(Hypertension. 1996;27:980-1008.)
© 1996 American Heart Association, Inc.
Articles |
From the Section of Molecular Genetics, Boston (Mass) University Medical Center (D.K., M.L., V.Z.), and the University of Crete Medical School and Institute of Molecular Biology and Biotechnology of Crete (Greece) (D.K., I.T., V.Z.).
Correspondence to D. Kardassis, Section of Molecular Genetics, Boston University Medical Center, 700 Albany St, Boston, MA 02118-2394.
Key Words: apolipoproteins genes, regulator gene expression regulation transcription factors eukaryotic genes
| Introduction |
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Numerous studies have established that a precise array of regulatory elements exists in each promoter/enhancer and these elements are occupied by transcription factors. It has been proposed that this promoter/enhancer-specific arrangement of factors permits the formation of stereospecific DNA-protein complexes. These complexes may directly or indirectly interact with the basal transcription system, thus leading to the transcriptional activation of the target gene.8 13
| Methodologies Used for Study of Transcriptional Regulation of Genes |
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In this review, we summarize our current knowledge on the regulatory elements and factors that control the transcription of several apolipoprotein genes. We emphasize recent advances in the regulation of transcription of the human apoA-I/C-III/A-IV gene cluster and the human apoE/C-I/C-IV/C-II gene cluster.
| Proximal cis-Acting Regulatory Elements and Factors Involved in the Regulation of Transcription of Human Apolipoprotein Genes |
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Although Fig 1A
through 1H and Table 1
indicate that several previously
described transcription factors may recognize different apolipoprotein
promoters, the arrangement of the factors within each promoter is
unique. This unique arrangement of the regulatory elements and factors
bound to them (referred to as promoter context) may allow the formation
of a unique and stereospecific DNA-protein complex that results in the
transcriptional activation of the corresponding gene. Analysis
of the promoter strength by transient transfection assays with the use
of wild-type and mutated promoter CAT constructs showed that
despite the apparent complexity of the apolipoprotein promoters, only a
few regulatory elements and the corresponding factors may be essential
for optimal transcription in cell culture. The most important
regulatory regions are indicated by one or two asterisks. One asterisk
is used when mutations that eliminate the binding to an indicated
element of the corresponding factor reduced transcription from 1% to
14%, and two asterisks when mutations reduced transcription 15% to
30% (Fig 1A
through 1H).
| Involvement of Enhancers, Silencers, and Tissue-Specific Elements in Apolipoprotein Gene Regulation |
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| Elements and Factors Involved in Transcriptional Regulation of the Human ApoA-II Gene |
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The first intron of the human apoA-II gene between nucleotides +38 and +206 acts as silencer and reduces the strength of the apoA-II promoter (-911 to +38) to 15% to 18% of its original value in HepG2 and CaCo-2 cells. This region also reduces the strength of the heterologous thymidine kinase promoter.72
| Elements and Factors Involved in Transcriptional Regulation of the Human ApoB Gene |
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,ß,
).76 The regulatory
element A binds heat-stable activities related to C/EBP in two
locations, site IV (-72 to -53) and site V (-53 to
-33).75 77 The regulatory element A also contains
the direct repeated sequence AGGTCC(AAA)AGGGCG on the noncoding strand
(with three spacer nucleotides included in parentheses).
This sequence has homology to the consensus AGG/TTCA half-site
motif that is recognized by hormone nuclear
receptors.63 64 65 Element A binds members of the nuclear
receptor family HNF-4, ARP-1, EAR-2, and EAR-368 (Fig 5B| Role of ApoC-III Enhancer and Proximal HREs on Transcriptional Regulation of the Human ApoA-I/C-III/A-IV Gene Cluster |
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, RXR
/RAR
, and
RXR
/T3Rß68 80 81 82 83 84 (Fig 6A
homodimers and
RXR
/RAR
and RXR
/T3Rß heterodimers participate in
protein-DNA interactions with 12, 13, and 11 out of the 14
nucleotides, respectively, that span repeats 1 and 2 of
element A-ID and the spacer region separating them (Fig 6C
homodimers transactivated the
wild-type promoter 150% of control in the presence of
9-cis-retinoic acid, whereas RXR
/T3Rß
heterodimers repressed transcription to 60% of control in the presence
of triiodothyronine. RXR
/RAR
and HNF-4 did not affect the
transcription, which was driven by the proximal apoA-I
promoter.82 83 Drastic mutagenesis that altered either
part of both repeats in the HRE of element A-IB or repeat 2 and the
adjacent spacer region in the HRE of element A-ID eliminated the
binding of hepatic activities present in rat liver nuclei and
reduced the promoter strength to approximately 5% to 7% of control.
