We previously showed that COL1A1 expression is up-regulated at the transcriptional level in
systemic sclerosis (SSc) fibroblasts and that the
CCAAT-binding factor (CBF) is involved in this increased expression.
Ecteinascidin 743 (ET-743) is a chemotherapeutic agent that binds with sequence specificity to the minor groove of
DNA and inhibits CBF-mediated transcriptional activation of numerous genes. Therefore, we examined the effects of
ET-743 on the increased COL1A1 expression in SSc fibroblasts. The
drug caused a potent and dose-dependent inhibition of
type I collagen biosynthesis, which reached 70-90% at 700 pM without affecting cell viability. The same
drug concentration caused 60-80% reduction in COL1A1
mRNA levels. The stability of the corresponding transcripts was not affected. In vitro nuclear transcription assays demonstrated a 54% down-regulation of COL1A1 transcription. Transient transfections with COL1A1 promoter constructs containing the specific CBF binding sequence into SSc cells previously treated with 700 pM
ET-743 failed to show an effect on COL1A1 promoter activity. Furthermore,
ET-743 did not affect the binding of CBF or Sp1
transcription factors to their cognate COL1A1 elements. However, treatment with 700 pM
ET-743 of stably transfected NIH 3T3 cells expressing a human
type II procollagen gene under the control of the human COL1A1 promoter caused a greater than 50% reduction in the production of
type II procollagen and a similar decrease in the corresponding
type II procollagen transcripts. These results indicate that
ET-743 is a potent inhibitor of COL1A1 transcription. However, this effect cannot be explained by a direct effect on CBF binding to the COL1A1 promoter. Although the exact mechanisms responsible for the transcriptional inhibition of COL1A1 by
ET-743 are not apparent, our observations suggest that the
drug may be an effective agent to decrease
collagen overproduction in SSc and other fibrotic diseases.