Published ahead of print on June 12, 2003, doi:10.1165/rcmb.2003-0024OC
© 2003 American Thoracic Society DOI: 10.1165/rcmb.2003-0024OC Monocyte Chemoattractant Protein-4 Core Promoter Genetic VariantsInfluence on YY-1 Affinity and Plasma LevelsCombined Program in Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Harvard Medical School, and Respiratory Physiology Program, Harvard School of Public Health, Boston, Massachusetts Address correspondence to: Craig M. Lilly, Pulmonary and Critical Care Division, Brigham and Women's Hospital, 75 Francis Street, PBB 3rd Floor Clinics Building, Boston, MA 02115. E-mail: clilly{at}partners.org
Monocyte chemoattractant protein-4 (MCP-4) is a CC chemokine implicated in the recruitment of eosinophils, monocytes, and T-lymphocytes in diseases of mucosal inflammation, including asthma. We tested the hypothesis that there is a genetic basis for differences in MCP-4 expression among individuals by evaluating the effects of core promoter variants on MCP-4 expression. We identified two single-nucleotide T-to-C polymorphisms in the MCP-4 core promoter that occur 896 and 887 base pairs preceding the transcription initiation site. The 887 variant alters a consensus binding motif for the transcription factor YY-1. Electrophoretic mobility shift assay demonstrated that YY-1 containing nuclear extracts from tumor necrosis factor- stimulated peripheral blood mononuclear cells had greater avidity for the wild-type (YY-1 motif intact) sequence than for the variant sequence. Increasing doses of a YY-1 expression vector induced significantly greater reporter activity from MCP-4 core promoter expression constructs of the wild-type compared with the variant sequence in transient transfection experiments. The external validity of these observations was demonstrated by measuring plasma levels of MCP-4 from individuals with the alternative forms of the gene. Individuals bearing haplotypic variants of the MCP-4 core promoter that avidly bind the transcription factor YY-1 had higher plasma levels of MCP-4 than did individuals with variants with lower binding avidity (490, 360, and 360 pg/ml; P < 0.01). Our findings suggest that the MCP-4 core promoter YY-1 binding motif is functional, modulates the transcriptional regulation of the MCP-4 gene, and that part of the variance in the systemic expression of MCP-4 is determined by core promoter genetic variants.
Abbreviations: base pairs, bp electrophoretic mobility shift assay, EMSA interleukin, IL monocyte chemoattractant protein-4, MCP-4 peripheral blood mononuclear cells, PBMCs polymerase chain reaction, PCR tumor necrosis factor-
Monocyte chemoattractant protein-4 (MCP-4) is a member of the CC family of chemokines that is one of the gradient-forming chemoattractants that orchestrate the recruitment of inflammatory cells to sites of mucosal inflammation. MCP-4 is coded for by a 3-exon gene located on human chromosome 17 at q11.2. MCP-4 directs the migration of leukocytes by acting through specific seven-transmembrane domain G proteincoupled receptors that are present on eosinophils, monocytes, and T-lymphocytes (1). Airway tissues, including epithelial cells, respond to allergic stimulation with increased expression of RANTES (2), eotaxin-1 (3), and MCP-4 (4). Increased translation of protein is tightly linked to increased expression of mRNA both in vitro and in vivo (35). The mechanisms that account for the coordinated but differential expression of chemokines are now being elucidated. One important mechanism for modulating mRNA expression is the activity of transcription factors on core promoter elements. Indeed, the transcription factors that regulate expression of eotaxin-1 (6) and RANTES (7, 8) have been described in in vitro systems, and a role for the transcription factor nuclear factor- B in eotaxin expression has been demonstrated in a murine model (9). The human MCP-4 core promoter region has been analyzed (10), but the transcription factors governing MCP-4 expression in humans have not been studied in vivo. Advances in our understanding of the transcription factors that orchestrate chemokine expression hold great promise for the therapeutic manipulation of recruitment of inflammatory cells. One approach that allows association of a specific transcription factor with chemokine expression is that of correlating core promoter genetic variants with altered affinity of transcription factor binding and chemokine expression in human cells. We therefore sought naturally occurring variants in the MCP-4 core promoter region that influence MCP-4 expression by altering transcription factor binding. We studied the effects of such a variant in a human population with known variation in MCP-4 expression. We report two novel single-nucleotide polymorphisms at the core promoter region of MCP-4 and present evidence that differences in plasma MCP-4 levels are associated with altered YY-1mediated gene transcription.
