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J. Biol. Chem., Vol. 280, Issue 12, 12019-12027, March 25, 2005
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From the Department of Biochemistry, Molecular Biology, and Biophysics, University of Minnesota, Minneapolis, Minnesota, 55455
Received for publication, November 18, 2004 , and in revised form, January 4, 2005.
| ABSTRACT |
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| INTRODUCTION |
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(ACC), and S14 (1-3). Two signaling pathways are required for this response. Increased insulin secretion in response to elevated blood glucose levels activates the basic helix-loop-helix/leucine zipper (bHLH/LZ) transcription factor sterol regulatory element-binding protein-1c (SREBP-1c) (4-6). SREBP-1c binds to a regulatory sequence in the promoter region of most lipogenic enzyme genes to activate their transcription (7, 8). Overexpressing SREBP-1c in mice leads to an increased rate of lipogenesis and increased mRNA levels of lipogenic enzyme genes (9, 10). However, both in vitro and in vivo data suggest that SREBP-1c alone is not sufficient to support the full induction of lipogenic enzyme genes in response to high carbohydrate diet (11, 12). In addition to the insulin-signaling pathway, increased uptake and metabolism of glucose is now recognized as initiating a second signaling pathway responsible for controlling the synthesis of lipogenic enzymes. Increased glucose metabolism is postulated to generate a metabolite that activates the downstream signaling pathway. Both glucose 6-phosphate and xylulose 5-phosphate have been proposed as the critical metabolite in this pathway (2, 13, 14). However, the intracellular mechanism of the glucose-signaling pathway is not fully understood. A carbohydrate response element (ChoRE) that mediates the transcriptional response to glucose has been mapped within the promoter regions in several lipogenic enzyme genes (15-19). This element is composed of two E-box (CACGTG) or E-box-like sequences that are separated by 5 bp. The presence of E-box motifs in these response elements suggests that a bHLH protein family member recognizes the ChoRE and mediates the response to glucose.
A candidate transcription factor was purified based on its ability to bind to the PK ChoRE (20). This factor, designated as carbohydrate response element-binding protein (ChREBP), is a member of the bHLH/LZ family (21). ChREBP is expressed at high levels in the liver and is also abundant in adipose, kidney, and small intestine (20-23). Overexpressing ChREBP in primary hepatocytes induces activity of the ChoRE-containing PK promoter in high glucose conditions but not in low glucose conditions (20). However, ChREBP does not effectively homodimerize or bind to the ChoREs as a homodimer (22, 24). Using a yeast-two hybrid screen, Max-like protein X (Mlx) was identified as a bHLH/LZ protein in liver that interacts with the bHLH/LZ domain of ChREBP (24). Mlx is a member of the Myc/Max/Mad family of transcription factors, and similar to Max, it can serve as a common interaction partner of a transcription factor network (25-27). In addition to ChREBP, Mlx can also interact with Mad1, Mnt, Mad4, and MondoA (a paralog of ChREBP) (25, 26, 28). However, no target genes have been identified for Mlx and these heterodimeric partners. Recently, we demonstrated that ChREBP can bind to various ChoREs only in the presence of Mlx (24). Moreover, activation of ChoRE-containing promoters depends upon both ChREBP and Mlx in human embryonic kidney 293 cells (24). The correlation between the binding and functional data suggested that Mlx is a functional interaction partner of ChREBP. However, 293 cells are not glucose-responsive. Whether ChREBP and Mlx function together to directly regulate the glucose-responsive lipogenic enzyme genes remains a question.
To further explore the role of ChREBP·Mlx in the glucose-signaling pathway, we developed dominant negative forms of Mlx to block the function of ChREBP in the context of a glucose-responsive cell environment. In this report we provide evidence supporting a direct role of ChREBP·Mlx heterodimer in regulating glucose-responsive genes in liver and supporting an obligatory role for Mlx in this process.
| EXPERIMENTAL PROCEDURES |
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293 Cell Culture and TransfectionsExperiments were performed in a similar manner as previously described (24). Human embryonic kidney 293 cells were maintained in Dulbecco's modified Eagle's medium supplemented with 5% fetal bovine serum and penicillin/streptomycin. For whole cell extracts used in electrophoretic mobility shift assays (EMSAs), 293 cells were transfected in 100-mm plates using the calcium phosphate method. We transfected 7.5 µg each of plasmids expressing double mutant ChREBP (S196A/T666A) (24) and Mlx with 22.5 µg of either form of dominant negative Mlx or empty vector plasmids into 293 cells. Whole cell lysate was prepared from cells 40 h post-transfection using the whole cell extract protocol in the nuclear extract kit from ActiveMotif (Carlsbad, CA).
