Phorbol Ester Down-regulation of Lung Surfactant Protein B Gene Expression by Cytoplasmic Trapping of Thyroid Transcription Factor-1 and Hepatocyte Nuclear Factor 3 *

The lung-specific surfactant protein B (SP-B) is essential for surfactant function and normal respiration. We investigated the role of thyroid transcription factor-1 (TTF-1) and hepatocyte nuclear factor 3 (HNF3) in the down-regulation of SP-B gene expression by phorbol ester in pulmonary adenocarcinoma H441 cells. Responsiveness to 12-O-tetradecanoylphorbol-13-acetate (TPA) localized to the SP-B proximal promoter (2140/265 bp) and specifically to binding sites for TTF-1 and HNF3, which act as cell-specific enhancers of SP-B expression. Treatment of cells with TPA (10 nM) caused a time-dependent decrease in both TTF-1 and HNF3 in nuclear extracts and accumulation of both factors in the cytoplasm as assessed by electromobility shift, Western, Southwestern, and immunofluorescence assays. Treatment did not alter the mRNA content or DNA binding activity for either transcription factor. We conclude that down-regulation of SP-B gene expression by phorbol ester involves cytoplasmic trapping and loss of TTF-1 and HNF3 from the nucleus. This mechanism of action is independent of AP-1 and other transcription factors known to be influenced by phorbol ester.

Surfactant protein B (SP-B), 1 an 8-kDa hydrophobic protein secreted by epithelial cells of the lung, enhances the formation and stability of the surface active phospholipid film which prevents collapse of lung alveoli during respiration. Expression of SP-B is essential for the surface tension lowering properties of pulmonary surfactant and for normal respiratory function. Absence or inactivation of SP-B in animal models results in respiratory distress and/or respiratory failure, and inherited deficiency of SP-B is a lethal disorder of infants (1).
Expression of the SP-B gene is limited to the lung and is developmentally regulated at both transcriptional and posttranscriptional levels (2,3). Recent studies of the SP-B gene promoter have identified important roles for two transcription factors in the cell selective expression of the gene (4 -6). Thyroid transcription factor-1 (TTF-1), a member of the NKx2n family of homeodomain transcription factors, binds to sites in both the proximal and more distal SP-B promoter and transactivates the promoter in vitro. TTF-1 also transactivates expression of two other surfactant protein genes, SP-A and SP-C (7,8), a clara cell-specific protein (CCSP) (9), as well as the thyroid-specific thyroglobulin, thyroperoxidase, and thyrotropin receptor genes (10 -12). Consistent with its proposed roles in lung organogenesis and epithelial cell differentiation, expression of TTF-1 in developing lung has a temporal-spatial distribution pattern similar to that of SP-B and in adult lung is expressed only in type II cells and subsets of nonciliated bronchiolar (clara) cells (13).
The other known transcription factor affecting expression of the SP-B gene is hepatocyte nuclear factor 3 (HNF3), which is a member of the forkhead winged helix family of transcription factors. HNF3 binds to the proximal region of the human SP-B promoter adjacent to the TTF-1 binding sites and enhances promoter activity (5). The HNF3 family, consisting of isoforms, ␣, ␤, and ␥, also act as enhancers for the lung-specific CCSP gene (14,15) as well as numerous liver-specific genes (16).
In liver and thyroid, respectively, HNF3 and TTF-1 have been implicated in the response of tissue-specific genes to hormones and other agents. Down-regulation of hepatic cholesterol 7␣-hydroxylase by insulin and phorbol ester localizes to the promoter region, which contains a HNF3 binding sequence (17), and an intact HNF3 binding site is necessary for glucocorticoid regulation of IGFBP-1 (18). In thyroid cells, down-regulation of thyroid-specific genes by thyrotropin, cAMP, v-Ras activation, interferon-␥, or phorbol ester is associated with a decrease in either TTF-1 content (19,20) or binding activity (10,21,22). At present there is no information regarding the possible role of TTF-1 and/or HNF3 in hormonal modulation of lung-specific proteins.
Development of the fetal lung, including synthesis of surfactant components, is regulated by a variety of hormones and other factors (23). Expression of the SP-B gene is increased by glucocorticoids and activators of cAMP and inhibited by transforming growth factor-␤, tumor necrosis factor-␣, insulin, and phorbol ester (2, 24 -27). The mechanism of action of 12-Otetradecanoylphorbol-13-acetate (TPA) on SP-B gene expression was initially examined in pulmonary adenocarcinoma NCI * This work was supported by Grants PPG HL19737 and R01 HL53566 (to S. I. F.) from the National Institutes of Health. 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.
§ Supported by National Institutes of Health Training Grant T32 HL07748.
** To whom correspondence should be addressed: Dept. of Pediatrics, Children's Hospital of Philadelphia, 416 Abramson Research Center, 34th St. and Civic Center Blvd., Philadelphia PA 19104. Tel.: 215-590-4316; Fax: 215-590-4267; E-mail: ballardp@email.chop.edu. 1 The abbreviations used are: SP-B, surfactant protein B; TTF-1, thyroid transcription factor-1; HNF3, hepatocyte nuclear factor 3; TPA, 12-O-tetradecanoylphorbol-13-acetate; CCSP, clara cell secretory protein; RSV, Rous sarcoma virus; LTR, long terminal repeat; CAT, chloramphenicol acetyltransferase; TK, thymidine kinase; bp, base pair(s); ds, double-stranded; DTT, dithiothreitol; EMSA, electrophoretic mobility shift assay; PAGE, polyacrylamide gel electrophoresis. H441 cells, and evidence was obtained for post-transcriptional regulation mediated by cis-acting elements in the 3Ј-untranslated region (24,28). Subsequent studies found that TPA decreased the transcription rate of the SP-B gene in both H441 cells and fetal lung (29), and a deletional study of the SP-B gene promoter localized TPA responsiveness to the proximal promoter region (30). This region (Ϫ140/ϩ7 bp) of the promoter does not contain AP-1 sites which are known to mediate many effects of TPA through binding of the nuclear protooncogenes fos and jun. Since the TPA-responsive region of the promoter includes the binding sites for both TTF-1 and HNF3, which are known to activate SP-B gene transcription, we proposed that the inhibitory effects of phorbol ester were mediated through one or both of these transcription factors.
