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-Glutamyl Transpeptidase Gene Promoters along with Differentiation of Hepatoblasts into Biliary or Hepatocytic Lineage


From Institut National de la Santé et de la Recherche
Médicale Unite 99,*
Hôpital Henri Mondor,
Université Paris XII, Créteil; and Institut National de la
Santé et de la Recherche Médicale Unite
522,
Hôpital Pontchaillou,
Rennes, France
| Abstract |
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-Glutamyl transpeptidase (GGT), a major enzyme
of glutathione (GSH) homeostasis, is often used as a biliary
marker to follow the differentiation of hepatic precursor cells. The
expression of the GGT gene is driven by different promoters and yields
multiple mRNAs, depending on the cell type or the stage of
differentiation. In the present study, we analyzed the GGT mRNA
expression pattern by quantitative reverse transcriptase-polymerase
chain reaction or by in situ hybridization i) in the
liver, in vivo, at early stages of
development; ii) in oval cells, which proliferate and
differentiate into hepatocytes in response to galactosamine injury
in vivo; and finally, iii) during hepatoblast
differentiation, in vitro. We show that GGT gene
transcription originates from promoters P3, P4, and P5
in rat hepatic precursor cells. Differentiation of these cells induces
profound alterations in GGT gene expression, leading to
extinction of promoters P4 and P5, when they differentiate into
the hepatocytic pathway, and to extinction of promoters P3 and
P5 when they differentiate into the biliary pathway. This diversity in
GGT mRNA expression provides unique molecular probes to follow hepatic
precursor cell differentiation. Furthermore, the identification
of factors governing GGT P5 and P4 promoter expression should provide
further insight into the molecular events that occur as the liver
precursor cell differentiates into the hepatic lineages.
| Introduction |
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-fetoprotein and
albumin.3
From embryonic day 15 (E15), most of the
hepatoblasts undergo differentiation into the hepatocytic pathway and
acquire hepatocytic markers such as the HES6 antigen.4
A
few of them surrounding the vascular spaces lose
-fetoprotein and
albumin; express CK19,5,6
OV-6,7
and BDS7
antigens8
; and differentiate into biliary
cells.5
The bipotent character of these liver cells is
progressively lost during development and remains in only 5% of the
cells at birth.4
Numerous lines of evidence indicate the
persistence of a few hepatic bipotent cells in the periportal area of
adult liver from which oval cells are believed to arise in response to
toxic injuries.9,10
The characteristics of hepatoblasts
have been clearly established both in vivo4,5
and in vitro by their differentiation into either immature
biliary cells or hepatocytes, depending on the presence or the absence
of Na+ butyrate in serum-supplemented
medium.4
Monoclonal antibodies that discriminate between steps
in liver cell differentiation have been useful in the study of lineage
relationships between hepatoblasts, oval cells, and hepatoma
cells.5,8,11
Nevertheless, there are only a limited number
of genes that can be used as reliable markers for short windows of
differentiation and can give access to regulatory factors. Glutathione
transferase P (GST-P) or
-glutamyl transpeptidase (GGT) activities
are present at the early steps of liver development and are restricted
to biliary cells in the adult stage.12,13
These activities
are consistently used as biliary markers along with monoclonal
antibodies directed against cytoskeletal or unknown cell surface
antigens.4,7
However, the specificity of GGT or GST-P
activities as biliary markers is impaired by their expression in
perinatal hepatocytes12,13
and their induction in adult
hepatocytes in response to chemical injuries or carcinogenic
treatments.14,15
In the rat, the GGT gene is transcribed from five promoters (P1 to P5) into several mRNAs (mRNAs I, II, III, IV-1, IV-2, and V), which differ only in their 5' untranslated regions16-18 ; the mRNAs IV-1 and IV-2 are two splicing variants of the mRNA IV primary transcript.19 All of these mRNAs encode a protein that is involved in GSH extracellular breakdown and contributes to the intracellular cysteine and GSH supply to epithelial cells.20,21 We demonstrated that GGT transcription is initiated on different promoters in mature biliary cells and in immature perinatal hepatocytes22 ; we also established that, in undifferentiated hepatoma cells, GGT transcription originates from the distal promoter P5, which is silent in differentiated cells.17
In the present work we studied the GGT gene expression pattern along with the differentiation of hepatic precursor cells. We report that GGT gene transcription originates from three promoters in hepatic precursor cells and that this expression profile is differentially altered, depending on whether these cells differentiate into the hepatocytic or biliary lineage.
