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J Biol Chem, Vol. 273, Issue 37, 23912-23921, September 11, 1998
Transcriptional Regulation of the Differentiation-linked Human K4
Promoter Is Dependent upon Esophageal-specific Nuclear Factors*
Oliver G.
Opitz ,
Timothy D.
Jenkins , and
Anil K.
Rustgi §¶
From the Gastrointestinal Unit and
§ Hematology-Oncology Unit, Massachusetts General Hospital,
Harvard Medical School, Boston, Massachusetts 02114
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ABSTRACT |
The stratified squamous epithelium comprises
actively proliferating basal cells that undergo a program of
differentiation accompanied by morphological, biochemical, and genetic
changes. The transcriptional regulatory signals and the genes that
orchestrate this switch from proliferation to differentiation can
be studied through the keratin gene family. Given the localization of
keratin 4 (K4) to the early differentiated suprabasal compartment and having previously demonstrated that targeted disruption of this gene in murine embryonic stem cells results in impairment of the normal
differentiation program in esophageal and corneal epithelial cells, we
studied the transcriptional regulation of the human K4 promoter. A
panel of K4 promoter deletions were found in transient transfection
assays to be predominantly active in esophageal and corneal cell lines.
A critical cis-regulatory element resides between 163 and
140 bp and contains an inverted CACACCT motif. A site-directed
mutated version of this motif within the K4 promoter renders it
inactive, whereas the wild-type version is active in a heterologous
promoter system. It specifically binds esophageal-specific zinc-dependent transcriptional factors. Our studies
demonstrate that regulation of the human K4 promoter is in part
mediated through tissue-specific transcriptional factors.
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INTRODUCTION |
The esophagus is lined by a stratified squamous epithelium that is
composed of proliferating basal cells and differentiated suprabasal,
intermediate, and superficial squamous cells. Other sites sharing the
stratified squamous epithelium include the cornea, oropharynx, larynx,
skin, and anogenital tract. Basal cells undergo an exquisite program of
differentiation accompanied by a series of morphological, biochemical,
and genetic changes as they migrate to the luminal surface with the
eventual production of flattened superficial squamous cells. Squamous
cells are sloughed from the surface, which may in part by governed by
processes such as senescence and apoptosis. There is constant renewal
of inner basal cells that differentiate in the suprabasal layer.
Insights into the underlying molecular mechanisms can be gained through
an appreciation of the genes, as exemplified by the keratins, that
govern this process and their transcriptional regulation. For example,
keratins 5 and 14 are present in proliferating basal cells. Early
differentiation genes in suprabasal cells include keratins 1 and 10, whereas late differentiation genes in superficial squamous cells
include loricrin, profillagrin, and transglutaminase (1).
The keratins are classified as the type I and type II intermediate
filaments (2). The type I keratins are acidic, range from 40 to 60 kDa
and consist of at least 17 distinct proteins: 12 epithelial type I
keratins (K91 through K20),
and 5 hair keratins (3). The type II keratins are neutral to basic,
range from 50 to 70 kDa, and consist of at least 15 distinct proteins:
10 epithelial (K1 through K8; with multiple forms of several of these)
and 5 hair keratins (3). The type I keratins in humans are found in a
cluster on chromosome 17, and the type II keratins are on chromosome
12. A similar situation exists in mouse with the type I keratins on
chromosome 11 and the type II on chromosome 15.
Keratins are obligate heterodimers of one type I molecule and one type
II molecule (4). In vivo specific pairing is apparently due
to the tissue-specific expression patterns of the keratins (3). For
example, K5 and K14 heterodimerize in basal cells and K1 and K10
heterodimerize in differentiating suprabasal cells. Although keratins
are critical for providing structural strength for epithelial cells,
further clues about keratin function have been gained through the
discovery of mutations associated with diseases transmitted in an
autosomal dominant fashion which have indicated that keratins are
important in cellular organization and growth (5). For example,
epidermal bullosa simplex (EBS) is characterized by intraepidermal
blistering due to cell lysis within the basal layer (6). Mutations have
been identified in K5 and K14 genes that act in a dominant-negative
fashion to cause EBS (6). Epidermolytic hyperkeratosis (EH)
involves blistering of suprabasal layers of the skin due to cell lysis
and degeneration, basal cell hyperplasia, and a thickened granular
layer and stratum corneum (skin ridges or scales). Mutations in K1 and
K10 are found in EH (7, 8). EBS and EH have been recapitulated with
murine models in which the keratins are disrupted by homologous
recombination in embryonic stem cells (9, 10) or are aberrantly
expressed in transgenic mice (11-13).
K4 and K13 are found in suprabasal cells of nonkeratinizing stratified
squamous epithelia (14). K4 is a type II keratin (59 kDa) the type I
partner of which is K13. K4 has highest expression in the esophagus and
cornea, but to a lesser extent is also found in the tongue, pharynx,
larynx, and the anus (15). It appears during fetal development while
these tissues differentiate. White sponge nevus is a benign autosomal
dominant disorder characterized by thickened, white opalescent
spongy-fold mucosa, primarily in the mouth but also in the esophageal
epithelium, and has been shown recently to be due to a mutation in K4
(16). Recently, we have developed a model in which the mouse K4 gene
has been disrupted by homologous recombination in embryonic stem cells (17). K4 homozygous null mice have a phenotype largely restricted to
the esophagus and cornea. There are severe disturbances in esophageal
epithelial differentiation manifest by loss of the maturation sequence
from the basal to the superficial squamous layers (17). There is also
evidence of basal cell hyperplasia in the cornea (17). Thus, K4 appears
important in maintaining the differentiation phenotype in a highly
tissue-specific fashion, and these findings provide additional basis
for studying the molecular mechanisms underlying the transcriptional
regulation of the K4 promoter.
It appears that a particular combination of nuclear factors in a tissue
that leads to the transcription of specific keratins. Illustrative of
the regulation of basal cell promoters, AP2 binds the KER1 element in
the K14 promoter (18, 19) and a non-phorbol ester-responsive AP1
regulates the bovine K5 promoter (20). Suprabasal cell promoters that
have been studied include the K1 promoter, where a 3' element is
keratinocyte-specific and Ca+ dependent (21). Additionally, the K3
promoter has two cis-regulatory elements within 300 bp of
the transcription start site that are regulated by Sp-1-related and
NF- B-related factors (22, 23).
