Donate Help Contact The AHA Sign In Home
American Heart Association
Arteriosclerosis, Thrombosis, and Vascular Biology
Search: search_blue_button Advanced Search
Arteriosclerosis, Thrombosis, and Vascular Biology. 1997;17:222-232

This Article
Right arrow Abstract Freely available
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Kardassis, D.
Right arrow Articles by Zannis, V.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kardassis, D.
Right arrow Articles by Zannis, V.
(Arteriosclerosis, Thrombosis, and Vascular Biology. 1997;17:222-232.)
© 1997 American Heart Association, Inc.


Articles

Distal Apolipoprotein C-III Regulatory Elements F to J Act as a General Modular Enhancer for Proximal Promoters That Contain Hormone Response Elements

Synergism Between Hepatic Nuclear Factor-4 Molecules Bound to the Proximal Promoter and Distal Enhancer Sites

Dimitris Kardassis; Iphigenia Tzameli; Margarita Hadzopoulou-Cladaras; Iannis Talianidis; Vassilis Zannis

the Division of Basic Sciences, Department of Medicine, University of Crete, and Institute of Molecular Biology and Biotechnology, FORTH, Heraklion, Crete, Greece (D.K., I. Talianidis, V.Z.), and the Section of Molecular Genetics, Center for Advanced Biomedical Research, Boston (Mass) University Medical Center (I. Tzameli, M.H.-C., V.Z.).

Correspondence to Vassilis Zannis, Division of Basic Sciences, Department of Medicine, University of Crete, and IMBB, FORTH, Heraklion, Crete, Greece.


*    Abstract
up arrowTop
*Abstract
down arrowIntroduction
down arrowMethods
down arrowResults
down arrowDiscussion
down arrowReferences
 
Transient transfection assays have shown that the distal apoC-III promoter segments that contain the regulatory elements F to J enhance the strength of the tandemly linked proximal apoA-I promoter 5- to 13-fold in hepatic (HepG2) cells. Activation in intestinal (CaCo-2) cells to levels comparable to those obtained in HepG2 cells requires a larger apoA-I promoter sequence that extends to nucleotide -1500 as well as the presence of hepatic nuclear factor-4 (HNF-4). The distal apoC-III regulatory elements can also enhance 4- to 8-fold the strength of the heterologous apoB promoter in HepG2 and CaCo-2 cells. Finally, these elements in the presence of HNF-4 enhance 14.5- to 18.5-fold the strength of the minimal adenovirus major late promoter linked to two copies of the hormone response element (HRE) AID of apoA-I in both HepG2 and CaCo-2 cells. In vitro mutagenesis of the promoter/enhancer cluster established that the enhancer activity is lost by a mutation in the HRE present in the 3' end of the regulatory element I (-736 to -714) and is reduced significantly by point mutations or deletions in one or more of the regulatory elements F to J of the apoC-III enhancer. The enhancer activity also requires the HREs of the proximal apoA-I promoter. The apoC-III enhancer can also restore the activity of the proximal apoA-I and apoB promoters that have been inactivated by mutations in CCAAT/enhancer binding protein binding sites, indicating that C/EBP may not participate in the synergistic activation of the promoter/enhancer cluster. The findings suggest that the regulatory elements F to J of the apoC-III promoter act as a general modular enhancer that can potentiate the strength of proximal promoters that contain HREs. Such potentiation in the HepG2 cells can be accounted for by synergistic interactions between HNF-4 or other nuclear hormone receptors bound to the proximal and distal HREs and SP1 or other factors bound to the apoC-III enhancer. Additional factors may be required for optimal activity in CaCo-2 cells as well as for the function of this region as an intestinal enhancer.


Key Words: apoC-III enhancer • transcriptional synergism • hepatic and intestinal expression • apoA-I gene regulation • hepatic nuclear factor-4 (HNF-4)


*    Introduction
up arrowTop
up arrowAbstract
*Introduction
down arrowMethods
down arrowResults
down arrowDiscussion
down arrowReferences
 
Recent studies have established the location of the regulatory elements and the nature of the factors that are important for the transcriptional regulation of the genes of the apoA-I/apoC-III/apoA-IV cluster.1 2 3 4 5 The apoA-I promoter consists of four regulatory elements within the proximal -220 to +17 region designated A to D.2 3 Elements B (-128 to -77) and D (-220 to -190) contain HREs and can bind a variety of orphan and ligand-dependent nuclear receptors.6 Element C binds heat-stable activities related to C/EBP, which act as positive regulators, as well as heat-labile activities, one of which acts as a negative regulator.2 The apoC-III promoter consists of four proximal (A to D) and six distal (E to J) regulatory elements between nucleotides -792 and -25.1 Element B (-87 to -72) contains an HRE and can bind a variety of hormone and ligand-dependent nuclear receptors. Elements C and D bind heat-stable activities related to C/EBP as well as heat-labile activities.7 The distal apoC-III promoter, which enhances the strength of the genes of the apoA-I/apoC-III/apoA-IV cluster, predominantly binds the ubiquitous factor SP1 in elements F, H, and I. Element G binds factors related to the orphan receptors ARP-1 and V-erb A–related-3, and element I binds HNF-4 between nucleotides -736 and -714. A new activity designated C-IIIJ1 binds to the regulatory element J, and a minor activity as well as HNF-4 binds to the regulatory element I.5 8 Finally, the proximal apoA-IV promoter consists of four regulatory elements located between nucleotides -22 and -274. Element C (-148 to -92) contains an HRE and can bind a variety of nuclear hormone receptors.4

Consistent with these in vitro observations, expression of segments of the apoA-I/C-III/A-IV gene cluster in transgenic mice showed that the proximal apoA-I or apoC-III promoters extending to nucleotides -255 and -200, respectively, are sufficient for hepatic expression of these two genes in vivo.8 9 10 However, the intestinal expression of the apoA-I/apoC-III/apo A-IV gene cluster requires other regulatory sequences localized in the 6-kb intergenic region separating the apoA-I and apoA-IV genes.11 In the case of the apoA-I gene, these sequences were recently shown to correspond to the regulatory elements F to J of the apoC-III promoter.8

In humans, apoA-I synthesis occurs predominantly in the liver, apoC-III synthesis occurs mainly in the liver and to a lesser extent in the intestine, and apoA-IV synthesis occurs mainly in the intestine and to a lesser extent in the liver.12 13 Epidemiological, genetic, and transgenic animal studies suggest that increased levels of apoA-I and apoA-IV are protective against atherosclerosis,14 15 16 whereas increased levels of apoC-III may contribute to hypertriglyceridemia.10 17 Thus, a better understanding of the basic mechanisms that control the expression of these genes is important.

In the present study we demonstrate that the distal apoC-III regulatory elements F to J can act as a general modular enhancer in hepatic (HepG2) cells and activate proximal promoters that contain HREs. It appears that enhancement of transcription requires synergistic interactions between HNF-4 or other nuclear hormone receptors that bind to the proximal promoter and the distal enhancer element I. Favorable interactions between nuclear hormone receptors bound to proximal and distal sites are brought about by SP1 and other factors that bind to the apoC-III enhancer. The apoC-III elements F to J also act as enhancers of the apoA-IV, apoC-III, and apoB promoters in intestinal (CaCo-2) cells. In the case of the apoA-I gene, high levels of expression in CaCo-2 cells require longer apoA-I promoter segments and the presence of HNF-4.


*    Methods
up arrowTop
up arrowAbstract
up arrowIntroduction
*Methods
down arrowResults
down arrowDiscussion
down arrowReferences
 
Restriction enzymes were purchased from Minotech. T4 DNA ligase, calf intestinal alkaline phosphatase, the Klenow fragment of DNA polymerase I, and polynucleotide kinase were purchased from New England Biolabs. The sequenase kit was purchased from United States Biochemicals. Peptone and yeast extract were purchased from Merck. o-Nitrophenyl-ß-D-galactopyranoside and TLC silica gel plates for CAT assays (T-6770) were purchased from Sigma. [{gamma}-32P]ATP, [{alpha}-32P]dCTP, [{alpha}-32P]dGTP, and [14C]chloramphenicol were purchased from ICN Biochemicals. Agarose (Seakem) was purchased from FMC, and cesium chloride (ultrapure) was purchased from BRL. Vent polymerase was purchased from New England Biolabs, and dNTPs (ultrapure 100 mmol/L) were purchased from Pharmacia LKB.

