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Department of Nutritional Sciences and Molecular and Cell Biology, University of Connecticut, Storrs, CT 06269
2To whom correspondence should be addressed. E-mail: mary.mcgrane{at}uconn.edu.
| ABSTRACT |
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(HNF4
) was expressed at the earliest stage of liver development on d 11, whereas retinoid X receptor
(RXR
) and nuclear coactivator CREB-binding protein (CBP) were expressed from d 16 onward. Although expressions of RXR
and CBP in livers of vitamin Asufficient and vitamin Adepleted fetal mice did not differ, the level of HNF4
was consistently lower in the latter. Our findings strongly suggest that vitamin A is required during liver development for staged expression of the PEPCK gene and that HNF4
may be involved in mediating vitamin A regulation of the PEPCK gene at these critical periods.
KEY WORDS: phosphoenolpyruvate carboxykinase vitamin A development hepatocyte nuclear factor 4
retinoic acid response element
Vitamin A is required for normal embryonic and fetal development, as well as maintenance of the fully differentiated state in the adult (1). Although limited data exist in humans, complete maternal vitamin A deficiency during gestation in rats leads to a complicated array of disorders including infertility, spontaneous abortion, fetal malformation and late fetal death (25). For the most part, however, these disorders are the result of severe vitamin A deficiency in the dam. Subclinical deficiency is much more prevalent in the developing world (6) and is recognized as a major public health problem with increased risk of fetal and infant mortality and morbidity (7). However, the effect of maternal subclinical vitamin A deficiency on regulation of fetal growth and organ development during the stages of gestation has not been examined, nor has the effect of moderate vitamin A deficiency on gene expression in developing tissues received much attention. In addition, there is a notable lack of information on the effect of either severe or moderate vitamin A deficiency on the developing liver, in part due to the fact that the critical period for liver organogenesis is relatively late (mid-gestation). In this study, we began to investigate the effect of vitamin A depletion on the developing liver by examining the phosphoenolpyruvate carboxykinase (PEPCK) gene as a prototype retinoid-responsive gene. The PEPCK gene is a particularly useful prototype for examining liver development because it is inhibited until late gestation and activated at birth (8,9). PEPCK is the last gluconeogenic enzyme to be expressed in liver development and is rate limiting in the livers capacity for gluconeogenesis at this time.
All-trans retinoic acid (at-RA) and its 9-cis isomer are the active metabolites of vitamin A in the nucleus of the cell. These retinoids bind to high affinity nuclear receptors, i.e., the retinoic acid receptors (RAR) and retinoid X receptors (RXR), which act as transcription factors that control expression of specific genes. The gene encoding a key regulatory enzyme in hepatic gluconeogenesis, PEPCK, is one of the target genes of both at- and 9-cis RA (10). Extensive studies on the PEPCK gene have shown that the PEPCK promoter contains three retinoic acid response elements (RARE1, RARE2 and RARE3) (1115), and at-RA treatment induces PEPCK gene transcription in H4IIE hepatoma cells (1214). Conducting in vivo studies with transgenic mice, our laboratory has shown that vitamin A deficiency significantly decreases hepatic PEPCK transgene and endogenous PEPCK mRNA levels in adult mice (10,16). Furthermore, PEPCK transgenes are differentially responsive to treatment with at-RA or 9-cis RA (10). Overall, regulation of the PEPCK gene by retinoids is now well characterized in adult liver; however, there is no information concerning vitamin A regulation of PEPCK gene expression in the developing fetal liver. This is partly because PEPCK mRNA is difficult to measure in fetal liver in which expression is low and initiated in late gestation. During gestation, the fetus is nourished by the maternal glucose supply, and PEPCK activity is not detected in fetal liver until the perinatal period. Hepatic PEPCK gene transcription is significantly increased at birth due to the decrease in the insulin/glucagon ratio that occurs at this time, although expression can be induced in fetal liver by cAMP treatment (1721). Hepatic gluconeogenesis is initiated a few hours after birth and maintains glucose homeostasis in neonates. Given the critical role of vitamin A in cellular differentiation, we sought to determine the effect of vitamin A depletion on the stages of metabolic differentiation that occur in the developing liver in late gestation, assessed by PEPCK gene expression.
