B nuclear translocation. Thus, Ufm1 may be a novel gene that protects against inflammatory responses.</p></abstract>
<kwd-group>
<kwd>ubiquitin-fold modifier 1</kwd>
<kwd>human umbilical vein endothelial cells</kwd>
<kwd>lipopolysaccharide</kwd>
<kwd>inflammatory responses</kwd>
<kwd>nuclear factor-&#x00138;B</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Atherosclerosis (AS) is a complex process involving numerous cell types and important cell-to-cell interactions that ultimately lead to progression from the 'fatty streak' to formation of more complex atherosclerotic plaques (<xref rid="b1-ijmm-39-05-1119" ref-type="bibr">1</xref>&#x02013;<xref rid="b4-ijmm-39-05-1119" ref-type="bibr">4</xref>). The initiation of AS is multifactorial and caused by a collection of risk factors (<xref rid="b3-ijmm-39-05-1119" ref-type="bibr">3</xref>&#x02013;<xref rid="b5-ijmm-39-05-1119" ref-type="bibr">5</xref>). The precise initiating event is unknown; however, dysfunction within the endothelium is thought to be an important early contributor and results in the earliest detectable changes in the life history of an atherosclerotic lesion (<xref rid="b1-ijmm-39-05-1119" ref-type="bibr">1</xref>,<xref rid="b5-ijmm-39-05-1119" ref-type="bibr">5</xref>&#x02013;<xref rid="b9-ijmm-39-05-1119" ref-type="bibr">9</xref>). The endothelium is crucial for maintenance of vascular homeostasis, ensuring that a balance remains between vasoactive factors controlling its permeability, adhesiveness, and integrity (<xref rid="b1-ijmm-39-05-1119" ref-type="bibr">1</xref>,<xref rid="b5-ijmm-39-05-1119" ref-type="bibr">5</xref>,<xref rid="b7-ijmm-39-05-1119" ref-type="bibr">7</xref>). Endothelial cell (EC) activation or injury by a variety of stimuli including pro-inflammatory cytokines, certain bacterial endotoxins and hemodynamic factors, leads to local thrombosis, loss of vessel barrier function, and rapid and robust leukocyte recruitment (<xref rid="b5-ijmm-39-05-1119" ref-type="bibr">5</xref>,<xref rid="b10-ijmm-39-05-1119" ref-type="bibr">10</xref>,<xref rid="b11-ijmm-39-05-1119" ref-type="bibr">11</xref>). If unchecked, these alterations can contribute to cardiovascular diseases including AS, ischemia/reperfusion injury, rheumatoid arthritis and allograft rejection (<xref rid="b5-ijmm-39-05-1119" ref-type="bibr">5</xref>,<xref rid="b6-ijmm-39-05-1119" ref-type="bibr">6</xref>). One of the important links between AS and pro-inflammatory endothelial activation is the intrinsic capacity of activated vascular endothelium to synthesize and secrete chemokines, such as tumor necrosis factor-&#x003B1; (TNF-&#x003B1;), interleukin-1&#x003B2; (IL-1&#x003B2;), thus generating localized, intercellular autocrine and paracrine signaling loops within the vessel wall (<xref rid="b1-ijmm-39-05-1119" ref-type="bibr">1</xref>,<xref rid="b12-ijmm-39-05-1119" ref-type="bibr">12</xref>,<xref rid="b13-ijmm-39-05-1119" ref-type="bibr">13</xref>). Indeed, cytokines are produced by and act on almost all cells involved in the pathogenesis of AS, participating in all steps of the process, from the early endothelial dysfunction to the late formation and disruption of a vulnerable plaque (<xref rid="b14-ijmm-39-05-1119" ref-type="bibr">14</xref>,<xref rid="b15-ijmm-39-05-1119" ref-type="bibr">15</xref>). Thus detecting early injury or pro-inflammatory endothelial activation will shed light on mechanisms that are responsible for inflammation/injury-initiated AS.</p>
<p>In recent years, it has been shown that many cellular regulatory processes depend on the post-translational functions of ubiquitin and ubiquitin-like proteins (Ubls), including transcription, DNA repair, signal transduction, autophagy, cell proliferation, differentiation, apoptosis, endoplasmic reticulum (ER) regulation, inflammation, antigen processing and stress responses (<xref rid="b16-ijmm-39-05-1119" ref-type="bibr">16</xref>&#x02013;<xref rid="b18-ijmm-39-05-1119" ref-type="bibr">18</xref>). Ubiquitin-fold modifier 1 (Ufm1) has recently been identified as a novel Ubl with a molecular mass of 9.1 kDa, and it appears to have a similar tertiary structure to ubiquitin, despite having little (16%) amino acid sequence identity (<xref