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J. Biol. Chem., Vol. 282, Issue 17, 12804-12812, April 27, 2007
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From the Division of Digestive Diseases, Department of Medicine, Emory University, Atlanta, Georgia 30322
Received for publication, September 22, 2006 , and in revised form, January 25, 2007.
| ABSTRACT |
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| INTRODUCTION |
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. Importantly, we showed that PHB was highly effective in protecting epithelial cells from oxidant-induced epithelial barrier dysfunction. Loss of barrier function provided by epithelial cells is thought to be the initial inciting event that underlies injury and inflammation in many intestinal disorders, including shock, trauma, sepsis, and inflammatory bowel disease (19). Hence, PHB may play an important role in the pathogenesis of intestinal inflammation by acting as a potent antioxidant. Little is currently known regarding the regulation of PHB expression in intestine or other tissues. In this study we assessed the regulation of PHB expression by the immunomodulatory cytokine interleukin-6 (IL-6).
IL-6 is an acute phase cytokine and is thought to participate in host defense mechanisms. One of the effects of IL-6 is protection against oxidative stress by inducing antioxidant defenses, including increased glutathione levels, glutathione peroxidase, and metallothionin expression (2022). IL-6-/- mice show increased susceptibility to oxidant-induced hepatocellular injury (23) and alveolar epithelial cell death (24), and exogenous administration of IL-6 protects intestinal epithelial cells against sepsis-induced oxidative stress (25). With respect to the intestine, IL-6 is increased in the serum and in mucosal biopsies of patients with inflammatory bowel disease during the acute phase of inflammation (2628). Although some studies have shown that IL-6 may be pro-inflammatory, other studies have shown that IL-6 may indeed protect intestinal mucosa from the consequences of systemic inflammation, including permeability alterations. For example, mice given oral administration of IL-6 exhibit decreased permeability and reduced bacterial invasion through the gastrointestinal tract (2931). The role of IL-6 in protecting against oxidative stress and its protective role in intestinal inflammation known to be associated with oxidative stress prompted us to examine the regulation of PHB by IL-6.
| EXPERIMENTAL PROCEDURES |
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-actin was used as an internal control. Raw cycle threshold values (Ct values) obtained for IL-6-treated cells/IL-6-/- and WT mice were deducted from the Ct value obtained for internal
-actin transcript levels. For graphical representation of quantitative PCR data, the 
CT was calculated as follows: 
CT = (Ct, target - Ct,
-actin)treatment/IL-6-/- - (Ct, target - Ct,
-actin)non-treatment/WT, with the final graphical data derived from 2-
CT. The primers utilized for quantitative real-time PCR were designed using human nucleotide sequences available in the GenBankTM data base. Human PHB (sense: 5'-GGGCACAGAGCTGTCATCTT-3', antisense: 5'-TGACTGGCACATTACGTGG T-3'); mouse PHB (sense: 5'-GCATTGGCGAGGACTATGAT-3', antisense: 5'-CTCTGTGAGGTCATCGCTCA-3');
-actin (sense: 5'-TATGCCAACACAGTGCTGTCTGG-3', antisense: 5'-TACTCCTGCTTGCTGATCCACAT-3').
SDS-PAGE and Western Immunoblot AnalysisTotal protein was isolated from polarized Caco2-BBE cells plated on permeable supports and treated with 100 ng/ml recombinant human IL-6 (R&D Systems, Minneapolis, MN) on the basolateral side because previous studies have shown that IL-6 receptors are predominantly expressed on the basolateral side in these cells (32). The samples were separated by SDS-PAGE using Laemmli's 2x SDS sample buffer and 420% gradient polyacrylamide gels followed by electrotransfer to nitrocellulose membranes. Membranes were incubated with primary antibodies at 4 °C overnight and subsequently incubated with corresponding peroxidase-conjugated secondary antibodies. Rabbit polyclonal PHB antibody was obtained from Lab Vision Corp. (Fremont, CA). Rabbit polyclonal phospho-STAT3 and total STAT3 antibodies were obtained from Cell Signaling (Danvers, MA). Membranes were washed and immunoreactive proteins were detected using enhanced chemiluminescence (Denville Scientific Inc., South Plainfield, NJ) and exposed to high performance chemiluminescence film (Denville). Blots were reprobed with anti-
-tubulin (Sigma) antibody as a loading control. Films were analyzed by densitometry, and signal intensity was quantitated using a gel documentation system (Alpha Innotech, San Leandro, CA).
