JBC Transcription and Nuclear Factor Monoclonals

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Originally published In Press as doi:10.1074/jbc.M109244200 on October 5, 2001

J. Biol. Chem., Vol. 276, Issue 51, 47775-47784, December 21, 2001
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The Role of Hepatic Nuclear Factor 1alpha and PDX-1 in Transcriptional Regulation of the pdx-1 Gene*

Kevin Gerrish, Michelle A. Cissell, and Roland SteinDagger

From the Department of Molecular Physiology and Biophysics, Vanderbilt University Medical Center, Nashville, Tennessee 37215

Received for publication, September 25, 2001


    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

The PDX-1 homeodomain transcription factor regulates pancreatic development and adult islet beta  cell function. Expression of the pdx-1 gene is almost exclusively localized to beta  cells within the adult endocrine pancreas. Islet beta  cell-selective transcription is controlled by evolutionarily conserved subdomain sequences (termed Areas I (-2839 to -2520 base pairs (bp)), II (-2252 to -2023 bp), and III (-1939 to -1664 bp)) found within the 5'-flanking region of the pdx-1 gene. Areas I and II are independently capable of directing beta  cell-selective reporter gene activity in transfection assays, with Area I-mediated stimulation dependent upon binding of hepatic nuclear factor 3beta (HNF3beta ), a key regulator of islet beta  cell function. To identify other transactivators of Area I, highly conserved sequence segments within this subdomain were mutagenized, and their effect on activation was determined. Several of the sensitive sites were found by transcription factor data base analysis to potentially bind endodermally expressed transcription factors, including HNF1alpha (-2758 to -2746 bp, Segment 2), HNF4 (-2742 to -2730 bp, Segment 4; -2683 to -2671 bp, Segment 7-8), and HNF6 (-2727 to -2715 bp, Segment 5). HNF1alpha , but not HNF4 and HNF6, binds specifically to Area I sequences in vitro. HNF1alpha was also shown to specifically activate Area I-driven transcription through Segment 2. In addition, PDX-1 itself was found to stimulate Area I activation. The chromatin immunoprecipitation assay performed with PDX-1 antisera also demonstrated that this factor bound to Area I within the endogenous pdx-1 gene in beta  cells. Our results indicate that regulatory factors binding to Area I conserved sequences contribute to the selective transcription pattern of the pdx-1 gene and that control is mediated by endodermal regulators like HNF1alpha , HNF3beta , and PDX-1.


    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

Several transcription factors that are enriched within pancreatic islet cells mediate differentiation during embryogenesis and the maintenance of specialized cellular functions in the adult (1-3). Some of these proteins are also dysfunctional in patients with diabetes, a disease caused in part by the failure of beta  cells to produce sufficient insulin to meet the needs of the body (4-6).

The PDX-1 (pancreas duodenum homeobox-1; also known as STF-1, IDX-1, IPF-1, and IUF-1) transcription factor is an essential regulator of pancreatic development and adult islet beta  cell function (7-10). In the pancreas, PDX-1 is expressed almost exclusively in islet beta  cells (11) and regulates transcription of the genes associated with beta  cell identity, including insulin (12-16), glucokinase (17), islet amyloid polypeptide (18-21), and glucose transporter type 2 (GLUT2) (22). Selectively removing PDX-1 from islet beta  cells in mice compromised their ability to maintain glucose homeostasis and resulted in the development of diabetes, at least partially because of reduced beta  cell expression of insulin and GLUT2 (23). In addition, mice that are heterozygous mutant carriers of PDX-1 exhibit signs of glucose intolerance, suggesting that pdx-1 gene dosage affects insulin expression and beta  cell function (23, 24). Humans with this condition are susceptible to different forms of non-insulin-dependent diabetes, including mature onset diabetes of the young (25-27).

Pancreatic development and islet beta  cell function also are influenced by hepatic nuclear factors (HNFs)1 1alpha (28-30), 1beta (31), 3beta , 4alpha (32-34), and 6 (35). For instance, HNF1alpha -/- (30) and HNF6-/- (35) mice exhibit a non-insulin-dependent diabetic phenotype that is associated with beta  cell dysfunction. Heterogeneous nonfunctional mutations in HNF1alpha (29), HNF1beta (31), and HNF4alpha (34) are also found in patients with human mature onset diabetes of the young. Each distinct HNF transcription factor appears to be required for controlling key differentiation and metabolic programs in the pancreas and liver (30, 35-38).

The sequences that control appropriate developmental and adult specific expression of the pdx-1 gene were demonstrated in transgenic studies to be located in the 5'-flanking region of the mouse (39, 41) and rat (40) genes. Three nuclease hypersensitive sites, termed HSS 1 (-2560 to -1880 bp), 2 (-1330 to -880 bp), 3 (-260 to +180 bp), were identified within this region of the endogenous mouse gene by DNase I and micrococcal nuclease analysis (39). However, only HSS1 sequences were capable of directing pancreatic beta  cell-selective expression in transgenic and transfection studies (39). Sequence analysis of the mouse, chicken, and human pdx-1 genes revealed that the HSS1 region also represented the only area of significant identity within 4.5 kilobases of the transcription start site (41). Sequence conservation and function allowed the HSS1 region to be divided into the Area I (-2839 to -2520 bp), Area II (-2252 to -2023 bp), and Area III (-1939 to -1664 bp) subdomains (41). Areas I and II, but not Area III, were capable of independently directing beta  cell-selective reporter gene activity in transfection assays, with Area I activation mediated by HNF3beta (41). This forkhead transcription factor is also necessary for stimulation by Area II, although only in the context of both Area I and II sequences (39, 41). The importance of HNF3beta in pdx-1 transcription was also supported by results showing that pdx-1 mRNA levels were reduced in homozygous null HNF3beta embryoid bodies (41).

Collectively, the data obtained from analysis of transgenic and transfected pdx-1-driven reporter constructs strongly suggested that the HSS1 region played an essential role in directing transcription during development and in the adult. We proposed that conserved subdomains of HSS1 (i.e. Areas I, II, and III) contained transcription factor binding sites that were critical in this process, like the HNF3beta element (41). A comprehensive series of block mutants within the conserved sequences of Area I were prepared to test this hypothesis. Our results indicate that HNF1alpha and PDX-1 itself are key positive regulators of Area I activation in beta  cells. These studies suggest that pdx-1 transcription is regulated by factors associated with controlling both the developmental and metabolic states of the beta  cell and that an inactivating mutation in one of its critical regulators (e.g. PDX-1, HNF1alpha , and HNF3beta ) could affect its expression and contribute to beta  cell dysfunction and disease in patients.

