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Endocrinology Vol. 140, No. 7 3140-3146
Copyright © 1999 by The Endocrine Society


ARTICLES

FKHR Binds the Insulin Response Element in the Insulin-Like Growth Factor Binding Protein-1 Promoter1

Susan K. Durham, Adisak Suwanichkul, Ann O. Scheimann, Douglas Yee, James G. Jackson, Frederic G. Barr and David R. Powell

Department of Pediatrics (S.K.D., A.S., A.O.S., D.R.P.), Baylor College of Medicine, Houston, Texas 77030; Department of Medicine (D.Y., J.G.J.), University of Texas Health Science Center, San Antonio, Texas 78284; and Department of Pathology and Laboratory Medicine (F.G.B.), University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104

Address all correspondence and requests for reprints to: David R. Powell, Texas Children’s Hospital, Feigin Center, MC 3–2482, 6621 Fannin, Houston, Texas 77030. E-mail: dpowell{at}bcm.tmc.edu


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The insulin response element (IRE) in the IGFBP-1 promoter, and in other gene promoters, contains a T(A/G)TTT motif essential for insulin inhibition of transcription. Studies presented here test whether FKHR may be the transcription factor that confers insulin inhibition through this IRE motif. Immunoblots using antiserum to the synthetic peptide FKHR413–430, RNase protection, and Northerns blots show that FKHR is expressed in HEP G2 human hepatoma cells. Southwestern blots, electromobility shift assays, and DNase I protection assays show that Escherichia coli-expressed GST-FKHR binds specifically to IREs from the IGFBP-1, PEPCK and TAT genes; however, unlike HNF3ß, another protein proposed to be the insulin regulated factor, GST-FKHR does not bind the insulin unresponsive G/C-A/C mutation of the IGFBP-1 IRE. When HEP G2 cells were cotransfected with FKHR expression vectors and with IGFBP-1 promoter plasmids containing either native or mutant IREs, FKHR expression induced a 5-fold increase in activity of the native IGFBP-1 promoter but no increase in activity of promoter constructs containing insulin unresponsive IRE mutants. These data suggest that FKHR, and/or a related family member, is the important T(G/A)TTT binding protein that confers the inhibitory effect of insulin on gene transcription.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
INSULIN LOWERS, and glucocorticoids raise, serum levels of insulin-like growth factor binding protein-1 (IGFBP-1) by altering the rate of hepatic IGFBP-1 transcription (1). In HEP G2 human hepatoma cells, two glucocorticoid response elements (GREs) in the human IGFBP-1 promoter act cooperatively to confer dexamethasone stimulation, whereas an insulin response element (IRE) allows insulin to inhibit both basal and glucocorticoid-stimulated promoter activity. In addition to confering insulin inhibition, the IRE is required for maximal glucocorticoid stimulation (2, 3). IRE sequence, location, and function are conserved among the human, rat and mouse IGFBP-1 promoters, further underscoring the importance of this element (1, 4, 5, 6).

Insulin inhibits, and glucocorticoids stimulate, hepatic expression of phosphoenolpyruvate carboxykinase (PEPCK) and tyrosine aminotransferase (TAT). IREs mapped to the PEPCK and TAT gene promoters resemble the human and rat IGFBP-1 IREs by requiring the same T(G/A)TTT motif for maximal insulin inhibition and glucocorticoid stimulation of promoter activity (2, 3, 4, 5, 7, 8, 9, 10, 11, 12, 13). This suggests that the same protein(s) binds the T(G/A)TTT sequence to confer insulin and glucocorticoid responsiveness to these genes. Identifying this protein(s) is necessary to understand how insulin and glucocorticoids regulate hepatic expression of these, and probably many additional, genes.

The hepatic nuclear factor 3 (HNF3) family of proteins belong to the forkhead/winged helix superfamily of transcription factors that plays a role in embryogenesis and differentiation (14). HNF3 proteins bind the IGFBP-1, PEPCK, and TAT IREs (7, 11, 12, 15, 16). However, IRE-bound HNF-3 forms do not appear to confer insulin inhibition to these promoters (7, 15, 16), although they may confer glucocorticoid stimulation (17, 18).