These findings suggest that both HREs are essential for optimal hepatic
expression of the apoA-I gene and that the factors which occupy them
may act alone or in synergy with other factors to increase
transcription. Another interesting feature of the proximal apoA-I
promoter is that the regulatory region C is recognized by both positive
and negative regulators that bind to overlapping domains. The region
-148 to -168 is recognized by two activities designated
A-IC1 and A-IC3. Mutations that affected the binding of A-IC1 increased
transcription 4.6-fold, indicating that this protein acts as a negative
regulator. Element C is also recognized by the heat-stable
activities that bind in several elements of the apoB and apoC-III
promoters as well as by C/EBP. Mutations that affected the binding of
these activities reduced transcription to 8% to 14% of
control.30 Cotransfection experiments with C/EBP
transactivated the apoA-I promoter 1.5- to
2-fold,83 85 whereas cotransfection with the early growth
response factor-1 (Erg-1) transactivated the apoA-I
promoter eightfold.85 Erg-1 binds to the -220 to
-211 and -189 to -180 promoter regions, and it was
suggested that under conditions of liver regeneration, it may play some
role in apoA-I gene transcription.86 Cotransfection
experiments of HepG2 cells with HNF-3 did not increase the apoA-I
promoter strength in HepG2 cells.87 A weak HNF-3 binding
site exists within the apoA-I regulatory element C. Gene inactivation
experiments in mice suggest that HNF-3 may not play a significant role
in apoA-I gene regulation (K. Kastner, G. Schutz, personal
communication).
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The distal apoC-III promoter region containing the regulatory elements
F through J acts as an enhancer to increase the strength of the
proximal apoA-I promoter in HepG2 cells (Fig 3B
). The enhancement in
HepG2 cells is approximately 13-fold when the apoC-III promoter is
cloned 5' of the apoA-I promoter and fivefold when it is cloned 3' of
the CAT gene in either orientation. DNase I footprinting identified
five regulatory elements within the enhancer designated F through J.
DNA binding and competition experiments showed that the regulatory
element H of the enhancer forms three DNA-protein complexes (Fig 7A
). Competition experiments with
oligonucleotides corresponding to other distal
regulatory elements of apoC-III as well as
oligonucleotides containing the binding site of the
transcription factor SP1 showed that all three complexes that bound to
the oligonucleotide C-IIIH were competed completely by
oligonucleotides C-IIIH, C-IIII, and SP1.
Oligonucleotide C-IIIF competed out the formation of
complex 3 and partially that of complexes 1 and 2, whereas
oligonucleotide C-IIIJ did not compete out any of the
complexes (Fig 7A
), suggesting that the factors which bind to the
regulatory elements H, I, and F of apoC-III are common.
Analysis of nuclear extracts from different tissues and cells
showed that the activity which binds to the regulatory element H is a
ubiquitous factor (Fig 7B
). Additional DNA binding, competition, and
supershift assays with the other upstream apoC-III elements as
probes established that the apoC-III promoter contains multiple binding
sites for the ubiquitous transcription factor SP1, which recognizes the
regulatory elements F, H, and I. Similar analysis showed that
the regulatory element G represents a specialized HRE that is
recognized by the orphan receptors ARP-1 and EAR-3 but not by
HNF-4.41 A single activity designated C-IIIJ1 binds to the
regulatory element J. This or a similar activity also binds as a minor
component to the regulatory elements F and I where SP1 is the
predominant binding activity. Finally, a minor activity designated
C-IIII5 binds to the regulatory element I. The factors that bind to the
apoC-III enhancer are shown in Fig 1C
.