Apart from the regulation of keratin cellular promoters, viral gene
expression is mediated through overlapping mechanisms in the stratified
squamous epithelium. The human papillomavirus-18 C-enhancer is
regulated by an apparent tissue-restricted factor designated KRF-1 (24)
as well as the ubiquitous Oct-1 and AP1. Our previous studies have
demonstrated that the Epstein-Barr virus (EBV) ED-L2 promoter is active
in suprabasal cells of the tongue and esophagus in transgenic mice
(25). Furthermore, the basal ED-L2 promoter activity is attributable to
a 70-kDa keratinocyte-specific factor (KSF) that is
zinc-dependent and binds a CACACCT motif (26). The ED-L2
promoter is also regulated by phorbol ester, a factor that activates
the differentiation program in stratified squamous epithelial cells
(27). Phorbol ester induces ED-L2 promoter activity in part through USF
and Gut-enriched Krüppel-like factor (GKLF) (27, 28).
We have now characterized the human K4 promoter for
cis-regulatory elements and key trans-acting
factors. Importantly, there is a region from 163 to 140 bp that
contains an inverted CACACCT motif that contributes significantly to K4
promoter activity. When mutated, endogenous K4 promoter activity is
abrogated. This cis-regulatory element binds
esophageal-specific transcriptional factors, indicating that the
suprabasal K4 promoter is in part regulated in a highly
tissue-restricted fashion.
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EXPERIMENTAL PROCEDURES |
Cloning of the Human Keratin 4 Promoter--
The human K4
promoter was cloned with a PCR-based method that allows for the
identification of genomic sequence from cDNA sequence
(CLONTECH promoter finder kit). The human keratin 4 mRNA sequence was obtained from GenBank accession no. X67683.
Briefly, a special adapter is ligated to the ends of DNA fragments
generated by digestion of human genomic DNA with EcoRV,
ScaI, DraI, PvuII, and SspI
separately. Following adapter ligation, a small amount of the DNA from
each "library" is used as a template for a primary PCR reaction
using an outer adapter primer (AP1) (CLONTECH) and an outer gene-specific primer (GSP1) (Table
I, part A). The primary PCR reaction
mixture is then diluted and used as a template for a secondary PCR
reaction using the nested adapter primer (AP2) (CLONTECH) and a nested gene-specific primer (GSP2)
(Table I, part A). GSP1 and GSP2 are designed to anneal at the 5' end
of the known keratin 4 cDNA. PCR amplifications were performed
using Tth polymerase mix (CLONTECH),
which includes the Tth-Start antibody for automatic hot
start. Primary PCR reactions were performed in 50-µl volumes
containing 1 µl of ligated and diluted DNA, 40 mM
Tris-HCl, pH 9.3, 85 mM KOAc, 1.1 mM MgOAc, 10 µM adapter primer 1 (AP1) and GSP1, 10 mM
dNTP, and 1 µl of Tth polymerase mix. The cycle parameters
were as follows: 7 cycles of denaturation at 94 °C for 25 s and
annealing/extension at 72 °C for 4 min, followed by 32 cycles of
denaturation at 94 °C for 25 s and annealing/extension at
67 °C for 4 min and a final annealing/extension time for 4 min. A
secondary PCR reaction was performed with 1 µl of a 1:100 dilution of
the primary PCR reaction using AP2 and GSP2. The same reaction
composition and cycle parameters were used except 5 and 20 thermocycles
were performed, respectively. PCR products were examined on 1% agarose
gels. PCR products from each library were cloned into a TA type vector
(Novagen). DNA sequencing of the 5' and 3' ends was by the
dideoxy-mediated chain termination method using the Sequenase version
2.0 DNA sequencing kit (U.S. Biochemical Corp.), vector primers T7
sense and M13 antisense (Novagen), and sequence-specific primers.
Sequence analysis was performed using GenBank.
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Table I
Oligonucleotide primer sequences for PCR-based cloning of the human K4
promoter (A), construction of K4 promoter 5' deletion constructs (B),
and K4-163 promoter mutant constructs (C)
A, gene-specific primers 1 and 2 (GSP 1 and 2) are designed as
non-overlapping, nested PCR primers at the 5' end of the human keratin
4 cDNA. Adapter ligated primer 1 and 2 (AP1 and 2) were provided by
the manufacturer. B, the PCR primers for 5' deletion constructs with
the corresponding nucleotide position within the K4 promoter are
indicated. A SalI restriction enzyme site at the 5' end of
each construct and a BglII restriction enzyme site at
position +59 were added to facilitate cloning. C, the overlapping PCR
primers for the K4-163 mutant constructs were introduced using the
overlap extension site directed mutagenesis technique (30). A
SalI site was introduced at position 163 bp to facilitate
cloning.
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Construction of the Human K4 Promoter Reporter Genes and Deletion
Constructs--
A 1.1-kilobase pair human K4 5'-UTR fragment was
isolated by PCR amplification to remove its putative endogenous
translation start site (+59) with denaturation at 94 °C for 1 min,
annealing at 55 °C for 1 min, and extension at 72 °C for 1 min
for 30 cycles. After confirmatory DNA sequencing, the reaction product
was digested with SalI and BglII, agarose
gel-purified, and ligated into the luciferase reporter gene
promoterless vector, pXP2 (29), to generate the keratin 4 full-length
promoter construct, designated as K4 1040. This plasmid contained
1100 bp ( 1040 bp to +59 bp) of the human keratin 4 promoter. A
subsequent series of K4 promoter 5' deletion constructs (K4 940, K4
540, K4 340, K4 163, and K4 140) were generated in a similar
fashion using K4 1040 as a template for PCR with sense primers
designed at the different positions of the promoter 5' to the putative
transcription start site and the antisense primer at position +59
(Table IB). The K4 740 and K4 185 constructs were generated by
digestion of K4 1040 with KpnI and BglII or
BamHI and BglII, respectively, deleting 300 or
855 bp, respectively.
Construction of Wild-type and Mutant Promoter Constructs--
K4
163 promoter constructs containing mutant nucleotides spanning region
163 to 140 bp, designated as region K, were generated by
site-directed mutagenesis using overlap extension PCR as described by
Ho et al. (30). Complementary oligonucleotide primers were used to generate two DNA fragments having overlapping ends. These fragments were combined in a subsequent "fusion" reaction, in which
the overlapping ends anneal, allowing the 3' overlap of each strand to
serve as a primer for the 3' extension of the complementary strand. The
resulting fusion product was amplified further by PCR. Specific
alterations in the nucleotide sequence were introduced by incorporating
nucleotide changes into overlapping oligonucleotide primers. Primer
sequences for overlapping mutant primers are shown in Table IC. Primers
K4 540 and K4 +59 were used to amplify the fusion product, which was
finally digested using a SalI site introduced at position
163 and a BglII site at the 3' end with subsequent
subcloning. Two mutant versions of region K were introduced to obtain
the promoter constructs K4 163 KMT1 and K4 163
KMT2.