    EXPERIMENTAL PROCEDURES
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

Transfection Constructs-- Human pdx-1 sequences spanning Area I (-2839 to -2520 bp) were generated by polymerase chain reaction (PCR) and cloned directly upstream of the herpes simplex virus thymidine kinase (Tk) promoter region in the chloramphenicol acetyltransferase (CAT) expression vector, pTk(An) (42). Pst-Bst·pTk contains mouse pdx-1 sequences from -2917 (PstI) to -1918 (BstEII) bp (39). Noncomplementary transversional block and point mutations (G to T; C to A) within the conserved sequences of human Area I·pTk and Pst-Bst·pTk were generated using the Quik Change mutagenesis kit (Stratagene); the human Area I oligonucleotides used were: S1 mutant, CAGTATCAGCGAGGAAGCGACTGACGTCCTGCTAATA (-2788 to -2752); S2 mutant, AGGACTATCAGGACGGAAGTAGCCGCCACGACTTTTTCACTGT (-2777 to -2735); S3 mutant, TCCTGCTAATAAACGCAGGGGGCACTGTCCACACTTT (-2762 to -2726); S4 mutant, AATAAACGACTTTTTACAGTGAATTCCTTTAATTGGTTTAC (-2755 to -2715); S5 mutant, TTTCACTGTCCACACGGGCCGGTTGGGCACCCTTTTTTGTTTATT (-2743 to -2699); S6 mutant, TGTTTATTTATCCATCCTCGAGTAGGTTAAATGGCTCGGGA (-2706 to -2666); S7 mutant, TCCATAAGAGCTGCTTGGCCCGGTACCGGGAAGTTGCTCCC (-2696 to -2656); S8 mutant, GCTGTTAAATGGCTCTTTCCTTTGCTCCCTAATGGC (-2684 to -2649); S9 mutant, TCGGGAAGTTGCTCCCGCCGTTAGCGGTATCGCTGCCGG (-2671 to -2633); S2 7-11 mutant (S2 7-11 MUT), AGGACTATCAGGACGTCCTGAGCAAAAACGACTTTTTCACTGTCC (-2777 to -2733); S2 to beta -Fibrinogen (S2 to beta -FIB), CTATCAGGACGTTTAGTAATATTTGACAGTTTCACTGTCCACACTTT (-2773 to -2726); S2 to insulin A3 (S2 to A3), GGACTATCAGGACTAAGACTCTAATTACCCTTTTTTCACTGTCCAC (-2776 to -2731); S5 8-11 mutant, TTTTTCACTGTCCACACTTTCCGGGGTTTACACCTTTTTTGTTTA (-2745 to -2701); S5 to HNF6, TTCACTGTCCACACTGATATTGATTTTTACCTTTTTTGTTTAT (-2742 and -2700); and S5 to insulin A3, TTTCACTGTCCACACTAAGACTCTAATTACCCTTTTTTGTTTATT (-2743 to -2699). The numbering is relative to the human pdx-1 gene. The oligonucleotides used for mutagenesis of Pst-Bst·pTk were: S2 7-11 mutant, AGGACTATCAGGACGTCCTGAGCAAAAAAGACTTTTTCACTGTCC (-2700 to -2656); S2 to beta -Fib, CTATCAGGACGTTTAGTTTAATATTTGACAGTTTCACTGTCCACAGTAT (-2696 to -2649); S2 to insulin A3, GGACTATCAGGACTAAGACTCTAATTACGACTTTTTCACTGTC (-2690 to -2657); S5 nt 8-11 mutant, TTTTTCAGTGTCCACACTATCCGGGGTTTACAGCCGTTTTTGTTT (-2668 to -2624); S5 to HNF6, TTCACTGTCCACAGTGATATTGATTTTTAGCCGTTTTTGTTTA (-2665 to -2623); and S5 to insulin A3, TTTCACTGTCCACAGTAAGACTCTAATTACGCCGTTTTTGTTTAT (-2666 to -2622). The numbering for the Pst-Bst·pTk mutagenesis is relative to the mouse pdx-1 gene. All of the mutated sequences are underlined, and each construct was verified by sequencing. The HNF1alpha expression plasmid (pBJ5-HNF1alpha (43)) used in the transfection studies was kindly provided by Dr. Gerald Crabtree (Stanford University, Palo Alto, CA).

Cell Transfections-- Monolayer cultures of pancreatic islet beta  (beta TC3, HIT T-15, MIN6) and non-beta (NIH3T3) cells were maintained as described previously (41). The LipofectAMINE reagent (Life Technologies, Inc.) was used to transfect 1 µg each of pdx-1·pTk and the Rous sarcoma virus enhancer-driven luciferase expression plasmid, pRSVLUC (44). Co-transfection studies in NIH3T3 cells were performed similarly with 1 µg each of pdx-1·pTk, pRSVLUC, and pBJ5 or pBJ5-HNF1alpha . Extracts were prepared 40-48 h after transfection and luciferase (44) and CAT (45) enzymatic assays performed. pdx-1·CAT activity was normalized to that of pRSVLUC. Each experiment was carried out at least three independent times.