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Contribution of Distal ApoC-III Regulatory Elements and Proximal
ApoA-I Promoter Elements to the Strength of the ApoA-I Promoter
in HepG2 Cells
The contribution of apoC-III regulatory elements to the
strength of the proximal apoA-I promoter in HepG2 cells was evaluated
by transient transfection experiments with promoter constructs
containing 5' deletions.44 This analysis showed
that deletion of the 5' apoC-III promoter region extending to
nucleotide -890 increased by 30% the activity of the
apoA-I promoter/apoC-III enhancer cluster. The promoter/enhancer
activity was nearly abolished by deletion of the regulatory elements J,
I, and H (Fig 8A
, left column). 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 (Table 2
). This
analysis showed that the promoter/enhancer activity 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. As shown
in Fig 1C
, 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. The findings indicate that all the factors that bind to the
upstream apoC-III promoter region are required to enable it to
activate optimally the closely linked apoA-I promoter. Similar
mutagenesis analysis showed that the ability of the apoC-III
enhancer to activate transcription driven by the proximal
apoA-I promoter is affected greatly by mutations in the regulatory
element A-ID of apoA-I (Fig 8B
, left column). This mutation reduced the
strength of the promoter/enhancer complex to 6% of its original value.
As discussed, the regulatory element A-ID contains an HRE and binds a
variety of orphan and ligand-dependent nuclear hormone
receptors.29 80 81 82 83 84 In contrast, mutations in the
regulatory element C of apoA-I that abolished the binding to this
region of heat-stable activities related to C/EBP30
reduced the strength of the promoter/enhancer complex only to 65% of
its original value.
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Contribution of Distal ApoC-III Regulatory Elements and
Proximal ApoA-I Promoter Elements to HNF-4Mediated
Transactivation of the Promoter/Enhancer Complex in CaCo-2
Cells
The proximal -255 to -5 and the -1500 to
-5 nucleotides of the apoA-I promoter had low levels
of activity in CaCo-2 cells in both the presence and absence of the
enhancer. This activity could be increased to levels comparable to
those of HepG2 cells in the presence of HNF-4. For this reason, 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 2
) on the HNF-4mediated
transactivation in CaCo-2 cells. In general, the mutations affected the
HNF-4mediated transactivation of the -1500 apoA-I
promoter/apoC-III enhancer cluster in CaCo-2 cells to
the same extent as 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- to 10-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 (Table 2
) reduced the transactivation of the promoter/enhancer cluster to 65%
and 90% of its original value, respectively (Fig 8A
, right column).
Mutations in the regulatory element A-ID (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 A-IC of the proximal apoA-I promoter did not affect the
HNF-4mediated transactivation of the promoter/enhancer cluster in
CaCo-2 cells (Fig 8B
, right column). The findings suggest that the
HNF-4mediated 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 HREs of the proximal apoA-I promoter, and
several of the factors that bind to the regulatory elements F through J
of the apoC-III enhancer.
Transcriptional Regulation of the Human ApoC-III Gene
DNA binding and footprinting analysis of the apoC-III
promoter region identified a set of four proximal (A through D) and six
distal (E through J) regulatory elements between
nucleotides -792 and -254 (Fig 1C
). DNA binding and competition assays established the different
activities that recognize the proximal regulatory region. Element
C-IIIB binds two types of factors in overlapping binding motifs. One of
these motifs is an octameric CAGGTGAC sequence between
nucleotides -86 and -79 of the coding strand
that is recognized by a heat-stable activity. This activity,
designated C-IIIB1,58 has a molecular mass of 41 kD and
recognizes, in addition to C-IIIB, multiple sites on the apoA-II
promoter (Fig 1H
).59 60 The other motif is an HRE between
nucleotides -82 and -70. This HRE consists of
two direct repeat sequences, GGGCAA AGGTCA, on the noncoding strand
with no spacing between them. Similar to the HREs found in other
apolipoprotein promoters, element C-IIIB binds HNF-4; the orphan
receptors ARP-1, EAR-2, and EAR-3; and heterodimers of RXR
with RAR,
T3Rß, and peroxisome proliferator activated
receptor (PPAR).68 88 89 90 Mutations in element B that
eliminated the binding of both HNF-4 and C-IIIB1 abolished
transcription, whereas mutations that eliminated the binding of HNF-4
but allowed the binding of factor C-IIIB1 reduced hepatic transcription
to 36% of control.40 Finally, mutations that eliminated