Subject Selection and Measurement of MCP-4 Protein Genomic DNA was extracted from Epstein-Barr virusimmortalized lymphocytes prepared from peripheral blood of 20 patients who met American Thoracic Society (ATS) criteria for asthma and of 20 apparently healthy control subjects who had no history of asthma, atopy, or significant medical illness. To determine the effects of the variant on the systemic expression of MCP-4, we collected genomic DNA and plasma from 479 subjects with asthma and from 214 healthy subjects. Subjects in the group with moderate chronic-stable asthma were recruited from 40 sites in the United States as previously described (11). All patients met the ATS criteria for diagnosis of asthma and had reversibility of airflow obstruction of at least 15% with a short-acting ß-agonist. Healthy subjects had no history of significant medical disease. Nuclear extracts were prepared from peripheral blood mononuclear cells of healthy subjects. All subjects gave written informed consent on forms that had the prior approval of the appropriate institutional review boards. Plasma samples anticoagulated with EDTA were stored at 80°C, thawed, and levels of MCP-4 determined by enzyme-linked immunosorbent assay as previously described (4).
Identification of Variants
Determination of MCP-4 Core Promoter Genotype MCP-4 genotype was determined by restriction fragment length polymorphism analysis. We introduced a distinguishing enzyme restriction site in the polymerase chain reaction (PCR) with modified primers when such a site did not occur naturally. The following oligonucleotide primers (5' to 3') were used: T-887C, sense, TTTCACTGGCTTATTTTGC; antisense, GCCCTCAGAGCAAAGAAGTG; T-896C, sense, AAGTCTTGGAGCTAGGGATGAGTGGGAAAGGGACAGGT; antisense, GCCCTCAGAGCAAAGAAGTG. PCR was performed with Taq polymerase (Promega, Madison, WI) with a final concentration of 2 mM MgCl2. Both PCR reactions were done at an annealing temperature of 59°C for 36 cycles. Restriction enzyme digestion was performed on 10 µl of amplified DNA with MseI for 887 and AvaII for 896 (New England Biolabs, Beverly, MA). After digestion, PCR fragments were resolved by electrophoresis on a 1.5% agarose gel containing ethidium bromide and visualized by ultraviolet translumination. The length of the digestion-resistant wild-type 896 amplicon was 146 base pairs (bp), and the products of the digested variant amplicon were 36 and 110 bp. The size of the digestion-resistant variant 887 amplicon was 217 bp, and the products of the digested wild-type amplicon were 119 and 98 bp.
Molecular Haplotyping of MCP-4 Promoter
Electrophoretic Mobility Shift Assays Protein-DNA binding reactions were performed with 510 µg of nuclear extract protein and 1 µl of labeled oligonucleotide (50,000 cpm), 1 µl of polynucleotide (dIdC), in 100 mM Tris (pH 7.5), 10 mM EDTA, 10 mM DTT, and 50% glycerol in a total volume of 20 µl. After incubation at room temperature for 30 min, proteinDNA complexes were resolved on a 7% nondenaturing acrylamide gel in a 1x Tris-borate-EDTA buffer at room temperature and visualized by autoradiography. Under these conditions radio-dense banding was not observed when the nuclear extract or labeled probe was omitted. Supershift and cold competition experiments were performed by preincubating nuclear extracts with 2 µg of specific polyclonal antibodies (Santa Cruz Biotechnology, Santa Cruz, CA) or excess annealed cold oligonucleotide, respectively, for 10 min before the addition of the labeled probes.
Transient Transfection Analysis with Promoter Reporter Constructs
Statistical Analysis
Identification of MCP-4 Core Promoter Variants T-887C and T-896C We identified two single-nucleotide T-to-C transition polymorphisms in the MCP-4 core promoter region at 887 and 896 in the 5' direction from the first base pair in the translation initiation site in exon 1 (Figure 1) . The 887 variant altered the sequence of a consensus binding motif for the transcription factor YY-1 (CCATTTT). The more common T form has a sequence predicted to bind YY-1; the variant C form does not (Figure 1). The disequilibrium coefficient for the two variants was 25% of its maximal value as calculated from directly measured haplotype frequencies. In every case in which a variant allele was present at the 896 locus, a variant allele also was present at 887. Seventy-eight (67%) of the 116 alleles with the variant at the 887 locus also had a variant allele at the 896 locus (Table 2). We did not detect other variants of the core promoter or exons of the MCP-4 gene.