| Materials and Methods |
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Wistar rats were obtained from Charles River Company (St. Aubin les Elbeuf, France) and maintained in our animal facility. Time-pregnant rats were used for investigations of prenatal and postnatal stages. Gestation age was defined as the time after the onset of mating period (E1: 24 hours after mating); the day of birth was defined as postnatal day 1 (PN1). Hepatic necrosis and regeneration were induced in adult male rats by a single intraperitoneal injection of galactosamine D (70 mg/100 g body weight) as previously described.23
Material
Hydrocortisone, Na+ butyrate, fluorescein,
isothiocyanate, levamisole trypsin, and galactosamine D were obtained
from Sigma-Aldrich (St.-Quentin Fallavier, France). MetaPhor agarose
gel and SYBR green I were from FMC Bioproducts (Rockland, ME).
Mouse monoclonal antibodies against rat CK19 were from Novocastra
(France); anti-mouse IgG1 antibodies, streptavidin horseradish
peroxidase complex, [
-32P]ATP,
[
-32P]UTP, and Rapid-hyb buffer were
obtained from Amersham (Les Ulis, France). Taq DNA
polymerase was from Appligene (Illkirch, France). Mouse monoclonal
antibodies against surface components of rat hepatocytes (anti-HES6)
and biliary epithelial cells (anti-BDS7) were a gift of N. Marceau and
have been described elsewhere.24
Dig-dUTP oligonucleotide
tailing, digoxigenin-UTP, antidigoxigenin alkaline phosphatase, and
nitroblue tetrazolium/bromo-chloro-indolyl-phosphate were obtained from
Boehringer Mannheim. Fluorescein isothiocyanate anti-mouse antibodies
were from Valbiotech (Paris, France).
Cell Isolation and Culture
Livers were isolated from 12-day-old rat fetuses and washed in 10 mmol/L HEPES buffer (pH 7.4). Cells were dispersed in this buffer (supplemented with 3 mmol/L CaCl2 and 0.5 mg/ml collagenase) under gentle stirring for 30 minutes at 37°C. The cell suspension was washed twice in culture medium25 supplemented with 5 µg/ml of bovine serum albumin, 100 µg/ml streptomycin sulfate, and 100 IU/ml penicillin. Cells from three livers were seeded per well on a 24-well plate in 500 µl of basal medium supplemented with 10% fetal calf serum. After 24 hours the medium was renewed, and hemisuccinate hydrocortisone (4.5 x 10-5 mol/L) with or without 3.75 mmol/L Na+ butyrate was added; this medium was changed at 24-hour intervals for 5 days.
RNA Preparation and Quantification
Total RNA was isolated from frozen tissues or cells according to the method of Chomczynski.26 RNA samples were then loaded on an 1% agarose denaturing gel containing 6% formaldehyde and stained by SYBR green I; the 28 S rRNA bands were quantitated to cross-check the amount of RNA initially estimated from the optical density at 260 nm.
Standard Reverse Transcriptase-Polymerase Chain Reaction Analysis
Total RNA (5400 ng) was reverse transcribed by the extension of
antisense primers B (Figure 1A)
.
Sequences from GGT mRNAs IV were amplified between the primers A and
B (Figure 1A)
in 100 µl of 0.16 mmol/L deoxynucleoside triphosphates,
0.4 µmol/L of each oligomer, 10 mmol/L Tris-HCl (pH 9), 50 mmol/L
KCl, 1.5 mmol/L MgCl2, 0.1% Triton X-100, 0.2
mg/ml gelatin, and 2 U of Taq DNA polymerase. The 35-cycle
polymerase chain reaction (PCR) pattern was denaturation at 94°C (1
minute), annealing between 55°C and 58°C (1 minute), and extension
at 72°C (2 minutes). PCR products were separated on a 3% agarose
gel, blotted onto a nylon membrane, and hybridized to an NH-22 oligomer
(5'-GTCCAGTAGGAGCCCCCAAACC-3'), which extends from -27 to -7 in the
5' sequence common to all GGT mRNAs or to the SN-4 oligomer
(5'-CCTAAGCTGTCTCAGGATCC-3'), which maps from -566 to -547 in the
specific GGT mRNA V sequence.17
All of these
oligonucleotides were labeled at the 5' ends, using T4 polynucleotide
kinase and [
-32P]ATP. Hybridization was
performed at 42°C with Rapid-hyb buffer according to the
manufacturers instructions. Blots were washed at 42°C in 1x
standard saline citrate (SSC) and scanned on STORM 840 Phosphor Screen
(Molecular Dynamics).
