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Recently, we have shown that leptin reduces the levels of the endocannabinoid anandamide N-arachidonoylethanolamine, AEA in human peripheral T lymphocytes by up-regulating the activity a

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Differential regulation of fatty acid amide hydrolase promoter in human immune cells and neuronal cells by leptin and progesterone

Mauro Maccarrone1,2, Valeria Gasperi3, Filomena Fezza1, Alessandro Finazzi-Agro`3and Antonello Rossi3 1

Department of Biomedical Sciences, University of Teramo, Italy;2IRCCS C Mondino, Mondino-Tor Vergata-Santa Lucia Center for Experimental Neurobiology, Rome, Italy;3Department of Experimental Medicine and Biochemical Sciences,

University of Rome Tor Vergata, Rome, Italy

We have shown recently that in human T lymphocytes,

leptin stimulates activity and expression of the

endocan-nabinoid-degrading enzyme fatty acid amide hydrolase

(FAAH), through STAT3 (signal transducer and activator

of transcription 3) and its CRE (cAMP response

element)-like transcriptional target in the FAAH promoter

[Maccar-rone, M., Di Rienzo, M., Finazzi-Agro`, A., & Rossi, A

(2003) J Biol Chem 278, 13318–13324] We have also

shown that progesterone, alone or additively with leptin,

up-regulates the FAAH gene in human T-cells, through the

Ikaros transcription factor [Maccarrone, M., Bari, M., Di

Rienzo, M., Finazzi-Agro`, A., & Rossi, A (2003) J Biol

Chem 278, 32726–32732] Here, we extend these

observa-tions to immortalized human lymphoma U937 cells, where

stimulation of FAAH by leptin (up to  300% of the

controls) involves binding to a leptin receptor (Kd¼

2.0 ± 0.1 nM, Bmax¼ 382 ± 5 fmolÆmg protein)1,

appar-ent molecular mass of  110 kDa), and stimulation by progesterone involves an intracellular receptor of

 120 kDa Unlike FAAH, the other proteins of the endo-cannabinoid system are not modulated by the two hor-mones Interestingly, human neuroblastoma CHP100 cells also have a leptin receptor ( 110 kDa, Kd¼ 2.2 ± 0.2 nM,

Bmax¼ 339 ± 8 fmolÆmg protein)1), a progesterone rec-eptor ( 120 kDa), STAT3 and Ikaros, yet their FAAH is not activated by leptin or progesterone These data, corro-borated by transient expression and electrophoretic mobil-ity-shift assays, demonstrate an unprecedented cell-specific regulation of the FAAH gene, which has important impli-cations for the control of tone and activity of AEA along the neuroimmune axis

Keywords: endocannabinoids; immune system; leptin; neu-rons; progesterone

Leptin is the 16-kDa nonglycosylated product of the obese

gene, which is secreted by adipose cells, is released into

the circulation, and transported across the

blood–brain-barrier into the central nervous system, where it regulates

energy homeostasis [1] Leptin also serves systemic

functions, apart from those related to food intake and

energy expenditure in mammals, including regulation of

fertility [2] and modulation of immune response [3] These

two actions might be interconnected in humans because

leptin alters the production from T lymphocytes of T helper 1 (Th1) and Th2 cytokines [4], which are critical

in regulating embryo implantation and materno-fetal exchanges [5,6] Leptin signaling is mediated by the long isoform of the leptin receptor (LR) via different pathways, among which those mediated by the signal transducer and activator of transcription (STAT) members have a prominent role [7,8] Recently, we have shown that leptin reduces the levels of the endocannabinoid anandamide (N-arachidonoylethanolamine, AEA) in human peripheral

T lymphocytes by up-regulating the activity and expres-sion of the AEA hydrolase (fatty acid amide hydrolase, FAAH) in these cells [9] The effect of leptin occurred through a STAT3-dependent activation of a CRE (cAMP response element)-like site in the promoter region of FAAH gene [9] Remarkably, leptin has been shown to reduce the levels of AEA also in the hypothalamus of ob/obmice [10], suggesting that this compound partakes

in the neural circuitry regulated by leptin [11,12] We have also shown that the activity and expression of FAAH in human T cells is up-regulated by progesterone, which increases the nuclear levels of the Ikaros transcription factor [13,14], and hence its binding to a specific site in the promoter region of the FAAH gene [15] Progesterone

is a critical hormone both for fertility and immune response [5,6] In addition, progesterone is known to regulate a number of activities in the central nervous system [16,17]

Correspondence to M Maccarrone, Department of Biomedical

Sciences, University of Teramo, Piazza A Moro 45, 64100 Teramo,

Italy Fax: +39 0861 412583; Tel.: +39 0861 266875;

E-mail: Maccarrone@vet.unite.it

Abbreviations: AEA, anandamide (N-arachidonoylethanolamine);

AMT, AEA membrane transporter; CAT, chloramphenicol

acetyl-transferase; CRE, cAMP-response element; FAAH, fatty acid amide

hydrolase; GAR/M-AP, goat anti-rabbit/mouse Igs conjugated with

alkaline phosphatase; IGF-IR, insulin-like growth factor I receptor;

Ik, Ikaros; (s)LR, (soluble) leptin receptor; NAPE,

N-acylphosphati-dylethanolamine; NAT, N-acyltransferase; PLD, phospholipase D;

PR, progesterone receptor; STAT, signal transducer and activator of

transcription.