In the present report we have further localized TPA responsiveness to the TTF-1 and HNF3 cis-acting elements of the SP-B promoter and demonstrate that TPA treatment causes a loss of both transcription factors from the nucleus and their accumulation in the cell cytoplasm. Preliminary results from this study have been reported in abstracts (31,32).

EXPERIMENTAL PROCEDURES
Materials-Cell culture media, antibiotics, and fetal calf serum were obtained from the Cell Center Facility, University of Pennsylvania. Restriction and other DNA enzymes were purchased from Promega Corp. (Madison, WI) or from Pharmacia Biotech Inc. TPA, hormones, and other biochemicals were obtained from Sigma. Reinforced nitrocellulose membrane (Duralose) and pBluescript were purchased from Stratagene (La Jolla, CA). NCI H441, HeLa, and A549 cells were obtained from American Type Culture Collection (Rockville, MD). Radioisotopes and enhanced chemiluminescence detection system were ordered from NEN Life Science Products.
Antibodies-Polyclonal monospecific anti-SP-B, which recognizes both precursor and mature forms of human SP-B, was prepared in rabbits using an organic lipid extract of bovine surfactant (Surfactant TA; Ross Laboratories, Columbus, OH) as described previously (33) and obtained from M. Beers (University of Pennsylvania, Philadelphia). Polyclonal anti-TTF-1 antibody was a gift from P. Minoo (University of Southern California, Los Angeles, CA). Antibodies to human HNF3␣, HNF3␤, and HNF3␥ were obtained from J. E. Darnell (Rockefeller University, New York).
cDNA Probes-A 600-bp 5Ј end human SP-B cDNA probe was obtained by digesting full-length cDNA with BamHI (34). A 500-bp TTF-1 probe was excised by EcoRI digestion from a full-length mouse TTF-1 cDNA obtained from R. Di Lauro (Naples, Italy). A 620-bp rat HNF3 cDNA, which shares Ͼ90% homology with the human counterpart and contains the homeodomain region of HNF3␣, was excised by digesting Pl-H3␣ (gift of W. S. Chen, Rockefeller University, New York) with EcoRI and BamHI. Randomly labeled radioactive probes were generated using [ 32 P]dCTP and Ready To Go DNA labeling kit from Pharmacia.
Plasmids-Plasmid RSV-CAT contains the Rous sarcoma virus (RSV) long terminal repeat (LTR) promoter enhancer expressing the bacterial chloramphenicol acetyltransferase (CAT) gene (35). The promoterless pOOCO contains the CAT gene linked to SV40 polyadenylation signal and small t intron in pUC 18 vector (36). Plasmid pOTCO harbors herpes simplex thymidine kinase (TK) promoter fragment (Ϫ109 to ϩ55 nucleotides) inserted into the BglII site of pOOCO (37). The plasmid 6RL expressing lacZ under the RSV-LTR promoter-enhancer was used as control for transfection efficiency in experiments with plasmids containing CAT (38). We have previously described preparation of the plasmid -1039/ϩ431 CO⌬ n containing SP-B genomic DNA linked to CAT (30).
A series of SP-B 5Ј-flanking sequences (Ϫ404/Ϫ35, Ϫ404/Ϫ255, Ϫ217/Ϫ141, Ϫ140/Ϫ65 and Ϫ217/Ϫ53) were prepared by polymerase chain reaction amplification and confirmed by sequencing (Table I). These DNA fragments were linked to pOTCO. TTF-1, HNF3, and AP-2 oligonucleotides were synthesized commercially (Integrated DNA Technologies, Inc. Coralville, IA) and were purified by Bio-Gel columns. Double-stranded (ds) TTF-1 oligonucleotides were designed with 5Ј HindIII and 3Ј SalI compatible ends, while HNF3 ds oligonucleotides were made with 5Ј SalI and 3Ј XbaI compatible ends (Table I). After annealing, the ds oligonucleotides were cloned into compatible ends in pOTCO. For the TTF-1/HNF3 construct, the two oligonucleotides were linked followed by ligation into the HindIII/XbaI sites of pOTCO. The presence and orientation of inserts were confirmed by sequencing recombinant plasmids using a Sequenase kit (U. S. Biochemical Corp.).
Transient Transfections-Test plasmid DNA (2.5 g) was mixed with 1 g of internal control plasmid 6RL and coprecipitated by the CaCl 2 procedure (37). Total DNA in each treatment, including vector alone, was kept constant at 5 g with the addition of Bluescript plasmid. Coprecipitates were added directly to cells and incubated for 18 -20 h at 37°C. Subsequently cells were washed twice with phosphate-buffered saline, RPMI medium with 10% fetal bovine serum added, and incubation continued for 48 -54 h. To test the effect of TPA on expression of different test plasmids, cells were grown in 10 nM TPA following transfection. Total protein, ␤-galactosidase, and CAT assays were determined in cells as described (30). CAT activity was normalized to ␤-galactosidase activity for comparisons between different plasmid constituents in untreated cultures. Since TPA treatment increases the expression of ␤-galactosidase, comparisons of CAT activity in the presence and absence of TPA used non-normalized data.
RNA Preparation and Northern Blot Analysis-Total RNA was extracted from H441 cells grown in TPA ϩ dexamethasone by the acidic phenol-guanidinium isothiocyanate method (39) and poly(A) ϩ RNA was isolated using the PolyATtract® mRNA isolation system (Promega Corp.). Either 20 g of total RNA or 2 g of poly(A) ϩ RNA was used for Northern blot analysis. Contents of SP-B, TTF-1, HNF3, and ␤-actin mRNAs were determined by hybridizing at 42°C with labeled cDNA probes. For dot blot hybridization analysis, serial dilutions of RNA were immobilized on membranes using a 96-well dot blot apparatus and hybridized as above. Blots were exposed to DuPont reflection film with intensifying screens for 1-4 days. The autoradiograms were scanned using a densitometer (Hoeffer GS300, Hoeffer Scientific Instruments, San Francisco, CA) and relative densities calculated from the linear portions of the dose-response curve for each RNA sample.
