Hepatocyte Nuclear Factor-4 (cid:1) Regulates the Human Apolipoprotein AV Gene: Identification of a Novel Response Element and Involvement in the Control by Peroxisome Proliferator-Activated Receptor- (cid:2) Coactivator-1 (cid:1) , AMP-Activated Protein Kinase, and Mitogen-Activated Protein Kinase

The recently discovered apolipoprotein AV (apoAV) gene has been reported to be a key player in mod-ulating plasma triglyceride levels. Here we identify the hepatocyte nuclear factor-4 (cid:1) (HNF-4 (cid:1) ) as a novel regulator of human apoAV gene. Inhibition of HNF-4 (cid:1) expression by small interfering RNA resulted in down-regulation of apoAV. Deletion, mutagenesis, and binding assays revealed that HNF-4 (cid:1) directly regulates human apoAV promoter through DR1 [a direct repeat separated by one nucleotide (nt)], and via a novel element for HNF-4 (cid:1) consisting of an inverted repeat separated by 8 nt (IR8). In addition, we show that the coactivator peroxisome proliferator-activated receptor- (cid:2) coactivator-1 (cid:1) was capable of stimulating the HNF-4 (cid:1) -dependent transactivation of apoAV promoter. Furthermore, analyses in human hepatic cells demonstrated that AMP-activated protein kinase (AMPK) and the MAPK signaling pathway regulate human apoAV expression and suggested that this regulation may be mediated, at least in part, by changes in HNF-4 (cid:1)

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