In the nematode Caenorhabditis elegans, activity of the gene daf-2, an insulin receptor homolog, contributes to the rapid rate of aging. daf-2 activity also blocks entry into dauer phase; when food is scarce, young animals become dauers, which are long-lived forms that remain small and reproductively immature. Severe daf-2 mutations slow the rate of aging and allow entry into dauer phase even in the presence of food (19, 20). Life-span extension and dauer entry of these animals require the active product of the daf-16 gene. Thus, a key role for the insulin-receptor homolog daf-2 is to antagonize daf-16 action (21, 22).

daf-16 encodes a forkhead protein. The DNA binding domain of the DAF-16 protein resembles those in HNF3 forms but is most similar to those in FKHR, FKHRL1 and AFX proteins; indeed, DAF-16 and these three proteins comprise a distinct class of forkhead DNA binding domains (21, 22, 23, 24, 25). This suggests that, analogous to the ability of daf-2 to antagonize daf-16 activity in C. elegans, insulin acts through the insulin receptor to antagonize action of FKHR and related proteins in mammals. If so, then FKHR may bind the T(G/A)TTT IRE motif in the IGFBP-1, PEPCK and TAT promoters. The function of FKHR proteins is not clear since they were first identified as human oncogenic fusion proteins (25, 26); indeed, target DNA elements for FKHR proteins have not been identified.

Data presented in this manuscript show that FKHR binds to the IGFBP-1, PEPCK, and TAT promoter IREs, but not to a number of insulin-unresponsive IRE mutants. In addition, FKHR stimulated activity of the native IGFBP-1 promoter, but not IGFBP-1 promoter constructs containing insulin-unresponsive IRE mutants.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Plasmid constructs
A 1.3-kb fragment of human genomic DNA spanning from -1205 (5') to +68 (3') bp relative to the hIGFBP-1 transcription start site was inserted into pCAT(An) to create p1205CAT (7, 27). Plasmids pCCGG, pG/C-A/C, pTTR, pHFH2–7 and pAm2Bm2, identical to p1205CAT except for mutations in the IRE (Table 1Go), were described previously (7).


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Table 1. Sequence and insulin responsiveness of IREs and IRE mutants used in this study

 
Plasmid pcDNA3-FKHR contains a full-length wild-type human FKHR open reading frame assembled in the mammalian expression vector pcDNA-3 (Invitrogen). The 2003-bp insert, extending from a BstEII site 6 bp 5' to the FKHR translation start codon to a ScaI site 29 bp 3' to the translation stop codon, was inserted into pcDNA3 at the Klenow-filled BamHI and XhoI sites. This insert was derived by annealing a 530 bp BstEII(5')/SacI(3') fragment from a 5' FKHR genomic clone, a 245-bp SacI/NcoI fragment from a 5' FKHR complementary DNA (cDNA) clone, an 815-bp NcoI/BlpI fragment from a 3' FKHR cDNA clone, and a 413-bp BlpI/ScaI fragment from a 3' FKHR cDNA clone (23).

To construct pGST-FKHR, which expresses GST-FKHR fusion protein in Escherichia coli, the 5' region of the FKHR cDNA was released from pcDNA3-FKHR with KpnI/SacI and subcloned into M13mp18 at SalI/SacI. A BamHI site was placed 5' to the FKHR translation start codon by site-directed mutagenesis using the Muta-Gene kit (Bio-Rad Laboratories, Inc., Hercules, CA) as described previously (7). The 3' region of FKHR cDNA, released from pcDNA3-FKHR with SacI/XbaI, was subcloned into pSP73 at SacI/XbaI. The 5' FKHR fragment was released from M13mp18 with BamHI/SacI and the 3' FKHR fragment was released from pSP73 with SacI/XhoI; these two fragments were annealed with GST expression vector pGEX-5X-3 (Pharmacia & Upjohn, Bridgewater, NJ), which had been linearized with BamHI/XhoI, creating pGST-FKHR.

