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Nature Medicine 8, 856 - 863 (2002)
Published online: 8 July 2002 | doi:10.1038/nm738

Krüppel-like zinc-finger transcription factor KLF5/BTEB2 is a target for angiotensin II signaling and an essential regulator of cardiovascular remodeling

Takayuki Shindo1, Ichiro Manabe1, Yasushi Fukushima2, Kazuyuki Tobe3, Kenichi Aizawa1, Saku Miyamoto1, Keiko Kawai-Kowase6, Nobuo Moriyama4, Yasushi Imai1, Hayato Kawakami7, Hiroaki Nishimatsu4, Takashi Ishikawa2, Toru Suzuki1, Hiroyuki Morita1, Koji Maemura1, Masataka Sata1, Yasunobu Hirata1, Masayuki Komukai8, Hiroyuki Kagechika5, Takashi Kadowaki3, Masahiko Kurabayashi6 & Ryozo Nagai1


We recently isolated a Krüppel-like zinc-finger transcription factor 5 (KLF5; also known as BTEB2 and IKLF), which is markedly induced in activated vascular smooth-muscle cells and fibroblasts. Here we describe our analysis of the in vivo function of KLF5 using heterozygous KLF5-knockout mice (Klf5+/-). In response to external stress, Klf5+/- mice showed diminished levels of arterial-wall thickening, angiogenesis, cardiac hypertrophy and interstitial fibrosis. Also, angiotensin II induced expression of KLF5, which in turn activated platelet-derived growth factor-A (PDGF-A) and transforming growth factor-beta (TGF-beta) expression. In addition, we determined that KLF5 interacted with the retinoic-acid receptor (RAR), that synthetic RAR ligands modulated KLF5 transcriptional activity, and that in vivo administration of RAR ligands affected stress responses in the cardiovascular system in a KLF5-dependent manner. KLF5 thus seems to be a key element linking external stress and cardiovascular remodeling.


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