rid="b19-ijmm-39-05-1119" ref-type="bibr">19</xref>). Similar to the process of protein ubiquitination, Ufm1 is first synthesized in a pro-form and is cleaved at the C-terminus by the specific cysteine proteases, UfSP1 and UfSP2, to expose the conserved glycine residue that is essential for its subsequent conjugating reactions (<xref rid="b20-ijmm-39-05-1119" ref-type="bibr">20</xref>,<xref rid="b21-ijmm-39-05-1119" ref-type="bibr">21</xref>). The mature form of Ufm1 is activated via an E1-activating enzyme, Uba5, and is then conjugated by an E2 enzyme, Ufc1. With the assistance of E3 ligase, Ufm1 is presumed to modify its protein targets (<xref rid="b19-ijmm-39-05-1119" ref-type="bibr">19</xref>,<xref rid="b21-ijmm-39-05-1119" ref-type="bibr">21</xref>,<xref rid="b22-ijmm-39-05-1119" ref-type="bibr">22</xref>). These findings suggest that protein ufmylation is orchestrated through a sophisticated enzymatic pathway, and it represents a novel potential mechanism to regulate protein interaction, localization and function (<xref rid="b21-ijmm-39-05-1119" ref-type="bibr">21</xref>).</p>
<p>Ufm1 and its system have been demonstrated to play a significant role in erythroid differentiation (<xref rid="b22-ijmm-39-05-1119" ref-type="bibr">22</xref>), cellular growth and development and ER functions (<xref rid="b21-ijmm-39-05-1119" ref-type="bibr">21</xref>). It is also suggested that Ufm1 is involved in pathological conditions or diseases, such as tumorigenesis (<xref rid="b23-ijmm-39-05-1119" ref-type="bibr">23</xref>&#x02013;<xref rid="b25-ijmm-39-05-1119" ref-type="bibr">25</xref>), ischemic heart diseases (<xref rid="b26-ijmm-39-05-1119" ref-type="bibr">26</xref>) and diabetes (<xref rid="b27-ijmm-39-05-1119" ref-type="bibr">27</xref>). Despite, to date, the function of Ufm1 remains poorly understood. Previously, both our group (<xref rid="b28-ijmm-39-05-1119" ref-type="bibr">28</xref>) and other studies (<xref rid="b27-ijmm-39-05-1119" ref-type="bibr">27</xref>,<xref rid="b29-ijmm-39-05-1119" ref-type="bibr">29</xref>) indicate that Ufm1 is involved in ER stress, which is a key process of macrophage differentiation and cholesterol deposition in the development of AS (<xref rid="b30-ijmm-39-05-1119" ref-type="bibr">30</xref>&#x02013;<xref rid="b32-ijmm-39-05-1119" ref-type="bibr">32</xref>). Our follow-up study also showed that Ufm1 is markedly upregulated under AS conditions and Ufm1 suppresses foam cell formation via the LXR&#x003B1;-dependent pathway (<xref rid="b33-ijmm-39-05-1119" ref-type="bibr">33</xref>).</p>
<p>Although the relationship of Ufm1 in ER stress induced-macrophage foam cells, the late stage of AS, has been uncovered, its potential role in initial EC dysfunction or inflammatory responses, the early event in AS, remains unclear. The expression pattern is also unknown. Here, in this study, we evaluated Ufm1 expression in human umbilical vein endothelial cells (HUVECs), as well as the effects of Ufm1 on lipopolysaccharide (LPS)-induced HUVEC inflammation. We found that Ufm1 was expressed in HUVECs and localized in the nucleus and cytoplasm. In LPS-induced HUVEC inflammation, Ufm1 mRNA and protein levels were upregulated. Moreover, Ufm1 overexpression significantly inhibited the expression of LPS-induced inflammatory cytokines by targeting nuclear factor-&#x003BA;B (NF-&#x003BA;B) nuclear translocation. Thus, our results demonstrated that Ufm1 plays a significant role in suppressing inflammatory responses via the NF-&#x00138;B signaling pathway.</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title>Cell culture and treatment</title>
<p>HUVECs were obtained from the American Type Culture Collection (ATCC, Rockville, MD, USA) and cultured in Dulbecco's modified Eagle's medium (DMEM) supplemented with 10% fetal bovine serum (FBS), 100 U/ml penicillin and 100 <italic>&#x003BC;</italic>g/ml streptomycin. The cells were incubated in a humidified incubator at 37&#x000B0;C with 5% CO<sub>2</sub>. When the cells reached ~70&#x02013;80% confluency, they were dissociated with trypsinization and subcultured. All of the transient transfections were performed with Lipofectamine 2000 reagent (Invitrogen). For the LPS stimulation, the HUVECs were treated with 100 ng/ml LPS at a final concentration at the indicated times.</p></sec>
