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Hypertension. 1996;28:315-319

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(Hypertension. 1996;28:315-319.)
© 1996 American Heart Association, Inc.


Articles

An E-Box Motif Conveys Inhibitory Activity on the Atrial Natriuretic Peptide Gene

Miklos Garami; David G. Gardner

the Metabolic Research Unit and Department of Medicine, University of California at San Francisco.

Correspondence to David G. Gardner, MD, Metabolic Research Unit, University of California, Box 0540 1142 HSW, San Francisco, CA 94143.


*    Abstract
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*Abstract
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Atrial natriuretic peptide (ANP) is a potent diuretic, natriuretic, and vasorelaxant hormone that is expressed early in ventricular hypertrophy. Expression of human ANP is controlled by a series of regulatory elements located in the 5' flanking sequence of its gene. We generated a series of 5' deletion mutations extending from -2600 to -1150 relative to the transcription start site and linked them to a chloramphenicol acetyltransferase reporter gene. Using transient transfection analysis, we have identified a negative regulatory element between -1206 and -1152 relative to the start site. Each of a series of 5' deletion mutants, when introduced into fibroblast cultures, expressed the reporter function at a level that was significantly less (<20%) than that seen with the -1152 reporter construct, whereas comparably transfected atrial cardiocytes demonstrated no change in reporter activity, implying that the repressor function is specific to cell type. The critical region (from -1206 to -1152) associates with a soluble protein present in cardiac fibroblast extracts in a sequence-specific fashion. Deoxyribonuclease I footprint analysis demonstrated the presence of several protected regions, including one that overlies an E-box motif (CAACTG), an element that in other systems has been implicated in promoting differentiation in the myocyte lineage. Site-directed mutagenesis of the E-box motif suppressed both the protein-binding and inhibitory activities of the 54-bp fragment. In summary, we have found a region in the 5' flanking sequence of the human ANP gene that represses transcriptional activity in nonmyocardial cells. This element may play an important role in the restriction of ANP gene expression to cardiac myocytes.


Key Words: natriuretic peptides • gene expression


*    Introduction
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*Introduction
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The definition of factors governing tissue- or cell-specific expression of individual gene products remains one of the elusive problems in eukaryotic cell biology. The current knowledge suggests that such specificity is conferred through the interaction of soluble cellular (or more specifically, nuclear) proteins with one or more key DNA elements in the regulatory regions (usually, but not always, in the 5' flanking sequence of the target gene). The collective activity of these positive (enhancer) elements and negative (silencer) elements establishes the level of transcriptional activity within a given cell type.

A number of positive regulatory elements have been described in the 5' flanking sequence of genes expressed in the cardiac myocyte. These include the transcription enhancer factor-1 binding site (M-CAT),1 serum response element/CC(A+T-rich) GGmotif (SRE/CArG),2 myocyte enhancer factor (MEF),3 homeobox,4 and E-box5 6 motifs. The latter (ie, E-box) is the regulatory element originally described by Weintraub and colleagues7 that associates with myoD and the other HLH proteins and is thought to be involved in establishing the muscle phenotype in skeletal myocytes. Although myoD and its close relatives are absent in cardiac myocytes, a number of other basic HLH proteins have been identified in these cells.5 6 7 Some of these appear to have regulatory activity, but none possess the capability of myoD to independently promote the acquisition of a myocyte phenotype.8 In fact, recent cell hybrid studies suggest that there is no dominant factor in cardiac myocytes capable of establishing the cardiac phenotype. Fusion of fibroblasts harboring a cardiocyte-specific transgene with cardiac myocytes failed to activate the transgene in fibroblast-derived nuclei of the heterokaryons.9 In addition to excluding the presence of a myoD equivalent in cardiac myocytes, these latter studies raise the interesting possibility of selective negative regulation of cardiac-specific genes in nonmyocardial cells.

The ANP gene is expressed predominantly although not exclusively in the myocardium. Expression is constitutively high in the atria of rodents and higher mammals, whereas in the cardiac ventricles, expression is more heavily regulated by developmental, neurohormonal, and hemodynamic signals.10 Expression of the endogenous gene is absent in nonmyocardial cells (predominantly fibroblasts) of the rat heart. We have shown previously that this reflects the presence of repressor activity in the distal (-2593 to -1152 relative to the transcription start site) and proximal (-222 to the transcription start site) hANP promoter.11 In the present study, we have dissected this upstream repressor in greater detail and have found that it depends heavily on the presence of an E-box motif in this portion of the gene. In addition, we have identified a soluble fibroblast nuclear protein that associates with this element in a highly sequence-specific fashion.