Recently, we identified specific nuclear receptors present in mouse liver nuclear extract that bind PEPCK RARE (22). Hepatocyte nuclear factor 4
(HNF4
) is the major nuclear receptor that binds PEPCK RARE1; RXR
binds PEPCK RARE1, RARE2 and RARE3; and RAR
binds PEPCK RARE2 (22). In addition, the chicken ovalbumin upstream promoter transcription factor II (COUP-TFII) also binds RARE1 and RARE2, most likely as an inhibitory transcription factor. RXR
has been shown to be involved in liver organogenesis and mouse fetuses homozygous for a mutant RXR
die between d 12 and 16 of gestation (23,24). The defects in these fetuses resemble those with fetal vitamin A deficiency syndromes. HNF4
is another highly conserved member of the nuclear receptor superfamily, critical for development, liver cell differentiation and liver-specific gene expression (2527). However, to date, nuclear receptor expression in the developing liver has not been fully characterized despite the central role of these transcription factors in regulating liver-specific genes. Therefore, we sought to determine whether nuclear receptors that bind PEPCK RARE1, RARE2, and RARE3 are present in the developing liver, and therefore available to regulate fetal PEPCK gene expression. Further, we determined the gestational time of onset of expression of the nuclear receptor genes, to correlate their induction with the onset of PEPCK gene expression late in gestation. The time of onset of RXR
and CREB-binding protein (CBP) expression on gestation d 16 is just before the earliest time of PEPCK mRNA appearance on gestation d 17. The effect of vitamin A depletion was subsequently determined and provides evidence that HNF4
expression is regulated by vitamin A in fetal liver.
| MATERIALS AND METHODS |
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For experiments with both transgenic and nontransgenic mice, C57BL/6XSJL hybrid mice (Jackson Laboratory, Bar Harbor, ME) were used. Two lines of transgenic mice, PEPCK (460) and PEPCK (355), were used. These mice were produced as described by McGrane et al. (28) using standard microinjection procedures. In transgenic mouse lines, PEPCK DNA segments from 460 to +73 or 355 to +73 were ligated to a region of the bovine growth hormone (bGH) marker gene. The long half-life of the PEPCK-bGH mRNA enables sensitive detection of low levels of mRNA in fetal liver. Mice were housed in stainless steel cages at 21°C with a 12-h light:dark cycle. The animal protocol was approved by the Institutional Animal Care and Use Committee of the University of Connecticut.
Fetuses were made vitamin Adepleted (VAD) by feeding females the AIN 76A diet without vitamin A (29) beginning on d 0 of gestation. Successful mating was determined by the presence of a vaginal plug and the day of appearance was designated d 0. Vitamin Asufficient (VAS) mice were fed the same diet with 3600 retinol equivalents of retinyl esters/kg diet (Dyets, Bethlehem, PA).
Animal treatment.
For experiments with fetuses at d 17 of gestation, pregnant mice were anesthetized and the uteruses exposed by partial laparotomy. In one uterine horn, the fetuses were injected intraperitoneally with dibutyryl cAMP (Bt2cAMP) and theophylline (both 30 mg/kg body) through the uterine wall. In the other uterine horn, fetuses were injected intraperitoneally with saline alone. Immediately upon termination of injections, the maternal incision was closed. At the designated time after treatment, individual livers from each fetus from the treated uterine horn were removed for RNA extraction, as were individual fetal livers from the control uterine horn group. This was repeated in 34 dams for each treatment. For experiments in the postnatal period, pups were injected with either Bt2cAMP and theophylline at the above dose or with saline alone. Individual livers were excised from each neonate for RNA extraction and Northern blot analysis. In both groups, mice were killed 1 h after treatment.
Collection of fetuses for RNA analysis or for histologic examination.
At d 11, 13, and 1619 of gestation, pregnant females (n = 45) were killed and fetuses removed from the uterus; d 11 fetuses were immediately placed in 10% neutral buffered formalin for immunohistochemistry (IHC). At later days of gestation, fetal livers were removed and either frozen immediately for subsequent RNA analysis or placed in 10% neutral buffered formalin for IHC. For experiments in the postnatal period, pups were killed by decapitation and livers removed and treated similarly to fetal livers. Individual liver samples were used for RNA analysis. For IHC, liver samples from four fetuses or three pups were used per time point.
Analysis of the retinol concentration of fetal livers.