Enzymes: Fatty acid amide hydrolase (EC 3.5.1.4);

phosphatidylcho-line phosphatidohydrolase (EC 3.1.4.4).

(Received 4 June 2004, revised 31 August 2004,

accepted 8 October 2004)

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Based on this background, we sought to extend our

previous observations on the effect of leptin and

progesterone on FAAH activity and expression in

primary human T lymphocytes to immortalized human

lymphoma U937 cells These are a model of peripheral

immune cells shown to dispose AEA through an active

FAAH and a selective AEA membrane transporter

(AMT) [18,19] In addition, we investigated whether

leptin and progesterone can modulate the on demand

synthesis of AEA through N-acyltransferase [20] and

N-acylphosphatidylethanolamine (NAPE)-specific

phos-pholipase D (PLD) [21] In the light of the manifold

actions of AEA in the neuroimmune axis [22,23], we

sought to investigate the effect of leptin and progesterone

also on FAAH, AMT, NAT and PLD of human

neuroblastoma CHP100 cells, a model of neuronal cells

shown to metabolize AEA [18,19] We report

unprece-dented evidence that leptin and progesterone up-regulate

FAAH, but not AMT, NAT or PLD, in human immune

cells, while they do not in human neuronal cells

Therefore, the central actions of these two hormones do

not seem to involve the endocannabinoid system but

instead may play a role in the effects of leptin and

progesterone in the immune system This differential

regulation of FAAH suggests that the same factors can

lead to a cell-specific control of the tone [24] and the

activity of AEA along the neuroimmune axis, with

important pathophysiological implications In addition,

bearing in mind that FAAH has amidase or esterase

activity on many bioactive substrates [22,24], it can be

anticipated that the reported findings might have

rele-vance beyond AEA and related endocannabinoids

Materials and methods

Materials

Chemicals were of the purest analytical grade Leptin

(human recombinant), anandamide

(N-arachidonoyletha-nolamine, AEA), progesterone and mifepristone (RU486)

were purchased from Sigma Chemical Co (St Louis, MO,

USA) [3H]AEA (223 CiÆmmol)1), 125I-labeled leptin

(2200 CiÆmmol)1) and [3H]CP55.940

{5-(1,1¢-dimethyhep-tyl)-2-[1R,5R-hydroxy-2R-(3-hydroxypropyl)

cyclohexyl]-phenol; 126 Ci mmol)1} were from NEN Life Science

Products, Inc (Boston, MA, USA) [3

H]N-arachidonoyl-phosphatidylethanolamine (200 CiÆmmol)1) was from ARC

(St Louis, MO, USA), and 1,2-di[1-14

C]palmitoyl-phos-phatidylcholine (111 mCiÆmmol)1) was from Amersham

Pharmacia Biotech (Uppsala, Sweden) Anti-FAAH

poly-clonal Igs were raised in rabbits against the conserved

FAAH sequence VGYYETDNYTMPSPAMR [25]

conju-gated to ovalbumin, and were prepared by Primm S.r.l

(Milan, Italy) Mouse monoclonal antibodies against actin,

STAT3, phospho-STAT3, leptin receptor (LR) and

pro-gesterone receptor (PR), LR and PR blocking peptides, and

rabbit anti-(Ikaros serum) were from Santa Cruz

Biotech-nology (Santa Cruz, CA, USA) Anti-human insulin-like

growth factor I receptor (anti-IGF-IR) and human leptin

receptor/Fc chimeras (soluble LR, sLR) were purchased

from R & D Systems (Minneapolis, MN, USA) According

to the manufacturer’s instructions,  1.5 lgÆmL)1 of

sLR are enough to neutralize the effects of 10 nM ( 150 ngÆmL)1) leptin, and in this study we used a two-fold excess of each neutralizing agent [9] Goat anti-rabbit and goat anti-mouse Igs conjugated to alkaline phosphatase (GAR-AP and GAM-AP) were from Bio-Rad (Hercules, CA, USA)

Cell culture and treatment Human lymphoma U937 cells (ATCC, Mannassas, VA, USA) were cultured in RPMI 1640 medium (Gibco, Paisley, UK), supplemented with 25 mM Hepes, 2.5 mM sodium pyruvate, 100 UÆmL)1penicillin, 100 lgÆmL)1streptomycin and 10% heat-inactivated fetal bovine serum [18] Human neuroblastoma CHP100 cells (ATCC, Mannassas, VA, USA) were cultured in a 1 : 1 mixture of MEM (Eagle’s minimal essential medium plus Earle’s salts) and Ham’s F-12 media (Flow Laboratories Ltd, Irvine, UK), supple-mented with 15% heat-inactivated fetal bovine serum, sodium bicarbonate (1.2 gÆL)1), 15 mMHepes buffer, 2 mM

L-glutamine and 1% nonessential amino acids [18] Both CHP100 and U937 cells were maintained at 37C in humidified 5% CO2 atmosphere Incubation of U937 or CHP100 cells with leptin, alone or in the presence of different compounds, or with progesterone was performed

at 37C in humidified 5% CO2atmosphere, at the indicated concentrations for 24 h In the case of progesterone, cells were treated for 1 h in serum-free medium, then heat-inactivated fetal bovine serum was added at a final concentration of 10%, as reported [15] Controls were incubated with vehicles alone Cell viability after each treatment was tested by Trypan blue dye exclusion, and was found to be higher than 90% in all cases