<sec>
<title>Construction of the Ufm1 plasmid</title>
<p>The Ufm1 cDNA sequence was obtained from 293 cells (obtained from ATCC) by reverse transcription of 293 cell mRNA and PCR amplification as previously described (<xref rid="b33-ijmm-39-05-1119" ref-type="bibr">33</xref>). Then the Ufm1 sequence was amplified and cloned into the pcDNA3.1 vector, along with a Flag tag in its N-terminus.</p></sec>
<sec>
<title>Immunofluorescence</title>
<p>For the immunofluorescence assay, the HUVECs were dissociated into single cells and the dissociated single HUVEC cell suspension was plated onto chamber slides in a 24-well plate. After being cultured for 2 days in complete medium, the HUVECs were then fixed for 30 min at 4&#x000B0;C in 4% paraformaldehyde (PFA). Then the cells were blocked in 1X phosphate-buffered saline (PBS) plus 0.3% Triton X-100 and 10% normal donkey serum (122346; Jackson ImmunoResearch, West Grove, PA, USA) for 60 min at room temperature (RT), followed by incubation at 4&#x000B0;C overnight in primary antibodies (diluted in blocking buffer). After 3 washes (10 min for each wash) in 1X PBS plus 0.1% Triton X-100, the cells were incubated in the fluorescence-conjugated secondary antibodies (1:500 dilution in 1X PBS) plus DAPI for 1 h at RT. After 3 times washes, the chamber slides were then mounted with mounting medium and imaged. Rabbit anti-Ufm1 antibody (1:1,000; ab109305; Abcam, Cambridge, MA, USA) was used as the primary antibody. Donkey anti-rabbit IgG conjugated with AlexaFluor 594 (1:500; Life Technologies, Grand Island, NY, USA) was used as the secondary antibody. For the negative control, PBS was used to replace the primary antibody and other procedures were identical. Images were captured using a fluorescence microscope.</p></sec>
<sec>
<title>Real-time quantitative PCR (qRT-PCR)</title>
<p>Total RNA was extracted from cultured cells using TRIzol reagent (Invitrogen), according to the manufacturer's instructions. qRT-PCR was performed using SYBR Premix ExTaq&#x02122; (Takara, Tokyo, Japan) and an Applied Biosystems 7500 Fast real-time PCR system. PCR primer sequences were as follows: Ufm1 forward, 5&#x02032;-CCTGAAAGTACACCTTTCACAGC-3&#x02032; and reverse, 5&#x02032;-CCAGCAGTCTGTGCAGGATT-3&#x02032;; TNF-&#x003B1; forward, 5&#x02032;-ATTGCCCTGTGAGGAGGAC-3&#x02032; and reverse, 5&#x02032;-TGAGCCAGAAGAGGTTGAGG-3&#x02032;; IL-6 forward, 5&#x02032;-CTTCGGTCCAGTTGCCTTCT-3&#x02032; and reverse, 5&#x02032;-GTGAGTGGCTGTCTGTGTGG-3&#x02032;; IL-12 forward, 5&#x02032;-CTTGTGGCTACCCTGGTCCT-3&#x02032; and reverse, 5&#x02032;-GAGTTTGTCTGGCCTTCTGG-3&#x02032;; IL-1&#x003B2; forward, 5&#x02032;-GGATATGGAGCAACAAGTGG-3&#x02032; and reverse, 5&#x02032;-ATGTACCAGTTGGGGAACTG-3&#x02032;; monocyte chemoattractant protein-1 (MCP-1) forward, 5&#x02032;-CCAATTCTCAAACTGAAGCTCGC-3&#x02032; and reverse 5&#x02032;-CTTAGCTGCAGATTCTTGGGTTGTG-3&#x02032;; and glyceraldehyde 3-phosphate dehydrogenase (GAPDH) forward, 5&#x02032;-TGCACCACCAACTGCTTAGC-3&#x02032; and reverse, 5&#x02032;-GGCAT GGACTGTGGTCATGAG-3&#x02032;. Individual samples were run in triplicate, and each experiment was repeated at least three times. The 2<sup>&#x02212;&#x00394;&#x00394;Cq</sup> method was used to analyze the relative changes in gene expression. GAPDH was used as an endogenous normalization control.</p></sec>
<sec>
<title>Western blot analysis</title>
<p>Western blot analysis was performed as previously described (<xref rid="b28-ijmm-39-05-1119" ref-type="bibr">28</xref>,<xref rid="b33-ijmm-39-05-1119" ref-type="bibr">33</xref>). Briefly, the HUVECs were dissected, homogenized, and solubilized at 4&#x000B0;C in Cell lysis buffer (P0013; Beyotime, Shanghai, China) supplemented with 1 mM PMSF, 50 mM NaF, 1 mM Na<sub>3</sub>VO<sub>4</sub> and protease inhibitor. The total protein lysates were separated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and analyzed by western blotting. The following antibodies were used: anti-Ufm1 antibody (1:1,000; ab109305; Abcam), anti-nuclear factor-&#x003BA;B (NF-&#x003BA;B) p65 (1:1,000; 8242; Cell Signaling Technology, Danvers, MA, USA), anti-GAPDH (1:5,000; G8795; Sigma-Aldrich, St. Louis, MO, USA), anti-&#x003B2;-actin (1:5,000; MA5-15739; Thermo Fisher Scientific, Waltham, MA, USA) and anti-histone H3 (1:3,000; 4499; Cell Signaling Technology). HRP-conjugated anti-rabbit, anti-mouse and anti-goat secondary antibodies (A0208, A0216 and A0181) were from Beyotime. Analysis of the data was performed using NIH ImageJ software. The mean density of each band was normalized to the actin or GAPDH signal in the same sample.</p>