*    Methods
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up arrowIntroduction
*Methods
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down arrowDiscussion
down arrowReferences
 
Materials
Restriction and DNA modification enzymes were purchased from Boehringer Mannheim. [{gamma}-32P]ATP (6000 Ci/mmol) and [3H]acetyl coenzyme A (200 mCi/mmol) were purchased from DuPont-NEN Research Products. [{alpha}-35S]dATP (1000 Ci/mmol) and Sculptor in vitro mutagenesis kits were purchased from Amersham. Deoxyribonuclease (DNAse) I was obtained from Worthington Biochemicals. Antisera against myoD and myogenin were obtained from C. Ordahl, and those against Pan-1 and Pan-2 from M. German. The antisera against the truncated HLH protein Id was purchased from Santa Cruz Biotechnology, Inc. Other reagents were purchased from standard commercial suppliers and represent the best grades commercially available.

Plasmid Constructions
For the sake of convenience, each of the 5' truncated mutant constructs was defined by the length of the 5' flanking sequence from the hANP gene linked to the bacterial CAT coding sequence. The -1383, -1349, -1281, -1226, and -1206 hANP CAT 5' flanking sequence deletion mutant reporter plasmids were generated from -2593 hANP CAT11 by polymerase chain reaction with upstream sense oligonucleotides (for -1383 CAT, 5'-CCAGATCTAGACATGCCACCACACCCAGCTA-3'; for -1349 CAT, 5'-CCAGATCTAGAAGTAGAGACAGAGTTTTGCCA-3'; for -1281 CAT, 5'-CCAGATCTAGACCTTAGCCTCCCAAAGTGCTGGG-3'; for -1226 CAT, 5'-CCTCTAGAAACATTCTTTCTCATTTTACAC-3'; and for -1206 CAT, 5'-CCAGATCTAGAACACAAGGAAAGTAAGGCTGC-3'), each of which incorporated an Xba I site at its 5' terminus and a downstream antisense oligonucleotide (5'-TATCAACGGTGGTATATCC-3') derived from CAT coding sequence. The polymerase chain reaction products of appropriate size were restricted with Xba I and HindIII and recloned into compatible sites of pSVoL CAT.11 The -1488 hANP CAT, -1152 hANP CAT, and lamin CAT (promoterless control) constructs are described elsewhere.11 12 The -1226 hANP CAT plasmid was mutated by the Olsen-Eckstein method of site-directed mutagenesis13 with an Amersham in vitro mutagenesis kit. Sequence of the oligonucleotides (read 5' to 3') used for the mutagenesis were as follows: M1, TCATTTTACACAaccttccctTAAGGCTGCGAA; M2, GGAAAGTAAGGCgtatcctctGTATGCAACTGG; M3, TGCGAAGAGGTAgtaccagttTTTGTTTTGGGC; and M4, AACTGGTTTGTTggtttagcaAGTACTGGTCTC. The wild-type sequence is indicated by conventional nucleotide nomenclature in uppercase letters and the mutated sequence in lowercase letters. Sequences of all deletion and site-specific mutants were confirmed by dideoxy DNA sequence analysis.

Cell Preparation and Transfection
All studies using animals were in accordance with institutional guidelines at the University of California at San Francisco. Primary cultures of cardiac atrial myocytes were isolated from 1-day-old Sprague-Dawley rat hearts by alternate cycles of trypsin digestion and mechanical disruption as reported earlier.11 Nonmyocytes (primarily fibroblasts) were collected at a differential plating step before removal of myocytes for culture. Cardiac fibroblasts were expanded in culture over a 2-week period before use to reduce the potential for contamination with myocyte elements. Transient transfection was carried out by electroporation at 280 V and 250 µF for the myocytes and 280 V and 960 µF for the fibroblast cells as described previously.11 Variability in transfection efficiency, assessed independently with a Rous sarcoma virus-ß galactosidase reporter, was less than 15% within a given experiment. After transfection, cells were plated in 60-mm dishes at a density of 2x106 cells per dish. Cells were harvested and lysed 72 hours after transfection. Protein concentration of each extract was measured with Coomassie protein reagent (Pierce Biochemicals). Cellular protein (100 µg) was used for measurement of CAT activity for each sample. Assays were carried out as described by Neumann et al.14