the binding of C-IIIB1 but did not affect the binding of HNF-4
increased slightly the hepatic transcription. These data indicate that
both factors HNF-4 and C-IIIB1 are positive regulators; however, the
former has greater activation potential than the latter. The regulatory
elements C and D bind heat-stable activities as well as members of
the C/EBP family, which were also shown to bind to several locations in
the human apoB promoter. The CD region also contains two binding sites
for a new activity designated C-IIIC1.91 Mutations in
element C that prevented the binding of C-IIIC1 and of heat-stable
activities in this region did not affect significantly the hepatic and
intestinal transcription. Element D also binds NF-
B, suggesting a
potential role of this region in acute phase
response.91 92 The activities that bind to the regulatory
element E have not been identified. The sequence -460 to
-451 of apoC-III contains motif TCCAAACATC, which has high
homology to an insulin response element (IRE) found in the
phosphoenolpyruvate carboxyl kinase (PEPCK) promoter.93
ApoC-III steady-state mRNA levels and transcription rates were
elevated in diabetic rats and could be decreased significantly by
treatment with insulin in transient transfection assays. Insulin also
repressed apoC-III promoter activity, and it has been proposed that the
IRE of the apoC-III promoter is responsible for this
transcriptional repression.94 The organization of
the different activities on the apoC-III promoter is shown in Fig 1C
.
| Contribution of Distal ApoC-III Regulatory Factors to the Strength of the ApoC-III Promoter |
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| Contribution of Factors Bound to Distal ApoC-III Regulatory Elements to HNF-4Mediated Transactivation of the ApoC-III Promoter |
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The 3' end of the regulatory element I contains two direct repeats,
AGTGGG(TCCAG)AGGGCA, on the coding strand separated by five spacer
nucleotides (shown in parentheses). This sequence has
homology to the consensus half-site AGG/TTCA motif that is
recognized by hormone nuclear receptors.63 64 65 Element I is
recognized by the HNF-446 and other members of the
steroid/thyroid receptor superfamily (S. Lavrentiadou, unpublished
observations, 1995). Mutagenesis that abrogated the binding of HNF-4
and ligand-dependent nuclear receptors to this site reduced the
promoter activity to 5% of control and abolished the HNF-4mediated
transactivation of the apoC-III promoter (S. Lavrentiadou, unpublished
observations, 1995). The reduction in transactivation observed by this
mutation is similar to that obtained by the mutation in the regulatory
element B that abolished the binding of hormone nuclear receptors to
this site (Fig 9
, right). These findings suggest that the communication
of HNF-4 molecules bound to the proximal and distal sites is important
for the transcriptional activation of the apoC-III enhancer/proximal
promoter complexes. Other proteins of the promoter/enhancer cluster may
increase DNA binding and promote HNF-4HNF-4 interactions.
| Transcriptional Regulation of the ApoA-IV Gene |
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| Contribution of Distal ApoC-III Regulatory Elements to the Strength of the ApoA-IV Promoter |
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| Contribution of Distal ApoC-III Regulatory Elements to HNF-4Mediated Transactivation of the ApoA-IV Promoter/ApoC-III Enhancer Cluster |
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| Distal ApoC-III Regulatory Elements Act as a General Modular Enhancer and Potentiate the Strength of Heterologous Promoters That Contain HREs |
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and/or heterodimers of RXR with
trans-RAR
and T3Rß (Fig 6A
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The preceding analysis of the proximal apoA-I and apoB promoter
mutations indicates 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 its function is
abrogated by mutations in the proximal HREs. This is illustrated
clearly in the experiments of Figs 8B
and 11
. The data show that
mutations in the C/EBP binding site of the apoA-I and apoB promoters
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 promoter/enhancer cluster to 40-fold
in HepG2 cells (Fig 8
) and the strength of the mutated apoB
promoter/apoC-III enhancer 16- and 26-fold in HepG2 and CaCo-2 cells,
respectively (Fig 11
). The level of transcription achieved by the
mutated promoter/enhancer cluster is 2.1- and 3-fold higher than that
achieved with the wild-type apoB and apoA-I promoters,
respectively, which lack the apoC-III enhancer. These findings show
that despite the inability of C/EBP to bind to its cognate site in
either of the two mutated promoters, there is a persistent synergism
between the remainder of the factors that bind to the proximal
promoters and the distal enhancer.