Minimal promoter DNA constructs containing wild-type or mutant
nucleotides of region K were generated by ligation of kinased double-stranded synthetic oligonucleotides (Table II) into a
BglII site of the pGL3-promoter vector containing the
minimal SV40 promoter fused to the luciferase reporter gene (Promega).
All constructs were verified with DNA sequencing (U.S. Biochemical
Corp.). Plasmids were purified by a modified alkaline lysis method
(Qiagen).
Tissue Culture Cell Lines and Transient Transfection
Studies--
Esophageal squamous carcinoma cell lines TE-12, TE-11,
T.Tn, and T.T, pancreatic cancer cell line Panc-1 (ATCC, Rockville, MD), skin cancer cell line SCC-13, cervical cancer cell line HeLa (ATCC), colon cancer cell line HT-29 (ATCC), embryonic kidney cell line
293 (ATCC), and fibroblast cell line SL 68 (ATCC), all of human origin,
were cultured under standard conditions with Dulbecco's modified
Eagle's medium (Sigma) supplemented with 10% fetal bovine serum
(Sigma), 100 units/ml penicillin, 100 mg/ml streptomycin (Sigma), and
L-glutamine (Sigma). A rabbit normal corneal cell line SIRC
(ATCC) was grown in Eagle's minimal essential medium with 10% serum
and antibiotics, as indicated.
Transient transfection of all DNA constructs was carried out using the
calcium phosphate precipitation technique (5 Prime 3 Prime, Inc.).
Cells were plated at a density of 1 × 106 cells/35-mm
well and transfected 24 h later with 2 µg of the luciferase
reporter plasmid and 2 µg of pGreen Lantern-1, a reporter plasmid
encoding a green fluorescent protein (Life Technologies, Inc.).
Cotransfections were carried out, adding to the luciferase reporter
plasmid 0.5 or 1 µg of expression plasmids pRC/RSV-empty, pCMV-12S.E.1A, pCMV-12SRG2, CMV -p300, or pRC/RSV-mCBP. The
transfectant mixture consisted of a 250-µl solution of 125 mM CaCl2, 25 mM Hepes, pH 7.05, 0.75 mM Na2HPO4, 5 mM
KCl, 140 mM NaCl, and 6 mM glucose. After a
12-h incubation, cells were washed twice with phosphate-buffered saline
and fresh 10% serum containing medium was exchanged.
Luciferin assays were performed using luciferin, ATP, and coenzyme A
(Promega) with a Monolight luminometer (Analytical Luminescence Laboratory) as described previously (26-28). Cells were harvested 36 h after transfection, washed twice with phosphate-buffered saline, lysed in 200 µl of 1× cell culture lysis reagent (Promega), and 40 µl of the lysate was mixed with 100 µl of luciferase assay reagent consisting of 20 mM Tricine, 1.07 mM
MgCO3, 2.67 mM MgSO4, 0.1 mM EDTA, 33.3 mM dithiothreitol, 270 µM coenzyme A, 530 µM ATP, and 470 µM luciferin. Incubations were performed in triplicate, and results were calculated as the mean ± S.E. values for
luciferase activity. Values were then expressed as a -fold increase or
decrease compared with the control for each set of experiments.
Activities were expressed as the mean of at least three independent
transfection experiments. In a subset of the transfection experiments,
cells were examined under fluorescence microscopy (475 nm excitation peak, 490 nm emission peak) to assess green fluorescent protein production. The percentage of fluorescing cells was determined in each
well and found not to vary within a given transfection experiment,
indicating that transfection efficiency was uniform.
Electrophoretic Mobility Shift Assays (EMSAs)--
Nuclear
extracts from different cell lines were prepared as described
previously (26-28). The protein concentration was determined by a
colorimetric method (Bio-Rad protein assay).
-32P-Labeled oligonucleotide DNA probes were constructed
with 5 pmol of double-stranded oligonucleotides (Table II), synthesized
by the phosphoramidite procedure (Applied Biosystems), and purified by
gel electrophoresis. Radiolabeling was done by a Klenow fill-in reaction in a buffer consisting of 10 mM Tris-HCl, pH 7.5, 5 mM MgCl2, 7.5 mM dithiothreitol,
33 µM dATP, 33 µM dGTP, 33 µM
dTTP, 0.33 µM [ -32P]dCTP (NEN Life
Science Products), 1 unit of DNA polymerase I Klenow fragment (Amersham
Pharmacia Biotech), and followed by polyacrylamide
gel-purification.
EMSAs were carried out by incubating 5 µg of nuclear extract with 5 fmol of the -32P-labeled oligonucleotide DNA probe
(20,000 cpm) in a 20-µl binding reaction containing 10 mM
Tris-HCl, 50 mM NaCl, 1 mM dithiothreitol, 1 mM EDTA, 10% glycerol, and 1.0 µg of poly(dA-dT)
(Amersham Pharmacia Biotech). After incubation at room temperature for
15 min, the samples were loaded on a 6% polyacrylamide, 0.25× Tris
borate gel and electrophoresed at 10 V/cm for 2 h. The gels were
dried and exposed to x-ray film (Kodak X-AR) at 80 °C for 12 h.
Competitor Oligonucleotides and Antibodies used in EMSAs and
Immune Supershift Reactions--
For competition experiments, the
nuclear extract was preincubated with 100-fold excess of unlabeled
double-stranded oligonucleotides (Table II) prior to the addition of
the -32P-labeled oligonucleotide probe. All
oligonucleotides were synthesized by the phosphoramidite procedure
(Applied Biosystems) and purified by gel electrophoresis. Immune
supershift assays were performed using a polyclonal anti-AP2 antibody
(AP2 (C-18)) and polyclonal anti-CBP antibodies (CBP1 (451), CBP2
(A-22)) (all from Santa Cruz Biotechnology). The antibody was
preincubated with the nuclear extract at 4 °C for 1-12 h prior to
the addition of the -32P-labeled oligonucleotide DNA
probe. Other conditions for EMSAs are described above.