Isolation of the 5'-Flanking Region of the Human PHB Gene The 5'-flanking region of the human PHB gene was amplified by PCR using human chromosome 17 genomic DNA (clone RP11-1079K10; BacPac Resources, Children's Hospital Oakland Research Institute, Oakland, CA) as a template and using the following primers: 5'-GCAAAAGCTTCCTCACAAGTCGGACTCACGC-3' (underlined nucleotides indicate a HindIII site); 5'-GCAACTCGAGGGAGAAACCCCGTCTCTAC-3' (underlined nucleotides indicate a XhoI site). After sequence confirmation, the 1192-bp PCR product was cloned into pGL3 luciferase reporter vector (Promega, Madison, WI) using XhoI and HindIII restriction sites. The DNA sequence of human PHB promoter region has been submitted to GenBankTM and is available under accession DQ406856 [GenBank] . Putative transcription factor binding sites within the full-length human PHB promoter were identified using the Web-based search program Transcription Element Search System (TESS; www.cbil.upenn.edu/tess/).
5'-Rapid Amplification of cDNA Ends (RACE)The GeneRacerTM kit (Invitrogen) was used to obtain the full-length cDNA sequence at the 5'-end of PHB. Briefly, 5'-racing cDNA was prepared from 4 µg of total RNA isolated from Caco2-BBE intestinal epithelial cells as described in the manufacturer's protocol. Subsequent PCR was performed using the antisense human-specific PHB oligonucleotide (5'-CCACAATGTCCTGCACTCCACGG-3') corresponding to nucleotides +126 to +148, the GeneRacerTM 5'-primer, 0.2 mM dNTPs, and SurePolTM DNA polymerase (Denville) using the following PCR conditions: initial denaturation of one cycle at 94 °C for 2 min, followed by amplification at 94 °C for 30 s, 69 °C for 30 s, and 72 °C for 2 min for 25 cycles. The PCR products were cloned into the Zero Blunt TOPO vector (Invitrogen) for sequencing to determine the transcription start site.
Comparison of the Human PHB Promoter with the Mouse PHB PromoterTo determine homology across the human and mouse PHB promoter regions, the 1054-bp region upstream from the transcription start site of the mouse PHB gene was obtained from the mouse chromosome 11-nucleotide sequence available in the GenBankTM data base (accession number AL732490 [GenBank] ). Alignment of the human PHB promoter and the mouse PHB promoter sequences and calculation of percent homology were performed using Vector NTI Advance 10 software (Invitrogen). The mouse PHB promoter sequence was submitted to TESS to determine whether the IL-6 response element present in the human PHB promoter is preserved in the mouse PHB promoter.
Deletion Constructs, Mutagenesis, and Reporter Gene Assay To determine the putative regulatory site(s) necessary for basal PHB promoter activity, deletion constructs were obtained by internal restriction enzyme digest within the full-length (-1054/+138 bp) PHB promoter construct. The truncated fragments 949/+138 bp, 189/+138 bp, and 35/+138 bp were obtained using restriction enzymes SmaI, SacII, and SacI, respectively. The truncated fragments were digested with Klenow enzyme to remove overhangs if necessary and recircularized using the Quick Ligation kit (New England Biolabs, Ipswich, MA). To determine the importance of the IL-6 response element (IL-6RE) in PHB promoter activity, site-specific mutation was introduced into the wild-type 1054/+138-bp PHB promoter in pGL3 by PCR amplification using the QuikChange II site-directed mutagenesis kit (Stratagene, La Jolla, CA) and sense and antisense primers of the same sequence possessing a mutation in the IL-6RE: wild-type sense, 5'-CTGTAATCTCAGCTATTCTGGGAGGGTGAGGCAGGAGAAT-3'; mutant sense, 5'-CTGTAATCTCAGCTATTCTCCATGGGTGAGGCAGGAGAAT-3'; mutant antisense, 5'-ATTCTCCTGCCTCACCCATGGAGAATAGCTGAGATTACAG-3'. Nucleotide substitutions are indicated in bold, and the wild-type IL-6RE sequence is underlined. The PCR product was sequenced to ensure nucleotide substitution at the IL-6RE site.