A 5' FKHR DNA fragment released from pcDNA3-FKHR using HindIII/MluI, and a 3' FKHR DNA fragment released from pcDNA3-FKHR using MluI/XbaI, were ligated into the eukaryotic expression vector Rc/RSV (Invitrogen Corp., Carlsbad, CA) at the HindIII/XbaI sites to create pRSV-FKHR. To create the control plasmid pRSV, Rc/RSV was cleaved with HindIII/XbaI, Klenow-filled and then reannealed. Mutated sequences and construct orientations were confirmed by DNA sequencing using Sequenase (U.S. Biochemicals, Cleveland, OH) in the dideoxy chain termination method (27, 28).

Cell culture and DNA transfection
Maintenance and transfection of HEP G2 cells, and preparation of HEP G2 whole cell extract, have been described (7, 27, 29). HEP G2 cells were cotransfected with 3 µg of CAT plasmid and either with 1 µg of pRSV, pRSV-FKHR, pcDNA3 or pcDNA3-FKHR; cotransfecting 1 µg of pRSVL, which contains the RSV LTR 5' to the luciferase reporter gene (30), controlled for transfection efficiency. Transfected cells were washed in PBS and then incubated in serum-free medium as described (2). Chloramphenicol acetyltransferase (CAT) and luciferase assays were performed by standard methods (30, 31).

Northern analysis
After a 4-h incubation in serum-free medium, HEP G2 cells were harvested and total RNA isolated (32). Integrity of total RNA from HEP G2 and MCF-7 cells was confirmed by 1% formaldehyde-agarose gel electrophoresis. Polyadenylated RNA was isolated from HEP G2 total RNA using the Poly(A) Quik mRNA Isolation Kit (Stratagene, La Jolla, CA) and then used for Northern analysis of FKHR transcripts (33). The 1.5-kb SacI/XbaI fragment of the FKHR DNA clone (23) was labeled with 32[P] and used as probe.

RNase protection assay
A 410 bp BglII/ScaI fragment encoding parts of FKHR exons 1 and 2 was subcloned into pSP72 (Promega Corp.) at BamHI/PvuII. After vector linearization, the SP6 promoter was used to transcribe antisense complementary FKHR RNA in vitro. This RNA was labeled with 32[P] and then hybridized with 25 µg of total HEP G2 or MCF-7 RNA (25 µg). After hybridizing RNA with labeled probe, single-stranded RNA was digested with RNase A, and protected fragments then separated by 8 M urea 6% SDS-PAGE as described (34). MspI-digested pBR322 fragments were end-labeled for use as Mr markers.

Protein expression
GST-FKHR was expressed in Escherichia coli (BL21) and purified on a glutathione sepharose 4B affinity column (Pharmacia). For quantitation, affinity-purified GST-FKHR ran in two lanes of a 10% SDS-PAGE gel; other lanes contained from 1 to 250 ng of BSA. One GST-FKHR lane was Southwestern blotted using 32[P]-labeled IGFBP-1 IRE as probe (see below). The other lanes were silver stained to allow quantitation of GST-FKHR bands which bound the 32[P]-labeled IGFBP-1 IRE probe.

FKHR was expressed in vitro in a reticulocyte lysate system. pcDNA3-FKHR was linearized with XbaI and transcribed with T7 RNA polymerase for 1 h at 37 C using the Riboprobe System (Promega Corp.). After treatment with DNaseI and extraction with phenol and chloroform, FKHR messenger RNA (mRNA) was precipitated with ethanol and then translated using the Rabbit Reticulocyte Lysate System (Promega Corp.).

Preparation of antisera to FKHR
Human FKHR peptide sequence was analyzed by Peptide Companion (WindowChem Software, Fairfield, CA) to identify antigenic sequences. BLAST analysis then selected the sequence with least homology to other known proteins. This peptide, FKHR413–430 (SLNSP SPNYQKYTYGQSS), was synthesized by the San Antonio Cancer Institute Protein/Peptide Shared Resource. After conjugating FKHR413–430 with keyhole limpet hemocyanin, 2 mg of conjugated peptide were injected into each of two New Zealand white rabbits on days 0, 14, 28 and 42 by standard protocol (Alpha Diagnostic International, San Antonio, TX), creating antisera 2798 and 2799.