Anandamide hydrolase activity and expression Fatty acid amide hydrolase (EC 3.5.1.4; FAAH) activity was assayed at pH 9.0 by the reversed-phase HPLC method described previously [18] using 10 lM[3H]AEA as substrate Cell homogenates (20 lg per lane) were prepared as described previously [18] and were subjected to SDS/PAGE (12%), under reducing conditions Rainbow molecular mass markers (Amersham Pharmacia Biotech, Bucking-hamshire, UK) were phosphorylase b (97.4 kDa) and bovine serum albumin (66.0 kDa) For immunochemical analysis, gels were electroblotted onto 0.45 lm nitrocellu-lose filters (Bio-Rad), and FAAH was visualized with anti-FAAH polyclonal Ig (1 : 200), using GAR-AP diluted

1 : 2000 as second antibody [9] Actin was immunodetected with monoclonal anti-actin Ig (1 : 500), using GAM-AP diluted 1 : 2000 as second antibody [9] The same anti-FAAH Igs were used to further quantify anti-FAAH protein by enzyme-linked immunosorbent assay (ELISA) Wells were coated with cell homogenates (20 lg per well), which were then reacted with polyclonal anti-FAAH Igs (diluted

1 : 300), as first antibody, and with GAR-AP, diluted

1 : 2000, as second antibody [9] Color development of the alkaline phosphatase reaction was measured at 405 nm, using p-nitrophenyl phosphate as substrate The A405values could not be converted into FAAH concentrations because the purified enzyme was not available to make calibration curves However, the ELISA test was linear in the range

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0–50 lg per well of cell homogenate and its specificity for

FAAH was validated by antigen competition experiments

[9] RT-PCR was performed using total RNA isolated from

U937 or CHP100 cells (10· 106cells) by means of the

SNAprogesteroneTMTotal RNA Isolation Kit (Invitrogen,

Carlsbad, CA, USA), as described [9] RT-PCR reactions

were performed using 100 ng of total RNA, for the

amplification of FAAH, or 0.4 ng, for 18S rRNA, and

the EZ rTth RNA PCR kit (PerkinElmer, Norwalk, CO,

USA) The amplification parameters were as follows: 2 min

at 95C, 45 s at 95 C, 30 s at 55 C, and 30 s at 60 C

Linear amplification was observed after 20 cycles The

primers were the following: (+) 5¢-TGGAAGTCCTCCA

AAAGCCCAG (–) 5¢-TGTCCATAGACACAGCCCTT

CAG, for FAAH; (+) 5¢-AGTTGCTGCAGTTAAAA

AGC (–) 5¢-CCTCAGTTCCGAAAA CCAAC, for 18S

rRNA

Five microliters of the reaction mixture were

electro-phoresed on a 6% polyacrylamide gel, which was then dried

and subjected to autoradiography [9] In some experiments,

the RT-PCR products were excised from the gel and counted

in a LKB1214 Rackbeta scintillation counter (Amersham

Pharmacia Biotech) Products were validated by size

deter-mination and sequencing, as described previously [18]

Analysis ofN-acyltransferase, phospholipase D,

anandamide transporter and leptin receptor binding

An N-acyltransferase (NAT) assay was performed as

described [20], using 1,2-di[1–14

C]palmitoyl-phosphatidyl-choline (1· 106d.p.m per test) as substrate and measuring

the formation of N-[14

C]palmitoyl-phosphatidylethanol-amines by high performance TLC on silica gel plates

(Sigma Chemical Co.)

1,2-Dipalmitoyl,N-palmitoyl-phos-phatidylethanolamine was used as a standard, and NAT

activity was expressed as pmol

N-palmitoyl-phosphatidyl-ethanolamine formed per min per mg protein [20] The

activity of phospholipase D (phosphatidylcholine

phos-phatidohydrolase, EC 3.1.4.4; PLD) was assayed in cell

homogenates as described [21], by measuring the release of

[3H]AEA from [3

H]N-arachidonoylphosphatidylethanol-amine (100 lM) as substrate [26] PLD activity was

expressed as pmol AEA released per min per mg protein

The uptake of 500 nM[3H]AEA by intact cells (2· 106per

test) through AMT was studied as described [18], and was

expressed as pmol AEA taken up per min per mg protein

The binding of125I-labeled leptin to U937 or CHP100 cells

was analyzed by rapid filtration assays [27] In this case,

apparent dissociation constant (Kd) and maximum binding

(Bmax) values were calculated from saturation curves in the

range 0–12 nM, elaborating the binding data through

nonlinear regression analysis with the PRISM3 program

(GraphPAD Sofware for Science, San Diego, CA, USA) [9]

Unspecific binding was determined in the presence of

100 nMcold leptin [27] The expression of leptin receptor

(LR) and of progesterone receptor (PR) in human cells was

assessed by Western blot analysis, performed as detailed

above for FAAH, with monoclonal anti-LR or anti-PR Igs

(diluted 1 : 500) as first antibody, and GAM-AP diluted

1 : 2000 as second antibody [9] The specificity of anti-LR

and anti-PR Igs was ascertained by using the corresponding

blocking peptides in competition assays [18]