Gel Shift Assay
Myocytes and nonmyocardial cell monolayers were harvested after 5 days in culture. Nuclei were isolated and extracted as described by West et al.15 In separate experiments, 54-bp (position -1206 to -1152) and 100-bp (position -1226 to -1126) fragments of the hANP gene were end-labeled with [{gamma}-32P]ATP and used as probes in gel mobility shift assays. Five, 15, and 30 µg of nuclear extract were mixed with 1.5x104 cpm (approximately 3 ng) of probe, 2.5 µL of 10x binding buffer (1x=1.0 mmol/L HEPES [pH 7.4], 0.025 mmol/L EDTA, 0.05 mmol/L MgCl2, 6.0 mmol/L KCl, 0.5% glycerol, 0.01% nonylphenoxy polyethoxy ethanol [NP-40], and 0.01% methyl ß-D-thiogalactoside), 2 µg of a deoxyinosine-deoxycytidine heteropolymer [Poly(dI-dC), Pharmacia-LKB Biotechnology Inc], other competitors (unlabeled 54-bp or 100-bp hANP gene fragments [positions same as indicated above] or an unlabeled 30-bp DNA fragment derived from the herpes simplex thymidine kinase gene11 16 [positions -53 to -28]), and water to a total volume of 25 µL. The reaction was incubated at room temperature for 35 minutes and then loaded directly onto a nondenaturing polyacrylamide gel in 1x TEA running buffer (6.7 mmol/L Trizma base [pH 7.5], 1 mmol/L EDTA, 3.3 mmol/L sodium acetate). The electrophoresis was performed at constant voltage (8.5 V/cm) with buffer recirculation at 4°C. Gels were then dried and subjected to autoradiography overnight at -70°C. Those studies using specific polyclonal antisera were carried out as described above except that the individual antisera at the indicated dilutions were included in the binding reaction.

DNase I Footprint Assay
For the DNase I footprint assay, 10 ng of a 129-bp hANP genomic fragment (from -1281 to -1152 relative to the transcription start site) was labeled with [{gamma}-32P]ATP at the upstream 5' terminus and used as a probe to react for 35 minutes at room temperature with 80 or 160 µg of fibroblast nuclear extract in the presence of 20 µL assay buffer (10 mmol/L Tris-HCl [pH 7.0], 2.5 mmol/L MgCl2, 1.0 mmol/L CaCl2, 0.1 mmol/L EDTA, 200 mmol/L KCl, 100 µg/mL bovine serum albumin, and 2 µg/mL calf thymus DNA), 2 µg Poly(dI-dC) as a nonspecific competitor, and water to a total volume of 200 µL. The reaction mix was digested with the indicated concentration of DNase I (0.05 to 0.1 µg/200 µL) at room temperature for 2 minutes. The digestion was terminated by addition of 700 µL stop solution (645 µL 100% ethanol, 5 µL yeast tRNA [1 mg/mL], 50 µL saturated ammonium acetate), followed by DNA precipitation. DNA was resuspended in 5 µL formamide loading buffer (95% formamide, 20 mmol/L EDTA, 0.05% bromphenol blue, 0.05% xylene cyanol), denatured, and loaded on a 6.4% preelectrophoresed polyacrylamide gel containing 8.3 mol/L urea. The sequence ladder was generated by the chain termination method17 with an oligonucleotide primer (5'-CCTTAGCCTCCCAAAGTGCTGGG-3') whose 5' terminus corresponds to position -1281.


*    Results
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up arrowAbstract
up arrowIntroduction
up arrowMethods
*Results
down arrowDiscussion
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Our previous investigation identified a negative regulatory element that was operative in cardiac fibroblasts and cultured GC (pituitary tumor) cells but not in atrial or ventricular myocytes.11 In an effort to localize the negative element in greater detail, we generated a series of 5' deletions extending between -2593 and -1152, linked them to the CAT reporter, and introduced them into atrial myocytes or cardiac fibroblasts isolated from the same neonatal hearts. Deletion mutants upstream of -1383 (ie, those with 5' termini at -2593, -2203, -1812, and -1488) behaved identically to -1383 CAT (data not shown). As shown in Fig 1Down, deletions beginning at -1383 and extending to -1152 had little effect on the level of reporter activity in atrial myocytes; however, in the cardiac fibroblasts, the expression of each was relatively low until the deletion reached the -1152 position. These data suggest that a repressor element is located within the 54 bp of sequence separating positions -1206 and -1152 in the hANP gene.