<p>For the nuclear and cytoplasmic protein separation experiment (<xref rid="f5-ijmm-39-05-1119" ref-type="fig">Fig. 5</xref>), the protein in the nucleus and cytoplasm were extracted using a nuclear and cytoplasmic protein extraction kit (P0028; Beyotime); then as described above, the nuclear and cytoplasmic protein were analyzed by western blotting with the indicated antibody. &#x003B2;-actin and histone H3 were used as loading controls for protein in the cytoplasm and nucleus respectively.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>All experiments were performed at least three times in triplicate. The results are presented as mean &#x000B1; SEM. Statistical differences were determined by the Student's t test for two-group comparisons or ANOVA followed by Tukey's test for multiple comparisons among more than two groups. P&lt;0.05 was considered statistically significant.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Expression of Ufm1 in HUVECs</title>
<p>To identify whether Ufm1 is expressed in endothelial cells, we performed immunofluorescence on the cultured HUVECs with the Ufm1 antibody. Immunofluorescence assay revealed that endogenous Ufm1 was highly expressed in the HUVECs and was localized both in the cytoplasm and the nucleus (as indicated by its co-localization with DAPI) (<xref rid="f1-ijmm-39-05-1119" ref-type="fig">Fig. 1</xref>).</p></sec>
<sec>
<title>Ufm1 is involved in LPS-induced inflammatory responses</title>
<p>Both our previous and other studies have demonstrated that Ufm1 is involved in ER stress (<xref rid="b21-ijmm-39-05-1119" ref-type="bibr">21</xref>,<xref rid="b26-ijmm-39-05-1119" ref-type="bibr">26</xref>&#x02013;<xref rid="b29-ijmm-39-05-1119" ref-type="bibr">29</xref>); however, whether Ufm1 participates in inflammatory responses remains unknown. In this study, to investigate the association between Ufm1 expression and endothelial cell injury and inflammatory responses, we examined whether Ufm1 expression is affected in LPS-induced inflammation in HUVECs.</p>
<p>The concentration of 100 ng/ml LPS was used to induce HUVEC inflammation <italic>in vitro</italic>. After stimulation for 0, 3, 6, 12, 24 and 48 h, the mRNA levels of inflammatory cytokines TNF-&#x003B1;, IL-6, IL-1&#x003B2;, IL-12, MCP-1 were markedly increased and reached a peak at 3&#x02013;6 h (<xref rid="f2-ijmm-39-05-1119" ref-type="fig">Fig. 2A&#x02013;E</xref>), suggesting the successful induction of inflammation.</p>
<p>After LPS treatment for 3 h, Ufm1 mRNA expression was increased by &gt;2.5-fold in the HUVECs (P&lt;0.001 vs. control) (<xref rid="f2-ijmm-39-05-1119" ref-type="fig">Fig. 2F</xref>). In addition, the Ufm1 protein level was gradually increased from 3 to 24 h and reached a peak level at 24 h, which was ~3-fold high compared to the control (<xref rid="f3-ijmm-39-05-1119" ref-type="fig">Fig. 3</xref>).</p>
<p>Together, our data suggest that an upregulation in Ufm1 expression may be associated with LPS-induced HUVEC inflammatory responses.</p></sec>
<sec>
<title>Overexpression of Ufm1 inhibits LPS-induced inflammation in HUVECs</title>
<p>To detect the potential role of Ufm1 in inflammatory responses, we first constructed a Ufm1 overexpression plasmid. After transfection into HUVECs, the mRNA level of Ufm1 was significantly increased compared to the control (transfected with the plasmid vector) (<xref rid="f4-ijmm-39-05-1119" ref-type="fig">Fig. 4A</xref>). We also confirmed its protein expression by western blotting (WB) using an anti-flag antibody (<xref rid="f4-ijmm-39-05-1119" ref-type="fig">Fig. 4B</xref>).</p>