Plasmid Constructions
The prototype plasmid pBS(-255/-5)A-I.CAT was constructed as follows: The plasmid pEMBL(-255)A-I.CAT2 was digested with Sma I and EcoRI, and the excised fragment that contained the apoA-I gene promoter sequence between nucleotides -255 and -5 plus part of the CAT coding sequence was subcloned at the Sma I and EcoRI sites of pBluescript KS(+) vector (Stratagene). The remaining CAT gene plus SV40 splicing and polyadenylation signals were supplied from the pUCSH.CAT vector1 as an EcoRI fragment.

The reporter plasmids C-III(-1287/-197).A-I.CAT, A-I.CAT.C-III(-1287/-197), and A-I.CAT.C-III(-197/-1287) are all derivatives of the prototype plasmid and were constructed as follows: The apoC-III gene 5' flanking region containing nucleotides -1287 to -197 was excised from plasmid -1411 apoC-III.CAT1 as a Pst I fragment and was inserted, in two steps, either upstream of the apoA-I promoter (at the Sma I site of plasmid pBS[-255/-5]A-I.CAT) or downstream of the CAT gene (at the EcoRV site of the same plasmid) in both orientations. The reporter plasmids containing deletions or nucleotide substitutions in the apoC-III enhancer designated -890, -755, -686, FM1, GM1, HM1, IM1, IM4, JM1 (Table 1Down) were constructed similarly. In each case, the mutated apoC-III enhancer was excised from the corresponding apoC-III.CAT plasmid1 5 by digestion with Xba I and Pst I, blunted with Klenow DNA polymerase, and subcloned at the EcoRV site of plasmid pBS(-255/-5)A-I.CAT. Reporter plasmids designed to test the effect of the apoC-III enhancer on various apoA-I promoter mutations were constructed as follows: The mutagenized apoA-I promoters were excised from the corresponding apoA-I CAT plasmids A-ICM2CAT2 and A-IDmutCAT with Xba I and Xho I, blunted with Klenow, and inserted at the Sma I site of plasmid pBSCATC-III(-197/-1287). The latter plasmid contains a promoterless CAT gene and the apoC-III enhancer region -197/-1287 placed at the 3' end of CAT. Plasmid A-ICM2CAT contains nucleotide substitutions in element C at positions -171/-166. Plasmid A-IDmutCAT contains nucleotide substitutions in element D at positions -204/-196 (Table 1Down). To produce the -1500 apoA-I constructs, the apoA-I 5' flanking region -1500 to -255 was excised from pEMBL.(-1500)A-I.CAT as an Sma I fragment and inserted at the Sma I site of the appropriate vectors.


View this table:
[in this window]
[in a new window]
 
Table 1. Sequences of Normal and Mutated Elements in the ApoC-III Enhancer and the Proximal ApoA-I and ApoB Promoters

The plasmids containing apoB promoter/apoC-III enhancer fusions (-267/+8 apoB CAT C-III [-197/-1287], -1800/+8 apoB CAT C-III [-197/-1287], apoBM2 CAT C-III [-197/-1287], and apoBM6 CAT C-III [-197/-1287]) were constructed by inserting the Pst I fragment containing the apoC-III enhancer (-197/-1287) into the corresponding apoB CAT plasmids at the unique Pst I site that is located at the 3' end of the CAT gene.18 ApoBM2 and apoBM6 are mutagenized apoB promoters (-267/+8) that contain nucleotide substitutions at positions -77 to -73 and -61 to -60, respectively (Table 1Up).

The plasmid AI(D2).AdML.CAT was constructed by inserting two copies of the apoA-I element D (-220/-190) of the apoA-I promoter at the Sal I site of AdML-CAT vector (AdML.CAT). This vector contains the AdML TATA box and the transcription start site upstream of the CAT gene. The plasmid C-III-AI(D2)-AdML-CAT was constructed by inserting two copies of the element D of the apoA-I promoter in the Sal I site of plasmid C-III.AdML.CAT, which contains, in addition to AdML, the apoC-III enhancer (-890/-590) upstream of the TATA box.5 The eukaryotic expression vector pMT2-HNF-4 consists of the cDNA of HNF-4 under the control of the AdML. The construction of this vector has been reported previously.19 The plasmid pRSV-ßgal contains the ß-galactosidase gene under the control of the Rous sarcoma virus LTR and was used for the normalization in the transfection efficiency.20

Cell Culture and Transfections
Monolayer cultures of HepG2 and CaCo-2 cells were grown in Dulbecco's modified Eagle's medium supplemented with 10% and 20% heat-inactivated fetal calf serum, respectively. Twenty-four hours before transfection, the cells were seeded at 50% to 60% confluence into 35-mm-diameter dishes. Reporter constructs (2 µg) along with 2 µg of either pMT2-HNF-4 or control pMT2 vector plus 3 µg pRSV-ßGal plasmid were introduced to the cells by the calcium phosphate coprecipitation method.21 Forty-eight hours later, the cells were harvested and subjected to three consecutive freeze-thaw cycles. CAT activities were assayed by the use of constant amounts of protein as described previously.22 The ß-galactosidase activity in the cellular extracts was determined as described,20 and the values were used to normalize the variations in transfection efficiencies. Incubation times were carefully selected by titration and kinetic experiments to ensure that the enzyme reactions were performed at the linear range. The values reported represent the average of four to six determinations obtained in two to three independent experiments.

Expression of HNF-4 cDNA in Bacteria and Footprinting Analysis of ApoC-III Promoter
HNF-4 cDNA was cloned in the bacterial pET15b vector under the control of the T7 promoter and was expressed in Escherichia coli BL21 strain. The bacterial extracts obtained were used for footprinting analysis of the -283 to +24 and -890 to -686 apoC-III promoter, as described previously.2 For this analysis, the -890 to -686 and -283 to +24 apoC-III promoter fragments were labeled at either the -283 or -890 nucleotide with [{gamma}-32P]ATP and T4 polynucleotide kinase. Footprinting was performed as described.1


*    Results
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMethods
*Results
down arrowDiscussion
down arrowReferences
 
Distal ApoC-III Promoter Region Enhances Strength of Tandemly Linked Proximal ApoA-I Promoter -255 to -5 in HepG2 Cells; Transcriptional Activation in CaCo-2 Cells Requires Additional Upstream Elements and Presence of HNF-4
The apoC-III regulatory region -1287 to -197, which contains the regulatory elements F to J, was cloned 5' or 3' in both orientations relative to the apoA-I gene promoter fragment -255/-5 that was linked to the CAT reporter gene. Transient transfections in HepG2 and CaCo-2 cells showed that this apoC-III promoter region acts as an enhancer that increases the strength of the proximal apoA-I promoter. The enhancement in HepG2 cells is approximately 13-fold when the apoC-III promoter is cloned 5' of the apoA-I promoter and 5-fold when it is cloned 3' of the CAT gene in either orientation (Fig 1A and 1CDownDown). The proximal -255 to -5 and the -1500 to -5 of the apoA-I promoter had low levels of activity in CaCo-2 cells in both the presence and the absence of the enhancer. This activity could be increased to levels comparable to that of HepG2 cells in the presence of HNF-4 (Fig 1B and 1DDownDown). In subsequent experiments we have used the -1500 apoA-I promoter/apoC-III enhancer cluster to evaluate its properties in CaCo-2 cells.




View larger version (97K):
[in this window]
[in a new window]
 
Figure 1. A-D, Activation of the proximal -255 to -5 and distal -1500 to -255 apoA-I promoter by the distal apoC-III regulatory region -1287 to -197. A, Activation of the -255 to -5 apoA-I promoter in HepG2 cells. B, Activation of the -1500 to -5 apoA-I in CaCo-2 cells in the presence and absence of HNF-4. C, Representative CAT assays with HepG2 cells and the -255 to -5 apoA-I promoter. D, Representative CAT assays in CaCo-2 cells with the -1500 to -5 promoter in the presence or absence of HNF-4.