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Figure 1. Activity of 5' deletion mutants of the hANP gene in cardiac atrial myocytes and fibroblasts. Myocytes were transfected with 25 µg of the relevant hANP CAT construct. Extracts were collected 72 hours later. Activity has been normalized to expression of the -1152 CAT construct. Baseline reporter activity of -1152 CAT in cardiac myocytes was 25-fold higher than that seen in comparably transfected nonmyocyte cultures.

As discussed above, most regulatory elements (positive or negative) seem to accrue their activity as a result of interactions with nuclear proteins present in the target cell. To explore this possibility, we used a 54-bp fragment of the hANP gene spanning the area of interest (-1206 to -1152) in a gel mobility shift assay to probe for the presence of proteins capable of associating with specific DNA sequences therein. As shown in Fig 2Down, a protein or proteins present in fibroblast nuclear extract bound to this fragment in both a concentration-dependent and sequence-specific fashion. Competition with unlabeled probe, but not with an unrelated DNA fragment, eliminated the DNA-protein interaction. Subsequent DNAse I footprint analysis of this same interaction (Fig 3Down) demonstrated several protected regions. Of interest, one of these regions overlies an E-box motif (positions -1169 to -1174) similar to those that have been implicated in regulating the transcriptional activity of skeletal and cardiac muscle genes in other systems.5 6



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Figure 2. Sequence-specific association of fibroblast nuclear protein with inhibitory region from the hANP gene. A radiolabeled 54-bp fragment from the hANP gene (-1206 to -1152) was incubated with fibroblast nuclear extract for 35 minutes at room temperature and then loaded onto a 5% nondenaturing polyacrylamide gel. B indicates bound probe; F, free probe. Lane 1, probe alone; lanes 2 through 4, probe plus 5, 15, or 30 µg nuclear extract; lanes 5 through 7, 15 µg extract plus 0.01, 1, or 10 ng unlabeled probe; lane 8, nuclear extract and 10 ng of an unrelated DNA fragment.



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Figure 3. DNase I footprint analysis of inhibitory region of hANP gene. An hANP genomic fragment (-1206 to -1152) was end-labeled at the 5' end of the sense strand and incubated without (lane 1) and with 80 µg (lane 2) or 160 µg (lane 3) of fibroblast nuclear extract at room temperature for 35 minutes. DNase I (0.05 µg/200 µL in lane 1 or 0.1 µg/200 µL in lanes 2 and 3) was then added to the mixtures and the incubation continued for 2 minutes before ethanol precipitation and separation on a denaturing 6.4% polyacrylamide gel. Chain-termination sequence ladder is shown at right. DNase protected regions are indicated over relevant DNA sequence at the right.

To explore the potential role of this E-box motif in suppressing hANP gene expression in cardiac fibroblasts, we selectively mutated several regions lying between -1152 and -1206 in the -1206 hANP CAT reporter and examined their activity in transiently transfected cardiac fibroblasts. As shown in Fig 4Down, the highest level of reporter activity was within the group, M3, that harbored the mutation across the E-box motif. This activity approached, though it did not equal, that seen with -1152 hANP CAT. In addition, M1, which harbors a mutation farther upstream, also effected a partial restoration of reporter activity. Taken together, these findings suggest that the E-box motif contributes substantially to the inhibitory activity of the repressor element lying between -1206 and -1152 and that the full effect likely requires additional sequence present in the same region.



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Figure 4. Activity of different point mutants of the hANP gene in noncardiac cells. A, Structure of hANP gene from -1206 to -1152. Open boxes include regions for targeted mutagenesis. Solid letters represent wild-type and open letters mutant sequences. Third box from the left, the M3 mutant, contains the E-box motif (CAACTG). DNase protected region is underlined with solid lines. B, Bar graph displays functional activity of point mutant constructs. Twenty-five micrograms of reporter gene was transfected into noncardiac cells. Cells were collected 72 hours after transfection, and CAT activity was measured.