Isolation of Nuclear and Cytoplasmic Proteins-Nuclear extracts were prepared from cells following the method of Dignam et al. (40) with minor modifications. Briefly, H441 cells (ϳ10 8 ) were washed twice in cold phosphate-buffered saline and resuspended in 1 ml of cold buffer A (10 mM HEPES, pH 7.6, 15 mM KCl, 2 mM MgCl 2 , 0.1 mM EGTA, 1 mM EDTA, 1 mM DTT, 1 mM phenylmethylsulfonyl fluoride, 0.1% Nonidet P-40). After 10 min on ice the lysate was centrifuged at 500 ϫ g for 3 min. The supernatant was designated as the cytoplasmic fraction and was stored at Ϫ80°C at 10 mg/ml. The pellet was resuspended in buffer A and incubated on ice for 10 min followed by centrifugation at 500 ϫ g for 5 min to obtain a purified nuclear pellet. Nuclear extract was isolated by resuspending the pellet in 25 l of buffer B (25 mM HEPES, pH 7.6, 1 mM KCl, 20% glycerol, 0.1 mM EDTA, 1 mM DTT, 1 mM phenylmethylsulfonyl fluoride, 10 mM each of leupeptin and pepstatin) with frequent vortexing for 15 min at 4°C. After centrifuging at 20,000 ϫ g for 20 min, the supernatant was dialyzed against 25 mM HEPES, pH 7.6, 1 mM KCl, 20% glycerol, 0.1 mM EDTA, 0.5 mM DTT, and extracts were stored at Ϫ80°C as 1 g/l aliquots.
Electrophoretic Mobility Shift Assay (EMSA)-A modified method of Hennighausen and Lubon (41) was adopted to identify DNA-protein interactions. The end-labeled probe (10,000 cpm) was incubated with 2 g of nuclear protein in a reaction mix with binding buffer (0.5 g of poly(dI-dC), 0.5 g of sonicated salmon sperm DNA, 10 mM HEPES, pH 7.6, 80 mM KCl, 1 mM EDTA, 1 mM EGTA, and 6% glycerol) and incubated on ice for 20 min. For cytoplasmic EMSA experiments the same amount of probe was incubated with 20 g of cytoplasmic protein with binding buffer. For supershift analysis, the probe and nuclear extract were incubated for 15 min on ice in a total volume of 25 l and for an additional 15 min at 22°C after addition of 1 l of antibody (TTF-1, HNF3␣, HNF3␤, or HNF3␥, diluted 1:10 or 1:100) or preimmune antisera. For competitor analysis cold probes (1 ϫ, 10 ϫ, and 100 ϫ) were added along with labeled probe, nuclear extract, and binding buffer and incubated for 15 min on ice. Products were analyzed on low ionic strength gels (4.5 mM Tris borate, 1 mM EDTA, pH 8.0), 5.0% Long Ranger (FMI Bioproducts, Rockland, ME) with 0.25% glycerol and autoradiography performed. To quantitate the amount of probe in a retarded complex, the area on the gel with a retarded band was excised and counts/min determined in a scintillation counter.
DNA and Oligonucleotide Probes for EMSA-The 76-and 77-bp fragments of the SP-B gene 5Ј-flanking sequence corresponding to Ϫ140/Ϫ65 and Ϫ217/Ϫ141 bp upstream of the transcription start site and the commercially synthesized double-stranded oligonucleotides designated TTF-1, HNF3, and AP-2 (Table I) were used as probes for EMSA. Mixtures of complementary oligonucleotides were heated initially to 95°C for 5 min and were annealed by incubating serially at 65°C, 37°C, and on ice for 10 min each. 1-2 pmol of DNA or oligonucleotides were end-labeled with [␥-32 P]ATP using T4 polynucleotide kinase (Promega Corp.) and purified using Sephadex G-50 columns.
SouthWestern blots-SouthWestern blot analysis was done following the modified method of Singh et al. (42). Nuclear extracts were dialyzed at 4°C in excess volume of dialysis buffer without glycerol for 6 h with two to three buffer changes. Twenty-five g of protein of nuclear extracts were separated on 12% SDS (TTF-1 and AP-2) or 4.5-14% gradient native (HNF3) PAGE, and proteins were transferred electrophoretically to Duralose membrane as described (33). Membranes were blocked in 3% milk powder in Tris-buffered saline and denatured with serial dilutions (1.5, 0.75, 0.375, 0.18, 0.09 M) of guanidium chloride in HEPES, pH 7.0, buffer. Denatured membranes were blocked again for 30 min and incubated overnight with end-labeled TTF-1, HNF3, or AP2 ds oligonucleotides in binding buffer (0.2 M Tris, pH 7.2, 10 mM MgCl 2 , 1 mM EDTA, 1 mM DTT, 0.5 mM phenylmethylsulfonyl fluoride, 1 mg/ml of poly(dI-dC), and 1 g of sonicated salmon sperm DNA). Blots were washed and exposed to x-ray film with intensifying screen for 4 to 5 days.
Immunolocalization-H441 and HeLa cells were plated on 10-cm culture dishes at ϳ30 -35% confluence; after 1 day the cells were treated with 10 nM TPA for 24 h. Cells were fixed in methanol for 20 min at 20°C, washed twice with phosphate-buffered saline, and immunostained with rabbit polyclonal anti-SP-B, -TTF-1, -HNF3␣, or -HNF3␤ antibodies (1:500 dilution) or non-immune serum (1:250) overnight at 4°C, followed by CY3-conjugated goat anti-rabbit IgG secondary antibody treatment for 2 h at 22°C. Stained cells were observed on an inverted microscope with a fluorescent light source and photographed.
Western Blot Assay for HNF3 Proteins-A cytoplasmic fraction was recovered from H441 cells, and 25 g of protein were separated by SDS-PAGE, and proteins were transferred electrophoretically to Duralose membranes. Immunoblotting was performed with antibodies to HNF3␣, HNF3␤ (1:1000) and HNF3␥ (1:500), and goat anti-rabbit IgG antisera conjugated with horseradish peroxidase (1:10,000). Immunoreactive products were detected on a x-ray film using enhanced chemiluminescence according to the manufacturer's directions (NEN Life Science Products). Bands were quantitated by scanning densitometer.
Statistics-In all experiments we included two to three replicates, and the experimental results were confirmed in two or more experiments. Data analysis was performed with Statview 512ϩ (Abacus Concepts, Calabasas, CA) and analyzed by Student's t test or analysis of variance, compared by Fisher Exact Test. Data are expressed as mean Ϯ S.E. except where otherwise noted.