Contribution of Distal ApoC-III Regulatory Elements and Proximal HREs to ApoA-I Promoter Strength in HepG2 Cells
The contribution of the apoC-III regulatory elements to the strength of the proximal apoA-I promoter in HepG2 cells was evaluated by transient transfection experiments with the use of promoter constructs containing 5' deletions. This analysis showed that deletion of the 5' apoC-III promoter region extending to nucleotides -890 increased by 30% the activity of the apoA-I promoter/apoC-III enhancer cluster. The -197 to -899 apoC-III promoter region contains the regulatory elements E to J.1 The promoter/enhancer activity was nearly abolished by deletion of the regulatory elements J, I, and H (Fig. 2ADown). Recent studies have shown that the regulatory element H and I predominantly bind SP1 and that the regulatory element J binds a new activity designated C-IIIJ1.5 DNA binding assays have shown that the 3' end of element I can bind HNF-4, ARP-1, and RXR{alpha}-T3 heterodimers (References 8 and 23 and S. Lavrentiadou and V. Zannis, unpublished data, 1996). The contribution of the distal apoC-III regulatory elements to the enhancer activity was also evaluated by point mutations that abolish the binding of specific factors to their cognate sites. This analysis showed that the enhancer activity was abolished by point mutations in the HRE of element I, which bind HNF-4. The locations and boundaries of the HNF-4 binding sites on the apoC-III promoter were determined by footprinting analysis of the -890 to -686 and -283 to +24 apoC-III promoter regions with the use of bacterially expressed HNF-4 (Fig 2CDown). This analysis showed that HNF-4 has two distinct binding sites on the apoC-III promoter. One that was recognized previously is between nucleotides -87 and -72, and the other is between nucleotides -736 and -714 (Fig 2CDown). The mutation IM4 shown in Table 1Up abolished the binding of HNF-4 and other nuclear hormone receptors to the HRE of element I. Furthermore, the activity of the apoC-III enhancer/apoA-I promoter cluster was reduced to 40% to 45% of its value by mutations in elements H and G and to 55% to 70% of its value by mutations in elements I, J, or F. Element G binds activities related to orphan receptors ARP-1 and EAR-3, and element F binds SP1 as a major and C-IIIJ1 as a minor activity.5 The findings indicate that the enhancer activity depends on HNF-4, which binds to the regulatory element I. In addition, all the other factors that bind to the upstream apoC-III promoter region are required to enable it to activate the closely linked apoA-I promoter optimally. Similar mutagenesis analysis showed that the ability of the apoC-III enhancer to activate transcription driven by the proximal apoA-I promoter is greatly affected by mutations in the regulatory element D of apoA-I (Fig 2BDown). This mutation reduced the strength of the promoter/enhancer complex to 6% of its original value. The regulatory element AID contains an HRE and binds HNF-4 as well as a variety of other orphan and ligand-dependent nuclear hormone receptors.6 In contrast, mutations in the regulatory element C of apoA-I, which abolished the binding to this region of heat-stable activities related to C/EBP,2 reduced the strength of the promoter/enhancer complex to only 65% of its original value.




View larger version (95K):
[in this window]
[in a new window]
 
Figure 2. A and B, Effect of mutations on the strength of the -255 to -5 apoA-I promoter/apoC-III enhancer cluster in HepG2 cells. A, Effect of mutations on the distal regulatory elements F to J of the apoC-III promoter on the strength of the -255 to -5 apoA-I promoter/apoC-III enhancer cluster in HepG2 cells. B, Effects of mutations on the proximal regulatory elements C and D of the apoA-I promoter (Table 1Up) on the strength of the -255 apoA-I promoter/apoC-III enhancer cluster in HepG2 cells. The relevant regulatory elements of the apoA-I promoter and the apoC-III enhancer have been described1 2 and are symbolized by capital letters. Mutated sites are indicated by X. C, DNase I footprinting analysis of the apoC-III promoter fragments -283 to +24 and -890 to -686. Footprinting analysis was performed with bacterially expressed HNF-4. The fragments were labeled at nucleotides -283 and -890 with [{gamma}-32P]ATP and T4 polynucleotide kinase. Binding reactions and DNase I treatment were performed as described.1

Contribution of ApoC-III Regulatory Elements and Proximal HRE to HNF-4–Mediated Transactivation of the Promoter/Enhancer Complex in CaCo-2 Cells
The -1500 apoA-I promoter/apoC-III enhancer CAT constructs were used in cotransfection experiments with plasmids expressing HNF-4 to assess the effects of mutations in the proximal HREs, as well as the distal apoC-III promoter elements (Table 1Up) on the HNF-4–mediated transactivation in CaCo-2 cells. As shown in Fig 1BUp, these constructs could be transactivated optimally with HNF-4 compared with shorter apoA-I promoter constructs. In general, the mutations affected the HNF-4–mediated transactivation of the -1500 apoA-I promoter/apoC-III enhancer cluster in CaCo-2 cells to the same extent that they affected the strength of the -255 to -5 apoA-I promoter/apoC-III enhancer cluster in HepG2 cells. The wild-type -1500 apoA-I promoter/apoC-III enhancer cluster was transactivated 7-fold by HNF-4. The transactivation was reduced to 40% and 45% of its original value by deletion of the regulatory element J and by point mutations in element H, respectively, and was nearly abolished by deletions of elements J, I, and H. Point mutations in elements J or F and I reduced the transactivation of the promoter/enhancer cluster to 65% and 90% of its original value, respectively (Fig 3ADown). Mutations in the regulatory element AID (HRE) of the proximal apoA-I promoter reduced the transactivation of the promoter/enhancer cluster to 7% of its original value, whereas mutations in the regulatory element AIC of the proximal apoA-I promoter did not affect the HNF-4–mediated transactivation of the promoter/enhancer cluster in CaCo-2 cells (Fig 3BDown). The findings suggest that the HNF-4–mediated transactivation of the apoA-I promoter/apoC-III enhancer cluster in CaCo-2 cells is promoted by interactions between HNF-4, which binds to the HRE of the proximal apoA-I promoter, and the distal enhancer. These interactions are optimized by SP1 and the other factors that bind to the regulatory elements F to J of the apoC-III enhancer.



View larger version (43K):
[in this window]
[in a new window]
 
Figure 3. Effect of mutations on the transactivation of the -1500 to -5 apoA-I promoter/apoC-III enhancer cluster by HNF-4 in CaCo-2 cells. A, Effect of mutations on the distal regulatory elements F to J of the apoC-III promoter on the transactivation of the -1500 apoA-I promoter/apoC-III enhancer cluster by HNF-4 in CaCo-2 cells. B, Effects of mutations on proximal regulatory elements C and D of the apoA-I promoter (Table 1Up) on the transactivation of the -1500 apoA-I promoter/apoC-III enhancer constructs by HNF-4 in CaCo-2 cells. Mutated sites are indicated by X.

Distal ApoC-III Regulatory Elements Act as General Modular Enhancer and Potentiate Strength of Heterologous Promoters That Contain HREs
The concept that the apoC-III enhancer operates through synergistic interactions between upstream activators bound to the enhancer and nuclear hormone receptors bound to proximal sites was further reinforced by cotransfection experiments involving heterologous promoters. The apoB promoter was shown previously to contain both an HRE as well as a C/EBP binding site on element A.18 Cotransfection experiments using apoB promoter/apoC-III enhancer CAT constructs showed a 4- to 8-fold activation in HepG2 cells and a 7- to 10-fold activation in CaCo-2 cells, depending on the length of the apoB promoter construct. HNF-4 transactivated further the apoB promoter/apoC-III enhancer cluster in CaCo-2 cells (Fig 4ADown) but not in HepG2 cells (data not shown). The enhancement of transcription of the apoB promoter/enhancer cluster achieved in CaCo-2 cells in the presence of HNF-4 was 13- to 19-fold. The -1800 to +8 apoB promoter constructs provided stronger activation than the -267 to +8 apoB promoter constructs in both HepG2 and CaCo-2 cells (Fig 4ADown). More importantly, mutation in the HRE of element A abolished the activity of the promoter/enhancer cluster, whereas mutation in the adjacent C/EBP binding site reduced the activity of the promoter/enhancer cluster to 33% and 50% of its original value in CaCo-2 and HepG2 cells, respectively. The activity of the mutated promoter/enhancer cluster increased to 52% of the control value in CaCo-2 cells in the presence of HNF-4 (Fig 4BDown).