Immunoblotting
GST-FKHR, reticulocyte lysate, and HEP G2 whole cell extract (WCE) were separated by SDS-PAGE on a 7.5–15% gradient gel under reducing conditions [100 mM dithiothreitol (DTT)] and then transfered to a nitrocellulose membrane (35). FKHR blots used rabbit antihuman FKHR413–430 peptide antisera at 1:10,000–20,000 dilution; second antibody was a 1:15,000 dilution of peroxidase Affinipure goat antirabbit IgG (Jackson ImmunoResearch Laboratories, Inc., West Grove, PA). GST blots used a 1:10,000 dilution of anti-GST antibody (Pharmacia); second antibody was a 1:15,000 dilution of peroxidase Affinipure rabbit antigoat IgG (Jackson ImmunoResearch Laboratories, Inc.). Detection was by ECL (Amersham Life Science, Inc.) as described previously (35).

Electromobility shift assay (EMSA)
Standard binding assay: complementary 33 bp oligonucleotides (oligos) encoding either native or mutant IRE sequences within the -124 to -96 bp region of the IGFBP-1 promoter, and 33 bp complimentary oligos encoding the TAT IRE, the PEPCK IRE and a mutant PEPCK IRE, were annealed and 32[P]-labeled (2, 7); Table 1Go shows native and mutant IRE sequences. Labeled probe (~2–5 fmol) was incubated with GST-FKHR, HEP G2 WCE or reticulocyte lysate in 20 mM Tris-HCl, pH 7.5, 100 mM NaCl, 10% glycerol (vol/vol), 2 mM DTT and 2 mg/ml BSA at 4 C in a final 20 µl volume; poly (dG-dC) served as nonspecific competitor (50 ng/lane for reticulocyte lysate or WCE, 10 ng/lane for GST-FKHR). In some studies, 1 µg of either anti-GST antibody or nonimmune goat IgG (ChromPure goat IgG, Jackson ImmunoResearch Laboratories, Inc.) was added. After a 15 min incubation, the mixture was separated at 4 C and 190 V over 3 h on a 5% nondenaturing polyacrylamide gel (7).

Competition studies were performed as described (7) using the above EMSA conditions. A graded excess of nonconcatamerized and unlabeled competitor DNA was mixed with approximately 2 fmol of labeled IRE probe before adding GST-FKHR (~0.2 ng/lane). Binding was analyzed by EMSA. After dried gels were exposed to a Storage Phosphor Screen for approximately 1–24 h, relevant protein/DNA probe complexes were quantified with a Storm 860 PhosphorImager (Molecular Dynamics, Inc., Sunnyvale, CA) using ImageQuant software.

DNase I protection assays
Plasmids p1205CAT, pCCGG, pG/C-A/C, pHFH2–7, pTTR and pAm2Bm2 were digested with XhoI, labeled with {alpha}-32[P]dCTP and digested with PvuII to release 293 bp IGFBP-1 promoter fragments labeled on the antisense strand. The fragments were incubated with or without GST-FKHR and then digested with DNase I (Worthington Biochemical Corp., Lakewood, NJ) as described previously (28).

Southwestern blotting
GST-FKHR was analyzed by SDS-PAGE on a 7.5–15% gradient gel under reducing conditions (100 mM DTT). Separated proteins were transfered to nitrocellulose membranes (35), which were blocked in 20 mM Tris-HCl, pH 7.6, 137 mM NaCl, 5% Carnation Nonfat Dry Milk for 1 h at room temperature. After rinsing in 10 mM Tris HCl, pH 7.5, 50 mM NaCl, 1 mM DTT, membranes were incubated for 90 min at room temperature in this same buffer containing 1 µg poly (dG-dC)/10 ml buffer and 15 x 106 cpm of 32[P]-labeled IGFBP-1 IRE or Am2Bm2 probe/10 ml buffer; these same probes were used in EMSA studies. Membranes were rinsed at room temperature in 10 mM Tris-HCl, pH 7.5, 50 mM NaCl, and then autoradiographed.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
FKHR is expressed in hepatocytes
The FKHR DNA probe hybridized with a single approximately 6 kb mRNA transcript in polyadenylated HEP G2 RNA (data not shown). RNase protection assay also detected FKHR mRNA in HEP G2 cells; as shown in Fig. 1Go, total HEP G2 RNA protected an approximately 410-bp fragment of labeled FKHR cRNA from RNase A digestion.



