Regulation of Na,K-ATPase ß1-subunit in TGF-ß2-mediated epithelial-to-mesenchymal transition in human retinal pigmented epithelial cells.

Proliferative vitreo retinopathy (PVR) is associated with extracellular matrix membrane (ECM) formation on the neural retina and disruption of the multilayered retinal architecture leading to distorted vision and blindness. During disease progression in PVR, retinal pigmented epithelial cells (RPE) lose cell-cell adhesion, undergo epithelial-to-mesenchymal transition (EMT), and deposit ECM leading to tissue fibrosis. The EMT process is mediated via exposure to vitreous cytokines and growth factors such as TGF-ß2. Previous studies have shown that Na,K-ATPase is required for maintaining a normal polarized epithelial phenotype and that decreased Na,K-ATPase function and subunit levels are associated with TGF-ß1-mediated EMT in kidney cells. In contrast to the basolateral localization of Na,K-ATPase in most epithelia, including kidney, Na,K-ATPase is found on the apical membrane in RPE cells. We now show that EMT is also associated with altered Na,K-ATPase expression in RPE cells. TGF-ß2 treatment of ARPE-19 cells resulted in a time-dependent decrease in Na,K-ATPase ß1 mRNA and protein levels while Na,K-ATPase α1 levels, Na,K-ATPase activity, and intracellular sodium levels remained largely unchanged. In TGF-ß2-treated cells reduced Na,K-ATPase ß1 mRNA inversely correlated with HIF-1α levels and analysis of the Na,K-ATPase ß1 promoter revealed a putative hypoxia response element (HRE). HIF-1α bound to the Na,K-ATPase ß1 promoter and inhibiting the activity of HIF-1α blocked the TGF-ß2 mediated Na,K-ATPase ß1 decrease suggesting that HIF-1α plays a potential role in Na,K-ATPase ß1 regulation during EMT in RPE cells. Furthermore, knockdown of Na,K-ATPase ß1 in ARPE-19 cells was associated with a change in cell morphology from epithelial to mesenchymal and induction of EMT markers such as α-smooth muscle actin and fibronectin, suggesting that loss of Na,K-ATPase ß1 is a potential contributor to TGF-ß2-mediated EMT in RPE cells.