View larger version (30K):
[in this window]
[in a new window]
 
Figure 4. Activation of the -1800 to +8 and -267 to +8 apoB promoter constructs by the distal apoC-III regulatory region -1287 to -197. A, Rows 1 and 2 show activation of the -1800 to +8 apoB promoter. Rows 3 and 4 show activation of the -267 to +8 promoter in HepG2 and CaCo-2 cells. The relevant regulatory elements of the apoB promoter and apoC-III enhancer are symbolized by capital letters as described.1 22 B, Effect of mutations on the HRE and the adjacent C/EBP site on the proximal promoter (Table 1Up) on the strength of the -267 to apoB promoter/apoC-III enhancer cluster in HepG2 and CaCo-2 cells. Mutated sites are indicated by X.

The preceding analysis of the proximal apoA-I and apoB promoter mutations indicated that the apoC-III enhancer has the ability to bypass partially or totally the effect of mutations in C/EBP sites that inactivate the proximal promoters, but it loses its function by mutations in the proximal HREs. This is clearly illustrated in the cotransfection experiments of Fig 5A and 5BDownDown. This analysis shows that mutations in the C/EBP binding site of the apoA-I and apoB promoter reduced the proximal promoter strength to 8% and 13%, respectively. Fusion of the mutated constructs with the apoC-III enhancer increased the strength of the mutated apoA-I and apoB promoter/enhancer cluster to 38- and 16-fold, respectively, in HepG2 cells. The levels of transcription achieved by the mutated promoter/enhancer cluster is 2- to 3-fold higher than that achieved with the wild-type promoters, which lack the apoC-III enhancer. The findings show that despite the inability of C/EBP to bind to its cognate site in either of the two mutated promoters, the synergism between the remainder of the factors that bind to the proximal promoters and the distal enhancer persists.



View larger version (21K):
[in this window]
[in a new window]
 
Figure 5. Effect of the mutations on the C/EBP binding sites of the proximal apoA-I and apoB promoters on the strength of the mutated promoter/enhancer cluster. A, Effect of the mutations on the apoA-I promoter. B, Effect of the mutations on the apoB promoter. The symbols of the regulatory elements are those of Figs 1 and 4UpUp. Mutated sites are indicated by X. Note that the distal apoC-III promoter enhances the strength of the mutated apoA-I and apoB promoter by 40- and 16.5-fold, respectively, and thus overcompensates for the mutation in the proximal C/EBP site.

The synergistic or antagonistic interactions between nuclear hormone receptors bound to the HREs of element AID of the proximal apoA-I promoter and C-III-I of the apoC-III enhancer can also be visualized by the minimal AdML promoter linked to two copies of the regulatory elements AID (HRE) of apoA-I, the distal apoC-III regulatory elements F to J, or both (Fig 6A and 6BDownDown). Cotransfection experiments using these constructs and plasmids expressing HNF-4 showed that the strength of the minimal AdML promoter linked to either two copies of the regulatory elements AID (HRE) of apoA-I or the distal apoC-III elements F to J increases moderately up to 3-fold by HNF-4, depending on the cell line. However, fusion of both sets of the regulatory elements to the 5' region of the minimal AdML promoter increased 18.5- and 14.5-fold the strength of the minimal promoter in HepG2 and CaCo-2 cells, respectively (Fig 6A and 6BDownDown). The change in transactivation achieved by both elements is 600% in HepG2 and CaCo-2 cells compared with the sum of the transactivation achieved by the HREs and the apoC-III enhancer alone (Fig 6A and 6BDownDown). The findings suggest that HNF-4, which can bind to the proximal and distal HREs and SP1 and the other factors that bind to the enhancer, can transactivate synergistically the minimal AdML promoter. A putative mechanism of transactivation of the apoA-I promoter/apoC-III enhancer cluster, which is consistent with the currently available data, is shown in Fig 6CDown. This figure shows potential direct protein-protein interactions among the factors bound to the promoter/enhancer cluster as well as interactions with the proteins of the basal transcription complex. Similar mechanisms of transcriptional activation may apply for the other two genes of the cluster (Fig 7Down). Interestingly, in the absence of HNF-4, the two apoA-I HREs were unable to activate the AdML promoter in HepG2 or CaCo-2 cells. The apoC-III enhancer alone containing the regulatory elements F to J activated 6- and 8-fold, respectively, the AdML promoter HRE cluster in HepG2 and CaCo-2 cells. However, the combination of both the apoA-I HREs and the apoC-III enhancer decreased the strength of the AdML promoter/apoC-III enhancer cluster. Thus, the activity of the AdML promoter linked to the apoA-I HRE and the apoC-III enhancer is 50% to 70% compared with the sum of the activities of the AdML linked to the individual elements. This finding suggests that in both cell types, the proteins that bind to the enhancer and the mixture of nuclear receptors that occupy the HRE in the two cell types act antagonistically, leading to a small reduction in transcription. This finding also indicates that the types of the nuclear hormone receptors that can occupy the apoA-I HRE may determine the synergistic or antagonistic interactions between the other factors that bind to the enhancer and the nuclear hormone receptors that occupy the proximal and distal sites.





View larger version (113K):
[in this window]
[in a new window]
 
Figure 6. A, Row 1 shows the effects of two copies of the regulatory element AID (HRE) of apoA-I on the strength of the minimal AdML promoter in HepG2 and CaCo-2 cells, respectively, in the presence or absence of HNF-4. Row 2 shows the effects of the -790 to -500 apoC-III promoter region, which contains the distal regulatory elements F to J on the strength of the minimal AdML promoter in HepG2 and CaCo-2 cells, respectively. Row 3 shows the effects of the two copies of the regulatory element AID (HRE) of apoA-I and elements F to J of the apoC-III enhancer on the strength of the minimal AdML promoter in HepG2 and CaCo-2 cells in the presence and absence of HNF-4. Note that the third construct containing both the HREs and the apoC-III enhancer is transactivated 14,5 and 18,5 in the presence of HNF-4. This transactivation is attributed to transcriptional synergism between HNF-4 bound to the HRE and factors bound to the apoC-III enhancer. The parameter "% change in transcription" is obtained by dividing the CAT activity obtained with construct 3 with the sum of the CAT activities obtained with constructs 1,2 in the presence or absence of HNF-4. Note also that the interactions of the factors bound to the HREs and the apoC-III enhancer are antagonistic in the absence of HNF-4. B, Representative CAT assays in CaCo-2 cells using the AdML constructs of panel A in the presence and absence of HNF-4. C, Schematic representations showing putative protein-protein interactions among the factors bound to the promoter/enhancer region and the proteins of the basal transcription machinery. The figure is based on the findings of the present study and previously published data.1 2 4 6 8 The model speculates that Sp1 and other factors that bind to three sites on the apoC-III enhancer help to properly orient an activator (tentatively assumed to be a nuclear [Nucl.] hormone receptor) relative to another molecule of a nuclear hormone receptor that binds to a proximal promoter site. These activators in turn interact with the proteins of the basal transcription complex through TAFs, thus leading to the initiation of a transcriptional event.