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Quantitation of the different GGT mRNA transcripts was obtained by
competitive reverse transcriptase-PCR (RT-PCR) analysis.27
This involves reverse transcription and amplification of the transcript
of interest along with known amounts of an RNA standard transcribed
from a DNA template corresponding to the sequence to be amplified with
an extra 20-nucleotide internal sequence. DNA templates were obtained
from plasmids containing the 5'-specific sequences of the mRNAs
III,16
IV,19
and V,17
by
directed mutagenesis as depicted in Figure 1B
. Two amplifications were
carried out between the T7-tailed oligomer A and the tail 2-oligomer C,
and between oligomer B and the tail 1-oligomer D, separately; T7
promoter, tail 1, and its complementary tail 2 sequence are those used
by Grassi et al.27
Amplification products were annealed,
and a second PCR was performed between the T7 oligomer A and oligomer B
to generate DNA templates. GGT RNA controls were obtained by run-off
in vitro transcription of 50 ng of the DNA templates, using
T7 RNA polymerase (Promega), in the supplied buffer and 10 µCi of
[
-32P]UTP (3000 Ci/mmol) as a tracer. DNA
templates were removed from the medium by RNase-free DNase I digestion,
and a PstI digestion was performed in the 20-bp extra
sequence to prevent amplification from the remaining DNA template.
Synthesized RNA was checked on a denaturing acrylamide gel, and its
amount was determined from incorporated radioactive UTP.
A fixed amount of RNA sample (5500 ng), along with increasing amounts of in vitro transcribed standard RNA (5 x 102 to 5 x 106molecules), was reversed transcribed from the antisense primer B, and GGT sequences were amplified from different sets of primers A and B, as described above. Endogenous RNA and its corresponding standard were amplified with the same efficiency because these RNAs differ only by a 20-nucleotide sequence inserted into the standard. A 10-µl aliquot of the PCR reaction was diluted (1:5) and subjected to a two-cycle PCR reaction under the above conditions to prevent heterodimer formation between the control and the DNA analyzed, as reported previously.28 Control PCR reactions, without reverse transcriptase, were performed to check the absence of DNA template in the RNA samples. PCR products were separated on 2% or 3% MetaPhor agarose gels and stained with SYBR green I according to the suppliers recommendation. The fluorescence signal was scanned on a STORM 840 Phosphor Screen (Molecular Dynamics) and analyzed using Image Quant v 1.11 software.
Synthesis of Specific RNA and Oligomer GGT Probes for in Situ Hybridization
Digoxigenin-labeled antisense or sense probes were synthesized using T7 or SP6 polymerase and the appropriate templates. These cRNA probes were purified by ethanol precipitation and their size was checked on 1% agarose gel. The cRNA-3 and cRNA-4 probes, specific for GGT mRNA III and GGT mRNA IV, respectively, were obtained as previously described.22 DNA fragments extending from nucleotide -445 up to nucleotide -156 upstream from the GGT mRNA V transcription start site were amplified from the plasmid pGEM-3-V2.17 Amplified products were subcloned into pGEM-T Vector (Promega). The cRNA-5 probe specific for mRNA V was obtained from this plasmid digested with SalI (antisense probe) or NcoI (sense probe) and transcribed using T7 or SP6 promoter, respectively.
Oligonucleotide probes used for in situ hybridization were a 26-mer antisense sequence specific for GGT mRNA IV (oligomer AS4: 5'-GCCTCTTTACATCGTGGATGCATAGG-3') and its complementary sense probe (oligomer: S4). These oligonucleotides correspond to the sequence from nucleotide -454 to nucleotide -429 in the 5' mRNA IV specific region, upstream from the initiation codon. These high-performance liquid chromatography-purified oligonucleotides were labeled using the Dig-dUTP Oligonucleotide Tailing Kit according to the suppliers instructions.