<p>Since Ufm1 is involved in LPS-induced inflammation (<xref rid="f2-ijmm-39-05-1119" ref-type="fig">Figs. 2</xref> and <xref rid="f3-ijmm-39-05-1119" ref-type="fig">3</xref>), it prompted us to further investigate its role in inflammatory responses. After transfection with the Ufm1 overexpression plasmid or vector, the HUVECs were treated with 100 ng/ml LPS as mentioned above. The mRNA level of cytokines were determined by real-time PCR. In comparison to the control, LPS significantly increased the inflammatory cytokine expression (<xref rid="f4-ijmm-39-05-1119" ref-type="fig">Fig. 4C</xref>). After Ufm1 overexpression, the expression of the inflammatory cytokines was markedly reduced, especially TNF-&#x003B1;, IL-1&#x003B2; and IL-12 (<xref rid="f4-ijmm-39-05-1119" ref-type="fig">Fig. 4C</xref>).</p>
<p>Our data indicated that overexpression of Ufm1 can inhibit LPS-induced inflammatory responses in HUVECs.</p></sec>
<sec>
<title>Ufm1 suppresses inflammatory responses via the LPS-induced NF-&#x003BA;B pathway in HUVECs</title>
<p>As Ufm1 is involved in inflammation and Ufm1 overexpression can inhibit LPS-induced inflammatory responses in HUVECs (<xref rid="f2-ijmm-39-05-1119" ref-type="fig">Figs. 2</xref> and <xref rid="f4-ijmm-39-05-1119" ref-type="fig">4</xref>), it raised the question of how Ufm1 exerts its function. Given the fact that LPS-induced inflammation is through Toll-like receptor (TLR) signaling, and that NF-&#x003BA;B is activated and enters into the nucleus to regulate the induced transcription of pro-inflammatory genes (<xref rid="b34-ijmm-39-05-1119" ref-type="bibr">34</xref>), a process known as NF-&#x003BA;B nuclear translocation, we analyzed the effect of Ufm1 on the cellular distribution of NF-&#x003BA;B. The cytoplasmic and nuclear proteins were separated as indicated by &#x003B2;-actin and histone H3. Upon LPS treatment, the protein level of NF-&#x003BA;B in the nucleus was significantly increased while it was decreased in the cytoplasm (<xref rid="f5-ijmm-39-05-1119" ref-type="fig">Fig. 5A and B</xref>). Interestingly, we found that Ufm1 overexpression reversed the role of LPS, resulting in decreased expression of NF-&#x003BA;B in the nucleus (<xref rid="f5-ijmm-39-05-1119" ref-type="fig">Fig. 5A and B</xref>). Consistently, immunofluorescence staining of p65 also indicated that upon LPS treatment, the NF-&#x003BA;B protein translocated to the nucleus (<xref rid="f5-ijmm-39-05-1119" ref-type="fig">Fig. 5C</xref>). However, Ufm1 overexpression abolished the phenotype induced by LPS, resulting in decreased expression of NF-&#x003BA;B in the nucleus (<xref rid="f5-ijmm-39-05-1119" ref-type="fig">Fig. 5C</xref>). Based on these findings, we propose that Ufm1 can decrease the nuclear trans-location of NF-&#x003BA;B, thus further inhibiting the expression of target inflammatory cytokines.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>In the present study, we investigated the expression pattern and potential biological function of Ufm1 in ECs. We found that Ufm1 was expressed in both the nucleus and the cytoplasm of HUVECs. Along with the increase in inflammatory cytokines, Ufm1 expression was markedly upregulated in response to the inflammatory response induced by LPS in the HUVECs. Further investigation revealed that overexpression of Ufm1 attenuated the LPS-induced inflammatory response. More importantly, we found that Ufm1 inhibited the expression of inflammatory cytokines through the LPS-induced NF-&#x003BA;B pathway (<xref rid="f6-ijmm-39-05-1119" ref-type="fig">Fig. 6</xref>).</p>
<p>Ufm1 is a new member of the Ubl family, whose biological functions are poorly understood, particularly in ECs. It has been reported that Ufm1 is expressed in many tissues and cell lines (<xref rid="b19-ijmm-39-05-1119" ref-type="bibr">19</xref>,<xref rid="b27-ijmm-39-05-1119" ref-type="bibr">27</xref>) and that upregulation of Ufm1 expression is linked with the activation of the ER stress response in AS and diabetes (<xref rid="b27-ijmm-39-05-1119" ref-type="bibr">27</xref>,<xref rid="b28-ijmm-39-05-1119" ref-type="bibr">28</xref>,<xref rid="b33-ijmm-39-05-1119" ref-type="bibr">33</xref>,<xref rid="b35-ijmm-39-05-1119" ref-type="bibr">35</xref>). Our previous studies also demonstrated that Ufm1 is involved in AS conditions (<xref rid="b28-ijmm-39-05-1119" ref-type="bibr">28</xref>,<xref