Western blot analysis of protein phosphorylation and nuclear levels of Ikaros

For the analysis of total STAT3 and of the corresponding phosphorylated (activated) form, whole cell extracts were prepared as reported previously [8] For the determination

of Ikaros isoforms, nuclear extracts were prepared from U937 or CHP100 cell suspensions as reported [13] In all cases, whole cell lysates and nuclear extracts (50 lg protein) were loaded onto 10% SDS/polyacrylamide gels, and were then electroblotted onto 0.45-lm nitrocellulose filters (Bio-Rad), as described above for FAAH For immunodetection, the specific first antibody was diluted 1 : 1000, and the appropriate second antibody (GAM-AP or GAR-AP) was diluted 1 : 2000 [9] Protein content was normalized before loading onto the gel [28], and equal loading of extracts was verified by Ponceau staining [13] Cytosolic levels of phospho-STAT3 and nuclear levels of total Ikaros isoforms were quantified by ELISA, performed by coating each well with 25 lg protein/sample, then reacted with monoclonal anti-(phospho-STAT3 Ig) or polyclonal anti-Ikaros Igs (1 : 1000) and GAM-AP or GAR-AP (1 : 2000), respect-ively, as reported [15]

Construction of chloramphenicol acetyltransferase expression vectors and transient transfection Sequence information for the upstream regulatory region of the FAAH gene was downloaded from GenBank (region: gi|11423254 : 644582–754250, International Human Gen-ome Project) and the proximal promoter region of basepairs from +1 to )107 (+1 being the first nucleotide of the FAAHmRNA) was assembled using synthetic oligonucleo-tides (Amersham Pharmacia Biotech) The DNA was gel-purified and subcloned into the PstI/XbaI sites of pCAT3-Basic vector (Promega Corporation, Madison,

WI, USA) The same strategy was used to introduce mutations in the recombinant plasmids bearing the promo-ter region The nucleotide sequences of all constructs were verified by dideoxynucleotide chain termination sequencing with a Sequenase kit 2.0 (USB, Cleveland, OH, USA) Human U937 or CHP100 cells (1· 106 per test) were transfected in triplicate using TransFastTM Transfection Reagent (Promega Corporation), according to the manu-facturer’s instructions Typically, cells were washed in phosphate-buffered saline and resuspended in 0.5 mL of serum-free medium, then they were mixed with 0.5 mL of serum-free medium containing 2 lg of total DNA and the TransFastTMTransfection Reagent, at a charge ratio of 1 : 1 with respect to DNA Transfection efficiency was monitored

by use of 0.5 lg thymidine kinase b-galactosidase construct (Clontech, Palo Alto, CA, USA) After transfection, the medium was replaced with complete growth medium, and cells were harvested 48 h later For chloramphenicol acetyl-transferase (CAT) activity assays, cellular extracts were prepared as described above for FAAH, and different aliquots were used for CAT assays, for b-galactosidase (b-gal) activity determination, a marker of transfection efficiency, and for protein quantitation CAT activity was determined using the Quan-T-CAT assay system (Amersham Life Sciences), whereas the activity of b-gal was assayed using the b-Galactosidase Enzyme System

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(Promega Corporation) The values of CAT activity were

normalized to b-gal activity and to the protein content and

the relative CAT values were the average of at least three

independent experiments, each performed in duplicate

Nuclear extracts and electrophoretic mobility-shift

assays

Nuclear extracts were prepared according to Schreiber et al

[29] with the modifications reported by Lee et al [30]

Electrophoretic mobility-shift assay (EMSA) experiments

were performed as described [30], deriving the sequence for

the wild-type CRE-like site bandshift from the FAAH

promoter region:)61 5¢-CCCGGC TGATCCAGTCCG-3¢

)44 (site in bold typeface) The sequence for the mutated site

was the same used for the transfection experiments, i.e

)61 5¢-CCCGGCAAATCAAAGTCCG-3¢ )44 (mutated

nucleotides are in italic typeface) The Ikaros

GCGTGGGATCCCGGCTG-3¢)54 (site in bold), whereas the oligonucleotides used for

the cold competitions were 5¢-CTCGCAGCCTGGGAA

GATAAGTGG-3¢ (Ikaros site derived from vasoactive

intestinal peptide receptor-1 promoter), and)76 5¢-AGG

mutated site used for the transfection experiments (the

mutated nucleotides are in italic tyepface) [31] In all

oligonucleotides, the numbers refer to positions in the

FAAHpromoter The complexes were resolved on

non-denaturing 6% polyacrylamide gels in 0.5· TBE buffer

(0.45M Tris/borate, 10 mM EDTA, pH 8.0) for 1 h at

14 VÆcm)1, and were autoradiographed overnight

Statistical analyses

Data reported in this paper are the mean (± SD) of at least

three independent determinations, each in duplicate

Statis-tical analysis was performed using the nonparametric

Mann–Whitney U-test, elaborating experimental data by

means of theINSTAT3 program (GraphPAD Software for

Science)

Results

Leptin and progesterone stimulate FAAH activity and

expression in human U937 cells but not in CHP100 cells

In previous studies, we have shown that leptin and

progesterone up-regulate FAAH activity and expression in

human peripheral lymphocytes [9,15] Here, we extend these

observations to human U937 cells, where treatment with

leptin for 24 h enhanced FAAH activity in a

dose-depend-ent manner (Fig 1A) FAAH activation reached statistical

significance (P < 0.05) at 2.5 nM leptin and a  300%

maximum at 10 nM Therefore, the last concentration was

chosen to further investigate the effect of leptin on FAAH

FAAH activation by 10 nM leptin (corresponding to

 150 ngÆmL)1) was fully prevented by soluble leptin

receptor (sLR), used at neutralizing concentration of

3 lgÆmL)1 Instead, mock antibodies against IGF-IR were

ineffective at the same concentration (not shown) Also,

progesterone increased the activity of FAAH, in a

dose-dependent manner (Fig 1B), at the same concentrations

used in the previous investigation [15] At a dose of 1 lM, progesterone enhanced FAAH activity and expression to