In Situ Hybridization
Rat embryos from E12 to E18 and livers from newborn and postnatal rats were rinsed in Ca2+- and Mg2+-free phosphate-buffered saline (PBS), fixed overnight in 4% paraformaldehyde (PFA) at +4°C, and embedded in paraffin. Sections (5 µm) were mounted on superfrost+ slides (CML, Nemours, France) and stored at room temperature. After deparaffinization and rehydration, sections were rinsed in PBS. Deproteinization was carried out in 0.2 N HCl for 15 minutes at room temperature. Sections were then digested with proteinase K (510 µg/ml) in 100 mmol/L Tris-HCl (pH 7.5), 2 mmol/L CaCl2 for 20 minutes at 37°C, postfixed in 4% PFA for 15 minutes at room temperature, and acetylated for 10 minutes at room temperature in 100 mmol/L triethanolamine (pH 8) containing 0.25% acetic anhydride. The sections were then rinsed in 2x SSC and dehydrated in graded ethanol baths.
For in situ hybridization using digoxigenin-labeled RNA probes, sections were prehybridized for 4 hours in 50% deionized formamide, 1x Denhardts solution, 200 mmol/L NaCl, 10 mmol/L Tris (pH 7.5), 5.5 mmol/L NaH2PO4, 2 mmol/L Na2HPO4, and 5 mmol/L EDTA containing 1 mg/ml of tRNA and then hybridized for 16 hours in the same buffer containing 10% dextran sulfate and 1 µg/ml of digoxigenin-labeled riboprobe. Prehybridization and hybridization were performed at 55°C for GGT mRNA III and GGT mRNA V. After hybridization, sections were washed successively in 2x SSC, 1x SSC, 0.5x SSC, and 0.1x SSC (two times) for 30 minutes. Washings were performed at 50°C for GGT mRNA V and 55°C for GGT mRNA III. GGT mRNA IV detection was performed by in situ hybridization, using digoxigenin-labeled oligonucleotide-specific probes, as we did not succeed in obtaining a signal with the short specific cRNA-4 sequence. Sections were prehybridized for 2 hours at 37°C in 100 µl of hybridization buffer (50% deionized formamide, 4x SSC, 1x Denhardts solution, 500 µg/ml of tRNA and 250 µg/ml of ssDNA). Hybridization was performed for 16 hours at 37°C in 40 µl of hybridization buffer containing 5% dextran sulfate and 100 nmol/L dig-labeled oligonucleotide probe. After hybridization, sections were briefly rinsed in 2x SSC at room temperature, then in 2x SSC for 30 minutes at 37°C, and, finally, twice in 1x SSC for 30 minutes at 37°C.
Hybridization signals were detected using digoxigenin nucleic acid with antidigoxigenin alkaline phosphatase antibodies (Fab fragments) and visualized with nitroblue tetrazolium/bromo-chloro-indolyl-phosphate and high-molecular-weight polyvinyl alcohol (10%) to prevent diffusion of reaction intermediates. The reaction was carried out for 424 hours. Sections were then counterstained with methyl green. Negative controls included hybridization with digoxigenin-labeled sense riboprobe or oligonucleotide sense probe.
Histochemistry
Immunodetection of CK19 was carried out on tissue sections treated as described above for in situ hybridization up to the PBS rinse that followed rehydration. A treatment with 1 mg/ml of trypsin was carried out for 30 minutes at 37°C to demask the antigen. Preincubation of the sections in 10% normal goat serum, incubation with CK19 (1:100) and secondary biotinylated antibodies, and detection using streptavidin horseradish peroxidase complex were performed as previously described.22 Sections were then counterstained with methyl green. Controls performed without the primary antibody were negative. Immunodetection of the BDS7 or the HES6 antigen was performed on cells fixed in 4% PFA, 0.1 mol/L cacodylate buffer for 20 minutes at 4°C, using the respective mAbs and a fluorescein isothiocyanate-tagged goat anti-mouse secondary antibody as previously described.29 Histochemical GGT detection and detection of GGT activity in homogenates were performed as previously described.22
| Results |
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We analyzed the expression of GGT transcripts by RT-PCR, using
five sets of primers. To demonstrate the specificity of these sets of
PCR primers, we first analyzed the DNA fragments, amplified from these
primers and E18 liver RNA samples by hybridization to an internal
oligomer (Figure 2)
. The RNA
amplification primed by the oligomers designed from the GGT mRNA III
and the GGT mRNA V yielded 225-bp (lane 3) and 210-bp fragments (lane
5), respectively, as expected from the mRNA III and mRNA V sequences
(Figure 2)
. The set of primers designed from the mRNA IV produced
276-bp and 528-bp fragments (lane 4) that were expected from the mRNA
IV-1 and mRNA IV-2 sequences, respectively. In this reaction, we also
consistently noticed a minor band (350 bp) that could correspond to
another GGT mRNA IV variant. The 294-bp and 306-bp fragments amplified
from kidney RNA samples (data not shown), using specific primers for
mRNA I and mRNA II, were not detected in this liver sample
(lanes 1 and 2) or in any other liver
samples analyzed in this study. This indicates the absence of these two
GGT transcripts in the liver. The 225-bp-, 276-bp-, 528-bp-, and
210-pb-specific fragments are therefore suitable for quantitative
analysis of the GGT mRNA III, IV-1, IV-2, and V transcripts,
respectively.