EMSAsEMSAs were conducted as described previously (30). A typical reaction contained 100,000 cpm of 32P-labeled oligonucleotide and 5 µg of whole cell extract from 293 cells. For reactions with antibodies, proteins were first incubated with antibody for 30 min at 4 °C. Liver nuclear extracts were prepared from male Harlan Sprague-Dawley rats as described previously (11). Antibodies to Mlx and USF1 were obtained from Santa Cruz Biotechnology; FLAG and HA antibodies were purchased from Sigma. After incubation with oligonucleotide for 30 min at room temperature, samples were loaded and separated on a 4.5% nondenaturing polyacrylamide gel. Results were obtained by phosphorimaging analysis.
Construction of Recombinant AdenovirusDominant negative Mlx plasmids were constructed by site-directed mutagenesis using the QuikChange kit (Stratagene). The starting plasmid was a 5'-FLAG-tagged Mlx
cDNA described previously (24). Adenovirus constructs were prepared according to the Qbiogene AdenoVator kit. Both dominant negative Mlx forms, wild type Mlx and ChREBP, were first cloned into the transfer vector (pAdenoVator-CMV5-IRES-GFP). The cDNA of the clone was linearized with PmeI and cotransformed with a plasmid containing the partial adenoviral genome (pAdenoVator
E1/
E3) into BJ5183 bacterial cells. Colonies were selected and screened by plasmid size and restriction enzyme analysis. The recombined plasmid was linearized with PacI and transfected into 293 cells. In 4-10 days, cell lysates containing virus were collected. PCR was performed using the viral DNA to confirm the presence of appropriate sequences. Viruses were titrated by immunofluorescence microscopy using the GFP gene integrated into the adenoviral genome.
Measurement of mRNAs by Reverse Transcription-PCRTotal cellular RNA was isolated using TRIzol reagent (Invitrogen) according to the manufacturer's protocol. Concentrations of RNA were measured spectrophotometrically at A260. Real time reverse transcription-PCR was performed in two steps. First, RNA was reverse-transcribed into cDNA using the iScript kit (Bio-Rad). Quantitative PCR was then performed on the Icycler real-time PCR detection system using iQ SYBR Green Supermix kit (Bio-Rad). Primers were designed using the software Beacon Designer (Bio-Rad). Primer information is available upon request. The results of reverse transcription-PCR were expressed as the -fold induction by normalizing the mean of the threshold cycle values from treated hepatocyte samples to the mean of the threshold cycle values from low glucose untreated or GFP virus-treated hepatocyte samples. All samples were analyzed in triplicate and expressed as the mean ± S.D.
Immunoblot AnalysisProtein from hepatocyte crude extract or 293 cells was boiled in reducing buffer and separated on a 10% SDS-PAGE. Proteins were electrotransferred onto an Immobilon-P polyvinylidene difluoride 0.45-µm filter membrane (Millipore, Bedford, MA). Dominant negative Mlx was detected with the M2 mouse monoclonal anti-FLAG antibody (Sigma) and anti-mouse horseradish peroxidase-conjugated secondary antibody (Santa Cruz Biotechnology, Inc.). MondoA was detected using a mouse monoclonal to polyhistidine (Santa Cruz Biotechnology). Signals were detected using an ECL Western blot detection kit (Amersham Biosciences).
Measurement of Lactate LevelsHepatocytes were treated the same as for the total RNA preparation. Hepatocytes were transduced with either control virus or dominant negative virus for 2 h and then maintained in low glucose conditions for 36 h. Cells were then cultured in either low or high glucose conditions, and samples of medium were collected at 4, 8, 12, and 24 h to measure lactate levels. Lactate levels were measured using the lactate reagent kit (Sigma).
