Abstract

BackgroundFarnesoid X receptor/retinoid X receptor-alpha (FXR/RXRα) is the master transcriptional regulator of bile salt synthesis and transport in liver and intestine. FXR is activated by bile acids, RXRα by the vitamin A–derivative 9-cis retinoic acid (9cRA). Remarkably, 9cRA inhibits binding of FXR/RXRα to its response element, an inverted repeat-1 (IR-1). Still, most FXR/RXRα target genes are maximally expressed in the presence of both ligands, including the small heterodimer partner (SHP). Here, we revisited the FXR/RXRα-mediated regulation of human SHP.MethodsA 579-bp hSHP promoter element was analyzed to locate FXR/chenodeoxycholic acid (CDCA)- and RXRα/9cRA-responsive elements. hSHP promoter constructs were analyzed in FXR/RXRα-transfected DLD-1, HEK293 and HepG2 cells exposed to CDCA, GW4064 (synthetic FXR ligand) and/or 9cRA. FXR-DNA interactions were analyzed by in vitro pull down assays.Results hSHP promoter elements lacking the previously identified IR-1 (−291/−279) largely maintained their activation by FXR/CDCA, but were unresponsive to 9cRA. FXR-mediated activation of the hSHP promoter was primarily dependent on the −122/−69 region. Pull down assays revealed a direct binding of FXR to the −122/−69 sequence, which was abrogated by site-specific mutations in a binding site for the liver receptor homolog-1 (LRH-1) at −78/−70. These mutations strongly impaired the FXR/CDCA-mediated activation, even in the context of a hSHP promoter containing the IR-1. LRH-1 did not increase FXR/RXRα-mediated activation of hSHP promoter activity.ConclusionFXR/CDCA-activated expression of SHP is primarily mediated through direct binding to an LRH-1 binding site, which is not modulated by LRH-1 and unresponsive to 9cRA. 9cRA-induced expression of SHP requires the IR-1 that overlaps with a direct repeat-2 (DR-2) and DR-4. This establishes for the first time a co-stimulatory, but independent, action of FXR and RXRα agonists.

Highlights

  • The farnesoid X receptor (FXR/NR1H4) and the liver receptor homolog-1 (LRH-1/NR5A2) are central factors in the control of bile salt homeostasis

  • The RXRa ligand 9-cis retinoic acid (9cRA) lowers BSEP expression by inhibiting FXR/RXRa binding to the inverted repeat-1 (IR-1) [18,19], while transcription of other FXR/RXRa target genes (SHP, OSTb, ileal bile acid binding protein (IBABP), fibroblast growth factor 19 (FGF19); see Figure S1) is super-induced

  • We performed a detailed analysis of the human small heterodimer partner (SHP) promoter to obtain insight in the molecular mechanisms by which bile acids and 9cRA synergistically induce transcription of FXR/

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Summary

Introduction

The farnesoid X receptor (FXR/NR1H4) and the liver receptor homolog-1 (LRH-1/NR5A2) are central factors in the control of bile salt homeostasis. FXR typically acts together with the retinoid X receptor-alpha (RXRa/NR2B1) and upon activation by bile salts induces the expression of BSEP [3,4] and the small heterodimer partner (SHP/NR0B2) [5,6,7]. SHP-dependent repression of bile salt synthesis acts in parallel with fibroblast growth factor 19 (FGF19)-mediated repression, which may originate either from FXR-induced expression in the intestine (in rodents) [9] or the liver (particular in humans) [10]. Farnesoid X receptor/retinoid X receptor-alpha (FXR/RXRa) is the master transcriptional regulator of bile salt synthesis and transport in liver and intestine. We revisited the FXR/RXRa-mediated regulation of human SHP

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