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Originally published In Press as doi:10.1074/jbc.M003337200 on June 16, 2000

J. Biol. Chem., Vol. 275, Issue 36, 28240-28245, September 8, 2000
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Sterol-dependent Transactivation of the ABC1 Promoter by the Liver X Receptor/Retinoid X Receptor*

Philippe Costet, Yi Luo, Nan Wang, and Alan R. TallDagger

From the Division of Molecular Medicine, Department of Medicine, Columbia University, New York, New York 10032

Received for publication, April 19, 2000, and in revised form, May 28, 2000

    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Tangier disease, a condition characterized by low levels of high density lipoprotein and cholesterol accumulation in macrophages, is caused by mutations in the ATP-binding cassette transporter ABC1. In cultured macrophages, ABC1 mRNA was induced in an additive fashion by 22(R)-hydroxycholesterol and 9-cis-retinoic acid (9CRA), suggesting induction by nuclear hormone receptors of the liver X receptor (LXR) and retinoid X receptor (RXR) family. We cloned the 5'-end of the human ABC1 transcript from cholesterol-loaded THP1 macrophages. When transfected into RAW macrophages, the upstream promoter was induced 7-fold by 22(R)-hydroxycholesterol, 8-fold by 9CRA, and 37-fold by 9CRA and 22(R)-hydroxycholesterol. Furthermore, promoter activity was increased in a sterol-responsive fashion when cotransfected with LXRalpha /RXR or LXRbeta /RXR. Further experiments identified a direct repeat spaced by four nucleotides (from -70 to -55 base pairs) as a binding site for LXRalpha /RXR or LXRbeta /RXR. Mutations in this element abolished the sterol-mediated activation of the promoter. The results show sterol-dependent transactivation of the ABC1 promoter by LXR/RXR and suggest that small molecule agonists of LXR could be useful drugs to reverse foam cell formation and atherogenesis.

    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Plasma HDL1-cholesterol levels are inversely related to the incidence of coronary artery disease (1). Two genetic diseases illustrate this phenomenon, the rare Tangier disease and the more common familial HDL deficiency. Tangier disease is characterized by an extremely low concentration of circulating HDL and the accumulation of cholesteryl esters in tonsils, liver, spleen, and intestinal mucosa, mostly in macrophage foam cells (2). Patients with familial HDL deficiency exhibit a low concentration of HDL particles and an increased risk of coronary artery disease (3). A common explanation for the cardioprotective effect of HDL is the major role it plays in reverse cholesterol transport (4). It is commonly accepted that the efflux of cholesterol from cells is caused by two different pathways: the first is passive and promotes efflux from the cell membrane to HDL and the second is energy-dependent and apolipoprotein-mediated (5). The latter was characterized in fibroblasts and macrophages and involves lipid-poor or -free apolipoproteins such as apoA-I, apoA-II, and apo-E (5-7). This active pathway has been reported to be defective in both Tangier disease and familial HDL deficiency (8-10). It was recently demonstrated that ABC1 is a key gene in this process (11) and that mutations of ABC1 are the major cause of both Tangier disease and familial HDL deficiency (3, 12-17).

ABC1 (ABCA1) belongs to the large ATP-binding cassette transporter family. These transmembrane proteins transport many diverse substrates across membranes because of their channel-like topology (18, 19). The human ABC1 gene was assigned to chromosome 9q31, spanning a minimum of 70 kilobases and containing at least 49 exons (14, 16, 20). Whereas its expression is ubiquitous, the highest levels of human or murine mRNAs were found in placenta, fetal tissues, liver, lung, and adrenal glands (21, 22). The predicted human protein contains 2201 amino acids (220-kDa protein) (21).