| Interactions Between Nuclear Hormone Receptors Bound to Proximal and Distal Sites and Factors Bound to ApoC-III Enhancer Can Be Either Synergistic or Antagonistic |
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The ability of the apoC-III enhancer to potentiate the apoA-I promoter
in HepG2 and CaCo-2 cells was also confirmed in two other recent
studies.46 47 The promoter strength increase was 4- to
5-fold in CaCo-2 cells and 10-fold in HepG2 cells, depending on the
construct. These studies did not evaluate the contribution of the
different elements of the intact enhancer on the strength of the apoA-I
promoter/apoC-III enhancer cluster. One study showed that the
-595 to -192 apoA-I promoter region is essential for
expression of the apoA-I gene in CaCo-2 cells.47 This
region contained four additional regulatory elements, I (-408 to
393), II (-440 to -411), III (-488 to -467),
and IV (-523 to 492) (Fig 1B
). Elements I through IV were
occupied by nuclear activities present in CaCo-2 cells, but only
elements I and II were occupied by nuclear activities present in
HepG2 cells. The nature of these factors was not determined. ApoA-I
promoter constructs containing the -192 to -595 regulatory
region in the presence and absence of the enhancer could be
transactivated 5- to 25-fold by HNF-4 in CaCo-2 but not
HepG2 cells.46 47 One of the studies also explored the
ability of the apoC-III enhancer to direct intestinal expression in
transgenic mice.46 Multilabel immunocytochemical
analysis in the intestine of transgenic mice showed that
apoC-III enhancer directs the expression of the apoA-I gene to
proliferating and nonproliferating jejunal crypt epithelial cells as
well as in villus-associated enterocytes. The expression in
enterocytes is along the duodenal-to-ileal axis, which
resembles that of mouse and human apoA-I. Confocal microscopy studies
also showed that the apoC-III enhancer causes anomalous expression of
apoA-I in enteroendocrine cells.46
The overall picture that emerges from the various studies is one in
which the distal apoC-III regulatory elements act as general modular
enhancers that can potentiate the strength of proximal promoters that
contain one or more HREs.40 41 42 43 44 45 46 47 This potentiation involves
synergistic interactions between hormone nuclear receptors and the
factors that bind to the apoC-III enhancer. Similar to other systems,
it is assumed that the hormone nuclear receptors that bind to the
proximal HREs and SP1 and the other factors that bind to the apoC-III
enhancer form a stereospecific DNA-protein complex.3 These
complexes may interact directly or indirectly via TATA box binding
proteinassociated factors (TAFs) with the basal transcription
complex, thus leading to the transcriptional activation of the target
gene3 5 (Fig 13
). Mutations in the
enhancer or 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 complex. The data with the AdML promoter also
indicate that the types of nuclear hormone receptors that can occupy
the HREs of the different apolipoprotein promoters may determine the
synergistic or antagonistic interactions between SP1 and
the other factors that bind to the enhancer and the hormone nuclear
receptors that occupy the proximal site.