 240% of the untreated control after 24 h of treatment (Fig 1B), and this effect was fully reversed by the synthetic antiprogestinic compound RU486 (Fig 1B), used at the blocking concentration of 10 lM[15] Western blot analysis

of U937 cell extracts showed that specific anti-FAAH Igs recognized a single immunoreactive band of the molecular size expected for FAAH, the intensity of which was higher

in U937 cells treated with 10 nMleptin or 1 lMprogesterone than in controls (Fig 1C) On the other hand, U937 cells treated with 10 nMleptin or 1 lM progesterone expressed the same levels of actin as the controls (Fig 1C), ruling out that the different levels of FAAH in these cells might be due

to unequal loading of proteins The same anti-FAAH Igs were used to further quantify FAAH content by ELISA, which showed that leptin (Fig 1A) and progesterone (Fig 1B) increased FAAH protein in human U937 cells

in parallel to the increase of enzymic activity RT-PCR amplification of cDNA of U937 cells showed a single band

of the expected molecular size for FAAH gene, which increased in cells treated with 10 nM leptin or 1 lM progesterone (Fig 1C) Under the same experimental conditions, the expression of the 18S rRNA gene was unaffected (Fig 1C) Liquid scintillation counting of RT-PCR products showed that leptin (Fig 1A) and prog-esterone (Fig 1B) increased FAAH mRNA in a dose-dependent manner in human U937 cells, in a way parallel to that of enzymic activity and protein content The effect of leptin and progesterone on FAAH activity and expression was additive, in fact treatment of U937 cells for 24 h with

10 nM leptin and 1 lM progesterone enhanced FAAH activity, protein level and mRNA content up to 500%, 450% and 490% of the controls, respectively (Table 1) On the other hand, the same concentrations of leptin and progesterone which enhanced FAAH activity and expres-sion were ineffective on the activity of AMT, NAT and PLD in U937 cells, when used either alone or in combina-tion (Table 2) It should be recalled that U937 cells do not express functional cannabinoid receptors [18]

Unlike U937 cells, FAAH activity and expression in human neuroblastoma CHP100 cells was not affected by leptin and progesterone, used either alone or in combina-tion, neither was the activity of AMT, NAT and PLD in the same cells (Figs 1A,B,D and data not shown) It should be recalled that also CHP100 cells are devoid of cannabinoid receptors [18]

Both U937 and CHP100 cells have leptin receptor and progesterone receptor

Human U937 and CHP100 cells were able to bind

125I-labeled leptin according to a saturable process (Fig 2A) that yielded apparent dissociation constants (Kd) of 2.0 ± 0.1 and 2.2 ± 0.2 nMand maximum binding (Bmax)

of 382 ± 5 and 339 ± 8 fmolÆmg protein)1, for U937 cells and CHP100 cells, respectively These values are in agree-ment with previous reports on LR of human hepatic cells [32], and on LR stably transfected into different cell types [27,33] Cold leptin fully displaced125I-labeled leptin from its binding site, when used at 100 nM(Fig 2A) Moreover, Western blot analysis showed that specific anti-LR Igs

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recognized a single immunoreactive band in U937 and

CHP100 cell extracts, with an apparent molecular mass of

 110 kDa (Fig 2B) This value is consistent with the

expected molecular mass of the long form of LR [1,33]

Western blot analysis also showed that specific anti-PR Igs

recognized a single immunoreactive band with the same

intensity in U937 and CHP100 cells, with an apparent

molecular mass of  120 kDa (Fig 2C) This value is consistent with the expected molecular mass of the full length form of PR [17]

Activation of downstream signals by binding to LR or PR

In previous studies, we have shown that up-regulation of FAAH activity and expression in human T lymphocytes by

Fig 1 Effect of leptin and progesterone on FAAH activity and expression (A) Effect of leptin on the activity of FAAH in human U937 and CHP100 cells and on the protein content and the mRNA of FAAH in U937 cells These cells were incubated for 24 h with leptin alone,

or with 10 n M ( 150 ngÆmL)1) leptin in the presence of 3 lgÆmL)1soluble leptin receptor (sLR) (100% activity in U937 cells is

350 ± 30 pmolÆmin)1Æmg protein)1; protein content, 0.280 ± 0.040 A 405 and mRNA level,

11 000 ± 1300 c.p.m; 100% activity in CHP100 cells, 25 ± 3 pmolÆmin)1Æmg pro-tein)1) (B) Effect of progesterone on the same samples as in (A) Cells were incubated with progesterone alone, or with 1 l M progesterone

in the presence of 10 l M RU486 In both panels: *P < 0.05 vs control, **P < 0.01 vs control and #P < 0.01 vs 10 n M leptin or vs.