rid="b33-ijmm-39-05-1119" ref-type="bibr">33</xref>). In addition, we found that Ufm1 protects against ER stress-induced apoptosis in macrophages as well as oxidized low-density lipoprotein (oxLDL)-induced foam cells (<xref rid="b28-ijmm-39-05-1119" ref-type="bibr">28</xref>,<xref rid="b33-ijmm-39-05-1119" ref-type="bibr">33</xref>), both of which are key regulators in macrophage differentiation and cholesterol deposition in the development of AS (<xref rid="b30-ijmm-39-05-1119" ref-type="bibr">30</xref>&#x02013;<xref rid="b32-ijmm-39-05-1119" ref-type="bibr">32</xref>). Here, we investigate Ufm1 expression and further uncovered a novel role of Ufm1 particularly in EC inflammation, which provides new insight into the early stage of AS.</p>
<p>LPS, a unique glycolipid contained in the outer wall of Gram-negative bacteria, can cause endothelial dysfunction and inflammation, which have been demonstrated to be associated with AS (<xref rid="b36-ijmm-39-05-1119" ref-type="bibr">36</xref>&#x02013;<xref rid="b38-ijmm-39-05-1119" ref-type="bibr">38</xref>). In this study, we used 100 ng/ml LPS to induce inflammation and endothelial dysfunction. After LPS treatment, Ufm1 expression was upregulated, together with an upregulation of the expression of inflammatory genes including TNF-&#x003B1;, IL-6, IL-1&#x003B2;, IL-12 and MCP-1 (<xref rid="f2-ijmm-39-05-1119" ref-type="fig">Fig. 2</xref>), suggesting that Ufm1 is involved in EC inflammation. The LPS-TLR4/NF-&#x003BA;B signaling pathway is a major player in the regulation of diverse biological processes, including immune responses, cell proliferation and inflammation (<xref rid="b34-ijmm-39-05-1119" ref-type="bibr">34</xref>,<xref rid="b39-ijmm-39-05-1119" ref-type="bibr">39</xref>&#x02013;<xref rid="b41-ijmm-39-05-1119" ref-type="bibr">41</xref>). NF-&#x003BA;B is a complex of dimeric subunits that belong to the NF-&#x003BA;B/Rel family: NF-&#x003BA;B1 (p50/p105), NF-&#x003BA;B2 (p52/p100), p65 (RelA), RelB and c-Rel (<xref rid="b34-ijmm-39-05-1119" ref-type="bibr">34</xref>,<xref rid="b39-ijmm-39-05-1119" ref-type="bibr">39</xref>). Normally, NF-&#x003BA;B is inactive and resides in the cytoplasm, where it is sequestered by inhibitors of &#x003BA;B (I&#x003BA;B), of which the most important are I&#x003BA;B&#x003B1;, I&#x003BA;B&#x003B2; and I&#x003BA;B&#x003B5; (<xref rid="b34-ijmm-39-05-1119" ref-type="bibr">34</xref>,<xref rid="b39-ijmm-39-05-1119" ref-type="bibr">39</xref>,<xref rid="b40-ijmm-39-05-1119" ref-type="bibr">40</xref>). When cells are stimulated by cytokines or LPS, they bind to TLR4 assisted by other proteins. Then the TLR4 protein complex initiates recruitment of other proteins (<xref rid="b42-ijmm-39-05-1119" ref-type="bibr">42</xref>,<xref rid="b43-ijmm-39-05-1119" ref-type="bibr">43</xref>), leading to the phosphorylation of I&#x003BA;Bs at specific serine residues by I&#x003BA;B kinase (<xref rid="b39-ijmm-39-05-1119" ref-type="bibr">39</xref>,<xref rid="b44-ijmm-39-05-1119" ref-type="bibr">44</xref>). Upon phosphorylation and ubiquitin-dependent degradation of I&#x003BA;B&#x003B1;, NF-&#x003BA;B translocates to the nucleus and functions as a transcription factor (<xref rid="b39-ijmm-39-05-1119" ref-type="bibr">39</xref>). These events lead to the activation of the NF-&#x003BA;B cascade for the inflammatory response.</p>
<p>In this study, we found that after LPS treatment, NF-&#x003BA;B was activated and translocated to the nucleus (<xref rid="f5-ijmm-39-05-1119" ref-type="fig">Fig. 5</xref>), together with upregulation of expression of its target inflammatory genes including TNF-&#x003B1;, IL-6, IL-1&#x003B2;, IL-12 and MCP-1 (<xref rid="f2-ijmm-39-05-1119" ref-type="fig">Fig. 2</xref>). Moreover, overexpression of Ufm1 prevented the NF-&#x003BA;B nuclear translocation indicated by the decreased ratio of p65 in the nucleus to total (<xref rid="f5-ijmm-39-05-1119" ref-type="fig">Fig. 5</xref>), resulting in decreased pro-inflammatory cytokine expression (<xref rid="f4-ijmm-39-05-1119" ref-type="fig">Fig. 4</xref>). Together, our data indicated that Ufm1 can inhibit pro-inflammatory responses through the LPS-TLR4/NF-&#x003BA;B pathway in HUVECs. In addition, we also found that in response to LPS treatment, Ufm1 expression was upregulated (<xref rid="f2-ijmm-39-05-1119" ref-type="fig">Figs. 2F</xref> and <xref rid="f3-ijmm-39-05-1119" ref-type="fig">3</xref>), suggesting a compensatory response in EC inflammation. This is consistent with our previous study that Ufm1 is also increased in ER stress and its overexpression plays a protective role in suppressing foam cell formation and ER stress (<xref rid="b28-ijmm-39-05-1119" ref-type="bibr">28</xref>,<xref rid="b33-ijmm-39-05-1119" ref-type="bibr">33</xref>).</p>