Liver samples were pooled from four fetuses per group and saponified in methanolic KOH overnight at room temperature as described by Furr and colleagues (30). Each sample was reconstituted in 250 µL of 2-propanol/dichloroethane (80:20), and 25-µL aliquots were analyzed by reversed-phase HPLC. Quantitative analysis of retinol was carried out on a Microsorb C18 column (Varian, Palo Alto, CA), with a mobile phase of ethanol/water (95:5, v/v) at a flow rate of 1.0 mL/min, with absorbance detection at 325 nm. External standardization was used, with correction for recovery of the internal standard. Total vitamin A (as retinol) was calculated per unit weight of liver sample.
RNA isolation and Northern blot analysis.
Total RNA from whole fetal livers (30100 mg) was extracted using Trizol reagent (Life Technologies, Carlsbad, CA). Northern blot analysis was performed as described previously (10). Membranes were exposed to Kodak (Rochester, NY) Biomax film at -80°C for 23 d (PEPCK mRNA) or 612 h (rpl 32 mRNA). The cDNA probes used were a 1.6-kb BglII fragment from the rat PEPCK cDNA (31); a 1.2-kb EcoRI-BamHI fragment from the bovine growth hormone (bGH) cDNA; and a 1.6-kb SstI fragment from the mouse rpl 32 cDNA (32). The latter was used as a control for total RNA per lane.
Immunohistochemistry (IHC).
For IHC, the following polyclonal antibodies were used: (i) goat anti-HNF4
, (ii) rabbit anti-RXR
, and (iii) goat anti-CBP (Santa Cruz Biotechnology, Santa Cruz, CA). IHC was carried out on 5 µm-thick sections of paraffin-fixed tissues by the streptavidin-biotin immunoperoxidase method. The deparaffinized and rehydrated sections were incubated overnight in a humidified chamber at 4°C in a 1:100 dilution of primary antibody. After rinsing in PBS for 15 min, sections were incubated for 1 h at 1:400 dilution of biotinylated anti-rabbit or anti-goat secondary antibody, as appropriate. Liver sections were washed again with PBS and incubated with ABC reagent (Vector Laboratories, Burlingame, CA) containing horseradish peroxidase. Immunoreactivity was visualized using diaminobenzidine tetrachydrochloride. The preparations were lightly counterstained with eosin and mounted. Photographs were taken using an Olympus IX70 microscope (Olympus America, Melville, NY).
Statistical analysis.
Results of HPLC analysis of retinol concentrations and Northern blot analysis of mRNA levels were reported as means ± SEM. Differences between group means were analyzed by Students t tests. Differences were considered significant at P < 0.05. All data were evaluated using SPSS version 9 (SPSS, Chicago, IL).
| RESULTS |
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60-fold greater than those measured on d 17.
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was expressed very early in liver development, i.e., on d 11 in the hepatic primordium. RXR
and the coactivator CBP were expressed from d 16 onward. RAR
, RARß and COUP-TFII were not detected in fetal liver on the days examined, nor were nuclear coregulators SRC-1, SMRT and NCo-R (data not shown).
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, RXR
and CBP in fetal liver by IHC. HNF4
was consistently lower in VAD fetal livers on gestation d 13, 16 and 18 (Fig. 5). By comparison, there were no apparent differences in the pattern of RXR
and CBP in VAD and VAS fetal livers (data not shown).
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| DISCUSSION |
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The liver goes through a number of defined developmental stages during gestation. In mice, the final stage is initiated on fetal d 17 when liver cells undergo a transformation from primarily hematopoietic support cells to fully differentiated hepatocytes. In the last phase of liver development, a number of metabolic genes, under the control of regulatory transcription factors, are induced (33). Additionally, hepatocytes develop cell junctions and begin to form the polarized epithelium characteristic of the adult liver (34). It is during this stage in fetal liver that the cytosolic PEPCK gene attains the capacity to be expressed. PEPCK is the last gluconeogenic gene to be activated in the developing liver; therefore, PEPCK gene expression is the determining factor in the gluconeogenic capacity of the liver at this stage. PEPCK mRNA has been detected at low levels on d 19 in mouse liver (21) and is inducible at d 17 by cAMP (19). Therefore, the PEPCK gene acquires competence to be activated at the beginning of the last phase of liver development. Vitamin A in the form of at-RA is a local signaling molecule that potentially contributes to terminal hepatocyte differentiation. at-RA is required for expression of the PEPCK gene in adult liver, which contributes to the maintenance of the fully differentiated metabolic state of the mature hepatocyte. Therefore, given its importance in cellular differentiation, at-RA potentially determines the transition to competence of the PEPCK gene in the final stage of hepatocyte differentiation in fetal liver. The PEPCK gene serves as a prototype gene for late fetal development because at-RA may activate a series of metabolic genes and transcription factors at this stage in liver ontogeny.