Next, we investigated the activity of these mutated sequences with respect to their ability to associate with the fibroblast nuclear binding protein identified in Fig 2Up. As shown in Fig 5ADown, the wild-type sequence and three of the mutants (M1, M2, and M4) associated with the protein in the expected fashion. M3, however, displayed no ability to bind to the protein. In a parallel experiment, shown in Fig 5BDown, unlabeled wild-type fragment competed effectively for binding to labeled wild-type sequence, whereas neither unlabeled M3 nor an unrelated DNA fragment was an effective competitor. Taken together, these data suggest that the predominant DNA protein interaction that is identified through the gel mobility shift assay operates through the E-box motif. Attempts to perturb this complex with antisera directed against the common E-box binding proteins myoD, Id, Pan-1, and Pan-2 were unsuccessful (Fig 6Down), suggesting that the protein or proteins identified in the complexes above may include a less frequently encountered member or members of this extended regulatory protein family.



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Figure 5. Sequence requirement for association of fibroblast nuclear protein with inhibitory region of the hANP gene. A, Radiolabeled 100 bp (-1226 to -1126) wild-type (WT) and mutant (M1 through M4) fragments from the hANP gene were incubated with fibroblast nuclear extract (15 µg) for 35 minutes at room temperature and then loaded on a 4% nondenaturing polyacrylamide gel. B indicates bound probe. Lanes 1 through 3, 4 through 6, 7 through 9, 10 through 12, and 13 through 15 contain indicated probe plus 5, 10, or 15 µg nuclear extract, respectively. B, Radiolabeled wild-type fragment (-1226 to -1126) was incubated with fibroblast nuclear extract (15 µg) together with increasing amounts of unlabeled competitor. Lane 1 is without competitor; lanes 2 through 4, 5 through 7, and 8 through 10 contain probe plus 5, 10, and 20 ng of unlabeled competitor, respectively.



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Figure 6. Effect of antisera on the E-box–protein complex. Radiolabeled wild-type fragment (-1226 to -1126) was incubated with fibroblast nuclear extract (15 µg) with antisera against Pan-1/Pan-2 (1 µL, lane 2), the Id protein (2 µL, lane 3), or myoD (2 µL, lane 4) in a total volume of 20 µL. Control sample without antisera is shown in lane 1.


*    Discussion
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up arrowAbstract
up arrowIntroduction
up arrowMethods
up arrowResults
*Discussion
down arrowReferences
 
A number of different regulatory elements have been described that appear to be important for the tissue-specific expression of genes in cardiac myocytes, and increasingly, it appears unlikely that a single regulatory element or nuclear protein will function as the solitary determinant of cardiac-specific gene expression. Rather, it seems probable that combinations of positive regulatory elements (eg, GATA, M-CAT, SRE/CArG, MEF, stimulatory protein-1 [SP-1], etc) operate in concert to direct transcriptional activity unique to the cardiac myocyte. This scenario appears to be applicable to the ANP gene, in which a number of regulatory elements have been described but none have been ascribed a dominant role in controlling its expression.11 18 19

The nature of negative transcriptional regulation (eg, that responsible for excluding ANP gene expression from nonmyocytes in the heart) is even more unsettled. A number of general mechanisms for negative regulation20 have been proposed, including primary occupancy of a negative regulatory element by a protein or proteins unique to nonexpressing cells, titration of activator protein activity in solution (ie, squelching), and displacement of or interference with a closely positioned DNA-protein complex that positively regulates transcription. The latter two models, by inference, involve interference with the positive regulatory circuitry.

The involvement of an E-box motif is particularly interesting in that similar motifs are known to be important in the regulation of cardiac-specific genes.5 6 Clearly, the motif alluded to here is not critical for ANP gene expression in cultured atrial myocytes (see Fig 1Up); however, as shown with other E-box–containing promoters,21 these elements can play important modulatory roles with regard to transcriptional regulation that might not be obvious with the simple deletion approach used here. If this E-box motif plays such a role in hANP gene expression, then occupancy of the site by different proteins intrinsic to cardiac myocytes versus nonmyocytes could well provide the switching mechanism that either promotes or suppresses expression of the ANP gene. Genetta et al22 have described a zinc-finger protein, which they term ZEB, that binds to an E-box motif within the immunoglobulin heavy chain (IgH) enhancer and silences its expression. Activation of the gene upon overexpression of the basic HLH protein E2A (an E-box binding protein) is accompanied by displacement of the ZEB repressor from its binding site. Thus, there is some precedent for involvement of an E-box–dependent switching mechanism in tissue-specific gene expression. In fact, preliminary studies suggest that proteins present in cardiocyte nuclear extracts are capable of binding to this same E-box–containing fragment (data not shown), supporting the differential protein binding model.