For reporter gene assays, Caco2-BBE cells were plated onto permeable supports and co-transfected with 1.6 µg of the reporter construct and 20 ng of pRL-CMV (Renilla luciferase; Promega) as an internal control. Cells were transfected using Lipofectamine 2000 (Invitrogen) and were harvested 72 h posttransfection. Cells treated with IL-6 were serum-deprived overnight and treated with 100 ng/ml IL-6 for 6 h. Luciferase activity was measured using the Dual-Luciferase Reporter Assay system (Promega) and a Luminoskan Ascent luminometer (Thermo Electron Corp., Waltham, MA). Relative luciferase was calculated by normalizing firefly luciferase activity to Renilla luciferase activity of the pRL-CMV vector.
The
2-macroglobulin (
2-M) promoter was used as a positive control because it contains a consensus-type II IL-6RE. The 1151/+54-bp
2-M promoter in pGL3 luciferase reporter vector was a generous gift from Dr. James E. Darnell, Rockefeller University, New York, NY).
Effect of STAT3 siRNA on PHB Promoter ActivitySTAT3 siRNA (5'-CCGGAAGAGAGUGCAGGAUCUAGAA-3') was obtained from Invitrogen and co-transfected with the fulllength (-1054/+138-bp) PHB promoter construct and pRL-CMV for 48 h because this time point showed highest RNA interference by Western blot for STAT3. Cells were serumdeprived overnight, treated with 100 ng/ml IL-6 for 6 h, and assayed for luciferase activity as described above. Scramble RNA was used as a negative control (Invitrogen).
Electrophoretic Mobility Shift Assay (EMSA) and STAT3 SupershiftNuclear protein extracts were isolated from serum-deprived polarized Caco2-BBE cells treated with 100 ng/ml IL-6 on the basolateral side for 0, 0.5, 1, 2, and 8 h. 10 µg of nuclear protein was assayed for DNA binding to biotin-labeled, double-stranded oligonucleotides corresponding to the IL-6RE binding site (5'-GCTATTCTGGGAGGGTGA-3') in the PHB promoter obtained from Integrated DNA Technologies (Coralville, IA). The IL-6RE binding site is underlined. The oligonucleotides were end-labeled using the Biotin 3'-end DNA labeling kit (Pierce) according to the manufacturer's instructions. EMSAs were performed using the Lightshift Chemiluminescent EMSA kit (Pierce). 20 fmol biotin-labeled oligonucleotide was incubated with 10 µg of nuclear proteins for 20 min at room temperature in binding buffer (50 mM Tris, pH 7.4, 2.5 mM EDTA, 0.25 mg/ml poly(dI-dC), 250 mM NaCl, 2.5 mM dithiothreitol, 5 mM MgCl2, and 20% glycerol). Binding was competed by 8-fold excess unlabeled IL-6RE oligonucleotides (cold). For STAT3 supershift, 8 µg of STAT3 antibody (Santa Cruz) was added after incubation of the nuclear proteins with the biotin-labeled oligonucleotides. IL-6RE binding complexes were resolved by electrophoresis using 5% TBE Criterion gels (Bio-Rad), transferred to Biodyne B pre-cut modified nylon membranes (Pierce), UV cross-linked, and visualized using the Chemiluminescent Nucleic Acid Detection system (Pierce).
IL-6-/- MiceMale wild-type (WT) and IL-6-/- mice (68 weeks, 1216 g) on the inbred C57BL6 background were purchased from The Jackson Laboratory (Bar Harbor, ME). All mice were group-housed in standard cages under a controlled temperature (25 °C) and photoperiod (12:12-h light/dark cycle) and were allowed standard chow and tap water ad libitum. They were allowed to acclimate to these conditions for at least 7 days before inclusion in experiments. All procedures were in accordance with the Emory University Institutional Animal Care, authorization number 1462002. Total colon was isolated; a small distal portion was snap-frozen in Optimal Cutting Temperature and stored at 80 °C for confocal staining, while the remaining colon was split into two pieces with one half homogenized in phosphate-buffered saline containing 1% Triton X-100, 1% Nonidet P-40 (v/v), 1 mM EDTA, 1 mM sodium orthovanadate, 1 mM sodium fluoride, and 1 µl/ml protease inhibitor mixture III (Roche Applied Science) to obtain protein extracts for Western immunoblotting and the other half homogenized in TRIzol for RNA isolation.