Effects of the T-887C Variant on Nuclear Protein Avidity Electrophoretic mobility shift assay (EMSA) was performed with nuclear extracts obtained from human cell types known to produce MCP-4 (4). In TNF- stimulated PBMCs, oligonucleotides with the 887T wild-type sequence bound complex A of Figure 2 with greater affinity than did a probe with the variant 887C sequence, and the specificity of this binding was demonstrated in a study with excess unlabeled oligonucleotide and an irrelevant oligonucleotide (Figure 2). An equivalent result was obtained when nuclear extracts were obtained from A549 cells (data not shown). Control studies with an irrelevant oligonucleotide and excess unlabeled oligonucleotide demonstrated specific binding (Figure 2).
Identification of YY-1 Nuclear Extracts and Binding Affinity for Alternative MCP-4 Promoter Sequences To determine which DNA-binding proteins specifically bound the MCP-4 core promoter region altered by the variant, we performed EMSA with supershift analysis. The addition of antibodies to YY-1 resulted in a supershift of all of the specific bands that appeared in the EMSA (Figure 3) . This change in electrophoretic mobility appears to be specific to the YY-1 antibody because antibodies to other transcription factors, including Pbx-1, c-Myb, GATA-3, and C/EBP-ß and Oct-1 (Figure 3), failed to induce a supershift. Probes with the wild-type 887T sequence bound YY-1 with greater affinity than did probes having the 887C variant sequence (Figure 3; band "A").
Effects of the T-887C Variant on MCP-4 Promoter Activity The effects of the variant on MCP-4 promoter activity were determined in a promoter-reporter assay system. MCP-4expressing airway epithelial A549 cells (4) were transiently transfected with constructs having the sequence of genomic DNA corresponding to each of the naturally occurring haplotypes placed adjacent to a luciferase reporter element. Haplotypes bearing the wild-type T at position -887 had significantly greater promoter activity than did the C-bearing variant in an assay using 1,500 ng of target construct (n = 5, Figure 4) . The difference in reporter activity was significantly higher for the wild-type T-bearing vector at each dose of construct studied (500 ng, C 1,100 ± 200 units, T 1,500 ± 280, P = 0.04; 750 ng, C 4,700 ± 750 units, T 7,700 ± 2000, P = 0.0001; 1,000 ng, C 4,900 ± 900 units, T 6,400 ± 960, P = 0.009; 1,750 ng, C 8,100 ± 790 units, T 9,500 ± 850, P = 0.02).
Effects of YY-1 on MCP-4 Promoter Activity Increasing doses of a YY-1 expression construct were associated with substantial increases in MCP-4 core promoter reporter construct activity. YY-1 expression was associated with significantly greater reporter construct activity for cells transfected with the wild-type 896T/887T than with the variant 896C/887C construct (Figure 5 , n = 3, P < 0.001; two-way repeated measure ANOVA; replicated in experiments using equal total amounts of transfected DNA).
Effects of the T-887C Variant on the Systemic Expression of MCP-4 Protein Plasma levels of MCP-4 were measured in 693 subjects for whom haplotypic information was available. This population was comprised of 369 men and 324 women aged 31 ± 0.7 and 32 ± 0.7 (537 European Americans, 94 African Americans, 42 Hispanics, and 20 Asians). Plasma MCP-4 levels were not significantly related to and did not have significant interaction with any of the demographic variables. The distribution of each of the genetic variants met the conditions of the Hardy-Weinberg equilibrium. The frequency of the 896 variant allele was 0.063 and that of the 887 variant was 0.084 (Table 2). This study was not powered to detect and did not detect significant differences in the frequency of the variants between our healthy subjects and those with asthma (P > 0.05 by chi-square). Consistent with our promoter-reporter studies, plasma levels of MCP-4 were significantly lower in individuals bearing the T-887C variant than in those bearing the T896C variant. Individuals bearing the 887C variant on both alleles had lower levels than heterozygotes (P = 0.001 and P = 0.014; Figure 6A) .
MCP-4 Protein Levels as a Function of Promoter Haplotype We detected three of the four potential haplotypes in our population. These define six groups of individuals with unique combinations of these haplotypes; the population frequency of these groups is presented in Table 3. Due to the small numbers of individuals with the uncommon haplotypes, we sorted individuals into three groups: A group of individuals with the most common (TT) haplotype at both alleles, a group of individuals with one or more of the least common (CT) allele, and the remaining individuals who had at least one (CC) allele. Individuals who bear haplotypic variants that include the 887C variant had significantly lower levels of plasma MCP-4 than did those who are homozygous for the wild-type allele (887T; Figure 6B). To confirm that these findings could not be ascribed to inclusion of minorities in our population, we performed an analysis that was restricted to the European American members of our population. The plasma MCP-4 levels differed significantly among the groups (P < 0.01, n = 537), with individuals bearing two copies of the most common (TT) haplotype having the highest MCP-4 levels.
