Studies have shown that brain natriuretic peptide (BNP) gene expression is
rapidly induced in the infarcted heart and that plasma BNP levels reflect t
he degree of left ventricular dysfunction. Our previous in vitro work using
transiently transfected neonatal rat cardiac myocytes has shown that the h
uman BNP (hBNP) promoter, in particular a region extending from -127 to -40
relative to the start site of transcription, is more active in cardiac myo
cytes than in fibroblasts. To study tissue-specific and transcriptional reg
ulation of the hBNP gene in vivo, we generated transgenic mice containing t
he proximal hBNP promoter (-408 to +100) coupled to a luciferase reporter g
ene. In four lines of transgenic mice, luciferase activity was similar to 3
3- to 100-fold higher in the heart than in other tissues, including the who
le brain. To test whether the transgene responded to a pathophysiological s
timulus, we induced infarction by coronary artery ligation. Luciferase acti
vity was fivefold higher in the infarcted region of the left ventricle at 4
8 h than in sham-operated animals and remained elevated for 4 wk. Endogenou
s BNP mRNA was similarly increased in the infarcted hearts of a separate gr
oup of mice. We conclude that 1) the proximal 408-bp region of the hBNP pro
moter confers cardiac-specific expression and 2) myocardial infarction acti
vates the proximal hBNP promoter in vivo. These data suggest that we have a
valid model for the study of basal and inducible regulation of the hBNP ge
ne in vivo.