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Statistical AnalysisValues are expressed as mean ± S.E. Statistical analysis was performed using unpaired Student's t test. A p value <0.05 was considered statistically significant in all analyses.
| RESULTS |
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Isolation of the 5'-Flanking Region of the Human PHB Gene and Comparison of the Human and Mouse PHB Promoter SequencesTo determine whether IL-6 induces PHB mRNA and protein expression via transcriptional responses, the 1192-bp promoter region of PHB was cloned (Fig. 2A). The 5'-flanking region of the human PHB gene isolated from Caco2-BBE cells was confirmed by sequence comparison with the human genomic clone of chromosome 17 (GenBankTM accession number AC091180 [GenBank] ). To localize the transcription start site(s) for the PHB gene, 5'-rapid amplification of cDNA ends experiments were performed with total RNA isolated from Caco2-BBE cells. Subsequent PCR produced a single 215-bp DNA fragment using a PHB-specific primer located downstream of the start ATG and the GeneRacerTM 5'-primer (data not shown). Sequencing revealed that this fragment mapped 1594 bp upstream from the start of translation codon (ATG) due to an intervening intron (Fig. 2A). The first base of this fragment is considered the transcription start site and will be referred to as nucleotide +1. A putative IL-6RE site is located at 977 to 982 bp from the start of transcription, two nuclear factor of activated T-cells sites are located at 679 to 673 bp and at 323 to 328 bp, and an activator protein-1 (AP-1)/cAMP response element-binding protein site is located at 273 to 278 bp (Fig. 2A). A putative TFIID/Sp1 site is located at 39 to 48 bp from the transcription start site, indicating that the general transcription initiation factor is present in the region cloned.
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The IL-6 Response Element Is Essential for Basal PHB Promoter ActivityTo identify regions involved in regulating PHB gene transcription, a series of sequential deletion reporter constructs (949, 189, 35 to +138 bp) were cloned into the luciferase-containing vector pGL3 (Fig. 3A). Constructs were transiently transfected into Caco2-BBE cells, and relative luciferase activity was compared with the fulllength promoter (-1054 to +138). Cells transfected with the full-length promoter showed an 80-fold induction of relative luciferase activity compared with cells transfected with pGL3 vector (Fig. 3B). The 949 and 189-bp deletion constructs showed an 80% decrease in relative luciferase activity compared with the full-length promoter, suggesting that the regulatory site removed in the 949-bp construct is essential for maximal PHB promoter activity. The regulatory site present between 1054 and 949 bp is an IL-6RE (977 to 982 bp). The 35 deletion construct showed no induction of relative luciferase.
To determine whether the IL-6RE is necessary for maximal PHB transcriptional activation, a mutation was introduced into the IL-6RE by site-directed mutagenesis. As shown in Fig. 3B, mutation of the IL-6RE resulted in 85% decrease in relative luciferase activity compared with that observed with the 1054 wild-type construct, which was similar to that found with removal of the IL-6RE in the 949 deletion construct. Together, these results suggest that the IL-6RE is the regulatory site necessary for maximal basal PHB promoter activation in intestinal epithelial cells.
IL-6 Increases PHB Promoter Activation and the IL-6RE Is Required for IL-6 ResponsivenessTo determine whether IL-6 increases PHB promoter activation in Caco2-BBE cells, cells transfected with the full-length construct (-1054 bp) were treated with IL-6 for 6 h and compared with no treatment control cells. As shown in Fig. 3C, cells treated with IL-6 (-1054 + IL-6) showed a 60% increase in promoter activity compared with vehicle-treated cells transfected with full-length promoter (-1054), indicating that IL-6 stimulates PHB promoter activation. To identify whether the IL-6RE site was essential for responsiveness to IL-6, Caco2-BBE cells were transfected with the 949-bp deletion or the IL-6RE mutant (IL-6RE MUT) construct and treated with IL-6 simultaneously with cells transfected with the full-length construct. Both the 949-bp deletion construct and the IL-6RE MUT showed an 8085% reduction in basal relative luciferase compared with the full-length construct, as shown previously in Fig. 3B. The 949-bp construct and the IL-6RE MUT showed no induction of luciferase activity by IL-6 treatment, indicating that the IL-6RE site is necessary for PHB promoter responsiveness to IL-6.