We describe two genetic variants in the promoter region of MCP-4 (CCL-13) and report their functional consequences in vivo and in vitro. The T-887C variant alters a consensus transcription factorbinding motif for YY-1 (5'-CCATNTT-3'). Nuclear extracts from PBMCs stimulated with MCP-4inducing concentrations of TNF- bound the wild-type sequence more avidly than the variant T-877C sequence. These MCP-4 core promoter binding protein(s) were shown to contain transcription factor YY-1 immunoreactivity in a supershift assay. Promoter-reporter constructs with sequences that bound YY-1 more avidly (-887T) had greater promoter activity than did variant constructs. Increasing doses of a YY-1 expression vector were associated with increased reporter activity of MCP-4 core promoter constructs. This source of exogenous YY-1 produced significantly greater reporter activity from the 887T wild-type than from the variant MCP-4 core promoter construct. These findings suggested that individuals bearing the 887C allele would have impaired ability to transcribe the MCP-4 gene and reduced ability to produce MCP-4. We therefore measured MCP-4 levels as a function of promoter genotype in a population of individuals with substantial variance in plasma MCP-4 levels. We found that individuals bearing the T-877 wild-type sequence had higher plasma levels of MCP-4 than did individuals bearing the 887C variant form, and individuals homozygous for the variant had lower levels than did heterozygotes. Similarly, we found that individuals bearing haplotypic variants with impaired YY-1 binding avidity had significantly lower plasma levels of MCP-4 than did individuals bearing YY-1avid alleles. Although our study was powered to find greater than 100-pg/ml differences in plasma MCP-4 levels among the haplotypes, it was not powered or designed to associate MCP-4 levels with asthma or its related phenotypes. Accordingly, this study provides little evidence for, but cannot exclude, a relationship between these variants and susceptibility to a diagnosis of asthma.
YY-1 belongs to the GLI-krüppel family of transcription factors that have pleitropic functions. It is known to initiate, activate, or repress transcription (14), depending on the binding motif and interactions through its protein-binding domain (1517). The MCP-4 YY-1 binding motif lacks the repressor-associated adenosine or thymidine residue at position 881, and has a cytidine residue at position 891 that is conserved among YY-1 motifs in genes that are activated by YY-1. Our promoter-reporter and plasma studies consistently associate this wild-type motif with increased expression of MCP-4. YY-1 is ubiquitously expressed, being present in most cell types (18), and a growing number of genes have been found to contain a potential YY-1 binding site in their core promoter region. YY-1 is known to interact with NFAT to activate the interferon- In the paradigm of allergic inflammation, increased presence of transcript is tightly linked to expression of chemokine proteins. The transcriptional regulation of many chemokine genes, including eotaxin and RANTES (7), has been reported in vitro. The MCP-4 promoter has been evaluated by Hein and coworkers (10), who identified several transcription-factor consensus binding motifs, including the YY-1 motif. We extend these findings by demonstrating that this YY-1 binding motif is operational and relevant to the regulation of the transcriptional activity of MCP-4. This variant that decreases YY-1 binding avidity explains part of the variation in the systemic expression of MCP-4 and demonstrates that some of the differences in chemokine expression among individuals are genetically determined. Our study has some important limitations. Although our study linked YY-1 to baseline systemic expression of MCP-4 and its induction in airway epithelial cells, it does not define the role of YY-1 in the regulation of MCP-4 in other cell types. Second, our study does not address the important question of which proteinprotein interactions are critical for YY-1 transcriptional activation of MCP-4. In conclusion, we describe two novel mutations of the MCP-4 core promoter and provide evidence that the T-887C mutation has functional consequences. In addition to being associated with lower systemic levels of MCP-4 and reduced promoter activity, this mutation occurs in a consensus binding site for the pleiotropic transcription factor YY-1 and decreases its binding avidity and ability to support transcription in reporter assays. These findings link the transcription factor YY-1 to the constitutive systemic expression of the chemokine MCP-4 and demonstrate that part of the variance in MCP-4 expression is genetically determined.
This work was supported by National Heart, Lung, and Blood Institute grants HL/AI-64104 and HL63222. The authors thank Steve Georas for his generous gift of the YY-1 expression construct. Received in original form January 22, 2003 Received in final form June 9, 2003
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