<p>Recently, Ufm1 modification (ufmylation) has emerged as a novel post-translational modification that plays essential roles in several physiological and pathological processes (<xref rid="b21-ijmm-39-05-1119" ref-type="bibr">21</xref>). However, there are still limitations to our study. Because of the difficulty in identifying substrate proteins, the study of the Ufm1 cascade is still in its infancy and its functions are yet to be completely understood. Regarding the fact that upon phosphorylation and ubiquitin-dependent degradation of I&#x003BA;B&#x003B1;, NF-&#x003BA;B translocates to the nucleus and functions as a transcription factor (<xref rid="b34-ijmm-39-05-1119" ref-type="bibr">34</xref>,<xref rid="b39-ijmm-39-05-1119" ref-type="bibr">39</xref>), it is possible that I&#x003BA;B&#x003B1; may be a potential substrate of Ufm1 and Ufm1 inhibits the NF-&#x003BA;B nuclear translocation through I&#x003BA;B&#x003B1; ufmylation. Or possibly NF-&#x003BA;B is the target of Ufm1 and ufmylated NF-&#x003BA;B can inhibit its role in promoting the transcription of target gene expression. Still we cannot exclude other possibilities, since there are other substrates of Ufm1 which may serve as a bridge in mediating Ufm1 to NF-&#x003BA;B translocation. For example, in a recent study, Yoo <italic>et al</italic> found that Ufm1 may also ufmylate LZAP (<xref rid="b24-ijmm-39-05-1119" ref-type="bibr">24</xref>), which is a putative tumor suppressor and inhibits the NF-&#x003BA;B pathway (<xref rid="b21-ijmm-39-05-1119" ref-type="bibr">21</xref>,<xref rid="b45-ijmm-39-05-1119" ref-type="bibr">45</xref>,<xref rid="b46-ijmm-39-05-1119" ref-type="bibr">46</xref>). Thus, identification of the precise ufmylated substrates involved in LPS-induced EC inflammation will help us to better understand the role of Ufm1 in the initiation and progression of AS. How Ufm1 exerts its role in the NF-&#x003BA;B pathway, identification of ufmylated substrates and whether subsequent ufmylation participates in the protective action of Ufm1 against pro-inflammatory response in ECs require further investigation.</p>
<p>In conclusion, this study found that Ufm1 is expressed in HUVECs and is localized in the nucleus and cytoplasm. Furthermore, our study provides new insight into the anti-inflammatory properties of Ufm1, which reduces pro-inflammatory cytokine expression by regulating the NF-&#x00138;B signaling pathway. On the basis of our <italic>in vitro</italic> findings, we anticipate that Ufm1 may serve as a potential molecular target for developing novel therapeutic strategies that protect ECs from dysfunction, suppress inflammation and subsequently suppress the initial occurrence and development of AS. Moreover, <italic>in vivo</italic> studies exploring the functions of Ufm1 in AS are still needed to provide further evidence for the importance of Ufm1 in the pathogenesis of AS.</p></sec></body>
<back>
<ack>
<title>Acknowledgments</title>
<p>This study was supported by the National Natural Science Foundation of China (no. 81270908).</p></ack>
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<floats-group>
<fig id="f1-ijmm-39-05-1119" position="float">
<label>Figure 1</label>
<caption>
<p>Ubiquitin-fold modifier 1 (Ufm1) is expressed both in the cytoplasm and the nucleus of human umbilical vein endothelial cells (HUVECs). (A-C) The expression of Ufm1 in HUVECs visualized by immunofluorescence (indicated with white arrow). Scale bars: (A and B) 50 <italic>&#x003BC;</italic>m and (C) 25 <italic>&#x003BC;</italic>m. The boxes in (B) are shown at a higher magnification in (C). (C) The white arrow indicates the co-localization of Ufm1 with DAPI. The arrow head indicates the expression of Ufm1 in the cytoplasm. Negative control (primary antibody Ufm1 was replaced with PBS) is shown in (A).</p></caption>