Ultraviolet Light-induced Cross-linking--
The B and
BMT2 single-stranded oligonucleotides corresponding to the
wild-type and mutant sequences of the human keratin 4 promoter (Table
II) were labeled by annealing corresponding 7-mers (oligonucleotides)
followed by the Klenow fill-in reaction, as described above, except
that 5-bromodeoxyuridine was substituted for dTTP. Binding reactions
were performed in an identical fashion, except that the reaction was
for 30 min at 4 °C to inhibit protein degradation. Samples were
exposed to a medium wave (312 nm) UV transilluminator (UVP Inc.) for 30 min on ice at a distance of 3 cm. Samples were then mixed with 2×
SDS-sample buffer and boiled for 5 min. Electrophoresis was carried out
on a 10% SDS-polyacrylamide gel. Gels were then dried and exposed to
x-ray film (Kodak X-AR) at 80 °C for 12 h.
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RESULTS |
Cloning of the Human K4 Promoter--
To obtain the
5'-untranslated region of the human K4 gene, a cloning strategy was
selected to obtain sequence from genomic DNA based upon the known human
K4 open reading frame sequence (GenBank accession no. X67683). This
nested PCR-based cloning strategy contains five adapter ligated genomic
DNA libraries and produced a single PCR product in four of five
libraries (data not shown). The longest PCR fragment corresponded to
1.1 kilobase pairs of the 5'-UTR of the human K4 gene and was subcloned
in a TA-type cloning vector, and several clones were subjected to DNA
sequencing bidirectionally (Fig. 1). DNA
sequence analysis demonstrated a 1103-bp sequence, a TATAA box at
position 27, a putative transcription start site at position zero and
a putative translation start site at position +59 (Fig. 1). This
sequence was greater than 99% identical to a recently submitted K4
gene 5'-flanking region sequence (X97566), except our strategy yielded an additional 91 bp at the extreme 5' end.

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Fig. 1.
The human keratin 4 promoter sequence.
The sequence was obtained by applying a PCR-based cloning strategy. A
1.1-kilobase pair PCR product was sequenced bidirectionally. The
obtained sequence was 1103 bp with a putative TATAA box at position
27, a putative transcription start site at position zero, and a
putative translation start site at position +59 as indicated. Sequence
analysis using GenBank revealed over 99% identity to a recently
submitted K4 gene 5'-flanking region sequence (X97566) but with an
additional 91 bp at the extreme 5' end.
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The Human K4 Promoter Is Active in Esophageal and Corneal Squamous
Epithelial Cells--
To assess transcriptional activity of the human
K4 5'-UTR, the full-length 1.1-kilobase pair fragment was PCR-amplified
to remove its ATG, and subcloned in-frame within the pXP2 luciferase reporter gene. Given that the highest expression of K4 is in the esophagus and cornea (15) coupled with an impaired differentiation phenotype in these tissues of K4 homozygous null mice (17), we assessed
K4 promoter activity in corneal and esophageal cells. A prominent
transcriptional activity of the K4 promoter was observed in esophageal
squamous carcinoma cell lines, TE-12 (Fig.
2A), TE-11 (Fig.
2B) and T.Tn (data not shown), as well as in rabbit corneal
cell line, SIRC (Fig. 2C), with transient transfection of
the full-length K4 1040 construct. The transcriptional activity observed was as strong as the potent pRSV-luc promoter (data not shown). Activity was also observed, albeit attenuated, in cell lines of
epithelial origin, namely HeLa, 293, SCC-13, and Panc-1. However, the
human K4 promoter was not active in T.T, HT-29, and SL-68 cell lines,
the latter of nonepithelial origin (Fig. 2D). Mock-transfected cells and cells transfected with pXP2 alone showed no
luciferase activity.

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Fig. 2.
The human K4 promoter is active in esophageal
and corneal squamous cells with cis-regulatory elements
between 163 and 140 bp. The K4 luciferase reporter gene
constructs (K4 1040, K4 940, K4 740, K4 540, K4 340, K4
185, K4 163, and K4 140) were transiently transfected into the
human esophageal squamous cancer cell lines TE-12 (A) and
TE-11 (B) as well the normal rabbit corneal cell line SIRC
(C). Luciferase activity is expressed as -fold increase
relative to the K4 140 construct (mean ± S.E. values)
calculated from three independent transfections. Although not shown,
the full-length K4 1040 promoter activity in TE-12, TE-11, and SIRC
cells was equivalent to RSV-luc activity. D, the K4 1040
promoter was transfected into additional cell lines, including T.Tn,
T.T, HeLa, 293, SCC-13, Panc-1, HT-29, and SL-68. Here, luciferase
activity is expressed as a ratio of activity of each cell line to TE-12
cells and represents the mean of three independent transfections.
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Functional Dissection of the Human K4 Promoter--
Since 1100 bp
of the human K4 promoter proved to be sufficient in achieving gene
expression, this region was subjected to functional dissection analysis
by serial 5' deletions. Constructs containing 940, 740, 540, 340, 185, 163, and 140 of flanking DNA sequence 5' to the putative transcription
start site were used in a series of transient transfection experiments.
The esophageal TE-12 and TE-11 cell lines and the corneal SIRC cell
line were selected for deletion analysis (Fig. 2, A-C).
This analysis revealed an increase in activity with the K4 940
construct inTE-11 and SIRC cell lines, suggesting the presence of a
negative cis-regulatory element at the extreme 5' end of the
promoter. Promoter activity declined or did not significantly change
from K4 740 to K4 540 in the different cell lines. An increase in
activity was observed with the K4 340 and the K4 185 constructs,
but declined again with the K4 163 promoter constructs, suggesting
the presence of different negative and positive cis-acting
elements throughout the K4 promoter, one of which at position 281 was
recently demonstrated by us to be transactivated by GKLF (28). However,
the most obvious loss in promoter activity in the esophageal and
corneal cells was observed between K4 163 and K4 140, indicating
that the intervening sequence contains cis-regulatory
element(s), which account for over 90% K4 promoter basal activity
(Fig. 2, A-C). The K4 163 promoter had approximately
600-fold greater activity in TE-12 cells, 100-fold greater activity in
TE-11 cells, and 14-fold greater activity in SIRC cells than a
construct containing only the first 140 base pairs of the K4 promoter.