1 l M progesterone, respectively In both pan-els, vertical bars represent SD values (C) Up-per panel, Western blot analysis of U937 cells, treated with 10 n M leptin or 1 l M progesterone and reacted with specific anti-FAAH (top) or anti-actin (bottom) Igs The positions of FAAH and actin are indicated to the right Lower panel, RT-PCR analysis of cDNA of the same samples as in (C, upper panel) The expected sizes of the amplicons (199 base pairs for FAAH and 258 base pairs for 18S rRNA) are indicated to the right (D) Same as in (C) on CHP100 cells Data shown in (C,D) are rep-resentative of three independent experiments.

Table 1 Modulation of FAAH expression in human U937 cells by leptin

and progesterone Activity, 100% ¼ 350 ± 30 pmolÆmin)1Æmg

pro-tein)1; Protein, 0.280 ± 0.040 A 405 ; mRNA level, 11 000 ± 1300

c.p.m.

Treatment of

U937 cells

FAAH Expression (%) Activity Protein mRNA Control 100 100 100

Leptin (10 n M )

for 24 h

300 ± 35* 270 ± 30* 310 ± 35*

Progesterone (1 l M )

for 24 h

240 ± 26* 220 ± 25* 240 ± 25*

Leptin (10 n M ) +

progesterone (1 l M )

for 24 h

500 ± 45*# 450 ± 50*# 490 ± 45*#

*P < 0.01 vs control; #P < 0.01 vs 10 n M leptin or vs 1 l M

progesterone.

Table 2 Effect of leptin and progesterone on the activity of AEA membrane transporter (AMT), N-acyltransferase (NAT) and phos-pholipase D (PLD) in human U937 cells.

Treatment of U937 cells AMT NAT PLD Control 100 a 100 b 100 c

Leptin (10 n M ) for 24 h

100 ± 10 90 ± 10 100 ± 10 Progesterone (1 l M )

for 24 h

90 ± 10 90 ± 10 110 ± 10 Leptin (10 n M ) +

progesterone (1 l M ) for 24 h

100 ± 10 100 ± 10 100 ± 10

a

100%, 150 ± 20 pmolÆmin)1Æmg protein)1;b100%, 14 ± 3 pmolÆ min)1Æmg protein)1; c 100%, 90 ± 10 pmolÆmin)1Æmg protein)1.

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leptin [9] or progesterone [15] occurs through

phosphory-lation of STAT3, or increase of the nuclear content of the

transcription factor Ikaros, respectively Therefore, the

levels of phospho-STAT3 and Ikaros were determined in

leptin-treated and progesterone-treated U937 and CHP100

cells The nonphosphorylated, inactive form of STAT3 was

present in both cell-types, yet the active phospho-STAT3

increased only in U937 cells treated with 10 nM leptin

(Fig 3A) In addition, nuclear levels of Ikaros isoforms Ik1,

Ik2 and Ik3 were increased by treatment of U937 cells, but

not of CHP100 cells, for 24 h with 1 lM progesterone

(Fig 3B) Quantitative analysis of phospho-STAT3 and of

total Ikaros isoforms by ELISA corroborated the Western

blot data, showing that phospho-STAT3 and Ikaros

increased up to  300 and 250% of the untreated

controls in leptin-treated or progesterone-treated U937

cells, respectively (Fig 3C) Neither phospho-STAT3 nor Ikaros increased in CHP100 cells under the same experi-mental conditions (Fig 3D)

Analysis of theFAAH promoter The human FAAH gene has been located on chromosome 1 [34] and the latter has been completely sequenced There-fore, we have inspected this chromosome to gain insight on the FAAH promoter features Human FAAH promoter was found to lack TATA boxes and, like many genes bearing this feature, it had a proximally positioned SP1 site (Fig 4A) Moreover, there was another SP1 site in the reverse orientation 100 nucleotides upstream (Fig 4A), a feature which resembles the structure of the mouse proximal promoter [35] Inspection of the promoter sequence did not show any obvious binding site for STAT3, however, it had a CRE-like site (Fig 4A), which is a target for transcriptional regulation based on STAT3 tethering [36] In addition, the FAAHpromoter had an Ikaros consensus site located at position )66, upstream the CRE-like element (Fig 4A) Transient transfections using constructs containing both the SP1 and the CRE-like ()107 to +1) sites driving the CAT reporter gene in U937, but not in CHP100, cells showed that the)107 construct was up-regulated by leptin (Fig 4B, wt and wt + L) Disruption of this site by mutation abolished the leptin up-regulation (Fig 4B, mutL and mutL + L) Also progesterone up-regulated the reporter CAT gene in U937, but not in CHP100, cells if under control of the region between the two SP1 sites of the FAAH upstream region (Fig 4B, wt and wt + P) Moreover, mutation of the Ikaros consensus site abolished FAAH up-regulation by progesterone (Fig 4B, mutIk and mutIk + P) The effect of leptin and progesterone on FAAH promoter was additive (Fig 4B, wt + L + P)

To confirm that leptin and progesterone act through a CRE-like element and an Ikaros consensus site, respectively, EMSA experiments were performed using nuclear extracts prepared from U937 or CHP100 cells, untreated or treated for 24 h with 10 nMleptin or 1 lMprogesterone As shown

in Fig 5A, complex formation was only found with oligonucleotides containing the CRE-like site of the FAAH promoter Complex formation was not seen when the mutant oligonucleotide (bearing the same mutation used for the transient transfection experiment) was used as a