The expression of hABC1 is induced by cholesterol loading of human macrophages. Both the protein and the mRNA are up-regulated in the presence of acetylated LDL, and down-regulated by cholesterol unloading via HDL3 (21). Whereas the cholesterol-mediated regulation of genes involved in cholesterol uptake or biosynthesis via sterol regulatory element binding protein (SREBP) pathways is well understood (23), much less is known about direct mechanisms of sterol-mediated up-regulation of gene expression. Two families of nuclear receptors are known to be activated by oxysterols and to mediate a positive response by binding to specific DNA elements, the liver X receptor (LXR) and steroidogenic factor 1 (SF1) (24-27). SF1 acts as a monomer and has been implicated in the regulation of steroidogenic acute regulatory protein gene expression (StAR) activity (26). Recently, two different genes involved in the reverse cholesterol transport pathways, cholesterol 7alpha -hydoxylase (24) and cholesterol ester transfer protein (CETP) (25), have been shown to be up-regulated by the heterodimer LXR·RXR. This suggests the hypothesis that LXRs might coordinate different steps of reverse cholesterol transport (25). LXRalpha (NR1H3) and LXRbeta (NR1H2) heterodimerize with their partner RXR. The resulting complex up-regulates genes through binding sites typically composed of direct repeats (DR) of the motif AGGTCA, spaced by 4 nucleotides (LXRalpha and LXRbeta ) or 1 nucleotide (LXRbeta ) (28-30). The dimer can be activated by both the ligands of RXR (retinoids) and LXR (oxysterols) separately or together (29, 31, 32).

Here we report the sequence of the hABC1 promoter and show that this promoter is active in macrophages and that its sterol-mediated activation depends on the binding of LXR/RXRalpha to a DR4 element.

    MATERIALS AND METHODS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

5'-RACE PCR-- 5'-RACE PCR was performed with the SMART RACE cDNA kit (CLONTECH, Palo Alto, CA) using 1 µg of poly(A)+ mRNA from HepG2 and THP-1 cells that were differentiated into macrophage with phorbol 12-myristate 13-acetate and exposed to acetylated LDL (25 µg/ml) for 48 h. After reverse transcription (M-MLV reverse transcriptase, Life Technologies Inc.), a first PCR (hot start, 94 °C 30 s, 65 °C 30 s, 72 °C 3 min, 25 cycles, and then 72 °C 10 min) was performed using the reverse primer 5'-CCCCCTCCCTCGGGATGCCCGCAGACAA-3'. A second PCR (hot start, 94 °C 30 s, 55 °C 30 s, 72 °C 3 min, 25 cycles, and then 72 °C 10 min) was done on 2.5 µl of the 50×-diluted first PCR sample with the nested primer, 5'-GCCTCCGAGCATCTGAGAACAGGC-3'. The forward primers were provided by CLONTECH.

Cloning of the hABC1 Promoter and Introns 1 and 2-- The screening of the human RPC.11 BAC clone library was performed (Research Genetics, Inc., Huntsville, AL) with a 68-mer oligonucleotide probe corresponding to nucleotides 11-79 of the published hABC1 sequence. Two BAC clones were recovered that were positive by PCR for exon 1 (BAC553F19) and exon 3 (BAC 522C12). After digestion by PstI, a Southern blot was performed using the 32P-radiolabeled probes generated by PCR with the previously cited exons. Positive bands were cloned in pBluescript KS(+) (Stratagene, La Jolla, California). A colony hybridization (probes used for Southern blot) (33) allowed us to isolate positive clones for the hABC1 promoter (5 kilobases) and intron 2. Sequencing performed on both strands showed that we also cloned intron 2 from BAC 522C12. The sequences of these introns are contained in the sequence of human genomic clone RP11-1M10, which also contains exons 1, 2, and 3 (see Fig. 2a).

Cell Cultures and Transfection Experiments-- The cell lines were purchased from ATCC (Manassas, VA). The murine RAW 264.7, African green monkey CV-1, and human 293 or HepG2 cell lines were maintained in Dulbecco's modified Eagle's medium with 10% fetal bovine serum, 100 units/ml penicillin, and 100 mg/ml streptomycin. THP-1 cells were maintained in RPMI 1640 containing L-glutamine, 10% heat-inactivated fetal bovine serum, 100 units/ml penicillin, and 100 µg/ml streptomycin supplemented with 0.5 µM beta -mercaptoethanol. Confluent cells were differentiated with 0.2 µM phorbol 12-myristate 13-acetate (Sigma) in ethanol over 72 h. Thioglycolate-elicited peritoneal macrophages were isolated from C57 Bl/6 mice as described previously (34).