Electrophoretic Mobility Shift Assays-- Gel shift conditions to detect HNF1alpha (46), HNF4alpha (47), and HNF6 (48) binding were carried out as described. Nuclear extracts were prepared using methods described previously (49). The TNT-coupled reticulocyte lysate system (Promega) was used to in vitro transcribe and translate HNF1alpha (pGEM7-HNF1alpha (Richard O'Brien, Vanderbilt University)), HNF4alpha (pMT7-HNF4alpha (50)), HNF6 (pGEM1-HNF6 (51)), PDX-1 (SKII900 (52)), Pax6 (pKW10-Pax6 (53)), Pax4 (pBluescript KSII(+)-Pax4, Beatriz Sosa-Pineda, St. Jude's Children's Research Hospital, Memphis, TN), Nkx 6.1 (pBluescript SKII(+)-Nkx 6.1 (54)), Nkx 2.2 (PCRII-Nkx 2.2, Pelle Serup, Hagedorn Research Institute, Gentofte, Denmark), and Hblx9 (HB9C (55)). Approximately 5 µg of extract protein or 5 µl of in vitro translated protein was used per gel mobility shift reaction. Anti-PDX-1 antisera was preincubated with extract protein for 20 min at room temperature prior to adding the DNA probe; anti-N-terminal (amino acids 1-75; Chris Wright, Vanderbilt University) and anti-C-terminal (amino acids 271-283 (10)) antisera to PDX-1 was used in these assays. The same conditions were used with anti HNF1alpha (Santa Cruz Biotechnology) and anti HNF1beta (Santa Cruz Biotechnology) antisera. The double-stranded oligonucleotides used to detect binding were end-labeled with polynucleotide kinase and [gamma -32P]ATP. The samples were electrophoresed on 6% nondenaturing polyacrylamide gels at 150 V for 2 h under high ionic strength polyacrylamide gel electrophoresis conditions (15) before drying and autoradiography. The probe and competitor sequences were: human S2, GTCCTGCTAATAAACGACTTTTT (-2763 to -2741); human S2 BLOCK mutant, GGAAGTAGCCGCCCCGACTTTTT (-2763 to -2741); human S2 7-11 mutant, GTCCTGAGCAAAAACGACTTTTT (-2763 to -2741); human S2 to beta -FIB, GTTTAGTTAATATTTGACAGTTT (-2763 to -2741); human S4, TTTTTCACTGTCCACACT (-2745 to -2728); human S5, ACACTTTAATTGGTTTAC (-2732 to -2715); human E5 BLOCK mutant, ACACGGGCCGGTTGGGCACC (-2732 to -2715); human S5 8-11 mutant, ACACTTTCCGGGGTTTAC (-2732 to -2715); human S7-8, CTGCTGTTAAATGGCTCGGG (-2686 to -2667); HNF1 site in the mouse beta -Fib gene (56), TTTAGTTAATATTTGACAGTT (-99 to -79); HNF1 site in the human insulin gene (57), CCCTGGTTAAGACTCTAATGACC (-229 to -207); PDX-1 element (termed A3) in the rat II insulin gene (12), CCTCTTAAGACTCTAATTACCCT (-212 to -190); HNF4 element in the human ApoCIII gene (47), GTCTACTGGAAACGGGTC (-86 to -69); and the HNF6 element in the human HNF3beta gene (58), CGATATTGATTTTT (-140 to -127). The mutated nucleotides are underlined.

Chromatin Immunoprecipitation (ChIP) Assays-- Monolayer cultures of mouse beta TC-3 cells (~0.5-1.0 × 108) were exposed to 1% formaldehyde in Dulbecco's modified Eagle's medium for 5 min at 23 °C; glycine was added to 0.125 M, and the cultures were incubated for 2 min. The cells were collected in cold phosphate-buffered saline, pelleted by centrifugation, and incubated for 10 min on ice in 0.6 ml of SDS lysis buffer (1% SDS, 10 mM EDTA, 50 mM Tris-HCl, pH 8.1, 1 mM phenylmethylsulfonyl fluoride). Lysed samples were transferred to prechilled microcentrifuge tubes containing 250 mg of glass beads (<= 106 µm diameter, 106 µm), and the chromatin was sonicated at power setting 4 with a Virsonic 100 sonicator (Virtis Company, Inc.) for twelve 10-s pulses at 4 °C. The reactions were centrifuged for 10 min at 4 °C to remove debris and stored at -70 °C. A 100-µl aliquot was diluted with 0.9 ml of buffer (0.01% SDS, 1.1% Triton X-100, 1.2 mM EDTA, 16.7 mM Tris-HCl, pH 8.1, 167 mM NaCl, 1 mM phenylmethylsulfonyl fluoride, 0.1% protease inhibitor mixture for mammalian cells (Sigma)) and precleared with 60 µl of bovine serum albumin-blocked protein A-Sepharose for 1 h at 4 °C. After removal of the Sepharose beads by centrifugation, 1 µl of anti-PDX-1 antisera, 10 µg of normal rabbit IgG (Santa Cruz Biotechnology, Inc.), or no antibody was added to the supernatant, and the reaction was incubated for 1 h at 4 °C. Antisera raised to the N-terminal (amino acids 1-75) and C-terminal (amino acids 271-283 (10)) regions of PDX-1 were used. Antibody-protein-DNA complexes were isolated by incubation with 60 µl of blocked protein A-Sepharose for 3 h at 4 °C. After extensive washing, bound DNA fragments were eluted and analyzed by PCR using Ready-to-Go PCR beads (Amersham Pharmacia Biotech), 15 pmol of each primer, and 10 µl of immunoprecipitated DNA/reaction. Cycling parameters were: one cycle of 95 °C for 2 min and 28 cycles of 95 °C for 30 s, 61 °C for 30 s, and 72 °C for 30 s. The primers used for amplification of mouse Area I were 5'-CCACTAAGAAGGAAGGCCAG-3' (-2785) and 5'-CTGAGGTTCTTTCTCTGCCTCTCTG-3 (-2435). Cycling parameters for amplification of mouse PEPCK were: one cycle of 95 °C for 2 min and 28 cycles of 95 °C for 30 s, 61 °C for 30 s, and 72 °C for 30 s. The primers used for amplification of mouse PEPCK were: 5'-GAGTGACACCTCACAGCTGTGG-3' (-434) and 5'-GGCAGGCCTTTGGATCATAGCC-3' (-96). The PCR products were confirmed by sequencing. Amplified products were electrophoresed through a 1.4% agarose gel in Tris acetate/EDTA buffer and visualized by ethidium bromide staining.

    RESULTS
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

Conserved Area I Sequences Are Essential for beta  Cell Activation-- Transfected pdx-1 driven reporter constructs spanning Area I (-2839 to -2520 bp) display beta  cell-specific activation (41). To determine whether the conserved sequences between -2773 and -2643 bp are involved in regulation, each segment (S) of identity was independently mutated, and the effect on Area I activation was assayed in transfected HIT-T15, beta TC-3, and MIN6 beta  cell lines (Fig. 1A). Essentially equivalent results were obtained between these beta  cell lines (Fig. 1B).