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Although SP1 is the major activity that binds to the apoC-III enhancer,
the mutagenesis analysis showed that SP1 molecules alone are
not sufficient for optimal enhancer activity. This implies that SP1
molecules must act in concert with the factors that bind to the other
regulatory elements of the enhancer. It is interesting that HNF-4
and/or other orphan receptors41 46 as well as
ligand-dependent nuclear receptors (S. Lavrentiadou and V.Z.,
unpublished data, 1995) bind to the regulatory elements G and I of the
enhancer. Mutations in these elements significantly reduce the enhancer
activity. Thus, it is possible that SP1, which binds to elements F, H,
and I, may act as an architectural component and facilitate
interactions among molecules of nuclear hormone receptors that bind to
proximal and distal sites (Fig 13
). These interactions may be favorable
or unfavorable, thus resulting in transcriptional synergism or
transcriptional repression. Combinatorial interactions among factors
have been described in other enhancers, including the T-cell receptor
gene enhancer99 100 101 and the virus-induced human
interferon-ß enhancer.3 102 103 In the case of the
T-cell receptor
enhancer, binding of lymphoid enhancer factor-1
promotes interactions among the other factors that bind to the
enhancer.99 100 101 In the case of the interferon-ß
enhancer, binding of high mobility group-1Y [HMG-1(Y)] protein
increases the binding affinity as well as the interactions among the
factors NF-
B, activating transcription factor-2 (ATF-2), and
interferon regulatory factor-1 (IRF-1), which also bind to the
enhancer.3 102 103
| Contribution of Apolipoprotein Enhancers to Tissue-Specific Expression of Human Apolipoprotein Genes In Vivo |
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Potential Mechanisms of Transcriptional Activation of the
ApoA-I/C-III/A-IV Gene Cluster
Currently, tissue culture and transgenic mouse experiments from
different laboratories have provided the following information
pertinent to the expression of the apoA-I/C-III/A-IV gene cluster (Fig 14B
).40 41 42 43 44 45 46 47 48
The hepatic transcription of the apoA-I gene is controlled by synergistic interactions between nuclear hormone receptors bound to elements D and B and factors bound to the apoC-III enhancer.30 45 48 82 The intestinal transcription of the apoA-I gene is controlled by synergistic interactions between nuclear hormone receptors bound to apoA-I elements D and B and factors bound to the apoC-III enhancer.30 45 82 Other factors bound to distal apoA-I regulatory elements may contribute to correct intestinal expression and may increase further the promoter strength. Availability of HNF-4, which can bind to the regulatory elements A-IB, A-ID, and C-III-I, may activate the transcription of the apoA-I gene in the intestine.46 47 82 The hepatic transcription of the apoC-III gene is controlled by synergistic interactions between nuclear hormone receptors bound to apoC-III element B, orphan and ligand-dependent receptors, or related activities bound to elements G and I and SP1 bound to elements F, H, and I of the apoC-III enhancer.40 41 104 The intestinal expression is controlled by orphan and ligand-dependent nuclear hormone receptors bound to elements B, G, and I and SP1 or other factors bound to the enhancer and possibly additional factors bound to distal regulatory sites.40 41 104
Finally, the intestinal and hepatic expressions of the apoA-IV gene are
controlled by synergistic interactions between nuclear hormone
receptors bound to the apoA-IV element C, factors bound to the apoC-III
enhancer,42 43 and possibly other factors bound to distal
regulatory sites. The regulatory elements that contribute to the
hepatic and intestinal expressions of the apoA-I/C-III/A-IV gene
complex in vivo are shown in Fig 14B
.
Transcriptional Regulation of the ApoE/C-I Gene
Cluster
The human apoE, apoC-I, apoC-IV, and apoC-II genes are closely
linked. The cluster of the four genes maps on the long arm of
chromosome 19 and spans a 45-kb region.105 The apoC-I gene
is located 5.5 kb downstream of the apoE gene, and the apoC-I'
pseudogene is located 7.5 kb 3' to the apoC-I gene. The human apoC-II
gene is found 20 kb downstream of the apoC-I' pseudogene, and the human
apoC-IV gene is 0.55 kb upstream of the apoC-II
gene.105 106 The low-density lipoprotein receptor gene
is closely linked with the apoE/C-I/C-II/C-IV cluster105
(Fig 15A
).