Transfections were performed in 24-well plates with LipofectAMINE reagent (transactivation experiments in CV-1 and 293 cells, see Figs. 4 and 5) or LipofectAMINE-Plus reagent (basal activation experiments in RAW 264.7, see Figs. 4, 6, and 8) according to the manufacturer's instructions (Life Technologies Inc.). For basal activation experiments, a total of 0.15 µg of reporter DNA and 0.05 µg of PRL-CMV (Renilla, Promega) per well were used. For transactivation studies, we used 0.025 µg/well PRL-CMV, 0.2 µg of reporter DNA, and 0.1 µg of each receptor (CMX-hRXRalpha , CMX-hLXRalpha , CMV-mLXRbeta ). pcDNA3.1 plasmid was included to obtain a final quantity of 0.45 µg of total DNA per well. The transfected cells were cultured in lipoprotein-deficient serum medium in the presence of 4 µg/ml (see Figs. 4, 6, and 8) or 2 µg/ml (transactivation experiments, see Fig. 5) of 22(R)-hydroxycholesterol (22(R)-Hch), 25-hydroxycholesterol (25-Hch), or 7-ketocholesterol (7-Kch), 10 µM 9-cis-retinoic acid (9CRA, Sigma) or ethanol alone for 24 h. The luciferase activities were measured using the Promega dual luciferase assay system. A reporter plasmid used to analyze the activity of the hABC1 promoter was constructed by subcloning a 1029-bp PCR fragment of the hABC1 promoter (from -928 to +101 bp) into the pGL3-Luc basic vector (Promega). A shorter promoter (from -469 to +101 bp) was generated by digestion of this plasmid with SacI. Deletions (see Fig. 7) were performed by enzymatic digestion (ApaI, from -156 to +101 bp) or PCR. The sequence of the PCR fragments were verified. Where shown, error bars represent S.D. Non-parametric Mann Whitney tests were performed to obtain p values.

Northern Blot Analysis-- Total RNA was isolated with RNAzol B reagent (TEL-TEST, Inc., Friendwood, TX). Northern blots were performed as described previously (33). A human ABC1 probe corresponding to exons 2-8 of the published sequence was synthesized by reverse transcriptase-PCR using the forward primer, 5'-AGGTGGCCTGGCCTCTATTTATCTTC-3' and the reverse primer, 5'-GCCTCCGAGCATCTGAGAACAGGC-3'. LXR probes were synthesized from human LXRalpha and mouse LXRbeta sequences (28, 35). A mouse glycerol-3-phosphate dehydrogenase probe was used as an internal standard (reverse transcriptase-PCR synthesized fragment: forward primer, 5'-ACCACAGTCCATGCCATCAC-3' and reverse primer, 5'-TCCACCACCCTGTTGCTGTA-3'). Signals were quantitated with phosphor imaging. Non-parametric Mann Whitney tests were performed to obtain p values.

Electrophoretic Mobility Shift Assays-- Electrophoretic mobility shift assays were performed as described previously (25). Nuclear extracts were prepared from 293 cells cotransfected with LXRalpha and hRXRalpha or LXRbeta and hRXR. Double-stranded oligonucleotides containing the DR4 element or its mutated version (see Fig. 7) were synthesized with overhangs and used at a final concentration of 0.1 pM (hABC1DR4) or 0.5 µM (competitors). An oligonucleotide corresponding to a canonical half-site sequence (AGGTCA) was added to each sample to reduce the background (1 µM). Polyclonal antibodies against peptides from LXRalpha (P20, sc-1202X), LXRalpha /beta (C19, sc-2101X), RXRalpha (D20, sc-553X), and RORalpha (K-20, sc-6063X) were purchased from Santa Cruz Biotechnology, Inc. (Santa Cruz, CA).

    RESULTS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Increased ABC1 mRNA in Human Macrophages Treated with Sterols and/or Retinoic Acid-- To investigate whether the endogenous ABC1 gene can be activated by oxysterols and/or retinoic acid in macrophages, we performed Northern blot analysis of total RNA from human THP-1 macrophages. Fig. 1 shows a significant increase of ABC1 mRNA in cells treated with 22(R)-Hch (2-fold induction, p < 0.05) or 9CRA (2-fold, p < 0.05). An additive effect was obtained with combined treatment (4-fold, p < 0.05 when compared with separate treatments). These responses suggest possible activation of transcription by LXR/RXR (32).


