Abstract. Phosphorylated cAMP-responsive element binding protein-1 (p-CREB-1) is an important transcription factor which has been reported to be implicated in fibrogenesis. However, the association between p-CREB-1 and transforming growth factor-β1 (TGF-β1)-mediated liver fibrogenesis remains poorly understood. In the present study, exogenous TGF-β1 recombinant protein was used to activate hepatic stellate cells (HSCs), and we established a rat model of tetrachloromethane (CCl 4 )-induced liver fibrosis. Loss-and gain-of-function studies were performed to examine the role of p-CREB-1 in liver fibrogenesis, and the detailed mechanism responsible for these effects was further explored using chromatin immunoprecipitation and luciferase reporter gene assays. We found that p-CREB-1 expression was significantly upregulated in a rat model of hepatic fibrosis. We also demonstrated that p-CREB-1 increased TGF-β1 expression and auto-induction in HSCs, through directly binding to the CRE site within the TGF-β1 promoter in order to enhance its transcriptional activity. Moreover, lentivirus-mediated CREB-1 overexpression promoted hepatic fibrogenesis in rats. These findings suggest that p-CREB-1 may function as a potent profibrogenic factor through the transactivation of TGF-β1 expression in liver fibrosis.
IntroductionHepatic fibrosis, characterized by the excessive production and deposition of the extracellular matrix (ECM), is a common pathologic change observed in the progression of various chronic liver diseases to cirrhosis (1-3). Transforming growth factor-β1 (TGF-β1), the most potent profibrogenic cytokine currently known, stimulates the activation and transformation of hepatic stellate cells (HSCs) into myofibroblasts producing abnormal and abundant ECM (4,5). It has been reported that TGF-β1 binds to TGF-β type II receptors on the cell surface, and then recruits type I receptors; as a consequence, the type II receptor kinase phosphorylates the type I receptors and intracellular signal molecules such as Smads. Phosphorylated (p-)Smad2 and/or p-Smad3 form heteroligomers with Smad4, which translocate into the nucleus to control the ECM gene transcription (6-7). On the contrary, blocking TGF-β1 signaling may inhibit collagen production and promote the degradation of collagen (8,9). The roles of TGF-β1 in HSCs activation and liver fibrosis have been intensively studied; however, the transcriptional regulation of TGF-β1 remains poorly understood.Cyclic adenosine 3' ,5'-monophosphate (cAMP)-responsive element (CRE) binding protein-1 (CREB-1), a eukaryotic transcription factor, binds to CRE sites in the promoters of various cytokines to widely regulate gene transcription (10,11). The role of CREB-1 in fibrogenesis remains controversial. Several studies have reported that CREB-1 exerts anti-fibrotic effects, such as in myocardial fibrosis and pulmonary fibrosis (12,13). On the contrary, CREB-1 facilitated high glucose induced renal tubulointerstitial fibrosis in diabetic nephropathy (14). Currently, there limited research r...