View larger version (27K):
[in this window]
[in a new window]
 
Figure 7. Schematic presentation of the apoA-I/C-III/A-IV gene cluster and the proposed role of the apoC-III enhancer in the transcriptional regulation of the apoA-I gene and the other genes of the cluster. Numbers 1 to 9 indicate the following: ApoA-I gene: 1, The proximal promoter suffices for hepatic expression; 2, the enhancer increases hepatic expression; 3, the enhancer is required for intestinal expression; and 4, other upstream elements may contribute to tissue specificity and optimal intestinal expression. ApoC-III gene: 5, the proximal promoter suffices for hepatic expression; 6, the enhancer increases hepatic expression; and 7, the enhancer and possibly other upstream elements are required for intestinal expression. ApoA-IV gene: 8, the proximal promoter is inactive; and 9, the enhancer and possibly other elements are required for hepatic and intestinal expression.


*    Discussion
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMethods
up arrowResults
*Discussion
down arrowReferences
 
Distal ApoC-III Regulatory Elements F to J Act as General Modular Enhancer for Genes That Contain Proximal HREs
The present study demonstrates that the distal apoC-III promoter region, when it is linked upstream or downstream of the apoA-I promoter in tandem or reverse orientation, increases the strength of the apoA-I promoter 5- to 13-fold in HepG2 cells. This property classifies the distal apoC-III promoter region as a transcriptional enhancer of the apoA-I gene. Previous studies have shown that this enhancer activity also operates on the other two genes of the cluster.1 4 5

The enhancer activity requires all the regulatory elements F to J of the distal apoC-III promoter and depends on the HRE that is present on the 3' end of the element CIII I. This element contains two direct repeats -736AGTGGG(TCCAG)AGGGCA-720 on the coding strand separated by five spacer nucleotides (shown in parentheses). This sequence has homology to the consensus half-site AGG/TTCA motif, which has sequence homology to a hormone nuclear receptor binding site.26 27 Footprinting analysis in the present study, in which bacterially expressed HNF-4 as well as DNA binding assays were used, has shown that this element binds HNF-4, ARP-1, and RXR{alpha}-T3Rß heterodimers (References 8 and 23 and S. Lavrentiadou and V. Zannis, unpublished data, 1996). In addition to the HNF-4 site, optimal enhancer activity requires the presence of intact SP1 sites as well as sites for other factors that bind to the enhancer. The study establishes that the enhancer acts as a module and that the integrity of the entire unit is essential for its functions. Segments of the enhancer are not sufficient to confer full enhancer activity in HepG2 or CaCo-2 cells in vitro. The apoC-III enhancer is also able to increase the strength of the proximal apoB promoter. A common feature of the human apoA-I, apoC-III, and apoA-IV promoters is that they contain one or more HREs in their proximal promoter regions that are essential for their function.1 4 18 19 Recent studies have also shown that apoC-III promoter constructs containing the entire or portions of the apoC-III/apoA-IV intergenic sequences24 could activate the proximal apoA-I promoter in HepG2 or CaCo-2 cells,8 25 but these studies did not assess the contribution of the individual elements of the apoC-III enhancer to the strength of the promoter/enhancer cluster. One of the studies showed that additional elements extending between nucleotides -255 and -595 contribute to the intestinal expression of the apoA-I gene in vitro.25 The present study demonstrates that promoter/enhancer constructs containing upstream 5' regulatory sequences extending to nucleotide -1500 show much greater transactivation by HNF-4 in CaCo-2 cells than shorter constructs extending to nucleotide -255. These observations suggest that factors bound to upstream apoA-I regulatory regions may be required for optimal expression of the apoC-III gene in intestinal cells. They also indicate that HNF-4 concentrations in CaCo-2 cells, under the experimental conditions used, may be limited. In this regard, in vivo footprinting analysis of the proximal apoA-I promoter in CaCo-2 cells showed gradual protection of the apoA-I HREs as a function of the age of the culture. Optimal protection occurs after a 3-week culture period (D.K. and V.Z., unpublished data, 1996). It was shown previously that the nuclear activities that bind to the HRE of the apoA-I are induced and are maintained at high levels for a period of 1 to 3 weeks in postconfluent CaCo-2 cultures.28

Distal ApoC-III Regulatory Elements F to J Act as General Modular Enhancer
The apoC-III enhancer activates genes through interactions of HNF-4 or other nuclear hormone receptors bound to proximal and distal sites; these interactions are optimized by SP1 and other factors bound to the apoC-III enhancer.

Additional insights on the mechanism of the activation of target genes by the apoC-III enhancer were obtained by the use of the minimal heterologous AdML system as well as by analysis of promoter/enhancer constructs that carry mutations in non-HRE sites on the proximal target promoters. The first set of experiments showed that the minimal AdML promoter linked either to the apoA-I HRE or the apoC-III enhancer was moderately transactivated by HNF-4. However, linkage of both elements to the AdML promoter increased the strength of the minimal promoter 14.5- and 18.5-fold in CaCo-2 and HepG2 cells, respectively, in the presence of HNF-4. The increase in the promoter strength conferred by the two elements is not additive but synergistic. This implies synergistic interactions between HNF-4, which binds to the proximal promoter and distal enhancer HREs. It should be noted that the heterologous promoter construct containing the two apoA-I HREs and the apoC-III enhancer is transactivated by HNF-4 in HepG2 cells, whereas the proximal apoA-I promoter apoC-III enhancer cluster is not. This finding is compatible with previous studies which have shown that the apoA-I HRE in the context of a minimal promoter is transactivated severalfold by ligand-dependent nuclear receptors,29 30 31 whereas it may be either activated moderately or repressed by the same receptors in the context of the entire promoter.6 Interestingly, in the absence of HNF-4 the combination of the two apoA-I HREs and the apoC-III enhancer had 50% to 70% of the activity compared with the sum of the activities of the AdML linked to the individual elements. This finding indicates that the interactions of the nuclear hormone receptors that bind to the proximal promoter and the distal enhancer sites can be either synergistic or antagonistic. In the present case, synergism is observed when the HRE is occupied by HNF-4, and antagonism is observed when the HRE is occupied by the mixture of nuclear hormone receptors that are present in the nucleus of the HepG2 and CaCo-2 cells.

The second set of experiments showed that the apoC-III enhancer compensates for a mutation in a C/EBP binding site that inactivates the proximal apoA-I or apoB promoters. We have shown previously that a mutation in the regulatory element C of apoA-I or the regulatory element A of apoB that prevents the binding to these sites of C/EBP and other heat-stable activities drastically decreased the promoter strength.18 Linkage of these mutated promoters with the apoC-III enhancer increased the strength of the mutated apoA-I and apoB promoter/enhancer constructs 38- and 16-fold, respectively. In addition, the mutated apoA-I and apoB promoter/apoC-III enhancer constructs were transactivated by HNF-4 in CaCo-2 cells 50% to 100% compared with the wild-type promoter. The findings reinforce the concept that although C/EBP may contribute to the optimal strength of the promoter/enhancer cluster, it is not required for the transcriptional synergism between the factors that bind to the enhancer and the different types of nuclear hormone receptor that can occupy the proximal promoter.

The overall picture that emerges from these and previous studies1 2 4 5 8 9 25 is that the distal apoC-III regulatory elements act as a general modular enhancer that can potentiate the strength of proximal promoters that contain one or more HREs. In the case of the apoA-I promoter, this potentiation involves synergistic interactions between HNF-4 or other nuclear hormone receptors that bind to proximal and distal sites and is facilitated by additional factors that bind to promoter and enhancer regions. Similar to other systems, it is assumed that HNF-4 or other nuclear hormone receptors that bind to the proximal and distal HREs and the SP1 and the other factors that bind to the apoC-III enhancer and the proximal promoter elements form a stereospecific DNA-protein complex.32 33 This complex may interact directly or indirectly through TAFs with the factors of basal transcription complex, thus leading to the transcriptional activation of the target gene (Fig 6CUp). Recent studies have established that multiple interactions of transcription factors with different TAFs and the proteins of the TFIID complex are responsible for the synergistic activation of the target genes.34 35 Mutations in the enhancer or the proximal promoter that prevent the binding of one or more of the participating factors may affect the configuration of this complex and thus explain the reduction in the strength of the promoter/enhancer cluster. The AdML promoter data also indicate that the types of the nuclear hormone receptors that can occupy the HRE of the proximal apoA-I promoter and the distal apoC-III enhancer may lead to either transcriptional synergism or antagonism.