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In Situ Hybridization Analysis of GGT Transcripts during Liver Development
The expression of the various GGT mRNA transcripts was localized
by in situ hybridization in liver sections at different
developmental stages. In E14 (Figure 4A)
as well as in E12 liver (not shown), GGT mRNA III accumulation was
revealed in all hepatic cells by a uniform and specific signal not
detected in a serial section hybridized with the control sense probe
(Figure 4B)
. At this stage, most of the cells correspond to
hepatoblasts and have the capacity to differentiate into either of the
hepatic lineages.4,5
At a later developmental stage (E18),
GGT mRNA III staining was no longer uniform over the section (Figure 4C)
. Cells negative for GGT mRNA III exhibited a round nucleus that was
counterstained more intensively than was the hepatic cell nucleus.
These cells, which were
-fetoprotein-negative, correspond to
hemopoietic cells, as previously shown.22
Staining of PN2
liver sections (Figure 4D)
revealed a weak expression of GGT mRNA III
in immature hepatocytes and no expression in cells surrounding bile
ducts (arrow). The GGT mRNA III expression decreased from birth, and no
GGT mRNA III signal was detected in the adult liver (not shown).
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Rat liver regeneration, in response to galactosamine D injury,
induces an early proliferation of small oval-shaped cells, which then
undergo hepatocytic differentiation.10,23
Two days after
the treatment, these oval cells formed small rows or duct-like
structures radiating from the portal vein in the disorganized
hepatocytic plates, as shown on Figure 7
and as previously documented.10,23
An increase in liver
GGT activity was measured from 1 day after the treatment; 3 days later,
this activity reached its maximum and represented a 15-fold induction
over the basal level. Twelve days after the treatment, GGT activity
returned to its basal level. This increase in liver GGT activity was
associated with GGT-positive oval cell proliferation, whereas the basal
GGT level corresponded to the activity expressed in biliary cells as
shown in liver sections (Figure 7)
.
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One day after seeding, E12 hepatoblasts formed islands of small
cells that had dark and ovoid nuclei and were negative for HES6 and
BDS7, two liver cell lineage markers4,29
(data not shown).
After 5 days in culture, the cells displayed a polygonal shape, a round
nucleus with a visible nucleolus, and a large and dense cytoplasm,
revealing the presence of numerous organelles (Figure 9A)
. Distinct intercellular spaces were
seen, which are characteristic of hepatocytes in culture and similar to
those observed in embryonic liver. In these cultures, most of the cells
were positive for the HES6 hepatocyte marker, as revealed by the
fluorescent signal (Figure 9C)
, and negative for the biliary marker
BDS7 (not shown). In contrast, after 5 days of exposure to butyrate, a
treatment known to induce a biliary differentiation,29
the
cells exhibited a flattened morphology, a clear cytoplasm, an oval
nucleus with several nucleoli, and a poorly delineated plasma membrane
(Figure 9B)
. Those cells were mostly positive for the biliary antigen
BDS7 (Figure 9D)
. These characteristics show that E12 hepatoblasts
cultured in the absence of Na+ butyrate
differentiated into the hepatocytic pathway and that butyrate treatment
induced differentiation into the biliary lineage.