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Fig. 1.   Expression of hABC1 in THP1 macrophages. THP-1 cells were exposed for 72 h to phorbol 12-myristate 13-acetate to induce differentiation in macrophages. On day 4, cells were treated for 24 h with vehicle (ethanol), 22(R)-Hch (10 µM), and/or 9CRA (10 µM) (n = 4 per treatment). Top, Northern blot with 40 µg of total RNA from each sample. The membrane was hybridized with hABC1 probe and mouse glycerol-3-phosphate dehydrogenase (G3PDH) as an internal standard. Bottom, quantitation of blot, error bars represent S.D. Significance of treatment versus ethanol is indicated by *, p < 0.05.

Characterization of the 5' Region of the hABC1 Gene-- To identify the promoter of the human ABC1 gene, we performed 5'-RACE PCR using poly(A)+ mRNA from cholesterol-loaded THP-1 macrophages and HepG2 cells (Fig. 2b). In macrophages this revealed a single major transcript (transcript A) consisting of a first exon of 217 bp followed by a second exon of 160 bp, 73% identical to mouse exon 1 (GenBankTM/EBI accession number X75926). This exon is then followed by the published human exons 2, 3, and 4 (21).


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Fig. 2.   Analysis of hABC1 5' sequence. a, partial gene structure; b, results of 5'-RACE PCR; and c, amino-terminal sequence. a, the hABC1 promoter was cloned from the human library RPCI-11, and the structure of the 5'-end of the gene was determined by sequence analysis. Positions of exons in RP11-M10 sequence are indicated in the inset. b, 5'-RACE PCR was performed on cholesterol-loaded THP-1 macrophages. These cells express exons 1 and 2 (transcript A). A 5'-RACE PCR was also conducted on HepG2 cells, which express a truncated version of exon 2 and also exon 3 (transcripts B, C, D). Two possible ATG start codons are present in exons 2 and 3. c, a comparison of the deduced amino-terminal sequence (NH2-terminal sequence) of hABC1 with the nucleotide data base (tBlastn) revealed similarities with two members of the ABC1 family, ABCR and ABC3. |, identity; , conserved substitution.

In HepG2 cells, 5'-RACE PCR revealed three different transcripts (Fig. 2b). Transcript B represents a truncated version of exon 2 found in THP-1 cells (only the last 29 bp) followed by the published exons 2, 3, and 4 (21). Transcript C contains one exon of 372 bp upstream of the published exon 2, which is different from the exons found in THP1 cells. Transcript D has the same 5' structure as transcript C but lacks the published exon 3.

A BLAST search of the GenBankTM/EBI Data Bank (htgs) revealed 100% homology of these exons (Fig. 2a, exons 1-3) with fragments of the human genomic clone RP11-1M10 (working draft sequence, GenBankTM/EBI accession number AC012230). A comparison of the sequences from the published exon 2, the 5'-RACE PCR product, and RP11-1M10 revealed a C instead of a T at position +15 and a G instead of an A at position +17.

Conceptual translation of the transcripts revealed two new start codons in frame with the previously published ATG located in exon 5 (14) (Fig. 2, a and c). In the case of the transcript characteristic of THP1 cells, a new ATG located in exon 2 resulted in an extra 60 amino acids at the amino terminus. In the case of HepG2 cells, a new start codon at the 3'-end of exon 3 may be functional in transcript C and also transcript D, which lacks the previously published start codon. This results in an extra 39-amino acid fragment for transcript C.

A comparison of the putative amino-terminal amino acid sequences of ABC1 (transcripts A, B) with nucleotide data bases revealed strong homology to the amino-terminal sequences of two members of the ABC1 family (57% identity with ABCR and 45% identity with ABC3 (Fig. 1c). This strongly suggests that the amino-terminal sequence of hABC1 is authentic.

Sequence of the hABC1 Promoter-- The promoter region upstream of exon 1 was responsive to sterols when transfected into cells (see below), whereas the 2.3-kilobase region upstream of transcript B was not responsive (data not shown). Thus, we focused our attention on the former region.