| RESULTS |
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, are widely expressed and capable of heterodimerizing with ChREBP (25, 26). Because Mlx
is the most abundant form in liver (26), two dominant negative Mlx
constructs were prepared. In the first dominant negative, the entire basic region of 13 amino acids was deleted (Mlx
b). In the second construct, two basic residues that are conserved in the basic region of the bHLH/LZ family were mutated to non-basic residues (Mlx b/a) (Fig. 1A). These two mutant forms should be able to heterodimerize with ChREBP because their HLH/LZ domains are intact. However, the resulting heterodimers should not bind to DNA because of the mutations in the basic region. To ensure that these dominant negative Mlx forms block DNA binding of ChREBP·Mlx, we performed an EMSA experiment in which equal amounts of ChREBP and wild type Mlx expression plasmids were co-transfected into 293 cells alone or with a 3-fold excess of each dominant Mlx form. A double mutant (S196A/T666A) ChREBP was used in this experiment because it enhances DNA binding to the ChoREs (24). As predicted, both dominant negative Mlx forms interfere with the binding of ChREBP·Mlx to the ChoRE sequence, with the Mlx b/a form somewhat more effective than the Mlx
b form (Fig. 1B). Therefore, the mutant Mlx forms should block the function of ChREBP·Mlx in regulating their target genes in hepatocytes.
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The ability of dominant negative Mlx to inhibit the glucose response in hepatocytes presumably results from its overexpression relative to the endogenous Mlx gene. Hence, the majority of endogenous ChREBP would be bound to the dominant negative Mlx protein rather than endogenous Mlx. If ChREBP·Mlx is the active glucose-responsive complex, then increasing the expression of wild type Mlx in the presence of a fixed amount of dominant negative Mlx should be able to overcome the inhibition as well. To test this possibility, we carried out a rescue experiment with wild type Mlx. As a control, we used the ChREBP paralog, MondoA. This bHLH/LZ protein also heterodimerizes with Mlx. However, there is no evidence indicating that MondoA functions in a glucose-responsive manner, and it lacks several amino acid residues found critical for the response of ChREBP to glucose (28, 31). As seen in Fig. 3B, expressing increasing amounts of an Mlx expression plasmid in cells previously transduced with the dominant negative Mlx does indeed lead to a restoration of the glucose response. However, cells expressing the Mlx partner MondoA remain unresponsive to glucose. To ensure that the MondoA expression plasmid was capable of producing the full-length protein, this plasmid was introduced into 293 cells, and extracts were immunoblotted to detect the His-tagged MondoA. A band running just above the marker of 105 kilodaltons was detected in these extracts, indicating that MondoA was indeed produced. These experiments support the conclusion that ChREBP functions in a heteromeric complex with Mlx to provide a glucose-responsive transcription factor.
Dominant Negative Mlx Efficiently Blocks Induction of Endogenous Glucose-responsive GenesThe above experiments indicate that blocking the function of ChREBP·Mlx with dominant negative Mlx can inhibit the ChoRE-directed transcriptional response to glucose in hepatocytes. We subsequently used dominant negative Mlx to assess the role of these factors in the glucose induction of lipogenic genes in their natural chromosomal context. Hepatocytes were untreated or transduced with adenovirus expressing Mlx b/a for 2 h. As before, cells were kept in low glucose medium for 36 h and then incubated with either low or high glucose medium for 24 h in the presence of insulin. Total RNA was then extracted and analyzed for specific mRNA levels by real-time PCR.
Acetyl-CoA mRNA is induced in mammalian liver after a high carbohydrate diet (32, 33). Because we had found that dominant negative Mlx inhibited the promoter activity driven by the ACC ChoRE, we first tested the effect of dominant negative Mlx on its induction (Fig. 4). In the untreated hepatocytes, ACC mRNA levels were induced in high glucose conditions compared with low glucose conditions. Transduction with the control virus did not alter the induction of ACC mRNA by high glucose.2 However, when the Mlx b/a dominant negative virus was present, little or no change in ACC mRNA levels was observed in the high glucose conditions. Besides ACC, ChoREs have also been identified in the PK, S14, and fatty acid synthase genes (15-17, 19). We examined the effect of dominant negative Mlx on mRNA levels of these glucose-responsive lipogenic enzyme genes as well (Fig. 4). Similar to ACC, the mRNA levels for each of these gene products was induced to varying extents in high glucose conditions. The dominant negative Mlx virus efficiently blocked the induction of the mRNA of these three genes in high glucose conditions. Again, mRNA levels in low glucose conditions were unaffected or only slightly inhibited. Hence, ChREBP·Mlx plays an important role in supporting induction of all lipogenic enzyme genes with previously characterized ChoREs.