TPA Responsiveness Localizes to Proximal 5Ј-Flanking Elements of the SP-B Gene-
We have shown previously that treatment of transfected H441 cells with TPA inhibited the expression of CAT reporter gene driven by the SP-B gene promoter fragment Ϫ1039/ϩ431 (30); similar responsiveness was found with lacZ as a reporter gene. 2 Deletional studies using SP-B-CAT constructs localized TPA responsiveness to the proximal promoter (30), however, studies of TPA inhibition with further deletions of the 5Ј-flanking region were not possible because of low basal SP-B promoter activity. We therefore used the heterologous TK minimal promoter to test TPA responsiveness of linked SP-B DNA elements that did not contain the SP-B gene TATA box (Ϫ33/Ϫ30).
To establish TPA responsiveness of SP-B DNA fragments linked to a heterologous promoter, we initially performed TPA dose-response studies. H441 cells were grown with different concentrations of TPA for 48 h after transfecting with SP-B (Ϫ1039/ϩ431) CAT or with SP-B (Ϫ404/Ϫ35) TK-CAT. Inhibition was comparable with the two constructs; half-maximal inhibition occurred at ϳ0.5 nM TPA, and CAT activity was 10% of control at 10 nM TPA (Fig. 1A).
Cell specificity of the TPA response was examined in H441 and A549 cells, both derived from lung adenocarcinomas, and HeLa cells. After transfection with TK-CAT, TPA treatment (10 nM, 24 h) decreased CAT activity in H441 cells, increased activity in A549 cells, and had no effect in HeLa cells (Fig. 1B). Compared with these control results, transfection with plasmids containing the SP-B DNA fragment resulted in TPA inhibition of CAT activity in H441 and A549 cells but did not affect the activity in HeLa cells. These findings are consistent with the previous observation of lung cell line specificity of SP-B promoter activity (30) and localization of cell-specific enhancer elements in the proximal sequence (5,30).
To localize more precisely the region for TPA responsiveness, we transfected H441 cells with plasmids containing different fragments of SP-B proximal promoter, generated by polymerase chain reaction, linked to TK-CAT (Fig. 1C). In these experiments TPA reduced the strength of TK promoter alone (TK-CAT) to ϳ50% of control. In cells transfected with plasmids containing TK promoter plus SP-B fragments Ϫ404/Ϫ35, Ϫ140/ Ϫ65, and Ϫ217/Ϫ53, TPA reduced CAT activity to Ͻ12% of control, similar in magnitude to the inhibition observed with the SP-B promoter (Ϫ1039/ϩ431-CAT). TPA did not decrease CAT expression for constructs containing the SP-B sequences Ϫ404/Ϫ255 and Ϫ217/Ϫ141. These results indicate that the TPA responsive element(s) in the SP-B gene reside within bp Ϫ140/Ϫ65 and that TPA responsiveness occurs independent of promoter function consistent with the expected properties of a regulated enhancer element.
TPA Responsiveness Localizes to TTF-1 and HNF3 Enhancer Elements-The proximal 5Ј-flanking region of SP-B gene contains 2 TTF-1 binding sites and an HNF3 binding site that function as cell line-specific enhancer elements (5). To determine whether TPA acts at these sites, we transfected H441 cells with plasmids containing the two TTF-1 binding sites (Ϫ112/Ϫ89) and/or the HNF3 binding site (Ϫ89/Ϫ72) linked TK-CAT (see Table I). Constructs containing both the HNF3 and TTF-1 binding sites increased CAT activity ϳ10-fold compared with TK-CAT alone, comparable with the enhancer response observed with SP-B fragment Ϫ140/Ϫ65 ( Fig. 2A). Promoter activity of TK-CAT was enhanced 4 -5-fold with plasmids containing either the TTF-1 or HNF3 binding sites. These findings suggest that the TTF-1 and HNF3 elements influence SP-B gene transcription independently and additively, consistent with data using site-directed mutagenesis of the promoter (5).
Responsiveness of the TTF-1 and HNF3 sequences to TPA is shown in Fig. 2B. TPA treatment reduced CAT activity by Ն90% in cells transfected with plasmids containing enhancer sequences compared with ϳ25% decrease in cells transfected with TK-CAT alone. We observed a similar reduction in CAT activity (ϳ85%) in cells transfected with the SP-B (Ϫ1039/ ϩ431)CAT construct. Thus, TTF-1 and HNF3 sites appear to be similarly sensitive to TPA.
TPA Reduces Binding Activity of Nuclear Factors for SP-B Proximal Promoter-We used EMSA to investigate the effect of TPA on binding activity of nuclear factors for the SP-B promoter. Transcriptional down-regulation of SP-B could result from binding of a TPA-induced inhibitory protein and/or from reduced binding of existing transcription factors. Nuclear ex-tracts were isolated from treated and untreated H441 cells, and EMSA was carried out using as a probe the SP-B (Ϫ140/Ϫ65) DNA fragment, which is TPA-responsive by transfection analysis. We observed three retarded complexes using nuclear extracts from cultured cells (Fig. 3A). These bands were not affected by   , n ϭ 3-4). B, localization of TPA responsiveness. H441 cells transfected with different plasmid constructs were cultured Ϯ TPA (10 nM) for 48 h, and extracts were assayed for CAT activity. TPA responsiveness occurs with SP-B sequences containing both HNF3 and TTF-1 binding sites. Data are mean Ϯ S.E. for four to six replicate determinations in a representative experiment. treatment of cells with dexamethasone and/or cyclic AMP, hormones which increase SP-B gene expression, but were consistently reduced after TPA treatment (Fig. 3A). Prior treatment of nuclear extracts with proteinase K or 10% SDS, or preincubation at 65°C for 10 min, completely eliminated the retarded bands (data not shown), suggesting that the binding factors are heat-labile proteins. EMSA was also performed with labeled upstream (Ϫ217/Ϫ141 Fig. 3B) and downstream (Ϫ57/Ϫ38, see Fig. 5A) SP-B DNA fragments; single bands were observed with both probes, and these did not change with TPA treatment. Thus, the EMSA data indicate that the TPA effect is associated with loss of proteins binding to the Ϫ140/Ϫ65 region of the SP-B gene.
Retarded Bands on EMSA Are TTF-1 and HNF3-We determined the identity of the TPA-responsive proteins in the EMSA analysis using competition (Fig. 4A) and supershift (Fig. 4B) approaches. For competitor analysis, end-labeled SP-B (Ϫ140/ Ϫ65) probe was incubated with 1 ϫ, 10 ϫ, and 100 ϫ excess of unlabeled ds oligonucleotides corresponding to TTF-1 or HNF3 binding sites. Excess TTF-1 oligonucleotide eliminated the lowest of the three retarded bands, while the upper two bands were either reduced or eliminated with the HNF3 oligonucleotide (Fig. 4A). These results tentatively identified the bottom band as a TTF-1-DNA complex and the top two bands as HNF3-DNA complexes.