Fig. 3 presents a partial sequence of genomic DNA with a fragment of exon 1 cloned from the human RPCI.11 BAC library. A potential TATA box is present at -32 bp and an Sp1 site at -101 bp. An analysis of this sequence revealed several potential transcription factor binding sites.


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Fig. 3.   hABC1 promoter sequence. This sequence is identical to the working draft sequence of the genomic clone RP11-1M10 (position 2335-3463 bp, GenBankTM/EBI accession number AC012230) except for the italicized 5'-end which is new. The fragment used in transfection covers from -928 to +101 bp. The arrowhead at -469 bp shows the SacI site that was used to generate a deleted promoter fragment. An analysis of the sequence (Matinspector) revealed numerous putative transcription binding sites (underlined). Dashed lines indicate a transcription binding site on the complementary strand. The bold type represents the 5'-end of exon 1.

hABC1 Promoter Is Functional and Sterol-responsive in Macrophages-- To investigate the function of the potential hABC1 promoter, we transfected the macrophage-like RAW 264.7 cell line with a promoter-luciferase construct (Fig. 4a). To test for activation by sterols we used 22(R)-Hch, a potent activator of LXR·RXR (36) but a poor activator of SF1 (27) and 9CRA, to activate endogenous RXR. Compared with basal conditions, transfected cells treated with 22(R)-Hch or 9CRA exhibited 7- and 8-fold higher promoter activity, respectively (p < 0.001) (Fig. 4a). When both compounds were added together, there was a synergistic 37-fold induction (p < 0.001). A similar response was obtained with promoter fragments containing 928 bp (Fig. 4a) or 469 bp (data not shown) of upstream sequence.


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Fig. 4.   Activation of the hABC1 promoter by oxysterols and retinoic acid in RAW 264.7 cell. a, a fragment of the hABC1 promoter (from -828 to +101 bp) was linked to the firefly luciferase reporter gene. The resulting plasmid was cotransfected with a control reporter plasmid (Renilla luciferase) in the mouse macrophage-like RAW 264.7 cells. Four independent transfection experiments (each in triplicate) were performed. The results are expressed as a ratio between the Firefly and Renilla luciferase activities. Cells were treated with vehicle (ethanol) or 22(R)-Hch (10 µM) or 9CRA (10 µM) or 22(R)-Hch (10 µM) and 9CRA (10 µM) for 24 h in fetal bovine serum medium complemented with 10% lipoprotein-deficient serum. b, activation of the hABC1 promoter by various oxysterols and/or 9CRA. Similar experiments to those performed in a were done using 22(R)-Hch (10 µM), 25-Hch (10 µM), 7-Kch (10 µM), and 9CRA (10 µM). Three to four independent experiments in duplicate or triplicate were performed. Bars indicate mean ± S.D. Significance of treatment versus ethanol is indicated by ***, p < 0.001; *, p < 0.05.

Next we compared the response of the ABC1 promoter to different sterols (Fig. 4b). We treated the transfected cells with 25-Hch, which is a good activator of SF1 and a weak activator of LXR (27). Cells were also treated with 7-Kch, which is relatively abundant in human arterial foam cells (37). 25-Hch is a poor inducer of the hABC1 promoter compared with 22(R)-Hch (1.5-fold activation, p < 0.05). No significant effect of 7-Kch was detected. However, when added in combination with 9CRA, a significant additive effect was detected for 7-Kch (2-fold when compared with 9CRA alone, p < 0.01). This pattern of sterol responsiveness is consistent with a transcriptional mechanism involving LXR.

LXRalpha and LXRbeta Are Both Expressed in Macrophages-- To further investigate the potential role of LXRalpha and LXRbeta in the sterol-mediated up-regulation of hABC1, we verified that the mRNA of these nuclear receptors was present in RAW264.7 cells (Fig. 5a). We also analyzed their expression in vivo, using thioglycolate-elicited peritoneal macrophages from mice. Both receptors were detected in macrophages by Northern blot of total RNA, with a much stronger signal for LXRbeta . We also selected two cell lines for our transactivation experiments, CV-1 and 293 cells. As shown in Fig. 5, both LXRalpha and LXRbeta could be detected in 293 cells but only LXRbeta in CV-1 cells. Because the quantities of mRNA for LXRs are relatively low in 293 cells and CV-1 cells, we chose to perform transactivation experiments in these cell lines.


