The histone deacetylase inhibitors (HDACIs) butyrate and trichostatin A activate ␥-globin expression via a p38 mitogenactivating protein kinase (MAPK)-dependent mechanism. We hypothesized that downstream effectors of p38 MAPK, namely activating transcription factor-2 (ATF-2) and cyclic AMP response element (CRE) binding protein (CREB), are intimately involved in fetal hemoglobin induction by these agents. In this study, we observed increased ATF-2 and CREB1 phosphorylation mediated by the HDACIs in K562 cells, in conjunction with histone H4 hyperacetylation. Moreover, enhanced DNAprotein interactions occurred in the CRE in the G ␥-globin promoter (G-CRE) in vitro after drug treatments; subsequent chromatin immunoprecipitation assay confirmed ATF-2 and CREB1 binding to the G-CRE in vivo. Enforced expression of ATF-2 and CREB produced G ␥-promoter
IntroductionThe growth factor erythropoietin (Epo) exerts its effects on commitment, proliferation, and differentiation of erythroid progenitors and globin chain synthesis through Janus kinase 2/Stat5 signaling and crosstalk with mitogen-activated protein kinase (MAPK) pathways. 1-3 p38 MAPK signaling is required for Epo mRNA stability and hemoglobin synthesis. 4,5 The reversible inhibition of p38 MAPK using SB203580 blocked Epo-dependent accumulation of mouse globin chains, 6 and studies in p38␣ Ϫ/Ϫ knockout mice showed a failure of definitive  maj -globin gene expression. These studies confirm an Epo-p38 MAPK-dependent mechanism for hemoglobin synthesis. 7 The HDACI sodium butyrate (NaB) induces differentiation in erythroleukemia cells via Stat5 8,9 and p38 MAPK signaling. 10,11 Butyrate is a clinically useful fetal hemoglobin (HbF) inducer which has been used to treat individuals with sickle cell disease 12 and thalassemia 13 ; however, the molecular mechanism for NaB-mediated HbF induction is poorly understood. Recent data from Weinberg et al 14 showed that HbF induction by arginine butyrate is due in part to posttranslational mechanisms and increased ␥-globin mRNAtranslation.Several HDACIs, including trichostatin A (TSA), 10, and scriptaid,15,16 induce ␥-globin expression via p38 MAPK signaling. These studies suggest that different pharmacologic agents converge on the p38 MAPK pathway to activate ␥-globin expression. Four major MAPK pathways have been characterized: ERK1/2, ERK5/BMK1, cJun amino-terminal signal kinases (JNK), and p38. [17][18][19][20] Studies using erythroid progenitors, 21,22 knockout mice, 7 and K562 stable lines 10 suggest that p38␣ is the primary mediator of globin gene regulation.The downstream effector molecules of p38 MAPK signaling include MAPK-activated protein kinases 1 and 2, 23,24 PRAK, 25 ATF-1-4, CREB1, CREB2, and CREM. 26,27 Commonly, p38 phosphorylates ATF-2 and CREB to augment gene transcription. We recently demonstrated a p38 MAPK-dependent mechanism for NaB and TSA-induced ␥-globin expression. 10 Mechanistically, both agents bind a central zinc atom in HDAC to produce hyperacetylation of histone H3 (H3) and H4 28,29 to activate...