We investigated the requirement for vitamin A in induction of the PEPCK gene during late gestation, assessed by the measurement of PEPCK mRNA levels in fetal liver. PEPCK activity is regulated primarily at the level of gene transcription and mRNA concentration, not at the level of translation or post-translational modification (35). Therefore, measurement of PEPCK mRNA is generally accepted as an accurate determinant of PEPCK enzyme concentration and activity. Relative to vitamin A status in the developing liver, Goodman and colleagues described three phases of vitamin A accumulation during fetal development in the rat: an early phase (d 79) in which there is substantial accumulation of retinol; a second phase (d 1114) in which retinol and retinol binding protein accumulate; and a third phase (d 1620) in which transplacental transport of retinol is extensive and highly regulated (3,4). In the last phase, there is a large increase in fetal whole-body vitamin A. Therefore, retinol levels increase in the fetal liver just before the time of increased metabolic gene expression and alterations in hepatocyte morphology. The transition to competence of the PEPCK gene may be induced by the increase in fetal liver retinol, assuming a concomitant increase in at-RA. Inadequate retinol, as would occur with a vitamin Adeficient diet, and inadequate at-RA availability may delay or inhibit this transition. Our results show that vitamin A depletion significantly decreases PEPCK gene expression and inhibits induction by cAMP during late gestation as well as in the immediate postnatal period. Therefore, retinol (presumably at-RA in the nucleus) is a dominant positive regulator of PEPCK gene expression in the perinatal period.
Liver-specific HNF4
is a member of the nuclear receptor superfamily of transcription factors. It has been reported that the transition to the final phase of liver differentiation requires expression of the HNF4
gene (27,36), as do earlier phases of embryonic development (37). In the absence of HNF4
, the genes for apolipoproteins, serum factors, downstream transcription factors and metabolic enzymes are not induced in the maturing hepatocyte (38). Of particular interest during development is that HNF1
is also a target gene of HNF4
; together these nuclear receptors play a crucial role in liver cell differentiation (25). HNF4
, then, is potentially a key transcription factor involved in eliciting the terminal phase of hepatocyte differentiation (27). Consistent with this, when the HNF4
gene is transfected into dedifferentiated hepatoma cells, these cells assume the epithelial morphology of fully differentiated hepatocytes (38). Relative to the PEPCK gene and the potential role of HNF4
in the acquisition of competence, we showed by chromatin immunoprecipitation that HNF4
binds the PEPCK retinoic acid response element (RARE) 1 element in liver in vivo (Scribner, K. and McGraw, M., unpublished results). To date, however, it is not clear what signal directs the association of HNF4
with the PEPCK RARE1. The findings reported here show that HNF4
is one of the first nuclear receptors to be expressed in the developing liver and that vitamin A depletion decreases the levels of nuclear HNF4
in the developing mouse liver from d 13 to 18. Thus, during liver development, reduced expression of the HNF4
gene due to VAD and the concomitant decrease in expression of the HNF1
gene together may lead to inadequate metabolic differentiation of liver cells, as exhibited by decreased expression (and hormonal responsiveness) of the PEPCK gene. Therefore, we predict that the HNF4
gene is responsive to retinoids in the fetal liver and that HNF4
binding to the PEPCK RARE1 determines expression of the PEPCK gene, as a prototypical late phase gene, in fetal liver in response to vitamin A status of the mother.
| FOOTNOTES |
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3 Abbreviations used: at-RA, all-trans retinoic acid; bGH, bovine growth hormone; Bt2cAMP, dibutyryl cAMP; CBP, CREB binding protein; COUP-TFII, chicken ovalbumin upstream promoter transcription factor II; HNF4
, hepatocyte nuclear factor
; IHC, immunohistochemistry; PEPCK, phosphoenolpyruvate carboxykinase; RARE, retinoic acid response element; RXR
, retinoid X receptor
; VAD, vitamin A depleted; VAS, vitamin A sufficient. ![]()
Manuscript received 16 January 2003. Initial review completed 7 February 2003. Revision accepted 2 April 2003.
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