To immunologically identify the proteins in retarded bands, labeled SP-B (Ϫ140/Ϫ65 bp) probe was incubated with nuclear extract followed by an additional incubation with non-immune or specific antiserum (Fig. 4B). No supershifted band was observed on EMSA with the addition of preimmune serum (Fig.  4B, non-immune serum) or with HNF3-␤ antibody (not shown). The smallest of the retarded complexes was partially supershifted with TTF-1 polyclonal antibody at both 1:10 and 1:100 dilutions (Fig. 4B, TTF-1). With HNF3␣ antibody, intensity of the middle band was reduced and two supershifted bands were observed; a partial shift occurred at 1:100 antibody dilution, and a complete shift was seen at 1:10 dilution (Fig. 4B,  HNF3␣). The higher supershifted band that was observed with the greater concentration of HNF3␣ antibody may be an heterodimeric complex of HNF3␣ and ␥ proteins. Complete shift of the top retarded band was observed with HNF3␥ antibody at both concentrations (Fig. 4B, HNF3␥). Thus, competitor and supershift analyses identify the TPA-responsive bands on EMSA as TTF-1 and HNF3.
TPA Decreases TTF-1 and HNF3 in Nuclear Extract-To further characterize the effect of TPA we used the TTF-1 and HNF3 oligonucleotides (Table I) as probes in EMSA experiments. We found two retarded bands with TTF-1 oligonucleotide (Fig. 5A, TTF-1) as observed previously (5); intensity of both bands was reduced significantly by 8 h of TPA treatment and was almost eliminated by 24 h. HNF3 oligonucleotide probe also produced two retarded bands, perhaps representing dimers of HNF3 isoforms (Fig. 5A, HNF3). HNF3 binding ac-FIG. 3. EMSA using SP-B gene 5 flanking sequence. Singly end labeled probe was incubated with nuclear extract buffer (Probe) or with nuclear extracts isolated from H441 cells grown with no additives (Control), with 50 nM dexamethasone (Dex), 10 nM TPA (TPA), 1 mM cAMP ϩ isobutylmethylxanthine (cAMP), or with Dex ϩ cAMP ϩ isobutylmethylxanthine (cAMP ϩ Dex). A, SP-B (Ϫ140/Ϫ65) as a probe. We observed three retarded bands (bands 1-3), which were not affected by dexamethasone and cAMP. TPA treatment consistently reduced the intensity of all three retarded bands. FP, free probe. B, SP-B (Ϫ217/Ϫ141) as a probe. Singly end-labeled probe was incubated with extract buffer (Probe) or with the same nuclear extracts as in A isolated from H441 cells grown without additives (Control) or with 10 nM TPA (TPA). One retarded band was observed with this upstream DNA fragment (arrow), which did not change with TPA treatment.
FIG. 4. Identification of shifted bands. EMSA was performed using singly end-labeled SP-B (Ϫ140/Ϫ65) probe (0.05 pM) and 2 g of nuclear extract, isolated from H441 cells grown without additives. A, competitor analysis using TTF-1 and HNF3 ds oligonucleotides. Different relative concentrations (0, 1, 10, and 100 times) of unlabeled TTF-1 or HNF3 ds oligonucleotides were added to the reaction mix and incubated for 15 min at 22°C. Products were separated on a 6.0% low ionic strength acrylamide-glycerol gel. We observed three retarded bands; TTF-1 competed with the bottom band and HNF3 oligonucleotides competed with top two bands. B, supershift assay using TTF-1, HNF3␣, and HNF3␥ antisera. The EMSA reaction mixture was incubated 15 min at 20°C with nuclear extract alone (C) or with addition of specific antisera diluted to 1:100 (T1) or 1:10 (T2). P ϭ probe alone. Reaction products were separated on a low ionic strength-glycerol 5% acrylamide gel and autoradiographed. Supershifted bands are indicated by arrows. tivity in both bands decreased significantly in nuclear extracts after 8 h of TPA treatment and was usually not detected after 24 h.
For comparison we also determined the binding activity of the same nuclear extracts for the AP-2 oligonucleotide probe, representing bp Ϫ57/Ϫ38 of SP-B promoter downstream of the TTF-1 and HNF3 binding sites. EMSA with the AP-2 probe produced one strong retarded band (Fig. 5A, AP-2) and two additional retarded bands with longer exposure (not shown). None of the retarded bands with AP-2 probe were affected by TPA treatment of cells.
To quantitate the reduction in TTF-1 and HNF3 binding activities, we excised the retarded bands from gels and counted the radioactivity. TPA treatment caused a similar, time-dependent decrease in both binding activities (Fig. 5B). The reduction was statistically significant after 8 h of TPA treatment and was Ͻ10% of control at the 24 h time point. These findings suggest that transcriptional down-regulation of SP-B by TPA results from reduced binding of TTF-1 and HNF3 transcription factors to the SP-B proximal promoter.
We confirmed the changes in DNA binding activity by South-Western analysis. Nuclear extracts were isolated from H441 cells grown in TPA for different time periods. Proteins were separated on a 12% SDS-PAGE, transferred to membrane, and probed with radiolabeled TTF-1 oligonucleotide, which bound to a single band of expected size (ϳ39 kDa). The autoradiographic signal decreased significantly after 8 h of TPA treatment and was very weak after 24 h (Fig. 6, TTF-1). For analysis of HNF3, proteins were separated on a non-denaturing gel. HNF3 oligonucleotide probe bound to three distinct bands with untreated nuclear extract (Fig. 6, HNF3), and reduced binding of probe to all three HNF3 bands was observed with Ն6 h of TPA treatment. Apparent differences between control and early TPA time points in this gel were not reproducible and probably resulted from the variability in protein loading noted by Coomassie staining. As a control, blots were also hybridized with AP-2 oligonucleotide probe. A 52-kDa band was observed, which was not significantly altered by TPA treatment (Fig. 6, To examine content of the transcription factors, we carried out Western blot analyses of nuclear extract. A satisfactory signal was not achieved with TTF-1 antibody. Gels probed with antibodies to HNF3␣ and HNF3␥ revealed bands of ϳ51 and ϳ36 kDa, respectively, which decreased in intensity in nuclear extracts from cells treated with TPA for 8 and 24 h compared with control (data not shown). Thus, decreased HNF3 DNA binding activity after TPA treatment is due to reduced content of HNF3 proteins in nuclear extracts. Loss of transcription factor from nuclei could result from either decreased expression of the factor or a change in intracellular localization. Experiments were carried out to address these two possibilities.