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Fig. 1.   Localization of transcriptional control segments within conserved Area I sequences. A, conserved sequences within Area I sequences are shaded (41). The nucleotides are numbered relative to the human pdx-1 gene. Each bar spans the mutated sequences; the HNF3beta control element is labeled. B, wild type and mutant Area I·pTk CAT were transfected into the HIT-T15, beta TC3, and MIN6 cell lines. The percentage of mutant Area I·pTk activity ± S.D. from at least three to five independent experiments is presented relative to wild type activity. ND, not determined.

Mutations in S4, S5, S6, S7, and S8 all reduced Area I-driven activity (Fig. 1B), and their effect was comparable with mutating the HNF3beta site (41). The sequences found within S4 and S7-8 have a 9 of 13 nucleotide match to the consensus binding site for the HNF4 family of proteins (Refs. 59 and 60 and Fig. 2A). Gel mobility shift binding assays were performed with a probe corresponding to the HNF4 binding site in the apolipoprotein CIII gene (apoCIII) (47), in vitro translated HNF4alpha , and S4, S7-8, and apoCIII competitors. In contrast to apoCIII, neither S4 nor S7-8 competed effectively for HNF4alpha binding (Fig. 2B). There was also no detectable binding between S4 or S7-8 probes and HNF4alpha (data not shown). These results demonstrated that HNF4alpha can not bind to S4 or S7-8, and as a consequence, neither HNF4alpha nor HNF4gamma appear to directly regulate Area I activation.


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Fig. 2.   HNF4alpha does not bind to S4 or S7-8. A, the homology between S4, S7-8, and the HNF4 site in the human apolipoprotein CIII (apoCIII) (47) to the consensus HNF4 binding site (74) (RGKNYRRRGKYYN, where R = purine, G, or A; K = G or T; N = A, C, G, or T; and Y = pyrimidine, C or T) is shown. Nonmatching nucleotides are in lowercase letters. B, gel mobility shift assays were performed with the apoCIII probe in the presence of in vitro translated HNF4alpha and the S4, S7-8, and apoCIII competitors. The competitions were performed in the absence (-) or presence of 50-, 100-, or 200-fold molar excess of unlabeled competitor to probe. WT, wild type.

HNF1alpha Binds to S2-- The HNF1alpha and HNF1beta homeoproteins bind with identical specificity as homodimers or heterodimers (61). S2 has a 10 of 13 nucleotide homology with the consensus HNF1 binding site (Fig. 3A). Binding experiments were performed with the S2 probe and in vitro translated HNF1alpha , and nuclear extracts were prepared from beta  (HIT-T15, beta TC3), islet alpha  (alpha TC6), and pancreatic acinar (AR42J) cell lines and rat liver. The in vitro translated HNF1alpha -bound complex co-migrated with one formed in liver, acinar, and beta  extracts (Fig. 3B). The beta  cell complex was supershifted with an antiserum raised to HNF1alpha but not to HNF1beta (Fig. 3C). However, HNF1beta was also found in the HNF1 complex from kidney extracts (data not shown). These results indicated that HNF1alpha and HNF1beta could bind to S2. In addition, two other S2 complexes were identified, with the faster migrating beta EF1 (beta -enriched factor 1) complex only detected in beta  cell extracts and the other in all (see beta EF-1 and U (i.e. for ubiquitous) labeled complexes in Fig. 3B).


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Fig. 3.   Binding of liver and beta  cell nuclear proteins to S2. A, the homology between the consensus HNF1 binding site (61), the beta -FIB HNF1 site, and wild type and mutant S2 sequences is illustrated (GTTAATNATTRRC, where N = A, C, G, or T and R = purine, G, or A). Nonmatching nucleotides are in lowercase letters. B, in vitro translated (IVT) HNF1alpha (lane 1) and equal concentrations of liver (lane 2), alpha TC-6 (lane 3), AR42J (lane 4), HIT-T15 (lane 5), or beta TC-3 (lane 6) nuclear protein extract were analyzed for S2 binding. The arrows designate specific binding complexes; HNF1alpha , beta EF1, and the U complexes discussed in the text are labeled. C, the HNF1alpha and HNF1beta antisera were preincubated with HIT-T15 nuclear extract before initiation of the S2 DNA-binding reaction. The positions of the HNF1alpha and supershifted (SS) HNF1alpha complexes are shown. The left lane represents the binding reaction conducted in the absence of antisera (-). D, S2 binding reactions were conducted with HIT-T15 nuclear extract either alone (lane 1) or in the presence of a 200-fold molar excess of S2 (lane 2), S2 Block MUT (lane 3), S2 7-11 MUT (lane 4), S2 to beta -FIB (lane 5), or beta -FIB (lane 6) competitor to the S2 probe.

The binding properties of the S2 complexes formed in beta  extracts were determined by competition analyses. All three appeared to be specific, because their formation was decreased by unlabeled wild type probe sequences and not by the S2 block mutant (Fig. 3D). In addition, mutating four base pairs within the HNF1alpha /beta binding core sequence also prevented competition (i.e. S2 7-11 MUT). In contrast, HNF1alpha binding was selectively eliminated using either the HNF1 binding site from the beta -fibrinogen (beta -FIB) gene or an S2 mutant that contained the HNF1 binding consensus sequences of the beta -FIB competitor (S2 to beta -FIB, 12 of 13 nucleotide homology; Fig. 3D).

HNF1alpha has also been shown to bind in vitro to a distinct control element of the rat I (28) and human (57) insulin genes. The homology between the human insulin and the consensus HNF1 binding site is poorer than to S2 (Fig. 3A), and competition analysis demonstrated that HNF1alpha has a 5-fold higher affinity for S2 than the human site. These results suggest that the diabetic condition found in mature onset diabetes of the young patients may not only be due to effects on insulin transcription but also to effects on pdx-1 expression.

HNF1alpha Potentiates Area I-driven Activation-- To test whether HNF1alpha regulated Area I activation in beta  cells, S2 sequences were changed to resemble the HNF1 binding site of the beta -FIB gene. The S2 to beta -FIB site serves as an effective competitor and probe for HNF1alpha binding, although it has little or no effect on the other S2 complexes (Fig. 3D; data not shown). This altered specificity mutant was made in Area I alone or Area I and Area II combined. The larger mouse pdx-1 gene promoter construct, termed Pst-Bst, directs beta  cell-selective expression in transfected beta  cell lines and transgenic animals (39).