The
2-M promoter was used as a positive control because it contains a consensus-type II IL-6RE. The 1151/+54-bp
2-M promoter showed a 2-fold induction of relative luciferase with IL-6 treatment compared with no treatment (Fig. 3C).
IL-6 Induces STAT3 Binding to the IL-6RE Binding Site Located in the PHB PromoterBecause the IL-6RE is essential for PHB promoter responsiveness to IL-6, we next performed EMSA to determine whether IL-6 stimulates transcription factor binding to the IL-6RE. Nuclear protein extracts show increased binding to the IL-6RE present in the PHB promoter after 1 h of IL-6 treatment, with maximum binding after 2 h (Fig. 4). Binding is competed by unlabeled IL-6RE oligonucleotides (Fig. 4B, cold). To determine whether STAT3 was binding to the putative PHB promoter IL-6RE site, we performed STAT3 supershift using a specific STAT3 antibody. As shown in Fig. 4B, the binding complex is indeed shifted when the antibody is included, indicating that STAT3 is binding to the IL-6RE located in the PHB promoter.
STAT3 siRNA Down-regulates Basal and IL-6-stimulated PHB Promoter ActivityWe and others have previously demonstrated that IL-6 receptors are abundantly expressed at the basolateral surface of epithelial cells (32). IL-6 modulates its downstream effect through activation of STAT3 and NF-
B signaling in intestinal epithelial cells (32, 34). Given that STAT3 binds to the IL-6RE in the PHB promoter as shown by STAT3 supershift, we determined the effect of STAT3 siRNA on PHB promoter activity. To determine whether STAT3 is involved in PHB promoter activity, cells were transiently co-transfected with full-length PHB promoter construct (-1054) and STAT3 siRNA or scramble RNA as a control, treated with IL-6, and assayed for relative luciferase activity. STAT3 siRNA abolishes basal PHB promoter activity and stimulation by IL-6 (Fig. 5A). Cells transfected with scramble RNA show similar results to those transfected with full-length PHB promoter construct (-1054).
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Quantitative real-time PCR was used to assay PHB mRNA expression in total RNA isolated from colon of IL-6-/- and WT mice. IL-6-/- mice show
50% less PHB mRNA expression in colon compared with WT mice (Fig. 6B).
We next localized PHB expression in colon sections by immunofluorescence and confocal microscopy. PHB predominantly localizes to epithelial cells with little staining in the underlying lamina propria in IL-6-/- and WT colon (Fig. 6C, panels c and f), similar to our previous findings (18). Confirming our Western blot results, confocal staining reveals less PHB staining in IL-6-/- colon compared with WT colon using the same microscope settings to obtain the images (Fig. 6C, panel a versus panel d).
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| DISCUSSION |
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Deletion mapping analysis of the full-length PHB promoter indicated the presence of an IL-6RE (-977 to 982 bp) that was required for maximal basal promoter activity and promoter responsiveness to IL-6. IL-6 also increases binding of nuclear proteins to the IL-6RE in the PHB promoter as shown by EMSA. The IL-6RE present in the PHB promoter is a type II IL-6RE with the consensus sequence CTGGGA (35, 36). Type II IL-6REs are found in some acute phase proteins such as
2-macroglobulin and fibrinogen (35, 37) and in several immediate early genes, including ICAM-1 and junB (38). The nuclear factors that bind to the type II IL-6RE include the IL-6 response element-binding protein (IL-6REBP), STAT3, and STAT5a/b (37, 3941). The IL-6RE and flanking nucleotides (TTCTGGGAG; IL-6RE is underlined) in the PHB promoter show high sequence homology with the consensus STAT3 DNA binding motif TTC(C/T)GGGAA (42). Compared with the
2-macroglobulin promoter that contains the consensus STAT3 binding motif and shows 2-fold induction of activity by IL-6 in Caco2-BBE cells, the PHB promoter shows 1.6-fold induction by IL-6. This could be due to lack of the A nucleotide in the IL-6RE of the PHB promoter. However, STAT3 supershift of nuclear proteins binding to IL-6RE oligonucleotides in combination with results showing that STAT3 siRNA abolishes basal and IL-6-induced PHB promoter activity suggests that STAT3 binds to the IL-6RE located in the PHB promoter and is crucial for promoter activity in Caco2-BBE cells.