It is possible that SP1, which binds to elements F, H, and I, may act as an architectural component and serve to facilitate interactions among molecules of nuclear hormone receptors that bind to the proximal and distal sites. These interactions may be favorable or unfavorable, resulting in transcriptional synergism or transcriptional repression. Combinatorial interactions among factors have been described in other enhancers, including the T-cell receptor {alpha}-gene enhancer36 37 38 and the virus-induced human interferon beta enhancer.33 39 40 In the case of the T-cell receptor {alpha} enhancer, binding of lymphoid enhancer factor-1 promotes interactions among the other factors that bind to the enhancer. In the case of the interferon beta enhancer, binding of high-mobility group 1Y [HMG1(Y)] protein increases the binding affinity as well as the interactions among the factors nuclear factor-{kappa}B, activating transcription factor-2, and interferon regulatory factor-1, which also bind to the enhancer.33 39 40

Role of Distal ApoC-III Regulatory Elements as Intestinal Enhancer
An interesting question that requires further clarification is whether the distal apoC-III regulatory elements F to J, in addition to increasing the strength of the promoters of the apoA-I/apoC-III /apoA-IV gene cluster, as well as of other heterologous promoters, also suffice to confer tissue-specific expression of one or more of these genes in vivo. To this point transgenic experiments suggest that intestinal expression of the apoA-IV gene requires extension of the apoC-III promoter region to nucleotide 1400.11 This region contains the apoC-III enhancer.1 4 5 Similarly, the proximal apoC-III promoter extending to nucleotide -200 is sufficient to direct hepatic expression of apoC-III gene in vivo.10 Intestinal expression requires a 6-kb intergenic sequence between apoC-III and apoA-IV genes. A recent study has shown that the proximal apoA-I promoter extending to nucleotide -300 linked to the regulatory elements F to J of apoC-III could direct intestinal expression in villus-associated enterocytes along the duodenal to ileal axis but also produced inappropriate expression in cryptoendothelial cells as well as in subpopulations of enteroendocrine cells.8 It has been pointed out that other sequences are required for the correct expression of the human apoA-I gene in the intestine.8 Previous studies have also shown that correct tissue-specific expression of the apoE and apoC-I genes is altered when specific promoter sequences are removed.41 It is possible that the sequences required for correct intestinal expression may be located in the regulatory region extending upstream of nucleotides -255. In this regard, footprinting analysis identified nuclear activities present only in CaCo-2 cells that bind to the -523 to -492 and -488 to -467 apoA-I promoter regions.25

Potential Mechanisms of Transcriptional Activation of the ApoA-I/ApoC-III/ApoA-IV Gene Cluster
Currently, tissue culture experiments (including the present study as well as transgenic mouse experiments from different laboratories) have provided the following information pertinent to the expression of the apoA-I/apoC-III/apoA-IV gene cluster illustrated in Fig 7Up.1 2 4 5 8 9 25

The hepatic and intestinal transcription of the apoA-I gene is controlled by synergistic interactions between nuclear hormone receptors that bind to elements D and B of the proximal promoter and element I of the apoC-III enhancer.2 6 8 9 Optimal transcription requires SP1, which binds to the apoC-III enhancer, and other factors that bind to the proximal promoter and enhancer region. Other factors bound to distal apoA-I regulatory elements may contribute to correct intestinal expression and may further increase the promoter strength. Availability of HNF-4, which can bind to the regulatory elements AIB, AID, and C-III-I and possibly other upstream sites, may control the transcription of the apoA-I gene in the intestine.25

The hepatic transcription of the apoC-III gene is controlled by synergistic interactions between nuclear hormone receptors that bind to apoC-III regulatory elements B and I, orphan nuclear receptors or related activities that bind to element G and SP1, and other factors that bind the apoC-III enhancer.1 5 10 The intestinal expression is controlled by HNF-4 or other nuclear hormone receptors that bind to elements B and I, SP1, other factors that bind to the enhancer, and possibly additional factors that bind to distal regulatory sites.1 5 10

Finally, the intestinal and hepatic expression of the apoA-IV gene is controlled by synergistic interactions between HNF-4 or other nuclear hormone receptors that bind to element C of the proximal promoter, element I of the apoC-III enhancer, SP1, and other factors that bind to the apoC-III enhancer4 11 or possibly to other distal regulatory sites.4 11

The present and previous in vivo and in vitro data clearly indicate that the distal apoC-III regulatory elements F to J are sufficient to enhance the strength of homologous and heterologous promoters and can direct expression in villus-associated enterocytes as well as other intestinal cell populations.8 Further in vivo studies are required to assess the role of this region as a specific intestinal element.


*    Selected Abbreviations and Acronyms
 
AdML = adenovirus major late promoter
ARP-1 = apolipoprotein A-I regulatory protein-1
ATF-2 = activating transcription factor-2
CAT = chloramphenicol acetyltransferase
C/EBP = CCAAT/enhancer binding protein
EAR-2 = V-erb A–related-2
HNF-4 = hepatic nuclear factor-4
HRE = hormone response element
IRF-1 = interferon regulatory factor-1
NF-{kappa}B = nuclear factor-{kappa}B
RXR{alpha} = retinoic X receptor-{alpha}
T3 = thyroid hormone receptor-ß
TAFs = TATA box binding protein associate factors


*    Acknowledgments
 
This study was supported by European Community (EC) grant BIOT-CT93-0473, by a grant by the Greek Ministry of Health, by National Institutes of Health grant HL-33952, and AHA Grant-in-Aid 93012420. We thank Dina Barda, Maria Laccotripe, and Sophia Lavrentiadou for excellent technical assistance, Dr Savvas Makrides for helpful comments on the manuscript, and Anne Plunkett for typing the manuscript.

Received December 19, 1995; revision received May 3, 1996;
*    References
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMethods
up arrowResults
up arrowDiscussion
*References
 
1. Ogami K, Hadzopoulou-Cladaras M, Cladaras C, Zannis VI. Promoter elements required for hepatic and intestinal transcription of the human apoCIII gene. J Biol Chem. 1990;265:9808-9815.[Abstract/Free Full Text]

2. Papazafiri P, Ogami K, Ramji DP, Nicosia A, Monaci P, Cladaras C, Zannis VI. Promoter elements and factors involved in hepatic transcription of the human apoA-I gene: positive and negative regulators bind to overlapping sites. J Biol Chem. 1991;266:5790-5797.[Abstract/Free Full Text]

3. Widom RL, Ladias JAA, Kouidou S, Karathanasis SK. Synergistic interactions between transcription factors control expression of the apolipoprotein A-I gene in liver cells. Mol Cell Biol. 1991;11:677-687.[Abstract/Free Full Text]

4. Ktistaki E, Lacorte JM, Katrakili N, Zannis VI, Talianidis I. Transcriptional regulation of the apolipoprotein A-IV gene involves synergism between a proximal hormone response element and a distant enhancer located in the upstream promoter region of the apolipoprotein CIII gene. Nucl Acids Res. 1994;22:4689-4696.[Abstract/Free Full Text]

5. Talianidis I, Tambakaki A, Toursounova J, Zannis VI. Complex interactions between SP1 bound to multiple distal regulatory sites and HNF-4 bound to the proximal promoter leads to the transcriptional activation of the liver-specific human apoCIII gene. Biochemistry. 1995;34:10298-10309.[Medline] [Order article via Infotrieve]

6. Zannis VI, Tzameli I. Binding specificity and modulation of the apoA-I promoter activity by homo- and heterodimers of nuclear receptors. J Biol Chem. 1996;271:8402-8415.[Abstract/Free Full Text]

7. Cladaras C, Ogami K, Kardassis D, Hadzopoulou-Cladaras M, Zannis VI. Recognition of proximal human apoCIII promoter by NFY* type, C/EBP and a family of heat stable activities. Circulation. 1991;84(suppl II):II-109. Abstract.