We concentrated our analysis on cis-regulatory element(s)
between K4 163 and K4 140 since the greatest reduction in promoter
activity occurred in this region, strongly indicating that positive
cis-regulatory element(s) reside within 163 to 140bp. At
the same time, it can be appreciated important positive and negative
cis-regulatory elements reside further upstream.
Cell Type-specific K4 Promoter Activity Is Associated with a
CACACCT cis-Regulatory Element--
The region between nucleotide
positions K4 163 and K4 140, designated as region K, contains three
sequences that resemble known cis-regulatory elements,
namely an E-box motif (CAGATG), an AP1-like motif (TGACTTCT), and a
CACACCT motif in reverse orientation (AGGTGTG), the latter demonstrated
previously by us to reside within the EBV ED-L2 promoter and to bind
KSF in a tissue- and cell type-specific fashion (26). Mutational
analysis of the sequence between K4 163 and K4 140 was carried out
to determine the functional consequences of these motifs in the K4
promoter. Site-directed mutagenesis using the overlap extension PCR
technique was performed to introduce two mutations in the K4 163
promoter with one eliminating the E-box motif and the AP1-like motif
since they have overlapping sequences (K4 163 KMT1) and
the other abolishing the inverted CACACCT motif (K4 163
KMT2) (Table IC). The wild-type and mutant constructs were
transfected in TE-12 and SIRC cells. In TE-12 cells promoter activity
declined only partially with the K4 163 KMT1 construct
with a mutation in the E-box/AP1-like sequence but was almost entirely
eliminated with the K4 163 KMT2 construct bearing the
disrupted CACACCT element (Fig.
3A). In SIRC cells both K4
163 mutant constructs retained significant promoter activity
comparable to the wild-type K4 163 promoter (Fig. 3B).

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Fig. 3.
Cell type-specific K4 promoter activity is
associated with a CACACCT cis-regulatory element.
TE-12 cells and SIRC cells were transiently transfected with wild-type
and mutant constructs of region K ( 163 to 140 bp) within the
endogenous K4 163 promoter deletion construct (A and
B) or in a heterologous promoter system as K4-pGL3 wild-type
and promoter mutant constructs (C and D). The
KMT1 mutant constructs abolish the overlapping E-box- and
AP1-like motif, and KMT2 mutant constructs eliminate the
inverted CACACCT motif (see Tables IC and II for sequences of K,
KMT1, and KMT2). Luciferase activity is
expressed as -fold increase relative to K4 140 construct
(A and B) or pGL3-promoter control (C
and D), respectively (mean ± S.E. values) calculated
from three independent transfections.
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Furthermore, double-stranded oligonucleotides containing mutation of
different nucleotides within region K were ligated into the
heterologous promoter system pGL3-promoter, which contains a minimal
SV40 promoter. The same two region K mutants were constructed (Table
II), one eliminating the E-box/AP1-like
motif (KMT1) and the other abolishing the inverted CACACCT
motif (KMT2). The transcriptional activity of the wild-type
region K in the pGL3-promoter vector was enhanced 5-fold in TE-12 cells
and 2-fold in SIRC cells (Fig. 3, C and D),
indicating that this region is active in a heterologous promoter
system. A similar increase was observed in TE-11 cells (data not
shown). Importantly, mutation in the CACACCT motif (KMT2) reduced promoter activity 3-4-fold in TE-12 cells, whereas the E-box/AP1 mutation (KMT1) had no effect. Both mutations had
little effect in SIRC cells as observed in K4 163 mutant constructs. These data suggest the critical role of the inverted CACACCT
cis-acting element in the basal transcription of the human
K4 promoter within esophageal cells, forming the basis for further
biochemical analysis.
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Table II
Sense strand sequences of double-stranded oligonucleotides of the human
keratin 4 promoter used for EMSAs and minimal promoter constructs
Nucleotide positions in the human keratin 4 promoter are 163 to 140
bp for probe K and 151 to 140 bp for probe B. Nucleotide position
of probe F is 215 to 204 bp within the EBV ED-L2 promoter. At the
5' end of each K4 oligonucleotide, BglII (probes K) or
HindIII (probes B) restriction enzyme sites were added to
facilitate Klenow fill-in labeling and cloning. Sequences of interest
are depicted in bold, and mutations are underlined.
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Distinct Nuclear Transcription Factors from Esophageal Squamous
Epithelial Cells Bind Region K--
In order to characterize the
nuclear trans-acting factors that bind region K within the
K4 promoter, EMSAs were performed using nuclear extracts from TE-12 and
SIRC cells. These assays used as probes -32P-labeled
double-stranded oligonucleotides representing the wild-type and mutant
versions of region K (Table II). Two mutant versions of region K were
used, KMT1 eliminating the overlapping E-box motif and
AP1-like motif and KMT2 abolishing the inverted CACACCT motif. The wild-type K probe bound several nuclear proteins from TE-12
cells and two proteins from SIRC cells (Fig.
4A). Although no specific
complex could be observed in SIRC nuclear extracts with the mutants
tested comparing wild-type probe K with either mutant probe, three
distinct complexes, designated as complexes a, b, and c bound the
inverted CACACCT motif when comparing wild-type probe K or
KMT1 with mutant version KMT2 (Fig.
4A). Competition experiments confirmed the specificity of
complexes a, b, and c in TE-12 nuclear extracts (Fig. 4B). K
and KMT1, both bearing the wild-type CACACCT motif,
competed complexes a, b, and c, whereas KMT2 harboring the
mutated CACACCT motif did not, although there was minimal attenuation
of some nonspecific complexes as well.

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Fig. 4.
