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Originally published In Press as doi:10.1074/jbc.M301648200 on December 8, 2003

J. Biol. Chem., Vol. 279, Issue 11, 10659-10669, March 12, 2004
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The Cardiac Determination Factor, Nkx2-5, Is Activated by Mutual Cofactors GATA-4 and Smad1/4 via a Novel Upstream Enhancer*

Carl O. Brown, III{ddagger}, Xuan Chi§, Eduardo Garcia-Gras{ddagger}, Manabu Shirai{ddagger}, Xin-Hua Feng{ddagger}||, and Robert J. Schwartz{ddagger}§**

From the {ddagger}Department of Molecular and Cellular Biology, the ||Michael E. DeBakey Department of Surgery, and the §Department of Medicine, The Center for Cardiovascular Development, Baylor College of Medicine, Houston, Texas 77030

The mammalian homologue of Drosophila tinman, Nkx2-5, plays an early role in regulating cardiac genes and morphogenesis. Bone morphogenetic proteins (BMPs), members of the transforming growth factor (TGF)-{beta} family of signaling molecules, are involved in numerous developmental processes. BMP signaling is crucial in the regulation of Nkx2-5 expression and specification of the cardiac lineage. Constitutively active BMP type I receptor or the downstream pathway components and DNA-binding transcription factors, Smad1/4 directly activated Nkx2-5 gene transcription. We identified and characterized a novel upstream Nkx2-5 enhancer, composed of clustered repeats of Smad and GATA DNA binding sites. This composite Nkx2-5 enhancer was a direct target of BMP signaling via cooperative interactions between the downstream transducers Smad1/4 and GATA-4. In mammalian two hybrid assays, Smad factors recruited the hybrid gene GATA4-VP16 to strongly drive transcription of a reporter gene containing multimerized Smad binding sites These cofactors interacted through the second zinc finger and adjacent basic domain of GATA-4 and the N-terminal domain of Smads. Smad4 and GATA4 were also found to bind in vivo with the Nkx2-5 composite enhancer, as revealed by chromatin immunoprecipitation analysis of differentiated P19 cells. Finally, transgenic mice containing the Smad/GATA composite enhancer recapitulated early murine Nkx2-5 cardiac expression and deletion of this enhancer within a 10-kb transgene pBS-Nkx2-5 LacZ significantly reduced expression in the cardiac crescent. Thus, integration of GATA transcription factors with BMP signaling, through co-association with Smads factors, may initiate early Nkx2-5 expression; suggesting a vital role for the combination of these factors in the specification of cardiac progenitors.


Received for publication, February 17, 2003 , and in revised form, November 30, 2003.

* This research was supported by National Institutes of Health Grant P01 HL49953 (to R. J. S.). The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

Participant in the Graduate Program in Cardiovascular Sciences.

** To whom correspondence should be addressed: One Baylor Plaza, Houston, TX, 77030. Tel.: 713-798-6649; Fax: 713-798-7799; E-mail: schwartz{at}bcm.tmc.edu.


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