The activity of the S2 to beta -FIB mutant in Area I·pTk and Pst-Bst·pTk was compared with the wild type and S2 7-11 mutant. We believed that the S2 7-11 core mutant would be less active than the wild type, because this mutation prevents protein complex formation (Fig. 3). Each of these plasmids was introduced into HIT-T15, beta TC-3, and MIN6 cells. As expected, the S2 7-11 mutant reduced both Area I and Pst-Bst-mediated activation (Fig. 4, A and B); the effect was more pronounced in Pst-Bst·pTk (Fig. 4B). The altered specificity mutant was consistently more active than the S2 7-11 mutant in Pst-Bst, although not in Area I alone. Similarly, the HNF3beta binding site mutant in Area II only decreased beta  cell stimulation within a Pst-Bst context, whereas both Area I and Pst-Bst activation were decreased by the HNF3beta binding mutant in Area I (41).


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Fig. 4.   HNF1alpha stimulates Area I-driven expression in beta  cells. A and B, the pdx-1 Area I (A) and Pst-Bst (B) region reporter plasmids are shown diagrammatically. Area I is shaded in the S2 core block mutant (S2 7-11) and hatched in the S2 altered specificity mutant (S2 to beta -FIB). The wild type and mutant Area I·pTk (A) and Pst-Bst·pTk (B) plasmids were transfected into HIT-T15, beta TC3, and MIN6 cell lines. The normalized activity ± S.D. of each Area I mutant construct is presented as the percentage of activity of the corresponding wild type plasmid. C, NIH 3T3 cells were co-transfected with an HNF1alpha expression vector (pBJ5-HNF1alpha or vector alone (pBJ5) and the wild type or S2 block mutant Area I·pTk. Area I is shaded in the S2 block mutant (S2 BLOCK MUT). The normalized activity + S.D. of each construct is presented as fold pBJ5-HNF1alpha activation relative to pBJ5.

To directly determine whether HNF1alpha activated Area I expression, an HNF1alpha expression plasmid was co-transfected with either the wild type or S2 block mutant Area I·pTk construct into NIH 3T3 cells, which lack endogenous HNF1alpha . Overexpression of HNF1alpha activated Area I·pTk but had little effect on the S2 block mutant (Fig. 4C). Collectively, these results suggest that HNF1alpha regulates pdx-1 activation, but like HNF3beta stimulation of Area II, this process involves functional interactions with a beta  cell activator(s) residing in a neighboring control region.

HNF6 Binds Inefficiently to S5-- Although S5 is highly homologous to the consensus HNF6 binding site, in vitro translated HNF6 bound very poorly when compared with the HNF6 site of the HNF3beta promoter (Fig. 5, A and B). Similarly, S5 was only a slightly more effective HNF6 binding competitor than the S5 block mutant (Fig. 5C). In addition, HNF6 binding to S5 was not detected in beta  or non-beta (BHK and liver) nuclear extracts, although binding was readily observed with the HNF3beta site probe (Fig. 5D).


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Fig. 5.   S5 binds a beta  cell-enriched factor but not HNF6. A, sequences of S5, the S5 core block mutant (S5 8-11 MUT), and the HNF6 binding site from the HNF3beta promoter are shown. The nucleotide similarity to the consensus HNF6 binding site is also shown, with nonmatching nucleotides in lowercase letters (57). D = A, T, or G; H = A, T, or C; W = A or T; Y = pyrimidine, T, or C). B, S5 and the HNF3beta promoter probes were incubated with in vitro translated (IVT) HNF6. The binding reactions with S5 and HNF3beta promoter probes contained 5 and 1 µl of the HNF6 translation reaction, respectively. The HNF6 complex is indicated with an arrow. C, binding reactions were conducted with the HNF3beta promoter probe using liver nuclear extracts. A 100-fold molar excess of unlabeled S5, S5 8-11 MUT, and HNF3beta promoter competitor to probe was used. D, nuclear extracts from liver, BHK, HIT-T15, beta TC3, or MIN6 cells were analyzed for S5 (lanes 1-5) and HNF3beta promoter (lanes 6-10) binding. The principal complex formed with the S5 probe in liver extracts is nonspecific (NS) (data not shown). Gel shift assays performed with HNF6-specific antiserum confirmed the presence of HNF6 in the complex detected specifically with the HNF3beta probe in liver and beta  nuclear extracts (data not shown). E, binding reactions were conducted with the S5 probe and beta TC-3 extracts either alone (-) or in the presence of a 100-fold molar excess of S5, S5 8-11 mutant, or the HNF3beta promoter competitor to probe. Note that only S5 competed effectively with the probe for beta EF2 binding.

The prominent S5 binding complex was unique to beta  cell lines and was termed beta EF2 (Fig. 5D). Competition analysis demonstrated that beta EF2 binding was reduced by the S5 wild type competitor but not the S5 block mutant or HNF3beta promoter competitor (Fig. 5E). These results suggested that the protein(s) that forms the beta EF2 complex is the S5 activator and not HNF6. The inability to see a change in PDX-1 protein levels in HNF6 null mice also indicates that this factor does not regulate pdx-1 transcription (35).

beta EF1 and beta EF2 Contain PDX-1-- The data from the preceding experiments indicated that a beta  cell-enriched protein(s) binds to S2 and S5. Because these segments contain the characteristic homeodomain core binding sequence (i.e. TAATA), the islet-enriched PDX-1, Pax4, Pax6, Nkx2.2, Nkx6.1, and Hlxb9 homeodomain proteins were analyzed for binding to S2 (Fig. 6A) and S5 (Fig. 6B). Binding was only observed with in vitro translated PDX-1, and the complex formed co-migrated with beta EF1 and beta EF2 (Fig. 6, A and B). Preincubating the beta  extract with anti-PDX-1 antisera also specifically eliminated or supershifted the beta EF-1 (Fig. 6C) and beta EF-2 (Fig. 6D) complexes. As a final test for PDX-1 binding, a competition experiment was performed with the PDX-1 binding A3 element of the insulin gene. As expected, this competitor prevented formation of beta EF-1 (Fig. 6C) and beta EF-2 (Fig. 6D), although it did not affect HNF1alpha binding to S2 (Fig. 6C). S5 and A3 were found to bind with similar efficacy to PDX-1 in these assays and 5-fold higher than S2 (data not shown). These data demonstrated that PDX-1 can bind in vitro to two distinct cis-acting regulatory elements of Area I. 