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Figure 1. RNase protection assay of FKHR mRNA transcripts. Labeled antisense complementary RNA containing 410 bp of FKHR sequence (probe) was incubated with 25 µg total HEP G2 RNA, total MCF-7 RNA, or tRNA in an RNase protection assay (see Materials and Methods). Mr marker size, in bp, is shown on the right.

 
Polyclonal antiserum to synthetic FKHR413–430 peptide was used to immunoblot FKHR in HEP G2 WCE; FKHR expressed in reticulocyte lysate (RL) served as positive control. As shown in Fig. 2Go, anti-FKHR413–430 antiserum 2799 recognized a protein of molecular mass (Mr) approximately 75 kDa, the expected size of FKHR (23), in RL incubated with FKHR mRNA (FKHR-RL) but not in RL incubated without FKHR mRNA (Control-RL). In HEP G2 WCE, this same antiserum recognized a major approximately 75-kDa band that comigrated with the putative FKHR band in FKHR-RL. Preimmune serum did not recognize this approximately 75-kDa protein in FKHR-RL or HEP G2 WCE.



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Figure 2. Immunoblot of FKHR in HEP G2 WCE. Aliquots of HEP G2 WCE and reticulocyte lysate incubated with FKHR mRNA (FKHR-RL) or without FKHR mRNA (Control-RL) were separated by SDS-PAGE and transferred to nitrocellulose membranes. Membranes were immunoblotted with either rabbit antihuman FKHR413–430 peptide antiserum 2799 (ANTI-FKHR Ab) or with rabbit preimmune serum (PRE-IMMUNE). Mr marker size is shown on the left.

 
GST-FKHR binds the IGFBP-1 IRE by Southwestern blot
FKHR, expressed as a GST fusion protein in Escherichia coli, was purified on a glutathione affinity column, separated by SDS-PAGE, transferred to nitrocellulose, and blotted with 32[P]-labeled, 33-bp oligos encoding either the insulin-responsive IGFBP-1 IRE or the insulin-unresponsive Am2Bm2 mutant (7). This Southwestern blot shows three major GST-FKHR forms that bind 32[P]-labeled IRE (Fig. 3Go) but not 32[P]-labeled Am2Bm2 (data not shown). The largest (Mr ~105 kDa), intermediate (Mr ~75 kDa), and smallest (Mr ~60 kD) GST-FKHR forms bound the least, intermediate, and greatest amount of IRE probe, respectively. When this membrane was immunoblotted with anti-GST antibody, these same three IRE-binding FKHR forms were seen. A further immunoblot with anti-FKHR413–430 antiserum 2798 identified the FKHR413–430 epitope in the two larger GST-FKHR forms but not in the most abundant ~60 kDa form (Fig. 3Go). Because the Mr of GST is ~26 kD, these data suggest that the approximately 105 kDa form is intact GST-FKHR, while the smaller forms consist of intact GST fused to C-terminal truncated FKHR that either contains (~75 kDa form) or does not contain (~60 kDa form) the FKHR413–430 epitope.



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Figure 3. Characterization of GST-FKHR forms. GST-FKHR expressed in Escherichia coli was purified on a glutathione Sepharose 4B affinity column and analyzed by: Left, Immunoblot using rabbit antihuman FKHR413–430 antiserum 2798 (FKHR Ab); Middle, Southwestern blot using labeled IGFBP-1 IRE probe (32P-IRE); Right, Immunoblot using anti-GST antibody (GST Ab). Mr marker size is shown on the left.