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Promoter deletions and footprinting analysis of the apoE
promoter identified six proximal regulatory elements (I through VI) in
the -336 to -44 region and two elements (DI and DII) within
the +69 to +191 region (Fig 15B
).107 DNA binding and
competition assays with HeLa nuclear extracts showed that elements I,
III, and IV are recognized by SP1. Element II is also recognized by a
70-kD protein (Fig 15B
), and element III is recognized by a 55-kD
protein.107 108 Deletion analysis of the
-246 to -81 region placed in front of the herpes thymidine
kinase promoter indicated that element III is important for
transcription of the reporter CAT gene in Chinese hamster ovary (CHO)
cells. Elements II and III are also essential for transcription of the
apoE gene in hepatic cells.107 Similar information was
obtained by in vitro transcription with the -383 to +73 region as
a template and HeLa nuclear extracts (Fig 15B
). The in vitro
transcription analysis also showed that element I contributes
to the optimal transcription in HeLa cells.108 The distal
regulatory elements that control the transcription of the apoE gene in
different tissues have been determined with transgenic mice. High
expression levels of apoE in the kidney can be accomplished with a
construct containing -650 nucleotides of the 5' and
72 nucleotides of the 3' regions of the apoE
gene.109 Various regions in the intergenic sequence
between apoE and apoC-I are required for the expression of the apoE and
apoC-I genes in a variety of tissues tested, including liver, testis,
spleen, skin, submaxillary gland, kidney, brain, small intestine,
heart, stomach, and pancreas.110 111 This region also
contains a silencer that inhibits the expression of the apoE gene in
the kidney in a construct containing 0.65 kb 5' and 4-kb 3' apoE
sequences. Several elements contribute to the expression of apoE in
kidney. A positive element is localized in the 5' region between
-2 and -0.65 kb, and a silencer is localized in the second
intron of the apoE gene. Deletion of the second intron of the apoE gene
allows expression in kidney in constructs containing 0.65-kb 5' and
1.7-kb 5' regulatory sequences. Expression of apoE in kidney is also
abolished in constructs containing the region -2 kb upstream to
+1.7 kb downstream by deletion of the regulatory element III that binds
SP1 and the 55-kD regulatory protein (Fig 15B
and 15D
).108 111 Finally, the region in the intergenic
sequence between the apoC-I gene and apoC-I' pseudogene was originally
shown to contain a 2-kb element originating 4.4 kb 3' of the apoC-I
gene that is required for the hepatic expression of the human apoE and
apoC-I genes and was designated HCR-1109 110 111 (Fig 15A
).
HCR-1 can also promote the hepatic expression of the apoA-IV gene in a
construct that contains heterologous 2.5-kb 5' and 1.7-kb 3'
sequences.111 The HCR-1mediated expression of the apoE
gene containing 5-kb 5' and 1.7-kb 3' regions is significantly reduced
by deletion of the regulatory element III (Fig 15B
). Deletion of
elements I and II did not affect hepatic expression but permitted
expression in other tissues.111 Thus, the deletion of
element I permitted high levels of expression in kidney and low levels
of expression in lung, whereas deletion of element II permitted
moderate levels of expression in kidney and lung and low levels of
expression in spleen, heart, stomach, testis, and
brain.111 Initial experiments suggested that HCR-1 was
localized within 219 bp.112 Subsequent experiments mapped
the HCR-1 required for the hepatic expression of the apoE gene within
319 bp, approximately 15 kb downstream of the apoE gene. HCR-1 contains
several DNase Ihypersensitive sites and has limited binding affinity
for nuclear scaffold55 (Fig 15A
). Footprinting
analysis combined with DNA binding and competition assays
identified four regulatory elements within or 3' of the HCR-1
designated H-1 through H-4 (Fig 15C
). Element H-1 and the surrounding
region contain four tandemly repeated motifs, TGTTTGC, in the antisense
strand designated c, d, e, and f (Fig 15C
). In addition, two related
sequences designated a and b are found 5' upstream of footprint H-1.
The TGTTTGC motif is found in the promoters of several genes expressed
in the liver and binds a transcription factor that recognizes
single-stranded DNA.113 The TTTG core of this motif is
found in the core of the DNA binding site of high-mobility group
proteins114 that upon binding introduce pronounced bending
to the DNA.99 Thus, it is possible that binding of factors
to these sites helps in the formation of stereospecific DNA complexes
involving the proximal and distal activators as well as the
proteins of the basal transcription system (see Fig 13
). Element H-2
binds a factor designated TF-LF2 that recognizes the -480 region
of the rat transferrin promoter.115 Element H-3 contains
two direct repeat sequences, AGGTCA(G)AGACCT, that can be classified as
an HRE, with one spacer nucleotide (shown in parentheses).
This sequence binds HNF-4 weakly; nevertheless, it is possible that it
binds with higher affinity other members of the orphan or
ligand-dependent nuclear receptors.62 63 64 The factor
that binds to the H-4 element is unknown and has been designated X.