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Fig. 5.   Expression of LXRalpha and LXRbeta in various cell lines. Sterol transactivation by LXR/RXR of the hABC1 promoter is shown. a, cells were isolated and cultured as described under "Material and Methods." A Northern blot was performed with 35 µg of total RNA for each cell line. Hybridizations were performed using probes of similar specific activities for hLXRalpha , mLXRbeta , and mouse glycerol-3-phosphate dehydrogenase (G3PDH) as an internal standard. h, human; m, mouse. b, 293 cells were transfected with the hABC1 promoter (from -469 to +101 bp) or a construct containing three copies of a sterol-responsive element of the CETP promoter (c) (25). These constructs were cotransfected with the Renilla luciferase reporter gene and hLXRalpha , mLXRbeta , and/or hRXRalpha as designated. The cells were treated 24 h with vehicle alone or 22(R)-Hch (5 µM) and/or 9CRA (10 µM) in fetal bovine serum medium with 10% lipoprotein-deficient serum. The results represent 2 independent experiments in duplicate for the transfection using the hABC1 promoter and 1-2 experiments in duplicates for the transfection using the hCETP promoter. d, CV-1 cells were transfected and treated according to the protocols described in b. 2-3 independent experiments in duplicates were performed. Bars indicate mean ± S.D. Significance of treatment versus ethanol is indicated by **, p < 0.01; *, p < 0.05.

LXR/RXR Transactivates the hABC1 Promoter in 293 and CV-1 Cells-- To define the involvement of hRXRalpha and/or LXRalpha /beta in the sterol up-regulation of hABC1, we cotransfected 293 cells with the human ABC1 promoter and with these receptors (Fig. 5b). We used the shorter promoter (deletion -460 bp), which was sterol-responsive in macrophages (data not shown). In 293 cells without cotransfected LXR/hRXR we observed up-regulation of the promoter by 22(R)-Hch (4.5-fold, p < 0.05) and 9CRA (3.5-fold, p < 0.05) alone. The combination of 9CRA and 22(R)-Hch resulted in an additive effect (10-fold, p < 0.05). Basal activity was slightly increased (1.5-fold) when LXRalpha /hRXRalpha were cotransfected, as was the sterol response, but there was no additional effect by 9CRA or 9CRA and 22(R)-Hch. However, cotransfection of LXRbeta /RXRalpha caused a 5-fold increase in basal expression and a synergistic effect of 9CRA and 22(R)-Hch (19-fold induction compared with ethanol and 3-fold induction compared with 9CRA alone, p < 0.05).

As a positive control for these experiments we used a construct containing three copies of the LXR·hRXRalpha binding site of the CETP promoter (25) (Fig. 5c). Even in the absence of transfected receptors, this construct was highly sterol- and retinoic acid-responsive in 293 cells (14- and 24-fold increase in luciferase activity, respectively, p < 0.05), and an additive or synergistic effect (58-fold) was obtained with cotreatment. LXR transfection resulted in increased basal activity and increased induction by sterols. However, 9CRA provided no further increase in activity compared with non-transfected cells. These results suggest that endogenous LXRs in 293 cells play a role in the response of both ABC1 and CETP promoters with a further increase in sterol-dependent promoter activity when LXR and RXR are cotransfected.

In CV-1 cells a significant sterol-activation of the ABC1 promoter was detected without transfected receptors (4-fold, p < 0.01, Fig. 5d). Cotransfection with LXRalpha /hRXRalpha or LXRbeta /hRXRalpha increased the basal activity of the promoter (2- and 4-fold, respectively, both p < 0.01). Exposure to 22(R)-Hch resulted in increased transactivation of the promoter (6- and 8-fold, respectively), compared with the control with no receptor.