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Fig. 6.   PDX-1 is present in the beta EF1 and beta EF2 complexes. A and B, gel mobility shift assays with the S2 (A) and S5 (B) probes were performed in absence (-) and presence of in vitro translated PDX-1, Pax4, Pax6, Nkx2.2, Nkx6.1, or Hlxb9 homeodomain protein. Translation reactions conducted with [35S]methionine demonstrated that a similar amount of protein was present in each reaction (data not shown). The binding complexes formed with HIT-T15 nuclear extract (beta NE) are shown. The HNF1alpha and beta EF binding complexes described in the text are labeled, as are the nonspecific complexes (NS). C and D, HIT-T15 nuclear extract binding to the S2 (C) and S5 (D) probes was conducted in absence (-) or presence (+) of N- or C-terminal PDX-1 antisera and a 200-fold molar excess of the S2, S5, or insulin A3 competitor.

PDX-1 Stimulates Area I Activation-- To determine whether PDX-1 binding to Area I mediated stimulation of Area I·pTk and Pst-Bst·pTk, S2 and S5 sequences were changed to more closely resemble the insulin A3 element. The S2 mutation specifically eliminated HNF1alpha binding (Fig. 6C and data not shown). The activity of the A3 conversion mutants was compared in beta  cells with the wild type and the core element block mutant.

There was little or no difference on S2 activation of Area I alone in the A3 conversion mutant versus the 7-11 mutant in HIT-T15 and beta TC3 cells, although stimulation was observed in MIN6 cells (Fig. 7A). In contrast, Pst-Bst activity was stimulated in all of the beta  cell lines by the S2 to A3 mutation (Fig. 7B). The A3 conversion mutant in S5 more profoundly influenced activation, because both Area I (Fig. 7C) and Pst-Bst (Fig. 7D) activities were increased. Depending upon the cell line, Area I alone activation was potentiated 6-13-fold over the core mutant and 1.5-2.5-fold over the wild type. The S5 to A3 conversion mutation in Pst-Bst was essentially the same as wild type Pst-Bst. These results suggested that binding of PDX-1 to S5 and/or S2 was involved in regulating pdx-1 transcription.


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Fig. 7.   PDX-1 stimulates Area I-driven expression in beta  cells. Area I (A and C) and Pst-Bst (B and D) region reporter plasmids are shown diagrammatically. Area I is shaded in the core block mutant in S2 (S2 7-11) and S5 (S5 8-11) and hatched in the A3 conversion mutation. The wild type and mutant Area I·pTk and Pst-Bst·pTk plasmids were transfected into HIT-T15, beta TC3, and MIN6 cell lines. The normalized activity ± S.D. of each Area I mutant construct is presented as the percentage of activity of the corresponding wild type plasmid. A and B, S2; C and D, S5.

PDX-1 Binds to Area I in Vivo-- The ChIP assay is a powerful tool for analyzing the occupancy of transcription factors on their cognate binding elements in vivo (62, 63). To more fully address the possibility of PDX-1-mediated regulation of pdx-1 gene expression, we used the ChIP assay to determine whether PDX-1 binding to Area I could be observed within the context of the endogenous gene. Immunoprecipitation of formaldehyde cross-linked chromatin from beta TC3 cells with antibodies specific to the N- or C-terminal region of PDX-1 precipitated Area I sequences, whereas rabbit IgG, CDX-4-specific antisera, or the no antibody controls did not (Fig. 8, top panel). In contrast, anti-PDX-1 antisera did not immunoprecipitate promoter sequences from the PEPCK gene, which is not transcribed in beta TC3 cells (Fig. 8, bottom panel). Similar results were observed with MIN6 cells (data not shown). Together with the gel shift and transfection data described above, these results demonstrate that PDX-1 regulates its own transcription.


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Fig. 8.   PDX-1 occupies Area I in vivo. Cross-linked chromatin from beta TC3 cells was incubated with antibodies raised to the N-terminal (lane 3) or C-terminal (lane 4) region of PDX-1. The immunoprecipitated DNA was analyzed by PCR for Area I (top panel) and PEPCK (bottom panel) sequences. As controls, PCR reactions were run with no DNA (lane 1), total input chromatin (lane 2), and DNA obtained from immunoprecipitation with an antibody raised to CDX-4 (lane 5), rabbit IgG (lane 6), or no antibody (lane 7). These experiments were carried out on nine independent occasions.


    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

PDX-1 plays a critical role in both pancreatic development and adult islet beta  cell function. The nuclease HSS1 region (-2560 to -1880 bp) of the pdx-1 gene contains crucial cis-acting elements involved in expression. The basis for this proposal was supported by data demonstrating that: 1) only HSS1 was independently capable of directing islet beta  cell selectively expression in transfection assays performed with pdx-1 driven constructs spanning the 4.5-kilobase promoter region (39); 2) the only significant sequence conservation within the promoter region was found within HSS1, as defined by the distinct functional subdomains (i.e. Areas I, II, and III) (41); and 3) a pdx-1-driven transgenic construct spanning Areas I and II was selectively expressed in islet beta  cells in mice (39). Collectively, these results strongly suggested that HSS1 was regulated by transcription factors critical for beta  cell formation and function. To localize regulatory elements shared among the mammalian pdx-1 genes, the segments of identity within Area I were specifically mutated, and the effect on activation in beta  cells was determined in transfection assays. The analyses performed in HIT-T15, beta TC-3, and MIN6 cells localized sequences that were involved in stimulation by this HSS1 subdomain (S2, S4, S5, S6, S7, and S8), as well as conserved segments of little or no regulatory importance (S1, S3, and S9). In addition, HNF-1alpha and PDX-1 itself were shown to mediate activation from Area I.

