Two-Stage Glucocorticoid Induction of CYP3A23through Both the Glucocorticoid and Pregnane X Receptors

  1. Janice M. Huss1 and
  2. Charles B. Kasper
  1. Department of Oncology and the Environmental Toxicology Program, McArdle Laboratory for Cancer Research, University of Wisconsin, Madison, Wisconsin

    Abstract

    Glucocorticoid inducibility of the CYP3A23 gene is conferred by a multisite unit comprising binding sites for several members of the nuclear receptor superfamily of transcription factors, including the chicken ovalbumin upstream promoter-transcription factor COUP-TF, pregnane X receptor (PXR), and hepatocyte nuclear factor 4 (HNF-4). The presence of three binding sites, each of which interacts with more than one factor, contributes to the complexity of the CYP3A23 glucocorticoid-responsive region. Despite the glucocorticoid sensitivity of this gene, direct binding of ligand-activated glucocorticoid receptor (GR) to theCYP3A23 dexamethasone-responsive region (DexRE) is not required for induction. This study demonstrates that DexRE-2 is the key element within the CYP3A23 proximal promoter, conferring ligand sensitivity via its interaction with the PXR/RXRα heterodimer. The DexRE-1 and HNF-4 sites are not ligand-responsive, but are essential accessory elements required for full promoter inducibility. In addition to ligand-mediated activation of PXR, the overall induction response involves a GR-mediated stimulation of PXR and RXRα expression. Hence, the induction pathway can be divided into two stages. In stage one, maximal induction requires a GR-dependent increase in PXR and RXRα expression, and stage two is characterized by direct transcriptional activation of CYP3A23, which is dependent on ligand-activated PXR as well as accessory factors bound at the DexRE-1 and HNF-4 sites. Because multiple proteins bind at each element within the glucocorticoid-responsive region, factors not contributing to ligand responsiveness, such as chicken ovalbumin upstream promoter-transcription factor, may modulate the response through competitive interactions.

    Footnotes

    • Dr. Charles B. Kasper, Department of Oncology, McArdle Laboratory for Cancer Research, 1400 University Ave., Madison, WI 53706. E-mail: kasper{at}oncology.wisc.edu

    • 1 Present address: Center for Cardiovascular Research, Department of Internal Medicine, Washington University School of Medicine, Box 8086, 660 S. Euclid, St. Louis, MO 63110.

    • This work was supported by National Institutes of Health Grants CA22484 and CA0920. J.M.H. was supported by National Institutes of Health Grant T32-CA-09135.

    • Abbreviations:
      CYP
      cytochrome P450
      CMV
      cytomegalovirus
      COUP-TF
      chicken ovalbumin upstream promoter-transcription factor
      CYP3A
      cytochrome P450 3A subfamily
      ds
      double-stranded
      DexRE-1
      dexamethasone response element 1
      DexRE-2
      dexamethasone response element 2
      FCS
      fetal calf serum
      GR
      glucocorticoid receptor
      HNF-4
      hepatocyte nuclear factor 4
      Me2SO
      dimethyl sulfoxide
      MMTV
      mouse mammary tumor virus
      PCN
      pregnenolone 16α-carbonitrile
      PXR
      pregnane X receptor
      RLU
      relative light units
      SV
      simian virus
      TK
      thymidine kinase
      RXR
      retinoid X receptor
      • Received December 20, 1999.
      • Accepted March 20, 2000.
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