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Dominant Negative Mlx Does Not Affect Induction of Genes by Other Signaling PathwaysIn addition to glucose, insulin plays a critical role in supporting the induction of lipogenic enzyme genes. If dominant negative Mlx acted to repress expression of any component in the insulin signaling pathway, then its effects on lipogenic enzyme genes could be indirect. To evaluate this possibility, we asked whether the dominant negative Mlx interfered with the ability of insulin to induce gene expression. SREBP-1c is the transcription factor that mediates the insulin regulation of many lipogenic enzyme genes (4-6). The mRNA level of this transcription factor is induced in hepatocytes by insulin (34-36). No difference in the insulin induction of SREBP-1c mRNA levels was observed in hepatocytes treated with dominant negative Mlx virus compared with untreated hepatocytes (Fig. 5A). The high Km hexokinase, glucokinase, supports the rapid uptake and metabolism of carbohydrate in hepatocytes. However, the regulation of glucokinase is independent of glucose and is directly exerted by insulin (37, 38). Dominant negative Mlx did not interfere with the insulin induction of glucokinase mRNA levels (Fig. 5B). Therefore, dominant negative Mlx does not inhibit the expression of genes involved in the insulin-signaling pathway.
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Dominant Negative Mlx Does Not Affect the Rate of GlycolysisAlthough the intracellular signaling pathway that is responsible for activation by glucose remains in question, studies in primary hepatocytes suggest that increased glucose uptake and metabolism are necessary for the generation of the signal. If dominant negative Mlx blocks the intracellular glucose-signaling pathway by decreasing the transcription of glycolytic enzymes such as PK and subsequently reducing the rate of glucose metabolism, the regulation of downstream lipogenic enzyme genes by ChREBP·Mlx may be indirect. To address this question, we monitored the rates of glycolysis by measuring lactate levels (Fig. 6). Hepatocytes were transduced with either control virus or dominant negative virus for 2 h and then maintained in low glucose conditions for 36 h. Cells were then cultured in either low or high glucose conditions, and samples of medium were collected in 4, 8, 12, and 24 h to measure lactate levels. In cells cultured in high glucose, lactate accumulation is accelerated compared with low glucose conditions due to the elevated rates of glycolysis. Dominant negative Mlx did not decrease lactate levels in either low or high glucose conditions. This experiment demonstrates that dominant negative Mlx does not impair the rate of glucose metabolism during the course of these experiments. Together with previous experiments, these data provide strong evidence that ChREBP·Mlx directly regulates glucose-responsive lipogenic enzyme genes.
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| DISCUSSION |
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Recently we suggested that ChREBP functions in a heteromeric complex with another bHLH/LZ factor, Mlx (24). Binding of ChREBP to the ChoREs from several lipogenic enzyme genes was only observed in the presence of Mlx. Furthermore, although neither ChREBP nor Mlx could activate promoter activity from cotransfected ChoRE-containing promoters in 293 fibroblasts, the combination of these factors was effective. The correlation between binding and activation led us to conclude that Mlx serves as a partner of ChREBP in supporting the glucose response of lipogenic enzyme genes. This conclusion was tempered, however, because 293 cells do not respond to glucose in a manner analogous to the hepatocyte. Furthermore, when ChREBP was first isolated by affinity chromatography, Mlx was not identified in the bound complex (20). Finally, a recombinant C-terminal fragment of ChREBP containing the bHLH/LZ domain was found to be capable of binding to the PK ChoRE (31). Thus, the role of Mlx remained unconfirmed.
For this reason, we sought to further assess the role of Mlx in the process of glucose-stimulated gene expression in the hepatocyte. The use of a dominant negative that would interfere with the endogenous ChREBP·Mlx interaction allowed us to inhibit this complex and monitor the effects of this inhibition. In hepatocytes, we demonstrated that two different dominant negative forms of Mlx could inhibit glucose-stimulated transcription from a promoter driven by the ACC ChoRE. Moreover, the ability of glucose to induce ACC mRNA was completely abrogated in cells transduced with adenovirus expressing the dominant negative Mlx forms. Similarly, induction of several other lipogenic enzymes genes containing previously characterized ChoREs was blunted. Hence, we conclude that the ChREBP·Mlx complex directly regulates the induction of these genes by binding to their promoter regions. Several other genes in the pathway for which ChoREs had not been identified were also inhibited. These include products critical for glucose uptake, NADPH generation, and fatty acid maturation. Hence, ChREBP·Mlx appears to play a wide role in regulating the pathway of de novo lipogenesis in the liver. It is possible that ChoREs exist in the promoter regions of these additional genes as well, but these sites have not yet been identified.