Deletional Analysis of hABC1 Promoter-- To define the region of the hABC1 promoter involved in its sterol-mediated activation we carried out further deletional analysis (Fig. 6). Similar results to Fig. 4a were obtained with fragments of the promoter from -160 bp or -100 bp to +101 bp. Deletion of exon sequences (from +3 bp to +101 bp) reduced the basal activity, but the response to 22(R)-Hch and 9CRA was maintained. Notably, deletion of sequences between -101 and -36 bp reduced the basal activity and abolished the response to sterol and/or retinoic acid. Interestingly, the region covering -100 to +36 bp contains an almost perfect DR4 element located on the non-coding strand between -70 and -55 bp (Fig. 6, inset).


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Fig. 6.   Deletional analysis of hABC1 promoter. Deletions were performed by enzymatic digestion or PCR amplification of the hABC1 promoter. The results represent two independent experiments of duplicates. Bars indicate mean ± S.D. Significance of treatment versus ethanol is indicated by ***, p < 0.001; *, p < 0.05.

Mutational Analysis of the DR4 Element-- To test the hypothesis that the DR4 element is responsible for sterol activation, we introduced a mutated version of this element in the longer version of the hABC1 promoter (from -928 to +101 bp). Both half-sites were mutated by changing nucleotides away from the nuclear hormone binding consensus sequence, as shown in Fig. 7. This mutation reduced the basal expression (2.5-fold), but the activity was still readily detectable. Importantly, the mutation abolished the response to 22(R)-Hch alone or in combination with 9CRA.


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Fig. 7.   Mutational analysis of hABC1 promoter. Raw 264.7 cells were transfected with wild-type (WT) hABC1 promoter (from -928 to +101 bp) or its mutated version. The mutations are presented in Fig. 7. The results represent two independent experiments of duplicates. Bars indicate mean ± S.D. Significance of treatment versus ethanol is indicated by ***, p < 0.001; *, p < 0.05.

The DR4 Element Binds LXR/RXR-- To determine whether the DR4 element binds LXR/RXR, we used oligonucleotides containing the wild-type DR4 or the mutated version (as in the functional assay, Fig. 7) to perform electrophoretic mobility shift assays using nuclear extracts from 293 cells cotransfected with LXRbeta /hRXRalpha (Fig. 8, top) or LXRalpha /hRXRalpha (Fig. 8, bottom). When the hABC1 wild-type DR4 element is used alone, a single major shift in activity is detected for both types of nuclear extracts (Fig. 8, lane 1), which disappears with excess of cold competitor indicating specificity (Fig. 8, lane 2). Because the mutated version is unable to compete with the intact oligonucleotide (Fig. 8, lane 3), the integrity of the DR4 itself is necessary for transcription factor binding. In cells cotransfected with LXRbeta /RXR, antibodies recognizing the LXRalpha or LXRbeta /alpha common region and anti-RXR antibodies markedly reduced binding activity and produced supershifted bands (Fig. 8, top). In cells cotransfected with LXRalpha /RXR, antibodies to LXRalpha , LXR beta /alpha , and RXRalpha showed similar effects except that the LXRalpha antibody did not produce a supershifted complex (25). Antibodies specific for RORalpha had no (or a minimal) effect as expected. These results show that LXRalpha /RXRalpha or LXRbeta /RXRalpha bind this DR4 element.


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Fig. 8.   Electrophoretic mobility shift assay of human ABC1 promoter fragment. Oligonucleotides containing the DR4 element (see Fig. 6) that was identified as a potential binding site for LXR/RXR or a mutated version (mut. DR4) were 32P-radiolabeled. Competitors (lanes 2 and 3) correspond to cold wild-type or mutant oligonucleotides. After incubation with these oligonucleotides and nuclear extracts from 293 cells transfected with LXRalpha /hRXRalpha (B) or LXRbeta /hRXRalpha (A), some samples were incubated with polyclonal antibodies for LXRalpha /beta , LXRalpha , RXRalpha , or RORalpha (negative control) or with a monoclonal antibody targeting LXRbeta . Three different experiments were performed with similar results. The arrow indicates the position of the retarded complex.


    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

In this study we have identified a region of the human ABC1 promoter, which is active in macrophages and is induced by 22(R)-hydroxycholesterol and 9-cis-retinoic acid. Our characterization of the major transcript in cholesterol-loaded THP1 macrophages led to the identification of this promoter and also showed that most of the potential upstream initiation codons (ATG) in the previously published cDNA (21) are unlikely to represent the authentic translation initiation site. LXRalpha /RXRalpha or LXRbeta /RXRalpha binds to a DR4 element in the hABC1 promoter and mediates its activation by oxysterol and retinoic acid. Thus, LXR and/or RXR agonists could be useful drugs to reverse foam cell formation and atherogenesis.