Distinct nuclear transcription factors from
esophageal squamous epithelial cells bind region K. The
double-stranded DNA probes corresponding to region K of the human K4
promoter (see Table II for sequence) were labeled with
[ -32P]dCTP and used in EMSAs. Crude nuclear extracts
were prepared from SIRC, TE-12, T.T, T.Tn, TE-1, TE-10, TE-11, HeLa,
and SCC-13 cells. A, wild-type and mutant probes were used
with KMT1 abolishing the overlapping E-box and AP1-like
motifs and KMT2 eliminating the CACACCT motif. DNA binding
patterns of the nuclear transcription factors with the three different
radioactively labeled DNA probes are compared. Labeled
arrows indicate complexes specifically bound to the CACACCT motif
within region K and are referred to in subsequent figures. The
arrows also indicate nonspecific complexes in SIRC nuclear
extracts. B, competition assays using radioactively labeled
probe K. 100-fold excess unlabeled competitor double-stranded
oligonucleotides are incubated with radioactively labeled probe K. Complexes a, b, and c are markedly attenuated by competitors K and
KMT1 but not by KMT2. C, the
radioactively labeled DNA probe K was incubated with crude nuclear
extract prepared from cells of epithelial origin as indicated above,
and labeled arrows indicate complexes a, b, and
c. Nonspecific complexes in SIRC nuclear extracts are indicated by
unlabeled arrows, and nonspecific complexes in
all other nuclear extracts are not marked.
|
|
To determine the tissue distribution of complexes a-c, EMSAs with
nuclear extracts from different cell lines of epithelial origin were
performed. As shown in Fig. 4C, complexes a, b, and c were
present variably in esophageal squamous cancer cell lines but not in a
limited number of cell lines tested that were of other epithelial
origin. Significantly, the intensity of the complexes correlated with
K4 promoter activity (Fig. 2D).
Different Transcription Factors from TE-12 and TE-11 Cell Lines
Bind the Inverted CACACCT Motif--
To further characterize the
binding specificity of nuclear proteins to probe K, minimal-length
oligonucleotide probes were synthesized and mutated, designated as
probes B and BMT2 (Table II). Three specific nuclear
proteins bind the inverted CACACCT motif within probe B, when comparing
the wild-type and mutant versions of probe B. These three complexes are
consistent with complexes a, b, and c (Fig.
5A) under similar
electrophoretic mobility shift assay conditions. It should be noted
that using different sizes of probes caused the pattern of nonspecific
complexes to change.

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Fig. 5.
Different transcription factors from TE-12
and TE-11 cell lines bind the CACACCT motif. Double-stranded DNA
probes corresponding to region B within the K4 promoter and region F
within the EBV ED-L2 promoter (see Table II for sequences of probes B,
BMT2, F, and FMT) were labeled with
[ -32P]dCTP and used in EMSAs. A, DNA
binding patterns of the nuclear transcription factors with the two
different radioactively labeled probes (probes B and F) and their
mutant versions (probes BMT2 and FMT) incubated
with TE-12 and TE-11 nuclear extracts are compared. Specific complexes
are marked with labeled arrows. This reveals that
there is a cell line-dependent complex formation with
complexes a, b, and c in the TE-12 nuclear extract and complexes a and
KSF in the TE-11 nuclear extract. B, the right
panel shows competition assays using radioactively labeled probe B
incubated with 100-fold excess of unlabeled competitor double-stranded
oligonucleotides B, BMT1, BMT2, and
BMT3 (see Table II for sequences) and the TE-12 nuclear
extract. Complexes a, b, and c are markedly attenuated by competitors B
and BMT1 but not by BMT2 and BMT3.
B, the left panel shows increasing concentrations
of EGTA (5, 10, and 25 mM) with variable attenuation of
complexes a, b, and c, indicating these complexes may be
Zn2+-dependent.
|
|
As we have demonstrated previously that the CACACCT motif is a critical
DNA binding site for the nearly 70-kDa KSF and that this is responsible
for the majority of basal EBV ED-L2 promoter activity (26), the role of
this motif within the human K4 promoter was compared with the ED-L2
promoter. A slower migrating complex corresponding to KSF could be
specifically reconstituted in TE-11 nuclear extracts using probes
(probe F and FMT) (Table II) containing the CACACCT motif
within the ED-L2 promoter as shown previously (26). The K4 probe B also
binds KSF in TE-11 nuclear extracts. In addition, the ED-L2 probe F
recognizes complexes a, b, and c in the TE-12 nuclear extract,
indicating that the CACACCT motif within both promoters act as a
transcription factor binding site regardless of sequence orientation.
In contrast, the KSF complex could only be detected faintly with either
probes B or F in TE-12 nuclear extracts. Complex a was the most
abundant in both TE-12 and TE-11 nuclear extracts using either probe B
or F. These results demonstrate that different esophageal-specific
nuclear transcription factors can bind the same motif, depending upon
the cell line tested.
To further delineate the critical nucleotides necessary in the
formation of complexes a, b, and c, competition experiments were done
with 100-fold excess of wild-type B competitor and its serially mutated
sequences. Taking advantage of the observation that the four cytosine
residues within the CACACCT motif play an critical role in KSF complex
formation in TE-11 cells (26), three representative mutated sequences
(BMT1-3) were chosen for the inverted CACACCT motif (Table
II). One contained a single base pair mutation in the first thymidine
of the GTGTGGA motif (BMT1), one a mutation in the initial
guanine residue (BMT2), and one had a two-base pair
mutation in the final two guanine residues (BMT3) (Table
II). Mutated competitor oligonucleotides with substitutions at the
cytosine/guanine positions in the inverted CACACCT motif did not
interfere with the formation of complexes a, b, and c (Fig.
5B, left panel), although mutations in the other nucleotides did interfere. These data are consistent with what was
observed previously with the CACACCT motif within the ED-L2 promoter.
Overall, these competition experiments indicate that the guanine
nucleotides within the inverted CACACCT motif contribute to the
formation of complexes a, b, and c.
Zn2+ Chelation and Ultraviolet Light-induced
Cross-linking Reveal Additional Characteristics of the DNA-binding
Nuclear Proteins--
Additional EMSAs were performed utilizing EGTA
to identify which factors may require Zn2+ for DNA binding
(31). These data revealed that complexes a and b, and to a lesser
extent complex c, were attenuated (Fig. 5C, right
panel), suggesting that all complexes a, b, and c may require
zinc.
To estimate the molecular masses of complexes a, b, and c, ultraviolet
light-induced cross-linking experiments were performed. This technique
takes advantage of the binding specificity of nuclear factors to
wild-type sequences, but not to mutant sequences (27). EMSA reactions
were performed in an identical fashion with -32P-labeled
wild-type and mutant probes, followed by UV-induced cross-linking with
separation by SDS-PAGE. Probe B cross-links to one dominant specific
protein of approximately 48 kDa and to a second less abundant specific
protein of 44 kDa (Fig. 6).

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Fig. 6.
UV light-induced cross-linking experiment
with radioactively labeled probe B corresponding to the CACACCT motif
within the human K4 promoter. DNA probes B and BMT2 were labeled
with [ -32P]dGTP as described under "Experimental
Procedures." EMSA reactions were the same except for the following
modifications: DNA probes were Klenow filled-in by annealing
corresponding 7-mers, 5-bromodeoxyuridine was substituted for dTTP, and
reactions were 30 min at 4 °C to inhibit protein degradation.