Inhibition of the glucose response likely occurs due to a simple binding competition between endogenous wild type Mlx and overexpressed dominant negative Mlx for the limiting pool of ChREBP in the cell. However, Mlx is known from protein interaction studies to dimerize with several other bHLH/LZ proteins, including Mad1, Mad4, Mnt, and MondoA (25-28). To ensure that the effects of dominant negative Mlx were not due to interference with one of these other partners, we tested whether the addition of ChREBP could restore the glucose response. Overexpression of ChREBP did indeed partially restore glucose-stimulated promoter activity in hepatocytes treated with the dominant negative Mlx. This rescue occurred only at high concentrations of recombinant ChREBP adenovirus that would provide sufficient ChREBP to titrate out the dominant negative Mlx and allow the formation of functional heteromers with endogenous Mlx to activate transcription. We surmise that if enough ChREBP could be added, the response would be fully rescued.
An alternative explanation for the effect of the dominant negative Mlx is that ChREBP acts as a homodimer (or a heterodimer with a distinct protein) in supporting the glucose response. In this scenario, the ChREBP·Mlx heteromer would be inactive in promoting the glucose response, and the ratio of ChREBP homodimers to ChREBP·Mlx heteromers would determine the amount of active glucose-responsive transcription factor. By adding dominant negative Mlx to the cell, we would be shifting this equilibrium toward the inactive ChREBP·Mlx heteromer. However, the differential abilities of Mlx and MondoA to rescue the glucose response argue against this possibility. When wild type Mlx is overexpressed in the presence of dominant negative Mlx, endogenous ChREBP could bind to either the overexpressed wild type Mlx or dominant negative Mlx. In this case, little ChREBP should be available to form a homodimer, and no rescue of the glucose response should be observed. Hence, the ability of wild type Mlx to restore the glucose response argues for a direct role of Mlx in the glucose-responsive complex. We would also note that if ChREBP homodimers were active, then the wild type Mlx by itself should function as a dominant negative. We have not seen any inhibition of the glucose response in hepatocytes in response to adding wild type Mlx (24). In support of this contention, we have also found that overexpression of MondoA, a paralog of ChREBP (28), did not rescue the glucose response. Because MondoA can also heterodimerize with Mlx, this observation indicates that simply binding to the dominant negative Mlx is not sufficient to provide rescue. Instead, only the active components in the glucose-responsive complex are able to reconstitute this activity, arguing for an essential role of ChREBP and Mlx. In addition, we have found that the ChoRE binding complex from liver nuclear extracts reacts with an antibody to Mlx and migrates identically with the ChREBP·Mlx complex formed in extracts from 293 cells overexpressing these proteins. Together, these data strongly support an obligatory role for Mlx in the glucose-responsive complex.
A possible concern in interpreting these results was whether the dominant negative Mlx might interfere with other signaling pathways known to be important for supporting the response of lipogenic enzyme genes. The induction of lipogenic enzyme genes by glucose is dependent on effective insulin action. This requirement is due at least in part to the insulin induction of glucokinase, a key step in stimulating glucose metabolism in the hepatocyte in the range of glucose concentrations encountered in the liver (43). Insulin has also been shown to be an important signal for the induction of lipogenic enzyme genes in response to high carbohydrate feeding. The actions of insulin in this regard appear to be largely or exclusively mediated by the SREBP transcription factors, especially SREBP-1c (4-6). SREBP-1c transcription is itself induced by insulin, and this factor binds to the promoters of most lipogenic enzyme genes to activate their expression (34-36). Mice ablated for the SREBP-1 gene show severely blunted responses to high carbohydrate feeding (45). Hence, any effect of the dominant negative Mlx that interfered with insulin signaling and SREBP-1c action might lead indirectly to an inhibition of the glucose effect. Thyroid hormones have also been shown to function together with glucose in supporting the induction of many lipogenic enzyme genes (39, 40, 46). Therefore, we tested the effect of introducing dominant negative Mlx on insulin and thyroid hormone signaling pathways. We found that insulin induction of both SREBP-1c and glucokinase gene expression were normal in hepatocytes treated with the dominant negative Mlx. Similarly, the ability of T3 to induce type I 5'-iodothyronine deiodinase, which is responsive to thyroid hormone but not glucose, was unaffected. Consequently, the effects of dominant negative Mlx appear to be highly specific to the glucose-signaling pathway.