8. Bisaha JG, Simon TC, Gordon JL, Breslow JL. Characterization of an enhancer element in the human apolipoprotein CIII gene that regulates human apolipoprotein A-I gene expression in the intestinal epithelium. J Biol Chem. 1995;270:19979-19988.[Abstract/Free Full Text]

9. Walsh A, Azrolan N, Wang K, Marcigliano A, O'Connell A, Breslow JL. Intestinal expression of the human apoA-I gene is controlled by a DNA region 3' to the gene in the promoter of the adjacent convergently transcribed apoCIII gene. J Lipid Res. 1993;34:617-623.[Abstract]

10. de Silva HV, Lauer SJ, Wang J, Simonet WS, Weisgraber KH, Mahley RW, Taylor JM. Overexpression of human apolipoprotein CIII in transgenic mice results in an accumulation of apolipoprotein B48 remnants that is corrected by excess apolipoprotein E. J Biol Chem. 1994;269:2324-2335.[Abstract/Free Full Text]

11. Lauer SJ, Simonet WS, Bucay N, de Silva HV, Taylor JM. Tissue-specific expression of the human apolipoprotein A-IV gene in transgenic mice. Circulation. 1991;84:1390.

12. Zannis VI, Cole SF, Jackson C, Kurnit DM, Karathanasis SK. Distribution of apoA-I, apoCII, apoCIII and apoE mRNA in human tissues: time dependent induction of apoE mRNA by cultures of human monocyte-macrophages. Biochemistry. 1985;24:4450-4455.[Medline] [Order article via Infotrieve]

13. Karathanasis SK, Yunis I, Zannis VI. Structure, evolution and tissue-specific synthesis of human apolipoprotein A-IV. Biochemistry. 1986;25:3962-3970.[Medline] [Order article via Infotrieve]

14. Castelli WP, Doyle JT, Gordon T, Haames CG, Hjortland MC, Hulley SB, Kagan A, Zukel WJ. HDL cholesterol and other lipids in coronary artery disease: the Cooperative Lipoprotein Phenotyping Study. Circulation. 1977;55:767-772.[Abstract/Free Full Text]

15. Heiss G, Tyroler HA. Proceedings of a Workshop on Apolipoprotein Quantification. Bethesda, Md: National Institutes of Health; 1982:7-24. US Dept of Health and Human Services publication NIH 83-1266.

16. Rubin EM. Krauss RM, Spangler EA. Verstuyft JG, Clift SM. Inhibition of early atherogenesis in transgenic mice by human apolipoprotein A-I. Nature. 1991;353:265-267.[Medline] [Order article via Infotrieve]

17. Ito Y, Azrolan N, O'Connell A, Walsh A, Breslow JL. Hypertriglyceridemia as a result of human apoCIII gene expression in transgenic mice. Science. 1990;249:790-793.[Abstract/Free Full Text]

18. Kardassis D, Zannis VI, Cladaras C. Organization of the regulatory elements and nuclear activities participating in the transcriptional activation of the human apoB gene. J Biol Chem. 1991;267:2622-2632.[Abstract/Free Full Text]

19. Ladias JAA, Hadzopoulou-Cladaras M, Kardassis D, Cardot P, Cheng J, Zannis VI, Cladaras C. Transcriptional regulation of human apolipoprotein genes apoB, apoCIII and apoA-II by members of the steroid hormone receptor superfamily HNF-4, ARP-1, EAR-2 and EAR-3. J Biol Chem. 1992;267:15849-15860.[Abstract/Free Full Text]

20. Edlund T, Walker MD, Barr PJ, Rutter WJ. Cell-specific expression of the rat insulin gene: evidence for role of two distinct 5' flanking elements. Science. 1985;230:912-916.[Abstract/Free Full Text]

21. Graham FL, van der Eb AJ. Transformation of rat cells by DNA of human adenovirus 5. Virology. 1973;52:456-467.[Medline] [Order article via Infotrieve]

22. Gorman CM, Moffat LF, Howard BH. Recombinant genomes which express chloramphenicol acetyltransferase in mammalian cells. Mol Cell Biol. 1982;2:1044-1051.[Abstract/Free Full Text]

23. Lavrentiadou S, Hadzopoulou-Cladaras M, Ladias J, Cladaras C, Zannis VI. Modulation of the apoCIII promoter activity by heterodimers of ligand dependent nuclear receptors RXR{alpha}-RAR{alpha}, RXR{alpha}-T3Rß and RXR{alpha}-PPAR{alpha}. Circulation. 1995;92:291.

24. Karathanasis SK. Apolipoprotein multigene family: tandem organization of human apolipoprotein A-I, CIII and A-IV genes. Proc Natl Acad Sci U S A. 1985;82:6374-6378.[Abstract/Free Full Text]

25. Ginsburg GS, Ozer J, Karathanasis SK. Intestinal apolipoprotein A-I gene transcription is regulated by multiple distinct DNA elements and is synergistically activated by the orphan nuclear receptor, hepatocyte nuclear factor 4. J Clin Invest. 1995;96:528-538.

26. Giguere V. Retinoic acid receptors and cellular retinoid binding proteins: complex interplay in retinoid signaling. Endocr Rev. 1994;15:391-407.[Abstract/Free Full Text]

27. Mangelsdorf DJ, Umesono K, Evans RM. The retinoid receptors. In: The Retinoids: Biology, Chemistry and Medicine. 2nd ed. New York, NY: Raven Press; 1994;8:319-349.

28. Reisher SR, Hughes TE, Ordovas JM, Schaefer EJ, Feinstein SI. Increased expressing of apolipoprotein genes accompanies differentiation in the intestinal cell line CaCo-2. Proc Natl Acad Sci U S A. 1993;90:5757-5761.[Abstract/Free Full Text]

29. Widom RL, Rhee M, Karathanasis SK. Repression by ARP-1 sensitizes apolipoprotein A-I gene responsiveness to RXR{alpha} and retinoic acid. Mol Cell Biol.. 1992;12:3380-3389.[Abstract/Free Full Text]

30. Zhang X-K, Salbert G, Lee M-O, Pfahl M. Mutations that alter ligand-induced switches and dimerization activities of the retinoic X receptor. Cell Biol. 1994;14:4311-4323.

31. Leng X, Blanco J, Tsai SY, Ozato K, O'Malley BW, Tsai M-J. Mechanisms for synergistic activation of thyroid hormone receptor and retinoic X receptor on different response elements. J Biol Chem. 1994;269:31436-31442.[Abstract/Free Full Text]

32. Buratowski S. The basics of basal transcription by RNA polymerase II. Cell. 1994;77:1-3.[Medline] [Order article via Infotrieve]

33. Tjian R, Maniatis T. Transcriptional activation: a complex puzzle with few easy pieces. Cell. 1994;77:5-8.[Medline] [Order article via Infotrieve]

34. Sauer F, Hansen SK, Tjian R. DNA template and activator-coactivator requirements for transcriptional synergism by Drosophila bicoid. Science. 1995;270:1825-1828.[Abstract/Free Full Text]

35. Sayer F, Hansen SK, Tjian T. Multiple TAFIIs directing synergistic activation of transcription. Science. 1995;270:1783-1788.[Abstract/Free Full Text]

36. Giese K, Cox J, Grosschedl R. The HMG domain of lymphoid enhancer factor 1 bends DNA and facilitates assembly of functional nucleoprotein structures. Cell. 1992;69:185-195.[Medline] [Order article via Infotrieve]

37. Giese K, Grosschedl R. LEF-1 contains an activation domain that stimulates transcription only in a specific context of factor-binding sites. EMBO J. 1993;12:4667-4676.[Medline] [Order article via Infotrieve]

38. Carlsson P, Waterman ML, Jones KA. The hLEF/TCF-1{alpha} HMG protein contains a context-dependent transcriptional activation domain that induces the TCR{alpha} enhancer in T cells. Genes Dev. 1993;7:2418-2430.[Abstract/Free Full Text]

39. Thanos D, Maniatis T. The high mobility group protein HMG I(Y) is required for NF-{kappa}B-dependent virus induction of the human IFN-ß gene. Cell. 1992;71:777-789.[Medline] [Order article via Infotrieve]