Element H-5 contains a GATA motif found in the hemoglobin locus control
region, which binds GATA-binding factors.116 Element H-6
is within an Alu family sequence that contains several DNase
Ihypersensitive sites.55 This sequence binds activities
related to the C/EBP family members. The sequence of the HCR-1 between
nucleotides 1 and 461 that contains elements H-1 through
H-5 is a functional HCR. However, a smaller region between
nucleotides 6 and 325 that contains footprints H-1 through
H-3 as well as a longer region between nucleotides 6 and
587 that contains all the elements H-1 through H-6 can direct
liver-specific expression of apoE in a copy-independent manner
(Fig 15D
). Recently, a second HCR designated HCR-2 was identified 27 kb
3' of the apoE gene in the middle of the intergenic sequence between
the apoC-I' pseudogene and the newly discovered apoC-IV gene (Fig 15A
).
HCR-2 has 85% sequence identity to HCR-1 and is believed to have
arisen from the duplication of HCR-1.56 A 632-bp sequence
containing HCR-2 can by itself direct hepatic transcription of a DNA
segment containing the apoE gene, including 5-kb 5' and 1.7-kb 3'
sequences that lack the HCR-1 region (Fig 15D
).
A variety of regulatory elements extending from 5 kb 5' of the apoE
gene to 1 kb downstream of the apoC-I' pseudogene also control
positively or negatively the expression of the apoC-I gene in different
tissues. Hepatic expression requires sequences extending 3.1 kb 5' of
apoC-I and the intergenic sequences between the apoC-I gene and apoC-I'
pseudogene that contains the HCR-1.109 110 Deletions or
additions in the 5' and 3' sequences cause different expression
patterns in various tissues studied (Fig 15E
).
The contribution of the factors that bind to the HCR-1 of apoE to the
hepatic expression of apoE and apoC-I has not been assessed. Similar to
the apoA-I/C-III/A-IV enhancer of Fig 13
, it is possible to envision
stereospecific DNA-protein interactions between SP1 and the other
proteins that bind to the proximal promoter with the factors bound to
HCR-1. Proteins that introduce DNA bending may orient properly the
proximal and upstream activators and promote their
interaction via TATA box binding proteinassociated factors with
the proteins of the basal transcription machinery.
| Conclusions and Future Directions |
|---|
|
|
|---|
Rapid scientific advances have provided new insights into the domains
of the transcription factors required for transcriptional activation,
DNA binding, dimerization, and ligand interaction. In several cases,
gene inactivation experiments have provided information on the
importance of specific transcription factors. Rapid progress has also
been made in understanding the proteins of the basal transcription
machinery and how the transcription factors communicate with the basal
transcription factors through complex protein-protein and
DNA-protein interactions. Structural biology approaches have provided
the three-dimensional structure of the functional domains of the
transcription factors and their mode of interaction with DNA or
ligands. Although Figs 1
and 15
indicate that the apolipoprotein
promoters are recognized by a multitude of factors, the in vivo and in
vitro approaches described above make it possible to determine which of
these factors are physiologically relevant.
Subsequent studies can focus on numerous aspects of gene regulation,
including (1) the potential functional activation or inhibition of a
transcription factor by dimerization and/or interaction with ligands,
as well as the ligands involved in this process; (2) the direct or
indirect interaction of the transcription factors via their activation
domains with the components of the basal transcription systems; (3) the
three-dimensional protein-protein and DNA-protein interactions
within the specific promoter/enhancer cluster; and (4) the
intracellular or extracellular stimuli that initiate the signal
transduction pathway leading to transcriptional activation or
repression of a specific gene.
Understanding the mechanism of transcriptional regulation may allow us in the long run to selectively switch on and off the apolipoprotein genes. As indicated, upregulation of apoA-I and possibly apoA-IV genes and/or downregulation of apoB, apoA-II, and apoC-III genes may have beneficial effects in protecting humans from hyperlipidemia and atherosclerosis.
| Selected Abbreviations and Acronyms |
|---|
|
|
|
|
|
|
| Acknowledgments |
|---|
Received May 16, 1995; first decision July 14, 1995; accepted February 5, 1996.
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