Based on these observations, we conclude that ChREBP and Mlx function together to provide the essential transcription factors for supporting the glucose response of lipogenic enzyme genes. These factors are targets of an intracellular signaling pathway that is activated by increased glucose metabolism. They function to coordinately regulate a set of genes encoding proteins and enzymes necessary for the hepatocyte to store excess carbohydrate nutrients as triglycerides. The nature of the glucose metabolite that triggers this pathway has been the subject of intense investigation. Recently, xylulose 5-phosphate was proposed to be the key intermediate and to act by stimulating the action of a protein phosphatase 2a isoform that removes inhibitory phosphates from ChREBP (14). Whether Mlx is also directly regulated by glucose or is a silent partner remains to be determined.
Recently, mice deleted for the ChREBP gene have been generated (23). These mice are viable but display a complex pattern of metabolic abnormalities. The ChREBP-deleted mice are mildly hyperglycemic and insulin-resistant and have greatly elevated hepatic glycogen depots. These effects are consistent with a defect in glycolysis in these animals. The mRNA levels of several glycolytic and lipogenic enzymes are reduced on both normal and high starch diets. Most importantly, rates of lipogenesis were reduced by greater than 50% in the null mice fed a high starch diet compared with their normal counterparts. This change may account for a decrease in both white and brown adipose fat pad weight. The phenotype of the ChREBP null mice provides strong evidence for an important physiological role of ChREBP in glucose utilization and lipogenesis.
For most genes in the hepatocyte, both ChREBP·Mlx and SREBP are required for induction, and the two signaling pathways function in a highly synergistic manner to support the full transcriptional response to high carbohydrate diet. This overlapping regulatory control of lipogenesis may serve to ensure that lipogenesis, an energy-requiring process, does not occur under inappropriate physiological conditions. However, a few exceptions exist. Glucokinase is not affected by glucose and is controlled in the hepatocyte exclusively by insulin (47). This may reflect the fact that glucokinase lies upstream of all glucose metabolism in the liver, including glycogen and hexose monophosphate shunt pathways. Control of glucokinase is critical for reducing hyperglycemia regardless of the final metabolic fate of the glucose, and this control is a fundamental role of insulin. On the other hand, no direct effect of insulin on PK gene expression has been found, and it appears to be regulated largely by glucose metabolism. This could reflect a critical role for PK in providing acetyl-CoA for lipogenesis, which is promoted only when glucose levels are greatly elevated. Although glucose and insulin work coordinately in normal animals, conditions of elevated insulin and hyperglycemia that occur during states of impaired glucose tolerance might result in abnormal regulation of the SREBP and ChREBP pathways and contribute to the metabolic abnormalities associated with type II diabetes.
| FOOTNOTES |
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To whom correspondence should be addressed: Dept. of Biochemistry, Molecular Biology, and Biophysics, University of Minnesota, 6-155 Jackson Hall, 321 Church St. S.E., Minneapolis, MN 55455. Tel.: 612-625-3662; Fax: 612-624-0432; E-mail: towle{at}mail.ahc.umn.edu.
1 The abbreviations used are: PK, pyruvate kinase; ACC, acetyl-CoA carboxylase; bHLH/LZ, basic helix-loop-helix/leucine zipper; SREBP-1c, sterol regulatory element-binding protein-1c; ChoRE, carbohydrate response element; ChREBP, carbohydrate response element-binding protein; Mlx, Max-like protein X; EMSA, electrophoretic mobility shift assay; HA, hemagglutinin; GFP, green fluorescent protein; USF, upstream stimulatory factor; T3, 3,5,3'-triiodothyronine. ![]()
2 L. Ma, N. G. Tsatsos, and H. C. Towle, unpublished observations. ![]()
| ACKNOWLEDGMENTS |
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| REFERENCES |
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