32P-labeled probe, neither was it observed in CHP100 cells under the same experimental conditions (Fig 5A) On the other hand, specificity of the binding to the Ikaros site was confirmed by using a cold competitor, which corresponds to

an established functional Ik site derived from the vasoactive intestinal peptide receptor-1promoter [31], and the mutated site used for transient transfection experiments Cold competitor and mutated site, respectively, abolished or had no effect on the retarded complex in U937 cells (Fig 5B) Conversely, no retarded complex was seen in CHP100 cells under the same experimental conditions (Fig 5C)

Discussion

In this study we show that leptin and progesterone stimulate, independently (Fig 1A,D) or additively

Fig 2 Characterization of leptin receptor (LR) and progesterone

receptor (PR) (A) Saturation curves of the binding of125I-labeled

leptin to human U937 or CHP100 cells, alone or in the presence of

100 n M cold leptin (data of the cold leptin experiment with CHP100

cells were superimposable to those of U937 cells, and were omitted for

the sake of clarity) Western blot analysis of cell extracts (20 lg per

lane), reacted with anti-LR (B) or anti-PR (C) Igs Molecular mass

markers and the position of LR and PR are indicated to the right Data

shown in (B,C) are representative of three independent experiments In

(A), vertical bars represent SD values.

Trang 7

(Table 1), FAAH activity and expression in human

lym-phoma U937 cells, but not in human neuroblastoma

CHP100 cells FAAH activation occurs via a leptin

receptor-mediated activation of STAT3 signaling and/or

via a progesterone receptor-mediated increase in nuclear

levels of Ikaros, which in turn leads to up-regulation of a

CRE-like site or of an Ikaros binding site, respectively, in

the FAAH promoter

Leptin modulates FAAH activity and expression in U937

cells at the same circulating levels shown to modulate

immune cell response [4] These concentrations of leptin

were found to saturate the binding sites in U937 cells

(Fig 2A), with calculated binding constants (Kdand Bmax)

similar to those of the leptin receptor [32,33] This

obser-vation, together with the ability of cold leptin to fully

displace125I-labeled leptin, strongly suggests that U937 cells

have an authentic LR Western blot analysis further

corroborates this hypothesis, showing that specific

anti-LR Igs recognized a single band (Fig 2B) of the expected

molecular mass of the long isoform of LR [1,27] These data

extend our recent observations on primary human T-cells [9]

and suggest that regulation by leptin, being conserved in

immortalized cells, has a critical role for the immune

function Also the effects of progesterone, used at

circula-ting levels of 1 lM( 0.3 lgÆmL)1), on FAAH activity in

U937 cells extend our previous observations on T

lympho-cytes [15], and here we show for the first time that these cells

have the full length form of PR (Fig 2C) As this form is

known to function as a transcriptional activator of

pro-gesterone-responsive genes [17,37,38], this finding gives

ground to the hypothesis that the effects of progesterone on

FAAHgene expression were mediated through its binding

to PR [15] On the other hand, leptin and progesterone were

ineffective on AEA transport through AMT, and on AEA

synthesis through NAT and PLD in U937 cells (Table 2),

suggesting that FAAH was the only check point for the effect of both leptin and progesterone These observations are in keeping with the hypothesis that FAAH is the key-regulator of AEA levels in vivo, indeed FAAH knockout mice show 15-fold higher levels of AEA than wild-type littermates [39], and AEA levels in human blood inversely correlate with FAAH activity in peripheral lymphocytes [40]

The mechanism of FAAH activation by leptin and progesterone was further investigated Binding of leptin to the long isoform of LR is known to trigger different signaling pathways, among which STAT-dependent signal transduction is prominent [7,8] In human T lymphocytes,

we have shown recently that leptin activated (i.e phos-phorylated) only STAT3 [9], which is preferentially activa-ted also in other cell types [33,36] and tissues ([1] and references therein) Phospho-STAT3 was up-regulated by leptin also in U937 cells (Fig 3A,C), where the FAAH promoter did not contain STAT3 DNA binding motifs, yet

it did contain a CRE-like element between the two SP1 sites (Fig 4A) Such CRE-like elements have been shown recently to be tethered by STAT3, thus, leading to a novel type of up-regulation of gene transcription [36] Transfec-tion experiments using FAAH promoter constructs with mutated CRE-like elements (mutL) revealed that indeed these sites confer STAT3 responsiveness (Fig 4B) EMSA analysis further corroborated this conclusion (Fig 5A) FAAHpromoter also revealed a binding site for Ikaros, a member of the Kruppel family of zinc finger DNA-binding proteins that acts as critical transcriptional regu-lator of lymphocyte ontogeny and differentiation [14] Ikaros comprises eight different isoforms, Ik1 through Ik3 localizing to the nucleus and Ik4 through Ik8 localizing to the cytosol [14] Recently Ik1, 2 and 3, the only isoforms which exhibit high DNA binding affinity [14], have been

Fig 3 Activation of downstream signals by leptin (L) or progesterone (P) Human U937 or CHP100 cells were treated for 24 h with 10 n M

leptin (A) or 1 l M progesterone (B), then lysates (50 lg of protein) were immunoblotted with the specific antibody against the inactive (total) or active (phosphorylated, phospho) form of STAT3 (A), or against Ikaros iso-forms Ik1, Ik2 and Ik3 (B) The positions of (phospho) proteins are indicated to the right These data are representative of three inde-pendent experiments Quantitative analysis by ELISA of the same samples (25 lg of protein) shown in (A,B) is reported in (C,D), where

*P < 0.01 vs control (CTR), and vertical bars represent SD values.