40. Du W, Thanos D, Maniatis T. Mechanisms of transcriptional synergism between distinct virus-inducible enhancer elements. Cell. 1993;74:887-898.[Medline] [Order article via Infotrieve]

41. Simonet WS, Bucay N, Pitas RE, Lauer SJ, Taylor JM. Multiple tissue-specific elements control the apolipoprotein E/C-I gene locus in transgenic mice. J Biol Chem. 1991;266:8651-8654.[Abstract/Free Full Text]




This article has been cited by other articles:


Home page
Am. J. Physiol. Gastrointest. Liver Physiol.Home page
E. Grenier, F. S. Maupas, J.-F. Beaulieu, E. Seidman, E. Delvin, A. Sane, E. Tremblay, C. Garofalo, and E. Levy
Effect of retinoic acid on cell proliferation and differentiation as well as on lipid synthesis, lipoprotein secretion, and apolipoprotein biogenesis
Am J Physiol Gastrointest Liver Physiol, December 1, 2007; 293(6): G1178 - G1189.
[Abstract] [Full Text] [PDF]


Home page
Pharmacol. Rev.Home page
G. Benoit, A. Cooney, V. Giguere, H. Ingraham, M. Lazar, G. Muscat, T. Perlmann, J.-P. Renaud, J. Schwabe, F. Sladek, et al.
International Union of Pharmacology. LXVI. Orphan Nuclear Receptors
Pharmacol. Rev., December 1, 2006; 58(4): 798 - 836.
[Abstract] [Full Text] [PDF]


Home page
Mol. Endocrinol.Home page
A. Archer, D. Sauvaget, V. Chauffeton, P.-E. Bouchet, J. Chambaz, M. Pincon-Raymond, P. Cardot, A. Ribeiro, and M. Lacasa
Intestinal Apolipoprotein A-IV Gene Transcription Is Controlled by Two Hormone-Responsive Elements: A Role for Hepatic Nuclear Factor-4 Isoforms
Mol. Endocrinol., September 1, 2005; 19(9): 2320 - 2334.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
E. Aggelidou, P. Iordanidou, P. Tsantili, G. Papadopoulos, and M. Hadzopoulou-Cladaras
Critical Role of Residues Defining the Ligand Binding Pocket in Hepatocyte Nuclear Factor-4{alpha}
J. Biol. Chem., July 16, 2004; 279(29): 30680 - 30688.
[Abstract] [Full Text] [PDF]


Home page
Hum Mol GenetHome page
Q.-f. Wang, X. Liu, J. O'Connell, Z. Peng, R. M. Krauss, D. L. Rainwater, J. L. VandeBerg, Edward. M. Rubin, J.-F. Cheng, and L. A. Pennacchio
Haplotypes in the APOA1-C3-A4-A5 gene cluster affect plasma lipids in both humans and baboons
Hum. Mol. Genet., May 15, 2004; 13(10): 1049 - 1056.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
D. Sauvaget, V. Chauffeton, D. Citadelle, F.-P. Chatelet, C. Cywiner-Golenzer, J. Chambaz, M. Pincon-Raymond, P. Cardot, J. Le Beyec, and A. Ribeiro
Restriction of Apolipoprotein A-IV Gene Expression to the Intestine Villus Depends on a Hormone-responsive Element and Parallels Differential Expression of the Hepatic Nuclear Factor 4alpha and gamma Isoforms
J. Biol. Chem., September 6, 2002; 277(37): 34540 - 34548.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
D. Pastier, J.-M. Lacorte, J. Chambaz, P. Cardot, and A. Ribeiro
Two Initiator-like Elements Are Required for the Combined Activation of the Human Apolipoprotein C-III Promoter by Upstream Stimulatory Factor and Hepatic Nuclear Factor-4
J. Biol. Chem., April 19, 2002; 277(17): 15199 - 15206.
[Abstract] [Full Text] [PDF]


Home page
Mol. Endocrinol.Home page
J. Eeckhoute, P. Formstecher, and B. Laine
Maturity-Onset Diabetes of the Young Type 1 (MODY1)-Associated Mutations R154X and E276Q in Hepatocyte Nuclear Factor 4{{alpha}} (HNF4{{alpha}}) Gene Impair Recruitment of p300, a Key Transcriptional Coactivator
Mol. Endocrinol., July 1, 2001; 15(7): 1200 - 1210.
[Abstract] [Full Text] [PDF]


Home page
Nucleic Acids ResHome page
S. Georgopoulos, H.-Y. Kan, C. Reardon-Alulis, and V. Zannis
The SP1 sites of the human apoCIII enhancer are essential for the expression of the apoCIII gene and contribute to the hepatic and intestinal expression of the apoA-I gene in transgenic mice
Nucleic Acids Res., December 15, 2000; 28(24): 4919 - 4929.
[Abstract] [Full Text] [PDF]


Home page
Genes Dev.Home page
J. Li, G. Ning, and S. A. Duncan
Mammalian hepatocyte differentiation requires the transcription factor HNF-4alpha
Genes & Dev., February 15, 2000; 14(4): 464 - 474.
[Abstract] [Full Text]


Home page
J. Biol. Chem.Home page
H. Dell and M. Hadzopoulou-Cladaras
CREB-binding Protein Is a Transcriptional Coactivator for Hepatocyte Nuclear Factor-4 and Enhances Apolipoprotein Gene Expression
J. Biol. Chem., March 26, 1999; 274(13): 9013 - 9021.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
J. Le Beyec, V. Chauffeton, H.-Y. Kan, P.-L. Janvier, C. Cywiner-Golenzer, F.-P. Chatelet, A. D. Kalopissis, V. Zannis, J. Chambaz, M. Pincon-Raymond, et al.
The -700/-310 Fragment of the Apolipoprotein A-IV Gene Combined with the -890/-500 Apolipoprotein C-III Enhancer Is Sufficient to Direct a Pattern of Gene Expression Similar to That for the Endogenous Apolipoprotein A-IV Gene
J. Biol. Chem., February 19, 1999; 274(8): 4954 - 4961.
[Abstract] [Full Text] [PDF]


Home page
Proc. Natl. Acad. Sci. USAHome page
A. Moustakas and D. Kardassis
Regulation of the human p21/WAF1/Cip1 promoter in hepatic cells by functional interactions between Sp1 and Smad family members
PNAS, June 9, 1998; 95(12): 6733 - 6738.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
P. Vorgia, V. I. Zannis, and D. Kardassis
A Short Proximal Promoter and the Distal Hepatic Control Region-1 (HCR-1) Contribute to the Liver Specificity of the Human Apolipoprotein C-II Gene. HEPATIC ENHANCEMENT BY HCR-1 REQUIRES TWO PROXIMAL HORMONE RESPONSE ELEMENTS WHICH HAVE DIFFERENT BINDING SPECIFICITIES FOR ORPHAN RECEPTORS HNF-4, ARP-1, and EAR-2
J. Biol. Chem., February 13, 1998; 273(7): 4188 - 4196.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
D. P. Wade, L. H. Puckey, B. L. Knight, F. Acquati, A. Mihalich, and R. Taramelli
Characterization of Multiple Enhancer Regions Upstream of the Apolipoprotein(a) Gene
J. Biol. Chem., November 28, 1997; 272(48): 30387 - 30399.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
H.-Y. Kan, S. Georgopoulos, and V. Zannis
A Hormone Response Element in the Human Apolipoprotein CIII (ApoCIII) Enhancer Is Essential for Intestinal Expression of the ApoA-I and ApoCIII Genes and Contributes to the Hepatic Expression of the Two Linked Genes in Transgenic Mice
J. Biol. Chem., September 22, 2000; 275(39): 30423 - 30431.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
D. Kardassis, K. Pardali, and V. I. Zannis
SMAD Proteins Transactivate the Human ApoCIII Promoter by Interacting Physically and Functionally with Hepatocyte Nuclear Factor 4
J. Biol. Chem., December 22, 2000; 275(52): 41405 - 41414.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Kardassis, D.
Right arrow Articles by Zannis, V.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kardassis, D.
Right arrow Articles by Zannis, V.