<graphic xlink:href="IJMM-39-05-1119-g00.tif"/></fig>
<fig id="f2-ijmm-39-05-1119" position="float">
<label>Figure 2</label>
<caption>
<p>mRNA levels of inflammatory cytokines and ubiquitin-fold modifier 1 (Ufm1) in HUVECs after lipopolysaccharide (LPS) treatment at different time-points. (A-F) The mRNA levels of inflammatory cytokines interleukin-1&#x003B2; (IL-1&#x003B2;), IL-6, IL-12, monocyte chemoattractant protein-1 (MCP-1), tumor necrosis factor-&#x003B1; (TNF-&#x003B1;) and Ufm1 were detected by real-time PCR. Glyceraldehyde 3-phosphate dehydrogenase (GAPDH) was used as an internal control. The relative mRNA level was normalized to control group. Data are mean &#x000B1; SEM (n=3). <sup>&#x0002A;</sup>P&lt;0.05, <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 and <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&lt;0.001 vs. the control.</p></caption>
<graphic xlink:href="IJMM-39-05-1119-g01.tif"/></fig>
<fig id="f3-ijmm-39-05-1119" position="float">
<label>Figure 3</label>
<caption>
<p>The ubiquitin-fold modifier 1 (Ufm1) protein level is markedly increased in lipopolysaccharide (LPS)-induced inflammatory responses in human umbilical vein endothelial cells (HUVECs). (A) Detection of the protein level of Ufm1 in HUVECs treated with LPS (100 ng/ml) at different time-points. The same blot was probed with glyceraldehyde 3-phosphate dehydrogenase (GAPDH) antibody as a loading control. (B) Quantification of the protein level in (A) normalized to the control. Data are mean &#x000B1; SEM (n=4). <sup>&#x0002A;</sup>P&lt;0.05 and <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01.</p></caption>
<graphic xlink:href="IJMM-39-05-1119-g02.tif"/></fig>
<fig id="f4-ijmm-39-05-1119" position="float">
<label>Figure 4</label>
<caption>
<p>Overexpression of ubiquitin-fold modifier 1 (Ufm1) inhibits lipo-polysaccharide (LPS)-induced inflammatory responses in human umbilical vein endothelial cells (HUVECs). (A and B) Verification of Ufm1 overexpression after transfection with Flag-Ufm1 by real-time PCR and western blotting (WB). Data are mean &#x000B1; SEM (n=4). <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&lt;0.001 vs. the control. (C) The relative mRNA levels of tumor necrosis factor-&#x003B1; (TNF-&#x003B1;), interleukin-6 (IL-6), IL-1&#x003B2;, IL-12, monocyte chemoattractant protein-1 (MCP-1) and Ufm1 were detected by real-time PCR in the control, LPS and LPS+Ufm1 groups. Data are mean &#x000B1; SEM (n=3). <sup>&#x0002A;</sup>P&lt;0.05 and <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&lt;0.001 vs. the LPS group.</p></caption>
<graphic xlink:href="IJMM-39-05-1119-g03.tif"/></fig>
<fig id="f5-ijmm-39-05-1119" position="float">
<label>Figure 5</label>
<caption>
<p>Ubiquitin-fold modifier 1 (Ufm1) overexpression inhibits lipopolysaccharide (LPS)-induced nuclear factor-&#x003BA;B (NF-&#x003BA;B) nuclear translocation. (A and B) The expression and quantification of p65 protein in the cytoplasm and nucleus in the control, LPS, and LPS+Ufm1 groups. &#x003B2;-actin and histone H3 were used as loading controls for protein in the cytoplasm and nucleus, respectively. Data are mean &#x000B1; SEM (n=3). <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 vs. control; <sup>#</sup>P&lt;0.05 vs. LPS group. (C) Immunofluorescence to detect the expression of p65 protein in the cytoplasm and nucleus in the control, LPS, and LPS+Ufm1 groups. The white arrowhead and white arrow indicate the expression of p65 in the cytoplasm and nucleus, respectively. Scale bar, 10 <italic>&#x003BC;</italic>m.</p></caption>
<graphic xlink:href="IJMM-39-05-1119-g04.tif"/></fig>
<fig id="f6-ijmm-39-05-1119" position="float">
<label>Figure 6</label>
<caption>
<p>Schematic drawing demonstrating the previously uncharacterized mechanism involved in the inhibition of lipopolysaccharide (LPS)-induced inflammatory responses by ubiquitin-fold modifier 1 (Ufm1) through the nuclear factor-&#x003BA;B (NF-&#x003BA;B) pathway.</p></caption>
<graphic xlink:href="IJMM-39-05-1119-g05.tif"/></fig></floats-group></article>