Content of TTF-1 and HNF3 mRNAs Is Not Affected by TPA-To determine the effect of TPA on expression of TTF-1 and HNF3 genes, we isolated total and poly(A) ϩ RNA from H441 cells grown in 10 nM TPA for different time periods. On Northern analysis, probing with TTF-1 cDNA produced a single band of 2.6 kilobases, which did not change in intensity FIG. 5. Time course of TPA effect on TTF-1, HNF3, and AP-2 binding activities in nuclear extracts. Nuclear extracts were prepared from cells grown in TPA for 1-24 h or untreated cells (0 h) and EMSA performed. A, autoradiogram using oligonucleotide probes for TTF-1 (left), HNF3 (middle), and AP-2 (right). With TTF-1 probe, we observed two bands, which had decreased intensity after 8 and 24 h of TPA treatment. The T1 band may represent the binding of TTF-1 to both TTF-1 sites, while the T2 band may be due to the binding of TTF-1 protein to only on one of two sites. With HNF3 probe 2 bands were found, possibly representing different dimers of HNF3 subtypes, and both decreased after 8 and 24 h of TPA. There was no apparent effect of TPA on binding with the AP-2 probe, which contains sequence downstream of the TPA-responsive region. B, quantitative results. Data from three EMSA experiments such as shown in A were quantitated by isolating the retarded bands and determining the counts/min. Radioactivity in the shifted bands, representing the total amount of TTF-1 or HNF3 binding activity, is plotted. Data are mean Ϯ S.E.; * p Ͻ 0.05 versus time 0. Binding activity for both probes decreased with increasing time of TPA treatment.
FIG. 6. SouthWestern blots with nuclear extracts (NE) and SP-B DNA fragments. H441 cells were exposed to diluent (control, C) or to 10 nM TPA for different time points, and 25 g of nuclear protein from each treatment were separated on a 12% SDS (top and bottom) or native gradient (4.5-14%) PAGE (middle), transferred onto Duralose membrane, and hybridized with labeled ds oligonucleotides. Data shown are representative of two to four experiments. Top, TTF-1 oligonucleotide. A single shifted band was observed which was reduced in intensity at 8 h and disappeared by 24 h of TPA treatment. Middle, HNF3 oligonucleotide (middle). On this nonreducing gel three bands were observed with control extract, which may represent different HNF3 isoforms and dimers; the molecular weights are approximate, since the markers were provided in buffer containing SDS. All bands were competed by prior exposure to cold probe (not shown). Binding of HNF3 oligonucleotide decreased with nuclear extract from H441 cells treated with TPA for Ն8 h. Bottom, AP-2 oligonucleotide (bottom). We observed a single band, which did not change in intensity with TPA treatment.
with TPA treatment for 24 h (Fig. 7A, TTF-1). Likewise a single 2.8-kilobase, TPA-insensitive band was identified on probing with HNF3 cDNA (Fig. 7A, HNF3). Using dot blot hybridization analysis we found the expected reduction in SP-B mRNA levels by 8 h of TPA treatment, whereas TTF-1 and HNF3 mRNA levels remained unchanged over 24 h (Fig. 7B). Thus, decreased nuclear content of TTF-1 and HNF3 is not due to reduced expression of the genes.
TTF-1 and HNF3 Accumulate in the Cytoplasm of TPAtreated Cells-EMSA was performed with cytoplasmic fraction to examine the effect of TPA treatment on TTF-1 and HNF3 DNA binding activities in the cytoplasm. As with the nuclear extracts, two retarded bands were observed with TTF-1 probe (Fig. 8, TTF-1). A single retarded band was found with HNF3 probe on short exposure of gels to films (Fig. 8, HNF3), and a second band of lower mobility was seen after longer exposure (not shown). Low levels of TTF-1 and HNF3 binding activities were present in the cytoplasmic fractions from control cells, and activities of both transcription factors were consistently increased with Ն2 h of TPA treatment (Fig. 8). These results could reflect a change in either DNA binding activity or content of the proteins.
To examine localization of immunoreactive HNF3, TTF-1, and SP-B in intact H441 cells, we performed immunostaining using fluorescently labeled secondary antibodies (Fig. 9). Control, untreated H441 cells stained with HNF3␣ (Fig. 9B) or TTF-1 (Fig. 9F) antibodies showed strong fluorescence in the nucleus and minimal cytoplasmic signal. After 24 h of TPA treatment there was little nuclear fluorescence and the appearance of cytoplasmic fluorescence, which was distributed primarily in a perinuclear fashion for both HNF3␣ (Fig. 9D) and TTF-1 (Fig. 9H); similar results were found for HNF3␥ (not shown). In general, fluorescence was stronger with HNF3 stained cells compared with TTF-1 stained cells. Using SP-B antibody a bright orange fluorescence was observed in the cytoplasm of most control cells (Fig. 9J), which was nearly eliminated in cells treated with TPA for 48 h (Fig. 9L). Staining of H441 cells with non-immune serum did not produce any fluorescence (Fig. 9N). Similarly, no fluorescence with either TTF-1 or HNF3 antibodies was noticed in HeLa cells (not shown), confirming other reports that these cells lack both transcription factors (5). No effect of TPA treatment on cell structure was observed by phase microscopy (left panels of Fig.  9).
Finally, we carried out Western analysis of cytoplasmic proteins using TTF-1 and HNF3 antibodies. Similar to findings with nuclear extracts, staining of cytoplasmic Western blots with TTF-1 antibody did not result in satisfactory results. Blots probed with HNF3␣ and HNF3␥ antibodies identified an expected 51-kDa band and a weak band at 36 kDa, respectively; intensity of both of these bands increased with time of TPA treatment (Fig. 10). Probing of Western blots with HNF3␤ identified a single protein band of 47 kDa, which did not change during prolonged TPA treatment. The identity of the higher molecular weight bands observed with HNF3␣ and HNF3␤ antibodies is not known. These findings by protein blotting are in agreement with the EMSA and Southwestern data, and together the results suggest that TPA reduces SP-B gene transcription by causing cytoplasmic trapping of TTF-1 and HNF3.