A unique DR4 element mediates the sterol up-regulation of the hABC1 gene through LXR/RXR, and mutational analysis suggests that this is the only site involved. Unlike previously identified DR4 elements (25, 36), the element in the ABC1 promoter is found in an inverse orientation on the non-coding strand (Fig. 6). The almost canonical sequence of this element might explain its high efficiency. Mutations in the DR4 result in a decrease of the basal expression of the promoter, but significant activity is still detectable. A weak activation of the mutated promoter by 9CRA (Fig. 7) suggests the presence of another binding site for RXR. However, the DR4 element we identified is responsible for the entire sterol-mediated activation of the 1-kilobase hABC1 promoter (Fig. 3).

The pattern of activation of the ABC1 promoter by sterols suggests that its expression may be suboptimal in atherosclerotic lesions. Thus, 7-KCh is relatively abundant in oxidized-LDL and in atheroma foam cells (37) and is a poor activator of the hABC1 promoter (Fig. 4b). 27-Hch, also abundant in foam cells, is a relatively poor activator of LXR (32, 36). Thus, the accumulation of oxysterols in atherosclerotic lesions probably does not result in optimal activation of hABC1. This suggests that small molecules that are optimal LXR activators might be effective drugs at reversing foam cell formation and that they might be useful as a treatment for atherosclerosis. The activation of the hABC1 promoter by 9CRA is increased 2-fold when given with 7-Kch (Fig. 4b). This further suggests that with regard to the induction of ABC1 by oxysterols, an unfavourable foam cell environment could also be switched to a more favorable one by delivery of ligands for RXR.

The inability of LXRbeta to compensate for the lack of LXRalpha in LXRalpha -/- mice (24) suggests that these receptors have different targets. In vitro, both LXRalpha and LXRbeta are able to up-regulate hABC1 (Fig. 5, b-d) or CETP (25), but LXRbeta is clearly more effective than LXRalpha in mediating the sterol response of hABC1 (Fig. 5b). This is also consistent with the fact that LXRbeta appears to be more highly expressed than LXRalpha in macrophages (Fig. 5a).

To conclude, we have shown that hABC1 is up-regulated at the transcriptional level by oxysterols and 9CRA acting though LXR/RXR which binds a proximal DR4 element located on the non-coding strand. These results provide strong support for the idea that LXRs act directly to coordinate the activities of molecules mediating reverse cholesterol transport (25). This may lead to a functional coordination of different steps of reverse cholesterol transport. For example, CETP activity results in the remodeling of HDL into small particles and liberates free apoA-I from HDL (38). Free apoA-I appears to be the optimal substrate for ABC1 (39, 40). Thus, coordinate induction of CETP and ABC1 by LXR/RXR might act synergistically to enhance cholesterol efflux from macrophage foam cells.

    FOOTNOTES

* This work was supported by National Institutes of Health Grants HL54591 and HL56984.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.

Dagger To whom correspondence should be addressed: Division of Molecular Medicine, Dept. of Medicine, Columbia University, New York, NY 10032. Tel.: 212-305-4899; Fax: 212-305-5052; E-mail: art1@columbia.edu.

Published, JBC Papers in Press, June 16, 2000, DOI 10.1074/jbc.M003337200

    ABBREVIATIONS

The abbreviations used are: HDL, high density lipoprotein; 9CRA, 9-cis-retinoic acid; 22(R)-Hch, 22(R)-hydroxycholesterol; 25-Hch, 25-hydroxycholesterol; 7-Kch, 7-ketocholesterol; LXR, liver X receptor; RXR, retinoid X receptor; LXR/RXR, cotransfected mixture of two receptors; LXR·RXR, putative heterodimer complex; SF1, steroidogenic factor 1; CETP, cholesterol ester transfer protein; DR, direct repeat; RACE, rapid amplification of cDNA ends; bp, base pair(s); PCR, polymerase chain reaction; LDL, low density lipoprotein.

    REFERENCES
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

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