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2-macroglobulin gene resulted in attenuated basal promoter activity (36). Perhaps the relatively low levels of IL-6 under control conditions are enough to basally stimulate the PHB promoter or STAT3 that binds the IL-6RE is stimulated by other factors besides IL-6 during basal conditions. Approximately 20% of PHB promoter activity resides with deletion or mutation of the IL-6RE, indicating that factors that bind to other transcriptional regulatory sites are also involved in regulating a portion of PHB promoter activity. Regardless, our results indicate that the IL-6RE is responsible for maximal basal and IL-6-stimulated PHB promoter activity in these cells. Interestingly, our in vitro results in intestinal epithelial cells are confirmed in intestine of IL-6-/- mice. PHB mRNA and protein expression is attenuated in colon from IL-6-/- mice compared with WT control mice, suggesting that IL-6 is a predominant regulator of PHB expression in intestine in vivo. PHB protein expression in liver did not vary between IL-6-/- and WT mice,3 indicating that the effect of IL-6 on PHB regulation may be specific to the intestine. Our results showing decreased PHB expression in IL-6-/- colon are especially interesting given that the mouse PHB promoter contains an inverse IL-6RE of identical sequence 11 bp upstream from the IL-6RE in the human PHB promoter. Because PHB expression is not completely absent in IL-6-/- mice, other factors must modulate PHB expression in addition to IL-6 or compensate in the absence of IL-6. Multiple studies suggest that IL-6 may be protective against mucosal barrier dysfunction by modulating wound healing and combating oxidative stress. IL-6-/- mice exhibit more severe erosion of the intestinal epithelium subsequent to impaired mucosal wound healing when treated with dextran sodium sulfate to induce colitis (48). In vivo administration of IL-6 in septic rats was shown to protect mucosal epithelial cells from sepsis-induced oxidative damage (25). Furthermore, IL-6 was shown to be protective against oxidative stress in other organs, including the liver and lung (23, 24). Our recent findings in intestinal epithelial cells suggest that PHB overexpression protects against oxidative stress (18). Further studies are needed to determine whether PHB is a downstream mediator of IL-6 signaling, leading to these functional responses in the intestinal epithelium of IL-6-/- mice and mice administered exogenous IL-6.
In conclusion, this study assessed the regulation of PHB expression in intestinal epithelial cells. IL-6 increases PHB protein and mRNA abundance and stimulates PHB promoter activation. Promoter deletion analysis revealed that the IL-6RE is the essential transcription regulatory site for maximal basal and IL-6-induced PHB promoter activity. STAT3 mediates basal and IL-6-induced PHB transcription and binds to the IL-6RE in the PHB promoter. Moreover, IL-6-/- mice show decreased PHB expression in colon. Together, these results suggest that IL-6 is the predominant modulator of PHB expression in cultured intestinal epithelial cells and in the intestine in vivo. Given that PHB levels are altered in inflammatory bowel disease, this study provides important insights into the potential regulation of PHB expression by IL-6.
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* This work was supported by a Ruth L. Kirschstein National Research Service Award for Individual Postdoctoral Fellow (F32-DK076243-01) (to A. L. T.), NIDDK, National Institutes of Health Grants RO1-DK06411 (to S. V. S.) and RO1-DK061941-02 (to D. M.) and Research Center Grant R24-DK064399. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. ![]()
1 To whom correspondence should be addressed: Division of Digestive Diseases, Emory University, 615 Michael St., Whitehead Biomedical Research Bldg. 265, Atlanta, GA, 30322. Tel.: 404-712-2862; Fax: 404-727-5767; E-mail: atheiss{at}emory.edu.
2 The abbreviations used are: PHB, prohibitin; EMSA, electrophoretic mobility shift assay; IL-6, interleukin-6;
2-M,
2-macroglobulin; IL-6RE, interleukin-6 response element; Ct, cycle threshold; siRNA, short interference RNA; STAT, signal transducer and activator of transcription; WT, wild type. ![]()
3 S. V. Sitaraman and A. L. Theiss, unpublished observations. ![]()
| ACKNOWLEDGMENTS |
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| REFERENCES |
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