DISCUSSION
Previous studies of SP-B gene expression in H441 cells established the strong inhibitory effect of phorbol esters (24,27), and we recently found that this effect involved transcriptional down-regulation mediated by regulatory elements in the proximal promoter region (29,30). In the current study we provide evidence that TPA causes a loss of nuclear TTF-1 and HNF3, which are trans-activators of SP-B gene expression, secondary to cytoplasmic trapping of the proteins without alteration of their mRNA contents or DNA binding activities. Regulation of FIG. 7. Effect of TPA on TTF-1 and HNF3 mRNA. A, Northern blot. Total and poly (A) ϩ RNA was isolated from H441 cells exposed to 10 nM TPA for different time periods and 2 g of poly(A) ϩ RNA were used for Northern blot analysis and hybridized with 32 P-labeled HNF3 or TTF-1 cDNA. The signals for both TTF-1 and HNF3 were similar for all samples, except for the TTF 2-h band, which had less RNA loaded by probing for actin (not shown). B, quantitative analysis of mRNA content. The abundance of different mRNAs was quantitated by dot blot analysis using total RNA for SP-B and poly(A) ϩ RNA for TTF-1 and HNF3. Results were quantitated densitometrically, and data are represented as percent of change over control. SP-B mRNA content was reduced significantly by 8 h of TPA treatment, while TTF-1 and HNF3 mRNAs were not affected by TPA. Mean Ϯ S.E.; n ϭ 3 experiments. gene expression by coordinate effects on the intracellular distribution of two transcription factors represents a previously undescribed mechanism for the action of phorbol esters.
By deletional analysis and use of heterologous promoter constructs the TPA responsive region of the SP-B gene was localized to bp Ϫ140/Ϫ65 upstream of transcription start site. AP1 sites, which mediate many transcriptional responses of PKC activation, lie outside this region of the SP-B gene, suggesting that c-Fos and c-Jun are not involved in this TPA effect. This region of the promoter does contain binding sites for TTF-1 and HNF3, which act as lung cell specific enhancers of SP-B gene expression (4,5). We initially explored two possibilities of TPA action: 1) induction of a repressor protein binding to this region and 2) decreased binding of existing transcription factors. Down-regulation of gonadotropin-releasing hormone by TPA, for example, involves induction of a DNA⅐protein complex with kinetics consistent with repressor action (43). Using EMSA we were unable to detect new protein binding to the Ϫ140/Ϫ65-bp region after TPA treatment. The three retarded bands observed with this probe were identified as TTF-1 and HNF3 by supershift and oligonucleotide competition approaches. The second FIG. 9. Cellular localization of HNF3, TTF-1, and SP-B before and after TPA treatment. H441 cells were cultured with 50 nM dexamethasone and then exposed to 10 nM TPA or diluent (Control) for 24 h and immunostained. The left-hand column shows phase contrast photographs corresponding to the immunofluorescent micrographs in the right-hand column. B and D, HNF3 immunofluorescence. Fluorescence with HNF3␣ polyclonal antibody was localized to nuclei in control cells and was predominantly cytoplasmic after TPA treatment. F and H, TTF-1 immunofluorescence. When TTF-1 polyclonal antiserum was used, fluorescence was localized to nuclei in control cells, while primarily perinuclear cytoplasmic staining was observed after TPA treatment. J and L, SP-B immunofluorescence. Intense cytoplasmic staining was observed with SP-B polyclonal antibody in H441 before but not after TPA treatment (48 h). N, non-immune serum. No staining was observed when non-immune serum replaced the primary antibody. The final magnification for all micrographs is 800 ϫ except for K and L, which were photographed at a higher magnification (final ϫ 1200) to better observe the low level of cytoplasmic fluorescence. Cytoplasmic fractions were isolated from untreated cells (control) or cells treated with 10 nM TPA for 1-48 h. 25 g of protein were separated by SDS-PAGE, transferred onto Duralose membrane, and immunostained with HNF3␣, ␤, and ␥ polyclonal antibodies. Detection of the HNF3␥ band required longer exposure to film than for the other isoforms. A, representative Western blot. HNF3␣ (51 kDa) and ␥ (36 kDa) proteins increased with time of TPA treatment, whereas TPA had no apparent effect on HNF3␤ (47 kDa) proteins. B, quantitation of Western analysis. The HNF3␣-, HNF3␤-, and HNF3␥-specific bands were quantitated by scanning densitometry and represented as percent increase over control. Both HNF3␣ and HNF3␥ bands increased ϳ10-fold with TPA treatment, while there was no effect on HNF3␤ protein. Mean Ϯ S.E., n ϭ 3-4 experiments. possibility was supported by the observation that all three shifted bands decreased in intensity after TPA treatment.
Several lines of evidence from our study, examining both DNA binding activity and immunoreactive protein, indicated that TPA caused a loss of TTF-1 and HNF3 from the nucleus and accumulation in the cytoplasm. The increase in cytoplasmic TTF-1 and HNF3 (by 2 h) preceded loss of the factors from the nucleus, consistent with failure of nuclear translocation as the primary event. Transport of proteins from the cytoplasm to the nucleus is an important regulated event for many nuclear proteins including selected transcription factors (44), and for many proteins a sequence of basic amino acids serves as a nuclear localization signal (45). Nuclear import can be modulated by the phosphorylation of sites adjacent to the localization signal, either inhibiting nuclear transport (e.g. lamin B2, protein kinase A catalytic subunit, and viral Jun) or increasing translocation as described for lamin A (22, 46 -48). Activity of a localization signal can also be regulated by protein-protein interaction, either blocking import as in the case of IB␣ binding to NF-B or conferring nuclear localization as occurs with chaperones (49 -51). Regulated control of nuclear localization is important during the cell cycle, in developmental processes such as occurs with MyoD during mesodermal induction and with inflammatory responses mediated through NF-B (49,52). Nuclear localization of HNF3␤ has been mapped to the winged helix DNA binding domain (53), but a localization signal has not been reported for TTF-1.