Strikingly, a transcription factor data base analysis of the mutational sensitive sequences in Area I suggested that proteins critical in endocrine cell development (HNF6, S5) and function (HNF1, S2; HNF4, S4 and S7-8) contribute to activation. However, only HNF1alpha was found to bind segment-specific probes in gel shift experiments performed with in vitro translated HNF1alpha , HNF4alpha , and HNF6 or nuclear extracts prepared from factor-producing cells. Our inability to detect HNF4alpha or HNF6 binding strongly suggests that these key regulatory proteins do not directly control Area I activation. The absence of a change in PDX-1 protein levels in HNF6 null mice also indicates that this factor does not play any role in regulating pdx-1 transcription (35). Endocrine islet cell development was severely impaired in these mice, apparently because of the requirement for HNF6 in neurogenin 3 expression (35), a transcription factor that is critical in determination of endocrine islet precursors (64).

To test whether HNF1alpha regulated Area I activation in beta  cells, S2 sequences were changed to select for HNF1alpha binding (S2 to beta -FIB) within the context of pdx-1 reporter constructs driven by human Area I alone or mouse Pst-Bst, which spans Areas I and II. The activity of the altered specificity mutants were compared with the wild type as well as the HNF1alpha binding defective mutant construct, S2 7-11 (Fig. 4). The S2 to beta -FIB mutant only effectively activated the pdx-1 construct spanning Areas I and II, suggesting that stimulation by HNF1alpha involves functional interactions with an Area II activator, a situation that parallels the requirement of Area I for HNF3beta activation of Area II (41). HNF1alpha was also shown to specifically activate S2-directed expression in co-transfection assays in NIH 3T3 cells. In contrast to S2, the HNF1alpha binding site in the human pdx-1 gene recently described may not be of general regulatory significance, because it is not conserved within the mouse or chicken genes (65).

The HNF-1 family of transcription factors bind DNA as homo- or heterodimers (61). Interestingly, HNF1beta is co-expressed with pdx-1 in the ventral and dorsal walls of the primitive foregut during early pancreas development (66). In contrast, HNF1alpha is expressed at a later developmental stage and at much higher levels than HNF1beta in adult beta  cells (66). We were only able to detect HNF1alpha in the S2-specific HNF1 complex from HIT-T15, beta TC-3, and MIN6 nuclear extracts, although HNF1beta was independently shown to be capable of binding to S2 (data not shown). Thus, these results support the possibility that HNF1alpha and/or HNF1beta function as activators of pdx-1 expression during pancreas specification and in the adult islet beta  cell.

The decrease in insulin synthesis and secretion found in mice lacking HNF1alpha also provides support for a role in pdx-1 transcription (30, 67), because decreased expression of PDX-1 would be expected to have a debilitating effect upon beta  cell function through its actions on GLUT2 and insulin transcription. Two distinct lines of HNF1alpha null mice have been independently derived by Lee et al. (30) and Pontoglio et al. (68). The same HNF1alpha sequences were targeted for removal (i.e. amino acids 1-108), although each used a different strategy to eliminate them. Both lines result in decreased insulin mRNA expression. However, the absence of HNF1alpha expression had a distinct effect on islet pdx-1 expression as well as the overall physiology of these animals. The decrease in pdx-1 mRNA expression in HNF1alpha null mice from Pontoglio et al. was 2.4-fold in the newborn pancreas islets and 2.9-fold in the adult (Fig. 1A of Ref. 69), whereas little or no effect was found in those from Lee et al. in islets from 2-week-old mice (Fig. 3 of Ref. 70). It is unclear which of these mouse models more closely resembles regulation in the human.

In addition to HNF1alpha , PDX-1 was found to specifically bind to S2 in gel shift assays performed with beta  cell nuclear extracts (Fig. 6, A and C) and was the principal S5 binding activity detected in these extracts (Fig. 6, B and D). Furthermore, Area I- and Pst-Bst-mediated activation were compromised in the S5 8-11 mutant (Fig. 7, C and D), demonstrating the critical nature of this site in transcriptional regulation. PDX-1 activated the altered specificity mutants that replaced S2 or S5 with insulin A3. Importantly, PDX-1 was shown to specifically bind to Area I of the endogenous pdx-1 gene using the ChIP assay. In contrast, we were unable to demonstrate HNF1alpha binding to Area I in vivo (data not shown), which may either reflect occupancy of S2 by PDX-1 or simply a technical inability to recover HNF1alpha -bound complexes in our ChIP assay.

These data strongly suggest that pdx-1 transcription is autoregulated. However, PDX-1 is not absolutely required for transcription because expression is detected during embryogenesis in pdx-1-/- mice (9) and in the presence of a dominant negative PDX-1 mutant in beta TC-3 cells (71). Autoregulation is utilized by other mammalian homeodomain-encoding genes, apparently to prevent extreme fluctuations in expression (72-77). Because PDX-1 is the major S5 binding factor, it is likely to bind and regulate through this site. Support for this proposal is also provided by quantitative competition assays showing that PDX-1 binds with greater affinity to S5 than S2 in vitro and transfection data indicating that PDX-1 can transactivate through S5 (78). We are currently working toward developing model systems to address the importance of PDX-1 autoregulation in vivo.

Islet beta  cell-specific expression clearly relies on the activity of many cell-enriched transcription factors, which function cooperatively to impart control (1, 3). The data presented have defined conserved cis-acting regulatory elements that are necessary for pdx-1 expression in the beta  cell. Furthermore, it is possible that the Area I sites that were insensitive to mutation in our assays reflect the limitations of our tumor cell lines rather than their importance in regulation in vivo. Identifying the regulatory factors that control the expression of genes such as pdx-1 may provide insight into the inherited defects that cause insulin deficiency and diabetes. For example, defects in beta  cell function in mature onset diabetes of the young patients expressing a dysfunctional HNF1alpha or PDX-1 protein may in part result from defects in pdx-1 expression, because reduced PDX-1 levels would, in turn, likely have profound consequences on expression on many of the target genes involved in glucose sensing, including insulin, glucokinase, and GLUT2.

    ACKNOWLEDGEMENTS

We are grateful to Drs. Chris Wright and Maureen Gannon for assistance in designing and interpreting many of the experiments described here.

    FOOTNOTES

* This work was supported by National Institutes of Health Grant RO1 DK50203 (to R. S.) and in part by Vanderbilt University Diabetes Research and Training Center Molecular Biology Core Laboratory Public Health Service Grant P60 DK20593 from the National Institutes of Health.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. Tel.: 615-322-7026; Fax: 615-322-7236; E-mail: roland.stein@mcmail.vanderbilt.edu.