Samples were exposed to medium wave (312 nm) UV-transilluminator for 30 min on ice at a distance of 3 cm and separated with 10%
SDS-polyacrylamide gel electrophoresis. Arrows indicate the
major protein complexes unique to the wild-type DNA probe B but not
seen in with the corresponding mutant DNA probe BMT2. Molecular mass
size markers are expressed in kilodaltons (kDa).
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|
Interaction With CBP/p300 Further Characterizes
Esophageal-specific Nuclear Factors--
An emerging recent
theme is the linkage of the basal transcriptional machinery to factors
binding upstream enhancer elements through the CBP/p300 co-activators
(32, 33). To further characterize the esophageal-specific factors in
TE-12 cells and the previously described KSF in TE-11 cells,
cotransfection studies with the K4 163 promoter construct and
CBP/p300 expression constructs were performed. Both CBP (pRC/RSV-mCBP)
and p300 (CMV -p300) when cotransfected with the K4 163 deletion
construct or with the region K in pGL3 (data not shown) resulted in a
7-12-fold stimulation of transcriptional activity compared with basal
K4 promoter activity alone (Fig.
7A). E1A (pCMV-12S.E.1A)
cotransfection disrupted the K4 163 promoter activity whereas the E1A
mutant version 12SRG2 (pCMV-12SRG2) did not (Fig. 7A). To
determine whether CBP/p300 may contribute to the formation of complexes
a, b, or c in TE-12 cells or to KSF complex formation in TE-11 cells,
EMSAs were performed using probe B (Table II) and antibodies specific
to CBP/p300 in immune supershift assays. Anti-CBP/p300 antibody 451 eliminated complex a, but not b and c, in TE-12 cells. In addition, KSF
was eliminated with the same antibody in TE-11 cells. The CBP antibody A-22 only partially abolished all these complexes. The former antibody
recognizes amino acids 451-720 within the cAMP-responsive element-binding protein binding domain of CBP and is specific for CBP
and p300. Anti-CBP antibody A-22 recognizes CBP at its amino terminus,
but does not cross-react with p300. An unrelated anti-AP2 antibody
serving as control did not disrupt any complexes.

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Fig. 7.
CBP/p300 transactivates the human K4 promoter
possibly through interaction with esophageal keratinocyte-specific
transcription factors. A, TE-12 cells were transiently
transfected with the K4 163 promoter deletion luciferase reporter
construct and co-transfected with pRC/RSV-empty, pCMV-12S.E.1A,
pCMV-12SRG2, CMV -p300, or pRC/RSV-mCBP constructs for 24 h,
followed by harvesting for the luciferase assay. Luciferase activity is
expressed as -fold increase relative to the empty vector pRC/RSV
cotransfection (mean ± standard error values) and is calculated
from three independent transfections. B, double-stranded
oligonucleotides corresponding to region B were labeled with
[ -32P]dCTP and used in the EMSA along with antibodies
to CBP/p300 (CBP1 (451), CBP2 (A22)) and AP2 (Ap2 (C-18)).
Antibodies were incubated with the EMSA reaction components prior to
addition of the radioactively labeled DNA probe B. Arrows
indicate complexes a-c and KSF binding probe B in TE-12 and TE-11
nuclear extracts, respectively. Complexes a and KSF are markedly
attenuated when antibodies to CBP are used. No effect on complex
pattern is observed with the AP2 antibody.
|
|
 |
DISCUSSION |
Studies aimed at elucidating the molecular regulation of
proliferation and differentiation in the stratified squamous epithelium have inherent advantages in ultimately defining the normal program that
switches cells from a proliferative to a differentiated state, facilitating identification of possible progenitor stem cells (34),
characterizing epithelial response to injurious agents, and
understanding how the epithelium undergoes a dedifferentiated phenotype
during malignant transformation. Investigations of the keratin genes
form a paradigm for elucidating underlying molecular mechanisms as they
are critically linked to cellular organization and growth within the
stratified squamous epithelium (35, 36).
The suprabasal compartment within the epithelium harbors cells that
undergo a switch from a proliferative to an early differentiated state.
It is important to delineate both the genes responsible for this switch
and the transcription factors that orchestrate the pattern of gene
expression in this process. In this context, there are ubiquitous
keratins, such as K1 and K10, which form heterodimers, and
tissue-restricted ones such as K4 and K13, which also heterodimerize.
Taking advantage of K4's relatively restricted expression pattern in
the esophagus and cornea (15), we have generated a model in which this
gene is disrupted through homologous recombination in murine embryonic
stem cells (17). K4 disruption resulted in an impairment of the normal
differentiation sequence, especially in the esophageal but also in the
corneal epithelia, in young homozygous null mice but not in age-matched
heterozygous or wild-type mice. This suggested to us that the
transcriptional regulation of K4 might be important in understanding
the commitment to early differentiation in these tissues.
After cloning and sequencing the human K4 promoter, serial deletions
fused to the luciferase reporter gene were generated and transiently
transfected in corneal and esophageal cell lines, among others.
Recognizing that the K4 promoter has multiple positive and negative
cis-regulatory elements, reminiscent of other keratin promoters, we nonetheless concentrated upon a key region between 163
to 140 bp as deletion of this region renders the K4 promoter functionally inactive. Known elements in this 23-bp region include an
E-box, an AP1-like motif, and an inverted CACACCT motif, the latter
previously shown by us to be critical in basal transcription of the
suprabasal EBV ED-L2 promoter (26). Introduction of mutations in the
overlapping E-box and AP1-like motifs or the CACACCT motif in the
endogenous K4 promoter revealed that the latter motif is especially
critical for K4 promoter activity. This was further corroborated by
inserting the wild-type 23-bp region and the same mutant versions in a
heterologous promoter system. Importantly, complementary biochemical
analyses demonstrated that three esophageal-specific transcriptional
factors bind the inverted CACACCT motif within the human K4 promoter in
a sequence-specific fashion. Interestingly enough, the abundance of
these three factors varies among different esophageal cell lines and
correlates with K4 promoter activity within these cell lines. Indeed,
the three factors are most prominent in the TE-12 cell line, but only
one of these (designated "a") is abundant in TE-11. The latter cell
line contains a previously described tissue- and cell-specific factor,
KSF (26), whereas TE-12 contains barely detectable levels of KSF. It is
tempting to speculate that esophageal suprabasal keratin as well as
viral (human papillomavirus, EBV) promoters are regulated
differentially by tissue-specific transcriptional factors, which may in
turn respond to signals that trigger differentiation. At the same time, regulation of the K4 promoter in corneal cells is in large measure also
mediated through this 23-bp region, although different factors (perhaps
corneal specific) are responsible.