Although not directly addressed in the current study, it is likely that changes in the phosphorylation state of TTF-1 and/or HNF3 are involved in the response of these transcription factors to TPA treatment. Zannini et al. (54) mapped seven serine phosphorylation sites in TTF-1 and observed phosphorylation with PKC in vitro; however, effects of PKC on DNA binding and/or transactivation activity were not examined. Other studies found that TTF-1 DNA binding activity was phosphorylation-dependent and that inactivation by phosphatase action was reversed by treatment with protein kinase A and cAMP (10,11). The modification of TTF-1 activity by v-Ras also appears to involve phosphorylation as indicated by the finding that v-Ras activation excludes the protein kinase A catalytic subunit from the nucleus (22). The HNF3 ␣ and ␤ isoforms are phosphorylated in HepG2 cells, but a role in nuclear localization or transcriptional activity has not been determined (53). With regard to TPA effects in lung cells, further studies are required to determine whether the phosphorylation state of TTF-1 and HNF3 is altered and whether this represents a direct or indirect effect of PKC.
A consistent finding in the current study was the parallel effect of TPA on TTF-1 and HNF3. The nature of the linkage between these two transcription factors is not known. It is possible that both proteins undergo the same alteration in phosphorylation state mediated by PKC, sharing a common mechanism for nuclear translocation. Alternatively, only one of the transcription factors could be the target of PKC-mediated phosphorylation with nuclear transport of the other factor dependent on TTF-1/HNF3 heterodimerization. Finally, PKC could mediate phosphorylation of a separate protein, which would serve to either inhibit or promote nuclear transport. It is important to note, however, that the parallel responses for the two factors does not reflect a general change in transcription factor binding to the proximal promoter, since we found no change with TPA treatment in protein binding to DNA regions just upstream and downstream of the TTF-1/HNF3 binding sites.
Our finding of TPA-induced cytoplasmic trapping of TTF-1 is supported by data from studies in thyroid cells (22). Exposure of a differentiated thyroid cell line to 16 nM TPA for 3 days reduced TTF-1 binding activity in nuclear extracts as well as the activity of transfected thyroglobulin promoter. This response was reversible and recovery of TTF-1 binding activity was not inhibited by the presence of cycloheximide. By contrast, treatment of cells with a high concentration of TPA (350 nM), which down-regulates PKC, caused relatively little loss of TTF-1 binding activity, consistent with the proposal that activation of PKC is responsible for the loss of nuclear TTF-1 binding activity. Although intracellular distribution of TTF-1 was not examined in this study, the response to TPA is consistent with cytoplasmic trapping as we have observed. It is likely that cytoplasmic trapping of TTF-1 and/or HNF3 in response to TPA also operates in regulation of other genes that are activated by these transcription factors. In the lung, TTF-1 is an important transactivating factor for expression of SP-A and SP-C in type II cells and CCSP in bronchiolar clara cells (7)(8)(9). Furthermore, TPA inhibits both SP-A (24,27,29) and SP-C gene expression acting at the level of transcription. 3 In hepatic cells, expression of T4 binding globulin, apolipoprotein A-1, and CYP7A genes are inhibited by TPA and responsiveness mapped to promoter regions containing HNF binding sites (17,55,56). The possible role of altered intracellular distribution of transcription factors in the regulation of these and potentially other genes awaits further investigation.
We examined the three isoforms of HNF3 with regard to TPA responsiveness. Using specific antibodies, we identified the ␣ and ␥ isoforms of HNF3 in nuclear extracts by both supershift and Western analysis; content of both isoforms increased in the cytoplasmic fraction after TPA treatment, but there was no change in levels of HNF3␤. Previous studies also identified HNF3␣ as the isoform binding to human and rabbit SP-B promoter (5,15,57); however, Bohinski et al. (5) reported that only the ␣ isoform was expressed in H441 cells. The molecular weights of immunoreactive HNF proteins in the current study were consistent with the stated specificity of the antibodies that we used. Thus, additional analysis of HNF3 isoforms is warranted.
The SP-B gene also contains three additional TTF-1 binding sequences further upstream in the 5Ј-flanking region (Ϫ439/ Ϫ331), which recently were shown to both bind TTF-1 and to enhance heterologous promoter activity (6). Since inhibition of SP-B promoter activity by TPA was equivalent for plasmid constructs with or without this upstream region (30), the proximal TTF-1 sites appear to be primary. It is possible, however, that TTF-1 binds to the upstream sites with a higher affinity than for the proximal sites and that the residual promoter activity found in the presence of TPA represents the enhancer effect of TTF-1 at the distal sites.
The physiologic relevance of TPA down-regulation of surfactant protein gene expression may relate to lung growth and differentiation as well as the effects of inflammatory processes in the lung. Like TPA, transforming growth factor-␤ and platelet-derived growth factor both activate PKC and, in the developing lung, regulate cell proliferation, epithelial cell differentiation, and synthesis of lung matrix proteins. In particular, transforming growth factor-␤ modulates pulmonary type II cell differentiation and decreases synthesis of both surfactant phospholipids and associated proteins (26, 58 -61). Various inflammatory mediators, including endotoxins, cytokines, and free oxygen radicals, modulate gene expression by activating PKC, and tumor necrosis factor-␣ decreases SP-A and SP-B gene expression in studies with both H441 cells and cultured fetal lung (27).
Our findings lead us to propose the following model for TPA-mediated effects on expression of SP-B. Exposure of lung cells to low concentrations of TPA activates PKC, resulting in phosphorylation of newly synthesized and resident TTF-1 and/or HNF3 in the cytoplasm. Phosphorylation could occur directly via PKC or indirectly through a phosphorylation cascade and results in inactivation of the nuclear translocation signal on one or both factors. With translocation to the nucleus blocked, cytoplasmic levels of the factors increase and nuclear content decreases secondary to degradation and/or nuclear export. Transactivation of SP-B gene expression diminishes to a low level reflecting the strong enhancer role of the two factors. This model predicts that reversibility of TPA inhibition does not require new protein synthesis, and this has been observed in preliminary experiments. 4 An alternative explanation for cytoplasmic trapping of the transcription factors could involve phosphorylation of proteins serving as chaperones or transport functions rather than direct phosphorylation of TTF-1/HNF3. The mechanism for cytoplasmic trapping is currently under investigation.
In summary, we have found that TPA acts post-translationally to down-regulate SP-B gene expression by cytoplasmic trapping of both TTF-1 and HNF3 without a loss of DNA binding activity. This mechanism of phorbol ester regulation of gene expression is distinct from previously described processes involving AP-1, AP-2, NF-B, and octomer-binding protein.
Cytoplasmic trapping of TTF-1 and HNF3 may also be involved in PKC-mediated down-regulation of thyroid-specific and liverspecific genes, respectively.