 
GST-FKHR forms were quantified by silver stain using graded amounts of BSA as standard. The concentration of the major approximately 60 kDa GST-FKHR form was approximately 7 ng/µl. The approximately 105 kDa and 75 kDa GST-FKHR forms were each present at a concentration of approximately 1 ng/µl.

GST-FKHR binding to native and mutant IREs
By EMSA, the GST-FKHR preparation formed a major low mobility protein/DNA complex with the the 33 bp probe encoding the native IGFBP-1 IRE but not with the probe encoding the Am2Bm2 IRE mutant (Fig. 4Go). Anti-GST antibody prevented GST-FKHR from complexing with labeled IRE probe, whereas nonimmune goat IgG did not block GST-FKHR/IRE complex formation (data not shown). The GST-FKHR preparation also formed a low-mobility complex with probes encoding the TAT and PEPCK IREs, but not with a probe encoding the insulin unresponsive M2 mutant of the PEPCK IRE (7, 8).



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Figure 4. FKHR binding to IREs from various genes by EMSA. Complementary 33-bp oligos encoding either native PEPCK, TAT, or IGFBP-1 IREs, a mutant PEPCK IRE (PEPCK-M2), or a mutant IGFBP-1 IRE (Am2Bm2) were annealed and labeled with 32P. Labeled probes (2 fmol) were incubated at 4C with 2 ng GST-FKHR. The mixture was incubated for 15 min and then analyzed by EMSA. Location of the GST-FKHR/probe complex is shown on the right.

 
As shown in Fig. 5Go, GST-FKHR protects the native IGFBP-1 IRE, but not the insulin unresponsive G/C-A/C IRE mutant (7), from DNaseI digestion. GST-FKHR also protects the insulin responsive CCGG mutant (7), but not the insulin unresponsive Am2Bm2 mutant (data not shown). These data were confirmed by EMSA using competitive oligo binding; as shown in Fig. 6AGo, GST-FKHR was competed from labeled IGFBP-1 IRE probe by unlabeled native IRE and CCGG oligos, but not by G/C-A/C or Am2Bm2 oligos.



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Figure 5. GST-FKHR protects the IGFBP-1 IRE from DNaseI digestion. Plasmids p1205CAT and pG/C-A/C were digested with XhoI, labeled on the antisense strand, and then digested with PvuII to release 293 bp IGFBP-1 promoter fragments. These fragments were incubated with 0, 1, 3, or 5 ng GST-FKHR and with 0.03 U DNaseI. After incubation, mixtures were electrophoresed on a 6.5% sequencing gel, dried, and autoradiographed. The protected region spanning from -121 to -99 bp is shown on the right.

 


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Figure 6. FKHR binding to native and mutant IGFBP-1 IREs by EMSA. A, 0.2 ng GST-FKHR was added to 2 fmol native IGFBP-1 IRE probe and the indicated molar excess of unlabeled competitor oligos encoding IRE, Am2Bm2, CCGG or G/C-A/C sequences. Binding was analyzed by EMSA. After dried gels were exposed to a Storage Phosphor Screen, the GST-FKHR/IRE complex was quantified by PhosphorImager. Values represent mean ± SD (SD) of three independent experiments. B, As in A, but using TTR and HFH2–7 oligos as unlabeled competitors. C, As in A, but using ABm2 and Am2B oligos as unlabeled competitors.

 
As shown in Fig. 6BGo, GST-FKHR was competed from labeled IGFBP-1 IRE probe by unlabeled oligos encoding native IRE and IRE mutants HFH2–7 and TTR, but not by IRE mutant Am2Bm2; the HFH2–7 mutant confers insulin inhibition, but the TTR mutation does not (7). The relative ability of a 25-fold excess of unlabeled oligo to compete with labeled IRE for GST-FKHR binding was IRE = HFH2–7 > TTR. The ability of GST-FKHR to bind the HFH2–7 and TTR mutant IREs was confirmed by DNaseI protection assay (data not shown).