The functional analyses suggest a potential contribution of sequence upstream from the E-box motif in promoting the inhibitory activity. The fact that the M1 region was not identified as a definitive target for protein binding (Fig 5Up) despite evidence for functional activity (Fig 4Up) suggests that DNA-protein contacts in this region, if they exist, are of insufficient affinity to permit identification in the in vitro assays used here. The existence of such interactions is supported, to some degree, by the protection of sequence overlying the M1 region in the DNAse footprint analysis.

The nature of the fibroblast protein associating with the E-box motif remains unknown. Id, a truncated HLH protein, heterodimerizes with and suppresses the activity of several basic HLH proteins involved in tissue-specific transcription and cellular differentiation.23 24 However, Id typically blocks association of these HLH proteins with DNA, a property that is not compatible with participation in the complex identified here. In fact, a specific antisera directed against Id failed to retard or otherwise perturb the fibroblast protein–E-box interaction. Furthermore, overexpression of Id has not been shown to have a significant effect on the expression of a rat ANP-luciferase reporter8 (pANF3003Luc), and Id, if anything, appears to be activated in myocardial cells by the same stimuli that increase ANP gene expression.8 25 Similar findings were obtained after coincubation of the DNA-protein complexes with antisera directed against myoD, Pan-1, and Pan-2. It is possible that the protein identified here is related to the ZEB protein described above or, alternatively, to another HLH protein not detected with the antisera used. Additional studies will be directed toward the identification of the fibroblast and cardiocyte E-box binding proteins associated with this upstream element and elucidation of the mechanism or mechanisms whereby these interactions result in tissue-specific expression of the ANP gene.


*    Selected Abbreviations and Acronyms
 
ANP = atrial natriuretic peptide
CAT = chloramphenicol acetyltransferase
hANP = human atrial natriuretic peptide
HLH = helix-loop-helix


*    Acknowledgments
 
This work was supported by grant HL-35753 from the National Institutes of Health. The authors are grateful to Karl Nakamura for assistance with cell preparation and to Fred Schaufele for helpful discussions regarding the mutagenesis protocols. We also wish to express our gratitude to Charles Ordahl, Brian Williams, and Michael German for providing antisera used in these studies.

Received September 19, 1995; first decision November 7, 1995; accepted April 4, 1996.


*    References
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMethods
up arrowResults
up arrowDiscussion
*References
 
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3. Zhu H, Garcia AV, Ross RS, Evans SM, Chien KR. A conserved 28-base-pair element (HF-1) in the rat cardiac myosin light-chain-2 gene confers cardiac-specific and alpha-adrenergic-inducible expression in cultured neonatal rat myocardial cells. Mol Cell Biol. 1991;11:2273-2281.[Abstract/Free Full Text]

4. Komuro I, Izumo S. Csx: a murine homeobox-containing gene specifically expressed in the developing heart. Proc Natl Acad Sci U S A. 1993;90:8145-8149.[Abstract/Free Full Text]

5. Gupta MP, Gupta M, Zak R. An E-box/M-CAT hybrid motif and cognate binding protein(s) regulate the basal muscle-specific and cAMP-inducible expression of the rat cardiac alpha-myosin heavy chain gene. J Biol Chem. 1994;269:29677-29687.[Abstract/Free Full Text]

6. Navankasattusas S, Sawadogo M, van Bilsen M, Dang CV, Chien KR. The basic helix-loop-helix protein upstream stimulating factor regulates the cardiac ventricular myosin light-chain 2 gene via independent cis regulatory elements. Mol Cell Biol. 1994;14:7331-7339.[Abstract/Free Full Text]

7. Weintraub H, Davis R, Tapscott S, Thayer M, Krause M, Benezra R, Blackwell TK, Turner D, Rupp R, Hollenberg S, Zhuang Y, Lassar A. The myoD gene family: nodal point during specification of the muscle cell lineage. Science. 1991;251:761-766.[Abstract/Free Full Text]

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