An intriguing finding in our studies is that co-transactivation of the
K4 promoter involves some interplay between the esophageal-specific transcriptional factors in TE-11 and TE-12 cells and the CBP/p300 factors. An emerging theme has been the link of CBP/p300 to
differentiation programs in different cell types, such as muscle,
B-cells, and erythroid cells (37, 38). Furthermore, as is also evident in our model system, there appears to be a preferential co-activation by p300 based upon transfection studies and immune supershift assays. A
differential co-transactivation by CBP/p300 has been recently described
in HTLV-1 Tax protein-mediated gene expression (39) and in retinoic
acid induced F9 cell differentiation (40).
Promoter analyses and transgenic mouse studies in other models of
transcriptional regulation have revealed that for keratin genes, there
are key sequences involved in regulating their expression (41, 42).
Among the candidates implicated in orchestrating epidermal gene
expression is the sequence 5'-GCCTGCAGGC-3' in the 5'-UTR of the K14
gene (18). For the K14 gene, the sequence acts in synergy with a distal
element to regulate transcription in keratinocytes. Epidermal nuclear
extracts contain a protein(s) that binds to this sequence and
cross-reacts with antibodies against the transcription factor AP2 (19,
43). AP2-binding sites have since been found in the promoters of most
epidermal and some hair-specific genes, and where tested, they are
functionally important for gene expression. Studies indicate that AP2
plays a role in K5 and K14 activation in basal cells in vivo
(13, 44, 45). At the same time, during the conduction of our studies,
limited analysis of the K4 promoter revealed that AP2 contributes to K4
transcriptional regulation in cultured HaCaT skin keratinocytes (46).
However, our studies indicate more complex regulatory mechanisms are
present in a tissue-specific fashion, consistent with the high
expression pattern of K4 in the cornea and esophagus.
Members of the AP1 family of transcription factors are also found in
the epidermis of skin. These include JunB and c-Fos, which reside
primarily in the differentiating layers of the epidermis, implicating
these members of the AP1 family in regulating differentiating specific
functions in skin (21). Consistent with this notion is the finding that
promoters active in terminally differentiating keratinocytes contain
AP1 sites. In addition, the bovine K5 promoter appears to be regulated
in part by a "keratinocyte"-specific AP1 factor, one that is not
responsive to phorbol ester (19). Based upon our studies within the
163 to 140 cis-regulatory region of the K4 promoter, it
does not appear that AP1 is contributing to transactivation. Another
factor that appears important in the basal cell compartment is
basonuclin, a zinc-finger protein (47). Basonuclin persists in cells
that have withdrawn from the cell cycle, but it is absent in terminally
differentiating cells (48).
Further examples of the interplay of ubiquitous and tissue-restricted
factors within the stratified squamous epithelium can be demonstrated
in suprabasal promoters. These include the regulation of the K3
promoter by Sp-1-like and NF- B-like factors (23). Furthermore, there
appears to be a coordinated action in the levels of Sp-1 and AP2,
namely an increased Sp-1/AP2 ratio regulates K3 gene transcription in
differentiating corneal epithelial cells (49). In addition, although
some members of the POU family are expressed throughout the stratified
epithelium, such as Oct-1, others such as Skn-1a and Tst-1 appear more
critical in the suprabasal compartment (50). Interestingly, our
previous studies also illustrate that relatively tissue-restricted
factors, such as KSF and GKLF, can regulate viral promoters, such as
the ED-L2 promoter, and cellular promoters, such as the human K4
promoter in this compartment (26-28).
The intermediate and superficial squamous compartments, where cells
have undergone terminal differentiation, are also regulated by complex
transcriptional mechanisms. A particularly interesting factor is ESE-1,
an epithelial specific member of the Ets family, which localizes to
this compartment and transactivates terminally differentiated linked
SPRR2A and keratin 8 promoters (51).
Taken together, the stratified squamous epithelium undergoes a
carefully orchestrated program of differentiation involving a complex
interplay of both ubiquitous and tissues-specific transcription factors. Our novel findings with the human K4 promoter provide a model
in which to study the regulation of gene expression during early
differentiation.
 |
ACKNOWLEDGEMENTS |
We are grateful to Dr. Richard H. Goodman for
the CBP/p300 expression vectors, Dr. Andrew B. Leiter for the E1A
expression vectors, Dr. Takuya Inomoto for initial help with the
cloning of the keratin 4 promoter, and Dr. Hubert E. Blum.
 |
FOOTNOTES |
*
This work was supported by American Cancer Society Faculty
Research Award JFRA-649 (to A. R.); National Institutes of Health Grants R01-DK53377 (to A. R.) and 1P01 DE12467-01A1 (to A. R.); Deutsche Krebshilfe Grant D/96/17197 (to O. O.); a Glaxo
Wellcome Institute for Digestive Health basic research award (to
T. J.); and Center for the Study of Inflammatory Bowel Disease
Award 5P30DK43357-08 (to T. J.).The costs of publication of this
article were defrayed in part by the
payment of page charges. The article
must therefore be hereby marked
"advertisement" in
accordance with 18 U.S.C. Section
1734 solely to indicate this fact.
The nucleotide sequence(s) reported in this paper has been submitted to the GenBankTM/EMBL Data Bank with accession number(s) AF066051.
¶
To whom correspondence should be addressed: Gastrointestinal
Unit, Jackson 904, Massachusetts General Hospital, 50 Blossom St.,
Boston, MA 02114. Tel.: 617-724-3740; Fax: 617-726-3673; E-mail:
rustgi{at}helix.mgh.harvard.edu.
The abbreviations used are:
K, keratin; EBS, epidermal bullosa simplex; EH, epidermolytic hyperkeratosis; bp, base
pair(s); EBV, Epstein-Barr virus; PCR, polymerase chain reaction; UTR, untranslated region; EMSA, electrophoretic mobility shift assay; Tricine, N-tris(hydroxymethyl)methylglycineKSF, keratinocyte-specific factorGKLF, Gut-enriched Krüppel-like
factorCBP, cAMP-response element-binding protein.
 |
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