As shown in Fig. 6CGo, GST-FKHR was competed from labeled IGFBP-1 IRE probe by unlabeled oligos encoding native IRE and IRE mutants ABm2 and Am2B, but not by IRE mutant Am2Bm2. The relative ability of a 25-fold excess of unlabeled oligo to compete with labeled IRE for GST-FKHR binding was IRE > ABm2 > Am2B, similar to the ability of these mutants to confer insulin inhibition to the IGFBP-1 promoter (3, 7).

Transfecting HEP G2 cells with pRSV-FKHR did not alter the pattern by which proteins in HEP G2 WCE bind labeled IGFBP-1 IRE probe during EMSA; similarly, expressing FKHR in RL did not change the pattern by which proteins in RL bind the IGFBP-1 IRE probe during EMSA (data not shown). Further, incubating anti-FKHR413–430 antisera with transfected or nontransfected HEP G2 WCE, with FKHR-RL or with purified GST-FKHR did not supershift any bands during EMSA. Thus, FKHR forms in HEP G2 WCE could not be identified with certainty by EMSA, precluding analysis of native FKHR binding to native and mutant IREs.

FKHR activates the IGFBP-1 promoter through the IRE
In p1205CAT, the CAT reporter gene is 3' to the first 1205 bp of the IGFBP-1 promoter which contains the IRE; pAm2Bm2 and pG/C-A/C are identical except for IRE mutations (Table 1Go) that do not allow FKHR binding and are insulin-unresponsive. When p1205CAT was cotransfected into HEP G2 cells with plasmids expressing FKHR (pRSV-FKHR or pcDNA3-FKHR), promoter activity rose approximately 5- to 6-fold relative to activity when FKHR nonexpressing plasmids pRSV or pcDNA3 were cotransfected (Fig. 7AGo). In contrast, FKHR expression did not increase activity of pG/C-A/C (Fig. 7BGo) or pAm2Bm2 (data not shown) relative to control values.



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Figure 7. Effect of FKHR on IGFBP-1 promoter activity. A, HEP G2 cells transfected with native IGFBP-1 promoter construct p1205CAT were also transfected with either pRSV (control) or pRSV-FKHR, or with pcDNA3 (control) or pcDNA3-FKHR. After 18 h, cells were harvested and promoter activity was estimated by CAT assay. The effect of pRSV-FKHR or pcDNA3-FKHR is shown as % control (pRSV and pcDNA3, respectively), with control value represented by the line at 100%. Promoter activity for each experimental condition = mean ± SD of N independent experiments. B, Same as in A above, except that HEP G2 cells were transfected with pG/C-A/C instead of p1205CAT.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Insulin resistance is present in 75% of diabetics (36). Understanding the multifactorial pathogenesis of this state of noninsulin-dependent diabetes (NIDDM) requires understanding of insulin signaling pathways (10, 37). In one such pathway, insulin inhibits transcription of IGFBP-1, PEPCK, and other genes through a conserved IRE containing a common T(G/A)TTT motif. Inability of insulin to inhibit these genes through the IRE motif should raise hepatic glucose production and lower peripheral glucose utilization, hallmarks of NIDDM (10, 37). Most likely, insulin inhibits activity of an IRE-binding transcription factor. If so, then mutations of this factor that free it from insulin control may predispose to NIDDM. Evidence that DAF-16 is the regulated transcription factor in a related pathway in C. elegans suggests a role for the mammalian DAF-16 homologues FKHR, FKHRL1, and/or AFX in this insulin pathway. Of the DAF-16 homologues, FKHR was studied because it is the best characterized and is more closely related to DAF-16 than AFX (21, 22, 23, 24, 25).

The insulin-regulated factor must be present in insulin-responsive tissues. FKHR is clearly expressed in insulin-responsive HEP G2 cells. Also, FKHR and its close relative FKHRL1 were expressed in all 16 human tissues tested including liver, muscle, pancreas, and ovary (24). Thus, the tissue distribution of FKHR and FKHRL1 is compatible with a role for these proteins in confering insulin inhibition.