Published, JBC Papers in Press, October 5, 2001, DOI 10.1074/jbc.M109244200

    ABBREVIATIONS

The abbreviations used are: HNF, hepatic nuclear factor; bp, base pair(s); PCR, polymerase chain reaction; Tk, thymidine kinase; CAT, chloramphenicol acetyltransferase; ChIP, chromatin immunoprecipitation; beta -FIB, beta -fibrinogen; PEPCK, phosphoenolpyruvate carboxykinase.

    REFERENCES
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

1. Sander, M., and German, M. S. (1997) J. Mol. Med. 75, 327-340[CrossRef][Medline] [Order article via Infotrieve]
2. St-Onge, L., Wehr, R., and Gruss, P. (1999) Curr. Opin. Genet. Dev. 9, 295-300[CrossRef][Medline] [Order article via Infotrieve]
3. Stein, R. (2001) in Handbook of Physiology Section 7: The Endocrine System (Jefferson, L. S. , Cherrington, A. D. , and Goodman, H. M., eds), Vol. 2 , pp. 25-47, Oxford University Press
4. Poitout, V., and Robertson, R. P. (1996) Annu. Rev. Med. 47, 69-83[CrossRef][Medline] [Order article via Infotrieve]
5. Hattersley, A. T. (1998) Diabetes Med. 15, 15-24[CrossRef][Medline] [Order article via Infotrieve]
6. Velho, G., and Froguel, P. (1998) Eur. J. Endocrinol. 138, 233-239[Abstract]
7. Jonsson, J., Carlson, L., Edlund, T., and Edlund, H. (1994) Nature 371, 606-609[CrossRef][Medline] [Order article via Infotrieve]
8. Ahlgren, U., Jonsson, J., and Edlund, H. (1996) Development 122, 1409-1416[Abstract]
9. Offield, M. F., Jetton, T. L., Labosky, P. A., Ray, M., Stein, R. W., Magnuson, M. A., Hogan, B. L., and Wright, C. V. (1996) Development 122, 983-995[Abstract]
10. Stoffers, D. A., Zinkin, N. T., Stanojevic, V., Clarke, W. L., and Habener, J. F. (1997) Nat. Genet. 15, 106-110[CrossRef][Medline] [Order article via Infotrieve]
11. Guz, Y., Montminy, M. R., Stein, R., Leonard, J., Gamer, L. W., Wright, C. V. E., and Teitelman, G. (1995) Development 121, 11-18[Abstract]
12. Ohlsson, H., Karlson, K., and Edlund, T. (1993) EMBO J. 12, 4251-4259[Medline] [Order article via Infotrieve]
13. Olson, L. K., Sharma, A., Peshavaria, M., Wright, C. V. E., Towle, H. C., Robertson, R. P., and Stein, R. (1995) Proc. Natl. Acad. Sci. U. S. A. 92, 9127-9131[Abstract/Free Full Text]
14. Peers, B., Leonard, J., Sharma, S., Teitelman, G., and Montminy, M. R. (1995) Mol. Endocrinol. 8, 1798-1806[Abstract]
15. Peshavaria, M., Gamer, L., Henderson, E., Teitelman, G., Wright, C. V. E., and Stein, R. (1994) Mol. Endocrinol. 8, 806-816[Abstract]
16. Petersen, H. V., Serup, P., Leonard, J., Michelsen, B. K., and Madsen, O. D. (1994) Proc. Natl. Acad. Sci. U. S. A. 91, 10465-10469[Abstract/Free Full Text]
17. Watada, H., Kajimoto, Y., Miyagawa, J., Hanafusa, T., Hamaguchi, K., Matsuoka, T., Yamamoto, K., Matsuzawa, Y., Kawamori, R., and Yamasaki, Y. (1996) Diabetes 1826-1831
18. Bretherton-Watt, D., Gore, N., and Boam, D. S. W. (1996) Biochem. J. 313, 495-502
19. Carty, M. D., Lilliquist, J. S., Peshavaria, M., Stein, R., and Soeller, W. C. (1997) J. Biol. Chem. 272, 11986-11993[Abstract/Free Full Text]
20. Serup, S., Petersen, H. V., Pedersen, E. E., Edlund, H., Leonard, J., Petersen, J. S., Larsson, L. I., and Madsen, O. D. (1995) Biochem. J. 310, 997-1003
21. Watada, H., Kajimoto, Y., Kaneto, H., Matsuoka, T., Fujitani, Y., Miyazaki, J., and Yamasaki, Y. (1996) Biochem. Biophys. Res. Commun. 229, 746-751[CrossRef][Medline] [Order article via Infotrieve]
22. Waeber, G., Thompson, N., Nicod, P., and Bonny, C. (1996) Mol. Endocrinol. 10, 1327-1334[Abstract]
23. Ahlgren, U., Jonsson, J., Jonsson, L., Simu, K., and Edlund, H. (1998) Genes Dev. 12, 1763-1768[Abstract/Free Full Text]
24. Dutta, S., Bonner-Weir, S., Montminy, M., and Wright, C. V. E. (1998) Nature 392, 560[Medline] [Order article via Infotrieve]
25. Hani, E. H., Stoffers, D. A., Chevre, J. C., Durand, E., Stanojevic, V., Dina, C., Habener, J. F., and Froguel, P. (1999) J. Clin. Invest. 104, R41-R48
26. Macfarlane, W. M., Frayling, T. M., Ellard, S., Evans, J. C., Allen, L. I., Bulman, M. P., Ayres, S., Shepherd, M., Clark, P., Millward, A., Demaine, A., Wilkin, T., Docherty, K., and Hattersley, A. T. (1999) J. Clin. Invest. 104, R33-R39
27. Stoffers, D. A., Ferrer, J., Clarke, W. L., and Habener, J. F. (1997) Nat. Genet. 17, 138-139[CrossRef][Medline] [Order article via Infotrieve]
28. Emens, L. A., Landers, D. W., and Moss, L. G. (1992) Proc. Natl. Acad. Sci. U. S. A. 89, 7300-7304[Abstract/Free Full Text]
29. Yamagata, K., Oda, N., Kaisaki, P