Trang 8

detected in the nucleus of human peripheral blood

mono-nuclear cells [13,14], where they are essential in controlling

the activation of granzyme B promoter by the

glucocorti-coid, dexamethasone [13] Here, we demonstrated that

circulating levels of progesterone (1 lM, i.e. 0.3 lgÆmL)1)

increased the nuclear levels of these Ikaros isoforms in

U937 cells 2.5-fold over the controls (Fig 3B,C) This is

noteworthy, because homo- and heterodimer formation

between Ik1, 2 and 3 is known to greatly increase their

affinity for DNA and their consequent ability to activate

transcription [13,14] Transfection experiments using

FAAHpromoter constructs with mutated Ikaros (mutIk)

revealed that this site indeed confers progesterone respon-siveness (Fig 4B), and EMSA analysis corroborated this conclusion (Fig 5B) Taken together, it can be concluded that in human U937 cells leptin by binding to LR activates STAT3, which in turn up-regulates FAAH gene transcrip-tion by tethering to a CRE-like site in the FAAH promoter

In addition, progesterone activates the FAAH gene by stimulating the binding of Ikaros to DNA, thus, enhancing its transcriptional activity on the FAAH promoter Activa-tion of the FAAH promoter by leptin may be additive to that of progesterone at the two different sites (Table 1 and Fig 4)

Fig 4 Analysis of FAAH promoter by transient expression (A) Proximal upstream region of human FAAH gene Left and right handed arrows denote SP1 sites in the – and + strands, respectively Pentagonal box: Ikaros (Ik) site; oval box: CRE-like site (B) 5¢ Flanking regions of the human FAAH gene were cloned in the PstI/XbaI sites of pCAT3-basic vector, wt: )107 to +1 upstream region containing the two SP1 sites flanking the Ikaros site and the CRE-like site; mutL: same as wt but with the mutated CRE-like sequence; mutIk: same as wt but with mutated Ikaros site; mutated sites are in white Human U937 cells and CHP100 cells were transfected with the aforementioned constructs and left untreated or treated with leptin or progesterone Transfection efficiency was monitored by the use of thymidine kinase b-galactosidase construct The values of CAT activity were normalized to b-gal activity and to the protein content and are expressed as percentage with respect to the activity of the empty vector, pCAT3 basic, which was set to 100% *P < 0.01 vs control, #P < 0.01 vs leptin or progesterone alone, and horizontal bars represent SD values.

Trang 9

A major finding of this investigation is that FAAH

activity and expression in human neuroblastoma CHP100

cells was not up-regulated by leptin and/or progesterone,

although these cells use LR, PR, STAT3 and Ikaros This

unprecedented observation gives support to previous

reports showing that in mouse hypothalamus FAAH

activity is not regulated by leptin [10], whereas it is in

mouse peripheral lymphocytes [9] However, the molecular

reasons for the lack of responsiveness of neuronal cells

remain unclear and different hypotheses can be put forward

On one hand, it can be suggested that coactivators triggered

by leptin or progesterone in immune cells are missing in

neuronal cells On the other hand, it is also possible that

silencers of FAAH gene expression are present in neuronal

cells but not in immune cells While both hypotheses are in

keeping with the tissue-specificity of FAAH promoter

regulation observed recently in vitro in mouse cells [41],

the observation that background FAAH activity ( 25 vs

 350 pmolÆmin)1Æmg protein)1 with 10 lM [3H]AEA as

substrate; Fig 1) and expression (Fig 1C,D) in CHP100

cells is significantly lower than that in U937 cells seems to speak in favour of a constitutive repression of FAAH gene

in the former cells To the best of our knowledge, this is the first demonstration that FAAH is differentially regulated in neuronal and immune cells by the same factors; a finding which may have important implications for the regulation

of the tone and activity of AEA in the neuroimmune axis

In particular, it seems noteworthy that leptin [42,43] and progesterone [44,45] play roles in survival, death and proliferation of immune and neuronal cells; processes in which AEA and the endocannabinoid system are also involved [19] In particular, leptin and progesterone, by stimulating AEA degradation through FAAH, might prevent apoptosis induced by AEA in immune cells [19], whereas they should be unable to protect by the same mechanism neuronal cells [19] Supporting this is the observation that progesterone enhances AEA hydrolase in immune cells by increasing nuclear levels of Ikaros – this factor is crucial for the in vivo enhancer function of TrkA, the nerve growth factor receptor [46] Trk receptors are suppressed by AEA in breast and prostate cancer cells [47], suggesting a possible functional link between Ikaros, AEA tone and Trk receptors in peripheral cells Finally, it should

be pointed out that genes in addition to FAAH may be differentially regulated by leptin and/or progesterone in U937 cells and CHP100 cells, potentially extending the implications of the reported findings beyond the endocann-abinoid system

In conclusion, the results reported here represent the first evidence of a differential regulation of FAAH gene expres-sion in immune and neuronal cells, suggesting cell-specific links between networks controlled by leptin or progesterone and the peripheral endocannabinoid system Conversely, the central actions of the two hormones do not seem to involve modulation of endocannabinoid metabolism

Acknowledgements

We wish to thank Drs Monica Bari and Natalia Battista for their expert assistance in cell isolation and culture This study was partly supported

by Ministero dell’Istruzione, dell’Universita` e della Ricerca (Cofin 2003) and by Istituto Superiore di Sanita` (III AIDS project), Rome.

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