The insulin-regulated factor should bind specifically to the IGFBP-1 IRE. FKHR does so; by Southwestern blot, EMSA and DNase I protection assay, GST-FKHR binds the IGFBP-1 IRE but not the insulin-unresponsive Am2Bm2 mutant. Southwestern, immunoblot, and EMSA studies showed that both intact and C-terminal truncated FKHR forms bind the IRE, and DNase I footprints showed that FKHR binds the IRE in the proximal IGFBP-1 promoter. Although EMSA and DNAseI protection data were based mainly on C-terminal truncated GST-FKHR, FKHR expressed in vivo in HEP G2 cells activates the IGFBP-1 promoter construct containing the native IRE but not the Am2Bm2 mutant; this implies that, like GST-FKHR, biologically active FKHR binds specifically to native IRE. Unfortunately, binding of native HEP G2 FKHR to the IRE was never shown; this is likely due to very low levels of FKHR in HEP G2 cells.

The insulin-regulated factor should bind T(G/A)TTT-containing IREs from other genes, and binding to IRE mutants should parallel the insulin responsiveness of these mutants. By EMSA, FKHR does indeed bind TAT and PEPCK IREs, but not the insulin-unresponsive PEPCK-M2 mutant. Also, FKHR binding to 7 of 8 IGFBP-1 IRE mutants parallels the insulin responsiveness of these mutants. Of note, finding that FKHR neither binds the insulin-unresponsive G/C-A/C mutant, nor increases activity of an IGFBP-1 promoter construct containing this mutant, is important because HNF3 binding to this mutant in past studies strongly suggested that HNF3 forms do not confer insulin effect. Possible explanations for the one inconsistent finding, that FKHR binds the insulin-unresponsive TTR mutant by EMSA, are: 1) high affinity of abundant HNF3 forms for the TTR mutant (7) precludes FKHR binding to this mutant in vivo; or 2) another FKHR family member, which does not bind TTR, is the important insulin-regulated factor.

Although the insulin-regulated factor would not necessarily activate transcription by binding the IRE, FKHR clearly does so. The ability of FKHR to stimulate production of IGFBP-1, a protein which blocks IGF-mediated growth and substrate utilization in vivo (1), is consistent with the ability of the FKHR homologue DAF-16 to slow growth and shift metabolism away from energy utilization in C. elegans (21, 22).

Binding of insulin to the insulin receptor activates multiple kinase pathways. It is now clear that many metabolic actions of insulin are mediated through pathways, which include the activation of phosphatidylinositol 3-kinase (PI3K), and it is also likely that, in these pathways, the downstream target of PI3K is protein kinase B/Akt (PKB/Akt) (36). For example, PKB/Akt transduces the stimulatory effect of insulin from PI3K to glycogen synthase (36); also, PI3K and PKB/Akt mediate insulin inhibition of IGFBP-1 promoter activity through the IRE (38). Recent evidence now suggests that FKHR is a downstream target of PKB/Akt in these pathways. First, in C. elegans, the PKB/Akt homologs AKT-1 and AKT-2, when transducing insulin receptor-like signals from the PI3K homolog AGE-1, act primarily to antagonize action of the FKHR homolog DAF-16 (39). Second, FKHR sequence analysis reveals three copies of the consensus PKB/Akt phosphorylation motif, RXRXXS (39); these three sites and their location in the N terminus, DNA binding domain and C-terminus of FKHR are conserved in FKHRL1, AFX and DAF-16 proteins (40). These observations, combined with the ability of FKHR to bind the IGFBP-1 IRE, suggest that FKHR, and/or a related family member, is the important T(G/A)TTT binding protein that confers the inhibitory effect of insulin on gene transcription. The additional observation that the forkhead protein TTF-2 mediates transcriptional activation of thyroid-specific genes by insulin (41), suggests a general role for forkhead proteins in confering insulin effects on transcription.


    Acknowledgments
 
We thank Richard Davis and Michelle Vanella for technical assistance.


    Footnotes
 
1 This project was supported by National Institutes of Health RO1-DK-38773 (to D.R.P.), RO1-CA-64202 (to F.G.B.), and RO1-CA-74285 (to D.Y.), by Cancer Center Support Grant P30-CA-54174 (to D.Y.), and by Beta Sigma Phi Research Fund, Houston City Council (to D.R.P.). Back

Received January 22, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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