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| Discussion |
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In 12-day and 14-day embryonic livers, the GGT gene is expressed
from promoters P3, P4, and P5 in hepatoblasts before their
differentiation into the hepatocytic or biliary lineage. GGT mRNA III
is the major GGT transcript detected from E12 until the early postnatal
period in immature hepatocytes. GGT promoter P3 expression disappears,
along with
-fetoprotein gene expression, during the final
maturation of hepatocytes after birth. The decrease in GGT mRNA IV and
V expression from E12 to E18 parallels the differentiation of the bulk
of the hepatoblasts in the hepatocytic lineage,4
characterized in vivo by the extinction of bipotent
characters such as glutathione transferase P, M2-pyruvate
kinase,30
or OC-2 antigen.7
Therefore,
hepatoblast differentiation into the hepatocytic pathway is associated
with alterations in GGT gene expression and leads to an extinction of
promoters P4 and P5. CK-19-positive biliary cells emerging in the
portal area at birth express only mRNA IV. In the adult, these cells
represent less than 5% of the liver cells and account for nearly all
of the liver GGT activity. It is worth noting that, during hepatoblast
differentiation, GGT mRNA IV expression parallels OC-2 antigen
expression, which occurs transiently in hepatoblasts and is reactivated
in immature biliary cells already expressing OV-6 and
CK19.4,6
Thus differentiation of liver precursor cells
into the biliary pathway can be correlated with the extinction of GGT
expression from promoters P3 and P5 and with an induction of GGT
expression from promoter P4.
Liver necrosis induced by galactosamine D induces a rapid proliferation of GGT-positive oval cells, which then differentiate into hepatocytes and contribute to hepatic regeneration.10,23 Proliferation of GGT-positive oval cells is associated with an early induction in the accumulation of GGT mRNAs III, IV, and V. Their subsequent differentiation into immature hepatocytes leads to an extinction of the mRNA IV and V expression from promoters P4 and P5. GGT expression from promoter P3 ceases later with final hepatocyte maturation. This GGT expression pattern observed at the different stages of this experimental model mimicks that observed during liver development, when hepatoblasts differentiate mainly into the hepatocytic pathway. It confirms that hepatic precursor cells lose promoter P4 and P5 expression when they enter the hepatocytic pathway.
The switch in the expression of the different GGT promoters was confirmed in hepatoblasts induced to differentiate in vitro. In these precursor cells, GGT promoter P4 expression is strongly activated when cells differentiate into the biliary pathway and silenced when they differentiate into the hepatocytic pathway. In these experiments we did not observe significant alteration in mRNA III or mRNA V levels, most probably because these alterations occur later in the differentiation process, as observed in the galactosamine model. This differentiation step could not be achieved in these cultures.
The physiological significance of the GGT gene expression diversity, well conserved among different species18 and yielding a unique protein, is still unknown. It should be pointed out that three promoters of the GGT gene are active in liver precursor cells that rely uniquely on GGT for their cysteine supply. The appearance, later, of an endogenous cysteine supply in the hepatocytes through the cystathionine pathway parallels the suppression of GGT expression. It can be speculated that variations in the use of alternative promoters allow for fine-tuning of GGT expression through mRNAs that may be different in their half-lives or their translational capacities.
It remains that GGT mRNAs, because of their specific 5' untranslated
regions, provide a panel of unique molecular probes to identify short
windows of liver cell differentiation. The analysis of GGT promoter
regulation should also provide further insight into the molecular
mechanisms of liver cell differentiation. GGT promoter P5 expression is
restricted to undifferentiated liver cells, which is consistent with
the high level of GGT mRNA V expression in HTC and H5 hepatoma cells
and its absence in more differentiated hepatoma cells.17
We already identified, in this promoter, a proximal element required
for its activity, which binds HNF-3 and AP-1 factors.17
GGT promoter P5 extinction, along with liver cell differentiation,
could be linked to the decrease in the HNF3ß/HNF3
ratio that
occurs during liver development.31
Such a hypothesis is
supported by the importance of the HNF3ß/HNF3
ratio in the
expression of the CC10 gene, which bears a similar
cis-acting element containing HNF3 and AP-1 overlapping
sites.32
Similarly, the knowledge of factors involved in
P4 promoter activation or extinction should be of value in
understanding the mechanisms underlying liver precursor cell
differentiation in both hepatic lineages.
| Acknowledgements |
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| Footnotes |
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Supported by INSERM, the Association pour la Recherche contre le Cancer, and the University Paris Val de Marne. Also supported by a fellowship from the Ministère de lEnseignement et de la Recherche (N. H.) and a fellowship from the Fondation pour la Recherche Médicale (T. S.).
Accepted for publication April 20, 2000.
| References |
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